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 | FIRE INSURANCE TAX 83,758 TOTAL 83,758 |
| FORM 990-EZ, PART I, LINE 16 | EXPENSES ASSESSMENTS 50,255 FILING FEE 31 CONVENTION 8,010 TOTAL 58,296 |
| FORM 990-EZ, PART III, LINE 31 | INSURANCE |
| Software ID: | |
| Software Version: |