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 8 | CLAIMS REIMBURSEMENTS 1,281 TOTAL 1,281 |
| FORM 990-EZ, PART I, LINE 16 | EXPENSES INSURANCE PREMIUMS 193,980 ADMINISTRATIVE FEES 22,577 TOTAL 216,557 |
| FORM 990-EZ, PART I, LINE 20 | NET DECREASE IN FMV OF INVESTMENTS -58 |
| FORM 990-EZ, PART II, LINE 24 | ACCOUNTS RECEIVABLE 11,000 3,699 PREPAID EXPENSES AND DEFERRED CHARGES 10,516 0 DEPOSITS HELD BY PICT 17 0 TOTAL 21,533 3,699 |
| FORM 990-EZ, PART II, LINE 26 | ACCOUNTS PAYABLE AND ACCRUED EXPENSES 703 68,352 |
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