Civic Intelligence

Mariposa Dr Foundation

990 • Fiscal year 2013 • EIN 27-0726866

Jan 01, 2013 to Dec 31, 2013 • Filed on Aug 18, 2014

421 North Aurora Street14850

(917) 435-1748

Siviq Scores

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

Liabilities / Assets

96th percentile

4.02x

Higher debt load relative to assets than 96% of similar nonprofits.

2013 filings • NTEE P20 • <$500k nonprofits • Source year 2013

Liabilities / Revenue

90th percentile

0.44x

Higher debt load relative to revenue than 90% of similar nonprofits.

2013 filings • NTEE P20 • <$500k nonprofits • Source year 2013

Net Margin

68th percentile

14%

Higher net margin than 68% of similar nonprofits.

2013 filings • NTEE P20 • <$500k nonprofits • Source year 2013

Top Officer Pay

98th percentile

$67,986

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 15.0% of source-year revenue.

2013 filings • NTEE P20 • <$500k nonprofits • Source year 2013

Asset Growth

70th percentile

34%

Faster asset growth than 70% of similar nonprofits.

2013 filings • NTEE P20 • <$500k nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Assets

Up

$49,894

Up $12,631 (+34%) from 2012

Net Assets

Up

-$150,825

Up $62,908 (+29%) from 2012

Liabilities

Down

$200,719

Down $50,277 (-20%) from 2012

Revenue

$452,024

No earlier filing loaded for comparison.

Expenses

Down

$389,116

Down $166,954 (-30%) from 2012

Net Income

$62,908

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.

$400K$200K$0-$200K-$400KAssets 2012: $37,263Liabilities 2012: $250,996Net Assets 2012: -$213,7332012Assets 2013: $49,894Liabilities 2013: $200,719Net Assets 2013: -$150,8252013Assets 2014: $136,015Liabilities 2014: $169,990Net Assets 2014: -$33,9752014Assets 2015: $109,590Liabilities 2015: $151,006Net Assets 2015: -$41,4162015Assets 2016: $42,982Liabilities 2016: $55,886Net Assets 2016: -$12,9042016Assets 2017: $39,793Liabilities 2017: $6,862Net Assets 2017: $32,9312017Assets 2018: $45,225Liabilities 2018: $3,417Net Assets 2018: $41,8082018Assets 2019: $190,100Liabilities 2019: $8,928Net Assets 2019: $181,1722019Assets 2020: $213,611Liabilities 2020: $55,411Net Assets 2020: $158,2002020Assets 2021: $269,030Liabilities 2021: $77,510Net Assets 2021: $191,5202021Assets 2022: $205,742Liabilities 2022: $87,088Net Assets 2022: $118,6542022Assets 2023: $227,373Liabilities 2023: $68,688Net Assets 2023: $158,6852023Assets 2024: $219,628Liabilities 2024: $36,087Net Assets 2024: $183,5412024

Highlighted filing

2013

Assets$49,894
Liabilities$200,719
Net Assets-$150,825

Operations Trend

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

$1.5M$1.0M$500K$0-$500KExpenses 2012: $556,0702012Revenue 2013: $452,024Expenses 2013: $389,116Net Income 2013: $62,9082013Revenue 2014: $620,241Expenses 2014: $503,390Net Income 2014: $116,8512014Revenue 2015: $469,196Expenses 2015: $487,665Net Income 2015: -$18,4692015Revenue 2016: $696,640Expenses 2016: $668,128Net Income 2016: $28,5122016Revenue 2017: $821,416Expenses 2017: $775,636Net Income 2017: $45,7802017Revenue 2018: $837,034Expenses 2018: $828,012Net Income 2018: $9,0222018Revenue 2019: $1,073,997Expenses 2019: $934,633Net Income 2019: $139,3642019Revenue 2020: $590,957Expenses 2020: $613,929Net Income 2020: -$22,9722020Revenue 2021: $775,219Expenses 2021: $741,899Net Income 2021: $33,3202021Revenue 2022: $902,681Expenses 2022: $975,547Net Income 2022: -$72,8662022Revenue 2023: $814,981Expenses 2023: $774,950Net Income 2023: $40,0312023Revenue 2024: $811,926Expenses 2024: $787,070Net Income 2024: $24,8562024

Highlighted filing

2013

Revenue$452,024
Expenses$389,116
Net Income$62,908
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Aug 18, 2014
Return Version
2013v3.0
Gross Receipts
$452,024
Mission and Program Overview

Mission

To support and promote education and empowerment programs in the Dominican Republic children and young adults, especially girls. (Continued on Schedule O) To support and promote education and empowerment programs in the Dominican Republic children and young adults, especially girls. We promote health and education improvements, opportunities for achieving sustainable economic development, increasing standards of living, strengthening community infrastructure and assist in the relief of poverty.

