Civic Intelligence

Clinical Pathology Institute

EIN 25-1528055 • 501(c)3 • Erie, PA

Profile

To provide operation of on-site hospital laboratories on a cooperative basis and provide record maintenance, data processing, warehousing, billing/collection, financial management and personnel services to tax exempt hospital members.

1526 Peach StreetErie, PA 16501

n/A

Siviq Scores

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

Liabilities / Assets

85th percentile

0.56x

Higher debt load relative to assets than 85% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

93rd percentile

2.12x

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

501(c)3 • $1M-$5M nonprofits • Source year 2024

Net Margin

39th percentile

0.0%

Higher net margin than 39% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Top Officer Pay

40th percentile

$0

Higher top officer pay than 40% of similar nonprofits.

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

501(c)3 • $1M-$5M nonprofits • Source year 2024

Asset Growth

80th percentile

21%

Faster asset growth than 80% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Revenue Growth

44th percentile

3.8%

Faster revenue growth than 44% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Assets

Up

$2,622,689

Up $456,395 (+21%) from 2023

Liabilities

Up

$1,472,547

Up $456,395 (+45%) from 2023

Net Assets

Flat

$1,150,142

Flat from 2023

Revenue

Up

$693,698

Up $25,712 (+3.8%) from 2023

Expenses

Up

$693,698

Up $25,712 (+3.8%) from 2023

Net Income

Flat

$0

Flat from 2023

Trend Graphs

Balance Sheet Trend

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

$4.0M$3.0M$2.0M$1.0M$0Assets 2014: $2,310,470Liabilities 2014: $1,160,328Net Assets 2014: $1,150,1422014Assets 2015: $2,698,464Liabilities 2015: $1,548,322Net Assets 2015: $1,150,1422015Assets 2016: $1,958,828Liabilities 2016: $808,686Net Assets 2016: $1,150,1422016Assets 2017: $2,046,095Liabilities 2017: $895,953Net Assets 2017: $1,150,1422017Assets 2018: $2,251,994Liabilities 2018: $1,101,852Net Assets 2018: $1,150,1422018Assets 2019: $2,001,846Liabilities 2019: $851,704Net Assets 2019: $1,150,1422019Assets 2020: $3,083,091Liabilities 2020: $1,932,949Net Assets 2020: $1,150,1422020Assets 2021: $2,957,967Liabilities 2021: $1,807,825Net Assets 2021: $1,150,1422021Assets 2022: $1,913,499Liabilities 2022: $763,357Net Assets 2022: $1,150,1422022Assets 2023: $2,166,294Liabilities 2023: $1,016,152Net Assets 2023: $1,150,1422023Assets 2024: $2,622,689Liabilities 2024: $1,472,547Net Assets 2024: $1,150,1422024

Highlighted filing

2024

Assets$2,622,689
Liabilities$1,472,547
Net Assets$1,150,142

Operations Trend

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

$15M$10M$5.0M$0Revenue 2014: $11,093,592Expenses 2014: $11,093,592Net Income 2014: $02014Revenue 2015: $3,652,340Expenses 2015: $3,652,340Net Income 2015: $02015Revenue 2016: $3,369,721Expenses 2016: $3,369,721Net Income 2016: $02016Revenue 2017: $3,071,833Expenses 2017: $3,071,833Net Income 2017: $02017Revenue 2018: $3,005,877Expenses 2018: $3,005,877Net Income 2018: $02018Revenue 2019: $2,856,791Expenses 2019: $2,856,791Net Income 2019: $02019Revenue 2020: $2,956,584Expenses 2020: $2,956,584Net Income 2020: $02020Revenue 2021: $2,910,799Expenses 2021: $2,910,799Net Income 2021: $02021Revenue 2022: $1,264,694Expenses 2022: $1,264,694Net Income 2022: $02022Revenue 2023: $667,986Expenses 2023: $667,986Net Income 2023: $02023Revenue 2024: $693,698Expenses 2024: $693,698Net Income 2024: $02024

Highlighted filing

2024

Revenue$693,698
Expenses$693,698
Net Income$0

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 8, 2025
Return Version
2023v6.0
Gross Receipts
$693,698
Mission and Program Overview

Mission

To provide operation of on-site hospital laboratories on a cooperative basis and provide record maintenance, data processing, warehousing, billing/collection, financial management and personnel services to tax exempt hospital members

