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, PART VI, SECTION B, LINE 11 | THE BOARD OF DIRECTORS RECEIVES A COMPLETE COPY OF FORM 990 BEFORE IT IS FILED. |
| FORM 990, PART VI, SECTION C, LINE 19 | ORGANIZING DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9: | EST. CLAIMS INCURRED -25,000. |
| FORM 990, PART IX - BENEFITS PAID TO OR FOR MEMBERS | HEALTH CLAIMS 790,257 INSURANCE PREMIUMS PAID FOR BENEFITS 307,728 TOTALS 1,097,985 |
| FORM 990, PART XI - OTHER CHANGES IN NET ASSETS | ESTABLISHED CLAIMS INCURRED |
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