Civic Intelligence

First Financial Bancorp Health Care Plan

EIN 31-1380981 • 501(c)9 • Cincinnati, OH

Profile

NONE.

255 East 5th Street No 700Cincinnati, OH 45202

www.bankatfirst.com

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 2015

Liabilities / Revenue

31st percentile

0.00x

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

501(c)9 • $10M-$25M nonprofits • Source year 2015

Net Margin

24th percentile

-4.2%

Higher net margin than 24% of similar nonprofits.

501(c)9 • $10M-$25M nonprofits • Source year 2015

Top Officer Pay

96th percentile

$464,364

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 4.0% of source-year revenue.

501(c)9 • $10M-$25M nonprofits • Source year 2015

Asset Growth

6th percentile

-100%

Faster asset growth than 6% of similar nonprofits.

501(c)9 • $10M-$25M nonprofits • Annualized from 2014 to 2015

Revenue Growth

6th percentile

-29%

Faster revenue growth than 6% of similar nonprofits.

501(c)9 • $10M-$25M nonprofits • Annualized from 2014 to 2015

Assets

Down

$0

Down $961,012 (-100%) from 2012

Liabilities

Down

$0

Down $2,314,661 (-100%) from 2012

Net Assets

Up

$0

Up $1,353,649 (+100%) from 2012

Revenue

$11,705,024

No earlier filing loaded for comparison.

Expenses

Down

$12,192,008

Down $331,572 (-2.6%) from 2012

Net Income

-$486,984

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

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

$3.0M$2.0M$1.0M$0-$1.0M-$2.0MAssets 2010: $967,190Liabilities 2010: $1,871,856Net Assets 2010: -$904,6662010Assets 2011: $855,434Liabilities 2011: $2,142,269Net Assets 2011: -$1,286,8352011Assets 2012: $961,012Liabilities 2012: $2,314,661Net Assets 2012: -$1,353,6492012Assets 2015: $0Liabilities 2015: $0Net Assets 2015: $02015

Highlighted filing

2015

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

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

$15M$10M$5.0M$0-$5.0MExpenses 2010: $8,916,2512010Expenses 2011: $9,300,5582011Expenses 2012: $12,523,5802012Revenue 2015: $11,705,024Expenses 2015: $12,192,008Net Income 2015: -$486,9842015

Highlighted filing

2015

Revenue$11,705,024
Expenses$12,192,008
Net Income-$486,984

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Nov 9, 2016
Return Version
2015v2.1
Gross Receipts
$11,705,024
Mission and Program Overview

Mission

NONE.

This organization is a voluntary employees' beneficiary association organized to pay medical benefits to participating employees of first financial bancorp and their eligible dependents.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$1,094,391$0▼ $1,094,391
Prepaid Expenses and Deferred Charges$463,016$0▼ $463,016
Cash and Non-Interest-Bearing Accounts$14$0▼ $14
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$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-
Land, Buildings, and Equipment, Net-$0-
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Rtn Earn Endowment Incm Other Fnds$-537,440$0▲ $537,440
Total Assets$1,557,421$0▼ $1,557,421
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$2,059,694--
Other Liabilities$35,167$0▼ $35,167
Total Liabilities$2,094,861$0▼ $2,094,861
Net Assets / Fund Balance
Total Net Assets Fund Balance$-537,440$0▲ $537,440
Total Liabilities and Net Assets / Fund Balance$1,557,421$0▼ $1,557,421
Compensation and Service Providers

Board Members and Trustees

NameTitle
Alisa PoeExecutive Vice President a

Highest Paid Contractors

ContractorServicesLocationCompensation
United Health CareClaims Administration9050 CENTRE POINTE DR SUITE 400, West Chester, OH 45069$903,152
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$11,704,838
Investment Income
$186
Other Revenue
$0
Change in Net Assets
$-486,984

Audited Revenue Reconciliation

Revenue per Audited Statements
$11,705,024
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$11,705,024
Total Revenue per Form 990
$11,705,024
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$903,152
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
Benefits to Members---$11,288,856
Fees for Services Other---$903,152
Total Functional Expenses$0$0$0$12,192,008

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$12,192,008
Total Expenses per Audited Statements$12,192,008
Total Expenses per Form 990$12,192,008
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$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
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
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
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 8B

The trust is not administered by a committee. The trustee and members of the talent management department properly documents all actions taken with respect to the trust.

Form 990, Part VI, Section B, Line 11

An outside consulting firm, clark schaefer hackett, was retained to prepare the form 990. Once a draft of the form 990 is completed, the draft form 990 is provided to the trustee and talent management department. The form 990 is reviewed by the trustee and the talent management department prior to filing. Irregularities are identified and comments are provided to clark schaefer hackett for revisions.

