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
THE POLISH AMERICAN CITIZENS CLUB OF ROCHESTER NEW
 
Employer identification number

16-0700245
Return Reference Explanation
Form 990 governing body review Part VI line 11 THE DIRECTORS ARE PROVIDED A COPY OF FORM 990 WHICH WILL BE REVIEWED AND APPROVED BEFORE FILING.
Form 990 availability to public Part VI line 18 INFORMATION IS MADE AVAILABLE UPON PROPER REQUEST.
Governing documents etc available to public Part VI line 19 INFORMATION IS MADE AVAILABLE UPON PROPER REQUEST.
Explanation of other changes in net assets or fund balances Part XI line 9 UNREALIZED LOSS ON INVESTMENTS $ 1,521
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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