Civic Intelligence

Pha Group Benefit Association

990 • Fiscal year 2012 • EIN 26-0060256

Jan 01, 2012 to Dec 31, 2012 • Filed on Aug 16, 2013

2115 Leiter Rd Ste 40045342
Siviq Scores

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

Liabilities / Assets

34th percentile

0.00x

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

2012 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2012

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2012

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2012

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2012

Asset Growth

1st percentile

-82%

Faster asset growth than 1% of similar nonprofits.

2012 filings • 501(c)9 • $1M-$5M nonprofits • Annualized from 2011 to 2012

Revenue Growth

Score unavailable

No value available

No valid filing value is available for this score.

Assets

Down

$212,799

Down $953,095 (-82%) from 2011

Net Assets

Up

$212,799

Up $116,907 (+122%) from 2011

Liabilities

Down

$0

Down $1,070,002 (-100%) from 2011

Revenue

-

No earlier filing loaded for comparison.

Expenses

Down

$1,009,447

Down $7,697,951 (-88%) from 2011

Net Income

-

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$1.5M$1.0M$500K$0Assets 2010: $986,992Liabilities 2010: $625,000Net Assets 2010: $361,9922010Assets 2011: $1,165,894Liabilities 2011: $1,070,002Net Assets 2011: $95,8922011Assets 2012: $212,799Liabilities 2012: $0Net Assets 2012: $212,7992012Assets 2013: $0Liabilities 2013: $0Net Assets 2013: $02013

Highlighted filing

2012

Assets$212,799
Liabilities$0
Net Assets$212,799

Operations Trend

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

$10M$5.0M$0-$5.0MExpenses 2010: $4,217,9302010Expenses 2011: $8,707,3982011Expenses 2012: $1,009,4472012Revenue 2013: $42,724Expenses 2013: $255,523Net Income 2013: -$212,7992013

Highlighted filing

2012

Revenue-
Expenses$1,009,447
Net Income-
Jump To
Filing Snapshot
Filing Period
Jan 1, 2012 to Dec 31, 2012
Signed
Aug 16, 2013
Return Version
2012v2.3
Gross Receipts
$1,126,354
Filing and Contact Details

