Civic Intelligence

Judith Lombeida Medical Foundation

EIN 20-8257558 • 501(c)3

PO Box 352880132
Siviq Scores

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

Liabilities / Assets

91st percentile

0.81x

Higher debt load relative to assets than 91% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2012

Liabilities / Revenue

81st percentile

0.08x

Higher debt load relative to revenue than 81% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2012

Net Margin

27th percentile

-14%

Higher net margin than 27% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2012

Top Officer Pay

Score unavailable

No value available

No filing with officer or executive compensation is available for this organization yet.

Asset Growth

21st percentile

-44%

Faster asset growth than 21% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2011 to 2012

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2012

Assets

Down

$3,817

Down $3,040 (-44%) from 2011

Liabilities

Up

$3,105

Up $2,433 (+362%) from 2011

Net Assets

Down

$712

Down $5,473 (-88%) from 2011

Revenue

$38,319

No earlier filing loaded for comparison.

Expenses

Up

$43,792

Up $3,498 (+8.7%) from 2011

Net Income

-$5,473

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

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

$8.0K$6.0K$4.0K$2.0K$0Assets 2011: $6,857Liabilities 2011: $672Net Assets 2011: $6,1852011Assets 2012: $3,817Liabilities 2012: $3,105Net Assets 2012: $7122012

Highlighted filing

2012

Assets$3,817
Liabilities$3,105
Net Assets$712

Operations Trend

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

$60K$40K$20K$0-$20KExpenses 2011: $40,2942011Revenue 2012: $38,319Expenses 2012: $43,792Net Income 2012: -$5,4732012

Highlighted filing

2012

Revenue$38,319
Expenses$43,792
Net Income-$5,473

Filings

Latest Detailed Filing

The latest 2012 filing currently has summary financial data only. Showing the latest detailed filing from 2011 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2011 to Dec 31, 2011
Signed
May 13, 2012
Return Version
2011v1.2
Gross Receipts
$38,429
Filing and Contact Details

