Siviq Scores
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Balance Sheet
Assets
Flat$472,155
Flat from 2013
Net Assets
Flat$472,155
Flat from 2013
Liabilities
Flat$0
Flat from 2013
Revenue And Expenses
Revenue
-
No earlier filing loaded for comparison.
Expenses
Flat$999,421
Flat from 2013
Net Income
-
No earlier filing loaded for comparison.
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Oct 1, 2012 to Sep 30, 2013
- Signed
- Nov 9, 2013
- Return Version
- 2012v2.0
- Gross Receipts
- $1,038,686
Mission and Program Overview
Mission
The trust provides dental, flex, and 105H medical benefits to eligible participants of the trust
Filing and Contact Details
Filer
- EIN
- 20-7444380
Raw XML Appendix308 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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|---|---|---|
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| IRS990/AccountsPayableAccruedExpenses/BOY | 0 | 50000 |
| IRS990/ActivitiesConductedPartnership | 0 | false |
| IRS990/ActivityOrMissionDescription | 0 | The trust provides dental, flex, and 105H medical benefits to eligible participants of the trust |
| IRS990/AddressPrincipalOfficerUS/AddressLine1 | 0 | 988 MILL ROAD |
| IRS990/AddressPrincipalOfficerUS/City | 0 | EAST AURORA |
| IRS990/AddressPrincipalOfficerUS/State | 0 | NY |
| IRS990/AddressPrincipalOfficerUS/ZIPCode | 0 | 14052 |
| IRS990/AuditCommittee | 0 | true |
| IRS990/BenefitsPaidToMembersCY | 0 | 941974 |
| IRS990/BenefitsPaidToMembersPriorYear | 0 | 896537 |
| IRS990/BenefitsToMembers/ProgramServices | 0 | 941974 |
| IRS990/BenefitsToMembers/Total | 0 | 941974 |
| IRS990/BsnssRltnshpThruFamilyMember | 0 | false |
| IRS990/BsnssRltnshpWithOrganization | 0 | false |
| IRS990/CashNonInterestBearing/BOY | 0 | 132609 |
| IRS990/CashNonInterestBearing/EOY | 0 | 68188 |
| IRS990/ChangesToOrganizingDocs | 0 | false |
| IRS990/CollectionsOfArt | 0 | false |
| IRS990/CompensationFromOtherSources | 0 | false |
| IRS990/CompensationProcessCEO | 0 | true |
| IRS990/CompensationProcessOther | 0 | true |
| IRS990/ConflictOfInterestPolicy | 0 | false |
| IRS990/ConservationEasements | 0 | false |
| IRS990/ConsolidatedAuditFinancialStmt | 0 | false |
| IRS990/ContributionsGrantsCurrentYear | 0 | 0 |
| IRS990/CreditCounseling | 0 | false |
| IRS990/DecisionsSubjectToApproval | 0 | false |
| IRS990/DeductibleContributionsOfArt | 0 | false |
| IRS990/DeductibleNonCashContributions | 0 | false |
| IRS990/DelegationOfManagementDuties | 0 | false |
| IRS990/DescribedIn501C3 | 0 | false |
| IRS990/Description | 0 | FUNDS ARE HELD IN TRUST TO PROVIDE VARIOUS BENEFITS TO ITS PARTICIPATING MEMBERS. BENEFITS ARE PROVIDED ALL YEAR TO ITS MEMBERS. |
| IRS990/DisregardedEntity | 0 | false |
| IRS990/DocumentRetentionPolicy | 0 | true |
| IRS990/DonorAdvisedFunds | 0 | false |
| IRS990/DoNotFollowSFAS117 | 0 | X |
| IRS990/ElectionOfBoardMembers | 0 | false |
| IRS990/ExcessBenefitTransaction | 0 | false |
| IRS990/FamilyOrBusinessRelationship | 0 | false |
| IRS990/FederalGrantAuditRequired | 0 | false |
| IRS990/FeesForServicesOther/ProgramServices | 0 | 49548 |
| IRS990/FeesForServicesOther/Total | 0 | 49548 |
| IRS990/ForeignActivities | 0 | false |
| IRS990/ForeignFinancialAccount | 0 | false |
| IRS990/ForeignOffice | 0 | false |
| IRS990/Form8282PropertyDisposedOf | 0 | false |