Filer

EIN
26-0060256
Raw XML Appendix319 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/AccountsPayableAccruedExpenses/BOY01070002
IRS990/AccountsReceivable/BOY0926
IRS990/ActivitiesConductedPartnership0false
IRS990/ActivityOrMissionDescription0THE ASSOCIATION IS ORGANIZED AND OPERATED EXCLUSIVELY FOR THE PURPOSES OF PROVIDING HEALTH AND WELFARE BENEFITS FOR DESIGNATED EMPLOYEES OF THE MEMBERS OF THE ASSOCIATION.
IRS990/ActivityOther/Description0THE ASSOCIATION IS ORGANIZED AND OPERATED EXCLUSIVELY FOR THE PURPOSES OF PROVIDING HEALTH AND WELFARE BENEFITS FOR DESIGNATED EMPLOYEES OF THE MEMBERS OF THE ASSOCIATION.
IRS990/ActivityOther/Expense01009447
IRS990/ActivityOther/Revenue01126354
IRS990/AllOtherContributions031105
IRS990/AnnualDisclosureCoveredPersons0true
IRS990/BenefitsPaidToMembersCY00
IRS990/BsnssRltnshpThruFamilyMember0false
IRS990/BsnssRltnshpWithOrganization0false
IRS990/CashNonInterestBearing/BOY0711685
IRS990/CashNonInterestBearing/EOY0212799
IRS990/ChangesToOrganizingDocs0false
IRS990/CollectionsOfArt0false
IRS990/CompensationFromOtherSources0false
IRS990/CompensationProcessCEO0false
IRS990/CompensationProcessOther0false
IRS990/ConflictOfInterestPolicy0true
IRS990/ConservationEasements0false
IRS990/ConsolidatedAuditFinancialStmt0false
IRS990/ContributionsGrantsCurrentYear031105
IRS990/CreditCounseling0false
IRS990/DecisionsSubjectToApproval0false
IRS990/DeductibleContributionsOfArt0false
IRS990/DeductibleNonCashContributions0false
IRS990/DelegationOfManagementDuties0false
IRS990/DescribedIn501C30false
IRS990/Description0THE ASSOCIATION IS ORGANIZED AND OPERATED EXCLUSIVELY FOR THE PURPOSES OF PROVIDING HEALTH AND WELFARE BENEFITS FOR DESIGNATED EMPLOYEES OF THE MEMBERS OF THE ASSOCIATION.
IRS990/DisregardedEntity0false
IRS990/DocumentRetentionPolicy0true
IRS990/DonorAdvisedFunds0false
IRS990/ElectionOfBoardMembers0false
IRS990/FamilyOrBusinessRelationship0false
IRS990/FederalGrantAuditRequired0false
IRS990/FeesForServicesAccounting/ProgramServices013400
IRS990/FeesForServicesAccounting/Total013400
IRS990/FeesForServicesLegal/ProgramServices03110
IRS990/FeesForServicesLegal/Total03110
IRS990/FeesForServicesOther/ProgramServices0992937
IRS990/FeesForServicesOther/Total0992937
IRS990/FollowSFAS1170X
IRS990/ForeignActivities0false
IRS990/ForeignFinancialAccount0false
IRS990/ForeignOffice0false
IRS990/Form990PartVIISectionA/AverageHoursPerWeek01.00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek11.00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek21.00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek31.00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek41.00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek51.00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek61.00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek71.00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek81.00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek91.00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek101.00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek111.00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek1220.00
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector0X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector1X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector2X
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IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector6X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector7X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector8X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector9X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector10X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector11X
IRS990/Form990PartVIISectionA/NameBusiness/BusinessNameLine10MICHAEL C ALBERT MD
IRS990/Form990PartVIISectionA/NameBusiness/BusinessNameLine11STEVEN L DONA DO
IRS990/Form990PartVIISectionA/NameBusiness/BusinessNameLine12ROBERT BLOOM MD
IRS990/Form990PartVIISectionA/NameBusiness/BusinessNameLine13A PATRICK JONAS MD
IRS990/Form990PartVIISectionA/NameBusiness/BusinessNameLine14RONALD S KLEIN MD
