Civic Intelligence

California Academy of General Dentistry

EIN 23-7178502 • 501(c)6 • Sacramento, CA

Profile

Education & Monitoring Members in dental practice to assure quality dental practices in California.

PO Box 22417Sacramento, CA 95822

n/A

Siviq Scores

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

Liabilities / Assets

93rd percentile

0.66x

Higher debt load relative to assets than 93% of similar nonprofits.

501(c)6 • $500k-$1M nonprofits • Source year 2024

Liabilities / Revenue

80th percentile

0.29x

Higher debt load relative to revenue than 80% of similar nonprofits.

501(c)6 • $500k-$1M nonprofits • Source year 2024

Net Margin

9th percentile

-19%

Higher net margin than 9% of similar nonprofits.

501(c)6 • $500k-$1M nonprofits • Source year 2024

Top Officer Pay

73rd percentile

$106,000

Higher top officer pay than 73% of similar nonprofits.

Top officer pay equals 19.9% of source-year revenue.

501(c)6 • $500k-$1M nonprofits • Source year 2024

Asset Growth

9th percentile

-27%

Faster asset growth than 9% of similar nonprofits.

501(c)6 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Revenue Growth

15th percentile

-12%

Faster revenue growth than 15% of similar nonprofits.

501(c)6 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Assets

Down

$235,374

Down $87,944 (-27%) from 2023

Liabilities

Up

$155,968

Up $13,616 (+9.6%) from 2023

Net Assets

Down

$79,406

Down $101,560 (-56%) from 2023

Revenue

Down

$532,801

Down $70,310 (-12%) from 2023

Expenses

Down

$634,361

Down $80,829 (-11%) from 2023

Net Income

Up

-$101,560

Up $10,519 (+9.4%) from 2023

Trend Graphs

Balance Sheet Trend

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

$600K$400K$200K$0Assets 2011: $348,456Liabilities 2011: $3,461Net Assets 2011: $344,9952011Assets 2012: $422,207Liabilities 2012: $2,647Net Assets 2012: $419,5602012Assets 2013: $424,319Liabilities 2013: $5,064Net Assets 2013: $419,2552013Assets 2014: $370,518Liabilities 2014: $3,024Net Assets 2014: $367,4942014Assets 2015: $360,532Liabilities 2015: $1,903Net Assets 2015: $358,6292015Assets 2016: $362,675Liabilities 2016: $721Net Assets 2016: $361,9542016Assets 2017: $348,472Liabilities 2017: $3,010Net Assets 2017: $345,4622017Assets 2018: $356,078Liabilities 2018: $2,803Net Assets 2018: $353,2752018Assets 2019: $336,413Liabilities 2019: $11,710Net Assets 2019: $324,7032019Assets 2020: $414,378Liabilities 2020: $788Net Assets 2020: $413,5902020Assets 2021: $418,875Liabilities 2021: $107,281Net Assets 2021: $311,5942021Assets 2022: $350,995Liabilities 2022: $57,950Net Assets 2022: $293,0452022Assets 2023: $323,318Liabilities 2023: $142,352Net Assets 2023: $180,9662023Assets 2024: $235,374Liabilities 2024: $155,968Net Assets 2024: $79,4062024

Highlighted filing

2024

Assets$235,374
Liabilities$155,968
Net Assets$79,406

Operations Trend

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

$1.0M$500K$0-$500KExpenses 2011: $442,4932011Expenses 2012: $434,5082012Revenue 2013: $541,039Expenses 2013: $541,344Net Income 2013: -$3052013Revenue 2014: $492,684Expenses 2014: $544,445Net Income 2014: -$51,7612014Revenue 2015: $476,790Expenses 2015: $485,655Net Income 2015: -$8,8652015Revenue 2016: $487,391Expenses 2016: $484,066Net Income 2016: $3,3252016Revenue 2017: $603,936Expenses 2017: $630,566Net Income 2017: -$26,6302017Revenue 2018: $580,942Expenses 2018: $565,103Net Income 2018: $15,8392018Revenue 2019: $612,737Expenses 2019: $686,114Net Income 2019: -$73,3772019Revenue 2020: $450,400Expenses 2020: $402,383Net Income 2020: $48,0172020Revenue 2021: $673,792Expenses 2021: $734,918Net Income 2021: -$61,1262021Revenue 2022: $715,251Expenses 2022: $733,800Net Income 2022: -$18,5492022Revenue 2023: $603,111Expenses 2023: $715,190Net Income 2023: -$112,0792023Revenue 2024: $532,801Expenses 2024: $634,361Net Income 2024: -$101,5602024

