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 | Unrelated Business Income - Health Plan Tax 5,065 |
| Form 990-EZ, Part I, Line 8, Other Revenue | State Per Capita 98 |
| Form 990-EZ, Part I, Line 8, Other Revenue | Registration reimbursements fees- Regional Training 3,353 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Travel 7,108 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Conferences, conventions, and meetings 5,894 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Interest 291 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Telephone 1,699 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Unrelated business income taxes 1,088 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Office expense 1,972 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Payroll tax 1,572 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Insurance 150 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Penalties 111 |
| Form 990-EZ, Part II, Line 24, Other Assets | ACCOUNTS RECEIVABLES Beginning of year 1,408, End of year 3,457 |
| Form 990-EZ, Part II, Line 26, Liabilities | PAYROLL LIABILITIES Beginning of year 592, End of year 996 |
| Form 990-EZ, Part II, Line 26, Liabilities | CREDIT CARDS Beginning of year 0, End of year 116 |
| Form 990-EZ, Part II, Line 26, Liabilities | ACCOUNTS PAYABLE Beginning of year 0, End of year 1,088 |
| Software ID: | 20011406 |
| Software Version: | 20.0.2.0 |
| Person Name | Explanation |
|---|---|
| DON GRIGGS | TRAVEL REIMBURSEMENTS |
| JACOB ALSTON | TRAVEL REIMBURSEMENTS |
| CARL HAYES | TRAVEL REIMBURSEMENTS |
| BOB JOHNSON | TRAVEL REIMBURSEMENTS |
| BYNOSKIA SAMS | TRAVEL REIMBURSEMENTS |
| TIM MCCRAY | TRAVEL REIMBURSEMENTS |
| REGAL PHILLIPS | TRAVEL REIMBURSEMENTS |