Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990-EZ, Part I, Line 4 - Other Investment Income | Description: Interest income. Amount: 1. |
| Form 990-EZ, Part I, Line 16 - Other Expenses | Description: Insurance premiums - Health. Amount: 30,128. Description: Insurance premiums - Disability. Amount: 490. Description: Insurance premiums - Life. Amount: 436. Description: Insurance premiums - Vision. Amount: 147. Total to Form 990-EZ, line 16: 31,201. |
| Form 990-EZ, Part II, Line 24 - Other Assets | Description: Receivables. Beg. of Year Amount: 1,193. End of Year Amount: 0. |
| Form 990-EZ, Part II, Line 26 - Other Liabilities | Description: Accounts payable. Beg. of Year Amount: 100. End of Year Amount: 0. |
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