To support and promote education and empowerment programs for young girls in the Dominican Republic.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$35,700$48,672▲ $12,972
Land, Buildings, and Equipment, Net$1,563$1,222▼ $341
Total Assets$37,263$49,894▲ $12,631
Liabilities
Unsecured Notes Loans Payable$250,000$200,000▼ $50,000
Accounts Payable and Accrued Expenses$996$719▼ $277
Total Liabilities$250,996$200,719▼ $50,277
Net Assets / Fund Balance
Temporarily Rstr Net Assets-$2,150-
Unrestricted Net Assets$-213,733$-152,975▲ $60,758
Total Net Assets Fund Balance$-213,733$-150,825▲ $62,908
Total Liabilities and Net Assets / Fund Balance$37,263$49,894▲ $12,631

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,222$483$1,705
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Patricia Thorndike SurielExecutive DirectorFT$60,000$7,986$67,986

Board Members and Trustees

NameTitle
Aislinn DoylePresident
Raymond Jay DunnDirector
Christy DimosDirector (01/2013 - 10/2013)
Jennifer FurigaySecretary (10/2013-12/2013)
Jessica MitchellTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$328,304
Program Service Revenue
$123,720
Investment Income
$0
Other Revenue
$0
All Other Contributions
$188,621
Change in Net Assets
$62,908
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$206,432
Other Expenses$95,472
Salaries, Compensation, and Employee Benefits$87,212
Total Fundraising Expense$27,280
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Foreign Grants$206,432--$206,432
Current Officers, Directors, Trustees, and Key Employees$33,993$16,996$16,996$67,985
Other Expenses$54,800--$54,800
Other Salaries and Wages$6,296$3,148$3,148$12,592
Fees for Services Other$1,929$5,234$3,964$11,127
Travel$9,719$548-$10,267
Payroll Taxes$3,044$1,522$1,522$6,088
Interest-$5,000-$5,000
Fees for Services Accounting-$4,970-$4,970
Insurance-$2,240-$2,240
Office Expenses-$1,900$156$2,056
All Other Expenses$25$1,433$357$1,815
Information Technology$120$1,412-$1,532
Advertising--$1,000$1,000
Other Employee Benefits$273$137$137$547
Depreciation Depletion-$341-$341
Fees for Services Legal-$324-$324
Total Functional Expenses$316,631$45,205$27,280$389,116
International Activity

International Summary

Offices
1
Employees
1
Spending
$206,432

International Compliance

Foreign grant records maintained
Yes
Activity in boycott countries
No
Foreign corporation ownership
No
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
No

International Activities

RegionActivityServicesOfficesEmployeesSpending
Dominican RepublicTo Act as an Advocate for Children's health and education.-11$206,432
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
Yes
Annual disclosure for covered persons
Yes
Audit committee
No
Backup withholding compliance
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
Yes
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

There are no other committees authorized to act on behalf of the governing body.

Form 990, Part VI, Section B, line 11

The form 990 is reviewed during Board Meetings.

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

Any conflict of interest reports are reviewed at Board Meetings.

Form 990, Part VI, Section B, line 15A

The process for determing compensation of the organization's executive director included a review and approval by independent persons and was documented in the board minutes. There are no other officers or key employees compensated.

Form 990, Part VI, Section C, line 19

The Organization publishes its financials publicly each year in the annual report. The governing documents and conflict of interest policy are made available upon request.

Filing and Contact Details

Filer

EIN
27-0726866
Phone
9174351748

Signing Officer

Name
Jessica Mitchell
Title
Treasurer
Phone
9174351748
Signed
2014-08-18
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Patricia Thorndike Suriel
Formed
2009
Legal Domicile
Ny
Voting Board Members
5
Independent Board Members
4
Employees
3
Volunteers
212

Preparer

Preparer
Stephanie Annunziata
Phone
5852322956
Supplemental Narrative

Financial Statement Notes

Part X, Line 2:

Accounting standards require entities to disclose in their financial statements the nature of any uncertainties in their tax position. Tax years including the year ended December 31, 2010 and later are subject to examination by tax authorities. Areas that IRS and state tax authorities consider when examining tax returns of a charity include, but may not be limited to, tax-exempt status and the existence and amount of unrelated business income. The Organization does not believe that it has any uncertain tax positions with respect to these or other matters, and has not recorded any unrecognized tax benefits or liability for penalties or interest. The Organization is not aware of any circumstances or events that make it reasonably possible that tax benefits may increase or decrease within 12 months of the date of these financial statements.

