Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | BOARD MEMBERS WILL VIEW A DRAFT COPY AND GIVE AUTHORIZATION TO VP FINANCE TO SIGN AND FILE RETURN. |
| FORM 990, PAGE 6, PART VI, LINE 19 | CONTACT INFORMATION OF BOARD MEMBERS IS AVAILABLE AT LOCATION OF FACILITY. REQUESTS CAN BE MADE TO VIEW OR RECEIVE COPIES. |
| FORM 990, PART XI, LINE 9 | REFUNDS FOR PRIOR YEAR -3,460 |
| Software ID: | |
| Software Version: |