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 | MISCELLANEOUS INCOME 250 TOTAL 250 |
| FORM 990-EZ, PART I, LINE 10 | CASH CONTRIBUTION: 10,203 |
| FORM 990-EZ, PART I, LINE 16 | EXPENSES OFFICE/ADMIN 7,795 MISCELLANEOUS 9,643 PER CAPITA TAX 50 TOTAL 17,488 |
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