Filer

EIN
20-8257558
Raw XML Appendix353 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
IRS990/AccountantCompileOrReview00
IRS990/AccountsPayableAccruedExpenses/BOY0117
IRS990/AccountsPayableAccruedExpenses/EOY0672
IRS990/ActivitiesConductedPartnership00
IRS990/ActivityOrMissionDescription0THE FOUNDATION WAS CREATED TO CARRY ON THE LEGACY OF COLONEL AND DOCTOR JUDITH LOMBEIDA, BORN IN ECUADOR, WHO PERFORMED MEDICAL MISSIONS THERE. OUR FOCUS IS CLINICAL AND SURGICAL MISSIONS IN COLLABORATION WITH THE ECUADORIAN AIR FORCE. OUR MOTTO IS "SERVING THE MEDICAL NEEDS OF THE ECUADORIAN PEOPLE."
IRS990/AddressPrincipalOfficerUS/AddressLine10PO BOX 3528
IRS990/AddressPrincipalOfficerUS/City0MONUMENT
IRS990/AddressPrincipalOfficerUS/State0CO
IRS990/AddressPrincipalOfficerUS/ZIPCode080132
IRS990/Advertising/ProgramServices01886
IRS990/Advertising/Total01886
IRS990/AllOtherContributions036437
IRS990/AllOtherExpenses/ManagementAndGeneral0185
IRS990/AllOtherExpenses/Total0185
IRS990/AnnualDisclosureCoveredPersons01
IRS990/BenefitsPaidToMembersCY00
IRS990/BenefitsPaidToMembersPriorYear00
IRS990/BsnssRltnshpThruFamilyMember00
IRS990/BsnssRltnshpWithOrganization00
IRS990/CashNonInterestBearing/BOY05304
IRS990/CashNonInterestBearing/EOY04832
IRS990/ChangesToOrganizingDocs00
IRS990/CollectionsOfArt00
IRS990/CompensationFromOtherSources00
IRS990/CompensationProcessCEO00
IRS990/CompensationProcessOther00
IRS990/ConflictOfInterestPolicy01
IRS990/ConservationEasements00
IRS990/ConsolidatedAuditFinancialStmt00
IRS990/ContributionsGrantsCurrentYear036437
IRS990/ContributionsGrantsPriorYear050250
IRS990/CreditCounseling00
IRS990/DecisionsSubjectToApproval00
IRS990/DeductibleContributionsOfArt00
IRS990/DeductibleNonCashContributions00
IRS990/DelegationOfManagementDuties00
IRS990/DepreciationDepletion/ProgramServices0838
IRS990/DepreciationDepletion/Total0838
IRS990/DescribedIn501C301
IRS990/Description0IN 2011 TWO TRIPS WERE MADE TO ECUADOR. TREATED 400 PATIENTS ON A DENTAL TRIP IN APRIL. IN NOVEMBER PERFORMED 50 CLEFT PALATE SURGERIES ALONG WITH 300 OTHER DENTAL PATIENTS.
IRS990/DisregardedEntity00
IRS990/DocumentRetentionPolicy00
IRS990/DonorAdvisedFunds00
IRS990/ElectionOfBoardMembers00
IRS990/ExcessBenefitTransaction00
IRS990/Expense036476
IRS990/FamilyOrBusinessRelationship01
IRS990/FederalGrantAuditRequired00
IRS990/FeesForServicesAccounting/ManagementAndGeneral0875
IRS990/FeesForServicesAccounting/Total0875
IRS990/FollowSFAS1170X
IRS990/ForeignActivities00
IRS990/ForeignFinancialAccount00
IRS990/ForeignOffice00
IRS990/Form8282PropertyDisposedOf00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek015.00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek15.00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek25.00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek35.00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek45.00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek55.00
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector0X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector1X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector2X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector3X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector4X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector5X
