Civic Intelligence

The Audacia Foundation Inc

990 • Fiscal year 2017 • EIN 27-1426566

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 12, 2018

39 Broadway St 1710New York, NY 10006

(877) 446-9422

Siviq Scores

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

Liabilities / Assets

96th percentile

1.22x

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

2017 filings • NTEE B • $500k-$1M nonprofits • Source year 2017

Liabilities / Revenue

95th percentile

1.21x

Higher debt load relative to revenue than 95% of similar nonprofits.

2017 filings • NTEE B • $500k-$1M nonprofits • Source year 2017

Net Margin

19th percentile

-8.3%

Higher net margin than 19% of similar nonprofits.

2017 filings • NTEE B • $500k-$1M nonprofits • Source year 2017

Top Officer Pay

82nd percentile

$73,158

Higher top officer pay than 82% of similar nonprofits.

Top officer pay equals 12.0% of source-year revenue.

2017 filings • NTEE B • $500k-$1M nonprofits • Source year 2017

Asset Growth

93rd percentile

128%

Faster asset growth than 93% of similar nonprofits.

2017 filings • NTEE B • $500k-$1M nonprofits • Annualized from 2016 to 2017

Revenue Growth

91st percentile

106%

Faster revenue growth than 91% of similar nonprofits.

2017 filings • NTEE B • $500k-$1M nonprofits • Annualized from 2016 to 2017

Assets

Up

$605,187

Up $339,335 (+128%) from 2016

Net Assets

Down

-$134,455

Down $50,553 (-60%) from 2016

Liabilities

Up

$739,642

Up $389,888 (+111%) from 2016

Revenue

Up

$611,229

Up $313,900 (+106%) from 2016

Expenses

Up

$661,782

Up $297,509 (+82%) from 2016

Net Income

Up

-$50,553

Up $16,391 (+24%) from 2016

Historical Trend

Balance Sheet Trend

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

$8.0M$6.0M$4.0M$2.0M$0-$2.0MAssets 2014: $552,171Liabilities 2014: $608,809Net Assets 2014: -$56,6382014Assets 2015: $654,265Liabilities 2015: $671,223Net Assets 2015: -$16,9582015Assets 2016: $265,852Liabilities 2016: $349,754Net Assets 2016: -$83,9022016Assets 2017: $605,187Liabilities 2017: $739,642Net Assets 2017: -$134,4552017Assets 2018: $2,894,562Liabilities 2018: $3,082,975Net Assets 2018: -$188,4132018Assets 2019: $4,195,104Liabilities 2019: $4,356,635Net Assets 2019: -$161,5312019Assets 2020: $6,054,016Liabilities 2020: $6,307,713Net Assets 2020: -$253,6972020Assets 2021: $3,193,497Liabilities 2021: $3,182,069Net Assets 2021: $11,4282021Assets 2022: $1,099,831Liabilities 2022: $79,274Net Assets 2022: $1,020,5572022Assets 2023: $187,927Liabilities 2023: $93,318Net Assets 2023: $94,6092023Assets 2024: $520,209Liabilities 2024: $1,109,397Net Assets 2024: -$589,1882024

Highlighted filing

2017

Assets$605,187
Liabilities$739,642
Net Assets-$134,455

Operations Trend

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

$8.0M$6.0M$4.0M$2.0M$0-$2.0MRevenue 2014: $460,065Expenses 2014: $510,863Net Income 2014: -$50,7982014Revenue 2015: $758,692Expenses 2015: $722,220Net Income 2015: $36,4722015Revenue 2016: $297,329Expenses 2016: $364,273Net Income 2016: -$66,9442016Revenue 2017: $611,229Expenses 2017: $661,782Net Income 2017: -$50,5532017Revenue 2018: $1,687,185Expenses 2018: $1,741,143Net Income 2018: -$53,9582018Revenue 2019: $6,831,022Expenses 2019: $6,804,140Net Income 2019: $26,8822019Revenue 2020: $5,560,831Expenses 2020: $5,652,997Net Income 2020: -$92,1662020Revenue 2021: $2,731,070Expenses 2021: $2,710,335Net Income 2021: $20,7352021Revenue 2022: $2,917,329Expenses 2022: $1,908,200Net Income 2022: $1,009,1292022Revenue 2023: $141,693Expenses 2023: $1,078,407Net Income 2023: -$936,7142023Revenue 2024: $544,562Expenses 2024: $1,252,152Net Income 2024: -$707,5902024

