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
2019
Open to Public
Inspection
Name of the organization
Humboldt Masonic Temple Association
 
Employer identification number

94-0570995
Return Reference Explanation
Members or stockholder classes and rights Part VI line 6 The sole member/owner of the Humboldt Masonic Temple Association is the F&AM Humboldt Lodge No. 79.
Form 990 governing body review Part VI line 11 The Grand Lodge of F&AM Of California is responsible for the preparation of the Form 990 and its supporting scheudles.The Grand Lodge of California tax accountant prepares the Form 990, then the controller reviews the Form 990. The controller submits the completed Form 990 to the Hall Associations Treasurer/Secretary for review and final approval. THe Hall Treasurer/Secretary signs the E-file authorization form. The Grand Lodge of California tax accountant e-files the 990 and 199.
Conflict of interest policy compliance Part VI line 12c As required, annually, officer of the Hall signs a conflict of interest disclosurestatement. In this statement, the officers disclose known, existing, potential andpossible conflicts of interest. If no such interests or activities exist, the partywritesthe word NONE in the space provided. In addition, these statements are updated when aninterested party disclosed the circumstances to the President. In the event theinterestedparty in question is the president, the potential conflict is disclosed to the fullmembers. The conflict of interest disclosure statements for officers are submitted tothe members for review.
Form 990 availability to public Part VI line 18 Form 990 and other governing documents are available to the public at the lodge office.It will be available upon request.
Governing documents etc available to public Part VI line 19 Form 990 and other governing documents are available to the public at the lodge office.It will be available upon request.
General explanation attachment Payments to Affiliates AmountDividend to F&AM Humboldt Lodge 79 $ 230,000
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


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