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
MASTER WARDENS & MEMBERS OF THE GRAND
LODGE WILLIAM NORTH LODGE AF & AM
Employer identification number

04-6059909
Return Reference Explanation
Form 990-EZ, Part I, Line 4 - Other Investment Income Description: LONG TERM CAP GAIN DISTRIBUTIONS. Amount: 19. Description: DIVIDENDS. Amount: 3,885. Description: INTEREST INCOME. Amount: 211. Total Included on Form 990-EZ, line 4: 4,115.
Form 990-EZ, Part I, Line 16 - Other Expenses Description: GRAND LODGE DUES. Amount: 11,020. Description: INSTALATION REIMBURSMENT. Amount: 8,586. Description: CATERING. Amount: 518. Description: ANGEL FUND DISTRIBUTIONS. Amount: 400. Description: BANK FEES. Amount: 43. Total to Form 990-EZ, line 16: 20,567.
Form 990-EZ, Part I, Line 20 - Other Changes in Net Assets Description: UNREALIZED GAINS. Amount: 21,033.
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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