Civic Intelligence

Pascack Mental Health Center Inc

EIN 22-1911418 • 501(c)3 • Park Ridge, NJ

Profile

Outpatient mental health services

PO Box 126Park Ridge, NJ 07656

n/A

Siviq Scores

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

Liabilities / Assets

75th percentile

0.05x

Higher debt load relative to assets than 75% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2022

Liabilities / Revenue

76th percentile

0.03x

Higher debt load relative to revenue than 76% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2022

Net Margin

33rd percentile

-7.4%

Higher net margin than 33% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2022

Top Officer Pay

98th percentile

$106,798

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 25.9% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2022

Asset Growth

43rd percentile

-6.9%

Faster asset growth than 43% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2021 to 2022

Revenue Growth

23rd percentile

-39%

Faster revenue growth than 23% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2021 to 2022

Balance Sheet
Liabilities / Assets75th percentile

Assets

Down

$288,868

Down $21,269 (-6.9%) from 2021

Liabilities

Up

$14,340

Up $9,230 (+181%) from 2021

Net Assets

Down

$274,528

Down $30,499 (-10.0%) from 2021

Operations
Liabilities / Revenue76th percentileNet Margin33rd percentile

Revenue

Down

$411,821

Down $267,428 (-39%) from 2021

Expenses

Down

$442,320

Down $57,212 (-11%) from 2021

Net Income

Down

-$30,499

Down $210,216 (-117%) from 2021

Trend Graphs

Balance Sheet Trend

Asset Growth43rd percentile

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

$400K$300K$200K$100K$0Assets 2011: $276,288Liabilities 2011: $6,525Net Assets 2011: $269,7632011Assets 2012: $185,230Liabilities 2012: $5,416Net Assets 2012: $179,8142012Assets 2013: $124,900Liabilities 2013: $9,453Net Assets 2013: $115,4472013Assets 2014: $114,928Liabilities 2014: $10,488Net Assets 2014: $104,4402014Assets 2015: $113,183Liabilities 2015: $7,206Net Assets 2015: $105,9772015Assets 2016: $126,520Liabilities 2016: $7,060Net Assets 2016: $119,4602016Assets 2017: $132,085Liabilities 2017: $5,295Net Assets 2017: $126,7902017Assets 2018: $121,983Liabilities 2018: $6,697Net Assets 2018: $115,2862018Assets 2019: $89,951Liabilities 2019: $6,537Net Assets 2019: $83,4142019Assets 2020: $222,535Liabilities 2020: $97,225Net Assets 2020: $125,3102020Assets 2021: $310,137Liabilities 2021: $5,110Net Assets 2021: $305,0272021Assets 2022: $288,868Liabilities 2022: $14,340Net Assets 2022: $274,5282022

Highlighted filing

2022

Assets$288,868
Liabilities$14,340
Net Assets$274,528
Open 2022 Filing

Operations Trend

Revenue Growth23rd percentile

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

$800K$600K$400K$200K$0-$200KRevenue 2011: $611,373Expenses 2011: $665,708Net Income 2011: -$54,3352011Expenses 2012: $676,5852012Expenses 2013: $688,6922013Revenue 2014: $616,647Expenses 2014: $627,654Net Income 2014: -$11,0072014Revenue 2015: $528,657Expenses 2015: $527,120Net Income 2015: $1,5372015Revenue 2016: $573,596Expenses 2016: $560,113Net Income 2016: $13,4832016Revenue 2017: $607,781Expenses 2017: $600,451Net Income 2017: $7,3302017Revenue 2018: $568,280Expenses 2018: $579,784Net Income 2018: -$11,5042018Revenue 2019: $536,312Expenses 2019: $568,184Net Income 2019: -$31,8722019Revenue 2020: $588,736Expenses 2020: $546,840Net Income 2020: $41,8962020Revenue 2021: $679,249Expenses 2021: $499,532Net Income 2021: $179,7172021Revenue 2022: $411,821Expenses 2022: $442,320Net Income 2022: -$30,4992022

