Civic Intelligence

Bio-Medical Institute

990PF • Fiscal year 2020 • EIN 23-7259889

Jan 01, 2020 to Dec 31, 2020 • Filed on Aug 17, 2021

P O Box 607Skowhegan, ME 04976

(207) 474-6610

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

57th percentile

0.00x

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

2020 filings • <$500k nonprofits • Source year 2020

Liabilities / Revenue

57th percentile

0.00x

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

2020 filings • <$500k nonprofits • Source year 2020

Net Margin

39th percentile

-1.8%

Higher net margin than 39% of similar nonprofits.

2020 filings • <$500k nonprofits • Source year 2020

Top Officer Pay

77th percentile

$0

Higher top officer pay than 77% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2020 filings • <$500k nonprofits • Source year 2020

Asset Growth

45th percentile

-0.1%

Faster asset growth than 45% of similar nonprofits.

2020 filings • <$500k nonprofits • Annualized from 2019 to 2020

Revenue Growth

66th percentile

1.0%

Faster revenue growth than 66% of similar nonprofits.

2020 filings • <$500k nonprofits • Annualized from 2019 to 2020

Assets

Down

$72,541

Down $58 (-0.1%) from 2019

Net Assets

Down

$72,541

Down $58 (-0.1%) from 2019

Liabilities

Flat

$0

Flat from 2019

Revenue

Up

$3,309

Up $34 (+1.0%) from 2019

Expenses

Down

$3,367

Down $281 (-7.7%) from 2019

Net Income

Up

-$58

Up $315 (+84%) from 2019

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$80K$60K$40K$20K$0Assets 2011: $77,401Liabilities 2011: $0Net Assets 2011: $77,4012011Assets 2015: $71,661Liabilities 2015: $0Net Assets 2015: $71,6612015Assets 2016: $71,252Liabilities 2016: $0Net Assets 2016: $71,2522016Assets 2017: $71,542Liabilities 2017: $0Net Assets 2017: $71,5422017Assets 2018: $72,972Liabilities 2018: $0Net Assets 2018: $72,9722018Assets 2019: $72,599Liabilities 2019: $0Net Assets 2019: $72,5992019Assets 2020: $72,541Liabilities 2020: $0Net Assets 2020: $72,5412020Assets 2021: $73,764Liabilities 2021: $0Net Assets 2021: $73,7642021Assets 2022: $75,145Liabilities 2022: $0Net Assets 2022: $75,1452022Assets 2023: $63,662Liabilities 2023: $0Net Assets 2023: $63,6622023Assets 2024: $61,222Liabilities 2024: $0Net Assets 2024: $61,2222024

Highlighted filing

2020

Assets$72,541
Liabilities$0
Net Assets$72,541

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$10K$5.0K$0-$5.0K-$10K-$15KExpenses 2011: $2,9052011Revenue 2015: $2,722Expenses 2015: $2,947Net Income 2015: -$2252015Revenue 2016: $2,040Expenses 2016: $2,449Net Income 2016: -$4092016Revenue 2017: $2,102Expenses 2017: $1,813Net Income 2017: $2892017Revenue 2018: $3,532Expenses 2018: $2,102Net Income 2018: $1,4302018Revenue 2019: $3,275Expenses 2019: $3,648Net Income 2019: -$3732019Revenue 2020: $3,309Expenses 2020: $3,367Net Income 2020: -$582020Revenue 2021: $3,401Expenses 2021: $2,178Net Income 2021: $1,2232021Revenue 2022: $3,482Expenses 2022: $2,101Net Income 2022: $1,3812022Revenue 2023: -$4,351Expenses 2023: $7,132Net Income 2023: -$11,4832023Revenue 2024: $7Expenses 2024: $2,447Net Income 2024: -$2,4402024

Highlighted filing

2020

Revenue$3,309
Expenses$3,367
Net Income-$58
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Aug 17, 2021
Return Version
2020v4.1
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
W Edward jordan III MDPresident-$0--
Virginia E JordanSecretary-$0--
John B Jordan CPATreasurer-$0--
Filing and Contact Details

