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, Other Revenue | SA premiums collected by the company 45,005 |
| Form 990-EZ, Part I, Line 8, Other Revenue | Voided check 496 |
| Form 990-EZ, Part I, Line 8, Other Revenue | IRS refunds 96 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Travel 3,089 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Conferences, conventions, and meetings 1,133 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Supplies 1,799 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Per Capita 252 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Dues remitted 328 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Direct taxes 1,364 |
| Form 990-EZ, Part I, Line 16, Other Expenses | SA Insurance premiums 47,649 |
| Form 990-EZ, Part II, Line 24, Other Assets | Office equipment Beginning of year 1,800, End of year 1,800 |
| Software ID: | 20011406 |
| Software Version: | 20.0.2.0 |