Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Pt VI, Line 11b | ONCE FORM IS PREPARED BY TAXPREPARER IT IS FORWARDED TO TRUSTEES FOR REVIEW AND SUBMISSION. |
| Pt VI, Line 19 | INFO IS AVAILABLE UPON REQUEST AT OFFICE. |
| Pt XII, Line 1 | THE ORGANIZATION BOOKS ARE KEPT ON AN ACCRUAL BASIS. |
| Form 990, Part IX, Line 24e | MISCELLANEOUS 12419. 12419. |
| Form 990, Part IX, Line 24e | ERISA BOND 838. 838. |
| Form 990, Part IX, Line 24e | FIDUCIARY INSURANCE 18857. 18857. |
| Form 990, Part IX, Line 24e | FUNDING OF JAC 14230. 14230. |
| Form 990, Part IX, Line 24e | ACTUARIAL 0. 0. |
| Form 990, Part IX, Line 24e | MI CLAIMS TAX 3853. 3853. |
| Form 990, Part IX, Line 24e | FRAUD ABUSE/CLAIM EDIT FEE 149027. 149027. |
| Form 990, Part IX, Line 24e | AMERICARE ADMIN FEES 56899. 56899. |
| Form 990, Part IX, Line 24e | DENTEMAX LEASING FEE 347. 347. |
| Form 990, Part IX, Line 24e | EXCISE TAXES 6520. 6520. |
| Form 990, Part IX, Line 24e | STORAGE 529. 529. |
| Software ID: | 18007482 |
| Software Version: |