Civic Intelligence

Isanti Community Services Inc

EIN 23-7252241 • 501(c)3 • Isanti, MN

Profile

Provide on a non-profit basis, housing for low and moderate income families.

PO Box 286Isanti, MN 55040

none

Siviq Scores

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

Liabilities / Assets

92nd percentile

0.86x

Higher debt load relative to assets than 92% of similar nonprofits.

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

Liabilities / Revenue

97th percentile

1.98x

Higher debt load relative to revenue than 97% of similar nonprofits.

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

Net Margin

47th percentile

0.4%

Higher net margin than 47% of similar nonprofits.

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

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

45th percentile

-4.4%

Faster asset growth than 45% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2022 to 2024

Revenue Growth

56th percentile

3.7%

Faster revenue growth than 56% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2022 to 2024

Balance Sheet
Liabilities / Assets92nd percentile

Assets

Down

$370,899

Down $8,145 (-2.1%) from 2023

Liabilities

Down

$318,914

Down $30,397 (-8.7%) from 2023

Net Assets

Up

$51,985

Up $22,252 (+75%) from 2023

Operations
Liabilities / Revenue97th percentileNet Margin47th percentile

Revenue

Down

$160,680

Down $589 (-0.4%) from 2023

Expenses

Down

$160,088

Down $13,110 (-7.6%) from 2023

Net Income

Up

$592

Up $12,521 (+105%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth45th percentile

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

$600K$400K$200K$0Assets 2013: $524,844Liabilities 2013: $467,333Net Assets 2013: $57,5112013Assets 2014: $507,586Liabilities 2014: $460,952Net Assets 2014: $46,6342014Assets 2015: $512,981Liabilities 2015: $452,666Net Assets 2015: $60,3152015Assets 2016: $518,560Liabilities 2016: $436,400Net Assets 2016: $82,1602016Assets 2017: $521,057Liabilities 2017: $422,685Net Assets 2017: $98,3722017Assets 2018: $507,077Liabilities 2018: $400,024Net Assets 2018: $107,0532018Assets 2019: $491,884Liabilities 2019: $384,690Net Assets 2019: $107,1942019Assets 2020: $466,753Liabilities 2020: $372,222Net Assets 2020: $94,5312020Assets 2021: $448,384Liabilities 2021: $370,899Net Assets 2021: $77,4852021Assets 2022: $405,811Liabilities 2022: $364,149Net Assets 2022: $41,6622022Assets 2023: $379,044Liabilities 2023: $349,311Net Assets 2023: $29,7332023Assets 2024: $370,899Liabilities 2024: $318,914Net Assets 2024: $51,9852024

Highlighted filing

2024

Assets$370,899
Liabilities$318,914
Net Assets$51,985
Open 2024 Filing

Operations Trend

Revenue Growth56th percentile

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

$200K$100K$0-$100KRevenue 2013: $123,861Expenses 2013: $165,988Net Income 2013: -$42,1272013Revenue 2014: $126,101Expenses 2014: $136,978Net Income 2014: -$10,8772014Revenue 2015: $137,157Expenses 2015: $121,901Net Income 2015: $15,2562015Revenue 2016: $134,403Expenses 2016: $120,475Net Income 2016: $13,9282016Revenue 2017: $144,026Expenses 2017: $128,814Net Income 2017: $15,2122017Revenue 2018: $144,916Expenses 2018: $140,021Net Income 2018: $4,8952018Revenue 2019: $147,884Expenses 2019: $148,946Net Income 2019: -$1,0622019Revenue 2020: $147,399Expenses 2020: $161,039Net Income 2020: -$13,6402020Revenue 2021: $150,998Expenses 2021: $168,365Net Income 2021: -$17,3672021Revenue 2022: $149,503Expenses 2022: $185,616Net Income 2022: -$36,1132022Revenue 2023: $161,269Expenses 2023: $173,198Net Income 2023: -$11,9292023Revenue 2024: $160,680Expenses 2024: $160,088Net Income 2024: $5922024

