Civic Intelligence

Chillicothe Cavalier Club

EIN 31-1324783 • 501(c)3 • Chillicothe, OH

Profile

The club promotes, financially assists, and encourages all academic and athletic activities within the chillicothe city school district.

PO Box 1835Chillicothe, OH 45601

n/A

Siviq Scores

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

Liabilities / Assets

18th percentile

0.00x

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

501(c)3 • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

19th percentile

0.00x

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

501(c)3 • $1M-$5M nonprofits • Source year 2024

Net Margin

77th percentile

24%

Higher net margin than 77% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

90th percentile

51%

Faster asset growth than 90% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2022 to 2024

Revenue Growth

80th percentile

38%

Faster revenue growth than 80% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2022 to 2024

Assets

Up

$250,338

Up $140,890 (+129%) from 2022

Liabilities

Flat

$0

Flat from 2022

Net Assets

Up

$250,338

Up $140,890 (+129%) from 2022

Revenue

Up

$386,155

Up $182,051 (+89%) from 2022

Expenses

Up

$292,933

Up $99,011 (+51%) from 2022

Net Income

Up

$93,222

Up $83,040 (+816%) from 2022

Trend Graphs

Balance Sheet Trend

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

$1.5M$1.0M$500K$0-$500K-$1.0MAssets 2011: $191,308Liabilities 2011: $0Net Assets 2011: $191,3082011Assets 2012: $257,609Liabilities 2012: $0Net Assets 2012: $257,6092012Assets 2013: $242,664Liabilities 2013: $1,050,000Net Assets 2013: -$807,3362013Assets 2014: $229,135Liabilities 2014: $800,000Net Assets 2014: -$570,8652014Assets 2015: $215,113Liabilities 2015: $543,000Net Assets 2015: -$327,8872015Assets 2017: $108,195Liabilities 2017: $99,000Net Assets 2017: $9,1952017Assets 2018: $75,352Liabilities 2018: $0Net Assets 2018: $75,3522018Assets 2019: $82,172Liabilities 2019: $0Net Assets 2019: $82,1722019Assets 2020: $114,869Liabilities 2020: $0Net Assets 2020: $114,8692020Assets 2021: $99,266Liabilities 2021: $0Net Assets 2021: $99,2662021Assets 2022: $109,448Liabilities 2022: $0Net Assets 2022: $109,4482022Assets 2024: $250,338Liabilities 2024: $0Net Assets 2024: $250,3382024

Highlighted filing

2024

Assets$250,338
Liabilities$0
Net Assets$250,338

Operations Trend

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

$2.0M$1.0M$0-$1.0M-$2.0MExpenses 2011: $18,8162011Expenses 2012: $37,3972012Revenue 2013: $543,673Expenses 2013: $1,608,618Net Income 2013: -$1,064,9452013Revenue 2014: $320,287Expenses 2014: $83,816Net Income 2014: $236,4712014Revenue 2015: $286,017Expenses 2015: $43,039Net Income 2015: $242,9782015Revenue 2017: $206,867Expenses 2017: $135,510Net Income 2017: $71,3572017Revenue 2018: $165,634Expenses 2018: $99,477Net Income 2018: $66,1572018Revenue 2019: $137,286Expenses 2019: $130,466Net Income 2019: $6,8202019Revenue 2020: $109,187Expenses 2020: $76,490Net Income 2020: $32,6972020Revenue 2021: $126,421Expenses 2021: $142,024Net Income 2021: -$15,6032021Revenue 2022: $204,104Expenses 2022: $193,922Net Income 2022: $10,1822022Revenue 2024: $386,155Expenses 2024: $292,933Net Income 2024: $93,2222024

Highlighted filing

2024

Revenue$386,155
Expenses$292,933
Net Income$93,222

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.25$0.00$0.25$0.39$0.29$0.09
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.11$0.00$0.11$0.20$0.19$0.01
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.10$0.00$0.10$0.13$0.14$0.02
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.11$0.00$0.11$0.11$0.08$0.03
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.08$0.00$0.08$0.14$0.13$0.01
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.08$0.00$0.08$0.17$0.10$0.07
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.11$0.10$0.01$0.21$0.14$0.07
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.22$0.54$0.33$0.29$0.04$0.24
2014Detailed filing. Detailed filing data is available for this year.$0.23$0.80$0.57$0.32$0.08$0.24
2013Detailed filing. Detailed filing data is available for this year.$0.24$1.05$0.81$0.54$1.61$1.06
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.26$0.00$0.26$0.04
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.19$0.00$0.19$0.02
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 14, 2025
Return Version
2024v5.2
Gross Receipts
$2,942,880
Mission and Program Overview

Mission

The club promotes, financially assists, and encourages all academic and athletic activities within the chillicothe city school district.

The club promotes, financially assists and encourages all academic and athletic activities within the chillicothe city school district.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$157,116$250,338▲ $93,222
Rtn Earn Endowment Incm Other Fnds$157,116$250,338▲ $93,222
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$157,116$250,338▲ $93,222
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$157,116$250,338▲ $93,222
Total Liabilities and Net Assets / Fund Balance$157,116$250,338▲ $93,222
Compensation and Service Providers

Board Members and Trustees

NameTitle
Brian GriffiePresident
Justin PooleVice President
Jennifer CrawfordSecretary
Brandy MontgomeryTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$107,954
Program Service Revenue
$11,226
Investment Income
$25
Other Revenue
$266,950
All Other Contributions
$107,954
Change in Net Assets
$93,222
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$153,061
Grants and Similar Amounts Paid$139,872
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$126,366--$126,366
All Other Expenses$46,735--$46,735
Other Expenses$15,957--$15,957
Office Expenses$15,871--$15,871
Grants to Domestic Individuals$13,506--$13,506
Travel$4,813--$4,813
Advertising$2,050--$2,050
Fees for Services Accounting$825--$825
Insurance$448--$448
Total Functional Expenses$292,933$0$0$292,933
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Chillicothe City SchoolsChillicothe, OHPublic SchoolFor Scholastic Athletic Facilities and Programs$81,874
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
Yes
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Gaming Gross Income$2,660,827
Gaming Direct Expenses$2,485,801
Fundraising Gross Income$97,978
Fundraising Direct Expenses$12,076
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Various School Activities$97,978$97,978$12,076$85,902
Total Events$97,978$97,978$12,076$85,902
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
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
No
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

Documents available upon request

Form 990, Part VI, Section C, Line 18

Documents are available upon request

Form 990, Part VI, Section C, Line 19

Documents are available upon request

Filing and Contact Details

Filer

Filer Name
Chillicothe Cavalier Club
EIN
31-1324783
Phone
7406492325
Address
PO BOX 1835, CHILLICOTHE, OH 45601

Signing Officer

Name
Brandy Montgomery
Title
Treasurer
Phone
7406492325
Signed
2025-11-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Brandy Montgomery
Formed
1984
Legal Domicile
Oh
Voting Board Members
4
Independent Board Members
4
Employees
0
Volunteers
150

Preparer

Firm
Whited Seigneur Sams & Rahe Cpas Llp
Address
213 SOUTH PAINT STREET, CHILLICOTHE, OH 45601-3828
Preparer
Kathleen Alderman
Phone
7407022600
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 24E

Miscellaneous: program service expenses 15,716. Management and general expenses 0. Fundraising expenses 0. Total expenses 15,716. Team banquets/meals: program service expenses 14,840. Management and general expenses 0. Fundraising expenses 0. Total expenses 14,840. Tournaments: program service expenses 5,852. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,852. Ohio fees: program service expenses 5,146. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,146. Referees: program service expenses 4,640. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,640. Trophies: program service expenses 541. Management and general expenses 0. Fundraising expenses 0. Total expenses 541.

Raw XML AppendixShowing 400 of 408 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.

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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
IRS990ScheduleG/CharitableDistributionRqrInd00
IRS990ScheduleG/CntrctWith3rdPrtyForGameRevInd01
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt012076
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0VARIOUS SCHOOL ACTIVITIES
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt097978
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt097978
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt097978
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt097978
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt085902
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt012076
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt012076
IRS990ScheduleG/GamingInformationGrp/CashPrizesPullTabsAmt02149766
IRS990ScheduleG/GamingInformationGrp/CashPrizesTotalGamingAmt02149766
IRS990ScheduleG/GamingInformationGrp/DirectExpenseSummaryGamingAmt02485801
IRS990ScheduleG/GamingInformationGrp/GrossRevenuePullTabsAmt02660827
IRS990ScheduleG/GamingInformationGrp/GrossRevenueTotalGamingAmt02660827
IRS990ScheduleG/GamingInformationGrp/NetGamingIncomeSummaryAmt0175026
IRS990ScheduleG/GamingInformationGrp/OthDirectExpnssTotalGamingAmt0336035
IRS990ScheduleG/GamingInformationGrp/OtherDirectExpensesPullTabsAmt0336035
IRS990ScheduleG/GamingInformationGrp/VolunteerLaborPullTabsInd01
IRS990ScheduleG/GamingInformationGrp/VolunteerLaborPullTabsPct01.00000
IRS990ScheduleG/GamingOtherFacilityPct01.00000
IRS990ScheduleG/GamingRevenueReceivedByOrgAmt0175026
IRS990ScheduleG/GamingRevenueRtnBy3PrtyAmt0336035
IRS990ScheduleG/GamingWithNonmembersInd01
IRS990ScheduleG/IndividualWithBooksNm0BRANDY MONTGOMERY
IRS990ScheduleG/LicensedInd01
IRS990ScheduleG/LicenseSuspendedEtcInd00
IRS990ScheduleG/MemberOfOtherEntityInd00
IRS990ScheduleG/PersonsWithBooksUSAddress/AddressLine1Txt0425 YOCTANGEE PARKWAY
IRS990ScheduleG/PersonsWithBooksUSAddress/CityNm0CHILLICOTHE
IRS990ScheduleG/PersonsWithBooksUSAddress/StateAbbreviationCd0OH
IRS990ScheduleG/PersonsWithBooksUSAddress/ZIPCd045601
IRS990ScheduleG/StatesWhereGamingConductedCd0OH
IRS990ScheduleG/ThirdPartyBusinessName/BusinessNameLine1Txt0JC & COMPANY
IRS990ScheduleG/ThirdPartyUSAddress/AddressLine1Txt0125 WEST MULBERRY STREET
IRS990ScheduleG/ThirdPartyUSAddress/CityNm0LANCASTER
IRS990ScheduleG/ThirdPartyUSAddress/StateAbbreviationCd0OH
IRS990ScheduleG/ThirdPartyUSAddress/ZIPCd043130
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt013506
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt0SCHOLARSHIPS TO ATHLETES PAID DIRECTLY TO UNIVERSITY
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt06
IRS990ScheduleI/RecipientTable/CashGrantAmt081874
IRS990ScheduleI/RecipientTable/IRCSectionDesc0PUBLIC SCHOOL
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt044492
IRS990ScheduleI/RecipientTable/NonCashAssistanceDesc0EQUIPMENT AND FACILITY DONATIONS TO CHILLICOTHE HIGH SCHOOL
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0FOR SCHOLASTIC ATHLETIC FACILITIES AND PROGRAMS
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0CHILLICOTHE CITY SCHOOLS
IRS990ScheduleI/RecipientTable/RecipientEIN0316400384
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0425 YOCTANGEE PARKWAY
IRS990ScheduleI/RecipientTable/USAddress/CityNm0CHILLICOTHE
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0OH
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd045601
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0DOCUMENTS AVAILABLE UPON REQUEST
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1DOCUMENTS ARE AVAILABLE UPON REQUEST
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2DOCUMENTS ARE AVAILABLE UPON REQUEST
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3MISCELLANEOUS: PROGRAM SERVICE EXPENSES 15,716. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,716. TEAM BANQUETS/MEALS: PROGRAM SERVICE EXPENSES 14,840. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,840. TOURNAMENTS: PROGRAM SERVICE EXPENSES 5,852. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,852. OHIO FEES: PROGRAM SERVICE EXPENSES 5,146. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,146. REFEREES: PROGRAM SERVICE EXPENSES 4,640. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,640. TROPHIES: PROGRAM SERVICE EXPENSES 541. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 541.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION C, LINE 18
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART IX, LINE 24E
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0OH
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0157116
IRS990/TotalAssetsEOYAmt0250338
IRS990/TotalAssetsGrp/BOYAmt0157116
IRS990/TotalAssetsGrp/EOYAmt0250338
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt0107954
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0292933
IRS990/TotalFunctionalExpensesGrp/TotalAmt0292933
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0157116
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0250338
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0292933
IRS990/TotalProgramServiceRevenueAmt011226
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt085927
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0192274
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0386155
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt0150
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0157116
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0250338
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ProgramServicesAmt04813
IRS990/TravelGrp/TotalAmt04813
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0PO BOX 1835
IRS990/USAddress/CityNm0CHILLICOTHE
IRS990/USAddress/StateAbbreviationCd0OH
IRS990/USAddress/ZIPCd045601
IRS990/VotingMembersGoverningBodyCnt04
IRS990/VotingMembersIndependentCnt04
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0BRANDY MONTGOMERY
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum07406492325
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-11-14
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0CHILLICOTHE CAVALIER CLUB
ReturnHeader/Filer/BusinessNameControlTxt0CHIL
ReturnHeader/Filer/EIN0311324783
ReturnHeader/Filer/PhoneNum07406492325
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 1835
ReturnHeader/Filer/USAddress/CityNm0CHILLICOTHE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0OH
ReturnHeader/Filer/USAddress/ZIPCd045601
ReturnHeader/IRSResponsiblePrtyInfoCurrInd01
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0310962125
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0WHITED SEIGNEUR SAMS & RAHE CPAS LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0213 SOUTH PAINT STREET
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0CHILLICOTHE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0OH
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0456013828

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