Highlighted filing

2022

Revenue$411,821
Expenses$442,320
Net Income-$30,499
Open 2022 Filing

Filings

Most recent year

2022 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$288,868
Liabilities
$14,340
Net assets
$274,528
Revenue
$411,821
Expenses
$442,320
Net income
-$30,499
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.89$0.14$2.75$4.12$4.42$0.30
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.10$0.05$3.05$6.79$5.00$1.80
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.23$0.97$1.25$5.89$5.47$0.42
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.90$0.07$0.83$5.36$5.68$0.32
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.22$0.07$1.15$5.68$5.80$0.12
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.32$0.05$1.27$6.08$6.00$0.07
2016Detailed filing. Detailed filing data is available for this year.$1.27$0.07$1.19$5.74$5.60$0.13
2015Detailed filing. Detailed filing data is available for this year.$1.13$0.07$1.06$5.29$5.27$0.02
2014Detailed filing. Detailed filing data is available for this year.$1.15$0.10$1.04$6.17$6.28$0.11
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.25$0.09$1.15$6.89
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.85$0.05$1.80$6.77
2011Summary only. Only limited summary data is available for this year.$2.76$0.07$2.70$6.11$6.66$0.54
Latest Detailed Filing

The latest 2022 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2018 below.

Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
Nov 1, 2018
Return Version
2017v2.3
Gross Receipts
$568,280
Mission and Program Overview

Mission

Outpatient mental health services

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$86,805$83,338▼ $3,467
Accounts Receivable$17,374$11,966▼ $5,408
Land, Buildings, and Equipment, Net$10,513$9,988▼ $525
Pledges and Grants Receivable$9,500$9,500→ $0
Prepaid Expenses and Deferred Charges$7,893$7,191▼ $702
Total Assets$132,085$121,983▼ $10,102
Liabilities
Accounts Payable and Accrued Expenses$5,295$6,697▲ $1,402
Total Liabilities$5,295$6,697▲ $1,402
Net Assets / Fund Balance
Unrestricted Net Assets$126,790$115,286▼ $11,504
Total Net Assets Fund Balance$126,790$115,286▼ $11,504
Total Liabilities and Net Assets / Fund Balance$132,085$121,983▼ $10,102

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$655$43,402-
Leasehold Improvements$9,333$5,833-
Compensation and Service Providers
Top Officer Pay98th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Jorge BecerraExecutive DirectorFT$98,583$98,583

Board Members and Trustees

NameTitle
Richard BeattiePresident
James E HealeyVice President
Diane DoughertyTrustee
John DaltonTrustee
Raymond Falcon JrTrustee
Sharry FriedbergTrustee
Gene M VinciAssistant Treasurer
Jonelle Von AutenriedSecretary
George Mehm JrTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$48,644
Program Service Revenue
$519,590
Investment Income
$46
Other Revenue
$0
Change in Net Assets
$-11,504

Audited Revenue Reconciliation

Revenue per Audited Statements
$568,280
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$568,280
Total Revenue per Form 990
$568,280
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$453,678
Other Expenses$126,106
Total Fundraising Expense$859
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$320,929--$320,929
Current Officers, Directors, Trustees, and Key Employees$98,583--$98,583
Payroll Taxes$34,166--$34,166
Insurance$14,248--$14,248
Office Expenses$10,007$332-$10,339
Occupancy$8,655--$8,655
Fees for Services Accounting$6,113--$6,113
Information Technology-$5,050-$5,050
Advertising$4,760--$4,760
Conferences and Meetings$732$800-$1,532
All Other Expenses-$793$219$1,012
Other Expenses$8,407$853$640$640
Depreciation Depletion-$526-$526
Total Functional Expenses$570,571$8,354$859$579,784

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$579,784
Total Expenses per Audited Statements$579,784
Total Expenses per Form 990$579,784
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Direct Mailing Fundraising Event$42,644---
Total Events$42,644---
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Audit committee
Yes
Backup withholding compliance
No
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
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 11B

“All financial issues are discussed at the beginning of every monthly board meeting.”

Form 990, Part VI, Section C, Line 19

“The organization does not make its governing documents, conflict of interest policy, or financial statements available to the public.”

Filing and Contact Details

Filer

Filer Name
Pascack Mental Health Center Inc
EIN
22-1911418
Phone
2013911355
Address
PO BOX 126, PARK RIDGE, NJ 07656

Signing Officer

Name
Jorge Becerra
Title
Executive Director
Phone
2013911355
Signed
2018-11-01
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jorge Becerra
Formed
1970
Legal Domicile
Nj
Voting Board Members
9
Independent Board Members
9
Employees
19
Volunteers
0

Preparer

Firm
Lawrence B Goodman & Co Pa
Address
32-16 BROADWAY, FAIR LAWN, NJ 07410
Preparer
Jacqueline M Shamieh CPA
Phone
2017918300
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 2(C)

“There were no changes from prior years.”

