Civic Intelligence

Skills Foundation Inc.

990 • Fiscal year 2017 • EIN 25-1572754

Jul 01, 2016 to Jun 30, 2017 • Filed on Sep 29, 2017

341 Science Park Road No 6State College, PA 16803

(814) 238-3245

Siviq Scores

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

Liabilities / Assets

67th percentile

0.25x

Higher debt load relative to assets than 67% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Liabilities / Revenue

91st percentile

2.20x

Higher debt load relative to revenue than 91% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Net Margin

88th percentile

39%

Higher net margin than 88% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Top Officer Pay

35th percentile

$0

Higher top officer pay than 35% of similar nonprofits.

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

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Asset Growth

65th percentile

8.7%

Faster asset growth than 65% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Revenue Growth

96th percentile

211%

Faster revenue growth than 96% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Assets

Up

$1,224,865

Up $98,095 (+8.7%) from 2016

Net Assets

Up

$918,567

Up $54,939 (+6.4%) from 2016

Liabilities

Up

$306,298

Up $43,156 (+16%) from 2016

Revenue

Up

$139,311

Up $94,556 (+211%) from 2016

Expenses

Down

$84,372

Down $21,466 (-20%) from 2016

Net Income

Up

$54,939

Up $116,022 (+190%) from 2016

Historical Trend

Balance Sheet Trend

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

$4.0M$3.0M$2.0M$1.0M$0Assets 2013: $1,066,520Liabilities 2013: $183,110Net Assets 2013: $883,4102013Assets 2015: $1,150,478Liabilities 2015: $225,767Net Assets 2015: $924,7112015Assets 2016: $1,126,770Liabilities 2016: $263,142Net Assets 2016: $863,6282016Assets 2017: $1,224,865Liabilities 2017: $306,298Net Assets 2017: $918,5672017Assets 2018: $1,391,633Liabilities 2018: $427,638Net Assets 2018: $963,9952018Assets 2019: $1,518,496Liabilities 2019: $471,326Net Assets 2019: $1,047,1702019Assets 2020: $1,749,804Liabilities 2020: $616,015Net Assets 2020: $1,133,7892020Assets 2021: $2,385,015Liabilities 2021: $1,025,775Net Assets 2021: $1,359,2402021Assets 2022: $2,330,716Liabilities 2022: $1,079,092Net Assets 2022: $1,251,6242022Assets 2025: $3,778,266Liabilities 2025: $2,135,119Net Assets 2025: $1,643,1472025

Highlighted filing

2017

Assets$1,224,865
Liabilities$306,298
Net Assets$918,567

Operations Trend

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

$200K$100K$0-$100KExpenses 2013: $107,2722013Revenue 2015: $59,824Expenses 2015: $67,122Net Income 2015: -$7,2982015Revenue 2016: $44,755Expenses 2016: $105,838Net Income 2016: -$61,0832016Revenue 2017: $139,311Expenses 2017: $84,372Net Income 2017: $54,9392017Revenue 2018: $115,458Expenses 2018: $70,030Net Income 2018: $45,4282018Revenue 2019: $137,512Expenses 2019: $54,337Net Income 2019: $83,1752019Revenue 2020: $124,067Expenses 2020: $51,811Net Income 2020: $72,2562020Revenue 2021: $125,156Expenses 2021: $79,632Net Income 2021: $45,5242021Revenue 2022: $185,040Expenses 2022: $111,525Net Income 2022: $73,5152022Revenue 2025: $118,678Expenses 2025: $79,367Net Income 2025: $39,3112025

Highlighted filing

2017

Revenue$139,311
Expenses$84,372
Net Income$54,939
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
Sep 29, 2017
Return Version
2016v3.0
Gross Receipts
$185,277
Mission and Program Overview

Mission

To support the operations of skills of central pa, inc. Through fundraising activities.

