Civic Intelligence

Hephzibah House Inc

EIN 35-1271444 • 501(c)3 • Winona Lake, IN

Profile

Charitable support of Hope Baptist Church in Warsaw, Indiana for ministry, evangelism and education

508 School StreetWinona Lake, IN 46590

www.hephzibahhouse.org

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 2022

Liabilities / Revenue

62nd percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2022

Net Margin

4th percentile

-715%

Higher net margin than 4% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2022

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 2022

Asset Growth

48th percentile

-3.4%

Faster asset growth than 48% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2021 to 2022

Revenue Growth

4th percentile

-99%

Faster revenue growth than 4% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2021 to 2022

Balance Sheet
Liabilities / Assets60th percentile

Assets

Down

$107,004

Down $3,769 (-3.4%) from 2021

Liabilities

Flat

$0

Flat from 2021

Net Assets

Down

$107,004

Down $3,769 (-3.4%) from 2021

Operations
Liabilities / Revenue62nd percentileNet Margin4th percentile

Revenue

Down

$527

Down $59,398 (-99%) from 2021

Expenses

Down

$4,296

Down $35,458 (-89%) from 2021

Net Income

Down

-$3,769

Down $23,940 (-119%) from 2021

Trend Graphs

Balance Sheet Trend

Asset Growth48th percentile

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

$600K$400K$200K$0Assets 2016: $473,858Liabilities 2016: $6,738Net Assets 2016: $467,1202016Assets 2017: $448,353Liabilities 2017: $10,296Net Assets 2017: $438,0572017Assets 2018: $479,058Liabilities 2018: $0Net Assets 2018: $479,0582018Assets 2020: $102,917Liabilities 2020: $12,279Net Assets 2020: $90,6382020Assets 2021: $110,773Liabilities 2021: $0Net Assets 2021: $110,7732021Assets 2022: $107,004Liabilities 2022: $0Net Assets 2022: $107,0042022

Highlighted filing

2022

Assets$107,004
Liabilities$0
Net Assets$107,004
Open 2022 Filing

Operations Trend

Revenue Growth4th percentile

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

$600K$400K$200K$0-$200KRevenue 2016: $326,964Expenses 2016: $342,268Net Income 2016: -$15,3042016Revenue 2017: $346,832Expenses 2017: $375,895Net Income 2017: -$29,0632017Revenue 2018: $378,399Expenses 2018: $337,398Net Income 2018: $41,0012018Revenue 2020: $371,484Expenses 2020: $455,121Net Income 2020: -$83,6372020Revenue 2021: $59,925Expenses 2021: $39,754Net Income 2021: $20,1712021Revenue 2022: $527Expenses 2022: $4,296Net Income 2022: -$3,7692022

Highlighted filing

2022

Revenue$527
Expenses$4,296
Net Income-$3,769
Open 2022 Filing

Filings

Most recent year

2022 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$107,004
Liabilities
$0
Net assets
$107,004
Revenue
$527
Expenses
$4,296
Net income
-$3,769
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2022Detailed filing. Detailed filing data is available for this year.$1.07$0.00$1.07$0.01$0.04$0.04
2021Detailed filing. Detailed filing data is available for this year.$1.11$0.00$1.11$0.60$0.40$0.20
2020Detailed filing. Detailed filing data is available for this year.$1.03$0.12$0.91$3.71$4.55$0.84
2018Detailed filing. Detailed filing data is available for this year.$4.79$0.00$4.79$3.78$3.37$0.41
2017Detailed filing. Detailed filing data is available for this year.$4.48$0.10$4.38$3.47$3.76$0.29
2016Detailed filing. Detailed filing data is available for this year.$4.74$0.07$4.67$3.27$3.42$0.15
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2021 to Jun 30, 2022
Signed
Sep 20, 2022
Return Version
2021v4.2
Gross Receipts
$527
Mission and Program Overview

Mission

Charitable support of Hope Baptist Church in Warsaw, Indiana for ministry, evangelism and education

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$110,773$107,004▼ $3,769
Rtn Earn Endowment Incm Other Fnds$110,773$107,004▼ $3,769
Total Assets$110,773$107,004▼ $3,769
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$110,773$107,004▼ $3,769
Total Liabilities and Net Assets / Fund Balance$110,773$107,004▼ $3,769
Compensation and Service Providers
Top Officer Pay81st percentile

