Civic Intelligence

Harrison Community Hospital Foundation

990EZ • Fiscal year 2020 • EIN 34-1571749

Oct 01, 2019 to Sep 30, 2020 • Filed on Aug 09, 2021

951 E Market StreetCadiz, OH 43907

(304) 243-3801

Siviq Scores

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

Liabilities / Assets

56th percentile

0.00x

Higher debt load relative to assets than 56% of similar nonprofits.

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2020

Net Margin

100th percentile

120%

Higher net margin than 100% of similar nonprofits.

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Top Officer Pay

76th percentile

$0

Higher top officer pay than 76% of similar nonprofits.

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Asset Growth

41st percentile

-0.6%

Faster asset growth than 41% of similar nonprofits.

2020 filings • 501(c)3 • <$500k nonprofits • Annualized from 2019 to 2020

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2019 to 2020

Assets

Down

$402,977

Down $2,438 (-0.6%) from 2019

Net Assets

Down

$402,868

Down $2,539 (-0.6%) from 2019

Liabilities

Up

$109

Up $101 (+1263%) from 2019

Revenue

Down

-$2,113

Down $40,186 (-106%) from 2019

Expenses

Up

$426

Up $124 (+41%) from 2019

Net Income

Down

-$2,539

Down $40,310 (-107%) from 2019

Historical Trend

Balance Sheet Trend

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

$4.0M$3.0M$2.0M$1.0M$0Assets 2010: $3,482,665Liabilities 2010: $0Net Assets 2010: $3,482,6652010Assets 2011: $3,052,893Liabilities 2011: $3,692Net Assets 2011: $3,049,2012011Assets 2012: $2,633,015Liabilities 2012: $0Net Assets 2012: $2,633,0152012Assets 2013: $2,413,289Liabilities 2013: $0Net Assets 2013: $2,413,2892013Assets 2014: $2,204,688Liabilities 2014: $0Net Assets 2014: $2,204,6882014Assets 2015: $1,485,086Liabilities 2015: $0Net Assets 2015: $1,485,0862015Assets 2016: $167,560Liabilities 2016: $0Net Assets 2016: $167,5602016Assets 2018: $367,636Liabilities 2018: $0Net Assets 2018: $367,6362018Assets 2019: $405,415Liabilities 2019: $8Net Assets 2019: $405,4072019Assets 2020: $402,977Liabilities 2020: $109Net Assets 2020: $402,8682020Assets 2021: $400,455Liabilities 2021: $109Net Assets 2021: $400,3462021Assets 2022: $0Net Assets 2022: $02022

Highlighted filing

2020

Assets$402,977
Liabilities$109
Net Assets$402,868

Operations Trend

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

$2.0M$1.0M$0-$1.0M-$2.0MExpenses 2010: $19,5372010Expenses 2011: $18,8852011Expenses 2012: $719,5022012Revenue 2013: $313,635Expenses 2013: $620,772Net Income 2013: -$307,1372013Revenue 2014: $226,236Expenses 2014: $343,490Net Income 2014: -$117,2542014Revenue 2015: $487,428Expenses 2015: $687,086Net Income 2015: -$199,6582015Revenue 2016: $32,988Expenses 2016: $1,350,514Net Income 2016: -$1,317,5262016Revenue 2018: $31,558Expenses 2018: $2,083Net Income 2018: $29,4752018Revenue 2019: $38,073Expenses 2019: $302Net Income 2019: $37,7712019Revenue 2020: -$2,113Expenses 2020: $426Net Income 2020: -$2,5392020Revenue 2021: -$2,232Expenses 2021: $290Net Income 2021: -$2,5222021Revenue 2022: $64,837Expenses 2022: $223Net Income 2022: $64,6142022

Highlighted filing

2020

Revenue-$2,113
Expenses$426
Net Income-$2,539
Jump To
Filing Snapshot
Filing Period
Oct 1, 2019 to Sep 30, 2020
Signed
Aug 9, 2021
Return Version
2019v5.2
Gross Receipts
$833
Mission and Program Overview

Mission

supporting organization for harrison community hospital. to provide the highest level of quality healthcare services to all people of its service area.

