Liabilities / Assets
Score unavailable
Liabilities-to-assets requires both liabilities and assets on the latest valid filing.
EIN 31-1423931 • 501(c)3 • Cincinnati, OH
Profile
The goal of chrysalis health care is to assist older, disabled and homeless adults and their families maximize their optimum level of overall health function. Chrysalis healthcare, inc also provides financial support to other local and national nonprofit organizations.
Refreshing map…
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
Score unavailable
Liabilities-to-assets requires both liabilities and assets on the latest valid filing.
Liabilities / Revenue
Score unavailable
Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.
Net Margin
Score unavailable
Net margin requires both revenue and expenses on the latest valid filing.
Top Officer Pay
81st percentile
Higher top officer pay than 81% of similar nonprofits.
Asset Growth
10th percentile
Faster asset growth than 10% of similar nonprofits.
Revenue Growth
3rd percentile
Faster revenue growth than 3% of similar nonprofits.
Assets
Down$0
Down $22,176 (-100%) from 2020
Liabilities
Flat$925,441
Flat from 2020
Net Assets
Down-$925,441
Down $22,176 (-2.5%) from 2020
Revenue
Down$0
Down $13,987 (-100%) from 2020
Expenses
Down$0
Down $233,529 (-100%) from 2020
Net Income
Up$0
Up $219,542 (+100%) from 2020
Most recent year
2021 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
The goal of chrysalis health care is to assist older, disabled and homeless adults and their families maximize their optimum level of overall health function. Chrysalis healthcare, inc also provides financial support to other local and national nonprofit organizations.
The goal of chrysalis health care inc (chci) is to assist disabled, health compromised and homeless individuals and their families optimize their overall health and functional capabilities. Chci also provides financial support to other local and national nonprofit organizations.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Cash and Non-Interest-Bearing Accounts | $22,176 | - | - |
| Rtn Earn Endowment Incm Other Fnds | $-903,265 | $-925,441 | ▼ $22,176 |
| Total Assets | $22,176 | $0 | ▼ $22,176 |
| Liabilities | |||
| Unsecured Notes Loans Payable | $925,441 | $925,441 | → $0 |
| Total Liabilities | $925,441 | $925,441 | → $0 |
| Net Assets / Fund Balance | |||
| Total Net Assets Fund Balance | $-903,265 | $-925,441 | ▼ $22,176 |
| Total Liabilities and Net Assets / Fund Balance | $22,176 | $0 | ▼ $22,176 |
| Name | Title |
|---|---|
| Diane Seiwert | President |
| Charles D Straub ESQ | Director |
| E G Detzel | Secretary |
| Jerry Weigand | Treasurer |
| Line Item | Amount |
|---|---|
| Grants and Similar Amounts Paid | $0 |
| Other Expenses | $0 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“Due to unforeseen circumstances the form 990 has not been able to be reviewed wtih the President prior to filing.”
“Copies of the organizations tax returns and other supporting documentation are available to the public upon request.”
“Adequate financial records have not been furnished due to unforeseen circumstances. Adjustments have been made only to balance until further information is available.”
