Civic Intelligence

Clear Thoughts Foundation

990 • Fiscal year 2023 • EIN 27-3778734

Jan 01, 2023 to Dec 31, 2023 • Filed on Nov 12, 2024

3000 Village Run Rd 225Wexford, PA 15090

(412) 407-7170

Siviq Scores

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

Liabilities / Assets

66th percentile

0.01x

Higher debt load relative to assets than 66% of similar nonprofits.

2023 filings • 501(c)3 • <$500k nonprofits • Source year 2023

Liabilities / Revenue

69th percentile

0.01x

Higher debt load relative to revenue than 69% of similar nonprofits.

2023 filings • 501(c)3 • <$500k nonprofits • Source year 2023

Net Margin

39th percentile

-1.2%

Higher net margin than 39% of similar nonprofits.

2023 filings • 501(c)3 • <$500k nonprofits • Source year 2023

Top Officer Pay

78th percentile

$0

Higher top officer pay than 78% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2023 filings • 501(c)3 • <$500k nonprofits • Source year 2023

Asset Growth

63rd percentile

9.6%

Faster asset growth than 63% of similar nonprofits.

2023 filings • 501(c)3 • <$500k nonprofits • Annualized from 2022 to 2023

Revenue Growth

64th percentile

18%

Faster revenue growth than 64% of similar nonprofits.

2023 filings • 501(c)3 • <$500k nonprofits • Annualized from 2022 to 2023

Assets

Up

$297,310

Up $26,121 (+9.6%) from 2022

Net Assets

Up

$294,357

Up $24,384 (+9.0%) from 2022

Liabilities

Up

$2,953

Up $1,737 (+143%) from 2022

Revenue

Up

$210,968

Up $31,974 (+18%) from 2022

Expenses

Up

$213,403

Up $10,838 (+5.4%) from 2022

Net Income

Up

-$2,435

Up $21,136 (+90%) from 2022

Historical Trend

Balance Sheet Trend

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

$400K$300K$200K$100K$0Assets 2017: $254,959Liabilities 2017: $11,448Net Assets 2017: $243,5112017Assets 2018: $263,556Liabilities 2018: $3,483Net Assets 2018: $260,0732018Assets 2019: $308,395Liabilities 2019: $2,449Net Assets 2019: $305,9462019Assets 2020: $203,838Liabilities 2020: $17,144Net Assets 2020: $186,6942020Assets 2021: $293,769Liabilities 2021: $225Net Assets 2021: $293,5442021Assets 2022: $271,189Liabilities 2022: $1,216Net Assets 2022: $269,9732022Assets 2023: $297,310Liabilities 2023: $2,953Net Assets 2023: $294,3572023Assets 2024: $251,119Liabilities 2024: $2,374Net Assets 2024: $248,7452024

Highlighted filing

2023

Assets$297,310
Liabilities$2,953
Net Assets$294,357

Operations Trend

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

$300K$200K$100K$0-$100K-$200KRevenue 2017: $116,755Expenses 2017: $29,887Net Income 2017: $86,8682017Revenue 2018: $105,370Expenses 2018: $88,808Net Income 2018: $16,5622018Revenue 2019: $123,947Expenses 2019: $78,074Net Income 2019: $45,8732019Revenue 2020: $106,341Expenses 2020: $225,593Net Income 2020: -$119,2522020Revenue 2021: $184,486Expenses 2021: $77,636Net Income 2021: $106,8502021Revenue 2022: $178,994Expenses 2022: $202,565Net Income 2022: -$23,5712022Revenue 2023: $210,968Expenses 2023: $213,403Net Income 2023: -$2,4352023Revenue 2024: $201,064Expenses 2024: $247,027Net Income 2024: -$45,9632024

Highlighted filing

2023

Revenue$210,968
Expenses$213,403
Net Income-$2,435
Jump To
Filing Snapshot
Filing Period
Jan 1, 2023 to Dec 31, 2023
Signed
Nov 12, 2024
Return Version
2023v5.1
Gross Receipts
$319,650
Mission and Program Overview

Mission

Clear thoughts foundation (organization") is a nonprofit corporation whose overall mission is to provide monetary and other resource assistance necessary for screening and discovery of drugs to treat frontotemporal dementia ("ftp"), alzheimer's, and other related forms of dementia.

