Civic Intelligence

Nca Facility Inc.

990 • Fiscal year 2022 • EIN 27-4419292

Jul 01, 2021 to Jun 30, 2022 • Filed on Feb 06, 2023

60 Park Place Suite 802Newark, NJ 07102

(973) 622-0905

Siviq Scores

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

Liabilities / Assets

98th percentile

1.47x

Higher debt load relative to assets than 98% of similar nonprofits.

2022 filings • NTEE B • $10M-$25M nonprofits • Source year 2022

Liabilities / Revenue

98th percentile

14.83x

Higher debt load relative to revenue than 98% of similar nonprofits.

2022 filings • NTEE B • $10M-$25M nonprofits • Source year 2022

Net Margin

4th percentile

-55%

Higher net margin than 4% of similar nonprofits.

2022 filings • NTEE B • $10M-$25M nonprofits • Source year 2022

Top Officer Pay

24th percentile

$0

Higher top officer pay than 24% of similar nonprofits.

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

2022 filings • NTEE B • $10M-$25M nonprofits • Source year 2022

Asset Growth

34th percentile

-3.3%

Faster asset growth than 34% of similar nonprofits.

2022 filings • NTEE B • $10M-$25M nonprofits • Annualized from 2021 to 2022

Revenue Growth

16th percentile

-10%

Faster revenue growth than 16% of similar nonprofits.

2022 filings • NTEE B • $10M-$25M nonprofits • Annualized from 2021 to 2022

Assets

Down

$17,279,098

Down $591,202 (-3.3%) from 2021

Net Assets

Down

-$8,063,457

Down $942,374 (-13%) from 2021

Liabilities

Up

$25,342,555

Up $351,172 (+1.4%) from 2021

Revenue

Down

$1,708,713

Down $192,115 (-10%) from 2021

Expenses

Up

$2,651,087

Up $14,731 (+0.6%) from 2021

Net Income

Down

-$942,374

Down $206,846 (-28%) from 2021

Historical Trend

Balance Sheet Trend

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

$30M$20M$10M$0-$10MAssets 2014: $21,395,629Liabilities 2014: $23,411,191Net Assets 2014: -$2,015,5622014Assets 2015: $20,099,160Liabilities 2015: $23,587,514Net Assets 2015: -$3,488,3542015Assets 2016: $19,650,436Liabilities 2016: $23,800,794Net Assets 2016: -$4,150,3582016Assets 2017: $20,078,287Liabilities 2017: $24,366,261Net Assets 2017: -$4,287,9742017Assets 2018: $20,003,372Liabilities 2018: $24,995,001Net Assets 2018: -$4,991,6292018Assets 2019: $19,167,682Liabilities 2019: $24,888,476Net Assets 2019: -$5,720,7942019Assets 2020: $18,492,842Liabilities 2020: $24,878,397Net Assets 2020: -$6,385,5552020Assets 2021: $17,870,300Liabilities 2021: $24,991,383Net Assets 2021: -$7,121,0832021Assets 2022: $17,279,098Liabilities 2022: $25,342,555Net Assets 2022: -$8,063,4572022Assets 2023: $16,863,500Liabilities 2023: $25,864,961Net Assets 2023: -$9,001,4612023Assets 2024: $16,600,902Liabilities 2024: $26,558,864Net Assets 2024: -$9,957,9622024

Highlighted filing

2022

Assets$17,279,098
Liabilities$25,342,555
Net Assets-$8,063,457

Operations Trend

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

$4.0M$2.0M$0-$2.0MRevenue 2014: $1,680,756Expenses 2014: $2,568,348Net Income 2014: -$887,5922014Revenue 2015: $1,757,411Expenses 2015: $3,230,203Net Income 2015: -$1,472,7922015Revenue 2016: $1,939,541Expenses 2016: $2,601,545Net Income 2016: -$662,0042016Revenue 2017: $2,522,677Expenses 2017: $2,660,293Net Income 2017: -$137,6162017Revenue 2018: $1,974,352Expenses 2018: $2,678,007Net Income 2018: -$703,6552018Revenue 2019: $1,968,854Expenses 2019: $2,698,019Net Income 2019: -$729,1652019Revenue 2020: $1,972,833Expenses 2020: $2,637,594Net Income 2020: -$664,7612020Revenue 2021: $1,900,828Expenses 2021: $2,636,356Net Income 2021: -$735,5282021Revenue 2022: $1,708,713Expenses 2022: $2,651,087Net Income 2022: -$942,3742022Revenue 2023: $1,732,469Expenses 2023: $2,670,473Net Income 2023: -$938,0042023Revenue 2024: $1,775,087Expenses 2024: $2,731,588Net Income 2024: -$956,5012024