Filer

Filer Name
Biomedical Institute
EIN
23-7259889
Phone
2074746610
Address
P O BOX 607, SKOWHEGAN, ME 04976

Signing Officer

Name
John B Jordan
Title
Treasurer
Signed
2021-08-17
Discuss with paid preparer
Yes

Preparer

Firm
John B Jordan CPA Pa
Address
P O BOX 607, SKOWHEGAN, ME 04976
Preparer
John B Jordan
Phone
2074746610
Raw XML Appendix275 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.

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AccountingFeesSchedule/AccountingFeesDetail/Amt01680
AccountingFeesSchedule/AccountingFeesDetail/CategoryTxt0John B. Jordan, CPA, PA
AccountingFeesSchedule/AccountingFeesDetail/DisbursementsCharitablePrpsAmt01680
ExplnOfNonFilingWithAGStmt/ExplanationTxt0The State of Maine and the Attorney General do not have any filing requirements for non-profit organizations.
InvestmentsCorpStockSchedule/InvestmentsCorporateStockGrp/EOYBookValueAmt015000
InvestmentsCorpStockSchedule/InvestmentsCorporateStockGrp/EOYBookValueAmt114772
InvestmentsCorpStockSchedule/InvestmentsCorporateStockGrp/EOYBookValueAmt214819
InvestmentsCorpStockSchedule/InvestmentsCorporateStockGrp/EOYFMVAmt016176
InvestmentsCorpStockSchedule/InvestmentsCorporateStockGrp/EOYFMVAmt113833
InvestmentsCorpStockSchedule/InvestmentsCorporateStockGrp/EOYFMVAmt213497
InvestmentsCorpStockSchedule/InvestmentsCorporateStockGrp/StockNm0600 shares of Merrill Lynch Capital TR 6.45
InvestmentsCorpStockSchedule/InvestmentsCorporateStockGrp/StockNm1223 shares of Bristol Myers Squibb Co
InvestmentsCorpStockSchedule/InvestmentsCorporateStockGrp/StockNm21539 shares of Eaton Vance Tax Mgd Div Equ Fd
InvestmentsGovtObligationsSch/StateLocalSecBookVlEOYAmt019946
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IRS990PF/AddressChangeInd0X
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IRS990PF/AnalysisOfRevenueAndExpenses/TotOprExpensesRevAndExpnssAmt01867
IRS990PF/ChgInNetAssetsFundBalancesGrp/ExcessRevenueOverExpensesAmt0-58
IRS990PF/ChgInNetAssetsFundBalancesGrp/SubtotalAmt072541
IRS990PF/ChgInNetAssetsFundBalancesGrp/TotNetAstOrFundBalancesBOYAmt072599
IRS990PF/ChgInNetAssetsFundBalancesGrp/TotNetAstOrFundBalancesEOYAmt072541
IRS990PF/DistributableAmountGrp/DistributableAsAdjustedAmt03459
IRS990PF/DistributableAmountGrp/DistributableBeforeAdjAmt03459
IRS990PF/DistributableAmountGrp/DistributableBeforeDedAmt03459
IRS990PF/DistributableAmountGrp/MinimumInvestmentReturnAmt03503
IRS990PF/DistributableAmountGrp/TaxBasedOnInvestmentIncomeAmt044
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IRS990PF/ExciseTaxBasedOnInvstIncmGrp/TaxBasedOnInvestmentIncomeAmt044
IRS990PF/ExciseTaxBasedOnInvstIncmGrp/TaxDueAmt044
IRS990PF/FMVAssetsEOYAmt073167
IRS990PF/Form990PFBalanceSheetsGrp/CorporateStockBOYAmt044591
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IRS990PF/Form990PFBalanceSheetsGrp/RetainedEarningBOYAmt072599
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IRS990PF/Form990PFBalanceSheetsGrp/TotalLiabilitiesEOYAmt00
IRS990PF/Form990PFBalanceSheetsGrp/TotalLiabilitiesNetAstBOYAmt072599