Program Services

DescriptionGrantsExpenses
THE HARRISON COMMUNITY HOSPITAL FOUNDATION ADVANCES ITS TRADITION OF SUPPORT BY RAISING FUNDS FOR DIAGNOSTIC AND LIFESAVING EQUIPMENT, NEW TECHNOLOGIES, AND OTHER HOSPITAL NEEDS.$0$0
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
KENNETH MASON SRTrustee-$0--
GARY HILLTrustee-$0--
TOM SHIELDSTrustee-$0--
BRUCE ARCHERVP/General Counsel-$0--
HEIDI PORTERVP Quality/Regulatory Affairs-$0--
JAMES B MURDYCheif Administrative Officer-$0--
SANDI THOMPSONSecretary/Treasurer-$0--
ANTHONY MARTINELLIVice President/Assistant VP-$0--
MICHAEL SLIVAPresident-$0--
Filing and Contact Details

Filer

Filer Name
Harrison Community Hospital Foundation
EIN
34-1571749
Phone
3042433801
Address
951 E MARKET STREET, CADIZ, OH 43907

Signing Officer

Name
Joseph Wenger
Title
CFO
Phone
3042433801
Signed
2021-08-09
Discuss with paid preparer
Yes

Preparer

Firm
Kozicki Hughes Tickerhoof Pllc
Address
32 TWENTIETH STREET SUITE 300, WHEELING, WV 26003
Preparer
Dennis a Kozicki
Phone
3042322280
Supplemental Narrative

Additional Explanations

Form 990-ez, Part I, Line 4 - Other Investment Income

Description: investment income. Amount: 699.

Form 990-ez, Part I, Line 8 - Other Revenue

Description: misc revenue. Amount: 134.

Form 990-ez, Part I, Line 16 - Other Expenses

Description: misc bank/fund fees. Amount: 426.

Form 990-ez, Part II, Line 24 - Other Assets

Description: other receivables. Beg. Of year amount: 20,829. End of year amount: 20,829.

Form 990-ez, Part II, Line 26 - Other Liabilities

Description: accounts payable. Beg. Of year amount: 8. End of year amount: 109.

