Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| PART IX PAGE 10 LINE 16C | UTILITIES $13,219; INSURANCE $9,183; BUILDING R&M $949; EQUIPMENT R&M $114 |
| PART XI SCH D PG 4 LINE 9 | FEDERAL INCOME TAXES PAID ($1,873); NONDEDUCTIBLE ITEMS ($5,452) |
| PART VI LINE 11 | TAX RETURN IS AVAILABLE UPON REQUEST |
| PART VI LINE 19 | ALL GOVERNING DOCUMENTS, POLICY STATEMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| PART XI LINE 8 | PRIOR PERIOD ADJUSTMENTS - VOIDED AND STALE DATED CHECKS |
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