Civic Intelligence

Godfrey J Jacobsen Memorial Scholarship Fund

EIN 16-1206309 • Fairport, NY

144 Village Landing Room 312Fairport, NY 14450
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 2024

Liabilities / Revenue

66th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

<$500k nonprofits • Source year 2024

Net Margin

6th percentile

-375%

Higher net margin than 6% of similar nonprofits.

<$500k nonprofits • Source year 2024

Top Officer Pay

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

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

<$500k nonprofits • Source year 2024

Asset Growth

12th percentile

-100%

Faster asset growth than 12% of similar nonprofits.

<$500k nonprofits • Annualized from 2023 to 2024

Revenue Growth

21st percentile

-42%

Faster revenue growth than 21% of similar nonprofits.

<$500k nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$130,713

Down $14,439 (-9.9%) from 2022

Liabilities

Flat

$1

Flat from 2022

Net Assets

-

No earlier filing loaded for comparison.

Operations
Liabilities / Revenue66th percentileNet Margin6th percentile

Revenue

Up

$7,616

Up $1,261 (+20%) from 2022

Expenses

Down

$6,000

Down $210 (-3.4%) from 2022

Net Income

Up

$1,616

Up $1,471 (+1014%) from 2022

Trend Graphs

Balance Sheet Trend

Asset Growth12th percentile

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

$200K$150K$100K$50K$0Assets 2012: $130,719Liabilities 2012: $0Net Assets 2012: $130,7192012Assets 2013: $140,351Liabilities 2013: $02013Assets 2014: $148,962Liabilities 2014: $02014Assets 2015: $148,653Liabilities 2015: $02015Assets 2016: $143,679Liabilities 2016: $12016Assets 2017: $145,564Liabilities 2017: $0Net Assets 2017: $145,5642017Assets 2019: $140,129Liabilities 2019: $02019Assets 2020: $138,867Liabilities 2020: $0Net Assets 2020: $138,8672020Assets 2021: $151,866Liabilities 2021: $0Net Assets 2021: $151,8662021Assets 2022: $145,152Liabilities 2022: $12022Assets 2023: $130,713Liabilities 2023: $12023

Highlighted filing

2023

Assets$130,713
Liabilities$1
Net Assets-
Open 2023 Filing

Operations Trend

Revenue Growth21st percentile

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

$20K$10K$0-$10KExpenses 2012: $5,4252012Revenue 2013: $3,497Expenses 2013: $5,844Net Income 2013: -$2,3472013Revenue 2014: $4,600Expenses 2014: $4,854Net Income 2014: -$2542014Revenue 2015: $6,371Expenses 2015: $6,703Net Income 2015: -$3322015Revenue 2016: $7,050Expenses 2016: $4,929Net Income 2016: $2,1212016Revenue 2017: $3,356Expenses 2017: $11,955Net Income 2017: -$8,5992017Revenue 2019: $6,149Expenses 2019: $6,401Net Income 2019: -$2522019Revenue 2020: $5,514Expenses 2020: $7,325Net Income 2020: -$1,8112020Revenue 2021: $4,727Expenses 2021: $8,937Net Income 2021: -$4,2102021Revenue 2022: $6,355Expenses 2022: $6,210Net Income 2022: $1452022Revenue 2023: $7,616Expenses 2023: $6,000Net Income 2023: $1,6162023

Highlighted filing

2023

Revenue$7,616
Expenses$6,000
Net Income$1,616
Open 2023 Filing

Filings

Most recent year

2023 • Form 990PFSummary only. Only limited summary data is available for this year.