To provide support for the operations of the skills group.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$859,863$904,859▲ $44,996
Savings and Temporary Cash Investments$50,771$46,737▼ $4,034
Prepaid Expenses and Deferred Charges$2,481$925▼ $1,556
Accounts Receivable-$725-
Total Assets$1,126,770$1,224,865▲ $98,095
Other Assets Total$213,655$271,619▲ $57,964
Liabilities
Other Liabilities$226,416$275,188▲ $48,772
Deferred Revenue$35,750$30,945▼ $4,805
Accounts Payable and Accrued Expenses$976$165▼ $811
Total Liabilities$263,142$306,298▲ $43,156
Net Assets / Fund Balance
Unrestricted Net Assets$770,799$817,736▲ $46,937
Temporarily Rstr Net Assets$92,829$100,831▲ $8,002
Total Net Assets Fund Balance$863,628$918,567▲ $54,939
Total Liabilities and Net Assets / Fund Balance$1,126,770$1,224,865▲ $98,095

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$271,619--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Robert DonlanChairman
Ann StaceyDirector
Becky AungstDirector
Billie WillitsDirector
Elia OfieshDirector
Joe HurdDirector
Laura BiggsDirector
Revenue and Support

Revenue Composition

Contributions and Grants
$44,888
Program Service Revenue
$0
Investment Income
$80,380
Other Revenue
$14,043
All Other Contributions
$44,888
Change in Net Assets
$54,939
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$84,372
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses$34,758$38,961-$34,758
Fees for Service Investment Mgmnt Fees-$8,080-$8,080
Fees for Services Accounting-$2,400-$2,400
Office Expenses-$173-$173
Total Functional Expenses$34,758$49,614$0$84,372
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$60,009
Fundraising Direct Expenses$45,966
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf Tournament$45,569$45,569$13,842$31,727
Discovery Garden$3,599$3,599$15,968$-12,369
Total Events$60,009$60,009$45,966$14,043
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Liability for Pooled Trust Funds$271,619
Due to Affiliate$3,569
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
Yes
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, Part VI, Section A, Line 8B

The organization does not have other committees that act on behalf of the governing board.

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

The chief executive officer of skills of central pennsylvania, inc. (who performs the foundation's administrative services) shall sign and certify that the irs form 990 is accurate and complete.

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

Annual disclosure statements are submitted by each individual board member.

Form 990, Part VI, Section B, Line 15

The organization has no employees and is managed by skills of central pa, inc., a related organization.

Form 990, Part VI, Section C, Line 18

Copies of the organization's form 990 shall be made available, upon request, in a timely manner, to any individuals who requests it.

Form 990, Part VI, Section C, Line 19

Requests for the organization's financial statements must be submitted in writing to the board of directors. The request must indicate the reason for the request and a written statement indicating the persons that will be permitted to examine the financial statements. The board of directors will make the final determination if the financial statements will be provided to the requesting party.

Filing and Contact Details

Filer

Filer Name
Skills Foundation Inc
EIN
25-1572754
Phone
8142383245
Address
341 SCIENCE PARK ROAD NO 6, STATE COLLEGE, PA 16803

Signing Officer

Name
Becky Aungst
Title
President and CEO
Phone
8142383245
Signed
2017-09-29
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Becky Aungst
Formed
1990
Legal Domicile
Pa
Voting Board Members
7
Independent Board Members
5
Employees
0
Volunteers
0

Preparer

Firm
Young Oakes Brown & Company Pc
Address
1210 THIRTEENTH STREET, ALTOONA, PA 16601
Preparer
Daniel Bradley CPA
Phone
8149446191
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

The process has not changed from prior year.

Financial Statement Notes

PART X, LINE 2:

The foundation adopted fasb asc topic accounting for uncertainty in income taxes. The fasb asc requires the foundation to evaluate tax positions taken and determine whether it is more-likely-than-not that the tax position will be sustained upon examination based on the technical merits of the position. The foundation has performed an evaluation and has determined there are no material unrecognized tax positions or uncertain tax positions that meet the reporting and disclosure provisions of fasb asc. The foundation records tax penalties and interest as they occur. For the years ended june 30, 2017 and 2016, the foundation incurred no tax penalty or interest costs.

