| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING | 3,118 | 3,118 | 0 | 0 |
| Identifier | Return Reference | Explanation |
|---|---|---|
| General Explanation Supplemental Information for Form 990-PF | FORM 199 STATEMENT ON GROUP FILING AND AFFILIATED SUBORDINATESTHIS TAXPAYER IS NOT PART OF A GROUP FILING OR ASSOCIATED WITH ANY GROUP AFFILIATE. ACCORDINGLY, QUESTION D ON FORM 199 PAGE 1 IS NOT APPLICABLE AND NO LIST IS REQUIRED. |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INSURANCE | 1,063 | 1,063 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FEDERAL EXCISE TAX | 303 | |||
| STATE FEES | 10 | 10 |