Davis, an officer for a 501(c)(3) organization, receives benefits in the form of an overly generous health insurance plan; these benefits are inappropriate in the context of a charitable entity of its type. The excess benefits are determined to be $40,600. Davis does not pay back the excess benefits to the organization before the first-level tax is due.

Apply the rules for intermediate sanctions. The first-level taxes imposed are as follows:

On the exempt organization management: ___

On Davis: ___

A second-level tax in the amount of ___is imposed on Davis.