Civic Intelligence

Cape & Islands Emergency Medical

EIN 04-2601510 • 501(c)3 • Hyannis, MA

View Organization Page

Profile

To develop, implement, operate and evaluate an emergency medical system for cape cod and the islands.

P O Box 1197Hyannis, MA 02601

www.ciemss.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

53rd percentile

0.02x

Higher debt load relative to assets than 53% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Liabilities / Revenue

59th percentile

0.04x

Higher debt load relative to revenue than 59% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Net Margin

53rd percentile

5.7%

Higher net margin than 53% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

55th percentile

5.4%

Faster asset growth than 55% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Revenue Growth

27th percentile

-7.1%

Faster revenue growth than 27% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets53rd percentile

Assets

Down

$556,997

Down $8,436 (-1.5%) from 2024

Liabilities

Down

$10,010

Down $2,969 (-23%) from 2024

Net Assets

Down

$546,987

Down $5,467 (-1.0%) from 2024

Operations
Liabilities / Revenue59th percentileNet Margin53rd percentile

Revenue

Up

$313,272

Up $459 (+0.1%) from 2024

Expenses

Up

$318,739

Up $23,907 (+8.1%) from 2024

Net Income

Down

-$5,467

Down $23,448 (-130%) from 2024

Trend Graphs

Balance Sheet Trend

Asset Growth55th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$600K$400K$200K$0Assets 2012: $298,792Liabilities 2012: $3,989Net Assets 2012: $294,8032012Assets 2013: $353,807Liabilities 2013: $19,322Net Assets 2013: $334,4852013Assets 2014: $394,504Liabilities 2014: $10,670Net Assets 2014: $383,8342014Assets 2015: $412,303Liabilities 2015: $5,502Net Assets 2015: $406,8012015Assets 2016: $345,424Liabilities 2016: $2,960Net Assets 2016: $342,4642016Assets 2017: $385,848Liabilities 2017: $17,304Net Assets 2017: $368,5442017Assets 2018: $381,536Liabilities 2018: $11,369Net Assets 2018: $370,1672018Assets 2019: $435,120Liabilities 2019: $4,454Net Assets 2019: $430,6662019Assets 2020: $488,595Liabilities 2020: $24,322Net Assets 2020: $464,2732020Assets 2021: $510,962Liabilities 2021: $15,679Net Assets 2021: $495,2832021Assets 2022: $536,369Liabilities 2022: $5,473Net Assets 2022: $530,8962022Assets 2023: $536,644Liabilities 2023: $2,171Net Assets 2023: $534,4732023Assets 2024: $565,433Liabilities 2024: $12,979Net Assets 2024: $552,4542024Assets 2025: $556,997Liabilities 2025: $10,010Net Assets 2025: $546,9872025

Highlighted filing

2025

Assets$556,997
Liabilities$10,010
Net Assets$546,987
Open 2025 Filing

Operations Trend

Revenue Growth27th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$600K$400K$200K$0-$200KRevenue 2012: $376,832Expenses 2012: $383,091Net Income 2012: -$6,2592012Revenue 2013: $415,190Expenses 2013: $375,508Net Income 2013: $39,6822013Revenue 2014: $449,121Expenses 2014: $399,772Net Income 2014: $49,3492014Revenue 2015: $373,222Expenses 2015: $350,255Net Income 2015: $22,9672015Revenue 2016: $405,985Expenses 2016: $470,322Net Income 2016: -$64,3372016Revenue 2017: $466,236Expenses 2017: $440,156Net Income 2017: $26,0802017Revenue 2018: $443,781Expenses 2018: $442,158Net Income 2018: $1,6232018Revenue 2019: $414,987Expenses 2019: $354,488Net Income 2019: $60,4992019Revenue 2020: $363,115Expenses 2020: $329,508Net Income 2020: $33,6072020Revenue 2021: $335,922Expenses 2021: $304,912Net Income 2021: $31,0102021Revenue 2022: $323,216Expenses 2022: $287,603Net Income 2022: $35,6132022Revenue 2023: $336,875Expenses 2023: $333,298Net Income 2023: $3,5772023Revenue 2024: $312,813Expenses 2024: $294,832Net Income 2024: $17,9812024Revenue 2025: $313,272Expenses 2025: $318,739Net Income 2025: -$5,4672025

