Civic Intelligence

Samaritan Licensed Clinical

EIN 26-4637457 • 501(c)3 • Scotia, NY

Profile

Counseling and psychiatric services

220 North Ballston AvenueScotia, NY 12302

n/A

Siviq Scores

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

Liabilities / Assets

70th percentile

0.25x

Higher debt load relative to assets than 70% of similar nonprofits.

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

Liabilities / Revenue

40th percentile

0.04x

Higher debt load relative to revenue than 40% 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

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

45th percentile

2.2%

Faster asset growth than 45% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2022 to 2024

Revenue Growth

43rd percentile

3.7%

Faster revenue growth than 43% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2022 to 2024

Assets

Down

$342,188

Down $11,349 (-3.2%) from 2023

Liabilities

Down

$83,921

Down $11,043 (-12%) from 2023

Net Assets

Down

$258,267

Down $306 (-0.1%) from 2023

Revenue

Up

$2,116,633

Up $26,318 (+1.3%) from 2023

Expenses

Up

$2,116,939

Up $43,710 (+2.1%) from 2023

Net Income

Down

-$306

Down $17,392 (-102%) from 2023

Trend Graphs

Balance Sheet Trend

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

$400K$200K$0-$200K-$400KAssets 2010: $33,141Liabilities 2010: $139,966Net Assets 2010: -$106,8252010Assets 2012: $39,932Liabilities 2012: $255,034Net Assets 2012: -$215,1022012Assets 2013: $70,339Liabilities 2013: $249,335Net Assets 2013: -$178,9962013Assets 2014: $66,212Liabilities 2014: $240,494Net Assets 2014: -$174,2822014Assets 2015: $7,550Liabilities 2015: $178,123Net Assets 2015: -$170,5732015Assets 2016: $18,730Liabilities 2016: $185,060Net Assets 2016: -$166,3302016Assets 2017: $30,088Liabilities 2017: $202,386Net Assets 2017: -$172,2982017Assets 2018: $51,708Liabilities 2018: $177,172Net Assets 2018: -$125,4642018Assets 2019: $42,193Liabilities 2019: $121,657Net Assets 2019: -$79,4642019Assets 2020: $220,368Liabilities 2020: $66,575Net Assets 2020: $153,7932020Assets 2021: $247,343Liabilities 2021: $54,599Net Assets 2021: $192,7442021Assets 2022: $327,919Liabilities 2022: $86,432Net Assets 2022: $241,4872022Assets 2023: $353,537Liabilities 2023: $94,964Net Assets 2023: $258,5732023Assets 2024: $342,188Liabilities 2024: $83,921Net Assets 2024: $258,2672024

Highlighted filing

2024

Assets$342,188
Liabilities$83,921
Net Assets$258,267

Operations Trend

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

$3.0M$2.0M$1.0M$0-$1.0MExpenses 2010: $1,039,4872010Expenses 2012: $1,259,3592012Revenue 2013: $1,341,701Expenses 2013: $1,305,595Net Income 2013: $36,1062013Revenue 2014: $1,328,648Expenses 2014: $1,323,934Net Income 2014: $4,7142014Revenue 2015: $1,411,665Expenses 2015: $1,407,956Net Income 2015: $3,7092015Revenue 2016: $1,482,186Expenses 2016: $1,477,943Net Income 2016: $4,2432016Revenue 2017: $1,254,719Expenses 2017: $1,260,687Net Income 2017: -$5,9682017Revenue 2018: $1,441,657Expenses 2018: $1,394,823Net Income 2018: $46,8342018Revenue 2019: $1,501,150Expenses 2019: $1,455,150Net Income 2019: $46,0002019Revenue 2020: $1,860,078Expenses 2020: $1,626,821Net Income 2020: $233,2572020Revenue 2021: $1,853,131Expenses 2021: $1,814,180Net Income 2021: $38,9512021Revenue 2022: $1,967,863Expenses 2022: $1,919,120Net Income 2022: $48,7432022Revenue 2023: $2,090,315Expenses 2023: $2,073,229Net Income 2023: $17,0862023Revenue 2024: $2,116,633Expenses 2024: $2,116,939Net Income 2024: -$3062024

Highlighted filing

2024

Revenue$2,116,633
Expenses$2,116,939
Net Income-$306

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$0.34$0.08$0.26$2.12$2.12$0.00
2023Detailed filing. Detailed filing data is available for this year.$0.35$0.09$0.26$2.09$2.07$0.02
2022Detailed filing. Detailed filing data is available for this year.$0.33$0.09$0.24$1.97$1.92$0.05
2021Detailed filing. Detailed filing data is available for this year.$0.25$0.05$0.19$1.85$1.81$0.04
2020Detailed filing. Detailed filing data is available for this year.$0.22$0.07$0.15$1.86$1.63$0.23
2019Detailed filing. Detailed filing data is available for this year.$0.04$0.12$0.08$1.50$1.46$0.05
2018Detailed filing. Detailed filing data is available for this year.$0.05$0.18$0.13$1.44$1.39$0.05
2017Detailed filing. Detailed filing data is available for this year.$0.03$0.20$0.17$1.25$1.26$0.01
2016Detailed filing. Detailed filing data is available for this year.$0.02$0.19$0.17$1.48$1.48$0.00
2015Detailed filing. Detailed filing data is available for this year.$0.01$0.18$0.17$1.41$1.41$0.00
2014Detailed filing. Detailed filing data is available for this year.$0.07$0.24$0.17$1.33$1.32$0.00
2013Detailed filing. Detailed filing data is available for this year.$0.07$0.25$0.18$1.34$1.31$0.04
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.04$0.26$0.22$1.26
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.03$0.14$0.11$1.04
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Jul 24, 2025
Return Version
2024v5.0
Gross Receipts
$2,116,633
Mission and Program Overview

