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 | Sickness and Accident 22,590 |
| Form 990-EZ, Part I, Line 8, Other Revenue | Intuit refund 357 |
| Form 990-EZ, Part I, Line 8, Other Revenue | Berkkley refund 106 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Travel 174 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Supplies 2,889 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Sickness and Accident on behalf of members 20,928 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Direct taxes 4,030 |
| Form 990-EZ, Part II, Line 24, Other Assets | Office equipment Beginning of year 763, End of year 763 |
| Software ID: | 20011406 |
| Software Version: | 20.0.2.0 |