Civic Intelligence

Norwalk Police Fund Incorporated

EIN 06-6042689 • 501(c)9 • Norwalk, CT

Profile

The Norwalk Police Fund Inc. was created for the benfit of the Regular members of the Norwalk, CT police force and to promote and aid in its social and general welfare.

One Monroe Street PO Box 711Norwalk, CT 06852

n/A

Siviq Scores

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

Liabilities / Assets

75th percentile

0.02x

Higher debt load relative to assets than 75% of similar nonprofits.

501(c)9 • <$500k nonprofits • Source year 2025

Liabilities / Revenue

87th percentile

0.04x

Higher debt load relative to revenue than 87% of similar nonprofits.

501(c)9 • <$500k nonprofits • Source year 2025

Net Margin

40th percentile

-51%

Higher net margin than 40% of similar nonprofits.

501(c)9 • <$500k nonprofits • Source year 2025

Top Officer Pay

75th percentile

$0

Higher top officer pay than 75% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)9 • <$500k nonprofits • Source year 2025

Asset Growth

59th percentile

-19%

Faster asset growth than 59% of similar nonprofits.

501(c)9 • <$500k nonprofits • Annualized from 2024 to 2025

Revenue Growth

43rd percentile

-51%

Faster revenue growth than 43% of similar nonprofits.

501(c)9 • <$500k nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets75th percentile

Assets

Down

$286,688

Down $69,117 (-19%) from 2024

Liabilities

Up

$6,090

Up $4,412 (+263%) from 2024

Net Assets

Down

$280,598

Down $73,529 (-21%) from 2024

Operations
Liabilities / Revenue87th percentileNet Margin40th percentile

Revenue

Down

$143,431

Down $148,298 (-51%) from 2024

Expenses

Down

$216,960

Down $33,999 (-14%) from 2024

Net Income

Down

-$73,529

Down $114,299 (-280%) from 2024

Trend Graphs

Balance Sheet Trend

Asset Growth59th percentile

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

$600K$400K$200K$0Assets 2011: $270,540Liabilities 2011: $8,300Net Assets 2011: $262,2402011Assets 2012: $264,200Liabilities 2012: $8,300Net Assets 2012: $255,9002012Assets 2013: $281,339Liabilities 2013: $12,525Net Assets 2013: $268,8142013Assets 2014: $262,360Liabilities 2014: $10,395Net Assets 2014: $251,9652014Assets 2015: $236,102Liabilities 2015: $9,000Net Assets 2015: $227,1022015Assets 2016: $344,595Liabilities 2016: $12,500Net Assets 2016: $332,0952016Assets 2017: $424,446Liabilities 2017: $17,794Net Assets 2017: $406,6522017Assets 2018: $437,720Liabilities 2018: $18,253Net Assets 2018: $419,4672018Assets 2019: $377,713Liabilities 2019: $14,881Net Assets 2019: $362,8322019Assets 2020: $373,956Liabilities 2020: $17,576Net Assets 2020: $356,3802020Assets 2021: $446,101Liabilities 2021: $14,201Net Assets 2021: $431,9002021Assets 2022: $368,502Liabilities 2022: $10,834Net Assets 2022: $357,6682022Assets 2024: $355,805Liabilities 2024: $1,678Net Assets 2024: $354,1272024Assets 2025: $286,688Liabilities 2025: $6,090Net Assets 2025: $280,5982025

Highlighted filing

2025

Assets$286,688
Liabilities$6,090
Net Assets$280,598
Open 2025 Filing

Operations Trend

Revenue Growth43rd percentile

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

$300K$200K$100K$0-$100KRevenue 2011: $155,212Expenses 2011: $161,868Net Income 2011: -$6,6562011Revenue 2012: $128,854Expenses 2012: $144,064Net Income 2012: -$15,2102012Revenue 2013: $171,976Expenses 2013: $162,478Net Income 2013: $9,4982013Revenue 2014: $167,167Expenses 2014: $155,686Net Income 2014: $11,4812014Revenue 2015: $267,924Expenses 2015: $184,973Net Income 2015: $82,9512015Revenue 2016: $165,367Expenses 2016: $175,787Net Income 2016: -$10,4202016Revenue 2017: $250,312Expenses 2017: $175,755Net Income 2017: $74,5572017Revenue 2018: $181,728Expenses 2018: $168,913Net Income 2018: $12,8152018Revenue 2019: $153,344Expenses 2019: $209,979Net Income 2019: -$56,6352019Revenue 2020: $158,634Expenses 2020: $165,086Net Income 2020: -$6,4522020Revenue 2021: $200,883Expenses 2021: $138,712Net Income 2021: $62,1712021Revenue 2022: $213,417Expenses 2022: $287,649Net Income 2022: -$74,2322022Revenue 2024: $291,729Expenses 2024: $250,959Net Income 2024: $40,7702024Revenue 2025: $143,431Expenses 2025: $216,960Net Income 2025: -$73,5292025

