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 INCOME. Amount: 121. |
| Form 990-EZ, Part I, Line 10 - Payments to Affiliates | Affiliate Name: PER CAPITA TAX. Amount of Payment: 84,354. |
| Form 990-EZ, Part I, Line 10 - Payments to Affiliates | Affiliate Name: MISC DONATIONS. Amount of Payment: 14,750. Total included on Form 990-EZ, line 10: 99,104. |
| Form 990-EZ, Part I, Line 16 - Other Expenses | Description: BANK SERVICE CHARGE. Amount: 394. Description: OFFICE SUPPLIES AND EXPENSE. Amount: 581. Description: ORGANIZING. Amount: 1,530. Description: TELEPHONE. Amount: 204. Total to Form 990-EZ, line 16: 2,709. |
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