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| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 3 | 1.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 4 | 1.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 5 | 1.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 6 | 1.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 7 | 1.00 |
| IRS990/Form990PartVIISectionA/AverageHoursPerWeek | 8 | 1.00 |
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| IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector | 3 | X |
| IRS990/Form990PartVIISectionA/KeyEmployee | 0 | X |
| IRS990/Form990PartVIISectionA/NamePerson | 0 | DAVID O'CONNOR |
| IRS990/Form990PartVIISectionA/NamePerson | 1 | MICHELE FLEMING |
| IRS990/Form990PartVIISectionA/NamePerson | 2 | BRIAN GODFREY |
| IRS990/Form990PartVIISectionA/NamePerson | 3 | JAMES WAACK |
| IRS990/Form990PartVIISectionA/NamePerson | 4 | ALBERT JAFARJIAN |
| IRS990/Form990PartVIISectionA/NamePerson | 5 | MAJORIE KACZMAREK |
| IRS990/Form990PartVIISectionA/NamePerson | 6 | MICHAEL PIKULA |
| IRS990/Form990PartVIISectionA/NamePerson | 7 | ERIC DOVEY |
| IRS990/Form990PartVIISectionA/NamePerson | 8 | ADAM ZICCARDI III |
| IRS990/Form990PartVIISectionA/Officer | 0 | X |
| IRS990/Form990PartVIISectionA/Officer | 1 | X |
| IRS990/Form990PartVIISectionA/Officer | 2 | X |
| IRS990/Form990PartVIISectionA/Officer | 3 | X |
| IRS990/Form990PartVIISectionA/OtherCompensation | 0 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 1 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 2 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 3 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 4 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 5 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 6 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 7 | 0 |
| IRS990/Form990PartVIISectionA/OtherCompensation | 8 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 0 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 1 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 2 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 3 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 4 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 5 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 6 | 2000 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 7 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromOrganization | 8 | 1800 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 0 | 0 |
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| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 2 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 3 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 4 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 5 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 6 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 7 | 0 |
| IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs | 8 | 0 |
| IRS990/Form990PartVIISectionA/Title | 0 | President |
| IRS990/Form990PartVIISectionA/Title | 1 | Vice President |
| IRS990/Form990PartVIISectionA/Title | 2 | Treasurer |
| IRS990/Form990PartVIISectionA/Title | 3 | Treasurer |
| IRS990/Form990PartVIISectionA/Title | 4 | Trustee |
| IRS990/Form990PartVIISectionA/Title | 5 | Trustee |
| IRS990/Form990PartVIISectionA/Title | 6 | Trustee |
| IRS990/Form990PartVIISectionA/Title | 7 | Trustee |
| IRS990/Form990PartVIISectionA/Title | 8 | Board Member |
| IRS990/Form990ProvidedToGoverningBody | 0 | true |
