Liabilities / Assets
70th percentile
Higher debt load relative to assets than 70% of similar nonprofits.
Southeastern Regional Physician Services
EIN 26-4762805 • 501(c)3 • Lumberton, NC
Profile
Physician services operates more than 40 primary care, specialty and urgent care clinics throughout robeson, bladen, cumberland and scotland counties, specializing in providing quality family or internal medicine services.
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
0.33x
Liabilities / Revenue
66th percentile
Higher debt load relative to revenue than 66% of similar nonprofits.
Net Margin
1st percentile
Higher net margin than 1% of similar nonprofits.
Top Officer Pay
98th percentile
Higher top officer pay than 98% of similar nonprofits.
Top officer pay equals 16.8% of source-year revenue.
Asset Growth
8th percentile
Faster asset growth than 8% of similar nonprofits.
Revenue Growth
12th percentile
Faster revenue growth than 12% of similar nonprofits.
Balance Sheet
Assets
Down$6,771,907
Down $1,421,569 (-17%) from 2023
Liabilities
Down$2,223,488
Down $14,052,839 (-86%) from 2023
Net Assets
Up$4,548,419
Up $12,631,270 (+156%) from 2023
Revenue
Down$7,071,542
Down $2,209,516 (-24%) from 2023
Expenses
Down$26,083,341
Down $6,979,694 (-21%) from 2023
Net Income
Up-$19,011,799
Up $4,770,178 (+20%) from 2023
Trend Graphs
Filings
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $6,771,907
- Liabilities
- $2,223,488
- Net assets
- $4,548,419
- Revenue
- $7,071,542
- Expenses
- $26,083,341
- Net income
- -$19,011,799
Latest Filing Detail
Jump To
Filing Snapshot
- Filing Period
- Jul 1, 2023 to Jun 30, 2024
- Signed
- Apr 30, 2025
- Return Version
- 2023v6.0
- Gross Receipts
- $7,071,542
Mission and Program Overview
Mission
Physician services operates more than 30 primary care, specialty and urgent care clinics throughout robeson, bladen, cumberland and scotland counties, specializing in providing quality family or internal medicine services.
Physician services is the outpatient arm for unc southeastern, serving patients in robeson, bladen, cumberland, and scotland counties.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $6,437,154 | $5,199,590 | ▼ $1,237,564 |
| Cash and Non-Interest-Bearing Accounts | $540,663 | $918,883 | ▲ $378,220 |
| Accounts Receivable | $1,215,659 | $653,434 | ▼ $562,225 |
| Total Assets | $8,193,476 | $6,771,907 | ▼ $1,421,569 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $16,276,327 | $2,223,488 | ▼ $14,052,839 |
| Total Liabilities | $16,276,327 | $2,223,488 | ▼ $14,052,839 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $-8,082,851 | $4,548,419 | ▲ $12,631,270 |
| Total Net Assets Fund Balance | $-8,082,851 | $4,548,419 | ▲ $12,631,270 |
| Total Liabilities and Net Assets / Fund Balance | $8,193,476 | $6,771,907 | ▼ $1,421,569 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Land Buildings | $1,885,064 | $8,990,681 | $10,875,745 |
| Buildings | $2,053,813 | $6,330,335 | $8,384,148 |
| Land | $1,260,713 | - | $1,260,713 |
Compensation and Service Providers
Employees
| Name | Title | Base | Other | Total |
|---|---|---|---|---|
| Xiuxian Zhu | Physician | $582,083 | $606,376 | $1,188,459 |
| Sagir Ahmed | Physician | $715,213 | $12,000 | $727,213 |
| Hiten Patel | Physician | $650,120 | $47,375 | $697,495 |
| Ifad Rahman | Physician | $534,591 | $43,100 | $577,691 |
| Komal Motwani | Physician | $224,469 | $20,000 | $244,469 |
Board Members and Trustees
| Name | Title |
|---|---|
| Chris Ellington | President/ce |
| Tom Schram | Secretary |
| Lori Dove | VP |
| Sara Bradley | VP/treasurer |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $0
- Program Service Revenue
- $6,569,487
- Investment Income
- $10,076
- Other Revenue
- $491,979
- Change in Net Assets
- $-19,011,799
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Other Expenses | $17,125,495 |
| Salaries, Compensation, and Employee Benefits | $8,957,846 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $7,568,806 | $192,838 | - | $7,761,644 |
| Fees for Services Other | $2,185,558 | - | - | $2,185,558 |
| Other Employee Benefits | $1,166,482 | $29,720 | - | $1,196,202 |
| Depreciation Depletion | $782,816 | $86,980 | - | $869,796 |
| Occupancy | $203,486 | - | - | $203,486 |
| Other Expenses | $136,405 | $40,656 | - | $40,656 |