Highlighted filing

2025

Revenue$143,431
Expenses$216,960
Net Income-$73,529
Open 2025 Filing

Filings

Most recent year

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

Open filing
Assets
$286,688
Liabilities
$6,090
Net assets
$280,598
Revenue
$143,431
Expenses
$216,960
Net income
-$73,529
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$2.87$0.06$2.81$1.43$2.17$0.74
2024Detailed filing. Detailed filing data is available for this year.$3.56$0.02$3.54$2.92$2.51$0.41
2022Detailed filing. Detailed filing data is available for this year.$3.69$0.11$3.58$2.13$2.88$0.74
2021Detailed filing. Detailed filing data is available for this year.$4.46$0.14$4.32$2.01$1.39$0.62
2020Detailed filing. Detailed filing data is available for this year.$3.74$0.18$3.56$1.59$1.65$0.06
2019Detailed filing. Detailed filing data is available for this year.$3.78$0.15$3.63$1.53$2.10$0.57
2018Detailed filing. Detailed filing data is available for this year.$4.38$0.18$4.19$1.82$1.69$0.13
2017Detailed filing. Detailed filing data is available for this year.$4.24$0.18$4.07$2.50$1.76$0.75
2016Detailed filing. Detailed filing data is available for this year.$3.45$0.13$3.32$1.65$1.76$0.10
2015Summary only. Only limited summary data is available for this year.$2.36$0.09$2.27$2.68$1.85$0.83
2014Summary only. Only limited summary data is available for this year.$2.62$0.10$2.52$1.67$1.56$0.11
2013Summary only. Only limited summary data is available for this year.$2.81$0.13$2.69$1.72$1.62$0.09
2012Summary only. Only limited summary data is available for this year.$2.64$0.08$2.56$1.29$1.44$0.15
2011Summary only. Only limited summary data is available for this year.$2.71$0.08$2.62$1.55$1.62$0.07
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2024 to Sep 30, 2025
Signed
Dec 17, 2025
Return Version
2024v5.2
Gross Receipts
$212,964
Mission and Program Overview

Mission

The Norwalk Police Fund Inc. was created for the benfit of the Regular members of the Norwalk, CT police force and to promote and aid in its social and general welfare.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$306,007$229,165▼ $76,842
Cash and Non-Interest-Bearing Accounts$46,810$51,564▲ $4,754
Accounts Receivable$2,984$5,959▲ $2,975
Land, Buildings, and Equipment, Net$4$0▼ $4
Savings and Temporary Cash Investments-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$355,805$286,688▼ $69,117
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$1,674$6,090▲ $4,416
Other Liabilities$4--
Total Liabilities$1,678$6,090▲ $4,412
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$353,461$279,932▼ $73,529
Net Assets With Donor Restrictions$666$666→ $0
Total Net Assets Fund Balance$354,127$280,598▼ $73,529
Total Liabilities and Net Assets / Fund Balance$355,805$286,688▼ $69,117

Asset Categories

AssetBook ValueDepreciationBasis
Equipment-$8,020$8,020
Other Land Buildings-$599$599
Compensation and Service Providers
Top Officer Pay75th percentile

Board Members and Trustees

NameTitle
Justin BiscegliePresident
Mark SudaVice President
Kelly HaddyTrustee
Peter WhiteTrustee
Richard MontanezTrustee
Vidan GonezSecretary
Samantha BardosTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$57,633
Program Service Revenue
$0
Investment Income
$33,500
Other Revenue
$52,298
All Other Contributions
$4,080
Change in Net Assets
$-73,529
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$124,106
Professional Fundraising Fees$45,297
Total Fundraising Expense$45,297
Grants and Similar Amounts Paid$14,719
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Insurance-$95,995-$95,995
Fees for Services Professional Fundraising--$45,297$45,297
Benefits to Members$32,838--$32,838
Grants to Domestic Orgs$14,719--$14,719
Fees for Services Accounting-$5,000-$5,000
Fees for Service Investment Mgmnt Fees-$4,684-$4,684
Occupancy-$3,000-$3,000
Office Expenses-$1,079-$1,079
Other Expenses-$6-$6
Total Functional Expenses$47,557$124,106$45,297$216,960
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
Yes
Professional fundraiser used
Yes

