Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990EZ, Part I, Line 8 | Gross Insurance Payout 67113. |
| Form 990EZ, Part I, Line 16 | Program Service Assessment Withheld 37583. |
| Form 990EZ, Part I, Line 16 | State Filling Fee 31. |
| Form 990EZ, Part I, Line 16 | Program Service Convention Expenses 7002. |
| Software ID: | 21013422 |
| Software Version: |