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        <BusinessNameLine1Txt>Michael J Mohan CPA</BusinessNameLine1Txt>
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        <StateAbbreviationCd>OR</StateAbbreviationCd>
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      <MembershipDuesAmt>9350</MembershipDuesAmt>
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      <PrimaryExemptPurposeTxt>support youth and community activities</PrimaryExemptPurposeTxt>
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      <ProgramSrvcAccomplishmentGrp>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>WILLIAM GOWEN</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>2.00</AverageHrsPerWkDevotedToPosRt>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>MICHAEL MOHAN</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
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      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>SHERYL RHODEN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>2.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
        <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>SHAWN BENSON</PersonNm>
        <TitleTxt>PAST PRESIDENT</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>2.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
        <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>WAYNE LOONEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>AUDRA SHRAUGER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
        <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>PHIL BURGESS</PersonNm>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>ANNIE BURGER</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
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        <PersonNm>VICKIE RHODEN</PersonNm>
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        <PersonNm>LES WILLIAMSON</PersonNm>
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        <TitleTxt>DIRECTOR</TitleTxt>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>ADAM KRAUS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
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      <ActivitiesNotPreviouslyRptInd>false</ActivitiesNotPreviouslyRptInd>
      <ChgMadeToOrgnzngDocNotRptInd>false</ChgMadeToOrgnzngDocNotRptInd>
      <OrganizationHadUBIInd>false</OrganizationHadUBIInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <OrganizationDissolvedEtcInd>false</OrganizationDissolvedEtcInd>
      <Form1120PolFiledInd>false</Form1120PolFiledInd>
      <MadeLoansToFromOfficersInd>false</MadeLoansToFromOfficersInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
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        <PersonNm>MICHAEL MOHAN</PersonNm>
        <USAddress>
          <AddressLine1Txt>106 N MAIN ST</AddressLine1Txt>
          <CityNm>Prineville</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97754</ZIPCd>
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        <PhoneNum>5414473299</PhoneNum>
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      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <DonorAdvisedFndsInd>false</DonorAdvisedFndsInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <TanningServicesProvidedInd>false</TanningServicesProvidedInd>
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      <PhoneSolicitationsInd>X</PhoneSolicitationsInd>
      <InPersonSolicitationsInd>X</InPersonSolicitationsInd>
      <AgrmtProfFundraisingActyInd>false</AgrmtProfFundraisingActyInd>
      <LicensedStatesCd>OR</LicensedStatesCd>
      <FundraisingEventInformationGrp>
        <Event1Nm>GOLF TOURN</Event1Nm>
        <Event2Nm>KIDS CARNIV</Event2Nm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of grants and similar amounts paid Part I line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Activity SCHOLARSHIP, YOUTH ACTIVITIES AND ORGANIZATION SUPGrantee VARIOUS ALL LESS THAN $5000 Relationship NONE Amount 49,084Activity MUSICAL INSTRUMENTS AT HARMONY PARK Grantee CROOK COUNTY PARKS FOUNDATION Street 296 SOUTH MAIN ST City, State, Zip Prineville, OR 97754Amount 25,000</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Description of other expenses Part I line 16</FormAndLineReferenceDesc>
        <ExplanationTxt>Description AmountLICENSES &amp; DUES 200ADVERTISING &amp; WEBSITE 1,386GUEST SPEAKER MEALS 235BANK CHARGES 48SUPPLIES 230INSURANCE 1,035</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Description of total liabilities Part II line 26</FormAndLineReferenceDesc>
        <ExplanationTxt>Category Beginning of Year End of YearPREPAID DUES 2,760 2,460</ExplanationTxt>
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        <FormAndLineReferenceDesc>Other program services Part III line 31</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANT TO PRINEVILLE KIWANIS FOUNDATION TO SUPPORT CONSTRUCTION OF OUTDOOR MUSICAL INSTRUMENTS FOR A YOUNG CHILDRENS PLAYGROUND AT HARMONY PARK IN PRINEVILLE, THE FOUNDATION IS THE LEAD ORGANIZATION TO PAY FOR THE ALMOST $200,000 TOTAL COST OF THE PROJECT. THE KIWANIS CLUB CONTRIBUTED $25,000 OF THE COST.SUPPORT FOR OTHER COMMUNITY SERVICES - $5,022</ExplanationTxt>
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