IRS990/Form990PartVIISectionA/NamePerson0MARK BACKLIN
IRS990/Form990PartVIISectionA/NamePerson1LAURA BACKLIN
IRS990/Form990PartVIISectionA/NamePerson2DAVID BACKLIN
IRS990/Form990PartVIISectionA/NamePerson3JAMES NAGL
IRS990/Form990PartVIISectionA/NamePerson4ALEX CADENA
IRS990/Form990PartVIISectionA/NamePerson5MARIO ARIAS
IRS990/Form990PartVIISectionA/Officer0X
IRS990/Form990PartVIISectionA/Officer1X
IRS990/Form990PartVIISectionA/OtherCompensation00
IRS990/Form990PartVIISectionA/OtherCompensation10
IRS990/Form990PartVIISectionA/OtherCompensation20
IRS990/Form990PartVIISectionA/OtherCompensation30
IRS990/Form990PartVIISectionA/OtherCompensation40
IRS990/Form990PartVIISectionA/OtherCompensation50
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization00
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization10
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization20
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization30
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization40
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization50
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs00
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs10
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs20
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs30
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs40
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs50
IRS990/Form990PartVIISectionA/Title0PRESIDENT
IRS990/Form990PartVIISectionA/Title1VICE PRESIDENT
IRS990/Form990PartVIISectionA/Title2DIRECTOR
IRS990/Form990PartVIISectionA/Title3DIRECTOR
IRS990/Form990PartVIISectionA/Title4DIRECTOR
IRS990/Form990PartVIISectionA/Title5DIRECTOR
IRS990/Form990ProvidedToGoverningBody00
IRS990/FormersListed00
IRS990/FSAudited00
IRS990/FundraisingActivities00
IRS990/FundsToPayPremiums00
IRS990/Gaming00
IRS990/GrantsAndSimilarAmntsCY00
IRS990/GrantsAndSimilarAmntsPriorYear00
IRS990/GrantsToIndividuals00
IRS990/GrantsToOrganizations00
IRS990/GrantToRelatedPerson00
IRS990/GrossReceipts038429
IRS990/GroupReturnForAffiliates00
IRS990/Hospital00
IRS990/IndependentAuditFinancialStmt00
IRS990/IndoorTanningServices00
IRS990/InfoInScheduleOPartIII0X
IRS990/InfoInScheduleOPartVI0X
IRS990/Interest/ProgramServices0103
IRS990/Interest/Total0103
IRS990/InvestmentIncomeCurrentYear00
IRS990/InvestmentIncomePriorYear02
IRS990/InvestmentInJointVenture00
IRS990/LandBldgEquipmentAccumDeprec03302
IRS990/LandBuildingsEquipmentBasis05327
IRS990/LandBuildingsEquipmentBasisNet/BOY02863
IRS990/LandBuildingsEquipmentBasisNet/EOY02025
IRS990/LoanToOfficerOrDQP00
IRS990/LobbyingActivities00
IRS990/LocalChapters00
IRS990/MaterialDiversionOrMisuse00
IRS990/MembersOrStockholders00
IRS990/MethodOfAccountingAccrual0X
IRS990/MinutesOfCommittees01
IRS990/MinutesOfGoverningBody01
IRS990/MissionDescription0THE FOUNDATION WAS CREATED TO CARRY ON THE LEGACY OF COLONEL AND DOCTOR JUDITH LOMBEIDA, BORN IN ECUADOR, WHO PERFORMED MEDICAL MISSIONS THERE. OUR FOCUS IS CLINICAL AND SURGICAL MISSIONS IN COLLABORATION WITH THE ECUADORIAN AIR FORCE. OUR MOTTO IS "SERVING THE MEDICAL NEEDS OF THE ECUADORIAN PEOPLE."
IRS990/MoreThan5000KToIndividuals00
IRS990/MoreThan5000KToOrganizations00
IRS990/NameOfPrincipalOfficerPerson0MARK A BACKLIN
IRS990/NbrIndependentVotingMembers06
IRS990/NbrVotingGoverningBodyMembers06
