Civic Intelligence

Branch Hillsdale St Joseph Health Plan

EIN 20-3122364 • 501(c)3 • Coldwater, MI

Profile

To ensure the delivery of basic preventative health care to low-income persons without insurance and/or ineligible for other government programs.

2 W Chicago Street Suite E-1Coldwater, MI 49036

www.communityhealthplans.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 2015

Liabilities / Revenue

62nd percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2015

Net Margin

4th percentile

-641%

Higher net margin than 4% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2015

Top Officer Pay

90th percentile

$32,000

Higher top officer pay than 90% of similar nonprofits.

Top officer pay equals 30.5% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2015

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2014 to 2015

Revenue Growth

6th percentile

-95%

Faster revenue growth than 6% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2014 to 2015

Assets

Down

$0

Down $675,418 (-100%) from 2014

Liabilities

Down

$0

Down $3,235 (-100%) from 2014

Net Assets

Down

$0

Down $672,183 (-100%) from 2014

Revenue

Down

$104,841

Down $2,133,866 (-95%) from 2014

Expenses

Down

$777,024

Down $1,019,706 (-57%) from 2014

Net Income

Down

-$672,183

Down $1,114,160 (-252%) from 2014

Trend Graphs

Balance Sheet Trend

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

$800K$600K$400K$200K$0Assets 2010: $493,819Liabilities 2010: $408,233Net Assets 2010: $85,5862010Assets 2011: $728,696Liabilities 2011: $601,967Net Assets 2011: $126,7292011Assets 2012: $574,608Liabilities 2012: $542,880Net Assets 2012: $31,7282012Assets 2013: $499,736Liabilities 2013: $269,530Net Assets 2013: $230,2062013Assets 2014: $675,418Liabilities 2014: $3,235Net Assets 2014: $672,1832014Assets 2015: $0Liabilities 2015: $0Net Assets 2015: $02015

Highlighted filing

2015

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

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

$4.0M$2.0M$0-$2.0MExpenses 2010: $3,220,1832010Expenses 2011: $3,551,7282011Expenses 2012: $2,706,1042012Expenses 2013: $2,500,1922013Revenue 2014: $2,238,707Expenses 2014: $1,796,730Net Income 2014: $441,9772014Revenue 2015: $104,841Expenses 2015: $777,024Net Income 2015: -$672,1832015

Highlighted filing

2015

Revenue$104,841
Expenses$777,024
Net Income-$672,183

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2014 to Sep 30, 2015
Signed
Jul 21, 2016
Return Version
2014v6.0
Gross Receipts
$104,841
Mission and Program Overview

Mission

To ensure the delivery of basic preventative health care to low-income persons without insurance and/or ineligible for other government programs.

To ensure the delivery of basic preventative health care to low-income persons.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$667,515$0▼ $667,515
Prepaid Expenses and Deferred Charges$7,903$0▼ $7,903
Cash and Non-Interest-Bearing Accounts-$0-
Accounts Receivable-$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-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Total Assets$675,418$0▼ $675,418
Other Assets Total-$0-
Liabilities
Other Liabilities$3,000$0▼ $3,000
Accounts Payable and Accrued Expenses$235--
Total Liabilities$3,235$0▼ $3,235
Net Assets / Fund Balance
Unrestricted Net Assets$672,183$0▼ $672,183
Total Net Assets Fund Balance$672,183$0▼ $672,183
Total Liabilities and Net Assets / Fund Balance$675,418$0▼ $675,418
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Laura PetersonExecutive DirectorPT$32,000$32,000

Board Members and Trustees

NameTitle
Valerie FettersPresident
Amy GalliersDirector
Colleen KnightDirector
ELIZABETH O'DELLDirector
Jill PavkaDirector
Lucinda KujacznskiDirector
Rob LabargeDirector
Sandy KeenerDirector
Shannan ClevengerDirector
Donna CowdenChief Financial Officer
Patsy BourgeoisSecretary
Steve ToddTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Branch County Community FoundationCharity/outreach2 W CHICAGO ST SUITE E-1, Coldwater, MI 49036$482,531
Branch Hillsdale St Joseph Community HeEnrollment/outreach570 MARSHALL ROAD, Coldwater, MI 48036$385,984
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$104,355
Investment Income
$486
Other Revenue
$0
Change in Net Assets
$-672,183
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$732,690
Salaries, Compensation, and Employee Benefits$44,334
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages-$44,334-$44,334
Fees for Services Accounting-$29,907-$29,907
Insurance-$23,791-$23,791
Fees for Services Legal-$13,855-$13,855
Fees for Services Other-$1,963-$1,963
Other Expenses$-7,311$6,695-$-7,311
All Other Expenses$-15,959--$-15,959
Total Functional Expenses$656,479$120,545$0$777,024
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
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
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
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
Yes
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, Part VI, Section B, Line 11

