Civic Intelligence

Kades Klassic

EIN 33-1140039 • 501(c)3 • Delavan, WI

Pub. 78 Eligible990-N Coverage

Profile

To give financial assistance to a Southeastern Wisconsin family who has a child that has been seriously injured or ill (not terminal) and are in financial need.

W8035 County Trunk ADelavan, WI 53115

www.kadesklassic.com

Siviq Scores

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

Liabilities / Assets

60th percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2015

Liabilities / Revenue

62nd percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2015

Net Margin

75th percentile

21%

Higher net margin than 75% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2015

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 2015

Asset Growth

98th percentile

659%

Faster asset growth than 98% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2014 to 2015

Revenue Growth

82nd percentile

42%

Faster revenue growth than 82% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2014 to 2015

Assets

Up

$12,978

Up $11,267 (+659%) from 2014

Liabilities

Flat

$0

Flat from 2014

Net Assets

Up

$12,978

Up $11,267 (+659%) from 2014

Revenue

Up

$52,767

Up $15,509 (+42%) from 2014

Expenses

Up

$41,500

Up $4,982 (+14%) from 2014

Net Income

Up

$11,267

Up $10,527 (+1423%) from 2014

Trend Graphs

Balance Sheet Trend

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

$15K$10K$5.0K$0Assets 2010: $1,347Liabilities 2010: $0Net Assets 2010: $1,3472010Assets 2011: $1,419Liabilities 2011: $0Net Assets 2011: $1,4192011Assets 2012: $2,964Liabilities 2012: $0Net Assets 2012: $2,9642012Assets 2013: $971Liabilities 2013: $0Net Assets 2013: $9712013Assets 2014: $1,711Liabilities 2014: $0Net Assets 2014: $1,7112014Assets 2015: $12,978Liabilities 2015: $0Net Assets 2015: $12,9782015

Highlighted filing

2015

Assets$12,978
Liabilities$0
Net Assets$12,978

Operations Trend

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

$60K$40K$20K$0-$20KExpenses 2010: $30,1002010Expenses 2011: $24,3852011Expenses 2012: $18,0002012Revenue 2013: $27,442Expenses 2013: $29,435Net Income 2013: -$1,9932013Revenue 2014: $37,258Expenses 2014: $36,518Net Income 2014: $7402014Revenue 2015: $52,767Expenses 2015: $41,500Net Income 2015: $11,2672015

Highlighted filing

2015

Revenue$52,767
Expenses$41,500
Net Income$11,267

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
May 10, 2016
Return Version
2015v2.1
Gross Receipts
$67,504
Mission and Program Overview

Mission

To give financial assistance to a Southeastern Wisconsin family who has a child that has been seriously injured or ill (not terminal) and are in financial need.

Golf outing with auction and 5k walk to benefit the selected beneficiary family

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$1,711$12,978▲ $11,267
Total Assets$1,711$12,978▲ $11,267
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$1,711$12,978▲ $11,267
Total Net Assets Fund Balance$1,711$12,978▲ $11,267
Total Liabilities and Net Assets / Fund Balance$1,711$12,978▲ $11,267
Compensation and Service Providers

Board Members and Trustees

NameTitle
Jill VancePresident
Patricia EhelnVice President
Angie EhlenSecretary/Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$52,767
Change in Net Assets
$11,267
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$41,500
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Individuals---$41,500
Total Functional Expenses$0$0$0$41,500
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$67,504
Fundraising Direct Expenses$14,737
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf Outing$67,504-$4,647-
Total Events--$14,737$11,267
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
Backup withholding compliance
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
Filing and Contact Details

Filer

Filer Name
Kades Klassic
EIN
33-1140039
Phone
2622482234
Address
W8035 County Trunk A, Delavan, WI 53115

Signing Officer

Name
Patricia Ehlen
Title
Treasurer
Phone
2622482234
Signed
2016-05-10

Organization Details

Principal Officer
Jill Vance
Formed
2006
Legal Domicile
Wi
Voting Board Members
4
Independent Board Members
4
Employees
0
Volunteers
4

Preparer

Firm
H and R Block
Address
514 BROAD ST, LAKE GENEVA, WI 53147
Preparer
Jeannie Walter
Phone
2622488778
Supplemental Narrative

