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 BOOKS ARE KEPT ON AN ACCRUAL BASIS. |
| Form 990, Part IX, Line 24f | MISCELLANEOUS 2559. 2559. ERISA BOND 1270. 1270. PRESCRIPTION ADMIN FEES 13275. 13275. FIDUCIARY INSURANCE 18676. 18676. FUNDING OF JAC 16245. 16245. MI CLAIMS TAX 50714. 50714. FRAUD ABUSE/CLAIM EDIT FEE 85966. 85966. AMERICARE ADMIN FEES 46337. 46337. REINSURANCE FEES 166243. 166243. DENTEMAX LEASING FEE 1136. 1136. EXCISE TAXES 5314. 5314. |
| Software ID: | 14000261 |
| Software Version: |