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 24e | ADMINISTRATIVE FEES 121560. 121560. |
| Form 990, Part IX, Line 24e | CONSULTING FEES 7948. 7948. |
| Form 990, Part IX, Line 24e | PRESCRIPTION ADMIN FEES 3347. 3347. |
| Form 990, Part IX, Line 24e | MI CLAIMS TAX 12719. 12719. |
| Form 990, Part IX, Line 24e | MISCELLANEOUS 54. 54. |
| Form 990, Part IX, Line 24e | FRAUD ABUSE AND CLAIMS EDIT 23346. 23346. |
| Form 990, Part IX, Line 24e | FUNDING OF THE JAC 5952. 5952. |
| Form 990, Part IX, Line 24e | ACTUARIAL FEES 14657. 14657. |
| Form 990, Part IX, Line 24e | DENTEMAX LEASING FEE 1374. 1374. |
| Form 990, Part IX, Line 24e | AMERICARE ADMIN FEE 11606. 11606. |
| Form 990, Part IX, Line 24e | REINSURANCE FEE 10006. 10006. |
| Software ID: | 15000272 |
| Software Version: |