IRS990PF/Form990PFBalanceSheetsGrp/TotalLiabilitiesNetAstEOYAmt072541
IRS990PF/Form990PFBalanceSheetsGrp/TotNetAstOrFundBalancesBOYAmt072599
IRS990PF/Form990PFBalanceSheetsGrp/TotNetAstOrFundBalancesEOYAmt072541
IRS990PF/Form990PFBalanceSheetsGrp/USGovernmentObligationsBOYAmt019946
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IRS990PF/MethodOfAccountingCashInd0X
IRS990PF/MinimumInvestmentReturnGrp/AdjustedTotalFMVOfUnusedAstAmt071130
IRS990PF/MinimumInvestmentReturnGrp/AverageMonthlyCashBalancesAmt08297
IRS990PF/MinimumInvestmentReturnGrp/AverageMonthlyFMVOfSecAmt062833
IRS990PF/MinimumInvestmentReturnGrp/CashDeemedCharitableAmt01067
IRS990PF/MinimumInvestmentReturnGrp/FMVAllOtherNoncharitableAstAmt00
IRS990PF/MinimumInvestmentReturnGrp/MinimumInvestmentReturnAmt03503
IRS990PF/MinimumInvestmentReturnGrp/NetVlNoncharitableAssetsAmt070063
IRS990PF/MinimumInvestmentReturnGrp/TotalFMVOfUnusedAssetsAmt071130
IRS990PF/OfficerDirTrstKeyEmplInfoGrp/OfficerDirTrstKeyEmplGrp/AverageHrsPerWkDevotedToPosRt0000.00
IRS990PF/OfficerDirTrstKeyEmplInfoGrp/OfficerDirTrstKeyEmplGrp/AverageHrsPerWkDevotedToPosRt1000.00
IRS990PF/OfficerDirTrstKeyEmplInfoGrp/OfficerDirTrstKeyEmplGrp/AverageHrsPerWkDevotedToPosRt2000.50
IRS990PF/OfficerDirTrstKeyEmplInfoGrp/OfficerDirTrstKeyEmplGrp/CompensationAmt00
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IRS990PF/OfficerDirTrstKeyEmplInfoGrp/OfficerDirTrstKeyEmplGrp/CompensationAmt20
IRS990PF/OfficerDirTrstKeyEmplInfoGrp/OfficerDirTrstKeyEmplGrp/PersonNm0W Edward jordan III MD
IRS990PF/OfficerDirTrstKeyEmplInfoGrp/OfficerDirTrstKeyEmplGrp/PersonNm1Virginia E Jordan
IRS990PF/OfficerDirTrstKeyEmplInfoGrp/OfficerDirTrstKeyEmplGrp/PersonNm2John B Jordan CPA
IRS990PF/OfficerDirTrstKeyEmplInfoGrp/OfficerDirTrstKeyEmplGrp/TitleTxt0President
IRS990PF/OfficerDirTrstKeyEmplInfoGrp/OfficerDirTrstKeyEmplGrp/TitleTxt1Secretary
IRS990PF/OfficerDirTrstKeyEmplInfoGrp/OfficerDirTrstKeyEmplGrp/TitleTxt2Treasurer
IRS990PF/OfficerDirTrstKeyEmplInfoGrp/OfficerDirTrstKeyEmplGrp/USAddress/AddressLine1Txt02419 Sandy Fields Ln
IRS990PF/OfficerDirTrstKeyEmplInfoGrp/OfficerDirTrstKeyEmplGrp/USAddress/AddressLine1Txt168 Coburn Ave
IRS990PF/OfficerDirTrstKeyEmplInfoGrp/OfficerDirTrstKeyEmplGrp/USAddress/AddressLine1Txt2P O Box 607
IRS990PF/OfficerDirTrstKeyEmplInfoGrp/OfficerDirTrstKeyEmplGrp/USAddress/CityNm0Spring
IRS990PF/OfficerDirTrstKeyEmplInfoGrp/OfficerDirTrstKeyEmplGrp/USAddress/CityNm1Skowhegan
IRS990PF/OfficerDirTrstKeyEmplInfoGrp/OfficerDirTrstKeyEmplGrp/USAddress/CityNm2Skowhegan
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IRS990PF/PrivateOperatingFoundationsGrp/LessorAdjNetIncmMinInvstRetGrp/TotalAmt012099
IRS990PF/PrivateOperatingFoundationsGrp/LessorAdjNetIncmMinInvstRetGrp/Year1Amt03155
IRS990PF/PrivateOperatingFoundationsGrp/LessorAdjNetIncmMinInvstRetGrp/Year2Amt03412
IRS990PF/PrivateOperatingFoundationsGrp/LessorAdjNetIncmMinInvstRetGrp/Year3Amt02343
IRS990PF/PrivateOperatingFoundationsGrp/Pct85LessorAdjIncmOrMinRetGrp/CurrentYearAmt02711