IRS990/Form990PartVIISectionA/NameBusiness/BusinessNameLine15DEBRA K SOWALD PSYD
IRS990/Form990PartVIISectionA/NameBusiness/BusinessNameLine16BRAD MADER
IRS990/Form990PartVIISectionA/NameBusiness/BusinessNameLine17STEPHEN K WATERBROOK MD
IRS990/Form990PartVIISectionA/NameBusiness/BusinessNameLine18ANIL K AGARWAL MD
IRS990/Form990PartVIISectionA/NameBusiness/BusinessNameLine19STEVEN W CRAWFORD MD
IRS990/Form990PartVIISectionA/NameBusiness/BusinessNameLine110PATRICK J KENRICK
IRS990/Form990PartVIISectionA/NamePerson0CAROLYN PETERSON
IRS990/Form990PartVIISectionA/NamePerson1ALEX RINTOUL
IRS990/Form990PartVIISectionA/Officer0X
IRS990/Form990PartVIISectionA/OtherCompensation00
IRS990/Form990PartVIISectionA/OtherCompensation10
IRS990/Form990PartVIISectionA/OtherCompensation20
IRS990/Form990PartVIISectionA/OtherCompensation30
IRS990/Form990PartVIISectionA/OtherCompensation40
IRS990/Form990PartVIISectionA/OtherCompensation50
IRS990/Form990PartVIISectionA/OtherCompensation60
IRS990/Form990PartVIISectionA/OtherCompensation70
IRS990/Form990PartVIISectionA/OtherCompensation80
IRS990/Form990PartVIISectionA/OtherCompensation90
IRS990/Form990PartVIISectionA/OtherCompensation100
IRS990/Form990PartVIISectionA/OtherCompensation110
IRS990/Form990PartVIISectionA/OtherCompensation120
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization00
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization10
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization20
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization30
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization40
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization50
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization60
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization70
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization80
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization90
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization100
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization110
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization120
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs00
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs10
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs20
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs30
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs40
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs50
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs60
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs70
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs80
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs90
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs100
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs110
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs120
IRS990/Form990PartVIISectionA/Title0DIRECTOR
IRS990/Form990PartVIISectionA/Title1DIRECTOR
IRS990/Form990PartVIISectionA/Title2DIRECTOR
IRS990/Form990PartVIISectionA/Title3DIRECTOR
IRS990/Form990PartVIISectionA/Title4DIRECTOR
IRS990/Form990PartVIISectionA/Title5DIRECTOR
IRS990/Form990PartVIISectionA/Title6DIRECTOR
IRS990/Form990PartVIISectionA/Title7DIRECTOR
IRS990/Form990PartVIISectionA/Title8DIRECTOR
IRS990/Form990PartVIISectionA/Title9DIRECTOR
IRS990/Form990PartVIISectionA/Title10DIRECTOR
IRS990/Form990PartVIISectionA/Title11DIRECTOR
IRS990/Form990PartVIISectionA/Title12PRESIDENT
IRS990/Form990ProvidedToGoverningBody0true
IRS990/FormersListed0false
IRS990/FSAudited0false
IRS990/FundraisingActivities0false
IRS990/Gaming0false
IRS990/GrantsAndSimilarAmntsCY00
IRS990/GrantsToIndividuals0false
IRS990/GrantsToOrganizations0false
IRS990/GrantToRelatedPerson0false
IRS990/GrossReceipts01126354
IRS990/GroupReturnForAffiliates0false
IRS990/Hospital0false
IRS990/IndependentAuditFinancialStmt0false
IRS990/IndoorTanningServices0false
IRS990/InfoInScheduleOPartIII0X
IRS990/InfoInScheduleOPartIX0X
IRS990/InfoInScheduleOPartVI0X
IRS990/InvestmentIncomeCurrentYear0213
IRS990/InvestmentIncomePriorYear02299