Board Members and Trustees

NameTitle
Donald P WilliamsVice President
Ronald WilliamsPres Treasurer
Naomi D KaginSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$420
Program Service Revenue
$0
Investment Income
$107
Other Revenue
$0
All Other Contributions
$420
Change in Net Assets
$-3,769
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$4,296
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
Other Expenses$3,000--$3,000
Fees for Services Accounting---$1,005
Total Functional Expenses$3,000$0$0$4,296
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
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
No
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
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
Yes
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
Hephzibah House Inc
EIN
35-1271444
Phone
5742692376
Address
508 School Street, Winona Lake, IN 46590

Signing Officer

Name
Ronald Williams
Title
Executive director
Phone
5742692376
Signed
2022-09-20
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ronald Williams
Formed
1972
Legal Domicile
In
Voting Board Members
8
Independent Board Members
3
Employees
0

Preparer

Firm
LuAnn Gaisford CPA
Address
929 E Center St, Warsaw, IN 46580
Preparer
LuAnn Gaisford
Phone
5742677982
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3

“Residential girls counseling center closed in 2021.”

Raw XML Appendix269 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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IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0Charitable support of Hope Baptist Church in Warsaw, Indiana for ministry, evangelism and education
IRS990/AdvertisingGrp/TotalAmt00
IRS990/AllOtherContributionsAmt0420
IRS990/AllOtherExpensesGrp/TotalAmt00
IRS990/AnnualDisclosureCoveredPrsnInd0false
IRS990/BackupWthldComplianceInd0true
IRS990/BenefitsToMembersGrp/TotalAmt00
IRS990/BooksInCareOfDetail/PersonNm0RONALD WILLIAMS
IRS990/BooksInCareOfDetail/PhoneNum05742692376
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0508 SCHOOL ST
IRS990/BooksInCareOfDetail/USAddress/CityNm0WINONA LAKE
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0IN
IRS990/BooksInCareOfDetail/USAddress/ZIPCd046590
IRS990/BusinessRlnWith35CtrlEntInd0false
IRS990/BusinessRlnWithFamMemInd0false
IRS990/BusinessRlnWithOrgMemInd0false
IRS990/CashNonInterestBearingGrp/BOYAmt0110773
IRS990/CashNonInterestBearingGrp/EOYAmt0107004
IRS990/ChangeToOrgDocumentsInd0false
IRS990/CollectionsOfArtInd0false
IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt00
IRS990/CompDisqualPersonsGrp/TotalAmt00
IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0true
IRS990/CompensationProcessOtherInd0false
IRS990/ConferencesMeetingsGrp/TotalAmt00
IRS990/ConflictOfInterestPolicyInd0false
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0false
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt0420
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt0107
IRS990/CYOtherExpensesAmt04296
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt0-3769
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt04296
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt0527
IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/DepreciationDepletionGrp/TotalAmt00
IRS990/Desc0Support of Hope Baptist Church evangelism
IRS990/DescribedInSection501c3Ind0true
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0false
IRS990/DonorAdvisedFundInd0false
IRS990/DonorRstrOrQuasiEndowmentsInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt00
IRS990/EngagedInExcessBenefitTransInd0false
IRS990/EscrowAccountInd0false
IRS990/ExpenseAmt03000
IRS990/FamilyOrBusinessRlnInd0true
IRS990/FederalGrantAuditRequiredInd0false
IRS990/FeesForServicesAccountingGrp/TotalAmt01005
IRS990/FeesForServicesLegalGrp/TotalAmt00
IRS990/FeesForServicesLobbyingGrp/TotalAmt00
IRS990/FeesForServicesManagementGrp/TotalAmt00
IRS990/FeesForServicesOtherGrp/TotalAmt00
IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt00
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignGrantsGrp/TotalAmt00
IRS990/ForeignOfficeInd0false
IRS990/Form8282PropertyDisposedOfInd0false
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt0002.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1001.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/PersonNm0Ronald Williams
IRS990/Form990PartVIISectionAGrp/PersonNm1Donald P Williams
IRS990/Form990PartVIISectionAGrp/PersonNm2Naomi D Kagin
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/TitleTxt0Pres Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt1Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt2Secretary
IRS990/Form990ProvidedToGvrnBodyInd0true
IRS990/FormationYr01972
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedInd0false
IRS990/FundraisingActivitiesInd0false
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt08
IRS990/GrantsToDomesticIndividualsGrp/TotalAmt00
IRS990/GrantsToDomesticOrgsGrp/TotalAmt00
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt0527
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt03
