SCHEDULE O
(Form 990)

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
2021
Open to Public
Inspection
Name of the organization
ROTARY INTERNATIONAL
ROXBURY ROTARY CLUB
Employer identification number

22-6084329
Return Reference Explanation
FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME DESCRIPTION: INTEREST INCOME. AMOUNT: 6.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: GIFT OF LIFE. GRANTEE ADDRESS: 5 SPRINGFIELD AVE BERKELEY HEIGHTS, NJ 07922. AMOUNT GIVEN: 1,500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: POLIO PLUS FOUNDATION. GRANTEE ADDRESS: 5 SPRINGFIELD AVE BERKELEY HEIGHTS, NJ 07922. AMOUNT GIVEN: 1,500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: R.I. FOUNDATION. GRANTEE ADDRESS: 5 SPRINGFIELD AVE BERKELEY HEIGHTS, NJ 07922. AMOUNT GIVEN: 4,000.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: RYLA. GRANTEE ADDRESS: 54 PROSPECT ST MADISON, NJ 07940. AMOUNT GIVEN: 825.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: ROXBURY HIGH SCHOOL SCHOLARSHIPS. AMOUNT GIVEN: 4,500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: YOUTH PROJECTS. AMOUNT GIVEN: 4,449.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: ROXBURY SOCIAL SERVICE. GRANTEE ADDRESS: 72 EYLAND AVE SUCCASUNNA, NJ 07876. AMOUNT GIVEN: 1,500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: VARIOUS. AMOUNT GIVEN: 2,698.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: INTERACT CLUB. GRANTEE ADDRESS: P.O. BOX 104 SUCCASUNNA, NJ 07876. AMOUNT GIVEN: 1,668.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: DESIGNATED SPECIAL EXPENSES. AMOUNT GIVEN: 1,850.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: ANTLER RIDGE WILDLIFE. GRANTEE ADDRESS: 52 COUNTY RD 661 NEWTON, NJ 07860. AMOUNT GIVEN: 100.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: ROXBURY PUBLIC LIBRARY. GRANTEE ADDRESS: 103 MAIN STREET SUCCASUNNA, NJ 07876. AMOUNT GIVEN: 1,000.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: . GRANTEE NAME: EAGLE SCOUT PROJECT. AMOUNT GIVEN: 650. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 26,240.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: MEMBERSHIP EXPENSES. AMOUNT: 17,364. DESCRIPTION: OTHER. AMOUNT: 500. DESCRIPTION: CLUB PROJECTS/MAINTENANCE. AMOUNT: 750. TOTAL TO FORM 990-EZ, LINE 16: 18,614.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


Software ID:  
Software Version: