Civic Intelligence

Montgomery Hospital Workers Compensation Trust

EIN 23-2351775 • 501(c)3 • Philadelphia, PA

Profile

The trust was established for the purpose of providing a source of funds and maintaining adequate reservse for the payment of workers compensation benefits and related claims

1101 Market Street Suite 2004Philadelphia, PA 19107

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 2024

Liabilities / Revenue

61st percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2024

Net Margin

89th percentile

46%

Higher net margin than 89% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

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 2024

Asset Growth

58th percentile

2.4%

Faster asset growth than 58% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Revenue Growth

88th percentile

67%

Faster revenue growth than 88% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Assets

Up

$18,068

Up $426 (+2.4%) from 2023

Liabilities

Flat

$0

Flat from 2023

Net Assets

Up

$18,068

Up $426 (+2.4%) from 2023

Revenue

Up

$926

Up $373 (+67%) from 2023

Expenses

Flat

$500

Flat from 2023

Net Income

Up

$426

Up $373 (+704%) from 2023

Trend Graphs

Balance Sheet Trend

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

$1.5M$1.0M$500K$0-$500KAssets 2011: $1,304,947Liabilities 2011: $109,245Net Assets 2011: $1,195,7022011Assets 2012: $946,323Liabilities 2012: $135,568Net Assets 2012: $810,7552012Assets 2013: $419,105Liabilities 2013: $877,656Net Assets 2013: -$458,5512013Assets 2014: $227,125Liabilities 2014: $527,368Net Assets 2014: -$300,2432014Assets 2015: $33,822Liabilities 2015: $14,409Net Assets 2015: $19,4132015Assets 2016: $32,472Liabilities 2016: $9,633Net Assets 2016: $22,8392016Assets 2017: $30,395Liabilities 2017: $1,224Net Assets 2017: $29,1712017Assets 2018: $25,222Liabilities 2018: $17,153Net Assets 2018: $8,0692018Assets 2019: $18,811Liabilities 2019: $1Net Assets 2019: $18,8102019Assets 2020: $18,574Liabilities 2020: $1Net Assets 2020: $18,5732020Assets 2021: $18,078Liabilities 2021: $1Net Assets 2021: $18,0772021Assets 2022: $17,589Liabilities 2022: $0Net Assets 2022: $17,5892022Assets 2023: $17,642Liabilities 2023: $0Net Assets 2023: $17,6422023Assets 2024: $18,068Liabilities 2024: $0Net Assets 2024: $18,0682024

Highlighted filing

2024

Assets$18,068
Liabilities$0
Net Assets$18,068

Operations Trend

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

$1.5M$1.0M$500K$0-$500KRevenue 2011: $560,056Expenses 2011: $308,432Net Income 2011: $251,6242011Revenue 2012: $35Expenses 2012: $384,982Net Income 2012: -$384,9472012Expenses 2013: $1,301,5182013Revenue 2014: $100,033Expenses 2014: -$58,275Net Income 2014: $158,3082014Revenue 2015: $113,254Expenses 2015: -$206,402Net Income 2015: $319,6562015Revenue 2016: $100,023Expenses 2016: $96,597Net Income 2016: $3,4262016Revenue 2017: $77Expenses 2017: -$6,255Net Income 2017: $6,3322017Revenue 2018: $286Expenses 2018: $21,388Net Income 2018: -$21,1022018Revenue 2019: $405Expenses 2019: $6,817Net Income 2019: -$6,4122019Revenue 2020: $263Expenses 2020: $500Net Income 2020: -$2372020Revenue 2021: $4Expenses 2021: $500Net Income 2021: -$4962021Revenue 2022: $12Expenses 2022: $500Net Income 2022: -$4882022Revenue 2023: $553Expenses 2023: $500Net Income 2023: $532023Revenue 2024: $926Expenses 2024: $500Net Income 2024: $4262024

Highlighted filing

2024

Revenue$926
Expenses$500
Net Income$426

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$0.02$0.00$0.02$0.00$0.00$0.00
2023Detailed filing. Detailed filing data is available for this year.$0.02$0.00$0.02$0.00$0.00$0.00
2022Detailed filing. Detailed filing data is available for this year.$0.02$0.00$0.02$0.00$0.00$0.00
2021Detailed filing. Detailed filing data is available for this year.$0.02$0.00$0.02$0.00$0.00$0.00
2020Detailed filing. Detailed filing data is available for this year.$0.02$0.00$0.02$0.00$0.00$0.00
2019Detailed filing. Detailed filing data is available for this year.$0.02$0.00$0.02$0.00$0.01$0.01
2018Detailed filing. Detailed filing data is available for this year.$0.03$0.02$0.01$0.00$0.02$0.02
2017Detailed filing. Detailed filing data is available for this year.$0.03$0.00$0.03$0.00$0.01$0.01
2016Detailed filing. Detailed filing data is available for this year.$0.03$0.01$0.02$0.10$0.10$0.00
2015Detailed filing. Detailed filing data is available for this year.$0.03$0.01$0.02$0.11$0.21$0.32
2014Detailed filing. Detailed filing data is available for this year.$0.23$0.53$0.30$0.10$0.06$0.16
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.42$0.88$0.46$1.30
2012Summary only. Only limited summary data is available for this year.$0.95$0.14$0.81$0.00$0.38$0.38
2011Summary only. Only limited summary data is available for this year.$1.30$0.11$1.20$0.56$0.31$0.25
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 15, 2025
Return Version
2023v6.0
Gross Receipts
$926
Mission and Program Overview

Mission

The trust was established for the purpose of providing a source of funds and maintaining adequate reserves for the payment of workers compensation benefits and related claims.

Program Services

DescriptionGrantsExpenses
PAYMENT OF WORKERS COMPENSATION AND RELATED COSTS.-$500
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
LEWIS I GANTMAN ESQChair - Trustee-$0--
STEVEN BERK ESQVice Chair - Trustee-$0--
DIXIEANNE P JAMESPresident - Trustee-$0--
CRISTINA G CAVALIERI ESQSecretary-$0--
JOHN P MORDACHTreasurer-$0--
Filing and Contact Details

Filer

Filer Name
Montgomery Hospital Workers Compensation
EIN
23-2351775
In Care Of
% RONALD C KELLER CPA
Phone
2154561082
Address
1101 MARKET STREET SUITE 2004, PHILADELPHIA, PA 19107

Signing Officer

Name
Thomas Marchozzi
Title
Acting CFO
Phone
2159554773
Signed
2025-05-15
Discuss with paid preparer
Yes

Preparer

Firm
WithumSmithBrown PC
Address
1835 MARKET STREET SUITE 1710, PHILADELPHIA, PA 19103-2945
Preparer
Scott J Mariani
Phone
2155462140
Supplemental Narrative

Additional Explanations

Core Form, Part V, Info Regarding Personal Benefit Contracts

The 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.

