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 4 - OTHER INVESTMENT INCOME | DESCRIPTION: DIVIDENDS. AMOUNT: 1,205. |
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: FEDERATED REBATES. AMOUNT: 5,233. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: ABC ADMIN FEE. AMOUNT: 36,000. DESCRIPTION: DUES & SUBSCRIPTIONS. AMOUNT: 10,028. DESCRIPTION: PROFESSIONAL FEES. AMOUNT: 1,120. DESCRIPTION: INSURANCE. AMOUNT: 2,790. DESCRIPTION: MISCELLANEOUS. AMOUNT: 287. DESCRIPTION: POSTAGE. AMOUNT: 455. DESCRIPTION: TELEPHONE. AMOUNT: 722. DESCRIPTION: BANK CHARGES. AMOUNT: 882. TOTAL TO FORM 990-EZ, LINE 16: 52,284. |
| FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETS | DESCRIPTION: PRIOR YEAR ADJUSTMENT. AMOUNT: -1,114. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: INVESTMENTS. BEG. OF YEAR AMOUNT: 49,881. END OF YEAR AMOUNT: 49,171. DESCRIPTION: PREPAID PHCC DUES. BEG. OF YEAR AMOUNT: 2,024. END OF YEAR AMOUNT: 0. DESCRIPTION: ACCOUNTS RECEIVABLE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 2,875. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: DEFERRED INCOME. BEG. OF YEAR AMOUNT: 21,692. END OF YEAR AMOUNT: 20,872. DESCRIPTION: UNREALIZED GAIN ON INVESTMENT. BEG. OF YEAR AMOUNT: 266. END OF YEAR AMOUNT: 0. DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 1,859. |
| Software ID: | |
| Software Version: |