Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990EZ, Part I, Line 16 | Insurance 775. |
| Form 990EZ, Part I, Line 16 | License Fee |
| Form 990EZ, Part I, Line 16 | Refunds 175. |
| Software ID: | 22015534 |
| Software Version: |