| Return Reference | Explanation |
|---|---|
| Description of other revenue Part I line 8 | Description AmountNet rental 370Other revenue 260 |
| List of grants and similar amounts paid Part I line 10 | Activity Charitable gift Grantee Chicago Shrine Hospital Street 2211 N Oak Park City, State, Zip Elmwood Park, IL 60707Amount 12,500Activity Charitable gift Grantee Shriners Hospital Children Dayton Street 1 Childrens Plaza 2 West City, State, Zip Dayton, OH 45404Amount 12,500Activity Grants Grantee Van Buren & Cass Sheriff Depts Amount 3,000 |
| Description of other expenses Part I line 16 | Description AmountSocial activities 3,576Office supplies 959Interest 6Dues paid to temple 800Other expense 159 |
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