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
OUR SAVIORS LUTHERAN CHURCH FOUNDATION
 
Employer identification number

23-7366691
Return Reference Explanation
FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME DESCRIPTION: DIVIDEND INCOME. AMOUNT: 4,283.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: SAFETY DEPOSIT BOX. AMOUNT: 52. DESCRIPTION: BANK FEES. AMOUNT: 8. DESCRIPTION: INSURANCE BOND EXPENSE. AMOUNT: 100. DESCRIPTION: MN FILING FEE. AMOUNT: 25. TOTAL TO FORM 990-EZ, LINE 16: 185.
FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETS DESCRIPTION: INCREASE IN MARKET VALUE OF SECURITIES. AMOUNT: 6,449.
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


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