The 990 is received by the organization's executive director and is reviewed for accuracy. Upon the executive director's approval, the 990 is made available to the board of directors at a board of director's meeting. The preparer of the document attends the meeting to answer any questions presented by directors. After any concerns presented by the board are addressed the president signs and files the form.

Form 990, Part VI, Section B, Line 12C

It is the policy of the corporation that all directors and officers shall scrupulously avoid any conflict, or the appearance of any conflict between their own interest and the interest of the corporation. Directors and officers shall annually submit in writing to its president a conflict of interest statement in the form prescribed by that board of directors. This policy supplements, but does not replace, any applicable state laws governing conflict of interest applicable to nonprofit and charitable organizations. A director of the board or of any committee shall immediately, and in writing, notify the president of the corporation of any conflict of interest or any potential conflict as soon as he or she becomes aware of it. A person having a conflict of interest or potential conflict of interest shall not participate in any matter that might come before the board or any committee. If the member fails to do so voluntarily, the president is empowered to take necessary and appropriate action to ensure that the affected director does not participate until the conflict has been resolved. The minutes of the board shall contain names of person who disclose or otherwise were found to have financial interest in connection with an actual or potential conflict of interest, the nature of the financial interest, the board's decision as to whether a conflict of interest in fact existed, the board determination that no equivalent or more advantageous transaction or arrangement is attainable and the record of any vote to proceed with a transaction despite a conflict of interest.

Form 990, Part VI, Section B, Line 15A

The board of directors meets to review the performance of the executive director annually. The board of directors reviews comparison data from similar organizations as reported by available public documents. A record of the meeting and decision by the board of directors is retained by the organization.

Form 990, Part VI, Section C, Line 19

All information is available upon request. Form 990 is also posted annually on guidestar's website. The 990 is public information through the michigan attorney general's office.

Filing and Contact Details

Filer

Filer Name
Branch Hillsdale St Joseph Health Plan
EIN
20-3122364
Phone
5172799561
Address
2 W CHICAGO STREET SUITE E-1, COLDWATER, MI 49036

Signing Officer

Name
Laura Peterson
Title
Executive Director
Phone
5172799561
Signed
2016-07-21
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Laura Peterson
Formed
2005
Legal Domicile
Mi
Voting Board Members
11
Independent Board Members
11
Employees
0
Volunteers
0

