| Return Reference | Explanation |
|---|---|
| Part I, line 8 | | Other Revenues:, Amount:| insurance premiums from members and uniform payment from members, $43770| |
| Part I, line 16 | | Other Expenses:, Amount:| state tax, $188| insurance premiums, $40510| voluntary donations, $3000| uniform payments for members, $14120| per capita tax, $1024| |
| Part II, line 24 | | Explanation:, BOYAmount:, EOYAmount:| Other assets, $15, $15| |
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