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 | 2% PREMIUM TAX 43,263 TOTAL 43,263 |
| FORM 990-EZ, PART I, LINE 16 | EXPENSES CONVENTION EXPENSES 8,221 ANNUAL FILING FEE 31 PROFESSIONAL FEE 150 2% PREMIUM TAX ASSESSMENT 25,958 TOTAL 34,360 |
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