Highlighted filing

2024

Revenue$160,680
Expenses$160,088
Net Income$592
Open 2024 Filing

Filings

Most recent year

2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$370,899
Liabilities
$318,914
Net assets
$51,985
Revenue
$160,680
Expenses
$160,088
Net income
$592
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.71$3.19$0.52$1.61$1.60$0.01
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.79$3.49$0.30$1.61$1.73$0.12
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.06$3.64$0.42$1.50$1.86$0.36
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.48$3.71$0.77$1.51$1.68$0.17
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.67$3.72$0.95$1.47$1.61$0.14
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.92$3.85$1.07$1.48$1.49$0.01
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.07$4.00$1.07$1.45$1.40$0.05
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.21$4.23$0.98$1.44$1.29$0.15
2016Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.19$4.36$0.82$1.34$1.20$0.14
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.13$4.53$0.60$1.37$1.22$0.15
2014Detailed filing. Detailed filing data is available for this year.$5.08$4.61$0.47$1.26$1.37$0.11
2013Detailed filing. Detailed filing data is available for this year.$5.25$4.67$0.58$1.24$1.66$0.42
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 9, 2023
Return Version
2022v5.0
Gross Receipts
$149,503
Mission and Program Overview

Mission

Provide housing for low income seniors and disabled families and individuals.

Provide housing for low income seniors and disabled persons

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$361,275$321,387▼ $39,888
Savings and Temporary Cash Investments$42,083$42,130▲ $47
Cash and Non-Interest-Bearing Accounts$29,637$20,325▼ $9,312
Prepaid Expenses and Deferred Charges$11,689$12,617▲ $928
Accounts Receivable$3,700$9,352▲ $5,652
Total Assets$448,384$405,811▼ $42,573
Liabilities
Other Liabilities$338,441$344,828▲ $6,387
Accounts Payable and Accrued Expenses$32,458$19,321▼ $13,137
Total Liabilities$370,899$364,149▼ $6,750
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$77,485$41,662▼ $35,823
Total Net Assets Fund Balance$77,485$41,662▼ $35,823
Total Liabilities and Net Assets / Fund Balance$448,384$405,811▼ $42,573

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$275,080$844,497$1,119,577
Land$34,131-$34,131
Leasehold Improvements$12,176$6,390-
Compensation and Service Providers
Top Officer PayScore unavailable

Board Members and Trustees

NameTitle
Edith Hanwell 2024Board Direct
Sue Bursch 2022Board Direct
Walter Hanson 2022Board Direct
Wanda Camarena 2024Board Direct
Yvonne Suits 2023Board Direct
Sue Larson 2023Board Presid
Marie Sager 2024Board Secret
Laverne Peter 2023Board Treasu
John Prunick Jr 2024Board Vice P
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$149,503
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-36,113
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$166,501
Salaries, Compensation, and Employee Benefits$19,115
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Occupancy$61,670--$61,670
Depreciation Depletion$53,761--$53,761
Fees for Services Accounting$12,000$5,750-$17,750
Other Salaries and Wages$17,417--$17,417
Insurance$14,525--$14,525
Interest$6,967--$6,967
Fees for Services Other$5,209--$5,209
Payroll Taxes$1,698--$1,698
Other Expenses$1,466--$1,466
Office Expenses$229--$229
Total Functional Expenses$179,866$5,750$0$185,616
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
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Other Liability$344,828
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
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
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

“The officers of the board of directors reviews form 990 before it is filed.”

