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
Island Home Club
c/o JCosseboom
Employer identification number

01-0096152
Return Reference Explanation
Form 990-EZ, Part I, Line 4 - Other Investment Income Description: Interest. Amount: 31.
Form 990-EZ, Part I, Line 8 - Other Revenue Description: Refunds. Amount: 281.
Form 990-EZ, Part I, Line 14 Description: Depreciation. Amount: 1216. Description: Other Expenses. Amount: 20079. Total to Form 990-EZ, line 14: 21295.
Form 990-EZ, Part I, Line 16 - Other Expenses Description: Boat Storage & expenses. Amount: 7821. Description: Donations. Amount: 800. Description: Dues/Fees/Licenses. Amount: 2280. Description: Equipment Diminimis. Amount: 1121. Description: Food costs. Amount: 26713. Description: Insurance. Amount: 9546. Description: Materials. Amount: 3233. Description: Travel. Amount: 176. Description: Payroll Taxes. Amount: 4318. Description: Payroll Fees. Amount: 977. Description: Supplies. Amount: 2556. Description: Property Taxes. Amount: 768. Total to Form 990-EZ, line 16: 60309.
Form 990-EZ, Part II, Line 24 - Other Assets Description: Prepaid Expenses. Beg. of Year Amount: 60. End of Year Amount: 60. Description: Other Depreciable Assets. Beg. of Year Amount: 4967. End of Year Amount: 4525.
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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