| Office Expenses | $5,088 | $7,365 | - | $12,453 |
| Travel | $11,936 | - | - | $11,936 |
| Total Functional Expenses | $25,725,782 | $357,559 | $0 | $26,083,341 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| 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
- 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
- Yes
- Key decisions subject to board approval
- No
- Management duties delegated
- No
Governance Explanations
Form 990, Page 6, Part VI, Line 11B
“Corporate officers review form 990 before filing”
Form 990, Page 6, Part VI, Line 12C
“A copy of southeastern regional medical center's (center) conflict of interest policy along with a statement of conflict of interest is given to the center's officers, directors, trustees and key employees annually to review and sign. If any disclosures are made, discussions with the interested person occur and then he or she leaves the meeting, at which time the remaining board or committee members decide if a conflict of interest exists. If a conflict of interest is determined to exist, the board determines whether the center can obtain a more advantageous transaction or arrangement with reasonable efforts from a person or entity that would not give rise to a conflict of interest. If that is not reasonably attainable, the board or committee, by a majority vote of disinterested directors, shall determine whether the transaction or arrangement is in the center's best interest, for its own benefit, and whether the transaction is fair and reasonable to the center.”
Form 990, Page 6, Part VI, Line 15A
“The ceo and vice president positions were evaluated by a separate compensation committee and an independent consulting firm. The executive compensation philosophy was updated. Information was gathered on competitive practices and a reasonable compensation plan was determined. Actions of the committee are approved regularly and are based on the organization's rebuttable presumption policy that requires the committee to exercise the diligence needed to meet the requirements for the presumption of reasonableness.”
Form 990, Page 6, Part VI, Line 15B
“SAME AS ABOVE”
Form 990, Page 6, Part VI, Line 19
“Various governing documents are made available to the general public using srmc's website, other website, and providing copies upon request.”
Filing and Contact Details
Filer
- Filer Name
- Southeastern Regional Physician
- EIN
- 26-4762805
- Phone
- 9106715090
- Address
- PO BOX 1408 300 W 27TH STREET, LUMBERTON, NC 28359-1408
Signing Officer
- Name
- Sara Bradley
- Title
- VP/treasurer
- Phone
- 9106715000
- Signed
- 2025-04-30
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- Chris Ellington
- Formed
- 2009
- Legal Domicile
- Nc
- Voting Board Members
- 4
- Independent Board Members
- 0
- Employees
- 108
Preparer
- Firm
- S Preston Douglas & Associates Llp
- Address
- PO BOX 2339, LUMBERTON, NC 28359-2339
- Preparer
- John L Grissom Jr
- Phone
- 9107397523
Supplemental Narrative
Additional Explanations
Form 990, Part XI, Line 9
“Transfers from tax exmpt related org 31,643,069 transfers from tax exmpt related org 0 total 31,643,069”
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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/BuildingsGrp/DepreciationAmt | 0 | 6330335 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 8384148 |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 1260713 |
| IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt | 0 | 1260713 |
| IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt | 0 | 1885064 |
| IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt | 0 | 8990681 |
| IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 10875745 |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 5199590 |
| IRS990ScheduleJ/AnyNonFixedPaymentsInd | 0 | false |
| IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd | 0 | false |
| IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd | 0 | false |
| IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd | 0 | false |
| IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd | 0 | false |
| IRS990ScheduleJ/EquityBasedCompArrngmInd | 0 | false |
| IRS990ScheduleJ/InitialContractExceptionInd | 0 | false |
