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 4 - Other Investment Income | Description: Interest Income. Amount: 1,284. Description: Bonds. Amount: 14,939. Total Included on Form 990-EZ, line 4: 16,223. |
| Form 990-EZ, Part I, Line 8 - Other Revenue | Description: Workers Comp Group. Amount: 22,030. Description: Royalties. Amount: 43,538. Total to Form 990-EZ, line 8: 65,568. |
| Form 990-EZ, Part I, Line 16 - Other Expenses | Description: Bond Program. Amount: 13,677. Description: Bank Charges. Amount: 1,243. Description: Legislative. Amount: 20,671. Description: UBIT. Amount: 855. Description: Office Expenses. Amount: 10,400. Description: PHCC - Ohio. Amount: 20,794. Total to Form 990-EZ, line 16: 67,640. |
| Form 990-EZ, Part I, Line 20 - Other Changes in Net Assets | Description: Unrelated Business Income. Amount: 5,875. Description: Other Adjustment. Amount: -152. Total to Form 990-EZ, line 20: 5,723. |
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