Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Part I, Line 10 | Mishawaka Hospice - 1,000, Mishawaka High School Scholarship - 1,000, Penn High School Scholarship - 1,000, Other program services - 605 |
| Part I, Line 16 | Payments to affiliates - 3,066 |
| Software ID: | |
| Software Version: |