Civic Intelligence

Upper Allegheny Health System Inc

EIN 27-1255425 • 501(c)3 • Olean, NY

Profile

Sole corporate member of bradford regional medical center and olean general hospital.

515 Main StreetOlean, NY 14760

www.uahs.org

Siviq Scores

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

Liabilities / Assets

59th percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2024

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2024

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on the latest valid filing.

Source year 2024

Top Officer Pay

84th percentile

$0

Higher top officer pay than 84% of similar nonprofits.

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

Asset Growth

54th percentile

0.0%

Faster asset growth than 54% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2022 to 2024

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2022 to 2024

Assets

Flat

$5,000

Flat from 2023

Liabilities

Flat

$0

Flat from 2023

Net Assets

Flat

$5,000

Flat from 2023

Revenue

Flat

$0

Flat from 2023

Expenses

Flat

$0

Flat from 2023

Net Income

Flat

$0

Flat from 2023

Trend Graphs

Balance Sheet Trend

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

$6.0K$4.0K$2.0K$0Assets 2010: $5,000Net Assets 2010: $5,0002010Assets 2011: $5,000Net Assets 2011: $5,0002011Assets 2012: $5,000Net Assets 2012: $5,0002012Assets 2013: $5,000Liabilities 2013: $0Net Assets 2013: $5,0002013Assets 2014: $5,000Liabilities 2014: $0Net Assets 2014: $5,0002014Assets 2015: $5,000Liabilities 2015: $0Net Assets 2015: $5,0002015Assets 2016: $5,000Liabilities 2016: $0Net Assets 2016: $5,0002016Assets 2017: $5,000Liabilities 2017: $0Net Assets 2017: $5,0002017Assets 2018: $5,000Liabilities 2018: $0Net Assets 2018: $5,0002018Assets 2019: $5,000Liabilities 2019: $0Net Assets 2019: $5,0002019Assets 2020: $5,000Liabilities 2020: $0Net Assets 2020: $5,0002020Assets 2021: $5,000Liabilities 2021: $0Net Assets 2021: $5,0002021Assets 2022: $5,000Liabilities 2022: $0Net Assets 2022: $5,0002022Assets 2023: $5,000Liabilities 2023: $0Net Assets 2023: $5,0002023Assets 2024: $5,000Liabilities 2024: $0Net Assets 2024: $5,0002024

Highlighted filing

2024

Assets$5,000
Liabilities$0
Net Assets$5,000

Operations Trend

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

$0Revenue 2022: $0Expenses 2022: $0Net Income 2022: $02022Revenue 2023: $0Expenses 2023: $0Net Income 2023: $02023Revenue 2024: $0Expenses 2024: $0Net Income 2024: $02024

Highlighted filing

2024

Revenue$0
Expenses$0
Net Income$0

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5,000$0$5,000$0$0$0
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5,000$0$5,000$0$0$0
2022Detailed filing. Detailed filing data is available for this year.$5,000$0$5,000$0$0$0
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5,000$0$5,000
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5,000$0$5,000
2019Detailed filing. Detailed filing data is available for this year.$5,000$0$5,000
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5,000$0$5,000
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5,000$0$5,000
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5,000$0$5,000
2015Detailed filing. Detailed filing data is available for this year.$5,000$0$5,000
2014Detailed filing. Detailed filing data is available for this year.$5,000$0$5,000
2013Detailed filing. Detailed filing data is available for this year.$5,000$0$5,000
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$5,000$5,000
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$5,000$5,000
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$5,000$5,000
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 14, 2023
Return Version
2022v5.0
Gross Receipts
$0
Mission and Program Overview

Mission

Sole corporate member of bradford regional medical center and olean general hospital.

Sole corporate member of olean general hospital.

Program Services

DescriptionGrantsExpenses
SOLE CORPORATE MEMBER OF OLEAN GENERAL HOSPITAL.$0$0
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
JEFF BELTBoard ChairmanPT$0--
MUHAMMED JAVED MDBoard Vice ChairmanPT$0--
LISA FIORENTINO PHDRNSecretaryPT$0--
PAUL RIDLEYTreasurerPT$0--
SHABIR BHAYANI MDDirectorPT$0--
MARC BOUTILLETTEDirectorPT$0--
DANIEL DEROSEDirectorPT$0--
LISELLE ESPOSITODirector (As Of 6/22)PT$0--
DAVID FERGUSONDirectorPT$0--
JULIE MARASCODirectorPT$0--
ZAFAR MIRZA MDDirectorPT$0--
DOUGLAS PISANO PHDDirectorPT$0--
Filing and Contact Details

Filer

Filer Name
Upper Allegheny Health System Inc
EIN
27-1255425
Phone
7163756190
Address
515 MAIN STREET, OLEAN, NY 14760

Signing Officer

Name
Dr Jill Owens
Title
Interim President
Phone
7163756104
Signed
2023-11-14
Discuss with paid preparer
Yes

Preparer

Firm
Kpmg Llp
Address
515 BROADWAY 4TH FLOOR, ALBANY, NY 12207-2974
Preparer
Stephanie Lonczak
Phone
5184274600
Raw XML Appendix198 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.

