Civic Intelligence

Providence Senior High School Band Booster Club

990EZ • Fiscal year 2017 • EIN 31-1561423

Jun 01, 2016 to May 31, 2017 • Filed on Jul 11, 2017

Refreshing map…

1800 Pineville-Matthews RdCharlotte, NC 28270

(704) 604-5611

Siviq Scores

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

Liabilities / Assets

82nd percentile

0.09x

Higher debt load relative to assets than 82% of similar nonprofits.

2017 filings • NTEE B • <$500k nonprofits • Source year 2017

Liabilities / Revenue

82nd percentile

0.06x

Higher debt load relative to revenue than 82% of similar nonprofits.

2017 filings • NTEE B • <$500k nonprofits • Source year 2017

Net Margin

18th percentile

-19%

Higher net margin than 18% of similar nonprofits.

2017 filings • NTEE B • <$500k nonprofits • Source year 2017

Top Officer Pay

84th percentile

$0

Higher top officer pay than 84% of similar nonprofits.

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

2017 filings • NTEE B • <$500k nonprofits • Source year 2017

Asset Growth

Score unavailable

No value available

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

Source year 2017

Revenue Growth

Score unavailable

No value available

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

Source year 2017

Assets

$69,202

No earlier filing loaded for comparison.

Net Assets

$62,632

No earlier filing loaded for comparison.

Liabilities

$6,570

No earlier filing loaded for comparison.

Revenue

$113,494

No earlier filing loaded for comparison.

Expenses

$134,581

No earlier filing loaded for comparison.

Net Income

-$21,087

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$150K$100K$50K$0Assets 2017: $69,202Liabilities 2017: $6,570Net Assets 2017: $62,6322017Assets 2018: $86,373Liabilities 2018: $4,423Net Assets 2018: $81,9502018Assets 2019: $80,560Liabilities 2019: $8,900Net Assets 2019: $71,6602019Assets 2020: $65,681Liabilities 2020: $3,021Net Assets 2020: $62,6602020Assets 2021: $77,487Liabilities 2021: $10,058Net Assets 2021: $67,4292021Assets 2025: $126,721Liabilities 2025: $3,457Net Assets 2025: $123,2642025

Highlighted filing

2017

Assets$69,202
Liabilities$6,570
Net Assets$62,632

Operations Trend

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

$150K$100K$50K$0-$50KRevenue 2017: $113,494Expenses 2017: $134,581Net Income 2017: -$21,0872017Revenue 2018: $117,120Expenses 2018: $105,302Net Income 2018: $11,8182018Revenue 2019: $104,424Expenses 2019: $109,188Net Income 2019: -$4,7642019Revenue 2020: $87,933Expenses 2020: $96,971Net Income 2020: -$9,0382020Revenue 2021: $21,464Expenses 2021: $16,695Net Income 2021: $4,7692021Revenue 2025: $82,232Expenses 2025: $66,129Net Income 2025: $16,1032025

Highlighted filing

2017

Revenue$113,494
Expenses$134,581
Net Income-$21,087
Jump To
Filing Snapshot
Filing Period
Jun 1, 2016 to May 31, 2017
Signed
Jul 11, 2017
Return Version
2016v3.0
Gross Receipts
$154,794
Mission and Program Overview

Mission

To enable band parents to enter into a working relationship with the band director and raise funds to supplement programs

Program Services

DescriptionGrantsExpenses
TO SUPPORT THE MUSICAL ARTS PROGRAM AT PROVIDENCE SENIOR HIGH SCHOOL-$127,446
SCHOLARSHIP AWARDED TO A DESERVING BAND SENIOR AT PROVIDENCE SENIOR HIGH SCHOOL-$500
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
WENDY WILLIAMSPresident-$0--
KIM BLOMGRENPresident Elect-$0--
CARRIE HOLSTROMSecretary-$0--
MARY BOYLANCo-Treasurer-$0--
MELINDA TRUMPCo-Treasurer-$0--
CHRIS ECKERVP Fundraising-$0--
TINA WARDVP Support-$0--
MARIA DIAMANTISVP Admin & Events-$0--
JOSHUA POTTERBand Director-$0--
Filing and Contact Details

Filer

Filer Name
Providence Sr High School Band Booster Club
EIN
31-1561423
Phone
7046045611
Address
1800 Pineville-Matthews Rd, Charlotte, NC 28270

Signing Officer

Name
Mary Boylan
Title
Treasurer
Phone
7046045611
Signed
2017-07-11

Preparer

Firm
Davies Goldstein & Associates CPA's PLLC
Address
PO Box 156, Matthews, NC 28106
Preparer
Jeffrey Goldstein
Phone
7046840555
Supplemental Narrative

Additional Explanations

Form 990EZ, Part I, Line 8

Other exempt function income 2896.

