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 | MISCELLANEOUS 3202. 3202. |
| Form 990, Part IX, Line 24e | ERISA BOND 729. 729. |
| Form 990, Part IX, Line 24e | FIDUCIARY INSURANCE 12413. 12413. |
| Form 990, Part IX, Line 24e | FUNDING OF JAC 14821. 14821. |
| Form 990, Part IX, Line 24e | ACTUARIAL 11857. 11857. |
| Form 990, Part IX, Line 24e | MI CLAIMS TAX 71119. 71119. |
| Form 990, Part IX, Line 24e | FRAUD ABUSE/CLAIM EDIT FEE 184486. 184486. |
| Form 990, Part IX, Line 24e | AMERICARE ADMIN FEES 52494. 52494. |
| Form 990, Part IX, Line 24e | DENTEMAX LEASING FEE 1006. 1006. |
| Form 990, Part IX, Line 24e | EXCISE TAXES 6187. 6187. |
| Form 990, Part IX, Line 24e | STORAGE 562. 562. |
| Software ID: | 17005306 |
| Software Version: |