| IRS990/ScheduleJRequiredInd | 0 | true |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 0 | 582083 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 1 | 715213 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 2 | 650120 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 3 | 534591 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 4 | 224469 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 0 | 606376 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 1 | 12000 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 2 | 47375 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 3 | 43100 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 4 | 20000 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 0 | XIUXIAN ZHU |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 1 | SAGIR AHMED |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 2 | HITEN PATEL |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 3 | IFAD RAHMAN |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 4 | KOMAL MOTWANI |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 0 | PHYSICIAN |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 1 | PHYSICIAN |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 2 | PHYSICIAN |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 3 | PHYSICIAN |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 4 | PHYSICIAN |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 0 | 1188459 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 1 | 727213 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 2 | 697495 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 3 | 577691 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 4 | 244469 |
| IRS990ScheduleJ/SeverancePaymentInd | 0 | false |
| IRS990ScheduleJ/SupplementalNonqualRtrPlanInd | 0 | false |
| IRS990/ScheduleORequiredInd | 0 | true |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | CORPORATE OFFICERS REVIEW FORM 990 BEFORE FILING |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | A COPY OF SOUTHEASTERN REGIONAL MEDICAL CENTER'S (CENTER) CONFLICT OF INTEREST POLICY ALONG WITH A STATEMENT OF CONFLICT OF INTEREST IS GIVEN TO THE CENTER'S OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ANNUALLY TO REVIEW AND SIGN. IF ANY DISCLOSURES ARE MADE, DISCUSSIONS WITH THE INTERESTED PERSON OCCUR AND THEN HE OR SHE LEAVES THE MEETING, AT WHICH TIME THE REMAINING BOARD OR COMMITTEE MEMBERS DECIDE IF A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE BOARD DETERMINES WHETHER THE CENTER CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF THAT IS NOT REASONABLY ATTAINABLE, THE BOARD OR COMMITTEE, BY A MAJORITY VOTE OF DISINTERESTED DIRECTORS, SHALL DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CENTER'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE CENTER. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | THE CEO AND VICE PRESIDENT POSITIONS WERE EVALUATED BY A SEPARATE COMPENSATION COMMITTEE AND AN INDEPENDENT CONSULTING FIRM. THE EXECUTIVE COMPENSATION PHILOSOPHY WAS UPDATED. INFORMATION WAS GATHERED ON COMPETITIVE PRACTICES AND A REASONABLE COMPENSATION PLAN WAS DETERMINED. ACTIONS OF THE COMMITTEE ARE APPROVED REGULARLY AND ARE BASED ON THE ORGANIZATION'S REBUTTABLE PRESUMPTION POLICY THAT REQUIRES THE COMMITTEE TO EXERCISE THE DILIGENCE NEEDED TO MEET THE REQUIREMENTS FOR THE PRESUMPTION OF REASONABLENESS. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | SAME AS ABOVE |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | VARIOUS GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE GENERAL PUBLIC USING SRMC'S WEBSITE, OTHER WEBSITE, AND PROVIDING COPIES UPON REQUEST. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | TRANSFERS FROM TAX EXMPT RELATED ORG 31,643,069 TRANSFERS FROM TAX EXMPT RELATED ORG 0 TOTAL 31,643,069 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990, PAGE 6, PART VI, LINE 11B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990, PAGE 6, PART VI, LINE 12C |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990, PAGE 6, PART VI, LINE 15A |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990, PAGE 6, PART VI, LINE 15B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | FORM 990, PAGE 6, PART VI, LINE 19 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | FORM 990, PART XI, LINE 9 |
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| IRS990/SignificantChangeInd | 0 | false |