Form 990, Page 6, Part VI, Line 19

“Documents may be made available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Isanti Community Services Inc
EIN
23-7252241
Phone
7634448725
Address
PO BOX 286, ISANTI, MN 55040

Signing Officer

Name
Laverne Peter 2023
Title
Board Treasurer
Phone
7634448725
Signed
2023-11-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Sue Larson 2023
Formed
1969
Legal Domicile
Mn
Voting Board Members
9
Independent Board Members
28
Employees
1

Preparer

Firm
Peter and Associates LLC
Address
29 MAIN ST W PO BOX 445, ISANTI, MN 55040-7156
Preparer
Laverne D Peter CPA
Phone
7634448725
Supplemental Narrative

Additional Explanations

Form 990, Page 1, Part I, Line 6

“Volunteers help with small repair and general maintenance.”

Form 990, Page 2, Part III, Line 4D

“Provide housing for low income seniors and disabled individuals and”

Form 990, Part XI, Line 9

“290”

Raw XML Appendix366 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/AnnualDisclosureCoveredPrsnInd0true
IRS990/BooksInCareOfDetail/PersonNm0LAVERNE PETER 2023
IRS990/BooksInCareOfDetail/PhoneNum07634448725
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0PO BOX 286
IRS990/BooksInCareOfDetail/USAddress/CityNm0ISANTI
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0MN
IRS990/BooksInCareOfDetail/USAddress/ZIPCd055040
IRS990/BusinessRlnWith35CtrlEntInd0false
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IRS990/CashNonInterestBearingGrp/BOYAmt029637
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IRS990/ChangeToOrgDocumentsInd0false
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IRS990/CYOtherRevenueAmt00
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IRS990/CYRevenuesLessExpensesAmt0-36113
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IRS990/CYTotalExpensesAmt0185616
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IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt0149503
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IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/DepreciationDepletionGrp/ProgramServicesAmt053761
IRS990/DepreciationDepletionGrp/TotalAmt053761
IRS990/Desc0PROVIDE HOUSING FOR LOW INCOME SENIORS AND DISABLED INDIVIDUALS AND FAMILIES.
IRS990/DescribedInSection501c3Ind0true
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0true
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IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt01
IRS990/EmploymentTaxReturnsFiledInd0true
IRS990/EngagedInExcessBenefitTransInd0false
IRS990/ExpenseAmt0112748
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IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt05750
IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt012000
IRS990/FeesForServicesAccountingGrp/TotalAmt017750
IRS990/FeesForServicesOtherGrp/ProgramServicesAmt05209
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IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
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IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt80
IRS990/Form990PartVIISectionAGrp/PersonNm0SUE BURSCH 2022
IRS990/Form990PartVIISectionAGrp/PersonNm1WALTER HANSON 2022
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IRS990/Form990PartVIISectionAGrp/PersonNm3SUE LARSON 2023
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IRS990/Form990PartVIISectionAGrp/PersonNm6JOHN PRUNICK JR 2024
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
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IRS990/Form990PartVIISectionAGrp/TitleTxt1BOARD DIRECT
IRS990/Form990PartVIISectionAGrp/TitleTxt2BOARD TREASU
IRS990/Form990PartVIISectionAGrp/TitleTxt3BOARD PRESID
IRS990/Form990PartVIISectionAGrp/TitleTxt4BOARD DIRECT
IRS990/Form990PartVIISectionAGrp/TitleTxt5BOARD DIRECT
IRS990/Form990PartVIISectionAGrp/TitleTxt6BOARD VICE P
IRS990/Form990PartVIISectionAGrp/TitleTxt7BOARD SECRET
IRS990/Form990PartVIISectionAGrp/TitleTxt8BOARD DIRECT
IRS990/Form990ProvidedToGvrnBodyInd0false
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IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt0149503
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt028
IRS990/IndoorTanningServicesInd0false
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IRS990/InterestGrp/ProgramServicesAmt06967
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IRS990/IRPDocumentCnt00
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IRS990/LandBldgEquipAccumDeprecAmt0850887
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IRS990/MethodOfAccountingAccrualInd0X
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IRS990/MoreThan5000KToIndividualsInd0false
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IRS990/NetAssetsOrFundBalancesBOYAmt077485
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IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus2YearsAmt0147399
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus3YearsAmt0147829
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus4YearsAmt0144916
