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 AND DIVIDENDS. AMOUNT: 5,366. |
| FORM 990-EZ, PART I, LINE 7 - SALES OF INVENTORY | INCOME: GROSS RECEIPTS: 431. RETURNS AND ALLOWANCES: 0. LESS COST OF GOODS SOLD: 0. GROSS PROFIT: 431. |
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: SERVICE FEES TO INSURANCE DEPARTMENT. AMOUNT: 8,549. DESCRIPTION: MISCELLANEOUS REVENUE. AMOUNT: 3,737. DESCRIPTION: FRANCHISE FEES. AMOUNT: 17,802. DESCRIPTION: TRANSITION PAYMENTS. AMOUNT: 648. DESCRIPTION: COMMISSIONS. AMOUNT: 201. DESCRIPTION: EXCESS OFFICE SPACE SULLIVAN, IL. AMOUNT: 21,793. TOTAL TO FORM 990-EZ, LINE 8: 52,730. |
| FORM 990-EZ, PART I, LINE 14 | DESCRIPTION: OTHER SALARIES & WAGES. AMOUNT: 2,271. DESCRIPTION: OCCUPANCY. AMOUNT: 2,486. DESCRIPTION: EQUIPMENT RENTAL & MAINTENANCE. AMOUNT: 1,249. DESCRIPTION: DEPRECIATION. AMOUNT: 1,919. DESCRIPTION: INSURANCE. AMOUNT: 1,678. DESCRIPTION: SUPPLIES. AMOUNT: 81. DESCRIPTION: ALLOCATED MANAGEMENT SERVICES. AMOUNT: 2,628. TOTAL TO FORM 990-EZ, LINE 14: 12,312. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: PAYROLL TAXES. AMOUNT: 892. DESCRIPTION: TRAVEL. AMOUNT: 4,549. DESCRIPTION: CONFERENCES AND MEETINGS. AMOUNT: 7,609. DESCRIPTION: DEPRECIATION. AMOUNT: 1,581. DESCRIPTION: INSURANCE. AMOUNT: 2,952. DESCRIPTION: MISCELLANEOUS. AMOUNT: 2,091. DESCRIPTION: SUPPLIES. AMOUNT: 63. DESCRIPTION: TELEPHONE. AMOUNT: 2,733. DESCRIPTION: REPAIRS. AMOUNT: 981. DESCRIPTION: ALLOCATED MANAGEMENT SERVICES. AMOUNT: 5,137. DESCRIPTION: JANITOR SERVICE. AMOUNT: 1,784. DESCRIPTION: FEDERAL INCOME TAXES. AMOUNT: 1,089. DESCRIPTION: STATE INCOME TAXES. AMOUNT: 601. DESCRIPTION: DIRECTORS EXPENSE. AMOUNT: 934. DESCRIPTION: DIRECTOR PER DIEMS. AMOUNT: 395. DESCRIPTION: MEMBERSHIP SIGNS & CALENDARS. AMOUNT: 1,580. TOTAL TO FORM 990-EZ, LINE 16: 34,971. |
| FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETS | DESCRIPTION: NET UNREALIZED LOSSES. AMOUNT: -3,013. DESCRIPTION: PRIOR PERIOD ADJUSTMENT. AMOUNT: 3. TOTAL TO FORM 990-EZ, LINE 20: -3,010. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: ACCOUNTS AND ACCRUED INTEREST RECEIVABLE. BEG. OF YEAR AMOUNT: 2,977. END OF YEAR AMOUNT: 3,087. DESCRIPTION: PREPAID EXPENSES. BEG. OF YEAR AMOUNT: 3,504. END OF YEAR AMOUNT: 4,123. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 3,122. END OF YEAR AMOUNT: 1,798. DESCRIPTION: TAXES ACCRUED AND PAYABLE. BEG. OF YEAR AMOUNT: 5,570. END OF YEAR AMOUNT: 3,038. |
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