“Amendment will be filed when adequate information is available to do so.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | false |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | THE GOAL OF CHRYSALIS HEALTH CARE INC (CHCI) IS TO ASSIST DISABLED, HEALTH COMPROMISED AND HOMELESS INDIVIDUALS AND THEIR FAMILIES OPTIMIZE THEIR OVERALL HEALTH AND FUNCTIONAL CAPABILITIES. CHCI ALSO PROVIDES FINANCIAL SUPPORT TO OTHER LOCAL AND NATIONAL NONPROFIT ORGANIZATIONS. |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | DIANE SEIWERT |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5139190770 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1012 N OCEAN BLVD APT 401 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Pompano Beach |
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| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 33062 |
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| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/Desc | 0 | Due to unforeseen circumstances the organization has been unable to provide records necessary to complete a full history of the pertinent tax years activities. It is believed that in the future, the organization will qualify for the 990N e-postcard filing with normal revenues falling below the $50,000 per year threshold. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | false |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | false |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
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| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 10.00 |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Jerry Weigand |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | E G Detzel |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Charles D Straub ESQ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | DIANE SEIWERT |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | PRESIDENT |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | false |
| IRS990/FormationYr | 0 | 2007 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedInd | 0 | false |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 4 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 0 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 4 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LegalDomicileStateCd | 0 | OH |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingCashInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | THE GOAL OF CHRYSALIS HEALTH CARE INC (CHCI) IS TO ASSIST DISABLED, HEALTH COMPROMISED AND HOMELESS INDIVIDUALS AND THEIR FAMILIES OPTIMIZE THEIR OVERALL HEALTH AND FUNCTIONAL CAPABILITIES. CHCI ALSO PROVIDES FINANCIAL SUPPORT TO OTHER LOCAL AND NATIONAL NONPROFIT ORGANIZATIONS. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | -903265 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | -925441 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoListedPersonsCompensatedInd | 0 | X |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrgDoesNotFollowFASB117Ind | 0 | X |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -22176 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrincipalOfficerNm | 0 | DIANE SEIWERT |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 13987 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 112856 |
| IRS990/PYOtherExpensesAmt | 0 | 120673 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -219542 |
| IRS990/PYTotalExpensesAmt | 0 | 233529 |
| IRS990/PYTotalRevenueAmt | 0 | 13987 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 0 |
| IRS990/RelatedEntityInd | 0 | false |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | false |
| IRS990/ReportOtherAssetsInd | 0 | false |
| IRS990/ReportOtherLiabilitiesInd | 0 | false |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt | 0 | -903265 |
| IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt | 0 | -925441 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 13987 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 11412 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 165332 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 145648 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 336379 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 13987 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 11412 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 165332 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 145648 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 336379 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 13987 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 11412 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt | 0 | 165332 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 145648 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 336379 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.50000 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.50000 |
| IRS990ScheduleA/PrivateFoundation509Ind | 0 | X |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.50000 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.50000 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 336379 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 13987 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 11412 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 165332 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 145648 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 336379 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 27974 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 22824 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 330664 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 291296 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 672758 |
