Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | ALL DOCUMENTS ARE REVIEWED BY GOVERNING BODY BEFORE SIGNING | |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL DOCUMENTS ARE MADE AVAILABLE UPON REQUEST | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -670,978. PRIOR PERIOD ADJUSTMENTS: 832,733. LIABILITY FOR BENEFIT PREMIUM COSTS ELIMINIATED SINCE AMOUNTS ARE HELD BY BY HEALTH PROVIDER. TOTAL TO FORM 990, PART XI, LINE 5: 161,755. |
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