SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
GREAT MINES HEALTH CENTER FOUNDATION
 
Employer identification number

46-2016304
Return Reference Explanation
FORM 990-EZ, PART I, LINE 4 - RENTAL INCOME KIND AND LOCATION OF PROPERTY: 212 E JEFFERSON ST, POTOSI, MO 63664. AMOUNT: 11,600.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: INSURANCE. AMOUNT: 3,126. DESCRIPTION: DEPRECIATION. AMOUNT: 776. DESCRIPTION: INCOME TAX. AMOUNT: 1,797. TOTAL TO FORM 990-EZ, LINE 16: 5,699.
FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS DESCRIPTION: PREPAID INCOME TAX. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 900.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2014

Additional Data


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