Highlighted filing

2022

Revenue$1,708,713
Expenses$2,651,087
Net Income-$942,374
Jump To
Filing Snapshot
Filing Period
Jul 1, 2021 to Jun 30, 2022
Signed
Feb 6, 2023
Return Version
2021v4.2
Gross Receipts
$1,708,713
Mission and Program Overview

Mission

To assist friends of team academy in the development of a new charter school high school campus, with a capacity to serve approximately 600 students, including by serving as a "qualified active low-income community business" for purposes of section 45(d)(d)(2) of the internal revenue code of 1986, as amended.

To assist friends of team academy in the development of a charter school high school campus, with a capacity to serve approximately 600 students.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$16,096,063$15,599,607▼ $496,456
Cash and Non-Interest-Bearing Accounts$1,630,244$1,550,271▼ $79,973
Total Assets$17,870,300$17,279,098▼ $591,202
Other Assets Total$143,993$129,220▼ $14,773
Liabilities
Mortgage Notes Payable Secured by Investment Property$24,602,188$24,967,073▲ $364,885
Accounts Payable and Accrued Expenses$389,195$375,482▼ $13,713
Total Liabilities$24,991,383$25,342,555▲ $351,172
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-7,121,083$-8,063,457▼ $942,374
Total Net Assets Fund Balance$-7,121,083$-8,063,457▼ $942,374
Total Liabilities and Net Assets / Fund Balance$17,870,300$17,279,098▼ $591,202

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$13,911,771$4,754,236$18,666,007
Land$1,680,368-$1,680,368
Equipment$7,468$1,046,825$1,054,293
Compensation and Service Providers

Board Members and Trustees

NameTitle
Timothy CardenPresident
Roger PichardoTrustee
Gabriella DifilippoSecretary and Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$1,408,710
Program Service Revenue
$300,000
Investment Income
$3
Other Revenue
$0
Change in Net Assets
$-942,374

Audited Revenue Reconciliation

Revenue per Audited Statements
$1,708,713
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$32,656
Total Revenue per Audited Statements
$1,741,369
Total Revenue per Form 990
$1,708,713
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,651,087
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Interest$2,087,324--$2,087,324
Depreciation Depletion$496,456--$496,456
Insurance$35,243--$35,243
Fees for Services Accounting-$13,880-$13,880
Fees for Services Legal$12,614--$12,614
Other Expenses$5,570--$5,570
Total Functional Expenses$2,637,207$13,880$0$2,651,087

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$2,683,743
Expenses per Audited Statements$2,651,087
Total Expenses per Form 990$2,651,087
Expenses Not Reported on Form 990$32,656
Expenses Not Reported on Financial Statements$0
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
No
Annual disclosure for covered persons
Yes
Audit committee
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 B, Line 11B

The form 990 is provided to the board of directors for review and approval.

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

Board members are asked to recuse themselves whenever matters that may present conflict of interest issues arise. Additionally, board members are asked to complete conflict of interest questionnaires annually.

Form 990, Part VI, Section C, Line 19

This information is available upon request.

Filing and Contact Details

Filer

Filer Name
Nca Facility Inc
EIN
27-4419292
Phone
9736220905
Address
60 PARK PLACE SUITE 802, NEWARK, NJ 07102

Signing Officer

Name
Gabriella Difilippo
Title
Secretary
Phone
9736220905
Signed
2023-02-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Gabriella Difilippo
Formed
2010
Legal Domicile
Nj
Voting Board Members
3
Independent Board Members
2
Employees
0
Volunteers
2

Preparer

Firm
Aafcpas Inc
Address
50 WASHINGTON STREET, WESTBOROUGH, MA 01581
Preparer
Andrew R Puricelli CPA
Phone
5083669100
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

Nca facility, inc. Has not changed its oversight or selection process during the tax year.