Additional Explanations

Part 6 Line 11B

Officers meet to go over the information submitted on the form 990

Part 6 Line 18

All forms are available to the public upon written request

Raw XML Appendix274 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
IRS990/AccountantCompileOrReviewInd0false
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0GOLF OUTING WITH AUCTION AND 5K WALK TO BENEFIT THE SELECTED BENEFICIARY FAMILY
IRS990/AllAffiliatesIncludedInd0false
IRS990/BackupWthldComplianceInd0false
IRS990/BooksInCareOfDetail/PersonNm0Angie Ehlen
IRS990/BooksInCareOfDetail/PhoneNum02627424991
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0N602 County Hwy H
IRS990/BooksInCareOfDetail/USAddress/CityNm0Elkhorn
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0WI
IRS990/BooksInCareOfDetail/USAddress/ZIPCd053121
IRS990/BusinessRlnWithFamMemInd0false
IRS990/BusinessRlnWithOfficerEntInd0false
IRS990/BusinessRlnWithOrgMemInd0false
IRS990/CashNonInterestBearingGrp/BOYAmt01711
IRS990/CashNonInterestBearingGrp/EOYAmt012978
IRS990/ChangeToOrgDocumentsInd0false
IRS990/CollectionsOfArtInd0false
IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0false
IRS990/CompensationProcessOtherInd0false
IRS990/ConflictOfInterestPolicyInd0false
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0false
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt041500
IRS990/CYInvestmentIncomeAmt00
IRS990/CYOtherExpensesAmt00
IRS990/CYOtherRevenueAmt052767
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt011267
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt041500
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt052767
IRS990/DAFExcessBusinessHoldingsInd0false
IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/Desc0TO GIVE FINANCIAL ASSISTANCE TO A SOUTHEASTERN WISCONSIN FAMILY WHO HAS A CHILD THAT HAS BEEN SERIOUSLY INJURED OR ILL (NOT TERMINAL) AND ARE IN FIANCIAL NEED.
IRS990/DescribedInSection501c3Ind0true
IRS990/DisregardedEntityInd0false
IRS990/DistributionToDonorInd0false
IRS990/DocumentRetentionPolicyInd0false
IRS990/DonorAdvisedFundInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt00
IRS990/EngagedInExcessBenefitTransInd0false
IRS990/ExpenseAmt014737
IRS990/FamilyOrBusinessRlnInd0false
IRS990/FederalGrantAuditRequiredInd0false
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
IRS990/Form1098CFiledInd0false
IRS990/Form8282PropertyDisposedOfInd0false
IRS990/Form8899Filedind0false
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt05.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt15.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt25.00
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/PersonNm0Jill Vance
IRS990/Form990PartVIISectionAGrp/PersonNm1Patricia Eheln
IRS990/Form990PartVIISectionAGrp/PersonNm2Angie Ehlen
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/TitleTxt0President
IRS990/Form990PartVIISectionAGrp/TitleTxt1Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt2Secretary/Treasurer
IRS990/Form990ProvidedToGvrnBodyInd0false
IRS990/FormationYr02006
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedInd0false
IRS990/FundraisingActivitiesInd0true
IRS990/FundraisingDirectExpensesAmt014737
IRS990/FundraisingGrossIncomeAmt067504
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt04
IRS990/GrantsToDomesticIndividualsGrp/TotalAmt041500
IRS990/GrantsToIndividualsInd0true
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt067504
IRS990/GroupExemptionNum07827
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt04
IRS990/IndoorTanningServicesInd0false
IRS990/InvestmentInJointVentureInd0false
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0WI
IRS990/LicensedMoreThanOneStateInd0false
IRS990/LoanOutstandingInd0false
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingCashInd0X
IRS990/MinutesOfCommitteesInd0false
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0To give financial assistance to a Southeastern Wisconsin family who has a child that has been seriously injured or ill (not terminal) and are in financial need.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt01711
IRS990/NetAssetsOrFundBalancesEOYAmt012978
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt052767
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0false
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OrgFiledInLieuOfForm1041Ind0false
IRS990/OtherOrganizationDsc0Exempt Organization
IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0JILL VANCE
IRS990/ProfessionalFundraisingInd0false
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYExcessBenefitTransInd0false
IRS990/PYGrantsAndSimilarPaidAmt036518
IRS990/PYOtherRevenueAmt037258
IRS990/PYRevenuesLessExpensesAmt0740
IRS990/PYTotalExpensesAmt036518
IRS990/PYTotalRevenueAmt037258
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt011267
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt063855
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt067504
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt049796
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt036975
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt032717
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt041812