| IRS990/ScheduleBRequiredInd | 0 | false |
| IRS990/ScheduleJRequiredInd | 0 | false |
| IRS990/ScheduleORequiredInd | 0 | true |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | Due to unforeseen circumstances the form 990 has not been able to be reviewed wtih the President prior to filing. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | Copies of the organizations tax returns and other supporting documentation are available to the public upon request. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | Adequate financial records have not been furnished due to unforeseen circumstances. Adjustments have been made only to balance until further information is available. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | Amendment will be filed when adequate information is available to do so. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Form 990 governing body review Part VI line 11 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | Governing documents etc available to public Part VI line 19 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | Explanation of other changes in net assets or fund balances Part XI line 9 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | General explanation attachment |
| IRS990/SchoolOperatingInd | 0 | false |
| IRS990/SignificantChangeInd | 0 | false |
| IRS990/SignificantNewProgramSrvcInd | 0 | false |
| IRS990/SubjectToExcsTaxNetInvstIncInd | 0 | false |
| IRS990/SubjectToProxyTaxInd | 0 | false |
| IRS990/SubjToTaxRmnrtnExPrchtPymtInd | 0 | false |
| IRS990/TaxablePartyNotificationInd | 0 | false |
| IRS990/TaxExemptBondsInd | 0 | false |
| IRS990/TerminateOperationsInd | 0 | false |
| IRS990/TotalAssetsBOYAmt | 0 | 22176 |
| IRS990/TotalAssetsEOYAmt | 0 | 0 |
| IRS990/TotalAssetsGrp/BOYAmt | 0 | 22176 |
| IRS990/TotalAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/TotalCompGreaterThan150KInd | 0 | false |
| IRS990/TotalEmployeeCnt | 0 | 0 |
| IRS990/TotalFunctionalExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt | 0 | 0 |
| IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/TotalFunctionalExpensesGrp/TotalAmt | 0 | 0 |
| IRS990/TotalGrossUBIAmt | 0 | 0 |
| IRS990/TotalLiabilitiesBOYAmt | 0 | 925441 |
| IRS990/TotalLiabilitiesEOYAmt | 0 | 925441 |
| IRS990/TotalLiabilitiesGrp/BOYAmt | 0 | 925441 |
| IRS990/TotalLiabilitiesGrp/EOYAmt | 0 | 925441 |
| IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt | 0 | -903265 |
| IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt | 0 | -925441 |
| IRS990/TotalOtherCompensationAmt | 0 | 0 |
| IRS990/TotalReportableCompFromOrgAmt | 0 | 0 |
| IRS990/TotalRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/TotalRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt | 0 | 22176 |
| IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt | 0 | 0 |
| IRS990/TotReportableCompRltdOrgAmt | 0 | 0 |
| IRS990/TransactionWithControlEntInd | 0 | false |
| IRS990/TrnsfrExmptNonChrtblRltdOrgInd | 0 | false |
| IRS990/TypeOfOrganizationCorpInd | 0 | X |
| IRS990/UnrelatedBusIncmOverLimitInd | 0 | false |
| IRS990/UnsecuredNotesLoansPayableGrp/BOYAmt | 0 | 925441 |
| IRS990/UnsecuredNotesLoansPayableGrp/EOYAmt | 0 | 925441 |
| IRS990/UponRequestInd | 0 | X |
| IRS990/USAddress/AddressLine1Txt | 0 | 1012 N OCEAN VIEW BLVD APT 401 |
| IRS990/USAddress/CityNm | 0 | Pompano Beach |
| IRS990/USAddress/StateAbbreviationCd | 0 | FL |
| IRS990/USAddress/ZIPCd | 0 | 33062 |
| IRS990/VotingMembersGoverningBodyCnt | 0 | 4 |
| IRS990/VotingMembersIndependentCnt | 0 | 4 |
| IRS990/WhistleblowerPolicyInd | 0 | false |
| ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd | 0 | AAL1 |
| ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd | 0 | IAL1 |
| ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/OOBSecurityVerificationCd | 0 | 00 |
| ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd | 0 | 0 |
| ReturnHeader/BuildTS | 0 | 2023-04-26 12:10:37Z |
| ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd | 0 | true |
| ReturnHeader/BusinessOfficerGrp/PersonNm | 0 | Diane M Seiwert MSN APRN |
| ReturnHeader/BusinessOfficerGrp/PersonTitleTxt | 0 | President |
| ReturnHeader/BusinessOfficerGrp/PhoneNum | 0 | 5139190770 |
| ReturnHeader/BusinessOfficerGrp/SignatureDt | 0 | 2023-07-11 |
| ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt | 0 | CHRYSALIS HEALTH CARE INC |
| ReturnHeader/Filer/BusinessNameControlTxt | 0 | CHRY |
| ReturnHeader/Filer/EIN | 0 | 311423931 |
| ReturnHeader/Filer/USAddress/AddressLine1Txt | 0 | 5300 HAMILTON AVENUE SUITE 606 |
| ReturnHeader/Filer/USAddress/CityNm | 0 | Cincinnati |
| ReturnHeader/Filer/USAddress/StateAbbreviationCd | 0 | OH |
| ReturnHeader/Filer/USAddress/ZIPCd | 0 | 45224 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmEIN | 0 | 830466910 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt | 0 | Liberty Tax Service |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt | 0 | 591 W Eads Parkway |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm | 0 | LAWRENCEBURG |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd | 0 | IN |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd | 0 | 470251157 |
| ReturnHeader/PreparerPersonGrp/PhoneNum | 0 | 8125371044 |
| ReturnHeader/PreparerPersonGrp/PreparationDt | 0 | 2023-07-11 |
| ReturnHeader/PreparerPersonGrp/PreparerPersonNm | 0 | Cynthia Stafford |
| ReturnHeader/ReturnTs | 0 | 2023-07-11T17:01:41-04:00 |
| ReturnHeader/ReturnTypeCd | 0 | 990 |
| ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm | 0 | Diane |
| ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm | 0 | Seiwert |
| ReturnHeader/TaxPeriodBeginDt | 0 | 2020-10-01 |
| ReturnHeader/TaxPeriodEndDt | 0 | 2021-09-30 |
| ReturnHeader/TaxYr | 0 | 2020 |
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