Path#Value
IRS990EZ/ActivitiesNotPreviouslyRptInd00
IRS990EZ/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0TANNYAH CHAPMAN
IRS990EZ/BooksInCareOfDetail/PhoneNum07163757426
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt0515 MAIN STREET
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0OLEAN
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0NY
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd014760
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt05000
IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt05000
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd00
IRS990EZ/DirectIndirectPltclExpendAmt00
IRS990EZ/DonorAdvisedFndsInd00
IRS990EZ/EngagedInExcessBenefitTransInd00
IRS990EZ/ExcessOrDeficitForYearAmt00
IRS990EZ/FiledScheduleAInd01
IRS990EZ/ForeignFinancialAccountInd00
IRS990EZ/ForeignOfficeInd00
IRS990EZ/Form990TotalAssetsGrp/BOYAmt05000
IRS990EZ/Form990TotalAssetsGrp/EOYAmt05000
IRS990EZ/GrossReceiptsAmt00
IRS990EZ/InfoInScheduleOPartIVInd0X
IRS990EZ/InfoInScheduleOPartVInd0X
IRS990EZ/LobbyingActivitiesInd00
IRS990EZ/MadeLoansToFromOfficersInd00
IRS990EZ/MethodOfAccountingAccrualInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt05000
IRS990EZ/NetAssetsOrFundBalancesEOYAmt05000
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt05000
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt05000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt05.50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt15.50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt25.50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt35.50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt45.50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt55.50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt65.50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt75.50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt85.50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt95.50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt105.50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt115.50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt90
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt100
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt110
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt90
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt100
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt110
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt90
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt100
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt110
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0JEFF BELT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1MUHAMMED JAVED MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2LISA FIORENTINO PHDRN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3PAUL RIDLEY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4SHABIR BHAYANI MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm5MARC BOUTILLETTE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm6DANIEL DEROSE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm7LISELLE ESPOSITO
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm8DAVID FERGUSON
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm9JULIE MARASCO
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm10ZAFAR MIRZA MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm11DOUGLAS PISANO PHD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0BOARD CHAIRMAN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1BOARD VICE CHAIRMAN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2SECRETARY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3TREASURER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt5DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt6DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt7DIRECTOR (AS OF 6/22)
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt8DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt9DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt10DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt11DIRECTOR
IRS990EZ/OperateHospitalInd00
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd00
IRS990EZ/OrganizationHadUBIInd00
IRS990EZ/OtherChangesInNetAssetsAmt00
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd00
IRS990EZ/PrimaryExemptPurposeTxt0SOLE CORPORATE MEMBER OF OLEAN GENERAL HOSPITAL.
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0SOLE CORPORATE MEMBER OF OLEAN GENERAL HOSPITAL.
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt00
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt00
IRS990EZ/ProhibitedTaxShelterTransInd00
IRS990EZ/RelatedOrganizationCtrlEntInd01
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SchoolOperatingInd00
IRS990EZ/StatesWhereCopyOfReturnIsFldCd0NY
IRS990EZ/SubjectToProxyTaxInd00
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt00
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt00
IRS990EZ/TanningServicesProvidedInd00
IRS990EZ/TaxImposedOnOrganizationMgrAmt00
IRS990EZ/TaxImposedUnderIRC4911Amt00
IRS990EZ/TaxImposedUnderIRC4912Amt00
IRS990EZ/TaxImposedUnderIRC4955Amt00
IRS990EZ/TaxReimbursedByOrganizationAmt00
IRS990EZ/TotalExpensesAmt00
IRS990EZ/TotalProgramServiceExpensesAmt00
IRS990EZ/TotalRevenueAmt00
IRS990EZ/TransactionWithControlEntInd00
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0WWW.UAHS.ORG
IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd01
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd00
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd00
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd01
IRS990ScheduleA/IRSWrittenDeterminationInd0X
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt01
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0160743102
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0OLEAN GENERAL HOSPITAL
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt00
TransferPrsnlBnftContractsDecl/DeclarationDesc0THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd00
ReturnHeader/BuildTS02023-04-26 12:10:37Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0DR JILL OWENS
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0INTERIM PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum07163756104
ReturnHeader/BusinessOfficerGrp/SignatureDt02023-11-14
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0UPPER ALLEGHENY HEALTH SYSTEM INC
ReturnHeader/Filer/BusinessNameControlTxt0UPPE
ReturnHeader/Filer/EIN0271255425
ReturnHeader/Filer/PhoneNum07163756190
ReturnHeader/Filer/USAddress/AddressLine1Txt0515 MAIN STREET
ReturnHeader/Filer/USAddress/CityNm0OLEAN
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NY
ReturnHeader/Filer/USAddress/ZIPCd014760
ReturnHeader/IRSResponsiblePrtyInfoCurrInd00
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0135565207
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0KPMG LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0515 BROADWAY 4TH FLOOR
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0ALBANY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0122072974
ReturnHeader/PreparerPersonGrp/PhoneNum05184274600
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0STEPHANIE LONCZAK
ReturnHeader/ReturnTs02023-11-15T07:33:18-06:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0DR
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0JILL OWENS
ReturnHeader/TaxPeriodBeginDt02022-01-01
ReturnHeader/TaxPeriodEndDt02022-12-31
ReturnHeader/TaxYr02022

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