Civic Intelligence

Mission Restore Inc.

990 • Fiscal year 2017 • EIN 27-1036947

Jan 01, 2017 to Dec 31, 2017 • Filed on Apr 19, 2018

120 E 87th St No P4bNew York, NY 10128

(914) 233-6107

Siviq Scores

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

Liabilities / Assets

73rd percentile

0.03x

Higher debt load relative to assets than 73% of similar nonprofits.

2017 filings • NTEE G • <$500k nonprofits • Source year 2017

Liabilities / Revenue

71st percentile

0.02x

Higher debt load relative to revenue than 71% of similar nonprofits.

2017 filings • NTEE G • <$500k nonprofits • Source year 2017

Net Margin

35th percentile

-4.9%

Higher net margin than 35% of similar nonprofits.

2017 filings • NTEE G • <$500k nonprofits • Source year 2017

Top Officer Pay

98th percentile

$110,000

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 46.7% of source-year revenue.

2017 filings • NTEE G • <$500k nonprofits • Source year 2017

Asset Growth

33rd percentile

-8.1%

Faster asset growth than 33% of similar nonprofits.

2017 filings • NTEE G • <$500k nonprofits • Annualized from 2016 to 2017

Revenue Growth

49th percentile

1.4%

Faster revenue growth than 49% of similar nonprofits.

2017 filings • NTEE G • <$500k nonprofits • Annualized from 2016 to 2017

Assets

Down

$189,413

Down $16,727 (-8.1%) from 2016

Net Assets

Down

$184,623

Down $11,496 (-5.9%) from 2016

Liabilities

Down

$4,790

Down $5,231 (-52%) from 2016

Revenue

Up

$235,430

Up $3,352 (+1.4%) from 2016

Expenses

Up

$246,926

Up $18,309 (+8.0%) from 2016

Net Income

Down

-$11,496

Down $14,957 (-432%) from 2016

Historical Trend

Balance Sheet Trend

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

$300K$200K$100K$0Assets 2012: $164,119Liabilities 2012: $9,283Net Assets 2012: $154,8362012Assets 2013: $232,570Liabilities 2013: $9,856Net Assets 2013: $222,7142013Assets 2014: $212,390Liabilities 2014: $7,428Net Assets 2014: $204,9622014Assets 2016: $206,140Liabilities 2016: $10,021Net Assets 2016: $196,1192016Assets 2017: $189,413Liabilities 2017: $4,790Net Assets 2017: $184,6232017Assets 2018: $172,490Liabilities 2018: $18,864Net Assets 2018: $153,6262018Assets 2019: $92,115Liabilities 2019: $19,954Net Assets 2019: $72,1612019Assets 2020: $126,364Liabilities 2020: $14,741Net Assets 2020: $111,6232020Assets 2021: $253,978Liabilities 2021: $14,530Net Assets 2021: $239,4482021Assets 2022: $194,437Liabilities 2022: $15,113Net Assets 2022: $179,3242022Assets 2023: $112,769Liabilities 2023: $0Net Assets 2023: $112,7692023

Highlighted filing

2017

Assets$189,413
Liabilities$4,790
Net Assets$184,623

Operations Trend

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

$300K$200K$100K$0-$100KExpenses 2012: $131,7062012Revenue 2013: $175,161Expenses 2013: $107,283Net Income 2013: $67,8782013Revenue 2014: $135,385Expenses 2014: $153,137Net Income 2014: -$17,7522014Revenue 2016: $232,078Expenses 2016: $228,617Net Income 2016: $3,4612016Revenue 2017: $235,430Expenses 2017: $246,926Net Income 2017: -$11,4962017Revenue 2018: $228,533Expenses 2018: $259,530Net Income 2018: -$30,9972018Revenue 2019: $111,686Expenses 2019: $193,151Net Income 2019: -$81,4652019Revenue 2020: $48,900Expenses 2020: $9,438Net Income 2020: $39,4622020Revenue 2021: $147,944Expenses 2021: $20,118Net Income 2021: $127,8262021Revenue 2022: $6,037Expenses 2022: $66,161Net Income 2022: -$60,1242022Revenue 2023: $2,813Expenses 2023: $69,368Net Income 2023: -$66,5552023

Highlighted filing

2017

Revenue$235,430
Expenses$246,926
Net Income-$11,496
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Apr 19, 2018
Return Version
2017v2.2
Gross Receipts
$238,331
Mission and Program Overview

Mission

Mission: restore is a 501(c)3 global health non-profit that aims to increase the capacity of local surgeons in developing countries. We specialize in reconstructive surgery and value operating together for long-term impact through hands-on training, educational grants, and telemedicine. At mission: restore we are creating a world in which local surgeons have the knowledge, skills and support they need to treat debilitating injuries and birth defects in their own communities around the world.

