Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| Form 990-EZ, Part I, Line 16, Other Expenses | MISCELLANEOUS - HSA FEE 248 |
| Form 990-EZ, Part I, Line 4 | INTEREST INCOME 21 |
| Form 990-EZ, Part V, Line 44A | INFORMATION REGARDING PERSONAL BENEFIT CONTRACTS - THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY, OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT. THE ORGANIZATION DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY OR INDIRECTLY, ON A PERSONAL BENEFIT PLAN. |
| Form 990-EZ, Part V, Line 41 | STATES FILED IN NONE |
| Software ID: | 13000230 |
| Software Version: | 13.5.0.0 |
| Person Name | Explanation |
|---|