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 | INSURANCE CLAIM |
| FORM 990-EZ, PART I, LINE 8 | INSURANCE CLAIM 5,477 TOTAL 5,477 |
| FORM 990-EZ, PART I, LINE 16 | EXPENSES FLOWERS 50 OFFICE SUPPLIES 279 POSTAGE 55 SERVICE CHARGE 274 SHREDDING 105 MISC. CASH 767 INSURANCE 3,430 DONATIONS 600 GIFTS 621 TOTAL 6,181 |
| FORM 990-EZ, PART I, LINE 20 | PRIOR YEAR CORRECTION -6,022 |
| FORM 990-EZ, PART II, LINE 26 | UNSECURED NOTES AND LOANS PAYABLE 21,500 16,000 |
| FORM 990-EZ, PART III, LINE 31 | VARIOUS ACTIVITIES |
| Software ID: | |
| Software Version: |