Open filing
Assets
$130,713
Liabilities
$1
Net assets
-
Revenue
$7,616
Expenses
$6,000
Net income
$1,616
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Summary only. Only limited summary data is available for this year.$1.31$0.00$0.08$0.06$0.02
2022Summary only. Only limited summary data is available for this year.$1.45$0.00$0.06$0.06$0.00
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.52$0.00$1.52$0.05$0.09$0.04
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.39$0.00$1.39$0.06$0.07$0.02
2019Summary only. Only limited summary data is available for this year.$1.40$0.00$0.06$0.06$0.00
2017Detailed filing. Detailed filing data is available for this year.$1.46$0.00$1.46$0.03$0.12$0.09
2016Summary only. Only limited summary data is available for this year.$1.44$0.00$0.07$0.05$0.02
2015Summary only. Only limited summary data is available for this year.$1.49$0.00$0.06$0.07$0.00
2014Summary only. Only limited summary data is available for this year.$1.49$0.00$0.05$0.05$0.00
2013Summary only. Only limited summary data is available for this year.$1.40$0.00$0.03$0.06$0.02
2012Detailed filing. Detailed filing data is available for this year.$1.31$0.00$1.31$0.05
Latest Detailed Filing

The latest 2023 filing currently has summary financial data only. Showing the latest detailed filing from 2017 below.

Jump To
Filing Snapshot
Filing Period
Jun 1, 2016 to May 31, 2017
Signed
Oct 11, 2017
Return Version
2016v3.0
Compensation and Service Providers
Top Officer Pay81st percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
David EikeVice President-$0--
Ruth S StorkPresident-$0--
George T WolfSec./Treas.-$0--
Filing and Contact Details

Filer

Filer Name
Godfrey J Jacobsen Memorial Scholarship Fund
EIN
16-1206309
Phone
5852232034
Address
144 Village Landing Room 312, Fairport, NY 14450

Signing Officer

Name
Ruth S Stork
Title
President
Signed
2017-10-11
Discuss with paid preparer
Yes

