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 8 | MISCELLANEOUS INCOME 846 TOTAL 846 |
| FORM 990-EZ, PART I, LINE 10 | CASH CONTRIBUTION: 6,658 |
| FORM 990-EZ, PART I, LINE 16 | EXPENSES OFFICE/ADMIN 4,756 MISCELLANEOUS 6,685 PER CAPITA TAX 50 TOTAL 11,491 |
| FORM 990-EZ, PART I, LINE 20 | ADJUST TO LM -43,358 |
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