Highlighted filing

2017

Revenue$611,229
Expenses$661,782
Net Income-$50,553
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 12, 2018
Return Version
2017v2.3
Gross Receipts
$611,229
Mission and Program Overview

Mission

The organization's mission is to provide programs and services offering educational and career support to persons, typically at least 18 years old, seeking careers in health care, with a goal of helping participants achieve success in academia, career search and professional development.

Balance Sheet Detail
LineBeginningEndChange
Assets
Pledges and Grants Receivable$79,104$499,735▲ $420,631
Cash and Non-Interest-Bearing Accounts$178,521$93,397▼ $85,124
Prepaid Expenses and Deferred Charges$7,204$12,042▲ $4,838
Accounts Receivable$1,000--
Land, Buildings, and Equipment, Net$23$13▼ $10
Total Assets$265,852$605,187▲ $339,335
Liabilities
Unsecured Notes Loans Payable$341,947$506,526▲ $164,579
Accounts Payable and Accrued Expenses$1,772$213,049▲ $211,277
Other Liabilities$6,035$17,516▲ $11,481
Grants Payable-$2,551-
Total Liabilities$349,754$739,642▲ $389,888
Net Assets / Fund Balance
Unrestricted Net Assets$-83,902$-134,455▼ $50,553
Total Net Assets Fund Balance$-83,902$-134,455▼ $50,553
Total Liabilities and Net Assets / Fund Balance$265,852$605,187▲ $339,335

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$13$47$60
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Effie BatisPresident anPT$61,663$11,495$73,158
Matthew SchneckSecretary, T-$12,332$2,779$15,111

Board Members and Trustees

NameTitle
Myles GombertDirector
Robert ThompsonDirector
Revenue and Support

Revenue Composition

Contributions and Grants
$611,229
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-50,553

Audited Revenue Reconciliation

Revenue per Audited Statements
$611,229
Total Revenue per Audited Statements
$611,229
Total Revenue per Form 990
$611,229
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$320,680
Grants and Similar Amounts Paid$238,597
Other Expenses$102,505
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$173,321--$173,321
Grants to Domestic Individuals$123,019--$123,019
Grants to Domestic Orgs$115,578--$115,578
Current Officers, Directors, Trustees, and Key Employees$73,625$370-$73,995
Other Employee Benefits$49,045--$49,045
Occupancy$39,373--$39,373
Payroll Taxes$18,892$4,355-$23,247
Fees for Services Other$9,628$4,568-$14,196
Fees for Services Accounting-$7,720-$7,720
Interest-$7,597-$7,597
Office Expenses$5,823$236-$6,059
Insurance$5,553--$5,553
Information Technology$1,473$575-$2,048
Other Expenses$1,278$8-$1,286
Pension Plan Contributions$1,072--$1,072
Travel$500--$500
All Other Expenses$250$151-$401
Depreciation Depletion-$10-$10
Total Functional Expenses$636,173$25,609$0$661,782

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$661,782
Total Expenses per Audited Statements$661,782
Total Expenses per Form 990$661,782
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Veeb Practical Nursing ProgramHicksville, NY501c3Tuition$64,878
Laguardia Community CollegeLong Island City, NY501c3Tuition$36,000
New York City College of TechnologyBrooklyn, NY-Tuition$14,700
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
Interest Payable$11,521
Payroll Liabilities$5,995
Governance and Compliance

Governance Checklist

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

The organization's board of directors were provided an opportunity to review the form 990 prior to filing.

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

Review and supervision by board of directors and officers

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

Compensation of the organization's executive officers is determined by the independent members of the board of directors. In determining compensation, the independent directors utilize such factors as they deem appropriate.

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

Compensation of the organization's officers or key employees is determined by the independent members of the board of directors. In determining compensation,the independent directors utilize such factors as they deem appropriate.

