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
DANIEL J GRIFFIN MEMORIAL FOUNDATIONINC
 
Employer identification number

01-0691315
Return Reference Explanation
FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME DESCRIPTION: FIDELITY 8772 DIVIDENDS. AMOUNT: 5,327. DESCRIPTION: FIDELITY 8772 INTEREST. AMOUNT: 38. TOTAL INCLUDED ON FORM 990-EZ, LINE 4: 5,365.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: SOUTH WINDSOR DOLLARS FOR SCHOLARS. GRANTEE ADDRESS: PO BOX 197 SOUTH WINDSOR, CT 06074. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 5,000.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: HOLE IN THE WALL GANG CAMP. GRANTEE ADDRESS: 565 ASHFORD CENTER ROAD ASHFORD, CT 06278. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 7,700.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: MISC NONCASH-TOYS,GIFT CARDS, ETC.. PROPERTY DESCRIPTION: NON-CASH. METHOD USED TO DETERMINE BOOK VALUE: PURCHASE PRICE. METHOD USED TO DETERMINE FMV: PURCHASE PRICE. BOOK VALUE OF PROPERTY: 3,363. AMOUNT GIVEN: 3,363.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: AMERICAN CANCER SOCIETY. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 2,500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: CAMP SUNSHINE. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: MAKE A WISH. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 5,000.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: MARY'S PLACE. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 7,500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: CYSTIC FIBROSIS. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 300. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 31,863.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: SUPPLIES. AMOUNT: 585. DESCRIPTION: FOREIGN TAXES. AMOUNT: 34. TOTAL TO FORM 990-EZ, LINE 16: 619.
FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETS DESCRIPTION: UNREALIZED GAINS AND LOSSES ON INVESTMENTS. AMOUNT: 15,393.
FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS DESCRIPTION: INVESTMENTS. BEG. OF YEAR AMOUNT: 265,800. END OF YEAR AMOUNT: 294,137.
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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