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:| Insurance and Surplus Line, $43324| |
| Part I, line 16 | | Other Expenses:, Amount:| Insurance Surplus Filing fee Convention, $31197| |
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