Clear thoughts foundation (ctf) is a 501(c)(3) nonprofit organization with a mission to fund the discovery of breakthrough drugs and novel treatments to eliminate dementia.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$269,973$294,357▲ $24,384
Cash and Non-Interest-Bearing Accounts$242,287$261,766▲ $19,479
Investments Other Securities$15,315$26,444▲ $11,129
Accounts Receivable$9,987$5,500▼ $4,487
Prepaid Expenses and Deferred Charges$3,600$3,600→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$271,189$297,310▲ $26,121
Liabilities
Other Liabilities$0$2,614▲ $2,614
Accounts Payable and Accrued Expenses$1,216$339▼ $877
Total Liabilities$1,216$2,953▲ $1,737
Net Assets / Fund Balance
Total Net Assets Fund Balance$269,973$294,357▲ $24,384
Total Liabilities and Net Assets / Fund Balance$271,189$297,310▲ $26,121

Asset Categories

AssetBook ValueDepreciationBasis
Other Securities$26,444--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Hayley D JamesonPresident
Adam ZaccariBoard Member
Lisa SevcikBoard Member
Matthew JamesonSecretary
Megan MarkleyTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$182,492
Program Service Revenue
$0
Investment Income
$6,221
Other Revenue
$22,255
All Other Contributions
$182,492
Change in Net Assets
$-2,435
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$100,000
Salaries, Compensation, and Employee Benefits$88,740
Total Fundraising Expense$48,807
Other Expenses$24,663
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Individuals$100,000--$100,000
Current Officers, Directors, Trustees, and Key Employees$15,524$19,403$42,690$77,617
Office Expenses-$6,555-$6,555
Payroll Taxes$1,287$1,610$3,540$6,437
Other Employee Benefits$937$1,172$2,577$4,686
Fees for Services Legal-$3,794-$3,794
Fees for Services Management-$501-$501
Advertising-$160-$160
Other Expenses-$19-$19
Total Functional Expenses$117,748$46,848$48,807$213,403
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$105,275
Fundraising Direct Expenses$83,020
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Roll for a Reason Gala$105,275$105,275$45,924$59,351
Total Events$105,275$105,275$83,020$22,255
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Payroll Liabilities$1,346
Fnb Credit Card$1,268
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
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
No
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 2

Hayley and matthew jameson are sister/brother.

Form 990, Part VI, Section B, Line 11B

The organization provides a complete copy of the form 990 to all members of its governing body after the return has been filed.

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

Board of directors are required to sign a document confirmation of conflicts of interest upon being voted in as board member and are required to notify the organization of any changes of conflict of interest.

Form 990, Part VI, Section C, Line 18

They are on the irs website and available upon request.

Form 990, Part VI, Section C, Line 19

All governing documents and financial statements are filed at organization and are available for public inspection.

Filing and Contact Details

Filer

Filer Name
Clear Thoughts Foundation
EIN
27-3778734
Phone
4124077170
Address
3000 VILLAGE RUN RD 225, WEXFORD, PA 15090

Signing Officer

Name
Megan Markley
Title
Treasurer
Phone
4124077170
Signed
2024-11-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Hayley D Jameson
Formed
2010
Legal Domicile
Pa
Voting Board Members
5
Independent Board Members
3
Employees
1
Volunteers
25

Preparer

Firm
Louis Plung & Company Llp
Address
420 FT DUQUESNE BLVD STE 1900, PITTSBURGH, PA 15222
Preparer
Joseph C Zovko
Phone
4122818771
Supplemental Narrative

Additional Explanations

Form 990, Part XII, Line 1

Due to an increase in gross revenue, the organization is now required to prepare its books and records under the accrual method of accounting, rather than income tax basis.

Form 990, Part XII, Line 2C

The organization did not change its oversight process or selection process during the tax year.

Financial Statement Notes

PART X, LINE 2:

Income tax benefits are recognized for income tax positions taken or expected to be taken in a tax return, only when it is determined that the income tax position will more-likely-than-not be sustained upon examination by taxing authorities. The foundation has analyzed tax positions taken for filing with the internal revenue service. The foundation believes that income tax filing positions will be sustained upon examination and does not anticipate any adjustments that would result in a material adverse effect on the foundation's financial condition, results of operations or cash flows. Accordingly, the foundation has not recorded any reserves, or related accruals for interest and penalties for uncertain income tax positions at december 31, 2023. The foundation's policy is to classify any income tax related interest and penalties to interest expense and other expenses, respectively. The foundation is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress.

