Civic Intelligence

Kansas Health Information Exchange Inc

EIN 27-4437709 • 501(c)3

Profile

To assure the availability of statewide health information exchanges in the state of kansas and to certify and regulate those exchanges.

Curtis State Office Building 1000SW Jac No 54066612-1368

www.kanhit.org

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

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

Source year 2014

Liabilities / Revenue

62nd percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2014

Net Margin

38th percentile

-3.5%

Higher net margin than 38% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2014

Top Officer Pay

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

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

501(c)3 • <$500k nonprofits • Source year 2014

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2014

Assets

Down

$0

Down $86,399 (-100%) from 2013

Liabilities

Down

$0

Down $55,838 (-100%) from 2013

Net Assets

Down

$0

Down $30,561 (-100%) from 2013

Revenue

$96,869

No earlier filing loaded for comparison.

Expenses

Down

$100,262

Down $483,347 (-83%) from 2013

Net Income

-$3,393

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

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

$150K$100K$50K$0Assets 2012: $127,669Liabilities 2012: $71,867Net Assets 2012: $55,8022012Assets 2013: $86,399Liabilities 2013: $55,838Net Assets 2013: $30,5612013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014

Highlighted filing

2014

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

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

$600K$400K$200K$0-$200KExpenses 2012: $571,0982012Expenses 2013: $583,6092013Revenue 2014: $96,869Expenses 2014: $100,262Net Income 2014: -$3,3932014

Highlighted filing

2014

Revenue$96,869
Expenses$100,262
Net Income-$3,393

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
Apr 27, 2015
Return Version
2013v4.0
Gross Receipts
$96,869
Mission and Program Overview

Mission

To assure the availability of statewide health information exchanges in the state of kansas and to certify and regulate those exchanges.

Improve the quality and efficiency of health care in kansas by managing the deployment of health information technology throughout the state and facilitating the exchange of health information among health care providers pursuant to the federal hitech act and related grant funding.

Balance Sheet Detail
LineBeginningEndChange
Assets
Pledges and Grants Receivable$50,909$0▼ $50,909
Land, Buildings, and Equipment, Net$33,440$0▼ $33,440
Prepaid Expenses and Deferred Charges$1,466$0▼ $1,466
Cash and Non-Interest-Bearing Accounts$584$0▼ $584
Savings and Temporary Cash Investments-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Total Assets$86,399$0▼ $86,399
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$55,838--
Total Liabilities$55,838$0▼ $55,838
Net Assets / Fund Balance
Unrestricted Net Assets$30,561$0▼ $30,561
Total Net Assets Fund Balance$30,561$0▼ $30,561
Total Liabilities and Net Assets / Fund Balance$86,399$0▼ $86,399
Compensation and Service Providers
Revenue and Support

Revenue Composition

Contributions and Grants
$96,869
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-3,393
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$100,262
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
Fees for Services Management$17,596$35,725-$53,321
Insurance-$14,000-$14,000
Fees for Services Accounting-$13,920-$13,920
Occupancy$8,826--$8,826
Depreciation Depletion$6,898--$6,898
Office Expenses$1,559--$1,559
Fees for Services Legal-$1,558-$1,558
Fees for Services Other$180--$180
Total Functional Expenses$35,059$65,203$0$100,262
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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
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
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
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

The organization has not delegated control to a management company. However, the staff of the organization are employees of another 501(c)(3) organization located in the former office space. The two organizations have an administrative agreement to provide people and services to assist in the operations of the organization. The two organizations are not related. There is no control of one over the other. The board of directors of the organizations are entirely separate. No other officer or director was compensated by the organization.

Form 990, Part VI, Section A, Line 8B

There is no other committee with authority to act on behalf of the governing body.

Form 990, Part VI, Section B, Line 11

A copy of the return is provided to the board for review prior to filing.

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

The conflict of interest policy requires all employees and members of the board of directors to sign the policy. The policy requires them to be updated every year.

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

The salary range for the ceo was determined by the kansas department of health and environment when it submitted the original grant proposal. The range was confirmed by the khie finance committee. The salary offer was made by the executive commitee to the ceo and is included in his contract.

Form 990, Part VI, Section C, Line 19

The organization does not make its governing documents, conflict of interest policy and financial statements available to the public.