Raw XML AppendixShowing 400 of 406 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/Desc0We have provided significant funding for the following programs. Without our support, these programs would not exist today.Our primary grantee is The Mariposa Foundation in Cabarete Dominican Republic. We have funded this organization since our inception in 2009. To date this program in the Dominican Republic has been able to serve the needs of more than 100 girls living in poverty and their families. The Mariposa Foundation has daily programs that include academic tutoring, sports, art, theatre, health, environmental education and more. The program has expanded from serving just 15 girls at the beginning of 2010 to 100 in 2012. (Continued on Schedule O)The organization received payments from individuals who come to the Dominican Republic to volunteer. This initiative has been growing. We did this through 9-10 schools in the past and will increase this up to 200 schools in 2014 or later as a result of a collaboration with "Education First" that is in Boston.Our support has fully funded six main initiatives; academic enrichment, community engagement, experiential learning, health and wellness, international awareness and summer programs.In 2012 we funded the purchase of a 5,000 square meter piece of property to transform an abandoned school into the brand new Mariposa Center for Girls.Our support of The Mariposa Foundation has also allowed them to partner with CEPROSH, local public schools and host community events. Our work with The Mariposa Foundation has directly affected more than 3,000 people.Mariposas' Montessori is an early childhood development program that provides the children of Cabarete with the critical foundation needed for educational success and a happy and healthy life.
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IRS990/Form990PartVIISectionAGrp/PersonNm2Jessica Mitchell
IRS990/Form990PartVIISectionAGrp/PersonNm3Raymond Jay Dunn
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IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0288003
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0226176
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0127251
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt036041
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt01005775
IRS990ScheduleA/TotalSupportAmt01005775
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/EquipmentGrp/BookValueAmt01222
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0483
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt01705
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0Accounting standards require entities to disclose in their financial statements the nature of any uncertainties in their tax position. Tax years including the year ended December 31, 2010 and later are subject to examination by tax authorities. Areas that IRS and state tax authorities consider when examining tax returns of a charity include, but may not be limited to, tax-exempt status and the existence and amount of unrelated business income. The Organization does not believe that it has any uncertain tax positions with respect to these or other matters, and has not recorded any unrecognized tax benefits or liability for penalties or interest. The Organization is not aware of any circumstances or events that make it reasonably possible that tax benefits may increase or decrease within 12 months of the date of these financial statements.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part X, Line 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt01222
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/EmployeeCnt01
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/OfficesCnt01
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTotalExpendituresAmt0206432
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTxt0Dominican Republic
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/TypeOfActivitiesConductedTxt0To Act as an Advocate for Children's health and education.
IRS990ScheduleF/BoycottCountriesInd00
IRS990ScheduleF/ContinuationSpentAmt00
IRS990ScheduleF/ContinutationTotalEmployeeCnt00
IRS990ScheduleF/ContinutationTotalOfficeCnt00
IRS990ScheduleF/ForeignCorpOwnershipInd00
IRS990ScheduleF/ForeignPartnershipInd00
IRS990ScheduleF/GrantRecordsMaintainedInd01
IRS990ScheduleF/GrantsToOrgOutsideUSGrp/CashGrantAmt0206432
IRS990ScheduleF/GrantsToOrgOutsideUSGrp/MannerOfCashDisbursementTxt0Cash Funds
IRS990ScheduleF/GrantsToOrgOutsideUSGrp/PurposeOfGrantTxt0To support the Mariposa Center for Girls.
IRS990ScheduleF/GrantsToOrgOutsideUSGrp/RegionTxt0Dominican Republic
IRS990ScheduleF/InterestInForeignTrustInd00
IRS990ScheduleF/PassiveForeignInvestmestCoInd00
IRS990ScheduleF/SubtotalEmployeesCnt01
IRS990ScheduleF/SubtotalOfficesCnt01
IRS990ScheduleF/SubtotalSpentAmt0206432
IRS990ScheduleF/SupplementalInformationDetail/ExplanationTxt0Grants are monitored via frequent field visits and close colaboration between organizations.
