| Return Reference | Explanation |
|---|---|
| Part I, line 10 - Cash | | Description:, Amount:, Grantee Type:, Grantee Name:, Grantee Address:, Activity Type:, Class of Activity Description:, RelationShipDescription:|-, $3000, -, -, -, -, -, - | |
| Part I, line 16 | | Other Expenses:, Amount:| Merchant Account Fees, $1083| Office Supplies and Software, $2984| Legal & Professional Services, $2700| Reimbursable Expenses Other Misc, $3000| |
| Software ID: | |
| Software Version: |