IRS990PF/PrivateOperatingFoundationsGrp/Pct85LessorAdjIncmOrMinRetGrp/TotalAmt010285
IRS990PF/PrivateOperatingFoundationsGrp/Pct85LessorAdjIncmOrMinRetGrp/Year1Amt02682
IRS990PF/PrivateOperatingFoundationsGrp/Pct85LessorAdjIncmOrMinRetGrp/Year2Amt02900
IRS990PF/PrivateOperatingFoundationsGrp/Pct85LessorAdjIncmOrMinRetGrp/Year3Amt01992
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IRS990PF/PrivateOperatingFoundationsGrp/QualifyingDistributionsGrp/Year2Amt01935
IRS990PF/PrivateOperatingFoundationsGrp/QualifyingDistributionsGrp/Year3Amt01655
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IRS990PF/QualifyingDistriPartXIIGrp/AdjustedQualifyingDistriAmt03215
IRS990PF/QualifyingDistriPartXIIGrp/ExpensesAndContributionsAmt03215
IRS990PF/QualifyingDistriPartXIIGrp/QualifyingDistributionsAmt03215
IRS990PF/StatementsRegardingActy4720Grp/ActsFailToQlfyAsExceptionsInd0false
IRS990PF/StatementsRegardingActy4720Grp/BrrwOrLendDisqualifiedPrsnInd0false
IRS990PF/StatementsRegardingActy4720Grp/BusinessHoldingsInd0false
IRS990PF/StatementsRegardingActy4720Grp/FurnGoodsDisqualifiedPrsnInd0true
IRS990PF/StatementsRegardingActy4720Grp/GrantsToIndividualsInd0false
IRS990PF/StatementsRegardingActy4720Grp/GrantsToOrganizationsInd0false
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IRS990PF/StatementsRegardingActy4720Grp/InfluenceLegislationInd0false
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IRS990PF/StatementsRegardingActy4720Grp/NoncharitablePurposeInd0false
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IRS990PF/StatementsRegardingActy4720Grp/PaymentToGovernmentOfficialInd0false
IRS990PF/StatementsRegardingActy4720Grp/PayPremiumsPrsnlBnftCntrctInd0false
IRS990PF/StatementsRegardingActy4720Grp/ProhibitedTaxShelterTransInd0false
IRS990PF/StatementsRegardingActy4720Grp/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990PF/StatementsRegardingActy4720Grp/SaleOrExchDisqualifiedPrsnInd0false
IRS990PF/StatementsRegardingActy4720Grp/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990PF/StatementsRegardingActy4720Grp/TransferAstDisqualifiedPrsnInd0false
IRS990PF/StatementsRegardingActy4720Grp/UncorrectedPriorActsInd0false
IRS990PF/StatementsRegardingActy4720Grp/UncorrectedPYJeopardyInvstInd0false
IRS990PF/StatementsRegardingActy4720Grp/UndistributedIncomePYInd0false
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IRS990PF/StatementsRegardingActyGrp/AtLeast5000InAssetsInd0true
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IRS990PF/StatementsRegardingActyGrp/ComplyWithPublicInspRqrInd0true
IRS990PF/StatementsRegardingActyGrp/DonorAdvisedFundInd0false
IRS990PF/StatementsRegardingActyGrp/ForeignAccountsQuestionInd0false
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IRS990PF/StatementsRegardingActyGrp/Form990PFFiledWithAttyGenInd0false
IRS990PF/StatementsRegardingActyGrp/IndividualWithBooksNm0John B Jordan
IRS990PF/StatementsRegardingActyGrp/LegislativePoliticalActyInd0false