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

Employees of first financial bancorp, the sponsor of the first financial bancorp healthcare plan and parent corporation of the trustee, are covered by the first financial bancorp code of conduct (all employees) and code of ethics for the ceo and senior financial officers, which include a conflict of interest policy. First financial bancorp consistently monitors and enforces compliance with the code of conduct and code of ethics.

Form 990, Part VI, Section B, Line 15

No officers were compensated during the tax year.

Form 990, Part VI, Section C, Line 19

The code of conduct and code of ethics are available from the company's website. The trust governing documents, financial statements and exemption letter are available upon request. The form 990, form 5500 and audit report for the plan are available through multiple free on-line services such as freeerisa.com, guidestar.org, efast.dol.gov and upon request.

Filing and Contact Details

Filer

Filer Name
First Financial Bancorp Health Care Plan
EIN
31-1380981
Phone
5139795754
Address
255 EAST 5TH STREET NO 700, CINCINNATI, OH 45202

Signing Officer

Name
Alisa Poe
Title
Executive Vice President & CTO
Phone
5139795754
Signed
2016-11-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Alisa Poe
Formed
1988
Legal Domicile
Oh
Voting Board Members
1
Independent Board Members
1
Employees
0
Volunteers
0

Preparer

Firm
Clark Schaefer Hackett & Co
Address
10100 INNOVATION DR SUITE 400, DAYTON, OH 45342
Preparer
Stephanie R Pyles CPA
Phone
9372260070
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3

Effective december 20, 2015, the trust was terminated, and all funds held in the trust were distributed for payment of benefits prior to termination. Benefit programs are now funded by the company. The plan is subject to the provisions of the employee retirement income security act of 1974 (erisa). Prior to january 1, 1994, first financial bank, n.a. (first financial bank), a wholly owned subsidiary of the company, provided retiree health care coverage to full-time associates retiring at age 62 or above, who had ten or more years of service. Effective january 1, 1994, first financial bank, n.a. No longer offers any health care coverage to retiring associates. No other subsidiaries of the company currently offer health care coverage to retired associates.

FORM 990, PART XI, LINE 9:

Liquidation of trust by paying out claims or administrative expenses 1,024,424.

FORM 990, PART XII, LINE 2C:

The company's human resources department and finance department review the form 5500 and related audit report prepared for the first financial bancorp healthcare plan. There is no management committee designated to review the audit report. The auditor engaged to perform the form 5500 audit is selected by the audit committee of the board. This process did not change from prior years.

Financial Statement Notes

PART X, LINE 2:

Gaap requires plan management to evaluate uncertain tax positions taken by the plan. The financial statement effects of a tax position are recognized when the position is more likely than not, based on technical merits, to be sustained upon examination by the irs. The plan sponsor has analyzed the tax positions taken by the plan, and has concluded that as of december 31, 2015, there are no uncertain positions taken or expected to be taken. The plan has recognized no interest or penalties related to uncertain tax positions. The plan is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The plan sponsor believes it is no longer subject to income tax examinations for years prior to 2012.

