Civic Intelligence

Compassionate Hospice Foundation Inc

EIN 20-5218601 • 501(c)3 • Cumming, GA

Profile

To provide support for hospice patients and their families to cover basic services during hospice care and after death.

1435 Haw Creek Circle No 402Cumming, GA 30041

n/A

Siviq Scores

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

Liabilities / Assets

59th percentile

0.00x

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

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

Liabilities / Revenue

61st percentile

0.00x

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

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

Net Margin

94th percentile

72%

Higher net margin than 94% of similar nonprofits.

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

Top Officer Pay

84th percentile

$0

Higher top officer pay than 84% of similar nonprofits.

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

501(c)3 • <$500k nonprofits • Source year 2014

Asset Growth

85th percentile

41%

Faster asset growth than 85% of similar nonprofits.

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

Revenue Growth

37th percentile

-13%

Faster revenue growth than 37% of similar nonprofits.

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

Balance Sheet
Liabilities / Assets59th percentile

Assets

Down

$0

Down $92,950 (-100%) from 2015

Liabilities

Flat

$0

Flat from 2015

Net Assets

Down

$0

Down $92,950 (-100%) from 2015

Operations
Liabilities / Revenue61st percentileNet Margin94th percentile

Revenue

Down

$5,471

Down $34,592 (-86%) from 2015

Expenses

Up

$98,421

Up $87,199 (+777%) from 2015

Net Income

Down

-$92,950

Down $121,791 (-422%) from 2015

Trend Graphs

Balance Sheet Trend

Asset Growth85th percentile

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

$100K$50K$0Assets 2011: $25,586Liabilities 2011: $3072011Assets 2012: $36,172Liabilities 2012: $02012Assets 2013: $60,373Liabilities 2013: $550Net Assets 2013: $59,8232013Assets 2014: $65,989Liabilities 2014: $1,880Net Assets 2014: $64,1092014Assets 2015: $92,950Liabilities 2015: $0Net Assets 2015: $92,9502015Assets 2016: $0Liabilities 2016: $0Net Assets 2016: $02016

Highlighted filing

2016

Assets$0
Liabilities$0
Net Assets$0
Open 2016 Filing

Operations Trend

Revenue Growth37th percentile

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

$100K$50K$0-$50K-$100KRevenue 2011: $27,236Expenses 2011: $15,180Net Income 2011: $12,0562011Revenue 2012: $34,890Expenses 2012: $23,997Net Income 2012: $10,8932012Revenue 2013: $42,063Expenses 2013: $18,412Net Income 2013: $23,6512013Revenue 2014: $45,996Expenses 2014: $41,710Net Income 2014: $4,2862014Revenue 2015: $40,063Expenses 2015: $11,222Net Income 2015: $28,8412015Revenue 2016: $5,471Expenses 2016: $98,421Net Income 2016: -$92,9502016

Highlighted filing

2016

Revenue$5,471
Expenses$98,421
Net Income-$92,950
Open 2016 Filing

Filings

Most recent year

2016 • Form 990EZDetailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$5,471
Expenses
$98,421
Net income
-$92,950
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2016Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$5.47$98.4$93.0
2015Detailed filing. Detailed filing data is available for this year.$93.0$0.00$93.0$40.1$11.2$28.8
2014Detailed filing. Detailed filing data is available for this year.$66.0$1.88$64.1$46.0$41.7$4.29
2013Detailed filing. Detailed filing data is available for this year.$60.4$0.55$59.8$42.1$18.4$23.7
2012Summary only. Only limited summary data is available for this year.$36.2$0.00$34.9$24.0$10.9
2011Summary only. Only limited summary data is available for this year.$25.6$0.31$27.2$15.2$12.1
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Sep 30, 2016
Signed
Mar 18, 2017
Return Version
2016v3.0
Gross Receipts
$5,471
Mission and Program Overview

Mission

To provide support for hospice patients and their families to cover basic services during hospice care and after death.

