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 | Form 990 EZ Part 1 Line 8 State Insurance Assessment |
| Form 990-EZ, Part I, Line 16 | Form 990 EZ Part 1 Line 16 Convention expenses, 2% premium tax and surplus charge Secretary of State Filing fee withheld by state organization |
| Software ID: | 22015720 |
| Software Version: | v1.00 |