| IRS990/FormersListed | 0 | false |
| IRS990/FSAudited | 0 | false |
| IRS990/FundraisingActivities | 0 | false |
| IRS990/FundsToPayPremiums | 0 | false |
| IRS990/Gaming | 0 | false |
| IRS990/GrantsAndSimilarAmntsCY | 0 | 0 |
| IRS990/GrantsToIndividuals | 0 | false |
| IRS990/GrantsToOrganizations | 0 | false |
| IRS990/GrantToRelatedPerson | 0 | false |
| IRS990/GrossReceipts | 0 | 1038686 |
| IRS990/GroupReturnForAffiliates | 0 | false |
| IRS990/Hospital | 0 | false |
| IRS990/IndependentAuditFinancialStmt | 0 | false |
| IRS990/IndoorTanningServices | 0 | false |
| IRS990/InfoInScheduleOPartVI | 0 | X |
| IRS990/InfoInScheduleOPartXI | 0 | X |
| IRS990/InvestmentIncomeCurrentYear | 0 | 5216 |
| IRS990/InvestmentIncomePriorYear | 0 | 5584 |
| IRS990/InvestmentIncome/TotalRevenueColumn | 0 | 5216 |
| IRS990/InvestmentInJointVenture | 0 | false |
| IRS990/LoanToOfficerOrDQP | 0 | false |
| IRS990/LobbyingActivities | 0 | false |
| IRS990/LocalChapters | 0 | false |
| IRS990/MaterialDiversionOrMisuse | 0 | false |
| IRS990/MembersOrStockholders | 0 | false |
| IRS990/MethodOfAccountingCash | 0 | X |
| IRS990/MinutesOfCommittees | 0 | true |
| IRS990/MinutesOfGoverningBody | 0 | true |
| IRS990/MissionDescription | 0 | The trust provides dental, flex, and 105H medical |
| IRS990/MoreThan5000KToIndividuals | 0 | false |
| IRS990/MoreThan5000KToOrganizations | 0 | false |
| IRS990/NameOfPrincipalOfficerPerson | 0 | DAVID O'CONNOR |
| IRS990/NbrIndependentVotingMembers | 0 | 5 |
| IRS990/NbrVotingGoverningBodyMembers | 0 | 5 |
| IRS990/NbrVotingMembersGoverningBody | 0 | 5 |
| IRS990/NetAssetsOrFundBalancesBOY | 0 | 395556 |
| IRS990/NetAssetsOrFundBalancesEOY | 0 | 472155 |
| IRS990/NonDeductibleContributions | 0 | false |
| IRS990/NumberFormsTransmittedWith1096 | 0 | 0 |
| IRS990/NumberIndependentVotingMembers | 0 | 5 |
| IRS990/NumberOfEmployees | 0 | 0 |
| IRS990/NumberW2GIncluded | 0 | 0 |
| IRS990/Occupancy/ProgramServices | 0 | 1750 |
| IRS990/Occupancy/Total | 0 | 1750 |
| IRS990/OfficeExpenses/ProgramServices | 0 | 52 |
| IRS990/OfficeExpenses/Total | 0 | 52 |
| IRS990/OfficerEntityWithBsnssRltnshp | 0 | false |
| IRS990/OfficerMailingAddress | 0 | false |
| IRS990/Organization501c | 0 | X |
| IRS990/OtherExpensePriorYear | 0 | 105537 |
| IRS990/OtherExpensesCurrentYear | 0 | 57447 |
| IRS990/OtherExpenses/Description | 0 | Modem |
| IRS990/OtherExpenses/Description | 1 | Utilities |
| IRS990/OtherExpenses/Description | 2 | Stipend |
| IRS990/OtherExpenses/Description | 3 | Bank fee |
| IRS990/OtherExpenses/ProgramServices | 0 | 621 |
| IRS990/OtherExpenses/ProgramServices | 1 | 754 |
| IRS990/OtherExpenses/ProgramServices | 2 | 4400 |
| IRS990/OtherExpenses/ProgramServices | 3 | 322 |
| IRS990/OtherExpenses/Total | 0 | 621 |
| IRS990/OtherExpenses/Total | 1 | 754 |
| IRS990/OtherExpenses/Total | 2 | 4400 |
| IRS990/OtherExpenses/Total | 3 | 322 |
| IRS990/OtherRevenueCurrentYear | 0 | 45691 |
| IRS990/OtherRevenueMisc/BusinessCode | 0 | 525100 |
| IRS990/OtherRevenueMisc/BusinessCode | 1 | 525100 |
| IRS990/OtherRevenueMisc/Description | 0 | FICA split income |
| IRS990/OtherRevenueMisc/Description | 1 | Monthly fees |
| IRS990/OtherRevenueMisc/RelatedOrExemptFunctionIncome | 0 | 36649 |
| IRS990/OtherRevenueMisc/RelatedOrExemptFunctionIncome | 1 | 9042 |
| IRS990/OtherRevenueMisc/TotalRevenueColumn | 0 | 36649 |
| IRS990/OtherRevenueMisc/TotalRevenueColumn | 1 | 9042 |