Form 990, Page 6, Part VI, Line 19

ANOTHER'S WEBSITE

Filing and Contact Details

Filer

Filer Name
The Audacia Foundation Inc
EIN
27-1426566
Phone
8774469422
Address
39 BROADWAY ST 1710, NEW YORK, NY 10006

Signing Officer

Name
Effie Batis
Title
President and CEO
Phone
8774469422
Signed
2018-11-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Effie Batis
Formed
2009
Legal Domicile
Ny
Voting Board Members
4
Independent Board Members
2
Employees
6

Preparer

Firm
Jay Gelbein CPA
Address
1212 WILLOWBROOK RD, STATEN ISLAND, NY 10314-4119
Preparer
Jay Gelbein
Phone
7184941423
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

The organization's mission is to provide programs and services offering educational and career support to persons, typically at least 18 years old, seeking careers in health care, with a goal of helping participants achieve success in academia, career search and professional development.

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IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0460065
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt02097118
IRS990ScheduleA/TotalSupportAmt02097314
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/ExpensesSubtotalAmt0661782
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt013
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt047
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt060
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt011521
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt15995
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0INTEREST PAYABLE
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1PAYROLL LIABILITIES
IRS990ScheduleD/RevenueSubtotalAmt0611229
IRS990ScheduleD/TotalBookValueLandBuildingsAmt013
IRS990ScheduleD/TotalExpensesPerForm990Amt0661782
IRS990ScheduleD/TotalLiabilityAmt017516
IRS990ScheduleD/TotalRevenuePerForm990Amt0611229
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0611229
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0661782
IRS990ScheduleI/GrantRecordsMaintainedInd0true
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt0123019
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt0TUITION/ EDU. SUPPLIES
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt096
IRS990ScheduleI/RecipientTable/CashGrantAmt064878
IRS990ScheduleI/RecipientTable/CashGrantAmt136000
IRS990ScheduleI/RecipientTable/CashGrantAmt214700
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501C3
IRS990ScheduleI/RecipientTable/IRCSectionDesc1501C3
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0TUITION
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt1TUITION
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt2TUITION
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0VEEB PRACTICAL NURSING PROGRAM
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt1LAGUARDIA COMMUNITY COLLEGE
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt2NEW YORK CITY COLLEGE OF TECHNOLOGY
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine2Txt0VEEB PRACTICAL NURSING PROGRAM
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine2Txt1LAGUARDIA COMMUNITY COLLEGE
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine2Txt2NEW YORK CITY COLLEGE OF TECHNOLOGY
IRS990ScheduleI/RecipientTable/RecipientEIN0116002404
IRS990ScheduleI/RecipientTable/RecipientEIN1461371336
IRS990ScheduleI/RecipientTable/RecipientEIN2133893536
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt030 EAST CHERRY STREET
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt131-10 THOMPSON AVE
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt2300 JAY ST
IRS990ScheduleI/RecipientTable/USAddress/AddressLine2Txt0E-413
IRS990ScheduleI/RecipientTable/USAddress/AddressLine2Txt1HOWARD BLDG 4TH FL
IRS990ScheduleI/RecipientTable/USAddress/CityNm0HICKSVILLE
IRS990ScheduleI/RecipientTable/USAddress/CityNm1LONG ISLAND CITY
IRS990ScheduleI/RecipientTable/USAddress/CityNm2BROOKLYN
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0NY
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd1NY
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd2NY
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd011801
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd111101
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd211201
IRS990ScheduleI/Total501c3OrgCnt02