Filing and Contact Details

Filer

EIN
27-4437709
Phone
7852335443

Signing Officer

Name
Aaron Dunkel
Title
Director
Phone
7852335443
Signed
2015-04-27
Discuss with paid preparer
Yes

Organization Details

Principal Officer
William Wallace
Formed
2010
Legal Domicile
Ks
Voting Board Members
11
Independent Board Members
11
Employees
0
Volunteers
0

Preparer

Preparer
Cheryl G Hayward
Phone
7852343427
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3

On april 17, 2013, governor sam brownback signed into law the kansas health information technology act (khita). This law amended the kansas health information technology exchange act (k-hite) [k.s.a. 65-6821 et seq.] both k-hite and khita promote the electronic sharing of health information among providers in kansas and regulate health information organization (hios) operating in the state. Khita transferred this responsibility from a private corporation, kansas health information exchange, inc. (khie), to the kansas department of health and environment (kdhe), effective july 1, 2013. In order to ensure the smoothest transition from khie, kanhit will maintain existing policies and procedures of khie. Khie continued to operate during transition period until all aspects of their business could be wound up and fully transitioned to kdhe.

FORM 990, PART XI, LINE 9:

Assets transfered to kansas department of health and environment -27,168.

FORM 990, PART XII, LINE 2C:

No change from prior year.