| IRS990/OtherRevenuePriorYear | 0 | 28788 |
| IRS990/PartialLiquidation | 0 | false |
| IRS990/PoliticalActivities | 0 | false |
| IRS990/PremiumsPaid | 0 | false |
| IRS990/PriorExcessBenefitTransaction | 0 | false |
| IRS990/ProfessionalFundraising | 0 | false |
| IRS990/ProgramServiceRevenue/BusinessCode | 0 | 525100 |
| IRS990/ProgramServiceRevenue/BusinessCode | 1 | 525100 |
| IRS990/ProgramServiceRevenueCY | 0 | 987779 |
| IRS990/ProgramServiceRevenue/Description | 0 | Employee contributions |
| IRS990/ProgramServiceRevenue/Description | 1 | Employer contributions |
| IRS990/ProgramServiceRevenuePriorYear | 0 | 1020449 |
| IRS990/ProgramServiceRevenue/TotalRevenueColumn | 0 | 545386 |
| IRS990/ProgramServiceRevenue/TotalRevenueColumn | 1 | 442393 |
| IRS990/ProhibitedTaxShelterTrans | 0 | false |
| IRS990/QuidProQuoContributions | 0 | false |
| IRS990/ReconcilationOtherChanges | 0 | 37334 |
| IRS990/ReconcilationRevenueExpenses | 0 | 39265 |
| IRS990/RelatedEntity | 0 | false |
| IRS990/RelatedOrgControlledEntity | 0 | false |
| IRS990/ReportFin48Footnote | 0 | false |
| IRS990/ReportInvestOthSecurities | 0 | false |
| IRS990/ReportLandBldgEquip | 0 | false |
| IRS990/ReportOtherAssets | 0 | false |
| IRS990/ReportOtherLiabilities | 0 | false |
| IRS990/ReportProgRelInvest | 0 | false |
| IRS990/RetainedEarningsEndowmentEtc/BOY | 0 | 395556 |
| IRS990/RetainedEarningsEndowmentEtc/EOY | 0 | 472155 |
| IRS990/RevenuesLessExpensesCY | 0 | 39265 |
| IRS990/RevenuesLessExpensesPriorYear | 0 | 52747 |
| IRS990/SalariesEtcCurrentYear | 0 | 0 |
| IRS990/SavingsAndTempCashInvestments/BOY | 0 | 312947 |
| IRS990/SavingsAndTempCashInvestments/EOY | 0 | 403967 |
| IRS990/ScheduleBRequired | 0 | false |
| IRS990/ScheduleJRequired | 0 | false |
| IRS990ScheduleO/GeneralExplanation/Explanation | 0 | Copies provided for review prior to filing |
| IRS990ScheduleO/GeneralExplanation/Explanation | 1 | Upon request all documents, policies, and financial statements |
| IRS990ScheduleO/GeneralExplanation/Explanation | 2 | are made available to public |
| IRS990ScheduleO/GeneralExplanation/Explanation | 3 | Voted on by committee |
| IRS990ScheduleO/GeneralExplanation/Explanation | 4 | Voted on by committee |
| IRS990ScheduleO/GeneralExplanation/Explanation | 5 | Adjustment to fund balance for interaccount transfers |
| IRS990ScheduleO/GeneralExplanation/Identifier | 0 | Pt VI, Line 11b |
| IRS990ScheduleO/GeneralExplanation/Identifier | 1 | Pt VI, Line 19 |
| IRS990ScheduleO/GeneralExplanation/Identifier | 2 | Pt VI, Line 15a |
| IRS990ScheduleO/GeneralExplanation/Identifier | 3 | Pt VI, Line 15b |
| IRS990ScheduleO/GeneralExplanation/Identifier | 4 | Pt XI |
| IRS990/ScheduleORequired | 0 | true |
| IRS990/School | 0 | false |
| IRS990/SignificantChange | 0 | false |
| IRS990/SignificantNewProgramServices | 0 | false |
| IRS990/StateLegalDomicile | 0 | NY |
| IRS990/SubjectToProxyTax | 0 | false |
| IRS990/TaxablePartyNotification | 0 | false |
| IRS990/TaxExemptBonds | 0 | false |
| IRS990/Terminated | 0 | false |
| IRS990/TermOrPermanentEndowments | 0 | false |
| IRS990/TheBooksAreInCareOf/AddressUS/AddressLine1 | 0 | 4477 MCKINLEY PKWY |
| IRS990/TheBooksAreInCareOf/AddressUS/City | 0 | HAMBURG |
| IRS990/TheBooksAreInCareOf/AddressUS/State | 0 | NY |
| IRS990/TheBooksAreInCareOf/AddressUS/ZIPCode | 0 | 14075 |
| IRS990/TheBooksAreInCareOf/NamePerson | 0 | ADAM ZICCARDI JR |
| IRS990/TheBooksAreInCareOf/TelephoneNumber | 0 | 7166485272 |
