Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Part I, line 8 | | Other Revenues:, Amount:| Other Revenue: Redeposited checks., $1799| Other Revenue: Social Security Tax Withheld, $1928| Other Revenue: Medicare Tax Withheld, $488| Other Revenue: Contributions, $210| |
| Part I, line 16 | | Other Expenses:, Amount:| Affiliates Per Capita, $10501| Bonds Premiums & Insurance, $4726| Voluntary Donations, $310| Federal Taxes, $7392| State Taxes, $560| Other Taxes: Property & SUTA, $7482| Misc. Disbursements, $99| |
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