Civic Intelligence

W J Mangold Memorial Hospital Foundation

990EZ • Fiscal year 2018 • EIN 20-5642351

Oct 01, 2017 to Sep 30, 2018 • Filed on Jul 30, 2019

PO Box 37Lockney, TX 79241

(806) 652-3373

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

57th percentile

0.00x

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

2018 filings • 501(c)3 • <$500k nonprofits • Source year 2018

Liabilities / Revenue

56th percentile

0.00x

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

2018 filings • 501(c)3 • <$500k nonprofits • Source year 2018

Net Margin

23rd percentile

-10%

Higher net margin than 23% of similar nonprofits.

2018 filings • 501(c)3 • <$500k nonprofits • Source year 2018

Top Officer Pay

76th percentile

$0

Higher top officer pay than 76% of similar nonprofits.

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

2018 filings • 501(c)3 • <$500k nonprofits • Source year 2018

Asset Growth

39th percentile

-3.4%

Faster asset growth than 39% of similar nonprofits.

2018 filings • 501(c)3 • <$500k nonprofits • Annualized from 2017 to 2018

Revenue Growth

8th percentile

-58%

Faster revenue growth than 8% of similar nonprofits.

2018 filings • 501(c)3 • <$500k nonprofits • Annualized from 2017 to 2018

Assets

Down

$45,184

Down $1,585 (-3.4%) from 2017

Net Assets

Down

$45,184

Down $1,585 (-3.4%) from 2017

Liabilities

Flat

$0

Flat from 2017

Revenue

Down

$15,318

Down $20,792 (-58%) from 2017

Expenses

Down

$16,903

Down $34,363 (-67%) from 2017

Net Income

Up

-$1,585

Up $13,571 (+90%) from 2017

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$200K$150K$100K$50K$0Assets 2011: $52,036Liabilities 2011: $0Net Assets 2011: $52,0362011Assets 2012: $51,736Liabilities 2012: $0Net Assets 2012: $51,7362012Assets 2013: $30,804Liabilities 2013: $0Net Assets 2013: $30,8042013Assets 2014: $85,424Liabilities 2014: $0Net Assets 2014: $85,4242014Assets 2015: $81,375Liabilities 2015: $0Net Assets 2015: $81,3752015Assets 2016: $66,435Liabilities 2016: $0Net Assets 2016: $66,4352016Assets 2017: $46,769Liabilities 2017: $0Net Assets 2017: $46,7692017Assets 2018: $45,184Liabilities 2018: $0Net Assets 2018: $45,1842018Assets 2019: $168,480Liabilities 2019: $0Net Assets 2019: $168,4802019

Highlighted filing

2018

Assets$45,184
Liabilities$0
Net Assets$45,184

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$150K$100K$50K$0-$50KRevenue 2011: $45,335Expenses 2011: $18,848Net Income 2011: $26,4872011Expenses 2012: $77,3502012Expenses 2013: $41,3552013Revenue 2014: $63,872Expenses 2014: $0Net Income 2014: $63,8722014Revenue 2015: $53,329Expenses 2015: $57,377Net Income 2015: -$4,0482015Revenue 2016: $12,166Expenses 2016: $27,106Net Income 2016: -$14,9402016Revenue 2017: $36,110Expenses 2017: $51,266Net Income 2017: -$15,1562017Revenue 2018: $15,318Expenses 2018: $16,903Net Income 2018: -$1,5852018Revenue 2019: $129,828Expenses 2019: $6,532Net Income 2019: $123,2962019

Highlighted filing

2018

Revenue$15,318
Expenses$16,903
Net Income-$1,585
Jump To
Filing Snapshot
Filing Period
Oct 1, 2017 to Sep 30, 2018
Signed
Jul 30, 2019
Return Version
2017v2.3
Gross Receipts
$15,686
Mission and Program Overview

Mission

To provide funds to WJ Mangold Memorial Hospital to futher the health and welfare of the citizens of Floyd County.

