Civic Intelligence

Section VIII of the New York State Public High Sch Athletic Assn Inc

EIN 11-2631530 • 501(c)3 • Garden City, NY

Profile

To support high schools sport programs.

71 Clinton RoadGarden City, NY 11530-9195

www.secviii.org

Siviq Scores

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

Liabilities / Assets

65th percentile

0.17x

Higher debt load relative to assets than 65% of similar nonprofits.

NTEE N • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

60th percentile

0.14x

Higher debt load relative to revenue than 60% of similar nonprofits.

NTEE N • $1M-$5M nonprofits • Source year 2024

Net Margin

20th percentile

-5.3%

Higher net margin than 20% of similar nonprofits.

NTEE N • $1M-$5M nonprofits • Source year 2024

Top Officer Pay

92nd percentile

$160,000

Higher top officer pay than 92% of similar nonprofits.

Top officer pay equals 8.1% of source-year revenue.

NTEE N • $1M-$5M nonprofits • Source year 2024

Asset Growth

11th percentile

-13%

Faster asset growth than 11% of similar nonprofits.

NTEE N • $1M-$5M nonprofits • Annualized from 2023 to 2024

Revenue Growth

64th percentile

14%

Faster revenue growth than 64% of similar nonprofits.

NTEE N • $1M-$5M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets65th percentile

Assets

Down

$1,580,174

Down $243,285 (-13%) from 2023

Liabilities

Down

$269,550

Down $138,290 (-34%) from 2023

Net Assets

Down

$1,310,624

Down $104,995 (-7.4%) from 2023

Operations
Liabilities / Revenue60th percentileNet Margin20th percentile

Revenue

Up

$1,963,427

Up $244,767 (+14%) from 2023

Expenses

Down

$2,068,422

Down $306,870 (-13%) from 2023

Net Income

Up

-$104,995

Up $551,637 (+84%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth11th percentile

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

$3.0M$2.0M$1.0M$0Assets 2011: $537,695Liabilities 2011: $62,381Net Assets 2011: $475,3142011Assets 2012: $820,213Liabilities 2012: $250,734Net Assets 2012: $569,4792012Assets 2013: $1,051,900Liabilities 2013: $102,808Net Assets 2013: $949,0922013Assets 2014: $1,341,236Liabilities 2014: $85,843Net Assets 2014: $1,255,3932014Assets 2015: $1,626,273Liabilities 2015: $28,590Net Assets 2015: $1,597,6832015Assets 2016: $2,042,992Liabilities 2016: $64,043Net Assets 2016: $1,978,9492016Assets 2017: $2,155,188Liabilities 2017: $12,040Net Assets 2017: $2,143,1482017Assets 2018: $2,229,469Liabilities 2018: $39,889Net Assets 2018: $2,189,5802018Assets 2019: $2,213,643Liabilities 2019: $274,058Net Assets 2019: $1,939,5852019Assets 2020: $2,080,155Liabilities 2020: $105,719Net Assets 2020: $1,974,4362020Assets 2021: $2,143,293Liabilities 2021: $25,000Net Assets 2021: $2,118,2932021Assets 2022: $2,112,612Liabilities 2022: $40,361Net Assets 2022: $2,072,2512022Assets 2023: $1,823,459Liabilities 2023: $407,840Net Assets 2023: $1,415,6192023Assets 2024: $1,580,174Liabilities 2024: $269,550Net Assets 2024: $1,310,6242024

Highlighted filing

2024

Assets$1,580,174
Liabilities$269,550
Net Assets$1,310,624
Open 2024 Filing

Operations Trend

Revenue Growth64th percentile

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

$3.0M$2.0M$1.0M$0-$1.0MExpenses 2011: $1,231,6702011Expenses 2012: $1,246,2252012Revenue 2013: $1,766,803Expenses 2013: $1,387,190Net Income 2013: $379,6132013Revenue 2014: $1,802,887Expenses 2014: $1,496,586Net Income 2014: $306,3012014Revenue 2015: $1,806,758Expenses 2015: $1,464,468Net Income 2015: $342,2902015Revenue 2016: $1,909,866Expenses 2016: $1,528,600Net Income 2016: $381,2662016Revenue 2017: $1,812,031Expenses 2017: $1,647,832Net Income 2017: $164,1992017Revenue 2018: $1,808,344Expenses 2018: $1,761,912Net Income 2018: $46,4322018Revenue 2019: $1,614,037Expenses 2019: $1,864,032Net Income 2019: -$249,9952019Revenue 2020: $1,377,221Expenses 2020: $1,342,370Net Income 2020: $34,8512020Revenue 2021: $847,737Expenses 2021: $703,880Net Income 2021: $143,8572021Revenue 2022: $1,625,215Expenses 2022: $1,671,257Net Income 2022: -$46,0422022Revenue 2023: $1,718,660Expenses 2023: $2,375,292Net Income 2023: -$656,6322023Revenue 2024: $1,963,427Expenses 2024: $2,068,422Net Income 2024: -$104,9952024