Fundraising and Gaming Totals

Line ItemAmount
Gaming Gross Income$81,628
Professional Fundraising Fees$45,297
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
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
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

“Members of the Norwalk, CT Police Department”

Form 990, Part VI, Section A, Line 7A

“Each member votes at an annual meeting”

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

“Accountant meets and reviews the 990 with the executive board prior to filing.”

Form 990, Part VI, Section C, Line 19

“No documents available to the public.”

Filing and Contact Details

Filer

Filer Name
Norwalk Police Fund Incorporated
EIN
06-6042689
Address
One Monroe Street PO Box 711, Norwalk, CT 06852

Signing Officer

Name
Samantha Bardos
Title
Treasurer
Signed
2025-12-17
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Justin Bisceglie
Formed
1920
Legal Domicile
Ct
Voting Board Members
7
Independent Board Members
0
Employees
0
Volunteers
175

Preparer

Firm
Michael Gostomski CPA
Address
2 Butternut Place, Stamford, CT 06903
Preparer
Michael S Gostomski CPA
Phone
2033298125
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IRS990/OtherExpensesGrp/ManagementAndGeneralAmt36
IRS990/OtherExpensesGrp/TotalAmt08602
IRS990/OtherExpensesGrp/TotalAmt15670
IRS990/OtherExpensesGrp/TotalAmt270
IRS990/OtherExpensesGrp/TotalAmt36
IRS990/OtherLiabilitiesGrp/BOYAmt04
IRS990/OtherRevenueMiscGrp/Desc0In Kind Donations
IRS990/OtherRevenueMiscGrp/Desc1Unrealized Losses on Investmen
IRS990/OtherRevenueMiscGrp/ExclusionAmt0-32330
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt03000
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt03000
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt1-32330
IRS990/OtherRevenueTotalAmt0-29330
IRS990/OtherSalariesAndWagesGrp/TotalAmt00
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd0false
IRS990/PaymentsToAffiliatesGrp/TotalAmt00
IRS990/PayrollTaxesGrp/TotalAmt00
IRS990/PensionPlanContributionsGrp/TotalAmt00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/PrincipalOfficerNm0Justin Bisceglie
IRS990/ProfessionalFundraisingInd0true
IRS990/ProgSrvcAccomActy2Grp/Desc0Annual outing, Christmas Party and retirement parties for members.
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt032838
IRS990/ProgSrvcAccomActy3Grp/Desc0Community charitable events and sponserships.
IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt014719
IRS990/ProgSrvcAccomActyOtherGrp/Desc0Membership and governing body meetings.
IRS990/ProgSrvcAccomActyOtherGrp/ExpenseAmt08602
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYBenefitsPaidToMembersAmt085794
IRS990/PYContributionsGrantsAmt0204994
IRS990/PYGrantsAndSimilarPaidAmt055310
IRS990/PYInvestmentIncomeAmt086721
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt079096
IRS990/PYOtherRevenueAmt014
IRS990/PYRevenuesLessExpensesAmt040770
IRS990/PYTotalExpensesAmt0250959
IRS990/PYTotalProfFndrsngExpnsAmt030759
IRS990/PYTotalRevenueAmt0291729
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-73529
IRS990/RegularMonitoringEnfrcInd0false
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/EquipmentGrp/DepreciationAmt08020
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt08020
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt0599
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt0599
IRS990ScheduleG/AgrmtProfFundraisingActyInd0true
IRS990ScheduleG/CharitableDistributionRqrInd0false
IRS990ScheduleG/CntrctWith3rdPrtyForGameRevInd0false
IRS990ScheduleG/FundraiserActivityInfoGrp/FundraiserControlOfFundsInd0true
IRS990ScheduleG/FundraiserActivityInfoGrp/GrossReceiptsAmt081628
IRS990ScheduleG/FundraiserActivityInfoGrp/NetToOrganizationAmt036331
IRS990ScheduleG/FundraiserActivityInfoGrp/OrganizationBusinessName/BusinessNameLine1Txt0Community Services Inc
IRS990ScheduleG/FundraiserActivityInfoGrp/RetainedByContractorAmt045297
IRS990ScheduleG/FundraiserActivityInfoGrp/USAddress/AddressLine1Txt025 Gale Court
IRS990ScheduleG/FundraiserActivityInfoGrp/USAddress/CityNm0Torrington
IRS990ScheduleG/FundraiserActivityInfoGrp/USAddress/StateAbbreviationCd0CT
IRS990ScheduleG/FundraiserActivityInfoGrp/USAddress/ZIPCd006790
