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 | Insurance - $565, State Corp Commission - $25, Administrative - $2654 |
| Software ID: | 22015720 |
| Software Version: | v1.00 |