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 16 | EXPENSES BANK FEE 5 TV 993 COMMISSION 140 MEDALLIONS 1,107 TOTAL 2,245 |
| FORM 990-EZ, PART I, LINE 20 | CHANGE IN MARKET VALUE -9,162 |
| FORM 990-EZ, PART II, LINE 24 | PLEDGES RECEIVABLE 22,074 22,074 LAP TOP 1,801 1,801 LESS ACCUMULATED DEPRECIATION 1,801 1,801 TOTAL 22,074 22,074 |
| FORM 990-EZ, PART III | TO PROVIDE DEATH BENEFITS TO MEMBERS & A BENEFICIARY OF A MEMBER. TO PROVIDE DURABLE MEDICAL EQUIPMENT FOR USE BY ITS MEMBERS, SUCH AS WHEEL CHAIRS, WALKERS, CANES. TO PROVIDE TELEVISION AND TELEPHONE RENTALS TO MEMBER PATIENTS AS REQUESTED. |
| Software ID: | |
| Software Version: |
| Person Name | Explanation |
|---|---|
| BRUCE WHEELER | |
| BRAD JORAE | |
| LAWRENCE GOFF | |
| CARL SCHULTZ | |
| CHARLES STADT | |
| LARRY HUFNAGEL | |
| LAWRENCE PUNG | |
| PETE WILSON | |
| TONY PARKER |