Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990-EZ, PART I, LINE 20 | CHANGE IN MARKET VALUE 0 CHANGE IN MARKET VALUE -27,761 |
| FORM 990-EZ, PART II, LINE 24 | PLEDGES RECEIVABLE 22,074 0 LAP TOP 1,801 1,801 LESS ACCUMULATED DEPRECIATION 1,801 1,801 TOTAL 22,074 0 |
| FORM 990-EZ, PART III | TO PROVIDE DEATH BENEFITS TO MEMBERS & A BENEFICIARY OF A MEMBER. TO PROVIDE DURABLE MEDICAL EQUIPMENT FOR USE BY ITS MEMBERS, SUCH AS WHEEL CHAIRS, WALKERS, CANES. TO PROVIDE TELEVISION AND TELEPHONE RENTALS TO MEMBER PATIENTS AS REQUESTED. |
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| Software Version: |