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 ON CASH INVESTMENT. AMOUNT: 1,989. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: INSURANCE. AMOUNT: 31,913. DESCRIPTION: MEMBERSHIP FEE. AMOUNT: 500. TOTAL TO FORM 990-EZ, LINE 16: 32,413. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: ACCOUNTS RECEIVABLE. BEG. OF YEAR AMOUNT: 6,942. END OF YEAR AMOUNT: 21,774. DESCRIPTION: PREPAID EXPENSES. BEG. OF YEAR AMOUNT: 14,624. END OF YEAR AMOUNT: 14,654. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 12,881. END OF YEAR AMOUNT: 1,500. DESCRIPTION: DEFERRED REVENUE. BEG. OF YEAR AMOUNT: 6,695. END OF YEAR AMOUNT: 0. |
| FORM 990-EZ PART 1, LINE 8 | AFTER THE YEAR ENDED 12/31/18 SEGAL CONSULTING WAS PAID BY CVS/CAREMARK, THROUGH HCCCC, IN THE AMOUNT OF $75,000 FOR CONSULTING AND ACTURIAL SERVICES ADDRESSING THE IMPLEMENTATION OF CVS/CAREMARK'S SERVICES. THE AGREEMENT BETWEEN HCCCC AND CVS/CAREMARK, PROVIDED FOR CVS/CAREMARK TO PAY FOR THIS SERVICE. |
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