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: 1,360. Description: Bonds. Amount: 21,675. Total Included on Form 990-EZ, line 4: 23,035. |
| Form 990-EZ, Part I, Line 8 - Other Revenue | Description: Workers Comp Group. Amount: 7,751. Description: Royalties. Amount: 32,179. Total to Form 990-EZ, line 8: 39,930. |
| Form 990-EZ, Part I, Line 16 - Other Expenses | Description: Bond Program. Amount: 15,879. Description: Bank Charges. Amount: 1,243. Description: Legislative. Amount: 20,629. Description: UBIT. Amount: 39. Description: Office Expenses. Amount: 9,184. Description: PHCC - Ohio. Amount: 2,370. Description: Insurance. Amount: 1,080. Total to Form 990-EZ, line 16: 50,424. |
| Form 990-EZ, Part I, Line 20 - Other Changes in Net Assets | Description: Unrelated Business Income. Amount: 2,623. |
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