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 4 - OTHER INVESTMENT INCOME | DESCRIPTION: INTEREST & DIVIDENDS. AMOUNT: 3,250. DESCRIPTION: REALIZED GAINS ON POOLED INVESTMENTS. AMOUNT: 9,309. TOTAL INCLUDED ON FORM 990-EZ, LINE 4: 12,559. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: INSURANCE. AMOUNT: 2,154. DESCRIPTION: ANNUAL REPORT. AMOUNT: 31. DESCRIPTION: INVESTMENT MANAGEMENT. AMOUNT: 1,925. DESCRIPTION: INVESTMENT FEE. AMOUNT: 912. DESCRIPTION: WEB SITE. AMOUNT: 35. DESCRIPTION: DUES. AMOUNT: 100. DESCRIPTION: BANK FEES. AMOUNT: 45. TOTAL TO FORM 990-EZ, LINE 16: 5,202. |
| FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETS | DESCRIPTION: UNREALIZED LOSSES ON INVESTMENTS. AMOUNT: -27,829. |
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