Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
ARCHULETA SENIORS INC
Employer identification number
41-2078192
Return Reference
Explanation
Pt VI, Line 11b
COPIES ARE PROVIDED TO ALL BOARD MEMBERS
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.