Highlighted filing

2024

Revenue$1,963,427
Expenses$2,068,422
Net Income-$104,995
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$1,580,174
Liabilities
$269,550
Net assets
$1,310,624
Revenue
$1,963,427
Expenses
$2,068,422
Net income
-$104,995
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$1.58$0.27$1.31$1.96$2.07$0.10
2023Detailed filing. Detailed filing data is available for this year.$1.82$0.41$1.42$1.72$2.38$0.66
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.11$0.04$2.07$1.63$1.67$0.05
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.14$0.03$2.12$0.85$0.70$0.14
2020Detailed filing. Detailed filing data is available for this year.$2.08$0.11$1.97$1.38$1.34$0.03
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.21$0.27$1.94$1.61$1.86$0.25
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.23$0.04$2.19$1.81$1.76$0.05
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.16$0.01$2.14$1.81$1.65$0.16
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.04$0.06$1.98$1.91$1.53$0.38
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.63$0.03$1.60$1.81$1.46$0.34
2014Detailed filing. Detailed filing data is available for this year.$1.34$0.09$1.26$1.80$1.50$0.31
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.05$0.10$0.95$1.77$1.39$0.38
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.82$0.25$0.57$1.25
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.54$0.06$0.48$1.23
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
Apr 22, 2025
Return Version
2023v6.0
Gross Receipts
$2,013,785
Mission and Program Overview

Mission

To support high schools sport programs.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$1,770,724$1,450,971▼ $319,753
Accounts Receivable$20,935$105,353▲ $84,418
Prepaid Expenses and Deferred Charges$31,800$23,850▼ $7,950
Total Assets$1,823,459$1,580,174▼ $243,285
Liabilities
Accounts Payable and Accrued Expenses$407,840$269,550▼ $138,290
Total Liabilities$407,840$269,550▼ $138,290
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,415,619$1,310,624▼ $104,995
Total Net Assets Fund Balance$1,415,619$1,310,624▼ $104,995
Total Liabilities and Net Assets / Fund Balance$1,823,459$1,580,174▼ $243,285
Compensation and Service Providers
Top Officer Pay92nd percentile

Employees

NameTitleFull / Part TimeBaseTotal
Patrick PizzarelliExecutive DiFT$160,000$160,000
Patrick PizzarelliExecutive Director-$160,000$160,000

Board Members and Trustees

NameTitle
Henry L GrishmanChairperson
David SchneiderMember
Dr Michael HynesMember
Dr Phyllis HarringtonMember
John McnamaraMember
Revenue and Support

Revenue Composition

Contributions and Grants
$142,298
Program Service Revenue
$1,752,378
Investment Income
$62,741
Other Revenue
$6,010
Change in Net Assets
$-104,995

Audited Revenue Reconciliation

Revenue per Audited Statements
$1,963,427
Total Revenue per Audited Statements
$1,963,427
Total Revenue per Form 990
$1,963,427
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,895,922
Salaries, Compensation, and Employee Benefits$172,500
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
All Other Expenses$166,307$156,183-$322,490
Fees for Services Other$244,984$47,170-$292,154
Other Expenses$180,050--$180,050
Other Salaries and Wages-$160,000-$160,000
Insurance-$23,149-$23,149
Fees for Services Accounting-$15,525-$15,525
Payroll Taxes-$12,500-$12,500
Information Technology-$7,200-$7,200
Fees for Services Legal-$3,888-$3,888
Conferences and Meetings-$835-$835
Total Functional Expenses$1,641,972$426,450$0$2,068,422

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$2,068,422
Total Expenses per Audited Statements$2,068,422
Total Expenses per Form 990$2,068,422
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$56,368
Fundraising Direct Expenses$50,358
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Sponsorship$142,298---
Hall of Fame$56,368$56,368$50,358$6,010
Total Events$198,666$56,368$50,358$6,010
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
Annual disclosure for covered persons
No
Audit committee
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
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

“Yes a copy of the 990 will be available to the board before filing.”

Form 990, Page 6, Part VI, Line 12C

“Conflict of interest was suggested to be signed by members of executive committee and athletic council - not required.”

Form 990, Page 6, Part VI, Line 19

“Governing documents will be available upon request.”

Filing and Contact Details

Filer

Filer Name
Section Viii of the New York State
EIN
11-2631530
Phone
5163962488
Address
71 CLINTON ROAD, GARDEN CITY, NY 11530-9195

Signing Officer

Name
Patrick Pizzarelli
Title
Executive Director
Phone
5163962488
Signed
2025-04-22
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Henry L Grishman
Formed
1978
Legal Domicile
Ny
Voting Board Members
5
Independent Board Members
5
Employees
1
Volunteers
50

Preparer

Firm
Cullen & Danowski Llp
Address
1650 ROUTE 112, PORT JEFFERSON STA, NY 11776-3060
Preparer
Kim Scharf CPA
Phone
6314733400
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Supervisors 172,004 0 0 sports coordinators 45,137 0 0 officials expense 27,843 0 0 computer consulting 0 47,170 0 total 244,984 47,170 0”

