| Return Reference | Explanation |
|---|---|
| Part I Line 8 | ADJUSTMENT TO BALANCE $1.00 |
| Part I Line 16 | Travel $27158.00 |
| Part I Line 16 | Insurance $2178.00 |
| Part I Line 16 | GENERAL ACCOUNT EXPENSES $10513.00 |
| Part I Line 16 | RESTRICTED ACCOUNT EXPENS $642.00 |
| Part I Line 16 | SPECIALITY EXPENSES $25949.00 |
| Part I Line 20 | Prior period adjustments -$208.00 |
| Software ID: | |
| Software Version: |