Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | HUSBAND AND WIFE |
| Form 990, Part VI, Line 11b: Form 990 Review Process | THE TAX RETURN WAS REVIEWED BY THE GOVERNING BOARD AND WAS AVAILABLE FOR REVIEW BY THE MEMBERS |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | COPIES OF THE FORM 990 ARE MADE AVAILABLE AT ANY TIME FOR REVIWEW BY THE PUBLIC |
| Form 990, Part IX, Line 24e: Other Expenses | ADMINISTRATION: Column (A) - Total = $3755; Column (B) - Program Services = $3755; Column (C) - Management & General = $0; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | COMMUNICATIONS: Column (A) - Total = $12988; Column (B) - Program Services = $12988; Column (C) - Management & General = $0; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | GENERAL EXPENSES: Column (A) - Total = $12967; Column (B) - Program Services = $0; Column (C) - Management & General = $12967; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | MEDICAL SUPPLIES: Column (A) - Total = $926; Column (B) - Program Services = $926; Column (C) - Management & General = $0; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | MONEY MARKET EXPENSE: Column (A) - Total = $1664; Column (B) - Program Services = $1664; Column (C) - Management & General = $0; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | PAYROLL SERVICE FEE: Column (A) - Total = $110; Column (B) - Program Services = $110; Column (C) - Management & General = $0; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | PHYSICALS & DRUG TESTING: Column (A) - Total = $3685; Column (B) - Program Services = $3685; Column (C) - Management & General = $0; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | SUPPLIES: Column (A) - Total = $18431; Column (B) - Program Services = $18431; Column (C) - Management & General = $0; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | TRAINING & EDUCATION: Column (A) - Total = $5650; Column (B) - Program Services = $5650; Column (C) - Management & General = $0; Column (D) - Fundraising = $0 |
| Software ID: | 21013475 |
| Software Version: | 2021v4.0 |