| Return Reference | Explanation |
|---|---|
| Part I, line 8 | | Other Revenues:, Amount:| Surplus line, $3465| NJ State Insurance, $54284| |
| Part I, line 10 | | Grants And Similar Amounts Paid:, Amount:| NJ State Insurance, $36912| NJ surplus, $2356| Misc, $1407| Convention, $4741| Filing fee, $31| |
| Part I, line 16 | | Other Expenses:, Amount:| Bank fee, $318| Misc Irs file, $100| Misc Bank CD, $483| |
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