Civic Intelligence

Jack Lisi Youth Award Inc

EIN 13-4227802 • 501(c)3 • Bath, NY

Profile

The organization provides grants to youth

PO Box 321Bath, NY 14810

www.lisiyouthaward.org

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2023

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2023

Net Margin

100th percentile

1394%

Higher net margin than 100% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2023

Top Officer Pay

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2023

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2022 to 2023

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2022 to 2023

Assets

Down

$0

Down $405,431 (-100%) from 2022

Liabilities

Down

$0

Down $86,478 (-100%) from 2022

Net Assets

Down

$0

Down $318,953 (-100%) from 2022

Revenue

Down

-$5,579

Down $32,393 (-121%) from 2022

Expenses

Up

$72,192

Up $7,328 (+11%) from 2022

Net Income

Down

-$77,771

Down $39,721 (-104%) from 2022

Trend Graphs

Balance Sheet Trend

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

$600K$400K$200K$0Assets 2010: $327,584Liabilities 2010: $23,922Net Assets 2010: $303,6622010Assets 2011: $331,867Liabilities 2011: $28,091Net Assets 2011: $303,7762011Assets 2012: $360,999Liabilities 2012: $32,439Net Assets 2012: $328,5602012Assets 2013: $398,933Liabilities 2013: $36,491Net Assets 2013: $362,4422013Assets 2014: $426,147Liabilities 2014: $29,989Net Assets 2014: $396,1582014Assets 2015: $409,378Liabilities 2015: $32,103Net Assets 2015: $377,2752015Assets 2016: $431,122Liabilities 2016: $20,973Net Assets 2016: $410,1492016Assets 2017: $463,318Liabilities 2017: $25,735Net Assets 2017: $437,5832017Assets 2018: $433,644Liabilities 2018: $18,645Net Assets 2018: $414,9992018Assets 2019: $476,462Liabilities 2019: $25,645Net Assets 2019: $450,8172019Assets 2020: $491,364Liabilities 2020: $41,987Net Assets 2020: $449,3772020Assets 2021: $501,726Liabilities 2021: $76,174Net Assets 2021: $425,5522021Assets 2022: $405,431Liabilities 2022: $86,478Net Assets 2022: $318,9532022Assets 2023: $0Liabilities 2023: $0Net Assets 2023: $02023

Highlighted filing

2023

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

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

$100K$50K$0-$50K-$100KRevenue 2010: $27,242Expenses 2010: $16,087Net Income 2010: $11,1552010Revenue 2011: $26,674Expenses 2011: $18,372Net Income 2011: $8,3022011Revenue 2012: $26,339Expenses 2012: $17,943Net Income 2012: $8,3962012Revenue 2013: $25,938Expenses 2013: $18,225Net Income 2013: $7,7132013Revenue 2014: $49,911Expenses 2014: $18,428Net Income 2014: $31,4832014Revenue 2015: $34,596Expenses 2015: $20,719Net Income 2015: $13,8772015Revenue 2016: $41,901Expenses 2016: $18,816Net Income 2016: $23,0852016Revenue 2017: $41,464Expenses 2017: $25,924Net Income 2017: $15,5402017Revenue 2018: $54,098Expenses 2018: $28,485Net Income 2018: $25,6132018Revenue 2019: $28,883Expenses 2019: $26,540Net Income 2019: $2,3432019Revenue 2020: $21,149Expenses 2020: $60,580Net Income 2020: -$39,4312020Revenue 2021: $47,071Expenses 2021: $62,031Net Income 2021: -$14,9602021Revenue 2022: $26,814Expenses 2022: $64,864Net Income 2022: -$38,0502022Revenue 2023: -$5,579Expenses 2023: $72,192Net Income 2023: -$77,7712023

Highlighted filing

2023

Revenue-$5,579
Expenses$72,192
Net Income-$77,771

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$0.00$0.00$0.06$0.72$0.78
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.05$0.86$3.19$0.27$0.65$0.38
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.02$0.76$4.26$0.47$0.62$0.15
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.91$0.42$4.49$0.21$0.61$0.39
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.76$0.26$4.51$0.29$0.27$0.02
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.34$0.19$4.15$0.54$0.28$0.26
2017Detailed filing. Detailed filing data is available for this year.$4.63$0.26$4.38$0.41$0.26$0.16
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.31$0.21$4.10$0.42$0.19$0.23
2015Detailed filing. Detailed filing data is available for this year.$4.09$0.32$3.77$0.35$0.21$0.14
2014Detailed filing. Detailed filing data is available for this year.$4.26$0.30$3.96$0.50$0.18$0.31
2013Detailed filing. Detailed filing data is available for this year.$3.99$0.36$3.62$0.26$0.18$0.08
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.61$0.32$3.29$0.26$0.18$0.08
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.32$0.28$3.04$0.27$0.18$0.08
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.28$0.24$3.04$0.27$0.16$0.11
Latest Detailed Filing

