Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| Pt VI, Line 11b | ONCE FORM IS PREPARED BY TAXPREPARER IT IS FORWARDED TO TRUSTEES FOR REVIEW AND SUBMISSION. |
| Pt VI, Line 19 | INFO IS AVAILABLE UPON REQUEST AT OFFICE. |
| Pt XII, Line 1 | THE ORGANIZATION'S BOOKS ARE KEPT ON THE ACCRUAL BASIS. |
| Form 990, Part IX, Line 24f | ADMINISTRATIVE FEES 120600. 120600. CONSULTING FEES 9293. 9293. PRESCRIPTION ADMIN FEES 3037. 3037. MI CLAIMS TAX 11804. 11804. MISCELLANEOUS 541. 541. FRAUD ABUSE AND CLAIMS EDIT 12299. 12299. FUNDING OF THE JAC 7072. 7072. ACTUARIAL FEES 11638. 11638. DENTEMAX LEASING FEE 3157. 3157. AMERICARE ADMIN FEE 10433. 10433. REINSURANCE FEE 15402. 15402. |
| Software ID: | 14000261 |
| Software Version: |