IRS990/NbrVotingMembersGoverningBody06
IRS990/NetAssetsOrFundBalancesBOY08050
IRS990/NetAssetsOrFundBalancesEOY06185
IRS990/NetUnrelatedBusinessTxblIncome00
IRS990/NoListedPersonsCompensated0X
IRS990/NonDeductibleContributions00
IRS990/NumberFormsTransmittedWith109600
IRS990/NumberIndependentVotingMembers06
IRS990/NumberIndividualsGT100K00
IRS990/NumberOfContractorsGT100K00
IRS990/NumberOfEmployees00
IRS990/NumberW2GIncluded00
IRS990/OfficeExpenses/ManagementAndGeneral02758
IRS990/OfficeExpenses/Total02758
IRS990/OfficerEntityWithBsnssRltnshp00
IRS990/OfficerMailingAddress00
IRS990/Organization501c30X
IRS990/OtherExpensePriorYear041313
IRS990/OtherExpensesCurrentYear040294
IRS990/OtherExpenses/Description0GOLF TOURNAMENT
IRS990/OtherExpenses/Description1SUPPLIES
IRS990/OtherExpenses/Description2MEALS AND ENTERTAINMENT
IRS990/OtherExpenses/Description3AUTO EXPENSE
IRS990/OtherExpenses/ProgramServices09500
IRS990/OtherExpenses/ProgramServices11882
IRS990/OtherExpenses/ProgramServices2818
IRS990/OtherExpenses/ProgramServices3282
IRS990/OtherExpenses/Total09500
IRS990/OtherExpenses/Total11882
IRS990/OtherExpenses/Total2818
IRS990/OtherExpenses/Total3282
IRS990/OtherRevenueCurrentYear01992
IRS990/OtherRevenueMisc/BusinessCode0713990
IRS990/OtherRevenueMisc/BusinessCode1900099
IRS990/OtherRevenueMisc/Description0GOLF TOURNAMENT
IRS990/OtherRevenueMisc/Description1MISCELLANEOUS
IRS990/OtherRevenueMisc/RelatedOrExemptFunctionIncome01900
IRS990/OtherRevenueMisc/RelatedOrExemptFunctionIncome192
IRS990/OtherRevenueMisc/TotalRevenueColumn01900
IRS990/OtherRevenueMisc/TotalRevenueColumn192
IRS990/OtherRevenuePriorYear0214
IRS990/PartialLiquidation00
IRS990/PoliticalActivities00
IRS990/PremiumsPaid00
IRS990/PriorExcessBenefitTransaction00
IRS990/ProfessionalFundraising00
IRS990/ProgramServiceRevenueCY00
IRS990/ProgramServiceRevenuePriorYear00
IRS990/ProhibitedTaxShelterTrans00
IRS990/QuidProQuoContributions00
IRS990/ReconcilationOtherChanges00
IRS990/ReconcilationRevenueExpenses0-1865
IRS990/RegularMonitoringEnforcement01
IRS990/RelatedEntity00
IRS990/RelatedOrgControlledEntity00
IRS990/ReportFin48Footnote00
IRS990/ReportInvestOthSecurities00
IRS990/ReportLandBldgEquip01
IRS990/ReportOtherAssets00
IRS990/ReportOtherLiabilities00
IRS990/ReportProgRelInvest00
IRS990/RevenuesLessExpensesCY0-1865
IRS990/RevenuesLessExpensesPriorYear09153
IRS990/SalariesEtcCurrentYear00
IRS990/SalariesEtcPriorYear00
IRS990ScheduleA/AmtsFromSubstContributors/Total00
IRS990ScheduleA/AmtsRecdFromDisqualPersons/Total00
IRS990ScheduleA/GiftsGrantsContribReceived509/CurrentTaxYear036437
IRS990ScheduleA/GiftsGrantsContribReceived509/CurrentTaxYearMinus1Year050250
IRS990ScheduleA/GiftsGrantsContribReceived509/CurrentTaxYearMinus2Years025512
IRS990ScheduleA/GiftsGrantsContribReceived509/CurrentTaxYearMinus3Years048250
IRS990ScheduleA/GiftsGrantsContribReceived509/CurrentTaxYearMinus4Years0100436
IRS990ScheduleA/GiftsGrantsContribReceived509/Total0260885
IRS990ScheduleA/GrossInvestmentIncome509/CurrentTaxYearMinus1Year02
IRS990ScheduleA/GrossInvestmentIncome509/CurrentTaxYearMinus2Years04
IRS990ScheduleA/GrossInvestmentIncome509/CurrentTaxYearMinus3Years036
IRS990ScheduleA/GrossInvestmentIncome509/Total042
IRS990ScheduleA/GrossReceiptsFromNonUBI/CurrentTaxYear01900
IRS990ScheduleA/GrossReceiptsFromNonUBI/CurrentTaxYearMinus3Years05340
