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 OFFICE 47 INFORMATION TECHNOLOGY 3,021 CONFERENCES 4 INSURANCE 1,252 BOARD EXPENSE 291 STORAGE RENT 300 BANK AND CREDIT CARD FEES 496 TAXES AND FEES 50 TOTAL 5,461 |
| FORM 990-EZ, PART I, LINE 20 | CURRENT YEAR UNREALIZED GAIN/LOSS 451 |
| FORM 990-EZ, PART II, LINE 24 | PREPAID EXPENSES AND DEFERRED CHARGES 116 1,449 TOTAL 116 1,449 |
| FORM 990-EZ, PART II, LINE 26 | ACCOUNTS PAYABLE AND ACCRUED EXPENSES 0 12,459 DEFERRED REVENUE 1,500 7,400 |
| Software ID: | |
| Software Version: |
| Person Name | Explanation |
|---|---|
| ANDREA HERZKA MD | |
| S BRAD DAINES MD | |
| MARK WAGNER MD | |
| JESSIE JANOWSKI MD | |
| JENS CHAPMAN MD | |
| LOREN LARSON MD | |
| BRIAN PUSKAS MD | |
| HAYLEY PIEPMEYER PAC |