IRS990ScheduleG/GamingInformationGrp/GrossRevenueOtherGamingAmt081628
IRS990ScheduleG/GamingInformationGrp/GrossRevenueTotalGamingAmt081628
IRS990ScheduleG/GamingInformationGrp/NetGamingIncomeSummaryAmt081628
IRS990ScheduleG/GamingInformationGrp/VolunteerLaborBingoInd0false
IRS990ScheduleG/GamingInformationGrp/VolunteerLaborOtherGamingInd0false
IRS990ScheduleG/GamingInformationGrp/VolunteerLaborPullTabsInd0false
IRS990ScheduleG/GamingOtherFacilityPct01.00000
IRS990ScheduleG/GamingWithNonmembersInd0false
IRS990ScheduleG/InPersonSolicitationsInd0X
IRS990ScheduleG/LicensedInd0true
IRS990ScheduleG/LicensedStatesCd0CT
IRS990ScheduleG/LicenseSuspendedEtcInd0false
IRS990ScheduleG/MailSolicitationsInd0X
IRS990ScheduleG/MemberOfOtherEntityInd0false
IRS990ScheduleG/PhoneSolicitationsInd0X
IRS990ScheduleG/SpecialFundraisingEventsInd0X
IRS990ScheduleG/TotalGrossReceiptsAmt081628
IRS990ScheduleG/TotalNetToOrganizationAmt036331
IRS990ScheduleG/TotalRetainedByContractorsAmt045297
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Members of the Norwalk, CT Police Department
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Each member votes at an annual meeting
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Accountant meets and reviews the 990 with the executive board prior to filing.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3No documents available to the public.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section A, Line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section A, Line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section B, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section C, Line 19
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0355805
IRS990/TotalAssetsEOYAmt0286688
IRS990/TotalAssetsGrp/BOYAmt0355805
IRS990/TotalAssetsGrp/EOYAmt0286688
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt057633
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt045297
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0124106
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt047557
IRS990/TotalFunctionalExpensesGrp/TotalAmt0216960
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt01678
IRS990/TotalLiabilitiesEOYAmt06090
IRS990/TotalLiabilitiesGrp/BOYAmt01678
IRS990/TotalLiabilitiesGrp/EOYAmt06090
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0354127
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0280598
IRS990/TotalOtherProgSrvcExpenseAmt08602
IRS990/TotalProgramServiceExpensesAmt0152154
IRS990/TotalProgramServiceRevenueAmt00
IRS990/TotalRevenueGrp/ExclusionAmt0-13508
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt099306
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0143431
IRS990/TotalVolunteersCnt0175
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0355805
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0286688
IRS990/TravelGrp/TotalAmt00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0One Monroe Street PO Box 711
IRS990/USAddress/CityNm0Norwalk
IRS990/USAddress/StateAbbreviationCd0CT
IRS990/USAddress/ZIPCd006852
IRS990/VotingMembersGoverningBodyCnt07
IRS990/VotingMembersIndependentCnt00
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0Samantha Bardos
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Treasurer
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-12-17
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Norwalk Police Fund Incorporated
ReturnHeader/Filer/BusinessNameControlTxt0NORW
ReturnHeader/Filer/EIN0066042689
ReturnHeader/Filer/USAddress/AddressLine1Txt0One Monroe Street PO Box 711
ReturnHeader/Filer/USAddress/CityNm0Norwalk
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CT
ReturnHeader/Filer/USAddress/ZIPCd006852
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0821236502
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Michael Gostomski CPA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt02 Butternut Place
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Stamford
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CT
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd006903
ReturnHeader/PreparerPersonGrp/PhoneNum02033298125

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