Civic Intelligence

District 4 Hospital Preparedness

EIN 26-1505588 • 501(c)3 • Greenwood, IN

Profile

To assist all hospitals in indiana district 4 develop, maintain, refine and to the extent achievable, enchance the capacities and capabilities of their healthcare systems.

1947 South Franklin RoadGreenwood, IN 46143

n/A

Siviq Scores

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

Liabilities / Assets

60th percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2022

Liabilities / Revenue

62nd percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2022

Net Margin

26th percentile

-15%

Higher net margin than 26% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2022

Top Officer Pay

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

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

501(c)3 • <$500k nonprofits • Source year 2022

Asset Growth

28th percentile

-26%

Faster asset growth than 28% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2021 to 2022

Revenue Growth

22nd percentile

-39%

Faster revenue growth than 22% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2021 to 2022

Balance Sheet
Liabilities / Assets60th percentile

Assets

Down

$339,191

Down $120,993 (-26%) from 2021

Liabilities

Flat

$0

Flat from 2021

Net Assets

Down

$339,191

Down $120,993 (-26%) from 2021

Operations
Liabilities / Revenue62nd percentileNet Margin26th percentile

Revenue

Down

$221,054

Down $143,677 (-39%) from 2021

Expenses

Up

$255,125

Up $61,052 (+31%) from 2021

Net Income

Down

-$34,071

Down $204,729 (-120%) from 2021

Trend Graphs

Balance Sheet Trend

Asset Growth28th percentile

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

$600K$400K$200K$0Assets 2014: $261,520Liabilities 2014: $0Net Assets 2014: $261,5202014Assets 2015: $235,149Liabilities 2015: $0Net Assets 2015: $235,1492015Assets 2016: $147,986Liabilities 2016: $0Net Assets 2016: $147,9862016Assets 2017: $199,065Liabilities 2017: $0Net Assets 2017: $199,0652017Assets 2018: $204,414Liabilities 2018: $0Net Assets 2018: $204,4142018Assets 2019: $238,899Liabilities 2019: $0Net Assets 2019: $238,8992019Assets 2020: $289,525Liabilities 2020: $0Net Assets 2020: $289,5252020Assets 2021: $460,184Liabilities 2021: $0Net Assets 2021: $460,1842021Assets 2022: $339,191Liabilities 2022: $0Net Assets 2022: $339,1912022

Highlighted filing

2022

Assets$339,191
Liabilities$0
Net Assets$339,191
Open 2022 Filing

Operations Trend

Revenue Growth22nd percentile

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

$600K$400K$200K$0-$200KRevenue 2014: $436,868Expenses 2014: $334,688Net Income 2014: $102,1802014Revenue 2015: $169,875Expenses 2015: $196,246Net Income 2015: -$26,3712015Revenue 2016: $86,741Expenses 2016: $173,904Net Income 2016: -$87,1632016Revenue 2017: $278,149Expenses 2017: $227,070Net Income 2017: $51,0792017Revenue 2018: $200,927Expenses 2018: $195,578Net Income 2018: $5,3492018Revenue 2019: $246,471Expenses 2019: $211,986Net Income 2019: $34,4852019Revenue 2020: $232,477Expenses 2020: $181,849Net Income 2020: $50,6282020Revenue 2021: $364,731Expenses 2021: $194,073Net Income 2021: $170,6582021Revenue 2022: $221,054Expenses 2022: $255,125Net Income 2022: -$34,0712022

Highlighted filing

2022

Revenue$221,054
Expenses$255,125
Net Income-$34,071
Open 2022 Filing

Filings

Most recent year

2022 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$339,191
Liabilities
$0
Net assets
$339,191
Revenue
$221,054
Expenses
$255,125
Net income
-$34,071
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2022Detailed filing. Detailed filing data is available for this year.$3.39$0.00$3.39$2.21$2.55$0.34
2021Detailed filing. Detailed filing data is available for this year.$4.60$0.00$4.60$3.65$1.94$1.71
2020Detailed filing. Detailed filing data is available for this year.$2.90$0.00$2.90$2.32$1.82$0.51
2019Detailed filing. Detailed filing data is available for this year.$2.39$0.00$2.39$2.46$2.12$0.34
2018Detailed filing. Detailed filing data is available for this year.$2.04$0.00$2.04$2.01$1.96$0.05
2017Detailed filing. Detailed filing data is available for this year.$1.99$0.00$1.99$2.78$2.27$0.51
2016Detailed filing. Detailed filing data is available for this year.$1.48$0.00$1.48$0.87$1.74$0.87
2015Detailed filing. Detailed filing data is available for this year.$2.35$0.00$2.35$1.70$1.96$0.26
2014Detailed filing. Detailed filing data is available for this year.$2.62$0.00$2.62$4.37$3.35$1.02
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 15, 2023
Return Version
2022v5.0
Gross Receipts
$221,054
Mission and Program Overview

Mission

To assist all hospitals in indiana district 4 develop, maintain, refine and to the extent achievable, enchance the capacities and capabilities of their healthcare systems.

