Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: INTEREST INCOME. AMOUNT: 20. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: LONNIE QUIRIAN. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 02/16/23. AMOUNT GIVEN: 2,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: VICTORIA SALMON. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 01/12/23. AMOUNT GIVEN: 2,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: EMILY GRANGER. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 02/16/23. AMOUNT GIVEN: 1,500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: GERVAIS FORD. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 10/18/22. AMOUNT GIVEN: 900. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: COMMUNITY FOUNDATION OF N. CENTRAL MA. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 12/20/22. AMOUNT GIVEN: 50. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: TOWN OF AYER. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 01/13/23. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: FITCHBURG EAST CLUB. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 02/16/23. AMOUNT GIVEN: 100. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: STONE SOUP MINISTRIES. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 06/21/23. AMOUNT GIVEN: 500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: PACH. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 06/21/23. AMOUNT GIVEN: 500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: LOAVES & FISHES. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 06/21/23. AMOUNT GIVEN: 500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: CLEAR PATH FOR VETERANS. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 06/21/23. AMOUNT GIVEN: 300. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE. GRANTEE NAME: LEO GUERCIO. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 10/11/22. AMOUNT GIVEN: 200. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 9,550. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: BANK SERVICE CHARGE. AMOUNT: 918. DESCRIPTION: FOOD PURCHASE. AMOUNT: 3,468. DESCRIPTION: EXCHANGE. AMOUNT: 100. DESCRIPTION: APPAREL/CLUB ACCESSORIES. AMOUNT: 698. DESCRIPTION: DISTRICT DUES. AMOUNT: 1,960. DESCRIPTION: GIFTS. AMOUNT: 176. DESCRIPTION: LICENSES AND FEES. AMOUNT: 837. DESCRIPTION: OFFICE SUPPLIES. AMOUNT: 602. DESCRIPTION: ROTARY INTERNATIONAL DUES. AMOUNT: 2,883. TOTAL TO FORM 990-EZ, LINE 16: 11,642. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: INVESTMENT ACCOUNT. BEG. OF YEAR AMOUNT: 11,357. END OF YEAR AMOUNT: 13,544. |
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