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 4 - Other Investment Income | Description: Interest Income. Amount: 33. Description: Dividend Income. Amount: 5,955. Description: Capital Gains Distribution. Amount: 5,062. Total Included on Form 990-EZ, line 4: 11,050. |
| Form 990-EZ, Part I, Line 16 - Other Expenses | Description: Bank Charges. Amount: 42. Description: Foreign Taxes Withheld. Amount: 106. Description: Investment Expenses. Amount: 446. Description: Member Expenses. Amount: 193. Description: Per Capita. Amount: 3,456. Description: Travel. Amount: 262. Total to Form 990-EZ, line 16: 4,505. |
| Form 990-EZ, Part I, Line 20 - Other Changes in Net Assets | Description: Prior Period Adjustment. Amount: 25,775. |
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