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 | INSURANCE REFUND $79; STATE TAX REFUND $10; TOTAL $89. |
| Form 990-EZ, Part I, Line 16 | PER CAPITA TAX $16,960; DIRECT TAXES $515; BANK SERVICE CHARGE $36; TOTAL $17,511. |
| Software ID: | 20012124 |
| Software Version: | v1.00 |