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 | RENTAL INCOME 5,066 TIP INCOME 1,168 OTHER INCOME 52 TOTAL 6,286 |
| FORM 990-EZ, PART I, LINE 16 | EXPENSES OFFICE EXPENSES 112 INSURANCE 6,259 LICENSES AND PERMITS 1,211 SUPPLIES 1,184 TELEPHONE 1,209 OTHER EXPENSES 682 TOTAL 10,657 |
| FORM 990-EZ, PART II, LINE 24 | INVENTORIES FOR SALE OR USE 1,721 1,721 TOTAL 1,721 1,721 |
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