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt0228804
IRS990ScheduleA/InvestmentIncomeCYPct00.00000
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct01.00000
IRS990ScheduleA/PublicSupportTotal509Amt0228804
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt067504
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt049796
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt036975
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt032717
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt041812
IRS990ScheduleA/Total509Grp/TotalAmt0228804
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt067504
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt049796
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt036975
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt032717
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt041812
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0228804
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleG/CharitableDistributionRqrInd0false
IRS990ScheduleG/CntrctWith3rdPrtyForGameRevInd0false
IRS990ScheduleG/FundraisingEventInformationGrp/CashPrizesTotalEventsAmt026004
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt041500
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt014737
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentTotalEventsAmt041500
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0GOLF OUTING
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageTotalEventsAmt067504
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt067504
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt011267
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt026004
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt04647
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent1Amt010090
IRS990ScheduleG/GamingInformationGrp/VolunteerLaborBingoInd0false
IRS990ScheduleG/GamingInformationGrp/VolunteerLaborOtherGamingInd0false
IRS990ScheduleG/GamingInformationGrp/VolunteerLaborPullTabsInd0false
IRS990ScheduleG/GamingManagerCompensationAmt010090
IRS990ScheduleG/GamingWithNonmembersInd0false
IRS990ScheduleG/LicensedInd0false
IRS990ScheduleG/LicenseSuspendedEtcInd0false
IRS990ScheduleG/MemberOfOtherEntityInd0false
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0OFFICERS MEET TO GO OVER THE INFORMATION SUBMITTED ON THE FORM 990
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1ALL FORMS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0PART 6 LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1PART 6 LINE 18
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxableDistributionsInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TaxExemptInterestAmt00
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt01711
IRS990/TotalAssetsEOYAmt012978
IRS990/TotalAssetsGrp/BOYAmt01711
IRS990/TotalAssetsGrp/EOYAmt012978
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt041500
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt01711
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt012978
IRS990/TotalProgramServiceExpensesAmt014737
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt052767
IRS990/TotalVolunteersCnt04
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt01711
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt012978
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationOtherInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt01711
IRS990/UnrestrictedNetAssetsGrp/EOYAmt012978
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0W8035 COUNTY TRUNK A
IRS990/USAddress/CityNm0Delavan
IRS990/USAddress/StateAbbreviationCd0WI
IRS990/USAddress/ZIPCd053115
IRS990/VotingMembersGoverningBodyCnt04
IRS990/VotingMembersIndependentCnt04
IRS990/WebsiteAddressTxt0www.kadesklassic.com
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02016-09-27 15:27:22Z
ReturnHeader/BusinessOfficerGrp/PersonNm0PATRICIA EHLEN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Treasurer
ReturnHeader/BusinessOfficerGrp/PhoneNum02622482234
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-05-10
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Kades Klassic
ReturnHeader/Filer/BusinessNameControlTxt0KADE
ReturnHeader/Filer/EIN0331140039
ReturnHeader/Filer/PhoneNum02622482234
ReturnHeader/Filer/USAddress/AddressLine1Txt0W8035 County Trunk A
ReturnHeader/Filer/USAddress/CityNm0Delavan
ReturnHeader/Filer/USAddress/StateAbbreviationCd0WI
ReturnHeader/Filer/USAddress/ZIPCd053115
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0H AND R BLOCK
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0514 BROAD ST
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0LAKE GENEVA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0WI
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd053147
ReturnHeader/PreparerPersonGrp/PhoneNum02622488778
ReturnHeader/PreparerPersonGrp/PreparationDt02016-05-10
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Jeannie Walter
ReturnHeader/ReturnTs02016-05-10T21:57:11Z
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02015-01-01
ReturnHeader/TaxPeriodEndDt02015-12-31
ReturnHeader/TaxYr02015

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