The latest 2023 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2017 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
May 14, 2018
Return Version
2017v2.2
Gross Receipts
$131,937
Mission and Program Overview

Mission

The organization provides grants to youth

Program Services

DescriptionGrantsExpenses
THE ORGANIZATION PROVIDED AWARDS OF $1000 EACH TO SEVENTEEN YOUTH.-$17,000
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
MARK R ALGERPresident-$0--
JACK W KELLYTreasurer-$0--
GARY S PRUYNSecretary-$0--
MARIANNE FURFUREBoard Member-$0--
BILL CAUDILLBoard Member-$0--
SUSAN K HOOKERBoard Member-$0--
DR STONER E HOREYBoard Member-$0--
MARY C LISIBoard Member-$0--
CHRISTINE VALKENBURGHBoard Member-$0--
JOSEPH L RUMSEYBoard Member-$0--
Filing and Contact Details

Filer

Filer Name
Jack Lisi Youth Award Inc
EIN
13-4227802
Phone
6075692079
Address
PO BOX 321, BATH, NY 14810

Signing Officer

Name
Gary S Pruyn
Title
Secretary
Signed
2018-05-14
Discuss with paid preparer
Yes

Preparer

Firm
Snyderwine Accounting
Address
7240 St Rt 415 N Suite 2, Bath, NY 14810
Preparer
Deborah J Daum
Phone
6077764154
Supplemental Narrative

Additional Explanations

Other Revenue.1

FORFEITED GRANTS $1037

Other Expenses.1002

Office Expenses $568

Other Expenses.1012

Insurance $675

Other Expenses.2

SUPPLIES $118

Other Expenses.3

NYS CHARITY FEE $100

Other Assets.1

CONTRIBUTION RECEIVABLE - Beginning $625 CONTRIBUTION RECEIVABLE - Ending $500

Total Liabilities.1002

Grants Payable - Beginning $20973 Grants Payable - Ending $25735

Raw XML Appendix191 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.