Preparer

Firm
George T Wolf Attorney
Address
28 Potter Place, Fairport, NY 14450
Preparer
George T Wolf
Phone
5852232034
Raw XML Appendix367 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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IRS990PF/QlfyUndSect4940eReducedTaxGrp/LiableSection4942TaxInd0false
IRS990PF/QlfyUndSect4940eReducedTaxGrp/NetInvestmentIncomePctAmt055
IRS990PF/QlfyUndSect4940eReducedTaxGrp/NetVlNoncharitableAssetsAmt0146085
IRS990PF/QlfyUndSect4940eReducedTaxGrp/NetVlNoncharitableAssetsYr1Amt0139528
IRS990PF/QlfyUndSect4940eReducedTaxGrp/NetVlNoncharitableAssetsYr2Amt0146350
IRS990PF/QlfyUndSect4940eReducedTaxGrp/NetVlNoncharitableAssetsYr3Amt0140960
IRS990PF/QlfyUndSect4940eReducedTaxGrp/NetVlNoncharitableAssetsYr4Amt0132639
IRS990PF/QlfyUndSect4940eReducedTaxGrp/NetVlNoncharitableAssetsYr5Amt0127332
IRS990PF/QlfyUndSect4940eReducedTaxGrp/QualifyingDistributionsAmt010978
IRS990PF/QlfyUndSect4940eReducedTaxGrp/TotalDistributionRt0000.209178
IRS990PF/QualifyingDistriPartXIIGrp/AdjustedQualifyingDistriAmt010923
IRS990PF/QualifyingDistriPartXIIGrp/ExpensesAndContributionsAmt010978
IRS990PF/QualifyingDistriPartXIIGrp/PctSect4940eOrgNetInvstIncmAmt055
IRS990PF/QualifyingDistriPartXIIGrp/QualifyingDistributionsAmt010978
IRS990PF/StatementsRegardingActy4720Grp/ActsFailToQlfyAsExceptionsInd0false
IRS990PF/StatementsRegardingActy4720Grp/BrrwOrLendDisqualifiedPrsnInd0false
IRS990PF/StatementsRegardingActy4720Grp/BusinessHoldingsInd0false
IRS990PF/StatementsRegardingActy4720Grp/FurnGoodsDisqualifiedPrsnInd0false
IRS990PF/StatementsRegardingActy4720Grp/GrantsToIndividualsInd0true
IRS990PF/StatementsRegardingActy4720Grp/GrantsToOrganizationsInd0false
IRS990PF/StatementsRegardingActy4720Grp/InfluenceElectionInd0false
IRS990PF/StatementsRegardingActy4720Grp/InfluenceLegislationInd0false
IRS990PF/StatementsRegardingActy4720Grp/JeopardyInvestmentsInd0false
IRS990PF/StatementsRegardingActy4720Grp/NoncharitablePurposeInd0false
IRS990PF/StatementsRegardingActy4720Grp/PayCompDisqualifiedPrsnInd0true
IRS990PF/StatementsRegardingActy4720Grp/PaymentToGovernmentOfficialInd0false
IRS990PF/StatementsRegardingActy4720Grp/PayPremiumsPrsnlBnftCntrctInd0false
IRS990PF/StatementsRegardingActy4720Grp/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990PF/StatementsRegardingActy4720Grp/SaleOrExchDisqualifiedPrsnInd0false
IRS990PF/StatementsRegardingActy4720Grp/TransactionsFailToQlfyAsExcInd0false
IRS990PF/StatementsRegardingActy4720Grp/TransferAstDisqualifiedPrsnInd0false
IRS990PF/StatementsRegardingActy4720Grp/UncorrectedPriorActsInd0false
IRS990PF/StatementsRegardingActy4720Grp/UncorrectedPYJeopardyInvstInd0false
IRS990PF/StatementsRegardingActy4720Grp/UndistributedIncomePY1Yr02013
IRS990PF/StatementsRegardingActy4720Grp/UndistributedIncomePYInd0false
IRS990PF/StatementsRegardingActyGrp/ActivitiesNotPreviouslyRptInd0false
IRS990PF/StatementsRegardingActyGrp/AtLeast5000InAssetsInd0true
IRS990PF/StatementsRegardingActyGrp/ChangesToArticlesOrBylawsInd0false
IRS990PF/StatementsRegardingActyGrp/ComplyWithPublicInspRqrInd0true
IRS990PF/StatementsRegardingActyGrp/DonorAdvisedFundInd0false
IRS990PF/StatementsRegardingActyGrp/ForeignAccountsQuestionInd0false
IRS990PF/StatementsRegardingActyGrp/Form1120POLFiledInd0false
IRS990PF/StatementsRegardingActyGrp/Form990PFFiledWithAttyGenInd0true
IRS990PF/StatementsRegardingActyGrp/IndividualWithBooksNm0George T Wolf Esq
IRS990PF/StatementsRegardingActyGrp/LegislativePoliticalActyInd0false
IRS990PF/StatementsRegardingActyGrp/LocationOfBooksUSAddress/AddressLine1Txt028 Potter Place
IRS990PF/StatementsRegardingActyGrp/LocationOfBooksUSAddress/CityNm0Fairport
IRS990PF/StatementsRegardingActyGrp/LocationOfBooksUSAddress/StateAbbreviationCd0NY
IRS990PF/StatementsRegardingActyGrp/LocationOfBooksUSAddress/ZIPCd014450
IRS990PF/StatementsRegardingActyGrp/MoreThan100SpentInd0false
IRS990PF/StatementsRegardingActyGrp/NewSubstantialContributorsInd0false
IRS990PF/StatementsRegardingActyGrp/OrganizationDissolvedEtcInd0false
IRS990PF/StatementsRegardingActyGrp/OrgReportOrRegisterStateCd0NY
IRS990PF/StatementsRegardingActyGrp/OwnControlledEntityInd0false
IRS990PF/StatementsRegardingActyGrp/PhoneNum05852232034
IRS990PF/StatementsRegardingActyGrp/PrivateOperatingFoundationInd0false
