Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| 990EZ, PART I, LINE 8 | OHIO BWC PREMIUM REFUND |
| 990EZ, PART I, LINE 16 | ITEMIZED STATEMENT ATTACHED |
| 990EZ, PART I, LINE 20 | NET REALIZED GAINS AND LOSSES ON INVESTMENTS |
| 990EZ, PART II, LINE 24 | OFFICE EQUIPMENT BASIS |
| Software ID: | 18007443 |
| Software Version: |