Path#Value
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IRS990EZ/BooksInCareOfDetail/PersonNm0GARY PRUYN
IRS990EZ/BooksInCareOfDetail/PhoneNum06075692079
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt0PO BOX 321
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0BATH
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0NY
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd014810
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt0430497
IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt0462818
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd0false
IRS990EZ/ContributionsGiftsGrantsEtcAmt010815
IRS990EZ/CostOfGoodsSoldAmt00
IRS990EZ/CostOrOtherBasisExpenseSaleAmt086082
IRS990EZ/DonorAdvisedFndsInd0false
IRS990EZ/EngagedInExcessBenefitTransInd0false
IRS990EZ/ExcessOrDeficitForYearAmt015540
IRS990EZ/FeesAndOtherPymtToIndCntrctAmt06396
IRS990EZ/FiledScheduleAInd0true
IRS990EZ/ForeignFinancialAccountInd0false
IRS990EZ/ForeignOfficeInd0false
IRS990EZ/Form1120PolFiledInd0false
IRS990EZ/Form720FiledInd0false
IRS990EZ/Form990TotalAssetsGrp/BOYAmt0431122
IRS990EZ/Form990TotalAssetsGrp/EOYAmt0463318
IRS990EZ/FundraisingGrossIncomeAmt02002
IRS990EZ/GainOrLossFromSaleOfAssetsAmt011399
IRS990EZ/GrantsAndSimilarAmountsPaidAmt017000
IRS990EZ/GrossReceiptsAmt0131937
IRS990EZ/GrossReceiptsForPublicUseAmt00
IRS990EZ/InfoInScheduleOPartIIInd0X
IRS990EZ/InfoInScheduleOPartIInd0X
IRS990EZ/InitiationFeesAndCapContriAmt00
IRS990EZ/InvestmentIncomeAmt020602
IRS990EZ/LobbyingActivitiesInd0false
IRS990EZ/MadeLoansToFromOfficersInd0false
IRS990EZ/MethodOfAccountingAccrualInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt0410149
IRS990EZ/NetAssetsOrFundBalancesEOYAmt0437583
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt0410149
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt0437583
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt01.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt24.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt31.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt51.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt61.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt71.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt81.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt91.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt90
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0MARK R ALGER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1JACK W KELLY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2GARY S PRUYN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3MARIANNE FURFURE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4BILL CAUDILL
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm5SUSAN K HOOKER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm6DR STONER E HOREY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm7MARY C LISI
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm8CHRISTINE VALKENBURGH
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm9JOSEPH L RUMSEY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0President
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1Treasurer
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2Secretary
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3BOARD MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4BOARD MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt5BOARD MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt6BOARD MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt7BOARD MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt8BOARD MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt9BOARD MEMBER
IRS990EZ/OperateHospitalInd0false
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd0false
IRS990EZ/OrganizationFiled990TInd0false
IRS990EZ/OrganizationHadUBIInd0false
IRS990EZ/OtherAssetsTotalDetail/BOYAmt0625
IRS990EZ/OtherAssetsTotalDetail/EOYAmt0500
IRS990EZ/OtherChangesInNetAssetsAmt011894
IRS990EZ/OtherExpensesTotalAmt01461
IRS990EZ/OtherRevenueTotalAmt01037
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd0false
IRS990EZ/PrimaryExemptPurposeTxt0THE ORGANIZATION PROVIDES GRANTS TO YOUTH
IRS990EZ/PrintingPublicationsPostageAmt01067
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0THE ORGANIZATION PROVIDED AWARDS OF $1000 EACH TO SEVENTEEN YOUTH.
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt017000
IRS990EZ/ProhibitedTaxShelterTransInd0false
IRS990EZ/RelatedOrganizationCtrlEntInd0false
IRS990EZ/RelatedOrgSect527OrgInd0false
IRS990EZ/SaleOfAssetsGrossAmt097481
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SchoolOperatingInd0false
IRS990EZ/SpecialEventsDirectExpensesAmt04391
IRS990EZ/SpecialEventsNetIncomeLossAmt0-2389
IRS990EZ/StatesWhereCopyOfReturnIsFldCd0NY
IRS990EZ/SubjectToProxyTaxInd0false
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt020973
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt025735
IRS990EZ/TanningServicesProvidedInd0false
IRS990EZ/TotalExpensesAmt025924
IRS990EZ/TotalRevenueAmt041464
IRS990EZ/TransactionWithControlEntInd0false
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0WWW.LISIYOUTHAWARD.ORG
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt010815
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt06155
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt04820
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt015555
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt017485
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt054830
IRS990ScheduleA/GovtFurnSrvcFcltsVl170Grp/TotalAmt00
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt020602
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt013079
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt015856
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt018757
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt09828
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt078122
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearAmt02002
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus1YearAmt06890
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus2YearsAmt06150
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus3YearsAmt07158
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus4YearsAmt01200
IRS990ScheduleA/OtherIncome170Grp/TotalAmt023400
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.35070
IRS990ScheduleA/PublicSupportPY170Pct00.37940
IRS990ScheduleA/PublicSupportTotal170Amt054830
IRS990ScheduleA/SubstantialContributorsTotAmt00
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft170Grp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt010815
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt06155
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt04820
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt015555
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt017485
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt054830
IRS990ScheduleA/TotalSupportAmt0156352
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/TotalAmt00
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0FORFEITED GRANTS $1037
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Office Expenses $568
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Insurance $675
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3SUPPLIES $118
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4NYS CHARITY FEE $100
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5CONTRIBUTION RECEIVABLE - Beginning $625 CONTRIBUTION RECEIVABLE - Ending $500
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6Grants Payable - Beginning $20973 Grants Payable - Ending $25735
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Other Revenue.1
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Other Expenses.1002
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Other Expenses.1012
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Other Expenses.2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Other Expenses.3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Other Assets.1
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Total Liabilities.1002
ReturnHeader/BuildTS02018-06-14 16:35:46Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0GARY S PRUYN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Secretary
ReturnHeader/BusinessOfficerGrp/SignatureDt02018-05-14
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0JACK LISI YOUTH AWARD INC
ReturnHeader/Filer/BusinessNameControlTxt0JACK
ReturnHeader/Filer/EIN0134227802
ReturnHeader/Filer/PhoneNum06075692079
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 321
ReturnHeader/Filer/USAddress/CityNm0BATH
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NY
ReturnHeader/Filer/USAddress/ZIPCd014810
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0203177930
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Snyderwine Accounting
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt07240 St Rt 415 N Suite 2
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Bath
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd014810
ReturnHeader/PreparerPersonGrp/PhoneNum06077764154
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0DEBORAH J DAUM
ReturnHeader/PreparerPersonGrp/SelfEmployedInd0X
ReturnHeader/ReturnTs02018-05-14T09:59:33-07:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02017-01-01
ReturnHeader/TaxPeriodEndDt02017-12-31
ReturnHeader/TaxYr02017

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