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 10 | CASH CONTRIBUTION: 5,398 |
| FORM 990-EZ, PART I, LINE 16 | EXPENSES DUES 18,875 INSURANCE 3,867 SUPPLIES 6,343 TAXES - PAYROLL 810 TAXES - OTHER 29 FUEL 59 TOTAL 29,983 |
| FORM 990-EZ, PART II, LINE 24 | FURNITURE/FIXTURES 11,430 11,430 TOTAL 11,430 11,430 |
| FORM 990-EZ, PART II, LINE 26 | PAYROLL TAXES 658 657 |
| FORM 990-EZ, PART III, LINE 31 | VARIOUS PHILANTRHOPIC PURPOSES |
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