(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.
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OMB No. 1545-0047
Open to Public
Name of the organization
Employer identification number

Return Reference Explanation
Other Revenue.2 CLEANING FEES $2180
Other Expenses.1001 Advertising and Promotion $1602
Other Expenses.1002 Office Expenses $1233
Other Expenses.1008 Interest $19
Other Expenses.1009 Depreciation $2677
Other Expenses.1012 Insurance $8744
Other Expenses.1 REPAIRS AND MAINTENANCE $42914
Other Expenses.2 UTILITIES $12762
Other Expenses.3 SODAS/MISC BAR MDS $11446
Other Expenses.4 CONTRACT LABOR $9775
Other Expenses.5 BEER/WINE $9351
Other Expenses.6 WASTE DISPOSAL $5508
Other Expenses.7 SUPPLIES $5248
Other Expenses.8 LINEN AND LAUNDRY $4297
Other Expenses.9 SECURITY $2111
Other Expenses.10 TELEPHONE $1921
Other Expenses.11 MISCELLANEOUS $1810
Other Expenses.12 GROUNDS MAINTENANCE $402
Other Expenses.13 LICENSES AND TAXES $374
Other Expenses.14 PEST CONTROL $357
Other Expenses.15 PENALTIES $317
Other Expenses.16 CASH SHORT(OVER) $57
Other Expenses.17 ROUNDING $1
Other Assets.1002 Furniture and Fixtures - Beginning $5701 Furniture and Fixtures - Ending $3414
Other Assets.1010 Inventories - Beginning $2849 Inventories - Ending $3445
Total Liabilities.1001 Accounts Payable and Accrued Expenses - Beginning $13410 Accounts Payable and Accrued Expenses - Ending $16083
Total Liabilities.1008 Unsecured Notes and Loans Payable - Beginning $95495 Unsecured Notes and Loans Payable - Ending $128266
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: 21013475
Software Version: 2021v4.0