Highlighted filing

2024

Revenue$532,801
Expenses$634,361
Net Income-$101,560

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.35$1.56$0.79$5.33$6.34$1.02
2023Detailed filing. Detailed filing data is available for this year.$3.23$1.42$1.81$6.03$7.15$1.12
2022Detailed filing. Detailed filing data is available for this year.$3.51$0.58$2.93$7.15$7.34$0.19
2021Detailed filing. Detailed filing data is available for this year.$4.19$1.07$3.12$6.74$7.35$0.61
2020Detailed filing. Detailed filing data is available for this year.$4.14$0.01$4.14$4.50$4.02$0.48
2019Detailed filing. Detailed filing data is available for this year.$3.36$0.12$3.25$6.13$6.86$0.73
2018Detailed filing. Detailed filing data is available for this year.$3.56$0.03$3.53$5.81$5.65$0.16
2017Detailed filing. Detailed filing data is available for this year.$3.48$0.03$3.45$6.04$6.31$0.27
2016Detailed filing. Detailed filing data is available for this year.$3.63$0.01$3.62$4.87$4.84$0.03
2015Detailed filing. Detailed filing data is available for this year.$3.61$0.02$3.59$4.77$4.86$0.09
2014Detailed filing. Detailed filing data is available for this year.$3.71$0.03$3.67$4.93$5.44$0.52
2013Detailed filing. Detailed filing data is available for this year.$4.24$0.05$4.19$5.41$5.41$0.00
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.22$0.03$4.20$4.35
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.48$0.03$3.45$4.42
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 17, 2025
Return Version
2024v5.2
Gross Receipts
$595,038
Mission and Program Overview

Mission

Education & Monitoring Members in dental practice to assure quality dental practices in California.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$229,570$199,174▼ $30,396
Cash and Non-Interest-Bearing Accounts$87,416$34,867▼ $52,549
Savings and Temporary Cash Investments$6,332$1,333▼ $4,999
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$323,318$235,374▼ $87,944
Other Assets Total-$0-
Liabilities
Other Liabilities$141,034$155,968▲ $14,934
Accounts Payable and Accrued Expenses$1,318--
Total Liabilities$142,352$155,968▲ $13,616
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$180,966$79,406▼ $101,560
Total Net Assets Fund Balance$180,966$79,406▼ $101,560
Total Liabilities and Net Assets / Fund Balance$323,318$235,374▼ $87,944
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Terri Iwamoto-WongExecutive DirectorPT$106,000$106,000

Board Members and Trustees

NameTitle
William Kushner DDSPast President
Samer Alasaad DDSPresident
Chirag VaidVice President
Guy AchesonTrustee
Robert Hubbert DDSEditor
Darrell Chun DDSSecretary
Ricardo Suarez DDSTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$506,921
Investment Income
$25,880
Other Revenue
$0
Change in Net Assets
$-101,560
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$528,361
Salaries, Compensation, and Employee Benefits$106,000
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees---$106,000
All Other Expenses---$80,029
Other Expenses---$60,736
Travel---$21,752
Fees for Services Accounting---$6,823
Interest---$5,456
Insurance---$4,065
Office Expenses---$2,128
Total Functional Expenses$0$0$0$634,361
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Credit Card Payable$98,420
Unrealized Gains/(Losses)$57,548
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
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

Accountant and Executive Director review the 990 in detail before filing.

Form 990, Part VI, Section C, Line 19

Documents available on request.

Filing and Contact Details

Filer

Filer Name
California Academy of General Dentistry
EIN
23-7178502
Phone
8774080738
Address
PO Box 22417, Sacramento, CA 95822

Signing Officer

Name
Samer Alasaad DDS
Title
President
Signed
2025-11-17
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Samer Alasaad DDS
Formed
1966
Legal Domicile
CA
Voting Board Members
2,400
Independent Board Members
2,400
Employees
0

Preparer

Firm
M D Blake CPA Inc
Address
138 Old San Antonio Road Ste 201, Boerne, TX 78006
Preparer
Michelle Blake
Phone
7143866127
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 24E

Awards: Column (A) - Total = $264; Column (B) - Program Services = $0; Column (C) - Management & General = $0; Column (D) - Fundraising = $0

Form 990, Part IX, Line 24E

Bank Charges: Column (A) - Total = $14418; Column (B) - Program Services = $0; Column (C) - Management & General = $0; Column (D) - Fundraising = $0

Form 990, Part IX, Line 24E

GP News: Column (A) - Total = $33512; Column (B) - Program Services = $0; Column (C) - Management & General = $0; Column (D) - Fundraising = $0

Form 990, Part IX, Line 24E

Membership Drive: Column (A) - Total = $11618; Column (B) - Program Services = $0; Column (C) - Management & General = $0; Column (D) - Fundraising = $0

Form 990, Part IX, Line 24E

Postage and Shipping: Column (A) - Total = $51; Column (B) - Program Services = $0; Column (C) - Management & General = $0; Column (D) - Fundraising = $0

Form 990, Part IX, Line 24E

Sedation Expenses: Column (A) - Total = $14876; Column (B) - Program Services = $0; Column (C) - Management & General = $0; Column (D) - Fundraising = $0

