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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2023
Open to Public
Inspection
Name of the organization
MIAMISBURG MOOSE 1645
BENEVOLENT FUND
Employer identification number

83-3726361
Return Reference Explanation
FORM 990-EZ, PART I, LINE 10 NAME: LODGE NO 1645 LOYAL ORDER OF MOOSE ADDRESS: 2110 E CENTRAL AVE MIAMISBURG, OH 45342 CASH CONTRIBUTION: 42,174 NAME: OHIO STATE MOOSE ASSOC MUSEUM ADDRESS: 791 SURREY DR GALION, OH 44833 CASH CONTRIBUTION: 50,001
FORM 990-EZ, PART II, LINE 24 RECEIVABLES DUE FROM DISQUALIFIED PERSONS 10,000 10,000 TOTAL 10,000 10,000
FORM 990-EZ, PART III ACCEPT DONATIONS TO ALLLOW THE ORGANIZATION TO FINANCIALLY ASSIST LOCAL AND NATIONAL CHARITIES, INDIVIDUALS, SCHOOLS AND OTHER FRATERNAL ORGANIZATIONS.
FORM 990-EZ, PART III, LINE 31 THROUGH DONATIONS RECEIVED WE WERE ABLE TO SUPPORT 12 DIFFERENT LOCAL AND NATIONAL ORGANIZATIONS AND OTHER WORTHY CAUSES IN 2023
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2023


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