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
2015
Open to Public
Inspection
Name of the organization
LIONS INTERNATIONAL
LIONS CLUB OF DANVERS MASS INC
Employer identification number

04-3013745
Return Reference Explanation
FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE DESCRIPTION: INTEREST INCOME. AMOUNT: 1,375.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: SCHOLARSHIP. GRANTEE ADDRESS: VARIOUS DANVERS, MA 01923. AMOUNT GIVEN: 1,500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: VARIOUS. GRANTEE ADDRESS: VARIOUS DANVERS, MA 01923. AMOUNT GIVEN: 2,325. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 3,825.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: ADVERTISING. AMOUNT: 629. DESCRIPTION: OFFICE SUPPLIES. AMOUNT: 230. DESCRIPTION: MEETINGS. AMOUNT: 1,619. DESCRIPTION: DUES & SUBSCRIPTIONS. AMOUNT: 1,119. DESCRIPTION: POSTAGE. AMOUNT: 144. DESCRIPTION: TAXES. AMOUNT: 54. TOTAL TO FORM 990-EZ, LINE 16: 3,795.
FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETS DESCRIPTION: UNREALIZED LOSS ON INVESTMENTS. AMOUNT: -179.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2015


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