| 
| 9. During the reporting
													period, did your organization have any changes in its
													constitution and bylaws (other than rates of dues and fees)
													or in practices/procedures listed in the instructions? (If
													the constitution and bylaws have changed, attach two new
													dated copies. If practices/ procedures have changed, see
													instructions.) | No |  
| 10. Did your
													organization change its rates of dues and fees during the
													reporting period? (If "Yes," report the new rates
													in Item 19 on page 1.) | No |  
| 11. Did your
													organization discover any loss or shortage of funds or
													property during the reporting period? (If "Yes,"
													provide details in Item 19. Answer "Yes" even if
													there has been repayment or recovery.) | No |  
| 12. Was your
													organization insured by a fidelity bond during the
													reporting period? | Yes |  
| If "Yes,"
													enter the maximum amount recoverable under the bond for
													loss caused by any person. | $500,000 |  
| 13. How many members did
													your organization have at the end of the reporting period? | 36 |  | 
| 14. Enter the total
													value of your organizations assets at the end of the period
													(cash, bank accounts, equipment, etc.). | $1,098 |  
| 15. Enter the total
													liabilities (debts) of your organization at the end of the
													period (unpaid bills, loans owed, etc.). | $3,300 |  
| 16. Enter the total
													receipts of your organization during the reporting period
													(dues, fees, interest received, etc.). (If $10,000 or more,
													your organization must file Form LM-2 or LM-3 instead of
													this form.) | $6,309 |  
| 17. Enter the total
													disbursements made by your organization during the
													reporting period (per capita tax, loans made, net payment
													to officers, payments for office supplies, etc.). | $5,211 |  
| 18. Enter the total
													payments to officers and employees made by your
													organization during the reporting period (gross salaries,
													lost time payments, allowances, expenses, etc.). | $0 |  |