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
CHARDON ROTARY FOUNDATION
 
Employer identification number

47-1715991
Return Reference Explanation
FORM 990-EZ, PART I, LINE 10 NAME: SALVATION ARMY CASH CONTRIBUTION: 34,300 NAME: HOSPITAL ALBERT SCHWEITZER CASH CONTRIBUTION: 19,500 NAME: DEPARTMENT ON AGING CASH CONTRIBUTION: 6,467 NAME: GRADUATING SRS PAID TO INSTITUTIONS CASH CONTRIBUTION: 15,000 NAME: ROTARY INTERNATIONAL FOUNDATION CASH CONTRIBUTION: 6,000
FORM 990-EZ, PART III ROTARY INTERNATIONAL FOUNDATION 6,000 DISTRICT 6630 4-WAY SPEACH CONTEST 600 METZENBAUM FOUNDATION 200 UKANIAN DISASTER RELIEF 2,500 DDC CLINIC 500 CHARDON BOARD OF EDUCATION 2,000 MAPLE LEAF RESIDENCES 5,000 NATIONAL FIRE SAFETY COUNCIL 500 DEPARTMENT ON AGING 5,467 AGRICULTURAL SOCIETY 4H 2,980 HOME INSTEAD SENIOR CARE 1,000 CHARDON ATHLETIC BOOSTERS 300 FOUNDATION FOR GEAUGA PARKS 3,625 RED TULIP PROJECT 2,000 FORM 990EZ PART III LINE 31 TOTAL 32,672
FORM 990-EZ, PART III, LINE 31 DISTRIBUTION OF FUNDS FOR LOCAL COMMUNITY AND INTERNATIONSL CHARITABLE PURPOSES.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


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