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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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IRS990ScheduleD/OtherAssetsOrgGrp/Desc0POOLED TRUST FUNDS
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt03569
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt1271619
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO AFFILIATE
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1LIABILITY FOR POOLED TRUST FUNDS
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE FOUNDATION ADOPTED FASB ASC TOPIC ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE FASB ASC REQUIRES THE FOUNDATION TO EVALUATE TAX POSITIONS TAKEN AND DETERMINE WHETHER IT IS MORE-LIKELY-THAN-NOT THAT THE TAX POSITION WILL BE SUSTAINED UPON EXAMINATION BASED ON THE TECHNICAL MERITS OF THE POSITION. THE FOUNDATION HAS PERFORMED AN EVALUATION AND HAS DETERMINED THERE ARE NO MATERIAL UNRECOGNIZED TAX POSITIONS OR UNCERTAIN TAX POSITIONS THAT MEET THE REPORTING AND DISCLOSURE PROVISIONS OF FASB ASC. THE FOUNDATION RECORDS TAX PENALTIES AND INTEREST AS THEY OCCUR. FOR THE YEARS ENDED JUNE 30, 2017 AND 2016, THE FOUNDATION INCURRED NO TAX PENALTY OR INTEREST COSTS.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalBookValueOtherAssetsAmt0271619
IRS990ScheduleD/TotalLiabilityAmt0275188
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt045966
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0GOLF TOURNAMENT
IRS990ScheduleG/FundraisingEventInformationGrp/Event2Nm0DISCOVERY GARDEN
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt045569
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt03599
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsOtherEventsAmt010841
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt060009
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt045569
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent2Amt03599
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueOtherEventsAmt010841
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt060009
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt014043
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssOtherEventsAmt016156
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt045966
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt013842
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent2Amt015968
IRS990ScheduleG/FundraisingEventInformationGrp/OtherEventsTotalCnt02
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION DOES NOT HAVE OTHER COMMITTEES THAT ACT ON BEHALF OF THE GOVERNING BOARD.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE CHIEF EXECUTIVE OFFICER OF SKILLS OF CENTRAL PENNSYLVANIA, INC. (WHO PERFORMS THE FOUNDATION'S ADMINISTRATIVE SERVICES) SHALL SIGN AND CERTIFY THAT THE IRS FORM 990 IS ACCURATE AND COMPLETE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ANNUAL DISCLOSURE STATEMENTS ARE SUBMITTED BY EACH INDIVIDUAL BOARD MEMBER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION HAS NO EMPLOYEES AND IS MANAGED BY SKILLS OF CENTRAL PA, INC., A RELATED ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4COPIES OF THE ORGANIZATION'S FORM 990 SHALL BE MADE AVAILABLE, UPON REQUEST, IN A TIMELY MANNER, TO ANY INDIVIDUALS WHO REQUESTS IT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5REQUESTS FOR THE ORGANIZATION'S FINANCIAL STATEMENTS MUST BE SUBMITTED IN WRITING TO THE BOARD OF DIRECTORS. THE REQUEST MUST INDICATE THE REASON FOR THE REQUEST AND A WRITTEN STATEMENT INDICATING THE PERSONS THAT WILL BE PERMITTED TO EXAMINE THE FINANCIAL STATEMENTS. THE BOARD OF DIRECTORS WILL MAKE THE FINAL DETERMINATION IF THE FINANCIAL STATEMENTS WILL BE PROVIDED TO THE REQUESTING PARTY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION C, LINE 18
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART XII, LINE 2C:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0SKILLS OF CENTRAL PA INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0240855593
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0PA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0BEHAVORIAL HEALTH/INTELLECTUAL DISABILITY SERVICES
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt07
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0341 SCIENCE PARK ROAD
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0STATE COLLEGE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0PA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd016803
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd01
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt038961
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt0ALLOCATION
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt0SKILLS OF CENTRAL PA
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt0P
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0PA
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TemporarilyRstrNetAssetsGrp/BOYAmt092829
IRS990/TemporarilyRstrNetAssetsGrp/EOYAmt0100831
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt01126770
IRS990/TotalAssetsEOYAmt01224865
IRS990/TotalAssetsGrp/BOYAmt01126770
IRS990/TotalAssetsGrp/EOYAmt01224865
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt044888
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt049614
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt034758
IRS990/TotalFunctionalExpensesGrp/TotalAmt084372
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0263142
IRS990/TotalLiabilitiesEOYAmt0306298
IRS990/TotalLiabilitiesGrp/BOYAmt0263142
IRS990/TotalLiabilitiesGrp/EOYAmt0306298
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0863628
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0918567
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt034758
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt094423
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0139311
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt01126770
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt01224865
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TransactionWithControlEntInd00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0770799
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0817736
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0341 SCIENCE PARK ROAD NO 6
IRS990/USAddress/CityNm0STATE COLLEGE
IRS990/USAddress/StateAbbreviationCd0PA
IRS990/USAddress/ZIPCd016803
IRS990/VotingMembersGoverningBodyCnt07
IRS990/VotingMembersIndependentCnt05
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0BECKY AUNGST
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT AND CEO
ReturnHeader/BusinessOfficerGrp/PhoneNum08142383245
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-09-29

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