Mission

Counseling and psychiatric services

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$127,790$131,524▲ $3,734
Prepaid Expenses and Deferred Charges-$748-
Total Assets$353,537$342,188▼ $11,349
Other Assets Total$225,747$209,916▼ $15,831
Liabilities
Accounts Payable and Accrued Expenses$85,709$83,071▼ $2,638
Other Liabilities$9,255$850▼ $8,405
Total Liabilities$94,964$83,921▼ $11,043
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$258,573$258,267▼ $306
Total Net Assets Fund Balance$258,573$258,267▼ $306
Total Liabilities and Net Assets / Fund Balance$353,537$342,188▼ $11,349

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$209,916--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
David OlsenPresidentFT$189,018$48,651$237,669

Board Members and Trustees

NameTitle
Douglas StephensOfficer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$2,108,683
Investment Income
$0
Other Revenue
$7,950
Change in Net Assets
$-306
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$1,809,303
Other Expenses$307,636
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,176,570$207,630-$1,384,200
Current Officers, Directors, Trustees, and Key Employees$207,736$29,933-$237,669
Fees for Services Other$130,493$14,499-$144,992
Payroll Taxes$92,413$16,308-$108,721
Occupancy$52,718$9,304-$62,022
Other Employee Benefits$43,381$7,655-$51,036
Pension Plan Contributions$23,525$4,152-$27,677
Fees for Services Accounting$19,655$2,184-$21,839
Insurance$17,603$3,107-$20,710
Office Expenses$4,435$2,957-$7,392
All Other Expenses$997$119-$1,116
Other Expenses$716$179-$895
Fees for Services Legal$523$58-$581
Travel$369$65-$434
Total Functional Expenses$1,810,846$306,093$0$2,116,939
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Fsa Payable$850
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
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
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

Executive director and board member reviewed return to verify its accuracy.

Form 990, Page 6, Part VI, Line 12C

Noted in by-laws and communicated regularly during monthly board meetings.

Form 990, Page 6, Part VI, Line 15A

Personnel committee will interview all hires and make recommendations to the board for its approval.

Form 990, Page 6, Part VI, Line 15B

Personnel committee will interview all hires and make recommendations to the board for its approval.

Form 990, Page 6, Part VI, Line 19

UPON REQUEST.

Filing and Contact Details

Filer

Filer Name
Samaritan Licensed Clinical
EIN
26-4637457
Phone
5183743514
Address
220 NORTH BALLSTON AVENUE, SCOTIA, NY 12302

Signing Officer

Name
David Olsen
Title
President
Phone
5183743514
Signed
2025-07-24
Discuss with paid preparer
Yes

Organization Details

Principal Officer
David Olsen
Formed
2009
Legal Domicile
Ny
Voting Board Members
2
Independent Board Members
2
Employees
22

Preparer

Firm
Cusack & Company Cpas LLC
Address
7 AIRPORT PARK BLVD, LATHAM, NY 12110
Preparer
Jason D Marra CPA
Phone
5187863550
Supplemental Narrative

Financial Statement Notes

Schedule D, Page 3, Part X

The organizations implemented the asc accounting for income taxes and their current accounting policy for evaluating uncertain tax positions is in accordance with generally accepted accounting principles. The organizations have not recognized any benefits from uncertain tax positions and believe they have no uncertain tax positions for which it is reasonably possible that the total amounts of unrecognized tax benefits will significantly increase or decrease within 12 months of the balance sheet date.