Form 990, Part IX, Line 24E

Taxes: Column (A) - Total = $2181; Column (B) - Program Services = $0; Column (C) - Management & General = $0; Column (D) - Fundraising = $0

Form 990, Part IX, Line 24E

Telephone: Column (A) - Total = $3109; Column (B) - Program Services = $0; Column (C) - Management & General = $0; Column (D) - Fundraising = $0

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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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IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/PrincipalOfficerNm0Samer Alasaad DDS
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/BusinessCd0611430
IRS990/ProgramServiceRevenueGrp/BusinessCd1611430
IRS990/ProgramServiceRevenueGrp/BusinessCd2611430
IRS990/ProgramServiceRevenueGrp/BusinessCd3900099
IRS990/ProgramServiceRevenueGrp/BusinessCd4611430
IRS990/ProgramServiceRevenueGrp/Desc0Exhibitor Income
IRS990/ProgramServiceRevenueGrp/Desc1Master Track Income
IRS990/ProgramServiceRevenueGrp/Desc2Meeting Income
IRS990/ProgramServiceRevenueGrp/Desc3Membership Dues & Assessm
IRS990/ProgramServiceRevenueGrp/Desc4Other Program Services
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt030500
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt148751
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt227967
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt3201012
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt4198691
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt030500
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt148751
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt227967
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt3201012
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt4198691
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYInvestmentIncomeAmt07355
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt0612440
IRS990/PYProgramServiceRevenueAmt0595756
IRS990/PYRevenuesLessExpensesAmt0-112079
IRS990/PYSalariesCompEmpBnftPaidAmt0102750
IRS990/PYTotalExpensesAmt0715190
IRS990/PYTotalRevenueAmt0603111
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-101560
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0true
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt06332
IRS990/SavingsAndTempCashInvstGrp/EOYAmt01333
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt098420
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt157548
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Credit Card Payable
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1Unrealized Gains/(Losses)
IRS990ScheduleD/TotalLiabilityAmt0155968
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Accountant and Executive Director review the 990 in detail before filing.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Documents available on request.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Awards: Column (A) - Total = $264; Column (B) - Program Services = $0; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Bank Charges: Column (A) - Total = $14418; Column (B) - Program Services = $0; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4GP News: Column (A) - Total = $33512; Column (B) - Program Services = $0; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5Membership Drive: Column (A) - Total = $11618; Column (B) - Program Services = $0; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6Postage and Shipping: Column (A) - Total = $51; Column (B) - Program Services = $0; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7Sedation Expenses: Column (A) - Total = $14876; Column (B) - Program Services = $0; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8Taxes: Column (A) - Total = $2181; Column (B) - Program Services = $0; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9Telephone: Column (A) - Total = $3109; Column (B) - Program Services = $0; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
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 IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9Form 990, Part IX, Line 24e
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0323318
IRS990/TotalAssetsEOYAmt0235374
IRS990/TotalAssetsGrp/BOYAmt0323318
IRS990/TotalAssetsGrp/EOYAmt0235374
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt0634361
IRS990/TotalGrossUBIAmt03380
IRS990/TotalLiabilitiesBOYAmt0142352
IRS990/TotalLiabilitiesEOYAmt0155968
IRS990/TotalLiabilitiesGrp/BOYAmt0142352
IRS990/TotalLiabilitiesGrp/EOYAmt0155968
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0180966
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt079406
IRS990/TotalProgramServiceRevenueAmt0506921
IRS990/TotalReportableCompFromOrgAmt0106000
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0529421
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0532801
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt03380
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0323318
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0235374
IRS990/TravelGrp/TotalAmt021752
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0true
IRS990/USAddress/AddressLine1Txt0PO Box 22417
IRS990/USAddress/CityNm0Sacramento
IRS990/USAddress/StateAbbreviationCd0CA
IRS990/USAddress/ZIPCd095822
IRS990/VotingMembersGoverningBodyCnt02400
IRS990/VotingMembersIndependentCnt02400
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0Samer Alasaad DDS
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0President
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-11-17
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0California Academy of General Dentistry
ReturnHeader/Filer/BusinessNameControlTxt0CALI
ReturnHeader/Filer/EIN0237178502
ReturnHeader/Filer/PhoneNum08774080738
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO Box 22417
ReturnHeader/Filer/USAddress/CityNm0Sacramento
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CA
ReturnHeader/Filer/USAddress/ZIPCd095822
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0813660228
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0M D Blake CPA Inc
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0138 Old San Antonio Road Ste 201
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Boerne
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0TX
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd078006
ReturnHeader/PreparerPersonGrp/PhoneNum07143866127
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Michelle Blake
ReturnHeader/PreparerPersonGrp/SelfEmployedInd0X
ReturnHeader/ReturnTs02025-11-17T11:23:24-08:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02024-01-01
ReturnHeader/TaxPeriodEndDt02024-12-31
ReturnHeader/TaxYr02024

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