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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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IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0EFFECTIVE DECEMBER 20, 2015, THE TRUST WAS TERMINATED, AND ALL FUNDS HELD IN THE TRUST WERE DISTRIBUTED FOR PAYMENT OF BENEFITS PRIOR TO TERMINATION. BENEFIT PROGRAMS ARE NOW FUNDED BY THE COMPANY. THE PLAN IS SUBJECT TO THE PROVISIONS OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA). PRIOR TO JANUARY 1, 1994, FIRST FINANCIAL BANK, N.A. (FIRST FINANCIAL BANK), A WHOLLY OWNED SUBSIDIARY OF THE COMPANY, PROVIDED RETIREE HEALTH CARE COVERAGE TO FULL-TIME ASSOCIATES RETIRING AT AGE 62 OR ABOVE, WHO HAD TEN OR MORE YEARS OF SERVICE. EFFECTIVE JANUARY 1, 1994, FIRST FINANCIAL BANK, N.A. NO LONGER OFFERS ANY HEALTH CARE COVERAGE TO RETIRING ASSOCIATES. NO OTHER SUBSIDIARIES OF THE COMPANY CURRENTLY OFFER HEALTH CARE COVERAGE TO RETIRED ASSOCIATES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE TRUST IS NOT ADMINISTERED BY A COMMITTEE. THE TRUSTEE AND MEMBERS OF THE TALENT MANAGEMENT DEPARTMENT PROPERLY DOCUMENTS ALL ACTIONS TAKEN WITH RESPECT TO THE TRUST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2AN OUTSIDE CONSULTING FIRM, CLARK SCHAEFER HACKETT, WAS RETAINED TO PREPARE THE FORM 990. ONCE A DRAFT OF THE FORM 990 IS COMPLETED, THE DRAFT FORM 990 IS PROVIDED TO THE TRUSTEE AND TALENT MANAGEMENT DEPARTMENT. THE FORM 990 IS REVIEWED BY THE TRUSTEE AND THE TALENT MANAGEMENT DEPARTMENT PRIOR TO FILING. IRREGULARITIES ARE IDENTIFIED AND COMMENTS ARE PROVIDED TO CLARK SCHAEFER HACKETT FOR REVISIONS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3EMPLOYEES OF FIRST FINANCIAL BANCORP, THE SPONSOR OF THE FIRST FINANCIAL BANCORP HEALTHCARE PLAN AND PARENT CORPORATION OF THE TRUSTEE, ARE COVERED BY THE FIRST FINANCIAL BANCORP CODE OF CONDUCT (ALL EMPLOYEES) AND CODE OF ETHICS FOR THE CEO AND SENIOR FINANCIAL OFFICERS, WHICH INCLUDE A CONFLICT OF INTEREST POLICY. FIRST FINANCIAL BANCORP CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CODE OF CONDUCT AND CODE OF ETHICS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4NO OFFICERS WERE COMPENSATED DURING THE TAX YEAR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE CODE OF CONDUCT AND CODE OF ETHICS ARE AVAILABLE FROM THE COMPANY'S WEBSITE. THE TRUST GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND EXEMPTION LETTER ARE AVAILABLE UPON REQUEST. THE FORM 990, FORM 5500 AND AUDIT REPORT FOR THE PLAN ARE AVAILABLE THROUGH MULTIPLE FREE ON-LINE SERVICES SUCH AS FREEERISA.COM, GUIDESTAR.ORG, EFAST.DOL.GOV AND UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6LIQUIDATION OF TRUST BY PAYING OUT CLAIMS OR ADMINISTRATIVE EXPENSES 1,024,424.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THE COMPANY'S HUMAN RESOURCES DEPARTMENT AND FINANCE DEPARTMENT REVIEW THE FORM 5500 AND RELATED AUDIT REPORT PREPARED FOR THE FIRST FINANCIAL BANCORP HEALTHCARE PLAN. THERE IS NO MANAGEMENT COMMITTEE DESIGNATED TO REVIEW THE AUDIT REPORT. THE AUDITOR ENGAGED TO PERFORM THE FORM 5500 AUDIT IS SELECTED BY THE AUDIT COMMITTEE OF THE BOARD. THIS PROCESS DID NOT CHANGE FROM PRIOR YEARS.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART III, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART XI, LINE 9:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART XII, LINE 2C:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN0311042001
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt0C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd0OH
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0BANKING ORG
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0FIRST FINANCIAL BANCORP
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt0255 E FIFTH ST
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm0CINCINNATI
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd0OH
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCd045202
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd01
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd01
IRS990ScheduleR/TransferFromOtherOrgInd01
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd01
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd01
IRS990/TotalAssetsBOYAmt01557421
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt01557421
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd01
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt012192008
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt02094861
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt02094861
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-537440
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalOtherCompensationAmt014202
IRS990/TotalProgramServiceRevenueAmt011704838
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt0186
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt011704838
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt011705024
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt01557421
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotReportableCompRltdOrgAmt0450162
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0255 EAST 5TH STREET NO 700
IRS990/USAddress/CityNm0CINCINNATI
IRS990/USAddress/StateAbbreviationCd0OH
IRS990/USAddress/ZIPCd045202
IRS990/VotingMembersGoverningBodyCnt01
IRS990/VotingMembersIndependentCnt01
IRS990/WebsiteAddressTxt0WWW.BANKATFIRST.COM
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0ALISA POE
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0EXECUTIVE VICE PRESIDENT & CTO
ReturnHeader/BusinessOfficerGrp/PhoneNum05139795754
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-11-09
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0FIRST FINANCIAL BANCORP HEALTH CARE PLAN
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0AND TRUST
ReturnHeader/Filer/BusinessNameControlTxt0FIRS
ReturnHeader/Filer/EIN0311380981
ReturnHeader/Filer/PhoneNum05139795754
ReturnHeader/Filer/USAddress/AddressLine1Txt0255 EAST 5TH STREET NO 700
ReturnHeader/Filer/USAddress/CityNm0CINCINNATI
ReturnHeader/Filer/USAddress/StateAbbreviationCd0OH
ReturnHeader/Filer/USAddress/ZIPCd045202
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0310800053
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CLARK SCHAEFER HACKETT & CO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt010100 INNOVATION DR SUITE 400
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0DAYTON
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0OH
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd045342
ReturnHeader/PreparerPersonGrp/PhoneNum09372260070
ReturnHeader/PreparerPersonGrp/PreparationDt02016-11-01
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0STEPHANIE R PYLES CPA
ReturnHeader/ReturnTs02016-11-09T15:12:30-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02015-01-01
ReturnHeader/TaxPeriodEndDt02015-12-31
ReturnHeader/TaxYr02015

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