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 | OTHER |
| FORM 990, PAGE 6, PART VI, LINE 11B | BY REQUEST |
| FORM 990, PAGE 6, PART VI, LINE 18 | BY REQUEST |
| FORM 990, PAGE 6, PART VI, LINE 19 | BY REQUEST |
| FORM 990, PART XI, LINE 9 | STOCK PAYMENTS 1,050 |
| Software ID: | |
| Software Version: |