To provide hope and surgical care to the world's forgotten patients.the organization trains medical professionals abroad in complex reconstructive surgery in order to create a sustainable infrastructure where long-term relationships are forged and permanent change is made.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$173,341$174,413▲ $1,072
Accounts Receivable$32,500$15,000▼ $17,500
Land, Buildings, and Equipment, Net$299$0▼ $299
Total Assets$206,140$189,413▼ $16,727
Liabilities
Accounts Payable and Accrued Expenses$10,021$4,790▼ $5,231
Total Liabilities$10,021$4,790▼ $5,231
Net Assets / Fund Balance
Unrestricted Net Assets$164,040$152,544▼ $11,496
Temporarily Rstr Net Assets$32,079$32,079→ $0
Total Net Assets Fund Balance$196,119$184,623▼ $11,496
Total Liabilities and Net Assets / Fund Balance$206,140$189,413▼ $16,727

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$0$3,254$3,254
Other Land Buildings$0$1,566$1,566

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2017$32,079---$32,079
2016$32,079---$32,079
2015$32,079---$32,079
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Karina NaginExecutive DirectorFT$110,000$110,000

Board Members and Trustees

NameTitle
Dr Kaveh AlizadehPresident
John NazemianVice President
Jenny CarragherBoard Member
Khadija RejtoMember
Sarah HollowayTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$234,410
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$1,020
All Other Contributions
$210,992
Change in Net Assets
$-11,496
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$136,717
Other Expenses$107,120
Total Fundraising Expense$37,782
Grants and Similar Amounts Paid$3,089
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$64,630$28,704$28,704$122,038
Travel$41,053-$267$41,320
Fees for Services Management$19,092-$4,773$23,865
Fees for Services Accounting-$9,700-$9,700
Payroll Taxes$4,793$2,396$2,396$9,585
Other Employee Benefits$2,548$1,273$1,273$5,094
Fees for Services Other$3,300--$3,300
Foreign Grants$3,089--$3,089
Information Technology-$2,144-$2,144
Advertising-$2,140-$2,140
Insurance-$1,885-$1,885
Occupancy-$1,589-$1,589
Office Expenses-$1,047$369$1,416
Other Expenses$2,500$926-$926
Depreciation Depletion-$299-$299
All Other Expenses$89--$89
Total Functional Expenses$154,966$54,178$37,782$246,926
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$2,901
Fundraising Gross Income$2,901
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Women in Surgery$26,319$2,901$194$2,707
Total Events$26,319$2,901$2,901$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
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 B, Line 11B

A draft of the organization's form 990 was provided to the current members of the board via email by management, and the board convened via conference call and email before form 990 was filed.

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

The executive director of the organization is responsible for distributing and collecting completed conflict of interest questionnaires on an annual basis from employees and board members at a minimum. Any potential conflicts are brought to the board for consideration and disposition. Employees and board members are instructed to inform the executive director should a potential conflict of interest occur after completion of the last annual conflict of interest questionnaire.

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

The organization's board reviewed compensation data for similarly situated not for profit organizations in the area to determine the range of compensation for the executive director of the organization.

Form 990, Part VI, Section C, Line 19

The governing documents, conflict of interest policy, and financial statements of the organization are available to the public upon request. The organization's form 990 is also available on guidestar.org website.

