Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4D | PROVIDE PAYMENTS FOR LIFE, HEALTH, ACCIDENT, OR OTHER BENEFITS TO MEMBERS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | NO REVIEW WAS OR WILL BE CONDUCTED. |
| FORM 990, PAGE 6, PART VI, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC |
| FORM 990, PART IX, LINE 24E | MISCELLANEOUS 5,052 0 0 PROPERTY TAXES 3,895 0 0 POSTAGE 1,910 0 0 REPAIRS AND MAINTENANCE 1,873 0 0 LICENSE AND PERMITS 1,017 0 0 LAUNDRY AND CLEANING 904 0 0 SUPPLIES 507 0 0 TOTAL 15,158 0 0 |
| FORM 990, PART XI, LINE 9 | BOOK / TAX DEPRECIATION DIFFERENCE 1,568 ADJUSTMENT FOR PRIOR YEAR DESIGNATED INCOME TO CAPITAL ASSETS AND OTHER EXPENSES RELATED TO DESIGNATED INCOME. |
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