IRS990PF/StatementsRegardingActyGrp/Section508eRqrSatisfiedInd0true
IRS990PF/StatementsRegardingActyGrp/UnrelatedBusIncmOverLimitInd0false
IRS990PF/StatementsRegardingActyGrp/WebsiteAddressTxt0NA
IRS990PF/SummaryOfDirectChrtblActyGrp/Description1Txt0Scholarship awards April Quattlebaum
IRS990PF/SummaryOfDirectChrtblActyGrp/Description2Txt0Grant to Rush-Henrietta Central Schools
IRS990PF/SummaryOfDirectChrtblActyGrp/Description3Txt0Admiistrative expenses Legal fee, excise tax, printing
IRS990PF/SummaryOfDirectChrtblActyGrp/Expenses1Amt01276
IRS990PF/SummaryOfDirectChrtblActyGrp/Expenses2Amt09702
IRS990PF/SummaryOfDirectChrtblActyGrp/Expenses3Amt0806
IRS990PF/SupplementaryInformationGrp/ApplicationSubmissionInfoGrp/FormAndInfoAndMaterialsTxt0SEE ATTACHED
IRS990PF/SupplementaryInformationGrp/ApplicationSubmissionInfoGrp/RecipientPersonNm0Guid Dept Rush-Henrietta CS Dist
IRS990PF/SupplementaryInformationGrp/ApplicationSubmissionInfoGrp/RecipientPhoneNum05853595000
IRS990PF/SupplementaryInformationGrp/ApplicationSubmissionInfoGrp/RecipientUSAddress/AddressLine1Txt01799 Lehigh Station Road
IRS990PF/SupplementaryInformationGrp/ApplicationSubmissionInfoGrp/RecipientUSAddress/CityNm0Henrietta
IRS990PF/SupplementaryInformationGrp/ApplicationSubmissionInfoGrp/RecipientUSAddress/StateAbbreviationCd0NY
IRS990PF/SupplementaryInformationGrp/ApplicationSubmissionInfoGrp/RecipientUSAddress/ZIPCd014467
IRS990PF/SupplementaryInformationGrp/ApplicationSubmissionInfoGrp/RestrictionsOnAwardsTxt0SEE GRANT GUIDELINES ATTACHED
IRS990PF/SupplementaryInformationGrp/ApplicationSubmissionInfoGrp/SubmissionDeadlinesTxt0AS ANNOUNCED
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/Amt01276
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/Amt14091
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/Amt22107
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/Amt33504
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/GrantOrContributionPurposeTxt0Scholarship
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/GrantOrContributionPurposeTxt1Social Studies Dept.
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/GrantOrContributionPurposeTxt2Social Studies Dept.
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/GrantOrContributionPurposeTxt3Social Studies Dept.
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientBusinessName/BusinessNameLine1Txt0Rush Henrietta Central School District
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientBusinessName/BusinessNameLine1Txt1Rush Henrietta Central School District
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientBusinessName/BusinessNameLine1Txt2Rush Henrietta Central School District
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientPersonNm0April Quattlebaum
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientRelationshipTxt0none
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientRelationshipTxt1School District
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientRelationshipTxt2School District
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientRelationshipTxt3School District
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientUSAddress/AddressLine1Txt083 Highmanor Drive Apt 4
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientUSAddress/AddressLine1Txt12034 Lehigh Station Road
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientUSAddress/AddressLine1Txt22034 Lehigh Station Road
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientUSAddress/AddressLine1Txt32034 Lehigh Station Road
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientUSAddress/CityNm0Henrietta
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientUSAddress/CityNm1Henrietta
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientUSAddress/CityNm2Henrietta
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientUSAddress/CityNm3Henrietta
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientUSAddress/StateAbbreviationCd0NY
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientUSAddress/StateAbbreviationCd1NY
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientUSAddress/StateAbbreviationCd2NY
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientUSAddress/StateAbbreviationCd3NY