IRS990PF/StatementsRegardingActyGrp/LocationOfBooksUSAddress/AddressLine1Txt0133 Water St P O Box 607
IRS990PF/StatementsRegardingActyGrp/LocationOfBooksUSAddress/CityNm0Skowhegan
IRS990PF/StatementsRegardingActyGrp/LocationOfBooksUSAddress/StateAbbreviationCd0ME
IRS990PF/StatementsRegardingActyGrp/LocationOfBooksUSAddress/ZIPCd004976
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IRS990PF/StatementsRegardingActyGrp/Section508eRqrSatisfiedInd0true
IRS990PF/StatementsRegardingActyGrp/UnrelatedBusIncmOverLimitInd0false
IRS990PF/StatementsRegardingActyGrp/WebsiteAddressTxt0N/A
IRS990PF/SummaryOfDirectChrtblActyGrp/Description1Txt0Scholarship program approved. No individuals benefited this year.
IRS990PF/SummaryOfDirectChrtblActyGrp/Description2Txt0Charitable giving program approved. 1 organization benefited.
IRS990PF/SummaryOfDirectChrtblActyGrp/Expenses1Amt00
IRS990PF/SummaryOfDirectChrtblActyGrp/Expenses2Amt03215
IRS990PF/SumOfProgramRelatedInvstGrp/Description1Txt0None
IRS990PF/SupplementaryInformationGrp/ApplicationSubmissionInfoGrp/FormAndInfoAndMaterialsTxt0Letters of intent, acceptance from Maine school recommendation, school transcript, SAT/College Board scores application form.
IRS990PF/SupplementaryInformationGrp/ApplicationSubmissionInfoGrp/RecipientPersonNm0Jane Bigelow Guidance Office
IRS990PF/SupplementaryInformationGrp/ApplicationSubmissionInfoGrp/RecipientPhoneNum02074742403
IRS990PF/SupplementaryInformationGrp/ApplicationSubmissionInfoGrp/RecipientUSAddress/AddressLine1Txt0MSAD 54 61 Academy Circle
IRS990PF/SupplementaryInformationGrp/ApplicationSubmissionInfoGrp/RecipientUSAddress/CityNm0Skowhegan
IRS990PF/SupplementaryInformationGrp/ApplicationSubmissionInfoGrp/RecipientUSAddress/StateAbbreviationCd0ME
IRS990PF/SupplementaryInformationGrp/ApplicationSubmissionInfoGrp/RecipientUSAddress/ZIPCd004976
IRS990PF/SupplementaryInformationGrp/ApplicationSubmissionInfoGrp/RestrictionsOnAwardsTxt0Graduates of Skowhegan Area High School only.
IRS990PF/SupplementaryInformationGrp/ApplicationSubmissionInfoGrp/SubmissionDeadlinesTxt0Annually by April 15th
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/Amt01500
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/GrantOrContributionPurposeTxt0Charitable donation to TUSM-MMC Maine Track Program for medical education
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientBusinessName/BusinessNameLine1Txt0Maine Medical Center
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientFoundationStatusTxt0PC
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientRelationshipTxt0NONE
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientUSAddress/AddressLine1Txt022 Bramhall St
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientUSAddress/CityNm0Portland
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientUSAddress/StateAbbreviationCd0ME
IRS990PF/SupplementaryInformationGrp/GrantOrContributionPdDurYrGrp/RecipientUSAddress/ZIPCd004102
IRS990PF/SupplementaryInformationGrp/TotalGrantOrContriPdDurYrAmt01500
