| Return Reference | Explanation |
|---|---|
| Part VIII line 3 column D | Excludable interest from investments $8,259 Excludable dividends from investments $9,334 Total investment income is $17,593 |
| Part VIII Line 4 Column D | Exempt U.S. Government Interest from Treasury bonds and Federal Home Loan Bank $3,178. |
| Part VIII line 7(D) Column D | Exempt gain from Long Term covered sales is $10,144. Exempt gain from Long Term Distributions is $1,376. Total Long Term gains equal $11,520 |
| Part IX Line 11(g) | Bank Statement Fee of $12 |
| Part IX Line 24(e) | Foreign tax of $105 paid on $914 of foreign income through Regulated Investment Company investments. |
| Part VI Line 7a | Organization is a fraternal order with members who elect officers for their lodge. |
| Software ID: | |
| Software Version: |