| IRS990/TotalAssets/BOY | 0 | 445556 |
| IRS990/TotalAssetsBOY | 0 | 445556 |
| IRS990/TotalAssets/EOY | 0 | 472155 |
| IRS990/TotalAssetsEOY | 0 | 472155 |
| IRS990/TotalCompGT150K | 0 | false |
| IRS990/TotalExpensesCurrentYear | 0 | 999421 |
| IRS990/TotalExpensesPriorYear | 0 | 1002074 |
| IRS990/TotalFunctionalExpenses/ProgramServices | 0 | 999421 |
| IRS990/TotalFunctionalExpenses/Total | 0 | 999421 |
| IRS990/TotalFundrsngExpCurrentYear | 0 | 0 |
| IRS990/TotalGrossUBI | 0 | 0 |
| IRS990/TotalLiabilities/BOY | 0 | 50000 |
| IRS990/TotalLiabilitiesBOY | 0 | 50000 |
| IRS990/TotalLiabilities/EOY | 0 | 0 |
| IRS990/TotalLiabilitiesEOY | 0 | 0 |
| IRS990/TotalLiabNetAssetsFundBalances/BOY | 0 | 445556 |
| IRS990/TotalLiabNetAssetsFundBalances/EOY | 0 | 472155 |
| IRS990/TotalNbrEmployees | 0 | 0 |
| IRS990/TotalNbrVolunteers | 0 | 0 |
| IRS990/TotalNetAssetsFundBalances/BOY | 0 | 395556 |
| IRS990/TotalNetAssetsFundBalances/EOY | 0 | 472155 |
| IRS990/TotalOtherRevenue | 0 | 45691 |
| IRS990/TotalProfFundrsngExpCY | 0 | 0 |
| IRS990/TotalProgramServiceRevenue | 0 | 987779 |
| IRS990/TotalReportableCompFromOrg | 0 | 3800 |
| IRS990/TotalRevenueCurrentYear | 0 | 1038686 |
| IRS990/TotalRevenuePriorYear | 0 | 1054821 |
| IRS990/TotalRevenue/RelatedOrExemptFunctionIncome | 0 | 1038686 |
| IRS990/TotalRevenue/TotalRevenueColumn | 0 | 1038686 |
| IRS990/TransactionRelatedEntity | 0 | false |
| IRS990/TypeOfOrganizationTrust | 0 | X |
| IRS990/UnrelatedBusinessIncome | 0 | false |
| IRS990/UponRequest | 0 | X |
| IRS990/WebSite | 0 | N/A |
| IRS990/WhistleblowerPolicy | 0 | true |
| IRS990/YearFormation | 0 | 2007 |
| ReturnHeader/BuildTS | 0 | 2015-11-30 17:44:51Z |
| ReturnHeader/Filer/EIN | 0 | 207444380 |
| ReturnHeader/Filer/Name/BusinessNameLine1 | 0 | OPTA OPSRP BENEFIT TRUST FUND |
| ReturnHeader/Filer/NameControl | 0 | OPTA |
| ReturnHeader/Filer/Phone | 0 | 7162096223 |
| ReturnHeader/Filer/USAddress/AddressLine1 | 0 | 4477 MCKINLEY PARKWAY |
| ReturnHeader/Filer/USAddress/City | 0 | HAMBURG |
| ReturnHeader/Filer/USAddress/State | 0 | NY |
| ReturnHeader/Filer/USAddress/ZIPCode | 0 | 14075 |
| ReturnHeader/Officer/AuthorizeThirdParty | 0 | true |
| ReturnHeader/Officer/DateSigned | 0 | 2013-11-09 |
| ReturnHeader/Officer/Name | 0 | DAVID O'CONNOR |
| ReturnHeader/Officer/Phone | 0 | 7162096223 |
| ReturnHeader/Officer/Title | 0 | PRESIDENT |
| ReturnHeader/PreparerFirm/PreparerFirmBusinessName/BusinessNameLine1 | 0 | LOOPHOLE AND ASSOCIATES |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/AddressLine1 | 0 | 4477 MCKINLEY PARKWAY |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/City | 0 | HAMBURG |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/State | 0 | NY |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/ZIPCode | 0 | 14075 |
| ReturnHeader/Preparer/Name | 0 | JOSEPH ZICCARDI |
| ReturnHeader/Preparer/Phone | 0 | 7166755899 |
| ReturnHeader/Preparer/SelfEmployed | 0 | X |
| ReturnHeader/ReturnType | 0 | 990 |
| ReturnHeader/TaxPeriodBeginDate | 0 | 2012-10-01 |
| ReturnHeader/TaxPeriodEndDate | 0 | 2013-09-30 |
| ReturnHeader/TaxYear | 0 | 2012 |
| ReturnHeader/Timestamp | 0 | 2013-11-19T13:40:26-08:00 |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2013 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
- Assets
- $472,155
- Liabilities
- $0
- Net assets
- $472,155
- Revenue
- -
- Expenses
- $999,421
- Net income
- -