To assist all hospitals in indiana district 4 develop, maintain refine and to the extent achievable, enhance the capacities and capabilities of their healthcare systems

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$366,100$327,209▼ $38,891
Inventories for Sale or Use$61,322$0▼ $61,322
Land, Buildings, and Equipment, Net$32,762$11,982▼ $20,780
Total Assets$460,184$339,191▼ $120,993
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$460,184$339,191▼ $120,993
Total Net Assets Fund Balance$460,184$339,191▼ $120,993
Total Liabilities and Net Assets / Fund Balance$460,184$339,191▼ $120,993

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$11,982$142,581-
Compensation and Service Providers
Top Officer Pay81st percentile

Board Members and Trustees

NameTitle
Michael BayciChairperson
Robert VolivaCo Chairperson
Sean KuyperTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$221,054
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-34,071
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$255,125
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
Fees for Services Other$118,560$0$0$118,560
Fees for Services Management$76,100$0$0$76,100
Depreciation Depletion$21,695$0$0$21,695
Information Technology$13,523$0$0$13,523
Travel$5,514$0$0$5,514
Occupancy$4,000$0$0$4,000
Office Expenses$3,903$0$0$3,903
Insurance$1,990$0$0$1,990
Other Expenses$1,072$0$0$1,072
Conferences and Meetings$768$0$0$768
Total Functional Expenses$255,125$0$0$255,125
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
Backup withholding compliance
No
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
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No
Filing and Contact Details

Filer

Filer Name
District 4 Hospital Preparedness Planning Committee Inc
EIN
26-1505588
Phone
3174413588
Address
1947 SOUTH FRANKLIN ROAD, GREENWOOD, IN 46143

Signing Officer

Name
Michael Bayci
Title
Chairperson
Phone
3174413588
Signed
2023-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Michael Bayci
Formed
2007
Legal Domicile
In
Voting Board Members
3
Independent Board Members
3
Employees
0
Volunteers
0

Preparer

Firm
Kyle Bristow - Thomas CPA
Address
7800 SHELBY STREET STE 12, INDIANAPOLIS, IN 46227
Preparer
Kyle Bristow Thomas
Phone
3178832108
Supplemental Narrative

Additional Explanations

Pt III, Line 2

“NO CHANGES TO REPORT”

Pt III, Line 3

“NOTHING TO REPORT”

Pt V, Line 3B

“NO UBIT TO REPORT”

Pt V, Line 13A

“Does not apply to this organization”

Pt V, Line 14B

“This does not apply to this organization”

Pt VI, Line 1A

“NOTHING TO REPORT”

Pt VI, Line 3

“NO CONTROL WAS DELEGATED”

Pt VI, Line 4

“NO CHANGES WERE MADE”

Pt VI, Line 5

“NOTHING TO REPORT”

Pt VI, Line 6

“Organization is a not for profit with neither”

Pt VI, Line 7A

“No one had the power to elect or appoint”

Pt VI, Line 7B

“All decisions are made thru the board”

Pt VI, Line 8A

“MEETINGS WERE DOCUMENTED”

Pt VI, Line 8B

“MEETINGS ARE DOCUMENTED”

Pt VI, Line 10B

“NO LOCAL CHAPTERS”

Pt VI, Line 11B

“Treasurer and board review”

Pt VI, Line 12C

“SITUATION WAS MONITORED”

Pt VI, Line 15A

“No compensation is paid to officers”

Pt VI, Line 15B

“Compensation was reviewed and approved”

Pt VI, Line 18

“Available on written request”

Pt VI, Line 19

“Available upon written request”

Pt VII, Col (E)

“NOTHING TO REPORT”

Pt VII, Col (F)

“NOTHING TO REPORT”

Pt VIII

“NOTHING TO REPORT”

Pt X

“Changes to fixed assets, inventory and balance explained in the attached notes”

Pt XI

“SEE MISC NOTES ATTACHED”

Pt XII, Line 1

“Inventory reclassed to assets, expense reporting error”

Pt XII, Line 1

“For the missing checks not accounted for in 2021”

Pt XII, Line 2C

“Financials are not audited”

Pt XII, Line 3B

“NO AUDIT REQUIREMENTS”

