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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2017
Open to Public
Inspection
Name of the organization
Benevolent and Protective Order of Elks 487
 
Employer identification number

04-1079690
Return Reference Explanation
Officer directors etc family relationship Part VI line 2 There three officers that are related, two brothers and one sister.
Organizational document changes Part VI line 4 The lodge became incorporated effective September 2, 2016.
Members or stockholder classes and rights Part VI line 6 All members have voting rights.
Member election for additional members Part VI line 7a All members are able to vote on additional members.
Governing body decisions Part VI line 7b Governing body decisions are voted on.
Form 990 governing body review Part VI line 11 There is a governing body set up to review the 990.
Conflict of interest policy compliance Part VI line 12c Conflict of interest is monitored by their governing body.
CEO executive director top management comp Part VI line 15a Management compensation follows Grand Lodge guidelines.
Other officer or key employee compensation Part VI line 15b Other officer compensation follows Grand Lodge guidelines.
Governing documents etc available to public Part VI line 19 All governing documents are available upon request.
Explanation of other changes in net assets or fund balances Part XI line 9 Increase in temporary restricted funds.
List of other expenses Part IX line 24e Program Services: Utilities $ 24,761 Repairs & Maintenance 7,907 Bar Expenses 2,779 = $ 35,447Management & General: Grand Lodge per Capita $ 3,875 State per Capita 540 = $ 4,415
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2017


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