Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990 governing body review Part VI line 11 | Return not submitted to governing body before review. Annual reports are submitted to the Tennessee Department of Insurance. |
| Governing documents etc available to public Part VI line 19 | No documents presented to the public |
| Explanation of other changes in net assets or fund balances Part XI line 9 | Book to Tax Adjustments |
| List of other fees for services expenses Part IX line 11g | State Audit Fees 8,027State Fees 10,000 |
| List of other expenses Part IX line 24e | Claims Adjustments 11,884Telephone 2,423 |
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