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
2016
Open to Public
Inspection
Name of the organization
Kettle Moraine High School Booster
Club Inc
Employer identification number

61-1574659
Return Reference Explanation
Other Revenue.1 Insurance Proceeds $3685
Grants and Similar Amounts Paid In Excess of $5,000.2 Class of Activity: PROMOTE HEALTHY SPORTS AC | Donee's Name: KM TRACK | Donee's Address: 349 N. Oak Crest Drive WALES WI 53183 | Relationship of Donee: NONE | Cash Amount Given: $5328
Grants and Similar Amounts Paid In Excess of $5,000.5 Class of Activity: PROMOTE HEALTHY SPORTS AC | Donee's Name: KM ATHLETICS DEPARTMENT | Donee's Address: 349 N. Oak Crest Drive WALES WI 53183 | Relationship of Donee: NONE | Cash Amount Given: $23114
Grants and Similar Amounts Paid In Excess of $5,000.14 Class of Activity: EDUCATIONAL/Scholarships | Donee's Name: KM SCHOLARSHIP FUND | Donee's Address: 349 N. Oak Crest Drive WALES WI 53183 | Relationship of Donee: NONE | Cash Amount Given: $10000
Grants and Similar Amounts Paid In Excess of $5,000.23 Class of Activity: PROMOTE HEALTHY SPORTS AC | Donee's Name: KM GOLF | Donee's Address: 349 N Oak Crest Drive WALES WI 53183 | Relationship of Donee: NONE | Cash Amount Given: $6500
Other Expenses.1012 Insurance $1900
Other Assets.1002 Furniture and Fixtures - Beginning $33611 Furniture and Fixtures - Ending $28200
Total Liabilities.1001 Accounts Payable and Accrued Expenses - Beginning $3280 Accounts Payable and Accrued Expenses - Ending $3557
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2016


Additional Data


Software ID: 16000303
Software Version: 2016v3.0