Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Other Expenses.1001 | Advertising and Promotion $67 |
| Other Expenses.1009 | Depreciation $6591 |
| Other Expenses.1012 | Insurance $9480 |
| Other Expenses.1 | UTILITIES $9551 |
| Other Expenses.2 | REPAIR & MAINTENANCE $5565 |
| Other Expenses.3 | SUPPLIES $3630 |
| Other Expenses.4 | TRASH, CLEANING, LAWNCARE $1927 |
| Other Expenses.5 | MISCELLANEOUS $1794 |
| Other Expenses.6 | POPPIES $800 |
| Other Expenses.7 | SECURITY $702 |
| Other Expenses.8 | FLAGS $498 |
| Other Expenses.9 | FOOD $485 |
| Other Expenses.10 | DUES $379 |
| Other Expenses.11 | PROPERTY TAX PRIDES CREEK $85 |
| Other Assets.1004 | Miscellaneous - Beginning $7545 Miscellaneous - Ending $5640 |
| Other Assets.1010 | Inventories - Beginning $4999 Inventories - Ending $4999 |
| Reason for Income Not Reported on Form 990-T | EXCLUSION CODE 28 APPLIES FOR ALL UNRELATED INCOME REPORTED ON THIS TAX RETURN. SECTION 501(c)(19) ORGANIZATION - PAYMENT FOR LIFE, SICK, ACCIDENT, OR HEALTH INSURANCE FOR MEMBERS OR THEIR DEPENDEMTS THAT ARE SET ASIDE FOR THE PURPOSE OF SUCH INSURANCE BENEFITS OR FOR A CHARITABLE, ETC. PURPOSE SPECIFIED IN SECTION 170(c)(4)(SECTION 512(a)(4)) |
| UNRELATED INCOME GREATER THAN $1000 | EXCLUSION CODE 28 APPLIES FOR ALL UNRELATED INCOME REPORTED ON THIS TAX RETURN. SECTION 501(c)(19) ORGANIZATION - PAYMENT FOR LIFE, SICK, ACCIDENT, OR HEALTH INSURANCE FOR MEMBERS OR THEIR DEPENDENTS THAT ARE SET ASIDE FOR THE PURPOSE OF SUCH INSURANCE BENEFITS OR FOR A CHARITABLE, ETC. PURPOSE SPECIFIED IN SECTION 170(c)(4)(SECTION 512(a)(4)) |
| Software ID: | 22015553 |
| Software Version: | 2022v5.0 |