IRS990ScheduleA/GrossReceiptsFromNonUBI/Total07240
IRS990ScheduleA/InvestmentIncomeAndUBTI/CurrentTaxYearMinus1Year02
IRS990ScheduleA/InvestmentIncomeAndUBTI/CurrentTaxYearMinus2Years04
IRS990ScheduleA/InvestmentIncomeAndUBTI/CurrentTaxYearMinus3Years036
IRS990ScheduleA/InvestmentIncomeAndUBTI/Total042
IRS990ScheduleA/InvestmentIncomePercentage00.00020
IRS990ScheduleA/OtherIncome509/CurrentTaxYear092
IRS990ScheduleA/OtherIncome509/CurrentTaxYearMinus1Year0214
IRS990ScheduleA/OtherIncome509/CurrentTaxYearMinus4Years03143
IRS990ScheduleA/OtherIncome509/Total03449
IRS990ScheduleA/PriorYearSupportPercentage00.98540
IRS990ScheduleA/PriorYrInvestIncomePercentage00.00020
IRS990ScheduleA/PubliclySupportedOrg509a20X
IRS990ScheduleA/PublicSupportPercentage50900.98710
IRS990ScheduleA/PublicSupportTotal5090268125
IRS990ScheduleA/SupportFromDQPsEtc/Total00
IRS990ScheduleA/ThirtyThreePercntTestsCY5090X
IRS990ScheduleA/Total509/CurrentTaxYear038337
IRS990ScheduleA/Total509/CurrentTaxYearMinus1Year050250
IRS990ScheduleA/Total509/CurrentTaxYearMinus2Years025512
IRS990ScheduleA/Total509/CurrentTaxYearMinus3Years053590
IRS990ScheduleA/Total509/CurrentTaxYearMinus4Years0100436
IRS990ScheduleA/Total509/Total0268125
IRS990ScheduleA/TotalSupportTotal/CurrentTaxYear038429
IRS990ScheduleA/TotalSupportTotal/CurrentTaxYearMinus1Year050466
IRS990ScheduleA/TotalSupportTotal/CurrentTaxYearMinus2Years025516
IRS990ScheduleA/TotalSupportTotal/CurrentTaxYearMinus3Years053626
IRS990ScheduleA/TotalSupportTotal/CurrentTaxYearMinus4Years0103579
IRS990ScheduleA/TotalSupportTotal/Total0271616
IRS990/ScheduleBRequired00
IRS990ScheduleD/Equipment/BookValue02025
IRS990ScheduleD/Equipment/Depreciation03302
IRS990ScheduleD/Equipment/OtherCostOrOtherBasis05327
IRS990ScheduleD/TotalOfBookValueLandBuildings02025
IRS990/ScheduleJRequired00
IRS990ScheduleO/GeneralExplanation/Explanation0THE PRESIDENT MARK BACKLIN IS RELATED TO THE DIRECTORS LAURA BACKLIN AND DAVID BACKLIN. LAURA BACKLIN IS MARK BACKLIN'S DAUGHTER, DAVID IS MARK'S SON.
IRS990ScheduleO/GeneralExplanation/Explanation1NO FORMAL POLICY HAS BEEN ESTABLISHED FOR THE REVIEW OF THE 990. IN THE PAST, THE BOARD HAS BEEN GIVEN A COPY OF THE 990 AFTER COMPLETION.
IRS990ScheduleO/GeneralExplanation/Explanation2THE PRESIDENT MANAGES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY CONSISTENTLY PERFORMING PERIODIC REVIEW OF ORGANIZATION OBJECTIVES AND BOARD INTERESTS.
IRS990ScheduleO/GeneralExplanation/Explanation3THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/GeneralExplanation/ReturnReference0FORM 990, PART VI, SECTION A, LINE 2
IRS990ScheduleO/GeneralExplanation/ReturnReference1FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/GeneralExplanation/ReturnReference2FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/GeneralExplanation/ReturnReference3FORM 990, PART VI, SECTION C, LINE 19
IRS990/ScheduleORequired01
IRS990/School00
IRS990/SignificantChange00
IRS990/SignificantNewProgramServices00
IRS990/StateLegalDomicile0CO
IRS990/TaxablePartyNotification00
IRS990/TaxExemptBonds00
IRS990/Terminated00
IRS990/TermOrPermanentEndowments00
IRS990/TheBooksAreInCareOf/AddressUS/AddressLine10PO BOX 3528
IRS990/TheBooksAreInCareOf/AddressUS/City0MONUMENT
IRS990/TheBooksAreInCareOf/AddressUS/State0CO
