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 | ADMINISTRATIVE INCOME 41,483 REIMBURSED EXPENSES 454 TOTAL 41,937 |
| FORM 990-EZ, PART I, LINE 16 | EXPENSES AFFILIATION PAYMENTS 14,445 BANK CHARGES 440 INSURANCE 2,437 MISCELLANEOUS 112 OFFICE EXPENSES 1,272 PAYROLL TAXES 4,920 PER CAPITA 1,143 TAXES 368 TRAVEL 343 NON-INVESTMENT DEPRECIATION 1,396 TOTAL 26,876 |
| FORM 990-EZ, PART II, LINE 24 | EQUIPMENT 2,530 2,530 LESS ACCUMULATED DEPRECIATION 2,361 2,460 TOTAL 169 70 |
| FORM 990-EZ, PART II, LINE 26 | PAYROLL TAXES WITHHELD 841 894 DUE TO EMPLOYEE 318 0 DUE TO PENSION 526 0 |
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