Preparer

Firm
Maner Costerisan Pc
Address
2425 E GRAND RIVER SUITE 1, LANSING, MI 48912-3291
Preparer
James a Mc Neeley CPA
Phone
5173237500
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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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IRS990/PYRevenuesLessExpensesAmt0441977
IRS990/PYSalariesCompEmpBnftPaidAmt038056
IRS990/PYTotalExpensesAmt01796730
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt02238707
IRS990/QuidProQuoContributionsInd00
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-672183
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt0104355
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0667515
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
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IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt0140
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt0200
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt0718
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt0776
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt02320
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt0104355
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt02238567
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt02698470
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt02610385
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt03592095
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt011243872
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt0486
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt0140
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt0200
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt0718
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt0776
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt02320
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IRS990ScheduleA/InvestmentIncomePYPct00.00020
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IRS990ScheduleA/PublicSupportPY509Pct00.99980
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IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
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IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt02238567
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt02698470
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt02610385
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt03592095
IRS990ScheduleA/Total509Grp/TotalAmt011243872
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0104841
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt02238707
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt02698670
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt02611103
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt03592871
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt011246192
IRS990/ScheduleBRequiredInd00
IRS990/ScheduleJRequiredInd00
IRS990ScheduleN/AssetsDistributedInd00
IRS990ScheduleN/AttorneyGeneralNotifiedInd00
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd00
IRS990ScheduleN/EmployeeOfSuccessorInd00
IRS990ScheduleN/LiabilitiesPaidInd00
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0CASH AND TEMPORARY SAVINGS
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt0BRANCH COUNTY COMMUNITY FOUNDATION
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02015-09-29
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0383021071
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt0482531
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0NON-PROFIT
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0ACTUAL
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt02 W CHICAGO ST SUITE E-1
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IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd00
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE 990 IS RECEIVED BY THE ORGANIZATION'S EXECUTIVE DIRECTOR AND IS REVIEWED FOR ACCURACY. UPON THE EXECUTIVE DIRECTOR'S APPROVAL, THE 990 IS MADE AVAILABLE TO THE BOARD OF DIRECTORS AT A BOARD OF DIRECTOR'S MEETING. THE PREPARER OF THE DOCUMENT ATTENDS THE MEETING TO ANSWER ANY QUESTIONS PRESENTED BY DIRECTORS. AFTER ANY CONCERNS PRESENTED BY THE BOARD ARE ADDRESSED THE PRESIDENT SIGNS AND FILES THE FORM.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1IT IS THE POLICY OF THE CORPORATION THAT ALL DIRECTORS AND OFFICERS SHALL SCRUPULOUSLY AVOID ANY CONFLICT, OR THE APPEARANCE OF ANY CONFLICT BETWEEN THEIR OWN INTEREST AND THE INTEREST OF THE CORPORATION. DIRECTORS AND OFFICERS SHALL ANNUALLY SUBMIT IN WRITING TO ITS PRESIDENT A CONFLICT OF INTEREST STATEMENT IN THE FORM PRESCRIBED BY THAT BOARD OF DIRECTORS. THIS POLICY SUPPLEMENTS, BUT DOES NOT REPLACE, ANY APPLICABLE STATE LAWS GOVERNING CONFLICT OF INTEREST APPLICABLE TO NONPROFIT AND CHARITABLE ORGANIZATIONS. A DIRECTOR OF THE BOARD OR OF ANY COMMITTEE SHALL IMMEDIATELY, AND IN WRITING, NOTIFY THE PRESIDENT OF THE CORPORATION OF ANY CONFLICT OF INTEREST OR ANY POTENTIAL CONFLICT AS SOON AS HE OR SHE BECOMES AWARE OF IT. A PERSON HAVING A CONFLICT OF INTEREST OR POTENTIAL CONFLICT OF INTEREST SHALL NOT PARTICIPATE IN ANY MATTER THAT MIGHT COME BEFORE THE BOARD OR ANY COMMITTEE. IF THE MEMBER FAILS TO DO SO VOLUNTARILY, THE PRESIDENT IS EMPOWERED TO TAKE NECESSARY AND APPROPRIATE ACTION TO ENSURE THAT THE AFFECTED DIRECTOR DOES NOT PARTICIPATE UNTIL THE CONFLICT HAS BEEN RESOLVED. THE MINUTES OF THE BOARD SHALL CONTAIN NAMES OF PERSON WHO DISCLOSE OR OTHERWISE WERE FOUND TO HAVE FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, THE BOARD'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED, THE BOARD DETERMINATION THAT NO EQUIVALENT OR MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS ATTAINABLE AND THE RECORD OF ANY VOTE TO PROCEED WITH A TRANSACTION DESPITE A CONFLICT OF INTEREST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE BOARD OF DIRECTORS MEETS TO REVIEW THE PERFORMANCE OF THE EXECUTIVE DIRECTOR ANNUALLY. THE BOARD OF DIRECTORS REVIEWS COMPARISON DATA FROM SIMILAR ORGANIZATIONS AS REPORTED BY AVAILABLE PUBLIC DOCUMENTS. A RECORD OF THE MEETING AND DECISION BY THE BOARD OF DIRECTORS IS RETAINED BY THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ALL INFORMATION IS AVAILABLE UPON REQUEST. FORM 990 IS ALSO POSTED ANNUALLY ON GUIDESTAR'S WEBSITE. THE 990 IS PUBLIC INFORMATION THROUGH THE MICHIGAN ATTORNEY GENERAL'S OFFICE.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0MI
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd01
IRS990/TotalAssetsBOYAmt0675418
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt0675418
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0120545
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0656479
IRS990/TotalFunctionalExpensesGrp/TotalAmt0777024
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt03235
IRS990/TotalLiabilitiesEOYAmt00
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IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0672183
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0656479
IRS990/TotalProgramServiceRevenueAmt0104355
IRS990/TotalReportableCompFromOrgAmt032000
IRS990/TotalRevenueGrp/ExclusionAmt0486
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0104355
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0104841
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
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IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00

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