Filing and Contact Details

Filer

Filer Name
Missionrestore Inc
EIN
27-1036947
Phone
9142336107
Address
120 E 87TH ST NO P4B, NEW YORK, NY 10128

Signing Officer

Name
Dr Kaveh Alizadeh
Title
Board Chair
Phone
9142336107
Signed
2018-04-19
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dr Kaveh Alizadeh
Formed
2009
Legal Domicile
Ny
Voting Board Members
5
Independent Board Members
5
Employees
2
Volunteers
8

Preparer

Firm
Cerini and Associates
Address
3340 VETERANS MEMORIAL HIGHWAY, BOHEMIA, NY 11716
Preparer
Kenneth Cerini
Phone
6315821600
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IRS990/ActivityOrMissionDesc0TO PROVIDE HOPE AND SURGICAL CARE TO THE WORLD'S FORGOTTEN PATIENTS.THE ORGANIZATION TRAINS MEDICAL PROFESSIONALS ABROAD IN COMPLEX RECONSTRUCTIVE SURGERY IN ORDER TO CREATE A SUSTAINABLE INFRASTRUCTURE WHERE LONG-TERM RELATIONSHIPS ARE FORGED AND PERMANENT CHANGE IS MADE.
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IRS990/Desc0MISSION: RESTORE IS A US BASED 501C3 GLOBAL HEALTH NON-PROFIT THAT SPECIALIZES IN RECONSTRUCTIVE SURGERY AND PROVIDES TRAINING TO SURGEONS IN DEVELOPING COUNTRIES THROUGH HANDS-ON TRAINING, EDUCATIONAL GRANTS, REGIONAL TRAININGS AND TELEMEDICINE. OUR CORE PROGRAMS TAKE AN INTEGRATED APPROACH TO PROVIDING SKILLS TRAINING AND MENTORSHIP AND PROVIDE ACCESS TO A LARGE SUPPORT NETWORK OF SURGEONS, WHICH KEEPS SURGEONS ENGAGED AND LEARNING NEW TECHNIQUES. IN 2017 OUR PROGRAM ACCOMPLISHMENTS INCLUDED:1. TRAINING TO 63 LOCAL SURGEONS IN EAST AFRICA. WE ESTIMATE THAT THESE SURGEONS COLLECTIVELY PERFORMED OVER 10,000 SURGERIES IN 2017 USING NEW AND IMPROVED SKILLS TAUGHT BY MISSION: RESTORE.2. 5 SURGICAL TRAINING TRIPS PROVIDING OVER 170 HOURS OF HANDS-ON SURGICAL EDUCATION.3. 46 COMPLEX SURGERIES OVERSEEN BY TOP SURGEON TRAINERS.4. $450,000+ IN PRO-BONO MEDICAL SERVICES PROVIDEDBY TRAINING LOCAL SURGEONS MISSION: RESTORE CAN LOWER THE COST OF SURGICAL CARE BY OVER 40% MAKING ACCESS TO SURGICAL CARE MORE ACCESSIBLE, SUSTAINABLE AND COST EFFECTIVE FOR THE PATIENTS WHO NEED IT MOST.
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IRS990ScheduleA/PublicSupportTotal170Amt0514368
IRS990ScheduleA/SubstantialContributorsTotAmt0271413
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0210992
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0190784
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0168846
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt089383
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0125776
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0785781
IRS990ScheduleA/TotalSupportAmt0785781
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/BoardDesignatedBalanceEOYPct01.00000
IRS990ScheduleD/CYEndwmtFundGrp/BeginningYearBalanceAmt032079
IRS990ScheduleD/CYEndwmtFundGrp/EndYearBalanceAmt032079
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/BeginningYearBalanceAmt032079
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt032079
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/BeginningYearBalanceAmt032079
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/EndYearBalanceAmt032079
IRS990ScheduleD/EndowmentsHeldRelatedOrgInd00
IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd00
IRS990ScheduleD/EquipmentGrp/BookValueAmt00
IRS990ScheduleD/EquipmentGrp/DepreciationAmt03254
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt03254
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt00
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt01566
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt01566
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt023418
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt023418
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt02901
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentEvent1Amt0300
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentTotalEventsAmt0300
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0WOMEN IN SURGERY
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent1Amt02250
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageTotalEventsAmt02250
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt026319
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt026319
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt02901
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt02901
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt00
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesEvent1Amt0157
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesTotalEventsAmt0157
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt0194
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt0194