Program Services

DescriptionGrantsExpenses
THE FOUNDATION SUPPORTS FUNDRAISING ACTIVITIES DESIGNED TO BENEFIT WJ MANGOLD HOSPITAL.$12,921$12,921
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
DARREL RASCOChair-$0--
BRENT BARKERVice Chair-$0--
D'LYN MORISSecretary-$0--
ANDY FORDMember-$0--
EMBRE DOUGLASMember-$0--
JIM BOB MARTINMember (Former)-$0--
NELL GLASSCOK SHURMember (Former)-$0--
RENEE HRBACEKMember (Former)-$0--
DENISE DOUCETTEMember (Former)-$0--
Filing and Contact Details

Filer

Filer Name
W J Mangold Memorial
EIN
20-5642351
Phone
8066523373
Address
PO BOX 37, LOCKNEY, TX 79241

Signing Officer

Name
James Heitzenrater
Title
CEO
Phone
8066523373
Signed
2019-07-30
Discuss with paid preparer
Yes

Preparer

Firm
Durbin & Company Llp
Address
2950 50TH STREET, LUBBOCK, TX 79413
Preparer
Gayle L De Haas
Phone
8067911591
Supplemental Narrative

Additional Explanations

Form 990-ez, Part I, Line 4 - Rental Income

Kind and location of property: foundation buildings. Amount: 7,436.

Form 990-ez, Part I, Line 8 - Other Revenue

Description: interest income. Amount: 8.

Form 990-ez, Part I, Line 10 - Payments to Affiliates

Affiliate name: wj mangold memorial hospital. Affiliate address: 320 n main lockney, tx 79241. Purpose of payment: hospital equipment. Amount of payment: 12,921.

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

Description: utilities. Amount: 1,557. Description: depreciation. Amount: 2,425. Total to form 990-ez, line 16: 3,982.