IRS990/TheBooksAreInCareOf/AddressUS/ZIPCode080132
IRS990/TheBooksAreInCareOf/NameBusiness/BusinessNameLine10THE ORGANIZATION
IRS990/TheBooksAreInCareOf/TelephoneNumber07192388126
IRS990/TotalAssets/BOY08167
IRS990/TotalAssetsBOY08167
IRS990/TotalAssets/EOY06857
IRS990/TotalAssetsEOY06857
IRS990/TotalCompGT150K00
IRS990/TotalContributions036437
IRS990/TotalExpensesCurrentYear040294
IRS990/TotalExpensesPriorYear041313
IRS990/TotalFunctionalExpenses/Fundraising00
IRS990/TotalFunctionalExpenses/ManagementAndGeneral03818
IRS990/TotalFunctionalExpenses/ProgramServices036476
IRS990/TotalFunctionalExpenses/Total040294
IRS990/TotalFundrsngExpCurrentYear00
IRS990/TotalGrossUBI00
IRS990/TotalLiabilities/BOY0117
IRS990/TotalLiabilitiesBOY0117
IRS990/TotalLiabilities/EOY0672
IRS990/TotalLiabilitiesEOY0672
IRS990/TotalLiabNetAssetsFundBalances/BOY08167
IRS990/TotalLiabNetAssetsFundBalances/EOY06857
IRS990/TotalNbrEmployees00
IRS990/TotalNbrVolunteers025
IRS990/TotalNetAssetsFundBalances/BOY08050
IRS990/TotalNetAssetsFundBalances/EOY06185
IRS990/TotalOtherCompensation00
IRS990/TotalOtherRevenue01992
IRS990/TotalProfFundrsngExpCY00
IRS990/TotalProfFundrsngExpPriorYear00
IRS990/TotalProgramServiceExpense036476
IRS990/TotalReportableCompFrmRltdOrgs00
IRS990/TotalReportableCompFromOrg00
IRS990/TotalRevenueCurrentYear038429
IRS990/TotalRevenue/ExclusionAmount00
IRS990/TotalRevenuePriorYear050466
IRS990/TotalRevenue/RelatedOrExemptFunctionIncome01992
IRS990/TotalRevenue/TotalRevenueColumn038429
IRS990/TotalRevenue/UnrelatedBusinessRevenue00
IRS990/TransactionRelatedEntity00
IRS990/TransfersToExemptNonChrtblOrg00
IRS990/Travel/ProgramServices021167
IRS990/Travel/Total021167
IRS990/TypeOfOrganizationCorporation0X
IRS990/UnrelatedBusinessIncome00
IRS990/UnrestrictedNetAssets/BOY08050
IRS990/UnrestrictedNetAssets/EOY06185
IRS990/UponRequest0X
IRS990/WebSite0WWW.JUDITHLOMBEIDAMEDICALFOUNDATION.ORG
IRS990/WhistleblowerPolicy00
IRS990/YearFormation02007
ReturnHeader/BuildTS02016-02-24 21:20:13Z
ReturnHeader/Filer/EIN0208257558
ReturnHeader/Filer/Name/BusinessNameLine10JUDITH LOMBEIDA MEDICAL FOUNDATION
ReturnHeader/Filer/NameControl0JUDI
ReturnHeader/Filer/Phone07192388126
ReturnHeader/Filer/USAddress/AddressLine10PO BOX 3528
ReturnHeader/Filer/USAddress/City0MONUMENT
ReturnHeader/Filer/USAddress/State0CO
ReturnHeader/Filer/USAddress/ZIPCode080132
ReturnHeader/Officer/AuthorizeThirdParty01
ReturnHeader/Officer/DateSigned02012-05-13
ReturnHeader/Officer/Name0MARK BACKLIN
ReturnHeader/Officer/Phone07192388126
ReturnHeader/Officer/Title0PRESIDENT
ReturnHeader/PreparerFirm/EIN0201766527
ReturnHeader/PreparerFirm/PreparerFirmBusinessName/BusinessNameLine10WAUGH & GOODWIN LLP
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/AddressLine101365 GARDEN OF THE GODS SUITE 150
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/City0COLORADO SPRINGS
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/State0CO
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/ZIPCode080907
ReturnHeader/Preparer/Name0KENNETH E WAUGH
ReturnHeader/Preparer/Phone07195909777
ReturnHeader/ReturnType0990
ReturnHeader/TaxPeriodBeginDate02011-01-01
ReturnHeader/TaxPeriodEndDate02011-12-31
ReturnHeader/TaxYear02011
ReturnHeader/Timestamp02012-05-15T17:41:37-05:00

Document Assets

No mirrored PDF or thumbnail assets are attached yet.