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 24e | MISCELLANEOUS 3402. 3402. |
| Form 990, Part IX, Line 24e | ERISA BOND 1163. 1163. |
| Form 990, Part IX, Line 24e | PRESCRIPTION ADMIN FEES 14849. 14849. |
| Form 990, Part IX, Line 24e | FIDUCIARY INSURANCE 19015. 19015. |
| Form 990, Part IX, Line 24e | FUNDING OF JAC 15677. 15677. |
| Form 990, Part IX, Line 24e | MI CLAIMS TAX 43112. 43112. |
| Form 990, Part IX, Line 24e | FRAUD ABUSE/CLAIM EDIT FEE 133975. 133975. |
| Form 990, Part IX, Line 24e | AMERICARE ADMIN FEES 55408. 55408. |
| Form 990, Part IX, Line 24e | REINSURANCE FEES 117058. 117058. |
| Form 990, Part IX, Line 24e | DENTEMAX LEASING FEE 684. 684. |
| Form 990, Part IX, Line 24e | EXCISE TAXES 5596. 5596. |
| Form 990, Part IX, Line 24e | STORAGE 2401. 2401. |
| Form 990, Part IX, Line 24e | DRUG TEST FEES 2324. 2324. |
| Software ID: | 15000272 |
| Software Version: |