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 16 | Description;Amount^Assessment withheld from Surplus Lines;7152|Assessment withheld from 2 percent Premium Tax;24873|Convention Expenses;3484|Secretary of State Filing Annual Report;31^Total;35540^ |
| Software ID: | 22015720 |
| Software Version: | v1.00 |