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
LEWIS COUNTY MINISTERIAL ASSOCATION
FOOD & CLOTHING BANK
Employer identification number

58-1758248
Return Reference Explanation
FORM 990-EZ, PART I, LINE 16 EXPENSES ADVERTISING & PROMOTION 192 STATIONERY AND OFFICE SUPPLIE 1,230 INSURANCE 6,480 COST OF ASSISTANCE - FOOD 42,619 COST OF ASSISTANCE - MISC 216 VOLUNTEER EXPENSES 2,713 LICENSES, PERMITS & FEES 21 CHARITABLE CONTRIBUTIONS 3,279 BANK SERVICE CHARGES & ME 42 TELEPHONE, INTERNET & CO 1,647 REPAIRS AND MAINTENANCE 5,589 NON-INVESTMENT DEPRECIATION 247 TOTAL 64,275
FORM 990-EZ, PART I, LINE 20 BOOK / TAX DEPRECIATION DIFFERENCE 3,819
FORM 990-EZ, PART II, LINE 24 FURNITURE & FIXTURES 17,599 13,099 LESS ACCUMULATED DEPRECIATION 9,334 9,872 TOTAL 8,265 3,227
FORM 990-EZ, PART II, LINE 26 PAYROLL TAX LIABILITY 0 0
FORM 990-EZ, PART III THE PURPOSE OF THE LEWIS COUNTY MINISTERIAL ASSOCIATION'S FOOD AND CLOTHING BANK PROGRAM IS TO PROVIDE THE COMMUNITY'S POOR, DISADVANTAGED, AND HOMELESS BY PROVIDING SHORT TERM ASSISTANCE WITH FOOD, SHELTER, CLOTHING, AND BASIC LIVING NECESSITIES.
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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