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 16 | Insurance 4630. |
| Form 990EZ, Part I, Line 16 | Administrative 5515. |
| Form 990EZ, Part I, Line 16 | Bad Debt 770. |
| Form 990EZ, Part I, Line 20 | Prior Period Adjustment 15911. |
| Software ID: | 21013422 |
| Software Version: |