Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Part I, Line 16 | Per Capita Tax - $139,532 Office Expenses - $450 Other Expenses - $500 (Retirement Party Costs) Total - $140,482 |
| Software ID: | |
| Software Version: |