Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Part I, line 8 | | Other Revenues:, Amount:| Line 8 Other Revenue: Surplus Lines $5915.12 2% Perm Tax $23924.58 Total Insurance Money from 2022 Financial Standing Report., $28924| |
| Part I, line 16 | | Other Expenses:, Amount:| Line 16 Other Expenses: From Disbursements 2022 Financial Standing Report: Surplus Lines $ 3549.07 2% Perm Tax $13805.68 State Filing Fee $30.50. = $17385.25, $17385| |
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