Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Part VI Line 11b | Available upon request. |
| Part VI Line 19 | Provided upon request. |
| Part IX Line 11g | Professional services Total expenses - $649844.00 Program service expenses - $649844.00 Mgmt and general expenses - $0.00 Fundraising expenses - $0.00 |
| Part IX Line 11g | Exam services Total expenses - $666626.00 Program service expenses - $666626.00 Mgmt and general expenses - $0.00 Fundraising expenses - $0.00 |
| Part IX Line 11g | Benefits administration Total expenses - $1752.00 Program service expenses - $1752.00 Mgmt and general expenses - $0.00 Fundraising expenses - $0.00 |
| Part IX Line 11g | Facilitator services Total expenses - $2375.00 Program service expenses - $2375.00 Mgmt and general expenses - $0.00 Fundraising expenses - $0.00 |
| Part IX Line 11g | Employment services Total expenses - $1267.00 Program service expenses - $1267.00 Mgmt and general expenses - $0.00 Fundraising expenses - $0.00 |
| Part III Line 4d | Expenses: $502582.00 including grants of: $0.00 Revenue: $276393.00 |
| Part III Line 4d | Licensure portability and telehealth |
| Software ID: | 22016286 |
| Software Version: | ta22mefv1.0 |