Program Services

DescriptionGrantsExpenses
DISTRIBUTION OF CASH TO THE HOSPICE PROMISE FOUNDATION.$61,533$0
MEMORIAL SERVICES AND FUNERALS ON BEHALF OF DECEASED PATIENTS WHO WERE CARED FOR IN LOCAL HOSPICE.$0$15,703
VARIOUS COMMUNITY SERVICE PROGRAMS AND CHARITY SPONSORSHIPS.$0$12,696
AID ON BEHALF OF HOSPICE PATIENTS TO COVER EXPENSES AND OTHER CARE SERVICES.$0$3,863
Compensation and Service Providers
Top Officer Pay84th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
DAN KOHLCEO-$0--
JACK DRAUGHONVP, Secretary/Treasurer-$0--
JEFF NICKELLCFO-$0--
Filing and Contact Details

Filer

Filer Name
Compassionate Hospice Foundation Inc
EIN
20-5218601
Phone
6787170969
Address
1435 HAW CREEK CIRCLE NO 402, CUMMING, GA 30041

Signing Officer

Name
Rexanne Domico
Title
President
Phone
6787170969
Signed
2017-03-18
Discuss with paid preparer
Yes

Preparer

Firm
Moore Colson & Company Pc
Address
1640 POWERS FERRY RD BLDG 11, MARIETTA, GA 30067
Preparer
Jonathan B Levens
Phone
7709890028
Supplemental Narrative

Additional Explanations

Form 990-ez, Part I, Line 16 - Other Expenses

“Description: miscellaneous expenses. Amount: 4,225. Description: bank charges. Amount: 36. Total to form 990-ez, line 16: 4,261.”