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientUSAddress/ZIPCd014467
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientUSAddress/ZIPCd114467
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientUSAddress/ZIPCd214467
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientUSAddress/ZIPCd314467
IRS990PF/SupplementaryInformationGrp/TotalGrantOrContriPdDurYrAmt010978
IRS990PF/TrnsfrTransRlnNonchrtblEOGrp/LoansOrLoanGuaranteesInd0false
IRS990PF/TrnsfrTransRlnNonchrtblEOGrp/PerformanceOfServicesEtcInd0false
IRS990PF/TrnsfrTransRlnNonchrtblEOGrp/PurchaseOfAssetsNonchrtblEOInd0false
IRS990PF/TrnsfrTransRlnNonchrtblEOGrp/ReimbursementArrangementsInd0false
IRS990PF/TrnsfrTransRlnNonchrtblEOGrp/RelationshipsNonchrtblEOInd0false
IRS990PF/TrnsfrTransRlnNonchrtblEOGrp/RentalOfFacilitiesOthAssetsInd0false
IRS990PF/TrnsfrTransRlnNonchrtblEOGrp/SalesOrExchangesOfAssetsInd0false
IRS990PF/TrnsfrTransRlnNonchrtblEOGrp/SharingOfFacilitiesEtcInd0false
IRS990PF/TrnsfrTransRlnNonchrtblEOGrp/TrnsfrOfCashToNonchrtblEOInd0false
IRS990PF/TrnsfrTransRlnNonchrtblEOGrp/TrnsfrOtherAssetNonchrtblEOInd0false
IRS990PF/UndistributedIncomeGrp/AppliedToCurrentYearAmt05367
IRS990PF/UndistributedIncomeGrp/AppliedToPriorYearsAmt02107
IRS990PF/UndistributedIncomeGrp/AppliedToYear1Amt03504
IRS990PF/UndistributedIncomeGrp/DistributableAsAdjustedAmt07249
IRS990PF/UndistributedIncomeGrp/PriorYear1Yr02012
IRS990PF/UndistributedIncomeGrp/PriorYear2Yr02013
IRS990PF/UndistributedIncomeGrp/PriorYear3Yr02014
IRS990PF/UndistributedIncomeGrp/PriorYearUndistributedIncmAmt02595
IRS990PF/UndistributedIncomeGrp/QualifyingDistributionsAmt010978
IRS990PF/UndistributedIncomeGrp/Taxable1Amt02595
IRS990PF/UndistributedIncomeGrp/TotalForPriorYearsAmt04702
IRS990PF/UndistributedIncomeGrp/UndistributedIncomeCYAmt01882
IRS990PF/UndistributedIncomeGrp/UndistributedIncomePYAmt03504
LegalFeesSchedule/LegalFeesGrp/CategoryTxt0George T Wolf
LegalFeesSchedule/LegalFeesGrp/LegalFeesAmt0803
OtherIncreasesSchedule/OtherIncreasesDetail/Amt010484
OtherIncreasesSchedule/OtherIncreasesDetail/Desc0Market increase
OtherProfessionalFeesSchedule/OtherProfessionalFeesDetail/Amt040
OtherProfessionalFeesSchedule/OtherProfessionalFeesDetail/Amt150
OtherProfessionalFeesSchedule/OtherProfessionalFeesDetail/CategoryTxt0printing
OtherProfessionalFeesSchedule/OtherProfessionalFeesDetail/CategoryTxt1NYS Department of Law
TaxesSchedule/TaxesDetail/Amt084
TaxesSchedule/TaxesDetail/CategoryTxt0Excise tax
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0Ruth S Stork
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0President
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-10-11
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Godfrey J Jacobsen Memorial Scholarship Fund
ReturnHeader/Filer/BusinessNameControlTxt0GODF
ReturnHeader/Filer/EIN0161206309
ReturnHeader/Filer/PhoneNum05852232034
ReturnHeader/Filer/USAddress/AddressLine1Txt0144 Village Landing Room 312
ReturnHeader/Filer/USAddress/CityNm0Fairport
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NY
ReturnHeader/Filer/USAddress/ZIPCd014450
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0BF103861CF7598093804EA52E8AE13B39432F290
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0A29900508AD502FA601FFD044A4D7351F988D3DF
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt050.48.195.141
ReturnHeader/FilingSecurityInformation/IPDt02017-10-11
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0ED
ReturnHeader/FilingSecurityInformation/IPTm014:22:14
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0George T Wolf Attorney
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt028 Potter Place
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Fairport
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd014450
ReturnHeader/PreparerPersonGrp/PhoneNum05852232034
ReturnHeader/PreparerPersonGrp/PreparationDt02017-10-11
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0George T Wolf
ReturnHeader/PreparerPersonGrp/SelfEmployedInd0X
ReturnHeader/ReturnTs02017-10-11T10:28:56-00:00
ReturnHeader/ReturnTypeCd0990PF
ReturnHeader/TaxPeriodBeginDt02016-06-01
ReturnHeader/TaxPeriodEndDt02017-05-31
ReturnHeader/TaxYr02016

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