IRS990/InvestmentIncome/RelatedOrExemptFunctionIncome0213
IRS990/InvestmentIncome/TotalRevenueColumn0213
IRS990/InvestmentInJointVenture0false
IRS990/LoanToOfficerOrDQP0false
IRS990/LocalChapters0false
IRS990/MaterialDiversionOrMisuse0false
IRS990/MembersOrStockholders0false
IRS990/MethodOfAccountingAccrual0X
IRS990/MinutesOfCommittees0true
IRS990/MinutesOfGoverningBody0true
IRS990/MissionDescription0THE ASSOCIATION IS ORGANIZED AND OPERATED EXCLUSIVELY FOR THE PURPOSES OF PROVIDING HEALTH AND WELFARE BENEFITS FOR DESIGNATED EMPLOYEES OF THE MEMBERS OF THE ASSOCIATION.
IRS990/MoreThan5000KToIndividuals0false
IRS990/MoreThan5000KToOrganizations0false
IRS990/NameOfPrincipalOfficerPerson0PATRICK J KENRICK
IRS990/NbrIndependentVotingMembers012
IRS990/NbrVotingGoverningBodyMembers012
IRS990/NbrVotingMembersGoverningBody012
IRS990/NetAssetsOrFundBalancesBOY095892
IRS990/NetAssetsOrFundBalancesEOY0212799
IRS990/NoListedPersonsCompensated0X
IRS990/NonDeductibleContributions0false
IRS990/NumberFormsTransmittedWith109600
IRS990/NumberIndependentVotingMembers012
IRS990/NumberOfEmployees00
IRS990/NumberW2GIncluded00
IRS990/OfficerEntityWithBsnssRltnshp0false
IRS990/OfficerMailingAddress0false
IRS990/Organization501c0X
IRS990/OtherAssetsTotal/BOY0453283
IRS990/OtherExpensePriorYear08707398
IRS990/OtherExpensesCurrentYear01009447
IRS990/OtherRevenueCurrentYear01095036
IRS990/OtherRevenueMisc/Description0CLAIMS INCURRED BUT NOT REP
IRS990/OtherRevenueMisc/Description1CHANGE IN NONADMITTED ASSETS
IRS990/OtherRevenueMisc/Description2PREMIUMS COLLECTED
IRS990/OtherRevenueMisc/RelatedOrExemptFunctionIncome01070000
IRS990/OtherRevenueMisc/RelatedOrExemptFunctionIncome123513
IRS990/OtherRevenueMisc/RelatedOrExemptFunctionIncome21523
IRS990/OtherRevenueMisc/TotalRevenueColumn01070000
IRS990/OtherRevenueMisc/TotalRevenueColumn123513
IRS990/OtherRevenueMisc/TotalRevenueColumn21523
IRS990/OtherRevenuePriorYear08438999
IRS990/PartialLiquidation0false
IRS990/PermanentlyRestrictedNetAssets/BOY0620000
IRS990/PermanentlyRestrictedNetAssets/EOY0212799
IRS990/PoliticalActivities0false
IRS990/ProfessionalFundraising0false
IRS990/ProgramServiceRevenueCY00
IRS990/ProhibitedTaxShelterTrans0false
IRS990/ReconcilationRevenueExpenses0116907
IRS990/RegularMonitoringEnforcement0true
IRS990/RelatedEntity0false
IRS990/RelatedOrgControlledEntity0false
IRS990/ReportFin48Footnote0false
IRS990/ReportInvestOthSecurities0false
IRS990/ReportLandBldgEquip0false
IRS990/ReportOtherAssets0false
IRS990/ReportOtherLiabilities0false
IRS990/ReportProgRelInvest0false
IRS990/RevenuesLessExpensesCY0116907
IRS990/RevenuesLessExpensesPriorYear0-266100
IRS990/SalariesEtcCurrentYear00
IRS990/ScheduleBRequired0false
IRS990/ScheduleJRequired0false
IRS990ScheduleO/GeneralExplanation/Explanation0THE ASSOCIATION IS ORGANIZED AND OPERATED EXCLUSIVELY FOR THE PURPOSES OF PROVIDING HEALTH AND WELFARE BENEFITS FOR DESIGNATED EMPLOYEES OF THE MEMBERS OF THE ASSOCIATION.
IRS990ScheduleO/GeneralExplanation/Explanation1POLICIES AND PROCEDURES ARE REVIEWED DURING THE COURSE OF THE YEAR AT THE QUARTERLY BOARD MEETINGS.
IRS990ScheduleO/GeneralExplanation/Explanation2FULL BOARD REVIEWED RETURN WITH PREPARER BEFORE IT WAS FILED.
IRS990ScheduleO/GeneralExplanation/Explanation3BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY.
IRS990ScheduleO/GeneralExplanation/Explanation4RECORDS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/GeneralExplanation/Explanation5BENEFIT AND LOSS RELATED PMT 977,556 0 0 BENEFIT AND LOSS RELATED REFU -38,586 0 0 FOR CLAIMS INCURRED NOT REPTD 0 0 0 REINSURANCE RECOVERIES 2,784 0 0 ADMINISTRATION 49,733 0 0 ACTUARY FEES 950 0 0 OTHER 500 0 0
IRS990ScheduleO/GeneralExplanation/Identifier0ALL OTHER ACCOMPLISHMENT DESCRIPTION
IRS990ScheduleO/GeneralExplanation/Identifier1POLICIES AND PROCEDURES GOVERNING CHAPTERS
IRS990ScheduleO/GeneralExplanation/Identifier2ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
IRS990ScheduleO/GeneralExplanation/Identifier3ENFORCEMENT OF CONFLICTS POLICY
IRS990ScheduleO/GeneralExplanation/Identifier4GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
