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 8 | Other Revenue of $2,407 is dental care insurance premiums from retirees. |
| Form 990-EZ, Part I, Line 16 | Other Expenses: $21,396; Per Capita Tax to Head Union $9,298; $6,844 Office and Administrative Expenses; $1,610 in contributions, gifts and grant; $3,455 in election services; and $189 in benefit-related expenses. |
| Form 990-EZ, Part I, Line 16 | Supplies - Office $342.00 |
| Form 990-EZ, Part I, Line 20 | Total other changes: $0 |
| Form 990-EZ, Part I, Line 20 | Fixed assets $0; Inventories $0; Liabilities $0; Voided checks from a previous year $0 |
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