Financial Statement Notes

PART X, LINE 2:

The agency accounts for uncertainty in income taxes in accordance with asc topic, income taxes. This standard clarifies the accounting for uncertainty in tax positions and prescribes a recognition threshold and measurement attribute for the financial statements regarding a tax position taken or expected to be taken in a tax return. The agency has determined that there are no uncertain tax positions which qualify for either recognition or disclosure in the financial statements at june 30, 2022.

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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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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE AGENCY ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ASC TOPIC, INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENTS REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE AGENCY HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AT JUNE 30, 2022.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt015599607
IRS990ScheduleD/TotalExpensesPerForm990Amt02651087
IRS990ScheduleD/TotalRevenuePerForm990Amt01708713
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt01741369
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt02683743
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1BOARD MEMBERS ARE ASKED TO RECUSE THEMSELVES WHENEVER MATTERS THAT MAY PRESENT CONFLICT OF INTEREST ISSUES ARISE. ADDITIONALLY, BOARD MEMBERS ARE ASKED TO COMPLETE CONFLICT OF INTEREST QUESTIONNAIRES ANNUALLY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THIS INFORMATION IS AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3NCA FACILITY, INC. HAS NOT CHANGED ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR.
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 C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART XII, LINE 2C:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd10
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd20
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt0KINGSTON EDUCATIONAL HOLDINGS 1 INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd1N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0THE FRIENDS OF TEAM CHARTER SCHOOLS INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1ASHLAND SCHOOL INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt2THE KINGSTON EDUCATIONAL HOLDINGS 1 INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0201018667
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN1274419100
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN2453986301
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt1501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt2501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0NJ
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd1NJ
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd2NJ
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0SCHOOL SUPPORT AND SCHOOL REAL ESTATE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1SCHOOL REAL ESTATE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt2SCHOOL REAL ESTATE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 7
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt1LINE 12C, III-FI
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt2LINE 12B, II
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt060 PARK PLACE SUITE 802
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt160 PARK PLACE SUITE 802
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt260 PARK PLACE SUITE 802
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0NEWARK
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm1NEWARK
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm2NEWARK
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0NJ
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd1NJ
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd2NJ
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd007102
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd107102
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd207102
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0NJ
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxableDistributionsInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt017870300
IRS990/TotalAssetsEOYAmt017279098
IRS990/TotalAssetsGrp/BOYAmt017870300
IRS990/TotalAssetsGrp/EOYAmt017279098
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt01408710
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt013880
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt02637207
IRS990/TotalFunctionalExpensesGrp/TotalAmt02651087
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt024991383
IRS990/TotalLiabilitiesEOYAmt025342555
IRS990/TotalLiabilitiesGrp/BOYAmt024991383
IRS990/TotalLiabilitiesGrp/EOYAmt025342555
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-7121083
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-8063457
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt02637207
IRS990/TotalProgramServiceRevenueAmt0300000
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt03
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0300000
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt01708713
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt02
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt017870300
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt017279098
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt060 PARK PLACE SUITE 602
IRS990/USAddress/CityNm0NEWARK
IRS990/USAddress/StateAbbreviationCd0NJ
IRS990/USAddress/ZIPCd007102
IRS990/VotingMembersGoverningBodyCnt03
IRS990/VotingMembersIndependentCnt02
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd01
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd03
ReturnHeader/BuildTS02023-03-07 01:45:13Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0GABRIELLA DIFILIPPO
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0SECRETARY
ReturnHeader/BusinessOfficerGrp/PhoneNum09736220905
ReturnHeader/BusinessOfficerGrp/SignatureDt02023-02-06
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0NCA FACILITY INC
ReturnHeader/Filer/BusinessNameControlTxt0NCAF
ReturnHeader/Filer/EIN0274419292
ReturnHeader/Filer/PhoneNum09736220905
ReturnHeader/Filer/USAddress/AddressLine1Txt060 PARK PLACE SUITE 802
ReturnHeader/Filer/USAddress/CityNm0NEWARK
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NJ
ReturnHeader/Filer/USAddress/ZIPCd007102
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0042571780
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0AAFCPAS INC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt050 WASHINGTON STREET
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0WESTBOROUGH
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd001581
ReturnHeader/PreparerPersonGrp/PhoneNum05083669100

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