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IRS990/Desc0THE ORGANIZATION HAS DEVELOPED A CORPORATE AND COMMITTEE STRUCTURE WHICH WILL ENABLE IT TO DEVELOP POLICY AND ENGAGE VENDORS AND CONTRACTORS TO ESTABLISH AN INTER-OPERABLE ELECTRONIC HEALTH INFORMATION EXCHANGE THAT WILL SERVE ALL PROVIDERS OF KANSAS ENABLING THEM TO SHARE HEALTH INFORMATION AND TO RENDER CARE MORE EFFICIENTLY AND EFFECTIVELY. ULTIMATELY, ALL THE RESIDENTS OF KANSAS WILL BE BENEFITTED BY THIS EFFORT. EFFECTIVE JULY 1, 2013 THE RESPONSIBILITY OF KHIE WAS TRANSFERED TO THE KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT.
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IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990/ScheduleJRequiredInd00
IRS990ScheduleN/AssetsDistributedInd01
IRS990ScheduleN/AttorneyGeneralNotifiedInd01
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd00
IRS990ScheduleN/EmployeeOfSuccessorInd00
IRS990ScheduleN/LiabilitiesPaidInd01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0CASH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc1FIXED ASSETS
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine10STATE OF KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine11STATE OF KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02014-06-30
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt12014-06-30
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0486029925
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN1486029925
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt0627
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt126541
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0170(B)(1)(A)(V) GOVERNMENT
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt1170(B)(A)(V) GOVERNMENT
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine101000 SW JACKSON ST STE 540
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine111000 SW JACKSON ST STE 540
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/City0TOPEKA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/City1TOPEKA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/State0KS
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/State1KS
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCode066612
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCode166612
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd01
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0ON APRIL 17, 2013, GOVERNOR SAM BROWNBACK SIGNED INTO LAW THE KANSAS HEALTH INFORMATION TECHNOLOGY ACT (KHITA). THIS LAW AMENDED THE KANSAS HEALTH INFORMATION TECHNOLOGY EXCHANGE ACT (K-HITE) [K.S.A. 65-6821 ET SEQ.] BOTH K-HITE AND KHITA PROMOTE THE ELECTRONIC SHARING OF HEALTH INFORMATION AMONG PROVIDERS IN KANSAS AND REGULATE HEALTH INFORMATION ORGANIZATION (HIOS) OPERATING IN THE STATE. KHITA TRANSFERRED THIS RESPONSIBILITY FROM A PRIVATE CORPORATION, KANSAS HEALTH INFORMATION EXCHANGE, INC. (KHIE), TO THE KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT (KDHE), EFFECTIVE JULY 1, 2013. KHIE BOARD OF DIRECTORS VOTED AND APPROVED THE DISSOLUTION OF THE CORPORATION. KHIE FILED FOR DISSOLUTION WITH THE KANSAS SECRETARY OF STATE SUBSEQUENT TO THE BOARD APPROVAL OF THIS ACTION.
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 6C:
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0ON APRIL 17, 2013, GOVERNOR SAM BROWNBACK SIGNED INTO LAW THE KANSAS HEALTH INFORMATION TECHNOLOGY ACT (KHITA). THIS LAW AMENDED THE KANSAS HEALTH INFORMATION TECHNOLOGY EXCHANGE ACT (K-HITE) [K.S.A. 65-6821 ET SEQ.] BOTH K-HITE AND KHITA PROMOTE THE ELECTRONIC SHARING OF HEALTH INFORMATION AMONG PROVIDERS IN KANSAS AND REGULATE HEALTH INFORMATION ORGANIZATION (HIOS) OPERATING IN THE STATE. KHITA TRANSFERRED THIS RESPONSIBILITY FROM A PRIVATE CORPORATION, KANSAS HEALTH INFORMATION EXCHANGE, INC. (KHIE), TO THE KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT (KDHE), EFFECTIVE JULY 1, 2013. IN ORDER TO ENSURE THE SMOOTHEST TRANSITION FROM KHIE, KANHIT WILL MAINTAIN EXISTING POLICIES AND PROCEDURES OF KHIE. KHIE CONTINUED TO OPERATE DURING TRANSITION PERIOD UNTIL ALL ASPECTS OF THEIR BUSINESS COULD BE WOUND UP AND FULLY TRANSITIONED TO KDHE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION HAS NOT DELEGATED CONTROL TO A MANAGEMENT COMPANY. HOWEVER, THE STAFF OF THE ORGANIZATION ARE EMPLOYEES OF ANOTHER 501(C)(3) ORGANIZATION LOCATED IN THE FORMER OFFICE SPACE. THE TWO ORGANIZATIONS HAVE AN ADMINISTRATIVE AGREEMENT TO PROVIDE PEOPLE AND SERVICES TO ASSIST IN THE OPERATIONS OF THE ORGANIZATION. THE TWO ORGANIZATIONS ARE NOT RELATED. THERE IS NO CONTROL OF ONE OVER THE OTHER. THE BOARD OF DIRECTORS OF THE ORGANIZATIONS ARE ENTIRELY SEPARATE. NO OTHER OFFICER OR DIRECTOR WAS COMPENSATED BY THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THERE IS NO OTHER COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3A COPY OF THE RETURN IS PROVIDED TO THE BOARD FOR REVIEW PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE CONFLICT OF INTEREST POLICY REQUIRES ALL EMPLOYEES AND MEMBERS OF THE BOARD OF DIRECTORS TO SIGN THE POLICY. THE POLICY REQUIRES THEM TO BE UPDATED EVERY YEAR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE SALARY RANGE FOR THE CEO WAS DETERMINED BY THE KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT WHEN IT SUBMITTED THE ORIGINAL GRANT PROPOSAL. THE RANGE WAS CONFIRMED BY THE KHIE FINANCE COMMITTEE. THE SALARY OFFER WAS MADE BY THE EXECUTIVE COMMITEE TO THE CEO AND IS INCLUDED IN HIS CONTRACT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7ASSETS TRANSFERED TO KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT -27,168.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8NO CHANGE FROM PRIOR YEAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART III, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART XI, LINE 9:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART XII, LINE 2C:
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd01
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd01
IRS990/TotalAssetsBOYAmt086399
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt086399
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt096869
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt065203
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt035059
IRS990/TotalFunctionalExpensesGrp/TotalAmt0100262
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt055838
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt055838
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt030561
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt035059
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt096869
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt086399
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt030561
IRS990/UnrestrictedNetAssetsGrp/EOYAmt00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine10CURTIS STATE OFFICE BUILDING 1000
IRS990/USAddress/AddressLine20SW JAC NO
IRS990/USAddress/City0TOPEKA
IRS990/USAddress/State0KS
IRS990/USAddress/ZIPCode0666121368
IRS990/VotingMembersGoverningBodyCnt011
IRS990/VotingMembersIndependentCnt011
IRS990/WebsiteAddressTxt0WWW.KANHIT.ORG
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02016-03-07 17:11:31Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0AARON DUNKEL
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum07852335443
ReturnHeader/BusinessOfficerGrp/SignatureDt02015-04-27
ReturnHeader/Filer/BusinessName/BusinessNameLine10KANSAS HEALTH INFORMATION EXCHANGE INC
ReturnHeader/Filer/BusinessNameControlTxt0KANS
ReturnHeader/Filer/EIN0274437709
ReturnHeader/Filer/PhoneNum07852335443
ReturnHeader/Filer/USAddress/AddressLine10CURTIS STATE OFFICE BUILDING 1000

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