Form 990, Part IX, Line 24E

“General & administrative 0 78,952 0 other expenses 0 77,231 0 dues & fees 64,145 0 0 awards 58,843 0 0 weight certification 17,633 0 0 micellaneous 15,846 0 0 first aid courses 9,840 0 0 total 166,307 156,183 0”

Raw XML AppendixShowing 400 of 406 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt03056
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt026607
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt0128438
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt01808746
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt01548269
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt01545601
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt0833681
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt01367069
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt07103366
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt062741
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt034700
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt01334
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt03056
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt026607
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IRS990ScheduleA/InvestmentIncomeCYPct00.02000
IRS990ScheduleA/InvestmentIncomePYPct00.02000
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.98340
IRS990ScheduleA/PublicSupportPY509Pct00.98450
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IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt01673928
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0844681
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt01413569
IRS990ScheduleA/Total509Grp/TotalAmt07609971
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt02013785
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt01761449
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt01675262
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0847737
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt01440176
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt07738409
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IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
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IRS990ScheduleD/ExpensesSubtotalAmt02068422
IRS990ScheduleD/RevenueSubtotalAmt01963427
IRS990ScheduleD/TotalExpensesPerForm990Amt02068422
IRS990ScheduleD/TotalRevenuePerForm990Amt01963427
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt01963427
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt02068422
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt0142298
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt0142298
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt050358
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0SPONSORSHIP
IRS990ScheduleG/FundraisingEventInformationGrp/Event2Nm0HALL OF FAME
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt0142298
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt056368
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt0198666
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent2Amt056368
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt056368
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt06010
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0PATRICK PIZZARELLI
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0EXECUTIVE DIRECTOR
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt0160000
IRS990ScheduleJ/SeverancePaymentInd0false
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0YES A COPY OF THE 990 WILL BE AVAILABLE TO THE BOARD BEFORE FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1CONFLICT OF INTEREST WAS SUGGESTED TO BE SIGNED BY MEMBERS OF EXECUTIVE COMMITTEE AND ATHLETIC COUNCIL - NOT REQUIRED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2GOVERNING DOCUMENTS WILL BE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3SUPERVISORS 172,004 0 0 SPORTS COORDINATORS 45,137 0 0 OFFICIALS EXPENSE 27,843 0 0 COMPUTER CONSULTING 0 47,170 0 TOTAL 244,984 47,170 0
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4GENERAL & ADMINISTRATIVE 0 78,952 0 OTHER EXPENSES 0 77,231 0 DUES & FEES 64,145 0 0 AWARDS 58,843 0 0 WEIGHT CERTIFICATION 17,633 0 0 MICELLANEOUS 15,846 0 0 FIRST AID COURSES 9,840 0 0 TOTAL 166,307 156,183 0
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART IX, LINE 11G
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART IX, LINE 24E
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IRS990/TerminateOperationsInd0false
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IRS990/TotalAssetsGrp/EOYAmt01580174
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IRS990/TotalEmployeeCnt01
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IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0426450
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt01641972
IRS990/TotalFunctionalExpensesGrp/TotalAmt02068422
IRS990/TotalGrossUBIAmt00
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IRS990/TotalLiabilitiesEOYAmt0269550
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IRS990/TotalLiabilitiesGrp/EOYAmt0269550
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IRS990/TotalOthProgramServiceRevGrp/RelatedOrExemptFuncIncomeAmt068072
IRS990/TotalOthProgramServiceRevGrp/TotalRevenueColumnAmt068072
IRS990/TotalProgramServiceExpensesAmt01641972
IRS990/TotalProgramServiceRevenueAmt01752378
IRS990/TotalReportableCompFromOrgAmt0160000
IRS990/TotalRevenueGrp/ExclusionAmt062741
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt01752378
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt01963427
IRS990/TotalVolunteersCnt050
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt01823459
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt01580174
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt071 CLINTON ROAD
IRS990/USAddress/CityNm0GARDEN CITY
IRS990/USAddress/StateAbbreviationCd0NY
IRS990/USAddress/ZIPCd011530
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt05
IRS990/WebsiteAddressTxt0WWW.SECVIII.ORG
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0PATRICK PIZZARELLI
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0EXECUTIVE DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum05163962488
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-04-22
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0SECTION VIII OF THE NEW YORK STATE
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0PUBLIC HIGH SCH ATHLETIC ASSN INC
ReturnHeader/Filer/BusinessNameControlTxt0SECT
ReturnHeader/Filer/EIN0112631530
ReturnHeader/Filer/PhoneNum05163962488
ReturnHeader/Filer/USAddress/AddressLine1Txt071 CLINTON ROAD
ReturnHeader/Filer/USAddress/CityNm0GARDEN CITY
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NY
ReturnHeader/Filer/USAddress/ZIPCd0115309195
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0112459188
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CULLEN & DANOWSKI LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01650 ROUTE 112
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0PORT JEFFERSON STA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0117763060
ReturnHeader/PreparerPersonGrp/PhoneNum06314733400
ReturnHeader/PreparerPersonGrp/PreparationDt02025-04-23

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