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IRS990ScheduleA/TotalSupportAmt0633933
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/FootnoteTextInd0X
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt01268
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt11346
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0FNB CREDIT CARD
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1PAYROLL LIABILITIES
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt026444
IRS990ScheduleD/OtherSecuritiesGrp/Desc0FNB INVESTMENTS
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd0C
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0INCOME TAX BENEFITS ARE RECOGNIZED FOR INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, ONLY WHEN IT IS DETERMINED THAT THE INCOME TAX POSITION WILL MORE-LIKELY-THAN-NOT BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. THE FOUNDATION HAS ANALYZED TAX POSITIONS TAKEN FOR FILING WITH THE INTERNAL REVENUE SERVICE. THE FOUNDATION BELIEVES THAT INCOME TAX FILING POSITIONS WILL BE SUSTAINED UPON EXAMINATION AND DOES NOT ANTICIPATE ANY ADJUSTMENTS THAT WOULD RESULT IN A MATERIAL ADVERSE EFFECT ON THE FOUNDATION'S FINANCIAL CONDITION, RESULTS OF OPERATIONS OR CASH FLOWS. ACCORDINGLY, THE FOUNDATION HAS NOT RECORDED ANY RESERVES, OR RELATED ACCRUALS FOR INTEREST AND PENALTIES FOR UNCERTAIN INCOME TAX POSITIONS AT DECEMBER 31, 2023. THE FOUNDATION'S POLICY IS TO CLASSIFY ANY INCOME TAX RELATED INTEREST AND PENALTIES TO INTEREST EXPENSE AND OTHER EXPENSES, RESPECTIVELY. THE FOUNDATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalBookValueSecuritiesAmt026444
IRS990ScheduleD/TotalLiabilityAmt02614
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt083020
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentEvent1Amt07650
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentTotalEventsAmt07650
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0ROLL FOR A REASON GALA
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent1Amt018592
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageTotalEventsAmt018592
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt0105275
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt0105275
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt0105275
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt0105275
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt022255
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesEvent1Amt02439
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesTotalEventsAmt02439
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt045924
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt045924
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent1Amt08415
IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsTotalEventsAmt08415
IRS990ScheduleG/SupplementalInformationDetail/ExplanationTxt0FUNDRAISING EVENT EXP = $10,668 EVENT SUPPLIES = $6,451 EVENT MISC EXP = $4,850 EVENT VOLUNTEER GIFTS = $1,654 TOTAL = $23,623
IRS990ScheduleG/SupplementalInformationDetail/FormAndLineReferenceDesc0EXPENSES BREAKDOWN
IRS990ScheduleI/GrantRecordsMaintainedInd00
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt0100000
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt0RESEARCH ACTIVITY GRANT
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt01
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0HAYLEY AND MATTHEW JAMESON ARE SISTER/BROTHER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION PROVIDES A COMPLETE COPY OF THE FORM 990 TO ALL MEMBERS OF ITS GOVERNING BODY AFTER THE RETURN HAS BEEN FILED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2BOARD OF DIRECTORS ARE REQUIRED TO SIGN A DOCUMENT CONFIRMATION OF CONFLICTS OF INTEREST UPON BEING VOTED IN AS BOARD MEMBER AND ARE REQUIRED TO NOTIFY THE ORGANIZATION OF ANY CHANGES OF CONFLICT OF INTEREST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THEY ARE ON THE IRS WEBSITE AND AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4ALL GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE FILED AT ORGANIZATION AND ARE AVAILABLE FOR PUBLIC INSPECTION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5DUE TO AN INCREASE IN GROSS REVENUE, THE ORGANIZATION IS NOW REQUIRED TO PREPARE ITS BOOKS AND RECORDS UNDER THE ACCRUAL METHOD OF ACCOUNTING, RATHER THAN INCOME TAX BASIS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 18
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART XII, LINE 1
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART XII, LINE 2C
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0PA
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0271189
IRS990/TotalAssetsEOYAmt0297310
IRS990/TotalAssetsGrp/BOYAmt0271189
IRS990/TotalAssetsGrp/EOYAmt0297310
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt0182492
IRS990/TotalEmployeeCnt01
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt048807
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt046848
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0117748
IRS990/TotalFunctionalExpensesGrp/TotalAmt0213403
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt01216
IRS990/TotalLiabilitiesEOYAmt02953
IRS990/TotalLiabilitiesGrp/BOYAmt01216
IRS990/TotalLiabilitiesGrp/EOYAmt02953
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0269973
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0294357
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0117748
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt028476
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0210968
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt025
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0271189
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0297310
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt03000 VILLAGE RUN RD 225
IRS990/USAddress/CityNm0WEXFORD
IRS990/USAddress/StateAbbreviationCd0PA
IRS990/USAddress/ZIPCd015090
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt03
IRS990/WebsiteAddressTxt0WWW.CLEARTHOUGHTSFOUNDATION.ORG
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02024-10-15 13:58:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0MEGAN MARKLEY
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum04124077170
ReturnHeader/BusinessOfficerGrp/SignatureDt02024-11-12
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0CLEAR THOUGHTS FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0CLEA
ReturnHeader/Filer/EIN0273778734
ReturnHeader/Filer/PhoneNum04124077170
ReturnHeader/Filer/USAddress/AddressLine1Txt03000 VILLAGE RUN RD 225
ReturnHeader/Filer/USAddress/CityNm0WEXFORD
ReturnHeader/Filer/USAddress/StateAbbreviationCd0PA
ReturnHeader/Filer/USAddress/ZIPCd015090
ReturnHeader/IRSResponsiblePrtyInfoCurrInd01
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0251637458
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0LOUIS PLUNG & COMPANY LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0420 FT DUQUESNE BLVD STE 1900
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0PITTSBURGH
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0PA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd015222
ReturnHeader/PreparerPersonGrp/PhoneNum04122818771

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