Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
Pilgrim Place
 
Employer identification number

95-1691301
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
(1) Jim Helen Dwyer Resident Porter Hall X   30,000 0   No Yes   Yes  
(2) Sheryn Scott Resident Porter Hall X   10,000 0   No Yes   Yes  
(3) Jim Lenore Brashle Resident Porter Hall X   10,000 0   No Yes   Yes  
(4) Margie Meier Resident Porter Hall X   30,000 0   No Yes   Yes  
(5) David and Karen Lull Resident Porter Hall X   10,000 0   No Yes   Yes  
(6) Dean Elsie Freuden Resident Porter Hall X   50,000 0   No Yes   Yes  
(7) Donna Ambrogi Resident Porter Hall X   10,000 0   No Yes   Yes  
(8) Chuck and Virginia R Resident Porter Hall X   10,000 0   No Yes   Yes  
(9) Cathy Thompson Resident Porter Hall X   10,000 0   No Yes   Yes  
(10) Donna Orange Resident Porter Hall X   10,000 0   No Yes   Yes  
(11) Gesine Robinson Resident Porter Hall X   10,000 0   No Yes   Yes  
(12) Wesley Cheryl Brow Resident Porter Hall X   10,000 0   No Yes   Yes  
(13) Alice Cook Bruce J Resident Porter Hall X   10,000 0   No Yes   Yes  
(14) John Brenda Barham Board Member Porter Hall X   30,000 0   No Yes   Yes  
(15) Jim Fiske Resident Porter Hall X   15,000 0   No Yes   Yes  
(16) Gordon Jane Dougla Resident Porter Hall X   20,000 0   No Yes   Yes  
(17) Kae Lewis Fern Jo Resident Porter Hall X   30,000 0   No Yes   Yes  
(18) Suzanne Kay Brown Resident Porter Hall X   10,000 0   No Yes   Yes  
(19) Lowell Larson Resident Porter Hall X   50,000 0   No Yes   Yes  
(20) Nancy Robert Traer Resident Porter Hall X   15,000 0   No Yes   Yes  
(21) Ellen Webster Resident Porter Hall X   25,000 0   No Yes   Yes  
(22) Shirley Bromley Resident Porter Hall X   25,000 0   No Yes   Yes  
(23) Rizek Alice Abusha Resident Porter Hall X   10,000 0   No Yes   Yes  
(24) John Denham Resident Porter Hall X   10,000 0   No Yes   Yes  
(25) Joan Stock Resident Porter Hall X   10,000 0   No Yes   Yes  
(26) Helen Meier Friend Porter Hall X   30,000 0   No Yes   Yes  
Total ...............Small Bullet $ 0
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2019
Page 2
Schedule L (Form 990 or 990-EZ) 2019
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2019


Additional Data


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