Form 990EZ, Part I, Line 16

Office expenses 1225.

Form 990EZ, Part I, Line 16

Travel 9136.

Form 990EZ, Part I, Line 16

Insurance 3221.

Form 990EZ, Part I, Line 16

Supplies/uniforms 10019.

Form 990EZ, Part I, Line 16

Camp/competition 10095.

Form 990EZ, Part I, Line 16

Color guard expense 4984.

Form 990EZ, Part I, Line 16

Events/banquet 8803.

Form 990EZ, Part I, Line 16

Winter guard expenses 3380.

Form 990EZ, Part I, Line 16

Equipment repair 994.

Form 990EZ, Part I, Line 16

Capital improvements 11420.

Form 990EZ, Part I, Line 16

Concerts/clinics 5424.

Form 990EZ, Part I, Line 16

Sales tax 1128.

Form 990EZ, Part I, Line 16

Commission expense 6635.

Form 990EZ, Part II, Line 24

Prepaid commission 6635.

Form 990EZ, Part II, Line 26

Student account credit 17380. 6570.

Raw XML Appendix220 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.

Path#Value
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IRS990EZ/BenefitsPaidToOrForMembersAmt0500
IRS990EZ/BooksInCareOfDetail/PersonNm0MARY BOYLAN
IRS990EZ/BooksInCareOfDetail/PhoneNum07046045611
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt02300 Gunners Ct
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0Charlotte
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0NC
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd028270
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt094464
IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt069202
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd0false
IRS990EZ/ContributionsGiftsGrantsEtcAmt03407
IRS990EZ/CostOfGoodsSoldAmt01019
IRS990EZ/CostOrOtherBasisExpenseSaleAmt00
IRS990EZ/DonorAdvisedFndsInd0false
IRS990EZ/EngagedInExcessBenefitTransInd0false
IRS990EZ/ExcessOrDeficitForYearAmt0-21087
IRS990EZ/FeesAndOtherPymtToIndCntrctAmt057617
IRS990EZ/ForeignFinancialAccountInd0false
IRS990EZ/ForeignOfficeInd0false
IRS990EZ/Form1120PolFiledInd0false
IRS990EZ/Form990TotalAssetsGrp/BOYAmt0101099
IRS990EZ/Form990TotalAssetsGrp/EOYAmt069202
IRS990EZ/FundraisingGrossIncomeAmt058474
IRS990EZ/GainOrLossFromSaleOfAssetsAmt00
IRS990EZ/GamingGrossIncomeAmt00
IRS990EZ/GrossProfitLossSlsOfInvntryAmt02300
IRS990EZ/GrossReceiptsAmt0154794
IRS990EZ/GrossSalesOfInventoryAmt03319
IRS990EZ/InfoInScheduleOPartIIInd0X
IRS990EZ/InfoInScheduleOPartIInd0X
IRS990EZ/InvestmentIncomeAmt029
IRS990EZ/LobbyingActivitiesInd0false
IRS990EZ/MadeLoansToFromOfficersInd0false
IRS990EZ/MembershipDuesAmt086669
IRS990EZ/MethodOfAccountingCashInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt083719
IRS990EZ/NetAssetsOrFundBalancesEOYAmt062632
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt63.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt73.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt83.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0WENDY WILLIAMS
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1KIM BLOMGREN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2CARRIE HOLSTROM
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3MARY BOYLAN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4MELINDA TRUMP
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm5CHRIS ECKER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm6TINA WARD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm7MARIA DIAMANTIS
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm8JOSHUA POTTER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0President
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1President elect
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2Secretary
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3Co-treasurer
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4Co-treasurer
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt5VP Fundraising
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt6VP Support
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt7VP Admin & Events
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt8Band Director
IRS990EZ/OperateHospitalInd0false
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd0false
IRS990EZ/OrganizationHadUBIInd0false
IRS990EZ/OtherAssetsTotalDetail/BOYAmt06635
IRS990EZ/OtherExpensesTotalAmt076464
IRS990EZ/OtherRevenueTotalAmt02896
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd0false
IRS990EZ/PrimaryExemptPurposeTxt0To enable band parents to enter into a working relationship with the band director and raise funds to supplement programs
IRS990EZ/ProgramServiceRevenueAmt00
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0TO SUPPORT THE MUSICAL ARTS PROGRAM AT PROVIDENCE SENIOR HIGH SCHOOL
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt1SCHOLARSHIP AWARDED TO A DESERVING BAND SENIOR AT PROVIDENCE SENIOR HIGH SCHOOL
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt0127446
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt1500
IRS990EZ/ProhibitedTaxShelterTransInd0false
IRS990EZ/RelatedOrganizationCtrlEntInd0false
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SchoolOperatingInd0false
IRS990EZ/SpecialEventsDirectExpensesAmt040281
IRS990EZ/SpecialEventsNetIncomeLossAmt018193
IRS990EZ/SubjectToProxyTaxInd0false
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt017380
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt06570
IRS990EZ/TanningServicesProvidedInd0false
IRS990EZ/TotalExpensesAmt0134581
IRS990EZ/TotalProgramServiceExpensesAmt0127946
IRS990EZ/TotalRevenueAmt0113494
IRS990EZ/TransactionWithControlEntInd0false
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0N/A
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0Other Income Part III, Line 12
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Pt III Ln 12
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt090076
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt0103578