Highlighted filing

2025

Revenue$313,272
Expenses$318,739
Net Income-$5,467
Open 2025 Filing

Filings

Most recent year

2025 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$556,997
Liabilities
$10,010
Net assets
$546,987
Revenue
$313,272
Expenses
$318,739
Net income
-$5,467
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$5.57$0.10$5.47$3.13$3.19$0.05
2024Detailed filing. Detailed filing data is available for this year.$5.65$0.13$5.52$3.13$2.95$0.18
2023Detailed filing. Detailed filing data is available for this year.$5.37$0.02$5.34$3.37$3.33$0.04
2022Detailed filing. Detailed filing data is available for this year.$5.36$0.05$5.31$3.23$2.88$0.36
2021Detailed filing. Detailed filing data is available for this year.$5.11$0.16$4.95$3.36$3.05$0.31
2020Detailed filing. Detailed filing data is available for this year.$4.89$0.24$4.64$3.63$3.30$0.34
2019Summary only. Only limited summary data is available for this year.$4.35$0.04$4.31$4.15$3.54$0.60
2018Summary only. Only limited summary data is available for this year.$3.82$0.11$3.70$4.44$4.42$0.02
2017Summary only. Only limited summary data is available for this year.$3.86$0.17$3.69$4.66$4.40$0.26
2016Summary only. Only limited summary data is available for this year.$3.45$0.03$3.42$4.06$4.70$0.64
2015Summary only. Only limited summary data is available for this year.$4.12$0.06$4.07$3.73$3.50$0.23
2014Summary only. Only limited summary data is available for this year.$3.95$0.11$3.84$4.49$4.00$0.49
2013Summary only. Only limited summary data is available for this year.$3.54$0.19$3.34$4.15$3.76$0.40
2012Summary only. Only limited summary data is available for this year.$2.99$0.04$2.95$3.77$3.83$0.06
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2024 to Jun 30, 2025
Signed
Feb 18, 2026
Return Version
2024v5.5
Gross Receipts
$313,272
Mission and Program Overview

Mission

To develop, implement, operate and evaluate an emergency medical system for cape cod and the islands.

Develop, implement, operate and evaluate an emergency medical system for the cape and islands

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$256,736$307,031▲ $50,295
Cash and Non-Interest-Bearing Accounts$286,058$241,469▼ $44,589
Prepaid Expenses and Deferred Charges$4,211$4,211→ $0
Accounts Receivable$14,921$3,001▼ $11,920
Land, Buildings, and Equipment, Net$3,507$1,285▼ $2,222
Total Assets$565,433$556,997▼ $8,436
Liabilities
Accounts Payable and Accrued Expenses$12,979$10,010▼ $2,969
Total Liabilities$12,979$10,010▼ $2,969
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$442,892$427,767▼ $15,125
Net Assets With Donor Restrictions$109,562$119,220▲ $9,658
Total Net Assets Fund Balance$552,454$546,987▼ $5,467
Total Liabilities and Net Assets / Fund Balance$565,433$556,997▼ $8,436

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$1,285$26,531$27,816
Compensation and Service Providers
Top Officer PayScore unavailable

Board Members and Trustees

NameTitle
David ZackPresident
Sarah Todd-weinstein MdVice President
Audrey TavaresDirector
Enrique ArrascueDirector
Jason DavernDirector
Lori JewettDirector
Marcy SmithDirector
Mary JohnsonDirector
Michael MedeirosDirector
Oliver Berrett MdDirector
Ross LloydDirector
Sean BrownDirector
Chester CummensClerk
Justin TavanoTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$1,400
Program Service Revenue
$308,366
Investment Income
$3,506
Other Revenue
$0
All Other Contributions
$1,400
Change in Net Assets
$-5,467
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$190,923
Other Expenses$127,816
Total Fundraising Expense$18,741
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$120,597$37,481$18,741$176,819
Payroll Taxes$14,104--$14,104
Fees for Services Accounting-$9,708-$9,708
Office Expenses-$8,749-$8,749
Insurance$8,158--$8,158
All Other Expenses$1,818$855-$2,673
Other Expenses$2,538$42,000-$2,538
Depreciation Depletion$2,222--$2,222
Conferences and Meetings$1,388--$1,388
Interest$15--$15
Total Functional Expenses$201,205$98,793$18,741$318,739
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

“Form 990 available to board members prior to filing”

Form 990, Part VI, Section C, Line 18

“Form 990 available on request and through massachusetts attorney general website”

Form 990, Part VI, Section C, Line 19

“Required documents provided on request”

Filing and Contact Details

Filer

Filer Name
Cape & Islands Emergency Medical
EIN
04-2601510
Phone
5087714510
Address
P O BOX 1197, HYANNIS, MA 02601

