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. AMOUNT: 3,705. DESCRIPTION: DIVIDENDS. AMOUNT: 9,595. DESCRIPTION: TAX-EXEMPT INTEREST. AMOUNT: 122. DESCRIPTION: TAX-EXEMPT DIVIDENDS. AMOUNT: 641. DESCRIPTION: OID. AMOUNT: 145. TOTAL INCLUDED ON FORM 990-EZ, LINE 4: 14,208. |
| FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETS | DESCRIPTION: PRIOR YEAR RESTATEMENT. AMOUNT: 120. |
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