IRS990ScheduleF/SupplementalInformationDetail/ExplanationTxt1We do not accept unsolicited grant requests. We only fund organizations after thorough investigation and approval. All organizations in the Dominican Republic must submit yearly grant proposals. All grants shall only be used for the purposes stated in the original proposal. Any deviation from this requires pre-approval from The Mariposa DR Foundation in writing. Grantees must provide quarterly reports including financials. Grants are also monitored through close collaboration and frequent field visits.
IRS990ScheduleF/SupplementalInformationDetail/FormAndLineReferenceDesc0Part I, Line 2:
IRS990ScheduleF/SupplementalInformationDetail/FormAndLineReferenceDesc1Part I, line 3:
IRS990ScheduleF/Total501c3OrgCnt01
IRS990ScheduleF/TotalEmployeeCnt01
IRS990ScheduleF/TotalOfficeCnt01
IRS990ScheduleF/TotalOtherOrgCnt01
IRS990ScheduleF/TotalSpentAmt0206432
IRS990ScheduleF/TransferToForeignCorpInd00
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0There are no other committees authorized to act on behalf of the governing body.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1The form 990 is reviewed during Board Meetings.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Any conflict of interest reports are reviewed at Board Meetings.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3The process for determing compensation of the organization's executive director included a review and approval by independent persons and was documented in the board minutes. There are no other officers or key employees compensated.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4The Organization publishes its financials publicly each year in the annual report. The governing documents and conflict of interest policy are made available upon request.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section A, line 8b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section B, line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section B, line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section B, line 15a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Section C, line 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0NY
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TemporarilyRstrNetAssetsGrp/EOYAmt02150
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt037263
IRS990/TotalAssetsEOYAmt049894
IRS990/TotalAssetsGrp/BOYAmt037263
IRS990/TotalAssetsGrp/EOYAmt049894
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt0328304
IRS990/TotalEmployeeCnt03
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt027280
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt045205
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0316631
IRS990/TotalFunctionalExpensesGrp/TotalAmt0389116
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0250996
IRS990/TotalLiabilitiesEOYAmt0200719
IRS990/TotalLiabilitiesGrp/BOYAmt0250996
IRS990/TotalLiabilitiesGrp/EOYAmt0200719
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-213733
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-150825
IRS990/TotalOtherCompensationAmt07986
IRS990/TotalProgramServiceExpensesAmt0316631
IRS990/TotalProgramServiceRevenueAmt0123720
IRS990/TotalReportableCompFromOrgAmt060000
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0123720
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0452024
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt0212
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt037263
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt049894
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ManagementAndGeneralAmt0548
IRS990/TravelGrp/ProgramServicesAmt09719
IRS990/TravelGrp/TotalAmt010267
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0-213733
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0-152975
IRS990/UnsecuredNotesLoansPayableGrp/BOYAmt0250000
IRS990/UnsecuredNotesLoansPayableGrp/EOYAmt0200000
IRS990/USAddress/AddressLine10421 North Aurora Street
IRS990/USAddress/City0Ithaca
IRS990/USAddress/State0NY
IRS990/USAddress/ZIPCode014850
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt04
IRS990/WebsiteAddressTxt0www.mariposadrfoundation.org
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02015-11-30 17:44:51Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0Jessica Mitchell
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Treasurer
ReturnHeader/BusinessOfficerGrp/PhoneNum09174351748
ReturnHeader/BusinessOfficerGrp/SignatureDt02014-08-18
ReturnHeader/Filer/BusinessName/BusinessNameLine10Mariposa DR Foundation
ReturnHeader/Filer/BusinessNameControlTxt0MARI
ReturnHeader/Filer/EIN0270726866
ReturnHeader/Filer/PhoneNum09174351748
ReturnHeader/Filer/USAddress/AddressLine10421 North Aurora Street
ReturnHeader/Filer/USAddress/City0Ithaca
ReturnHeader/Filer/USAddress/State0NY
ReturnHeader/Filer/USAddress/ZIPCode014850
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0271895149
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine10Heveron & Company CPAs
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine10260 Plymouth Avenue South
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/City0Rochester
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/State0NY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCode014608
ReturnHeader/PreparerPersonGrp/PhoneNum05852322956
ReturnHeader/PreparerPersonGrp/PreparationDt02014-08-18

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