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IRS990PF/TrnsfrTransRlnNonchrtblEOGrp/ReimbursementArrangementsInd0false
IRS990PF/TrnsfrTransRlnNonchrtblEOGrp/RelationshipsNonchrtblEOInd0false
IRS990PF/TrnsfrTransRlnNonchrtblEOGrp/RentalOfFacilitiesOthAssetsInd0false
IRS990PF/TrnsfrTransRlnNonchrtblEOGrp/SalesOrExchangesOfAssetsInd0false
IRS990PF/TrnsfrTransRlnNonchrtblEOGrp/SharingOfFacilitiesEtcInd0false
IRS990PF/TrnsfrTransRlnNonchrtblEOGrp/TrnsfrOfCashToNonchrtblEOInd0false
IRS990PF/TrnsfrTransRlnNonchrtblEOGrp/TrnsfrOtherAssetNonchrtblEOInd0false
IRS990PF/UndistributedIncomeGrp/AppliedToCurrentYearAmt01766
IRS990PF/UndistributedIncomeGrp/AppliedToYear1Amt01449
IRS990PF/UndistributedIncomeGrp/DistributableAsAdjustedAmt03459
IRS990PF/UndistributedIncomeGrp/QualifyingDistributionsAmt03215
IRS990PF/UndistributedIncomeGrp/UndistributedIncomeCYAmt01693
IRS990PF/UndistributedIncomeGrp/UndistributedIncomePYAmt01449
OtherExpensesSchedule/OtherExpensesScheduleGrp/AdjustedNetIncomeAmt0120
OtherExpensesSchedule/OtherExpensesScheduleGrp/Desc0License and registrations
OtherExpensesSchedule/OtherExpensesScheduleGrp/Desc1Account maintenance fee
OtherExpensesSchedule/OtherExpensesScheduleGrp/DisbursementsCharitablePrpsAmt035
OtherExpensesSchedule/OtherExpensesScheduleGrp/NetInvestmentIncomeAmt0120
OtherExpensesSchedule/OtherExpensesScheduleGrp/RevenueAndExpensesPerBooksAmt035
OtherExpensesSchedule/OtherExpensesScheduleGrp/RevenueAndExpensesPerBooksAmt1120
TaxesSchedule/TaxesDetail/Amt032
TaxesSchedule/TaxesDetail/CategoryTxt0Tax on investment income
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd02
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0John B Jordan
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Treasurer
ReturnHeader/BusinessOfficerGrp/SignatureDt02021-08-17
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0BIOMEDICAL INSTITUTE
ReturnHeader/Filer/BusinessNameControlTxt0BIOM
ReturnHeader/Filer/EIN0237259889
ReturnHeader/Filer/PhoneNum02074746610
ReturnHeader/Filer/USAddress/AddressLine1Txt0P O BOX 607
ReturnHeader/Filer/USAddress/CityNm0SKOWHEGAN
ReturnHeader/Filer/USAddress/StateAbbreviationCd0ME
ReturnHeader/Filer/USAddress/ZIPCd004976
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0JOHN B JORDAN CPA PA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0P O BOX 607
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0SKOWHEGAN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0ME
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd004976
ReturnHeader/PreparerPersonGrp/PhoneNum02074746610
ReturnHeader/PreparerPersonGrp/PreparationDt02021-08-17
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0JOHN B JORDAN
ReturnHeader/ReturnTs02021-08-17T04:15:53-00:00
ReturnHeader/ReturnTypeCd0990PF
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0John
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0Jordan
ReturnHeader/TaxPeriodBeginDt02020-01-01
ReturnHeader/TaxPeriodEndDt02020-12-31
ReturnHeader/TaxYr02020

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