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 | Description;Amount^OTHER REVENUE;0|SURPLUS LINE;51436|2% PREMIUM TAX;118699^Total;170135^ |
| Form 990-EZ, Part I, Line 16 | Description;Amount^NJSFA SURPLUS LINE ASSESSEMENT;30862|NJSFA 2% PREMIUM TAX ASSESSEMENT;71219|BANK SERVICE CHARGE;74|NJ SECRERARY OF STATE FILING FEE;31|DELEGATES;4465|LIFE MEMBERS;2057^Total;108708^ |
| Software ID: | 22015720 |
| Software Version: | v1.00 |