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 8, Other Revenue | SA premiums collected by the company 26,262 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Travel 7,033 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Conferences, conventions, and meetings 580 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Supplies 3,462 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Per Capita 972 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Direct taxes 1,682 |
| Form 990-EZ, Part I, Line 16, Other Expenses | SA Insurance premiums 24,441 |
| Form 990-EZ, Part II, Line 24, Other Assets | Office equipment Beginning of year 1,800, End of year 1,800 |
| Software ID: | 22015461 |
| Software Version: | 22.0.1.0 |