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
2018
Open to Public
Inspection
Name of the organization
LIONS INTERNATIONAL-KIRKLAND LIONS 248
#248 KIRKLAND
Employer identification number

36-6142206
Return Reference Explanation
FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME DESCRIPTION: INTEREST INCOME. AMOUNT: 17.
FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE DESCRIPTION: OTHER INCOME. AMOUNT: 937.
FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES AFFILIATE NAME: ILLINOIS DISTRICT 1D. AFFILIATE ADDRESS: 4600 BASSWOOD ROAD ORANGEVILLE, IL 61060-9722. PURPOSE OF PAYMENT: GOLF OUTING AND RAFFLE TICKETS. AMOUNT OF PAYMENT: 240.
FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES AFFILIATE NAME: LIONS OF ILLINOIS FOUNDATION. AFFILIATE ADDRESS: 2814 DEKALB AVE SYCAMORE, IL 60178. PURPOSE OF PAYMENT: DIABETES DONATION, CANDY DAY, AND 2 CAMPERS. AMOUNT OF PAYMENT: 2,428.
FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES AFFILIATE NAME: LIONS CLUB INTERNATIONAL FOUNDATION. AFFILIATE ADDRESS: 300 W 22ND ST OAK BROOK, IL 60523. PURPOSE OF PAYMENT: YOUTH PROGRAM. AMOUNT OF PAYMENT: 100.
FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES AFFILIATE NAME: KIRKLAND PARK. AFFILIATE ADDRESS: 208 W SOUTH ST KIRKLAND, IL 60146. PURPOSE OF PAYMENT: ELECTRICITY DONATED. AMOUNT OF PAYMENT: 612.
FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES AFFILIATE NAME: ROCKFORD NOON LIONS. AFFILIATE ADDRESS: PO BOX 5051 ROCKFORD, IL 61125. PURPOSE OF PAYMENT: COMMUNITY ACTIVITIES. AMOUNT OF PAYMENT: 48.
FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES AFFILIATE NAME: AUBURN LIONS CLUB. AFFILIATE ADDRESS: PO BOX 5051 AUBURN, IN 46706. PURPOSE OF PAYMENT: TORNADO RELIEF. AMOUNT OF PAYMENT: 500.
FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES AFFILIATE NAME: KIRKLAND LIONS CLUB. AFFILIATE ADDRESS: 408 S 5TH STREET KIRKLAND, IL 60146. PURPOSE OF PAYMENT: COMMUNITY ACTIVITIES. AMOUNT OF PAYMENT: 494. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 4,422.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: B.S.A. TROOP #26. GRANTEE ADDRESS: 1218 W ADAMS ST CHICAGO, IL 60607. AMOUNT GIVEN: 500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: CENTER FOR SIGHT & HEARING IMPAIRED. GRANTEE ADDRESS: 8038 MACINTOSH LN ROCKFORD, IL 61107. AMOUNT GIVEN: 2,912.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: FAMILY SERVICE AGENCY. GRANTEE ADDRESS: 14 HEALTH SERVICES DR DEKALB, IL 60115. AMOUNT GIVEN: 100.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: FISHING DERBY. GRANTEE ADDRESS: 410 SOUTH FIRST ST KIRKLAND, IL 60146. AMOUNT GIVEN: 100.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: GIFT OF HOPE. GRANTEE ADDRESS: 425 SPRING LAKE DR ITASCA, IL 60143. AMOUNT GIVEN: 100.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: HIAWATHA EDUCATION FOUNDATION. GRANTEE ADDRESS: 410 SOUTH FIRST ST KIRKLAND, IL 60146. AMOUNT GIVEN: 500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: HIAWATHA HIGH SCHOOL. GRANTEE ADDRESS: 410 SOUTH FIRST ST KIRKLAND, IL 60146. AMOUNT GIVEN: 2,430.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: KIRKLAND FOOD PANTRY. GRANTEE ADDRESS: 510 W SOUTH STREET KIRKLAND, IL 60146. AMOUNT GIVEN: 2,108.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: TUITION SCHOLARSHIP. GRANTEE NAME: KISHWAUKEE COLLEGE. GRANTEE ADDRESS: 21193 MALTA ROAD MALTA, IL 60150. AMOUNT GIVEN: 1,000.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: VILLAGE OF KIRKLAND. GRANTEE ADDRESS: 511 W MAIN STREET KIRKLAND, IL 61078. AMOUNT GIVEN: 225.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: BOB KYLER MEMORIAL. GRANTEE ADDRESS: P.O. BOX 605, 2011 SOUTH FOURTH STREET DEKALB, IL 60115. AMOUNT GIVEN: 50.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: GK MIGHTY COGS. GRANTEE ADDRESS: 13099 WILLIAMS CIRCLE GENOA, IL 60146. AMOUNT GIVEN: 400.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: DONATION. GRANTEE NAME: KIRKLAND BOYS YOUTH BASEBALL. GRANTEE ADDRESS: W. PROSPECT STREET KIRKLAND, IL 60146. AMOUNT GIVEN: 400. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 10,825.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: OFFICE EXPENSES. AMOUNT: 277. DESCRIPTION: CONFERENCES. AMOUNT: 4,181. DESCRIPTION: INSURANCE. AMOUNT: 810. DESCRIPTION: DUES. AMOUNT: 4,664. DESCRIPTION: TAXES. AMOUNT: 2,288. DESCRIPTION: PERMITS & LICENSES. AMOUNT: 25. DESCRIPTION: MISCELLANEOUS. AMOUNT: 502. DESCRIPTION: REPAIRS & MAINTENANCE. AMOUNT: 399. DESCRIPTION: OTHER EXPENSES. AMOUNT: 6,959. TOTAL TO FORM 990-EZ, LINE 16: 20,105.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2018


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