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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATIONS IMPLEMENTED THE ASC ACCOUNTING FOR INCOME TAXES AND THEIR CURRENT ACCOUNTING POLICY FOR EVALUATING UNCERTAIN TAX POSITIONS IS IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. THE ORGANIZATIONS HAVE NOT RECOGNIZED ANY BENEFITS FROM UNCERTAIN TAX POSITIONS AND BELIEVE THEY HAVE NO UNCERTAIN TAX POSITIONS FOR WHICH IT IS REASONABLY POSSIBLE THAT THE TOTAL AMOUNTS OF UNRECOGNIZED TAX BENEFITS WILL SIGNIFICANTLY INCREASE OR DECREASE WITHIN 12 MONTHS OF THE BALANCE SHEET DATE.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 3, PART X
IRS990ScheduleD/TotalBookValueOtherAssetsAmt0209916
IRS990ScheduleD/TotalLiabilityAmt0850
IRS990ScheduleJ/AnyNonFixedPaymentsInd0false
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd0false
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd0false
IRS990ScheduleJ/EquityBasedCompArrngmInd0false
IRS990ScheduleJ/HousingAllowanceOrResidenceInd0X
IRS990ScheduleJ/InitialContractExceptionInd0false
IRS990/ScheduleJRequiredInd0true
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt0189018
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt010535
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt038116
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0DAVID OLSEN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0PRESIDENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt0237669
IRS990ScheduleJ/SeverancePaymentInd0false
IRS990ScheduleJ/SubstantiationRequiredInd0true
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd0false
IRS990ScheduleJ/WrittenPolicyRefTAndEExpnssInd0true
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0EXECUTIVE DIRECTOR AND BOARD MEMBER REVIEWED RETURN TO VERIFY ITS ACCURACY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1NOTED IN BY-LAWS AND COMMUNICATED REGULARLY DURING MONTHLY BOARD MEETINGS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2PERSONNEL COMMITTEE WILL INTERVIEW ALL HIRES AND MAKE RECOMMENDATIONS TO THE BOARD FOR ITS APPROVAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3PERSONNEL COMMITTEE WILL INTERVIEW ALL HIRES AND MAKE RECOMMENDATIONS TO THE BOARD FOR ITS APPROVAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 15B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleR/AssetExchangeInd0false
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd0false
IRS990ScheduleR/AssetSaleToOtherOrgInd0false
IRS990ScheduleR/DivRelatedOrganizationInd0false
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd0false
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt0YES
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0SAMARITAN COUNSELING CENTER
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine2Txt0OF THE CAPITAL REGION INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0141655253
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501C3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0NY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0COUNSELING
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt01
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0220 N BALLSTON AVE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0SCOTIA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0NY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd012302
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd0false
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd0true
IRS990ScheduleR/PaidEmployeesSharingInd0true
IRS990ScheduleR/PerformOfServicesByOtherOrgInd0true
IRS990ScheduleR/PerformOfServicesForOthOrgInd0false
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd0false
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd0false
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd0false
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd0false
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd0false
IRS990ScheduleR/SharingOfFacilitiesInd0true
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt0209916
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt115831
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt0ACTUAL
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt1ACTUAL
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt0SAMARITAN COUNSELING CENTER
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt1SAMARITAN COUNSELING CENTER
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine2Txt0OF THE CAPITAL REGION INC
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine2Txt1OF THE CAPITAL REGION INC
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt0D
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt1R
IRS990ScheduleR/TransferFromOtherOrgInd0false
IRS990ScheduleR/TransferToOtherOrgInd0true
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0NY
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0353537
IRS990/TotalAssetsEOYAmt0342188
IRS990/TotalAssetsGrp/BOYAmt0353537
IRS990/TotalAssetsGrp/EOYAmt0342188
IRS990/TotalCompGreaterThan150KInd0true
IRS990/TotalEmployeeCnt022
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0306093
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt01810846
IRS990/TotalFunctionalExpensesGrp/TotalAmt02116939
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt094964
IRS990/TotalLiabilitiesEOYAmt083921
IRS990/TotalLiabilitiesGrp/BOYAmt094964
IRS990/TotalLiabilitiesGrp/EOYAmt083921
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0258573
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0258267
IRS990/TotalOtherCompensationAmt048651
IRS990/TotalProgramServiceExpensesAmt01810846
IRS990/TotalProgramServiceRevenueAmt02108683
IRS990/TotalReportableCompFromOrgAmt0189018
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt02116633
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt02116633
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0353537
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0342188
IRS990/TravelGrp/ManagementAndGeneralAmt065
IRS990/TravelGrp/ProgramServicesAmt0369
IRS990/TravelGrp/TotalAmt0434
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0220 NORTH BALLSTON AVENUE
IRS990/USAddress/CityNm0SCOTIA
IRS990/USAddress/StateAbbreviationCd0NY
IRS990/USAddress/ZIPCd012302
IRS990/VotingMembersGoverningBodyCnt02
IRS990/VotingMembersIndependentCnt02
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0DAVID OLSEN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum05183743514
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-07-24
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0SAMARITAN LICENSED CLINICAL
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0SOCIAL WORK PC
ReturnHeader/Filer/BusinessNameControlTxt0SAMA
ReturnHeader/Filer/EIN0264637457
ReturnHeader/Filer/PhoneNum05183743514
ReturnHeader/Filer/USAddress/AddressLine1Txt0220 NORTH BALLSTON AVENUE
ReturnHeader/Filer/USAddress/CityNm0SCOTIA
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NY
ReturnHeader/Filer/USAddress/ZIPCd012302
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0141800427
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CUSACK & COMPANY CPAS LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt07 AIRPORT PARK BLVD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0LATHAM
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd012110
ReturnHeader/PreparerPersonGrp/PhoneNum05187863550
ReturnHeader/PreparerPersonGrp/PreparationDt02025-07-24
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0JASON D MARRA CPA
ReturnHeader/PreparerPersonGrp/SelfEmployedInd0X
ReturnHeader/ReturnTs02025-07-24T09:52:26-04:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02024-01-01

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