| IRS990/SignificantNewProgramSrvcInd | 0 | false |
| IRS990/SubjectToExcsTaxNetInvstIncInd | 0 | false |
| IRS990/SubjectToProxyTaxInd | 0 | false |
| IRS990/SubjToTaxRmnrtnExPrchtPymtInd | 0 | false |
| IRS990/TaxablePartyNotificationInd | 0 | false |
| IRS990/TaxExemptBondsInd | 0 | false |
| IRS990/TerminateOperationsInd | 0 | false |
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| IRS990/TotalAssetsEOYAmt | 0 | 6771907 |
| IRS990/TotalAssetsGrp/BOYAmt | 0 | 8193476 |
| IRS990/TotalAssetsGrp/EOYAmt | 0 | 6771907 |
| IRS990/TotalCompGreaterThan150KInd | 0 | true |
| IRS990/TotalEmployeeCnt | 0 | 108 |
| IRS990/TotalFunctionalExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt | 0 | 357559 |
| IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt | 0 | 25725782 |
| IRS990/TotalFunctionalExpensesGrp/TotalAmt | 0 | 26083341 |
| IRS990/TotalGrossUBIAmt | 0 | 0 |
| IRS990/TotalLiabilitiesBOYAmt | 0 | 16276327 |
| IRS990/TotalLiabilitiesEOYAmt | 0 | 2223488 |
| IRS990/TotalLiabilitiesGrp/BOYAmt | 0 | 16276327 |
| IRS990/TotalLiabilitiesGrp/EOYAmt | 0 | 2223488 |
| IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt | 0 | -8082851 |
| IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt | 0 | 4548419 |
| IRS990/TotalProgramServiceExpensesAmt | 0 | 25725782 |
| IRS990/TotalProgramServiceRevenueAmt | 0 | 6569487 |
| IRS990/TotalReportableCompFromOrgAmt | 0 | 3435327 |
| IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 7071542 |
| IRS990/TotalRevenueGrp/TotalRevenueColumnAmt | 0 | 7071542 |
| IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt | 0 | 8193476 |
| IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt | 0 | 6771907 |
| IRS990/TravelGrp/ProgramServicesAmt | 0 | 11936 |
| IRS990/TravelGrp/TotalAmt | 0 | 11936 |
| IRS990/TrnsfrExmptNonChrtblRltdOrgInd | 0 | false |
| IRS990/TypeOfOrganizationCorpInd | 0 | X |
| IRS990/UnrelatedBusIncmOverLimitInd | 0 | false |
| IRS990/UponRequestInd | 0 | X |
| IRS990/USAddress/AddressLine1Txt | 0 | PO BOX 1408 |
| IRS990/USAddress/CityNm | 0 | LUMBERTON |
| IRS990/USAddress/StateAbbreviationCd | 0 | NC |
| IRS990/USAddress/ZIPCd | 0 | 28359 |
| IRS990/VotingMembersGoverningBodyCnt | 0 | 4 |
| IRS990/VotingMembersIndependentCnt | 0 | 0 |
| IRS990/WebsiteAddressTxt | 0 | WWW.UNCHEALTHSOUTHEASTERN.ORG |
| IRS990/WhistleblowerPolicyInd | 0 | true |
| ReturnHeader/BuildTS | 0 | 2025-03-06 01:10:19Z |
| ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd | 0 | true |
| ReturnHeader/BusinessOfficerGrp/PersonNm | 0 | SARA BRADLEY |
| ReturnHeader/BusinessOfficerGrp/PersonTitleTxt | 0 | VP/TREASURER |
| ReturnHeader/BusinessOfficerGrp/PhoneNum | 0 | 9106715000 |
| ReturnHeader/BusinessOfficerGrp/SignatureDt | 0 | 2025-04-30 |
| ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt | 0 | SOUTHEASTERN REGIONAL PHYSICIAN |
| ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt | 0 | SERVICES |
| ReturnHeader/Filer/BusinessNameControlTxt | 0 | SOUT |
| ReturnHeader/Filer/EIN | 0 | 264762805 |
| ReturnHeader/Filer/PhoneNum | 0 | 9106715090 |
| ReturnHeader/Filer/USAddress/AddressLine1Txt | 0 | PO BOX 1408 300 W 27TH STREET |
| ReturnHeader/Filer/USAddress/CityNm | 0 | LUMBERTON |
| ReturnHeader/Filer/USAddress/StateAbbreviationCd | 0 | NC |
| ReturnHeader/Filer/USAddress/ZIPCd | 0 | 283591408 |
| ReturnHeader/IRSResponsiblePrtyInfoCurrInd | 0 | false |
| ReturnHeader/PreparerFirmGrp/PreparerFirmEIN | 0 | 560731535 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt | 0 | S PRESTON DOUGLAS & ASSOCIATES LLP |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt | 0 | PO BOX 2339 |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm | 0 | LUMBERTON |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd | 0 | NC |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd | 0 | 283592339 |
| ReturnHeader/PreparerPersonGrp/PhoneNum | 0 | 9107397523 |
| ReturnHeader/PreparerPersonGrp/PreparationDt | 0 | 2025-05-13 |
| ReturnHeader/PreparerPersonGrp/PreparerPersonNm | 0 | JOHN L GRISSOM JR |
| ReturnHeader/ReturnTs | 0 | 2025-05-13T08:08:00-04:00 |
| ReturnHeader/ReturnTypeCd | 0 | 990 |
| ReturnHeader/TaxPeriodBeginDt | 0 | 2023-07-01 |
| ReturnHeader/TaxPeriodEndDt | 0 | 2024-06-30 |
| ReturnHeader/TaxYr | 0 | 2023 |
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