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt0135681
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt074082
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt077861
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt0481278
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt00
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt029
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt043
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt044
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt035
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt025
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt0176
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt023389
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt023389
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt029
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt043
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt044
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt035
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt025
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt0176
IRS990ScheduleA/InvestmentIncomeCYPct00.00030
IRS990ScheduleA/InvestmentIncomePYPct00.00020
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt043637
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt039675
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt037365
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt024232
IRS990ScheduleA/OtherIncome509Grp/TotalAmt0144909
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00
IRS990ScheduleA/PublicSupportCY509Pct00.77670
IRS990ScheduleA/PublicSupportPY509Pct00.73750
IRS990ScheduleA/PublicSupportTotal170Amt00
IRS990ScheduleA/PublicSupportTotal509Amt0504667
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0113465
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0103578
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0135681
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt074082
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt077861
IRS990ScheduleA/Total509Grp/TotalAmt0504667
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0649752
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Other exempt function income 2896.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Office expenses 1225.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Travel 9136.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Insurance 3221.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4Supplies/uniforms 10019.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5Camp/competition 10095.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6Color guard expense 4984.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7Events/banquet 8803.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8Winter guard expenses 3380.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9Equipment repair 994.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10Capital improvements 11420.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt11Concerts/clinics 5424.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt12Sales tax 1128.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt13Commission expense 6635.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt14Prepaid commission 6635.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt15Student account credit 17380. 6570.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990EZ, Part I, Line 8
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc10Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc11Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc12Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc13Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc14Form 990EZ, Part II, Line 24
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc15Form 990EZ, Part II, Line 26
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/PersonNm0MARY BOYLAN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum07046045611
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-07-11
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Providence Sr High School Band Booster Club
ReturnHeader/Filer/BusinessNameControlTxt0PROV
ReturnHeader/Filer/EIN0311561423
ReturnHeader/Filer/PhoneNum07046045611
ReturnHeader/Filer/USAddress/AddressLine1Txt01800 Pineville-Matthews Rd
ReturnHeader/Filer/USAddress/CityNm0Charlotte
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NC
ReturnHeader/Filer/USAddress/ZIPCd028270
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId06DA0C3F23B10823B03E195625D67E6E7D154F099
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0EE18637D08F5311254A42021F7F05A27788FDAB1
ReturnHeader/FilingSecurityInformation/FederalOriginalSubmissionId06904082017212005wnxd
ReturnHeader/FilingSecurityInformation/FederalOriginalSubmissionIdDt02017-07-31
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt074.218.238.86
ReturnHeader/FilingSecurityInformation/IPDt02017-08-07
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0PD
ReturnHeader/FilingSecurityInformation/IPTm007:25:21
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Davies Goldstein & Associates CPA's PLLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0PO Box 156
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Matthews
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd028106
ReturnHeader/PreparerPersonGrp/PhoneNum07046840555
ReturnHeader/PreparerPersonGrp/PreparationDt02017-08-07
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0JEFFREY GOLDSTEIN
ReturnHeader/ReturnTs02017-08-07T07:25:34-07:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02016-06-01
ReturnHeader/TaxPeriodEndDt02017-05-31
ReturnHeader/TaxYr02016

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