To provide operation of on-site hospital laboratories on a cooperative basis and provide record maintenance, data processing, warehousing, billing/collection, financial management and personnel services to tax exempt hospital members.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$1,172,772$1,663,298▲ $490,526
Accounts Receivable$819,839$794,437▼ $25,402
Inventories for Sale or Use$72,852$72,852→ $0
Prepaid Expenses and Deferred Charges$59,476$59,476→ $0
Land, Buildings, and Equipment, Net$41,355$32,626▼ $8,729
Total Assets$2,166,294$2,622,689▲ $456,395
Liabilities
Accounts Payable and Accrued Expenses$1,016,152$1,472,547▲ $456,395
Total Liabilities$1,016,152$1,472,547▲ $456,395
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,150,142$1,150,142→ $0
Total Net Assets Fund Balance$1,150,142$1,150,142→ $0
Total Liabilities and Net Assets / Fund Balance$2,166,294$2,622,689▲ $456,395

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$32,626$5,445,106$5,477,732
Leasehold Improvements$0$7,391$7,391
Compensation and Service Providers

Board Members and Trustees

NameTitle
Cory JacksonBoard Member/president
Rand LevisBoard Member/vice President
Cecil MillerBoard Member
Stephen FontaineBoard Member
Brad DingerBoard Member/secretary
Richard OlingerBoard Member/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$693,698
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$543,401
Salaries, Compensation, and Employee Benefits$150,297
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$107,533$23,605-$131,138
Payroll Taxes$8,760$1,923-$10,683
Depreciation Depletion$6,821$1,497-$8,318
Pension Plan Contributions$5,230$1,148-$6,378
Fees for Services Accounting-$3,500-$3,500
Fees for Services Other$2,087$458-$2,545
Other Employee Benefits$1,720$378-$2,098
Other Expenses$754$165-$919
Occupancy$665$146-$811
Total Functional Expenses$565,962$127,736$0$693,698
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
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
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The organization's members are tax exempt hospitals to which it provides services.

Form 990, Part VI, Section A, Line 7A

The 18 member hospitals have equal voting rights to elect the board of directors.

Form 990, Part VI, Section A, Line 7B

While members do not approve actions taken in the ordinary course of business, changes to by-laws and other organizing documents must be approved by 100% of the members.

Form 990, Part VI, Section B, Line 11B

Form 990 is prepared by an independent accounting firm chosen by the board. The board has authorized the controller to review and approve the final version of form 990 before signing and filing.

Form 990, Part VI, Section B, Line 12C

Conflict of interest information is updated annually. All board members are required to complete annual compliance training.

Form 990, Part VI, Section B, Line 15

The organization has no employees. Services are performed by a related organization's employees and costs are charged back to cpi based on their actual number of hours of service incurred.

Form 990, Part VI, Section C, Line 19

The organization makes its governing documents, policies and financial statements available to the public at its primary address during normal business hours.

Filing and Contact Details

Filer

Filer Name
Clinical Pathology Institute
EIN
25-1528055
Phone
8144612400
Address
1526 PEACH STREET, ERIE, PA 16501

Signing Officer

Name
Stephen Ingram
Title
Controller/CFO
Phone
8144612419
Signed
2025-05-08
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Stephen Ingram
Formed
1988
Legal Domicile
Pa
Voting Board Members
6
Independent Board Members
6
Employees
0
Volunteers
6

Preparer

Firm
Freed Maxick Pc
Address
424 MAIN STREET SUITE 800, BUFFALO, NY 14202-3508
Preparer
Mary Madonia
Phone
7168472651
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

This process did not change from the prior year.

FORM 990, PART IV, LINE 20:

Clinical pathology institute cooperative is a cooperative hospital service organization as described in irc section 501(e). Although it meets the definition of "hospital" for schedule a purposes, it is not licensed, registered, or recognized as a hospital and is therefore not required to complete schedule h.