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0A DRAFT OF THE ORGANIZATION'S FORM 990 WAS PROVIDED TO THE CURRENT MEMBERS OF THE BOARD VIA EMAIL BY MANAGEMENT, AND THE BOARD CONVENED VIA CONFERENCE CALL AND EMAIL BEFORE FORM 990 WAS FILED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE EXECUTIVE DIRECTOR OF THE ORGANIZATION IS RESPONSIBLE FOR DISTRIBUTING AND COLLECTING COMPLETED CONFLICT OF INTEREST QUESTIONNAIRES ON AN ANNUAL BASIS FROM EMPLOYEES AND BOARD MEMBERS AT A MINIMUM. ANY POTENTIAL CONFLICTS ARE BROUGHT TO THE BOARD FOR CONSIDERATION AND DISPOSITION. EMPLOYEES AND BOARD MEMBERS ARE INSTRUCTED TO INFORM THE EXECUTIVE DIRECTOR SHOULD A POTENTIAL CONFLICT OF INTEREST OCCUR AFTER COMPLETION OF THE LAST ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION'S BOARD REVIEWED COMPENSATION DATA FOR SIMILARLY SITUATED NOT FOR PROFIT ORGANIZATIONS IN THE AREA TO DETERMINE THE RANGE OF COMPENSATION FOR THE EXECUTIVE DIRECTOR OF THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS OF THE ORGANIZATION ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FORM 990 IS ALSO AVAILABLE ON GUIDESTAR.ORG WEBSITE.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0NY
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TemporarilyRstrNetAssetsGrp/BOYAmt032079
IRS990/TemporarilyRstrNetAssetsGrp/EOYAmt032079
IRS990/TempOrPermanentEndowmentsInd01
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0206140
IRS990/TotalAssetsEOYAmt0189413
IRS990/TotalAssetsGrp/BOYAmt0206140
IRS990/TotalAssetsGrp/EOYAmt0189413
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt0234410
IRS990/TotalEmployeeCnt02
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt037782
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt054178
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0154966
IRS990/TotalFunctionalExpensesGrp/TotalAmt0246926
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt010021
IRS990/TotalLiabilitiesEOYAmt04790
IRS990/TotalLiabilitiesGrp/BOYAmt010021
IRS990/TotalLiabilitiesGrp/EOYAmt04790
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0196119
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0184623
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0154966
IRS990/TotalReportableCompFromOrgAmt0110000
IRS990/TotalRevenueGrp/ExclusionAmt01020
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0235430
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt08
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0206140
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0189413
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/FundraisingAmt0267
IRS990/TravelGrp/ProgramServicesAmt041053
IRS990/TravelGrp/TotalAmt041320
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0164040
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0152544
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0120 E 87TH ST NO P4B
IRS990/USAddress/CityNm0NEW YORK
IRS990/USAddress/StateAbbreviationCd0NY
IRS990/USAddress/ZIPCd010128
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt05
IRS990/WebsiteAddressTxt0HTTP://WWW.MISSIONRESTORE.ORG
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02018-06-14 16:35:46Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0DR KAVEH ALIZADEH
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0BOARD CHAIR
ReturnHeader/BusinessOfficerGrp/PhoneNum09142336107
ReturnHeader/BusinessOfficerGrp/SignatureDt02018-04-19
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0MISSIONRESTORE INC
ReturnHeader/Filer/BusinessNameControlTxt0MISS
ReturnHeader/Filer/EIN0271036947
ReturnHeader/Filer/PhoneNum09142336107
ReturnHeader/Filer/USAddress/AddressLine1Txt0120 E 87TH ST NO P4B
ReturnHeader/Filer/USAddress/CityNm0NEW YORK
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NY
ReturnHeader/Filer/USAddress/ZIPCd010128
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0D4650CDE9FBB98F32BCF501A136DCE38AA9F0500
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0D4650CDE9FBB98F32BCF501A136DCE38AA9F0500
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt0167.206.147.54
ReturnHeader/FilingSecurityInformation/IPDt02018-04-19
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0ED
ReturnHeader/FilingSecurityInformation/IPTm008:59:32
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0113066459
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CERINI AND ASSOCIATES
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt03340 VETERANS MEMORIAL HIGHWAY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0BOHEMIA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd011716
ReturnHeader/PreparerPersonGrp/PhoneNum06315821600
ReturnHeader/PreparerPersonGrp/PreparationDt02018-04-12
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0KENNETH CERINI
ReturnHeader/ReturnTs02018-04-17T00:00:00-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02017-01-01
ReturnHeader/TaxPeriodEndDt02017-12-31

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