Form 990EZ Part I Line 16

Description:BANK FEES Amount:500

Raw XML Appendix180 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/ActivitiesNotPreviouslyRptInd0false
IRS990EZ/AddressChangeInd0X
IRS990EZ/BooksInCareOfDetail/PersonNm0RONALD C KELLER CPA
IRS990EZ/BooksInCareOfDetail/PhoneNum02155038344
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt01101 MARKET STREET STE 2004
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0PHILADELPHIA
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0PA
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd019107
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt017642
IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt018068
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd0false
IRS990EZ/CntrctRcvdGreaterThan100KCnt00
IRS990EZ/CostOfGoodsSoldAmt00
IRS990EZ/CostOrOtherBasisExpenseSaleAmt00
IRS990EZ/DonorAdvisedFndsInd0false
IRS990EZ/EngagedInExcessBenefitTransInd0false
IRS990EZ/ExcessOrDeficitForYearAmt0426
IRS990EZ/FiledScheduleAInd0true
IRS990EZ/ForeignFinancialAccountInd0false
IRS990EZ/ForeignOfficeInd0false
IRS990EZ/Form990TotalAssetsGrp/BOYAmt017642
IRS990EZ/Form990TotalAssetsGrp/EOYAmt018068
IRS990EZ/GainOrLossFromSaleOfAssetsAmt00
IRS990EZ/GrossProfitLossSlsOfInvntryAmt00
IRS990EZ/GrossReceiptsAmt0926
IRS990EZ/InfoInScheduleOPartIIIInd0X
IRS990EZ/InfoInScheduleOPartIIInd0X
IRS990EZ/InfoInScheduleOPartIInd0X
IRS990EZ/InvestmentIncomeAmt0926
IRS990EZ/LandAndBuildingsGrp/BOYAmt00
IRS990EZ/LandAndBuildingsGrp/EOYAmt00
IRS990EZ/LobbyingActivitiesInd0false
IRS990EZ/MadeLoansToFromOfficersInd0false
IRS990EZ/MethodOfAccountingAccrualInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt017642
IRS990EZ/NetAssetsOrFundBalancesEOYAmt018068
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt017642
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt018068
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt01.0
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt11.0
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt21.0
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt31.0
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt41.0
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0LEWIS I GANTMAN ESQ
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1STEVEN BERK ESQ
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2DIXIEANNE P JAMES
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3CRISTINA G CAVALIERI ESQ
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4JOHN P MORDACH
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0CHAIR - TRUSTEE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1VICE CHAIR - TRUSTEE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2PRESIDENT - TRUSTEE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3SECRETARY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4TREASURER
IRS990EZ/OperateHospitalInd0false
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd0false
IRS990EZ/OrganizationHadUBIInd0false
IRS990EZ/OtherAssetsTotalDetail/BOYAmt00
IRS990EZ/OtherAssetsTotalDetail/EOYAmt00
IRS990EZ/OtherExpensesTotalAmt0500
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PoliticalCampaignActyInd0false
IRS990EZ/PrimaryExemptPurposeTxt0THE TRUST WAS ESTABLISHED FOR THE PURPOSE OF PROVIDING A SOURCE OF FUNDS AND MAINTAINING ADEQUATE RESERVES FOR THE PAYMENT OF WORKERS COMPENSATION BENEFITS AND RELATED CLAIMS.
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0PAYMENT OF WORKERS COMPENSATION AND RELATED COSTS.
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt0500
IRS990EZ/ProhibitedTaxShelterTransInd0false
IRS990EZ/RelatedOrganizationCtrlEntInd0false
IRS990EZ/SalariesOtherCompEmplBnftAmt00
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SchoolOperatingInd0false
IRS990EZ/SpecialEventsDirectExpensesAmt00
IRS990EZ/SpecialEventsNetIncomeLossAmt00
IRS990EZ/StatesWhereCopyOfReturnIsFldCd0PA
IRS990EZ/SubjectToProxyTaxInd0false
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt00
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt00
IRS990EZ/TanningServicesProvidedInd0false
IRS990EZ/TaxImposedOnOrganizationMgrAmt00
IRS990EZ/TaxImposedUnderIRC4911Amt00
IRS990EZ/TaxImposedUnderIRC4912Amt00
IRS990EZ/TaxImposedUnderIRC4955Amt00
IRS990EZ/TaxReimbursedByOrganizationAmt00
IRS990EZ/TotalExpensesAmt0500
IRS990EZ/TotalProgramServiceExpensesAmt0500
IRS990EZ/TotalRevenueAmt0926
IRS990EZ/TransactionWithControlEntInd0false
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990EZ/TypeOfOrganizationTrustInd0X
IRS990EZ/WebsiteAddressTxt0WWW.JEFFERSONHEALTH.ORG
IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd0false
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd0false
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd0true
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0IN ADDITION TO THE SUPPORTED ORGANIZATION SET FORTH IN THE ORGANIZATION'S GOVERNING DOCUMENTS, THE ORGANIZATION SUPPORTS EINSTEIN MEDICAL CENTER MONTGOMERY (EIN: 20-4193243) AND FORNANCE PHYSICIAN SERVICES (EIN: 23-2275991). THESE ORGANIZATIONS, BOTH OF WHICH ARE RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATIONS, WERE SPECIFICALLY AUTHORIZED AS SELF-INSURED EMPLOYERS BY THE PENNSYLVANIA DEPARTMENT OF LABOR.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0SCHEDULE A, PART IV, SECTION A, LINE 1
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt03
IRS990ScheduleA/SupportedOrganizationsTotalCnt03
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0231352193
IRS990ScheduleA/SupportedOrgInformationGrp/EIN1232275991
IRS990ScheduleA/SupportedOrgInformationGrp/EIN2204193243
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd0true
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd1false
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd2false
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd13
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd23
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt10
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt20
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt10
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt20
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0MONTGOMERY HOSPITAL MEDICAL CENTER
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt1FORNANCE PHYSICIAN SERVICES INC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt2EINSTEIN MEDICAL CENTER MONTGOMERY
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt00
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Description:BANK FEES Amount:500
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0CORE FORM, PART V, INFO REGARDING PERSONAL BENEFIT CONTRACTS
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990EZ PART I LINE 16
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0THOMAS MARCHOZZI
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0ACTING CFO
ReturnHeader/BusinessOfficerGrp/PhoneNum02159554773
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-05-15
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0MONTGOMERY HOSPITAL WORKERS COMPENSATION
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0TRUST
ReturnHeader/Filer/BusinessNameControlTxt0MONT
ReturnHeader/Filer/EIN0232351775
ReturnHeader/Filer/InCareOfNm0% RONALD C KELLER CPA
ReturnHeader/Filer/PhoneNum02154561082
ReturnHeader/Filer/USAddress/AddressLine1Txt01101 MARKET STREET SUITE 2004
ReturnHeader/Filer/USAddress/CityNm0PHILADELPHIA
ReturnHeader/Filer/USAddress/StateAbbreviationCd0PA
ReturnHeader/Filer/USAddress/ZIPCd019107
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0WithumSmithBrown PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01835 MARKET STREET SUITE 1710
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0PHILADELPHIA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0PA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0191032945
ReturnHeader/PreparerPersonGrp/PhoneNum02155462140
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0SCOTT J MARIANI
ReturnHeader/ReturnTs02025-05-14T13:49:17-04:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02023-07-01
ReturnHeader/TaxPeriodEndDt02024-06-30
ReturnHeader/TaxYr02023

Document Assets

No mirrored PDF or thumbnail assets are attached yet.