Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| 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 | ERISA BOND 126. 126. |
| Form 990, Part IX, Line 24e | FIDUCIARY INSURANCE 15283. 15283. |
| Form 990, Part IX, Line 24e | HEALTH CLINIC ADMIN FEES 829249. 829249. |
| Form 990, Part IX, Line 24e | HEALTH CLINIC LAB FEES 34220. 34220. |
| Form 990, Part IX, Line 24e | HEALTH CLINIC INCENTIVES 15581. 15581. |
| Form 990, Part IX, Line 24e | HEALTH CLINIC SUPPLIES 30495. 30495. |
| Form 990, Part IX, Line 24e | FUNDING JAC 15897. 15897. |
| Software ID: | 17005306 |
| Software Version: |