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 1053. 1053. |
| Form 990, Part IX, Line 24e | ERISA BOND 1000. 1000. |
| Form 990, Part IX, Line 24e | FUNDING OF THE JAC 17045. 17045. |
| Form 990, Part IX, Line 24e | FIDUCIARY INSURANCE 14361. 14361. |
| Form 990, Part IX, Line 24e | HEALTH CLINIC ADMIN FEES 930981. 930981. |
| Form 990, Part IX, Line 24e | HEALTH CLINIC SUPPLIES 68531. 68531. |
| Form 990, Part IX, Line 24e | HEALTH CLINIC INCENTIVES 14334. 14334. |
| Software ID: | 15000272 |
| Software Version: |