Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF FORM 990 IS PROVIDED TO THE GOVERNING BODY BEFORE FILING. THE BOARD REVIEWS THE FORM FOR ACCURACY AND COMPLETENESS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION'S OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE ASKED ANNUALLY IF THERE ARE ANY INTERESTS THAT COULD GIVE RISE TO A CONFLICT OF INTEREST, AND IF SO, THIS IS DISCUSSED WITH MANAGEMENT TO DETERMINE IF ANY ACTION IS REQUIRED. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION USES COMPARABILITY DATA FOR DETERMINING COMPENSATION OF THE CEO, EXECUTIVE DIRECTORS, OFFICERS, TOP MANAGEMENT, AND KEY EMPLOYEES. COMPENSATION IS REVIEWED BY THE BOARD OF DIRECTORS ANNUALLY AND DOCUMENTED IN THE MINUTES. | |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION MAKES ITS TAX RETURN AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | DECREASE IN CLAIM RESERVES 1,487,498. INCREASE IN EXPENSE RESERVE -40,310. DECREASE IN UNEARNED PREMIUM RESERVE 127. TOTAL TO FORM 990, PART XI, LINE 5: 1,447,315. |
| FORM 990, PART XII, LINE 2C | THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
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