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 PER CAPITA ASSESSMENT 2,698 TOTAL 2,698 |
| FORM 990-EZ, PART II, LINE 24 | NOTE RECEIVABLE 32,000 32,000 TOTAL 32,000 32,000 |
| Software ID: | |
| Software Version: |
| Person Name | Explanation |
|---|---|
| DANIEL STEFFENSMEIER | |
| KEITH GEHLING | |
| PERRY HOLTKAMP |