Raw XML AppendixShowing 400 of 411 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
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IRS990/Form990PartVIISectionAGrp/TitleTxt3VICE PRESIDENT
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IRS990/PYInvestmentIncomeAmt036
IRS990/PYOtherExpensesAmt0122208
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt0559920
IRS990/PYRevenuesLessExpensesAmt07330
IRS990/PYSalariesCompEmpBnftPaidAmt0478243
IRS990/PYTotalExpensesAmt0600451
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0607781
IRS990/QuidProQuoContributionsInd00
IRS990/ReconcilationRevenueExpnssAmt0-11504
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt0519636
IRS990/SavingsAndTempCashInvstGrp/BOYAmt086805
IRS990/SavingsAndTempCashInvstGrp/EOYAmt083338
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt042644
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt040075
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt038343
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt039152
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt049362
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0209576
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt046
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt036
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt037
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt036
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt045
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt0200
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt02658274
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus4YearsAmt01161
IRS990ScheduleA/OtherIncome170Grp/TotalAmt01161
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.99350
IRS990ScheduleA/PublicSupportPY170Pct00.99310
IRS990ScheduleA/PublicSupportTotal170Amt0209576
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt042644
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt040075
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt038343
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt039152
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt049362
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0209576
IRS990ScheduleA/TotalSupportAmt0210937
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt0579784
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt09333
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt05833
IRS990ScheduleD/LeaseholdImprovementsGrp/InvestmentCostOrOtherBasisAmt015166
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt0655
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt043402
IRS990ScheduleD/OtherLandBuildingsGrp/InvestmentCostOrOtherBasisAmt044057
IRS990ScheduleD/RevenueNotReportedAmt00
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt0568280
IRS990ScheduleD/TotalBookValueLandBuildingsAmt09988
IRS990ScheduleD/TotalExpensesPerForm990Amt0579784
IRS990ScheduleD/TotalRevenuePerForm990Amt0568280
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0568280
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0579784
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt042644
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt042644
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0DIRECT MAILING FUNDRAISING EVENT
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt042644
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt042644
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0ALL FINANCIAL ISSUES ARE DISCUSSED AT THE BEGINNING OF EVERY MONTHLY BOARD MEETING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THERE WERE NO CHANGES FROM PRIOR YEARS.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART XI, LINE 2(C)
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0NJ
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0132085
IRS990/TotalAssetsEOYAmt0121983
IRS990/TotalAssetsGrp/BOYAmt0132085
IRS990/TotalAssetsGrp/EOYAmt0121983
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt048644
IRS990/TotalEmployeeCnt019
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt0859
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt08354
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0570571
IRS990/TotalFunctionalExpensesGrp/TotalAmt0579784
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt05295
IRS990/TotalLiabilitiesEOYAmt06697
IRS990/TotalLiabilitiesGrp/BOYAmt05295
IRS990/TotalLiabilitiesGrp/EOYAmt06697
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0126790
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0115286
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0570571
IRS990/TotalProgramServiceRevenueAmt0519590
IRS990/TotalReportableCompFromOrgAmt098583
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0519636
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0568280
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0132085
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0121983
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationOtherInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0126790
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0115286
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0110 CARRIAGE COURT
IRS990/USAddress/CityNm0ALLENDALE
IRS990/USAddress/StateAbbreviationCd0NJ
IRS990/USAddress/ZIPCd007401
IRS990/VotingMembersGoverningBodyCnt09
IRS990/VotingMembersIndependentCnt09
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02019-02-21 02:37:17Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0JORGE BECERRA
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0EXECUTIVE DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum02013911355
ReturnHeader/BusinessOfficerGrp/SignatureDt02018-11-01
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0PASCACK MENTAL HEALTH CENTER INC
ReturnHeader/Filer/BusinessNameControlTxt0PASC
ReturnHeader/Filer/EIN0221911418
ReturnHeader/Filer/PhoneNum02013911355
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 126
ReturnHeader/Filer/USAddress/CityNm0PARK RIDGE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NJ
ReturnHeader/Filer/USAddress/ZIPCd007656
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0CCE0B39EE12410F8C1B47F3B9F1D43B77887F11C
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId01C8EC639868AFF1B4F33FD4BACA49E1920CE475A
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt024.89.134.12
ReturnHeader/FilingSecurityInformation/IPDt02018-11-01
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0ED
ReturnHeader/FilingSecurityInformation/IPTm017:59:17
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0222562877
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0LAWRENCE B GOODMAN & CO PA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt032-16 BROADWAY

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