Raw XML Appendix375 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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IRS990/GovernmentGrantsAmt0221054
IRS990/GrantAmt00
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt0221054
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt03
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartIIIInd0X
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IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0NO CHANGES TO REPORT
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1NOTHING TO REPORT
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2NO UBIT TO REPORT
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3DOES NOT APPLY TO THIS ORGANIZATION
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THIS DOES NOT APPLY TO THIS ORGANIZATION
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5NOTHING TO REPORT
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6NO CONTROL WAS DELEGATED
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7NO CHANGES WERE MADE
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8NOTHING TO REPORT
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9ORGANIZATION IS A NOT FOR PROFIT WITH NEITHER
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10NO ONE HAD THE POWER TO ELECT OR APPOINT
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt13MEETINGS ARE DOCUMENTED
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt17NO COMPENSATION IS PAID TO OFFICERS
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt19AVAILABLE ON WRITTEN REQUEST
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt20AVAILABLE UPON WRITTEN REQUEST
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt21NOTHING TO REPORT
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt22NOTHING TO REPORT
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt23NOTHING TO REPORT
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt24CHANGES TO FIXED ASSETS, INVENTORY AND BALANCE EXPLAINED IN THE ATTACHED NOTES
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt25SEE MISC NOTES ATTACHED
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt26INVENTORY RECLASSED TO ASSETS, EXPENSE REPORTING ERROR
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt27FOR THE MISSING CHECKS NOT ACCOUNTED FOR IN 2021
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt28FINANCIALS ARE NOT AUDITED
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt29NO AUDIT REQUIREMENTS
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Pt III, Line 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Pt III, Line 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Pt V, Line 3b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Pt V, Line 13a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Pt V, Line 14b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Pt VI, Line 1a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Pt VI, Line 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Pt VI, Line 4
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8Pt VI, Line 5
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9Pt VI, Line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc10Pt VI, Line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc11Pt VI, Line 7b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc12Pt VI, Line 8a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc13Pt VI, Line 8b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc14Pt VI, Line 10b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc15Pt VI, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc16Pt VI, Line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc17Pt VI, Line 15a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc18Pt VI, Line 15b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc19Pt VI, Line 18
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc20Pt VI, Line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc21Pt VII, Col (E)
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc22Pt VII, Col (F)
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc23Pt VIII
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc24Pt X
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc25Pt XI
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc26Pt XII, Line 1
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc27Pt XII, Line 1
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc28Pt XII, Line 2c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc29Pt XII, Line 3b
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0IN
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0460184
IRS990/TotalAssetsEOYAmt0339191
IRS990/TotalAssetsGrp/BOYAmt0460184
IRS990/TotalAssetsGrp/EOYAmt0339191
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0221054
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0255125
IRS990/TotalFunctionalExpensesGrp/TotalAmt0255125
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0460184
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0339191
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0255125
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0221054
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0460184
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0339191
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/FundraisingAmt00
IRS990/TravelGrp/ManagementAndGeneralAmt00
IRS990/TravelGrp/ProgramServicesAmt05514
IRS990/TravelGrp/TotalAmt05514
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt01701 SOUTH CREASY LANE
IRS990/USAddress/CityNm0LAFAYETTE
IRS990/USAddress/StateAbbreviationCd0IN
IRS990/USAddress/ZIPCd047905
IRS990/VotingMembersGoverningBodyCnt03
IRS990/VotingMembersIndependentCnt03
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/FederatedAssuranceLevelCd0FAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd03
ReturnHeader/BuildTS02023-04-26 12:10:37Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0MICHAEL BAYCI
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CHAIRPERSON
ReturnHeader/BusinessOfficerGrp/PhoneNum03174413588
ReturnHeader/BusinessOfficerGrp/SignatureDt02023-11-15
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0DISTRICT 4 HOSPITAL PREPAREDNESS PLANNING COMMITTEE INC
ReturnHeader/Filer/BusinessNameControlTxt0DIST
ReturnHeader/Filer/EIN0261505588
ReturnHeader/Filer/PhoneNum03174413588
ReturnHeader/Filer/USAddress/AddressLine1Txt01947 SOUTH FRANKLIN ROAD
ReturnHeader/Filer/USAddress/CityNm0GREENWOOD
ReturnHeader/Filer/USAddress/StateAbbreviationCd0IN
ReturnHeader/Filer/USAddress/ZIPCd046143
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0203715975
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0KYLE BRISTOW - THOMAS CPA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt07800 SHELBY STREET STE 12
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0INDIANAPOLIS
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0IN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd046227
ReturnHeader/PreparerPersonGrp/PhoneNum03178832108
ReturnHeader/PreparerPersonGrp/PreparationDt02023-11-15
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0KYLE BRISTOW THOMAS
ReturnHeader/ReturnTs02023-11-15T12:46:59-08:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0MICHAEL
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0BAYCI
ReturnHeader/TaxPeriodBeginDt02022-01-01
ReturnHeader/TaxPeriodEndDt02022-12-31
ReturnHeader/TaxYr02022

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