Raw XML Appendix191 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
IRS990EZ/ActivitiesNotPreviouslyRptInd00
IRS990EZ/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0JOSEPH WENGER CFO
IRS990EZ/BooksInCareOfDetail/PhoneNum03042433801
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt0ONE MEDICAL PARK
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0WHEELING
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0WV
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd026003
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt0384586
IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt0382148
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd00
IRS990EZ/DirectIndirectPltclExpendAmt00
IRS990EZ/DonorAdvisedFndsInd00
IRS990EZ/EngagedInExcessBenefitTransInd00
IRS990EZ/ExcessOrDeficitForYearAmt0-2539
IRS990EZ/FiledScheduleAInd01
IRS990EZ/ForeignFinancialAccountInd00
IRS990EZ/ForeignOfficeInd00
IRS990EZ/Form990TotalAssetsGrp/BOYAmt0405415
IRS990EZ/Form990TotalAssetsGrp/EOYAmt0402977
IRS990EZ/GrossReceiptsAmt0833
IRS990EZ/InfoInScheduleOPartIIIInd0X
IRS990EZ/InfoInScheduleOPartIIInd0X
IRS990EZ/InfoInScheduleOPartIInd0X
IRS990EZ/InfoInScheduleOPartVInd0X
IRS990EZ/InvestmentIncomeAmt0699
IRS990EZ/LobbyingActivitiesInd00
IRS990EZ/MadeLoansToFromOfficersInd00
IRS990EZ/MethodOfAccountingAccrualInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt0405407
IRS990EZ/NetAssetsOrFundBalancesEOYAmt0402868
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt0405407
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt0402868
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt01.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt11.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt21.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt31.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt41.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt51.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt61.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt71.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt81.00
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/EmployeeBenefitProgramAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0KENNETH MASON SR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1GARY HILL
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2TOM SHIELDS
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3BRUCE ARCHER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4HEIDI PORTER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm5JAMES B MURDY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm6SANDI THOMPSON
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm7ANTHONY MARTINELLI
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm8MICHAEL SLIVA
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0TRUSTEE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1TRUSTEE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2TRUSTEE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3VP/GENERAL COUNSEL
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4VP QUALITY/REGULATORY AFFAIRS
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt5CHEIF ADMINISTRATIVE OFFICER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt6SECRETARY/TREASURER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt7VICE PRESIDENT/ASSISTANT VP
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt8PRESIDENT
IRS990EZ/OperateHospitalInd00
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd00
IRS990EZ/OrganizationHadUBIInd00
IRS990EZ/OtherAssetsTotalDetail/BOYAmt020829
IRS990EZ/OtherAssetsTotalDetail/EOYAmt020829
IRS990EZ/OtherChangesInNetAssetsAmt00
IRS990EZ/OtherExpensesTotalAmt0426
IRS990EZ/OtherRevenueTotalAmt0134
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd00
IRS990EZ/PrimaryExemptPurposeTxt0SUPPORTING ORGANIZATION FOR HARRISON COMMUNITY HOSPITAL. TO PROVIDE THE HIGHEST LEVEL OF QUALITY HEALTHCARE SERVICES TO ALL PEOPLE OF ITS SERVICE AREA.
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0THE HARRISON COMMUNITY HOSPITAL FOUNDATION ADVANCES ITS TRADITION OF SUPPORT BY RAISING FUNDS FOR DIAGNOSTIC AND LIFESAVING EQUIPMENT, NEW TECHNOLOGIES, AND OTHER HOSPITAL NEEDS.
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt00
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt00
IRS990EZ/ProhibitedTaxShelterTransInd00
IRS990EZ/RelatedOrganizationCtrlEntInd00
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SchoolOperatingInd00
IRS990EZ/SpecialEventsDirectExpensesAmt02946
IRS990EZ/SpecialEventsNetIncomeLossAmt0-2946
IRS990EZ/StatesWhereCopyOfReturnIsFldCd0OH
IRS990EZ/SubjectToProxyTaxInd00
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt08
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt0109
IRS990EZ/TanningServicesProvidedInd00
IRS990EZ/TaxImposedOnOrganizationMgrAmt00
IRS990EZ/TaxImposedUnderIRC4911Amt00
IRS990EZ/TaxImposedUnderIRC4912Amt00
IRS990EZ/TaxImposedUnderIRC4955Amt00
IRS990EZ/TaxReimbursedByOrganizationAmt00
IRS990EZ/TotalExpensesAmt0426
IRS990EZ/TotalProgramServiceExpensesAmt00
IRS990EZ/TotalRevenueAmt0-2113
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0WWW.WHEELINGHOSPITAL.ORG
IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd01
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd00
IRS990ScheduleA/MajorityDirTrstSupportedOrgInd01
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt01
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0341571750
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0HARRISON COMMUNITY HOSPITAL
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType2Ind0X
IRS990ScheduleA/SupportSumAmt00
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0DESCRIPTION: INVESTMENT INCOME. AMOUNT: 699.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1DESCRIPTION: MISC REVENUE. AMOUNT: 134.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2DESCRIPTION: MISC BANK/FUND FEES. AMOUNT: 426.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3DESCRIPTION: OTHER RECEIVABLES. BEG. OF YEAR AMOUNT: 20,829. END OF YEAR AMOUNT: 20,829.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 8. END OF YEAR AMOUNT: 109.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES
TransferPrsnlBnftContractsDecl/DeclarationDesc0THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0JOSEPH WENGER
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CFO
ReturnHeader/BusinessOfficerGrp/PhoneNum03042433801
ReturnHeader/BusinessOfficerGrp/SignatureDt02021-08-09
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0HARRISON COMMUNITY HOSPITAL FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0HARR
ReturnHeader/Filer/EIN0341571749
ReturnHeader/Filer/PhoneNum03042433801
ReturnHeader/Filer/USAddress/AddressLine1Txt0951 E MARKET STREET
ReturnHeader/Filer/USAddress/CityNm0CADIZ
ReturnHeader/Filer/USAddress/StateAbbreviationCd0OH
ReturnHeader/Filer/USAddress/ZIPCd043907
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0550526247
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0KOZICKI HUGHES TICKERHOOF PLLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt032 TWENTIETH STREET SUITE 300
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0WHEELING
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0WV
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd026003
ReturnHeader/PreparerPersonGrp/PhoneNum03042322280
ReturnHeader/PreparerPersonGrp/PreparationDt02021-08-06
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0DENNIS A KOZICKI
ReturnHeader/ReturnTs02021-08-12T07:26:15-05:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02019-10-01
ReturnHeader/TaxPeriodEndDt02020-09-30
ReturnHeader/TaxYr02019

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings