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
FRATERNITY LODGE #118 IOOF
 
Employer identification number

04-6042124
Return Reference Explanation
FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME DESCRIPTION: INTEREST. AMOUNT: 1,008. DESCRIPTION: DIVIDENDS. AMOUNT: 20,164. DESCRIPTION: OTHER. AMOUNT: 365. TOTAL INCLUDED ON FORM 990-EZ, LINE 4: 21,537.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: SPECIFIC ASSISTANCE TO INDIVIDUALS. AMOUNT: 6,400. DESCRIPTION: MEETINGS. AMOUNT: 1,970. DESCRIPTION: SUPPLIES. AMOUNT: 4,205. DESCRIPTION: PER CAPITA TAX. AMOUNT: 819. DESCRIPTION: OTHER. AMOUNT: 5,071. TOTAL TO FORM 990-EZ, LINE 16: 18,465.
FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS DESCRIPTION: INVESTMENTS. BEG. OF YEAR AMOUNT: 365,467. END OF YEAR AMOUNT: 375,309.
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


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