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 16 | EXPENSES DELTA DENTAL 10,445 SCHOLARSHIP 1,000 FILING FEE 35 DONATIONS 400 GIFT 284 TOTAL 12,164 |
| FORM 990-EZ, PART I, LINE 20 | NET UNREALIZED GAIN ON INVESTMENTS 0 DIVIDEND REINVESTMENT NET OF EXPENSE 21 NET UNREALIZED LOSS -32,116 |
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