Raw XML Appendix220 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/BusinessNameLine1Txt0THE ORGANIZATION
IRS990EZ/BooksInCareOfDetail/PhoneNum08066523373
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt0PO BOX 37
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0LOCKNEY
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0TX
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd079241
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt046769
IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt045184
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd00
IRS990EZ/ContributionsGiftsGrantsEtcAmt02550
IRS990EZ/DirectIndirectPltclExpendAmt00
IRS990EZ/DonorAdvisedFndsInd00
IRS990EZ/EngagedInExcessBenefitTransInd00
IRS990EZ/ExcessOrDeficitForYearAmt0-1585
IRS990EZ/FiledScheduleAInd01
IRS990EZ/ForeignFinancialAccountInd00
IRS990EZ/ForeignOfficeInd00
IRS990EZ/Form990TotalAssetsGrp/BOYAmt046769
IRS990EZ/Form990TotalAssetsGrp/EOYAmt045184
IRS990EZ/FundraisingGrossIncomeAmt05692
IRS990EZ/GrantsAndSimilarAmountsPaidAmt012921
IRS990EZ/GrossReceiptsAmt015686
IRS990EZ/InfoInScheduleOPartIIIInd0X
IRS990EZ/InfoInScheduleOPartIInd0X
IRS990EZ/InfoInScheduleOPartVInd0X
IRS990EZ/InvestmentIncomeAmt07436
IRS990EZ/LobbyingActivitiesInd00
IRS990EZ/MadeLoansToFromOfficersInd00
IRS990EZ/MethodOfAccountingCashInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt046769
IRS990EZ/NetAssetsOrFundBalancesEOYAmt045184
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt046769
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt045184
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt01.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt11.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt21.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt31.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt41.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt50.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt60.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt70.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt80.00
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/EmployeeBenefitProgramAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0DARREL RASCO
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1BRENT BARKER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2D'LYN MORIS
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3ANDY FORD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4EMBRE DOUGLAS
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm5JIM BOB MARTIN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm6NELL GLASSCOK SHUR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm7RENEE HRBACEK
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm8DENISE DOUCETTE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0CHAIR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1VICE CHAIR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2SECRETARY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt5MEMBER (FORMER)
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt6MEMBER (FORMER)
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt7MEMBER (FORMER)
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt8MEMBER (FORMER)
IRS990EZ/OperateHospitalInd00
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd00
IRS990EZ/OrganizationFiled990TInd01
IRS990EZ/OrganizationHadUBIInd01
IRS990EZ/OtherChangesInNetAssetsAmt00
IRS990EZ/OtherExpensesTotalAmt03982
IRS990EZ/OtherRevenueTotalAmt08
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd00
IRS990EZ/PrimaryExemptPurposeTxt0TO PROVIDE FUNDS TO WJ MANGOLD MEMORIAL HOSPITAL TO FUTHER THE HEALTH AND WELFARE OF THE CITIZENS OF FLOYD COUNTY.
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0THE FOUNDATION SUPPORTS FUNDRAISING ACTIVITIES DESIGNED TO BENEFIT WJ MANGOLD HOSPITAL.
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt012921
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt012921
IRS990EZ/ProhibitedTaxShelterTransInd00
IRS990EZ/RelatedOrganizationCtrlEntInd00
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SchoolOperatingInd00
IRS990EZ/SpecialEventsDirectExpensesAmt0368
IRS990EZ/SpecialEventsNetIncomeLossAmt05324
IRS990EZ/SubjectToProxyTaxInd00
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt00
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt00
IRS990EZ/TanningServicesProvidedInd00
IRS990EZ/TaxImposedOnOrganizationMgrAmt00
IRS990EZ/TaxImposedUnderIRC4911Amt00
IRS990EZ/TaxImposedUnderIRC4912Amt00
IRS990EZ/TaxImposedUnderIRC4955Amt00
IRS990EZ/TaxReimbursedByOrganizationAmt00
IRS990EZ/TotalExpensesAmt016903
IRS990EZ/TotalProgramServiceExpensesAmt012921
IRS990EZ/TotalRevenueAmt015318
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0MANGOLDMEMORIAL.ORG
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt02550
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt037670
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt04186
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt055960
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt059059
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt0159425
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt08
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt06
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt013
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt012
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt011
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt050
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt08
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt06
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt013
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt012
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt011
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt050
IRS990ScheduleA/InvestmentIncomeCYPct00.00030
IRS990ScheduleA/InvestmentIncomePYPct00.00030
IRS990ScheduleA/NetIncomeFromOtherUBIGrp/CurrentTaxYearAmt03454
IRS990ScheduleA/NetIncomeFromOtherUBIGrp/CurrentTaxYearMinus1YearAmt0-521
IRS990ScheduleA/NetIncomeFromOtherUBIGrp/CurrentTaxYearMinus2YearsAmt02516
IRS990ScheduleA/NetIncomeFromOtherUBIGrp/CurrentTaxYearMinus3YearsAmt0-819
IRS990ScheduleA/NetIncomeFromOtherUBIGrp/CurrentTaxYearMinus4YearsAmt0406
IRS990ScheduleA/NetIncomeFromOtherUBIGrp/TotalAmt05036
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearAmt05324
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt0-6025
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt0295
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt0280
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt04396
IRS990ScheduleA/OtherIncome509Grp/TotalAmt04270
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.94460
IRS990ScheduleA/PublicSupportPY509Pct00.99750
IRS990ScheduleA/PublicSupportTotal509Amt0159425
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt02550
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt037670
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt04186
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt055960
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt059059
IRS990ScheduleA/Total509Grp/TotalAmt0159425
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt011336
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt031130
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt07010
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt055433
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt063872
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0168781
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0KIND AND LOCATION OF PROPERTY: FOUNDATION BUILDINGS. AMOUNT: 7,436.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1DESCRIPTION: INTEREST INCOME. AMOUNT: 8.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2AFFILIATE NAME: WJ MANGOLD MEMORIAL HOSPITAL. AFFILIATE ADDRESS: 320 N MAIN LOCKNEY, TX 79241. PURPOSE OF PAYMENT: HOSPITAL EQUIPMENT. AMOUNT OF PAYMENT: 12,921.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3DESCRIPTION: UTILITIES. AMOUNT: 1,557. DESCRIPTION: DEPRECIATION. AMOUNT: 2,425. TOTAL TO FORM 990-EZ, LINE 16: 3,982.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990-EZ, PART I, LINE 4 - RENTAL INCOME
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 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/BuildTS02019-02-21 02:37:17Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0JAMES HEITZENRATER
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CEO
ReturnHeader/BusinessOfficerGrp/PhoneNum08066523373
ReturnHeader/BusinessOfficerGrp/SignatureDt02019-07-30
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0W J MANGOLD MEMORIAL
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0HOSPITAL FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0WJMA
ReturnHeader/Filer/EIN0205642351
ReturnHeader/Filer/PhoneNum08066523373
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 37
ReturnHeader/Filer/USAddress/CityNm0LOCKNEY
ReturnHeader/Filer/USAddress/StateAbbreviationCd0TX
ReturnHeader/Filer/USAddress/ZIPCd079241
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0DA39A3EE5E6B4B0D3255BFEF95601890AFD80709
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId00233A6F5F381DB5D6536E14B0823E12B194F9A03
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt012.86.242.26
ReturnHeader/FilingSecurityInformation/IPDt02019-07-30
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CD
ReturnHeader/FilingSecurityInformation/IPTm017:30:19
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0752570395
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0DURBIN & COMPANY LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt02950 50TH STREET
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0LUBBOCK
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0TX
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd079413
ReturnHeader/PreparerPersonGrp/PhoneNum08067911591
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0GAYLE L DE HAAS
ReturnHeader/ReturnTs02019-07-30T17:30:22-05:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02017-10-01
ReturnHeader/TaxPeriodEndDt02018-09-30
ReturnHeader/TaxYr02017

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings