Bend Gives Back Inc.

Schedule O:

“Form 990-EZ Part I Line 10 Grants and Similar Amounts Paid in Excess of 5000 Class of Activity General Fund Donees Name Boys Girls Clubs of Bend Donees Address 500 NW Wall Street Bend OR 97703 Relationship of Donee None Cash Amount Given 55000 Form 990-EZ Part III - Organizations Primary Exempt Purpose Bend Gives Back Inc is operated exclusively for the benefit of religious charitable scientific literacy medical and educational purposes A review of the foundations grants for the current year were made in accordance with those objectives Form 990-EZ Part V - Regarding Transfers Associated with Personal Benefit Contracts A Did the organization during the year receive any funds directly or indirectly to pay premiums on a personal benefit contract No B Did the organization during the year pay premiums directly or indirectly on a personal benefit contract No Form 990-EZ - Part I Line 6c Direct Fundraising Expenses - Expenses to hold fund raising event including venue rental food beverages travel event promotions lighting and audio-video services even supplies entertainment and coaching”