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt0740645
IRS990ScheduleA/InvestmentIncomeCYPct00.00000
IRS990ScheduleA/InvestmentIncomePYPct00.00000
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IRS990ScheduleA/PublicSupportCY509Pct01.00000
IRS990ScheduleA/PublicSupportPY509Pct01.00000
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IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0144916
IRS990ScheduleA/Total509Grp/TotalAmt0740700
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IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0147399
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0147884
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0144916
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0740700
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/EquipmentGrp/BookValueAmt0275080
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0844497
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt01119577
IRS990ScheduleD/LandGrp/BookValueAmt034131
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt034131
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt012176
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt06390
IRS990ScheduleD/LeaseholdImprovementsGrp/InvestmentCostOrOtherBasisAmt018566
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0344828
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0321387
IRS990ScheduleD/TotalLiabilityAmt0344828
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0VOLUNTEERS HELP WITH SMALL REPAIR AND GENERAL MAINTENANCE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1PROVIDE HOUSING FOR LOW INCOME SENIORS AND DISABLED INDIVIDUALS AND
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE OFFICERS OF THE BOARD OF DIRECTORS REVIEWS FORM 990 BEFORE IT IS FILED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3DOCUMENTS MAY BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4290
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 1, PART I, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 2, PART III, LINE 4D
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART XI, LINE 9
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IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0448384
IRS990/TotalAssetsEOYAmt0405811
IRS990/TotalAssetsGrp/BOYAmt0448384
IRS990/TotalAssetsGrp/EOYAmt0405811
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalEmployeeCnt01
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt05750
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0179866
IRS990/TotalFunctionalExpensesGrp/TotalAmt0185616
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0370899
IRS990/TotalLiabilitiesEOYAmt0364149
IRS990/TotalLiabilitiesGrp/BOYAmt0370899
IRS990/TotalLiabilitiesGrp/EOYAmt0364149
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt077485
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt041662
IRS990/TotalOtherProgSrvcExpenseAmt067118
IRS990/TotalProgramServiceExpensesAmt0179866
IRS990/TotalProgramServiceRevenueAmt0149503
IRS990/TotalRevenueGrp/ExclusionAmt0149503
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0149503
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0448384
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0405811
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0PO BOX 286
IRS990/USAddress/CityNm0ISANTI
IRS990/USAddress/StateAbbreviationCd0MN
IRS990/USAddress/ZIPCd055040
IRS990/VotingMembersGoverningBodyCnt09
IRS990/VotingMembersIndependentCnt028
IRS990/WebsiteAddressTxt0NONE
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02023-04-26 12:10:37Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0LAVERNE PETER 2023
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0BOARD TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum07634448725
ReturnHeader/BusinessOfficerGrp/SignatureDt02023-11-09
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0ISANTI COMMUNITY SERVICES INC
ReturnHeader/Filer/BusinessNameControlTxt0ISAN
ReturnHeader/Filer/EIN0237252241
ReturnHeader/Filer/PhoneNum07634448725
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 286
ReturnHeader/Filer/USAddress/CityNm0ISANTI
ReturnHeader/Filer/USAddress/StateAbbreviationCd0MN
ReturnHeader/Filer/USAddress/ZIPCd055040
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0411962062
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0PETER AND ASSOCIATES LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt029 MAIN ST W PO BOX 445
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0ISANTI
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0550407156
ReturnHeader/PreparerPersonGrp/PhoneNum07634448725
ReturnHeader/PreparerPersonGrp/PreparationDt02023-11-10
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0LAVERNE D PETER CPA
ReturnHeader/ReturnTs02023-11-10T22:05:31-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0LAVERNE
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0PETER
ReturnHeader/TaxPeriodBeginDt02022-01-01
ReturnHeader/TaxPeriodEndDt02022-12-31
ReturnHeader/TaxYr02022

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