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InformationTechnologyGrp/TotalAmt00
IRS990/InsuranceGrp/TotalAmt00
IRS990/InterestGrp/TotalAmt00
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt0107
IRS990/InvestmentInJointVentureInd0false
IRS990/InvestTaxExemptBondsInd0false
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0IN
IRS990/LoanOutstandingInd0false
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingCashInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0Charitable support of Hope Baptist Church in Warsaw, Indiana for ministry, evangelism and education
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt0110773
IRS990/NetAssetsOrFundBalancesEOYAmt0107004
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0false
IRS990/OccupancyGrp/TotalAmt00
IRS990/OfficeExpensesGrp/TotalAmt00
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrgDoesNotFollowFASB117Ind0X
IRS990/OtherEmployeeBenefitsGrp/TotalAmt00
IRS990/OtherExpensesGrp/Desc0Office supplies and expense
IRS990/OtherExpensesGrp/Desc1Ministry expense - Hope Baptist
IRS990/OtherExpensesGrp/ProgramServicesAmt03000
IRS990/OtherExpensesGrp/TotalAmt0291
IRS990/OtherExpensesGrp/TotalAmt13000
IRS990/OtherSalariesAndWagesGrp/TotalAmt00
IRS990/PartialLiquidationInd0false
IRS990/PaymentsToAffiliatesGrp/TotalAmt00
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/TotalAmt00
IRS990/PensionPlanContributionsGrp/TotalAmt00
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0RONALD WILLIAMS
IRS990/ProfessionalFundraisingInd0false
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt042254
IRS990/PYExcessBenefitTransInd0false
IRS990/PYInvestmentIncomeAmt05229
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt024529
IRS990/PYOtherRevenueAmt012442
IRS990/PYRevenuesLessExpensesAmt020171
IRS990/PYSalariesCompEmpBnftPaidAmt015225
IRS990/PYTotalExpensesAmt039754
IRS990/PYTotalRevenueAmt059925
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt0-3769
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt0110773
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt0107004
IRS990ScheduleA/ChurchInd0X
IRS990/ScheduleBRequiredInd0false
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Residential girls counseling center closed in 2021.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part III, Line 3
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0true
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0IN
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0110773
IRS990/TotalAssetsEOYAmt0107004
IRS990/TotalAssetsGrp/BOYAmt0110773
IRS990/TotalAssetsGrp/EOYAmt0107004
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0420
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt03000
IRS990/TotalFunctionalExpensesGrp/TotalAmt04296
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0110773
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0107004
IRS990/TotalProgramServiceExpensesAmt03000
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0527
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0110773
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0107004
IRS990/TravelGrp/TotalAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0508 SCHOOL ST
IRS990/USAddress/CityNm0WINONA LAKE
IRS990/USAddress/StateAbbreviationCd0IN
IRS990/USAddress/ZIPCd046590
IRS990/VotingMembersGoverningBodyCnt08
IRS990/VotingMembersIndependentCnt03
IRS990/WebsiteAddressTxt0WWW.HEPHZIBAHHOUSE.ORG
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd02
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0RONALD WILLIAMS
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Executive director
ReturnHeader/BusinessOfficerGrp/PhoneNum05742692376
ReturnHeader/BusinessOfficerGrp/SignatureDt02022-09-20
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Hephzibah House Inc
ReturnHeader/Filer/BusinessNameControlTxt0HEPH
ReturnHeader/Filer/EIN0351271444
ReturnHeader/Filer/PhoneNum05742692376
ReturnHeader/Filer/USAddress/AddressLine1Txt0508 School Street
ReturnHeader/Filer/USAddress/CityNm0Winona Lake
ReturnHeader/Filer/USAddress/StateAbbreviationCd0IN
ReturnHeader/Filer/USAddress/ZIPCd046590
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0274392157
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0LuAnn Gaisford CPA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0929 E Center St
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Warsaw
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0IN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd046580
ReturnHeader/PreparerPersonGrp/PhoneNum05742677982
ReturnHeader/PreparerPersonGrp/PreparationDt02022-09-20
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0LuAnn Gaisford
ReturnHeader/PreparerPersonGrp/SelfEmployedInd0X
ReturnHeader/ReturnTs02022-09-20T02:00:12-00:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0RONALD
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0WILLIAMS
ReturnHeader/TaxPeriodBeginDt02021-07-01
ReturnHeader/TaxPeriodEndDt02022-06-30
ReturnHeader/TaxYr02021

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