Signing Officer

Name
Justin Tavano
Title
Treasurer
Phone
5087714510
Signed
2026-02-18
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Justin Tavano
Formed
1976
Legal Domicile
Ma
Voting Board Members
14
Independent Board Members
14
Employees
4
Volunteers
60

Preparer

Firm
Lamb Mason Bulger & Co Pc
Address
PO BOX 1233, WEST CHATHAM, MA 02669-1233
Preparer
Michael Bulger
Phone
5089453575
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IRS990/OtherExpensesGrp/Desc3WEBSITE
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IRS990/OtherExpensesGrp/ProgramServicesAmt046958
IRS990/OtherExpensesGrp/ProgramServicesAmt13407
IRS990/OtherExpensesGrp/ProgramServicesAmt22538
IRS990/OtherExpensesGrp/TotalAmt046958
IRS990/OtherExpensesGrp/TotalAmt142000
IRS990/OtherExpensesGrp/TotalAmt23407
IRS990/OtherExpensesGrp/TotalAmt32538
IRS990/OtherSalariesAndWagesGrp/FundraisingAmt018741
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt037481
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt0120597
IRS990/OtherSalariesAndWagesGrp/TotalAmt0176819
IRS990/OtherWebsiteInd0X
IRS990/PartialLiquidationInd00
IRS990/PayrollTaxesGrp/ProgramServicesAmt014104
IRS990/PayrollTaxesGrp/TotalAmt014104
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt04211
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt04211
IRS990/PrincipalOfficerNm0JUSTIN TAVANO
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0900099
IRS990/ProgramServiceRevenueGrp/BusinessCd1900099
IRS990/ProgramServiceRevenueGrp/BusinessCd2900099
IRS990/ProgramServiceRevenueGrp/Desc0ASSESSMENT FEES
IRS990/ProgramServiceRevenueGrp/Desc1TRAINING INCOME
IRS990/ProgramServiceRevenueGrp/Desc2CONFERENCES
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IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt175366
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt22050
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0230950
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt175366
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt22050
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt01381
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt03745
IRS990/PYOtherExpensesAmt0114140
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt0307687
IRS990/PYRevenuesLessExpensesAmt017981
IRS990/PYSalariesCompEmpBnftPaidAmt0180692
IRS990/PYTotalExpensesAmt0294832
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0312813
IRS990/QuidProQuoContributionsInd00
IRS990/ReconcilationRevenueExpnssAmt0-5467
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt0308366
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0256736
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0307031
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt01400
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt01381
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt072332
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt072353
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt061307
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IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt03506
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt03745
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt01550
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt0278
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt0885
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt09964
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt0308366
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt0307687
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt0262693
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt0235285
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt0273730
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt01387761
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt03506
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt03745
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt01550
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt0278
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt0885
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt09964
IRS990ScheduleA/InvestmentIncomeCYPct00.00620
IRS990ScheduleA/InvestmentIncomePYPct00.00460
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.99380
IRS990ScheduleA/PublicSupportPY509Pct00.99540
IRS990ScheduleA/PublicSupportTotal509Amt01596534
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0309766
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0309068
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0335025
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0307638
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0335037
IRS990ScheduleA/Total509Grp/TotalAmt01596534
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0313272
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0312813
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0336575
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0307916
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0335922
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt01606498
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt01285
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt026531
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt027816
IRS990ScheduleD/TotalBookValueLandBuildingsAmt01285
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0FORM 990 AVAILABLE TO BOARD MEMBERS PRIOR TO FILING
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1FORM 990 AVAILABLE ON REQUEST AND THROUGH MASSACHUSETTS ATTORNEY GENERAL WEBSITE
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2REQUIRED DOCUMENTS PROVIDED ON REQUEST
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION C, LINE 18
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0MA
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0565433
IRS990/TotalAssetsEOYAmt0556997
IRS990/TotalAssetsGrp/BOYAmt0565433
IRS990/TotalAssetsGrp/EOYAmt0556997
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt01400
IRS990/TotalEmployeeCnt04
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt018741
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt098793
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0201205
IRS990/TotalFunctionalExpensesGrp/TotalAmt0318739
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt012979
IRS990/TotalLiabilitiesEOYAmt010010
IRS990/TotalLiabilitiesGrp/BOYAmt012979
IRS990/TotalLiabilitiesGrp/EOYAmt010010
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0552454
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0546987
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0201205
IRS990/TotalProgramServiceRevenueAmt0308366
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt03506
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0308366
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0313272
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt060
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0565433
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0556997
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0P O BOX 1197

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