Raw XML Appendix189 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
IRS990EZ/ActivitiesNotPreviouslyRptInd00
IRS990EZ/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0JODY SOILEAU
IRS990EZ/BooksInCareOfDetail/PhoneNum03377690865
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt0901 HUGH WALLIS ROAD SOUTH
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0LAFAYETTE
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0LA
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd070508
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt092950
IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt00
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd00
IRS990EZ/ContributionsGiftsGrantsEtcAmt05471
IRS990EZ/DirectIndirectPltclExpendAmt00
IRS990EZ/DonorAdvisedFndsInd00
IRS990EZ/EngagedInExcessBenefitTransInd00
IRS990EZ/ExcessOrDeficitForYearAmt0-92950
IRS990EZ/FeesAndOtherPymtToIndCntrctAmt0365
IRS990EZ/FiledScheduleAInd01
IRS990EZ/FinalReturnInd0X
IRS990EZ/ForeignFinancialAccountInd00
IRS990EZ/ForeignOfficeInd00
IRS990EZ/Form990TotalAssetsGrp/BOYAmt092950
IRS990EZ/Form990TotalAssetsGrp/EOYAmt00
IRS990EZ/GrantsAndSimilarAmountsPaidAmt093795
IRS990EZ/GrossReceiptsAmt05471
IRS990EZ/InfoInScheduleOPartIIIInd0X
IRS990EZ/InfoInScheduleOPartIInd0X
IRS990EZ/InfoInScheduleOPartVInd0X
IRS990EZ/LobbyingActivitiesInd00
IRS990EZ/MadeLoansToFromOfficersInd00
IRS990EZ/MethodOfAccountingCashInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt092950
IRS990EZ/NetAssetsOrFundBalancesEOYAmt00
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt092950
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt01.50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt11.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt21.50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0DAN KOHL
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1JACK DRAUGHON
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2JEFF NICKELL
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0CEO
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1VP, SECRETARY/TREASURER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2CFO
IRS990EZ/OperateHospitalInd00
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd01
IRS990EZ/OrganizationHadUBIInd00
IRS990EZ/OtherChangesInNetAssetsAmt00
IRS990EZ/OtherExpensesTotalAmt04261
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd00
IRS990EZ/PrimaryExemptPurposeTxt0TO PROVIDE SUPPORT FOR HOSPICE PATIENTS AND THEIR FAMILIES TO COVER BASIC SERVICES DURING HOSPICE CARE AND AFTER DEATH.
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0MEMORIAL SERVICES AND FUNERALS ON BEHALF OF DECEASED PATIENTS WHO WERE CARED FOR IN LOCAL HOSPICE.
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt1VARIOUS COMMUNITY SERVICE PROGRAMS AND CHARITY SPONSORSHIPS.
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt2AID ON BEHALF OF HOSPICE PATIENTS TO COVER EXPENSES AND OTHER CARE SERVICES.
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt3DISTRIBUTION OF CASH TO THE HOSPICE PROMISE FOUNDATION.
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt00
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt10
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt20
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt361533
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt015703
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt112696
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt23863
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt30
IRS990EZ/ProhibitedTaxShelterTransInd00
IRS990EZ/RelatedOrganizationCtrlEntInd00
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SchoolOperatingInd00
IRS990EZ/StatesWhereCopyOfReturnIsFldCd0GA
IRS990EZ/SubjectToProxyTaxInd00
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt00
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt00
IRS990EZ/TanningServicesProvidedInd00
IRS990EZ/TaxImposedOnOrganizationMgrAmt00
IRS990EZ/TaxImposedUnderIRC4911Amt00
IRS990EZ/TaxImposedUnderIRC4912Amt00
IRS990EZ/TaxImposedUnderIRC4955Amt00
IRS990EZ/TaxReimbursedByOrganizationAmt00
IRS990EZ/TotalExpensesAmt098421
IRS990EZ/TotalProgramServiceExpensesAmt032262
IRS990EZ/TotalRevenueAmt05471
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0N/A
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt05471
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt040063
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt045996
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt042063
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt034890
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt0168483
IRS990ScheduleA/InvestmentIncomeCYPct00.00000
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct01.00000
IRS990ScheduleA/PublicSupportPY509Pct01.00000
IRS990ScheduleA/PublicSupportTotal509Amt0168483
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt05471
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt040063
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt045996
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt042063
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt034890
IRS990ScheduleA/Total509Grp/TotalAmt0168483
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt05471
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt040063
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt045996
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt042063
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt034890
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0168483
IRS990ScheduleN/AssetsDistributedInd00
IRS990ScheduleN/AttorneyGeneralNotifiedInd00
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd00
IRS990ScheduleN/EmployeeOfSuccessorInd00
IRS990ScheduleN/LiabilitiesPaidInd00
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0CASH CONTRIBUTED TO THE HOSPICE PROMISE FOUNDATION.
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc1CASH CONTRIBUTED TO THE HOSPICE PROMISE FOUNDATION.
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt0THE HOSPICE PROMISE FOUNDATION
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt1THE HOSPICE PROMISE FOUNDATION
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02016-08-11
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt12016-09-09
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0463961250
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN1463961250
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt060000
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt11533
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt1501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0NOT APPLICABLE - ALL CASH.
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt1NOT APPLICABLE - ALL CASH.
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt0901 HUGH WALLIS ROAD SOUTH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt1901 HUGH WALLIS ROAD SOUTH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0LAFAYETTE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm1LAFAYETTE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0LA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd1LA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd070503
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd170503
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd00
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0DESCRIPTION: MISCELLANEOUS EXPENSES. AMOUNT: 4,225. DESCRIPTION: BANK CHARGES. AMOUNT: 36. TOTAL TO FORM 990-EZ, LINE 16: 4,261.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES
TransferPrsnlBnftContractsDecl/DeclarationDesc0THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0REXANNE DOMICO
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum06787170969
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-03-18
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0COMPASSIONATE HOSPICE FOUNDATION INC
ReturnHeader/Filer/BusinessNameControlTxt0COMP
ReturnHeader/Filer/EIN0205218601
ReturnHeader/Filer/PhoneNum06787170969
ReturnHeader/Filer/USAddress/AddressLine1Txt01435 HAW CREEK CIRCLE NO 402
ReturnHeader/Filer/USAddress/CityNm0CUMMING
ReturnHeader/Filer/USAddress/StateAbbreviationCd0GA
ReturnHeader/Filer/USAddress/ZIPCd030041
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId062BC0EC79D866B10F0DC40E8AA21F263DD30CA8A
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId062BC0EC79D866B10F0DC40E8AA21F263DD30CA8A
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt069.15.32.135
ReturnHeader/FilingSecurityInformation/IPDt02017-03-18
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0ED
ReturnHeader/FilingSecurityInformation/IPTm015:21:19
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0581653941
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0MOORE COLSON & COMPANY PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01640 POWERS FERRY RD BLDG 11
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0MARIETTA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0GA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd030067
ReturnHeader/PreparerPersonGrp/PhoneNum07709890028
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0JONATHAN B LEVENS
ReturnHeader/ReturnTs02017-04-11T16:02:16-05:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02016-01-01
ReturnHeader/TaxPeriodEndDt02016-09-30
ReturnHeader/TaxYr02016

Document Assets

No mirrored PDF or thumbnail assets are attached yet.