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION'S MISSION IS TO PROVIDE PROGRAMS AND SERVICES OFFERING EDUCATIONAL AND CAREER SUPPORT TO PERSONS, TYPICALLY AT LEAST 18 YEARS OLD, SEEKING CAREERS IN HEALTH CARE, WITH A GOAL OF HELPING PARTICIPANTS ACHIEVE SUCCESS IN ACADEMIA, CAREER SEARCH AND PROFESSIONAL DEVELOPMENT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION'S BOARD OF DIRECTORS WERE PROVIDED AN OPPORTUNITY TO REVIEW THE FORM 990 PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2REVIEW AND SUPERVISION BY BOARD OF DIRECTORS AND OFFICERS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3COMPENSATION OF THE ORGANIZATION'S EXECUTIVE OFFICERS IS DETERMINED BY THE INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. IN DETERMINING COMPENSATION, THE INDEPENDENT DIRECTORS UTILIZE SUCH FACTORS AS THEY DEEM APPROPRIATE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4COMPENSATION OF THE ORGANIZATION'S OFFICERS OR KEY EMPLOYEES IS DETERMINED BY THE INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. IN DETERMINING COMPENSATION,THE INDEPENDENT DIRECTORS UTILIZE SUCH FACTORS AS THEY DEEM APPROPRIATE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5ANOTHER'S WEBSITE
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990 - ORGANIZATION'S MISSION
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 15B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PAGE 6, PART VI, LINE 19
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IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0NY
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0265852
IRS990/TotalAssetsEOYAmt0605187
IRS990/TotalAssetsGrp/BOYAmt0265852
IRS990/TotalAssetsGrp/EOYAmt0605187
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0611229
IRS990/TotalEmployeeCnt06
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt025609
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0636173
IRS990/TotalFunctionalExpensesGrp/TotalAmt0661782
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0349754
IRS990/TotalLiabilitiesEOYAmt0739642
IRS990/TotalLiabilitiesGrp/BOYAmt0349754
IRS990/TotalLiabilitiesGrp/EOYAmt0739642
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-83902
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-134455
IRS990/TotalOtherCompensationAmt014274
IRS990/TotalProgramServiceExpensesAmt0636173
IRS990/TotalReportableCompFromOrgAmt073995
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0611229
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0265852
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0605187
IRS990/TravelGrp/ProgramServicesAmt0500
IRS990/TravelGrp/TotalAmt0500
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0-83902
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0-134455
IRS990/UnsecuredNotesLoansPayableGrp/BOYAmt0341947
IRS990/UnsecuredNotesLoansPayableGrp/EOYAmt0506526
IRS990/USAddress/AddressLine1Txt039 BROADWAY ST 1710
IRS990/USAddress/CityNm0NEW YORK
IRS990/USAddress/StateAbbreviationCd0NY
IRS990/USAddress/ZIPCd010006
IRS990/VotingMembersGoverningBodyCnt04
IRS990/VotingMembersIndependentCnt02
IRS990/WebsiteAddressTxt0WWW.AUDACIAFOUNDATION.ORG
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02019-02-21 02:37:17Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0EFFIE BATIS
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT AND CEO
ReturnHeader/BusinessOfficerGrp/PhoneNum08774469422
ReturnHeader/BusinessOfficerGrp/SignatureDt02018-11-12
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0THE AUDACIA FOUNDATION INC
ReturnHeader/Filer/BusinessNameControlTxt0AUDA
ReturnHeader/Filer/EIN0271426566
ReturnHeader/Filer/PhoneNum08774469422
ReturnHeader/Filer/USAddress/AddressLine1Txt039 BROADWAY ST 1710
ReturnHeader/Filer/USAddress/CityNm0NEW YORK
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NY
ReturnHeader/Filer/USAddress/ZIPCd010006
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0DFBAA5009D2F19800675DE0FB7A07953E34818F7
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0513C4CD3F2D79C6286DAFFA2596E906639CCF258
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt098.113.5.5
ReturnHeader/FilingSecurityInformation/IPDt02018-11-15
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CS
ReturnHeader/FilingSecurityInformation/IPTm010:46:03
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0133701589
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0JAY GELBEIN CPA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01212 WILLOWBROOK RD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0STATEN ISLAND
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0103144119
ReturnHeader/PreparerPersonGrp/PhoneNum07184941423
ReturnHeader/PreparerPersonGrp/PreparationDt02018-11-13
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0JAY GELBEIN
ReturnHeader/PreparerPersonGrp/SelfEmployedInd0X
ReturnHeader/ReturnTs02018-11-15T11:46:03-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02017-01-01
ReturnHeader/TaxPeriodEndDt02017-12-31
ReturnHeader/TaxYr02017

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