IRS990ScheduleO/GeneralExplanation/Identifier5OTHER FEES FOR SERVICES
IRS990ScheduleO/GeneralExplanation/ReturnReference0FORM 990, PAGE 2, PART III, LINE 4D
IRS990ScheduleO/GeneralExplanation/ReturnReference1FORM 990, PAGE 6, PART VI, LINE 10B
IRS990ScheduleO/GeneralExplanation/ReturnReference2FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/GeneralExplanation/ReturnReference3FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/GeneralExplanation/ReturnReference4FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/GeneralExplanation/ReturnReference5FORM 990, PART IX, LINE 11G
IRS990/ScheduleORequired0true
IRS990/School0false
IRS990/SignificantChange0false
IRS990/SignificantNewProgramServices0false
IRS990/StateLegalDomicile0OH
IRS990/SubjectToProxyTax0false
IRS990/TaxablePartyNotification0false
IRS990/TaxExemptBonds0false
IRS990/Terminated0false
IRS990/TermOrPermanentEndowments0false
IRS990/TheBooksAreInCareOf/AddressUS/AddressLine102115 LEITER ROAD
IRS990/TheBooksAreInCareOf/AddressUS/AddressLine20SUITE 400
IRS990/TheBooksAreInCareOf/AddressUS/City0MIAMISBURG
IRS990/TheBooksAreInCareOf/AddressUS/State0OH
IRS990/TheBooksAreInCareOf/AddressUS/ZIPCode045342
IRS990/TheBooksAreInCareOf/NameBusiness/BusinessNameLine10PHYSICIAN HOSPITAL ALLIANCE
IRS990/TheBooksAreInCareOf/TelephoneNumber09373846951
IRS990/TotalAssets/BOY01165894
IRS990/TotalAssetsBOY01165894
IRS990/TotalAssets/EOY0212799
IRS990/TotalAssetsEOY0212799
IRS990/TotalCompGT150K0false
IRS990/TotalContributions031105
IRS990/TotalExpensesCurrentYear01009447
IRS990/TotalExpensesPriorYear08707398
IRS990/TotalFunctionalExpenses/Fundraising00
IRS990/TotalFunctionalExpenses/ManagementAndGeneral00
IRS990/TotalFunctionalExpenses/ProgramServices01009447
IRS990/TotalFunctionalExpenses/Total01009447
IRS990/TotalFundrsngExpCurrentYear00
IRS990/TotalGrossUBI00
IRS990/TotalLiabilities/BOY01070002
IRS990/TotalLiabilitiesBOY01070002
IRS990/TotalLiabilities/EOY00
IRS990/TotalLiabilitiesEOY00
IRS990/TotalLiabNetAssetsFundBalances/BOY01165894
IRS990/TotalLiabNetAssetsFundBalances/EOY0212799
IRS990/TotalNbrEmployees00
IRS990/TotalNetAssetsFundBalances/BOY095892
IRS990/TotalNetAssetsFundBalances/EOY0212799
IRS990/TotalOfOtherProgramServiceExp01009447
IRS990/TotalOfOtherProgramServiceRev01126354
IRS990/TotalOtherRevenue01095036
IRS990/TotalProfFundrsngExpCY00
IRS990/TotalProgramServiceExpense01009447
IRS990/TotalRevenueCurrentYear01126354
IRS990/TotalRevenuePriorYear08441298
IRS990/TotalRevenue/RelatedOrExemptFunctionIncome01095249
IRS990/TotalRevenue/TotalRevenueColumn01126354
IRS990/TypeOfOrganizationCorporation0X
IRS990/UnrelatedBusinessIncome0false
IRS990/UnrestrictedNetAssets/BOY0-524108
IRS990/UponRequest0X
IRS990/WhistleblowerPolicy0true
IRS990/YearFormation02003
ReturnHeader/BuildTS02016-02-25 16:41:14Z
ReturnHeader/Filer/EIN0260060256
ReturnHeader/Filer/Name/BusinessNameLine10PHA GROUP BENEFIT ASSOCIATION
ReturnHeader/Filer/NameControl0PHAG
ReturnHeader/Filer/USAddress/AddressLine102115 LEITER RD STE 400
ReturnHeader/Filer/USAddress/City0MIAMISBURG
ReturnHeader/Filer/USAddress/State0OH
ReturnHeader/Filer/USAddress/ZIPCode045342
ReturnHeader/Officer/AuthorizeThirdParty0true
ReturnHeader/Officer/DateSigned02013-08-16
ReturnHeader/Officer/Name0PATRICK J KENRICK
ReturnHeader/Officer/Title0PRESIDENT
ReturnHeader/Preparer/DatePrepared02013-10-14
ReturnHeader/PreparerFirm/PreparerFirmBusinessName/BusinessNameLine10HAMMERMAN GRAF HUGHES & COMPANY INC
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/AddressLine104486 INDIAN RIPPLE ROAD
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/City0DAYTON
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/State0OH
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/ZIPCode0454403203
ReturnHeader/Preparer/Name0ANDREW H SCHOLES CPA
ReturnHeader/Preparer/Phone09373201262
ReturnHeader/ReturnType0990
ReturnHeader/TaxPeriodBeginDate02012-01-01
ReturnHeader/TaxPeriodEndDate02012-12-31
ReturnHeader/TaxYear02012
ReturnHeader/Timestamp02013-10-14T08:18:48-05:00

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