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 | CHARITABLE DONATIONS 1,500 DONATION 500 TOTAL 2,000 |
| FORM 990-EZ, PART I, LINE 16 | EXPENSES OFFICE SUPPLIES 1,015 BOOKS, SUBSCRIPTIONS, REFEREN 844 CONFERENCE, CONVENTION, MEETI 653 MILEAGE 2,419 LIABILITY INSURANCE 388 WORKMAN'S COMP 3,973 BANK ADJUSTMENTS 253 BUSINESS REGISTRATION 356 EQUIP RENTAL & MAINTENANC 105 FUNERAL EXPENSES FOR CLIE 850 OFFICE EXPENSE 108 TELEPHONE 3,298 VERIZON CELLULAR 1,092 TOTAL 15,354 |
| FORM 990-EZ, PART II, LINE 24 | PREPAID EXPENSES AND DEFERRED CHARGES 4,725 4,817 COMPUTER EQUIPMENT 3,359 3,359 LESS ACCUMULATED DEPRECIATION 3,359 3,359 TOTAL 4,725 4,817 |
| FORM 990-EZ, PART II, LINE 26 | CLIENT SSI DEPOSIT 2,934 16,447 |
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