Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990EZ LINE 4 | DIV 834 QDIV 823 AND CAPITAL GAIN 2381 |
| FORM 990EZ PART I LINE 16 | SEE STATEMENT #3 |
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