Raw XML Appendix398 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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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION'S MEMBERS ARE TAX EXEMPT HOSPITALS TO WHICH IT PROVIDES SERVICES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE 18 MEMBER HOSPITALS HAVE EQUAL VOTING RIGHTS TO ELECT THE BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2WHILE MEMBERS DO NOT APPROVE ACTIONS TAKEN IN THE ORDINARY COURSE OF BUSINESS, CHANGES TO BY-LAWS AND OTHER ORGANIZING DOCUMENTS MUST BE APPROVED BY 100% OF THE MEMBERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM CHOSEN BY THE BOARD. THE BOARD HAS AUTHORIZED THE CONTROLLER TO REVIEW AND APPROVE THE FINAL VERSION OF FORM 990 BEFORE SIGNING AND FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4CONFLICT OF INTEREST INFORMATION IS UPDATED ANNUALLY. ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE ANNUAL COMPLIANCE TRAINING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE ORGANIZATION HAS NO EMPLOYEES. SERVICES ARE PERFORMED BY A RELATED ORGANIZATION'S EMPLOYEES AND COSTS ARE CHARGED BACK TO CPI BASED ON THEIR ACTUAL NUMBER OF HOURS OF SERVICE INCURRED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AT ITS PRIMARY ADDRESS DURING NORMAL BUSINESS HOURS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8CLINICAL PATHOLOGY INSTITUTE COOPERATIVE IS A COOPERATIVE HOSPITAL SERVICE ORGANIZATION AS DESCRIBED IN IRC SECTION 501(E). ALTHOUGH IT MEETS THE DEFINITION OF "HOSPITAL" FOR SCHEDULE A PURPOSES, IT IS NOT LICENSED, REGISTERED, OR RECOGNIZED AS A HOSPITAL AND IS THEREFORE NOT REQUIRED TO COMPLETE SCHEDULE H.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART XII, LINE 2C:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART IV, LINE 20:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN0223137283
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt0C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd0PA
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0LAB TESTING
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0QUEST DIAGNOSTICS OF PENNSYLVANIA INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt0875 GREENTREE RD 4 PARKWAY CTR
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm0PITTSBURGH
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd0PA
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCd015220
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/DirectControllingNACd1N/A
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/DisproportionateAllocationsInd00
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/DisproportionateAllocationsInd10
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/EIN0232919277
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/EIN1251533746
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/GeneralOrManagingPartnerInd00
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/GeneralOrManagingPartnerInd10
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/LegalDomicileStateCd0PA
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/LegalDomicileStateCd1PA
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/PrimaryActivitiesTxt0INVESTMENT
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/PrimaryActivitiesTxt1LAB TESTING
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/RelatedOrganizationName/BusinessNameLine1Txt0TRI-STATE REGIONAL ASSOCIATES
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/RelatedOrganizationName/BusinessNameLine1Txt1ASSOCIATED CLINICAL LABORATORIES
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/AddressLine1Txt01526 PEACH STREET
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/AddressLine1Txt11526 PEACH STREET
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/CityNm0ERIE
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/CityNm1ERIE
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/StateAbbreviationCd0PA
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/StateAbbreviationCd1PA
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/ZIPCd016501
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/ZIPCd116501
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IRS990ScheduleR/PaidEmployeesSharingInd01
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd01
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd01
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt02166294
IRS990/TotalAssetsEOYAmt02622689
IRS990/TotalAssetsGrp/BOYAmt02166294
IRS990/TotalAssetsGrp/EOYAmt02622689
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0127736
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0565962
IRS990/TotalFunctionalExpensesGrp/TotalAmt0693698
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt01016152
IRS990/TotalLiabilitiesEOYAmt01472547
IRS990/TotalLiabilitiesGrp/BOYAmt01016152
IRS990/TotalLiabilitiesGrp/EOYAmt01472547
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt01150142
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt01150142
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0565962
IRS990/TotalProgramServiceRevenueAmt0693698
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0693698
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0693698
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt06
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt02166294
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt02622689
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt01526 PEACH STREET
IRS990/USAddress/CityNm0ERIE
IRS990/USAddress/StateAbbreviationCd0PA
IRS990/USAddress/ZIPCd016501
IRS990/VotingMembersGoverningBodyCnt06
IRS990/VotingMembersIndependentCnt06
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0STEPHEN INGRAM
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CONTROLLER/CFO
ReturnHeader/BusinessOfficerGrp/PhoneNum08144612419
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-05-08
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0CLINICAL PATHOLOGY INSTITUTE
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0COOPERATIVE INC
ReturnHeader/Filer/BusinessNameControlTxt0CLIN
ReturnHeader/Filer/EIN0251528055
ReturnHeader/Filer/PhoneNum08144612400
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ReturnHeader/Filer/USAddress/CityNm0ERIE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0PA
ReturnHeader/Filer/USAddress/ZIPCd016501
ReturnHeader/IRSResponsiblePrtyInfoCurrInd01
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0454051133
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0FREED MAXICK PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0424 MAIN STREET SUITE 800
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0BUFFALO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0142023508
ReturnHeader/PreparerPersonGrp/PhoneNum07168472651
ReturnHeader/PreparerPersonGrp/PreparationDt02025-05-05
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0MARY MADONIA
ReturnHeader/ReturnTs02025-05-09T13:53:51-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02023-07-01
ReturnHeader/TaxPeriodEndDt02024-06-30
ReturnHeader/TaxYr02023

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