Civic Intelligence

Life Choices Care Center

EIN 35-2101283 • 501(c)3 • Greenfield, IN

Profile

To provide support for pregnant women

1454 N State Street PO Box 584Greenfield, IN 46140

lifechoicescarecenter.org

Siviq Scores

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

Liabilities / Assets

59th percentile

0.00x

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

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

Liabilities / Revenue

61st percentile

0.00x

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

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

Net Margin

72nd percentile

17%

Higher net margin than 72% of similar nonprofits.

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

Top Officer Pay

97th percentile

$47,500

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 35.2% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2019

Asset Growth

67th percentile

9.0%

Faster asset growth than 67% of similar nonprofits.

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

Revenue Growth

71st percentile

18%

Faster revenue growth than 71% of similar nonprofits.

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

Balance Sheet
Liabilities / Assets59th percentile

Assets

Down

$464,236

Down $27,775 (-5.6%) from 2023

Liabilities

Up

$933

Up $933 from 2023

Net Assets

Down

$463,303

Down $28,708 (-5.8%) from 2023

Operations
Liabilities / Revenue61st percentileNet Margin72nd percentile

Revenue

Up

$229,807

Up $14,600 (+6.8%) from 2023

Expenses

Up

$258,515

Up $78,960 (+44%) from 2023

Net Income

Down

-$28,708

Down $64,360 (-181%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth67th percentile

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

$600K$400K$200K$0Assets 2010: $62,191Net Assets 2010: $62,1912010Assets 2013: $57,425Liabilities 2013: $0Net Assets 2013: $57,4252013Assets 2014: $48,249Liabilities 2014: $305Net Assets 2014: $47,9442014Assets 2015: $60,506Liabilities 2015: $0Net Assets 2015: $60,5062015Assets 2016: $82,257Liabilities 2016: $2,355Net Assets 2016: $79,9022016Assets 2017: $57,126Liabilities 2017: $520Net Assets 2017: $56,6062017Assets 2018: $307,338Liabilities 2018: $1,805Net Assets 2018: $305,5332018Assets 2019: $299,968Liabilities 2019: $0Net Assets 2019: $299,9682019Assets 2020: $327,070Liabilities 2020: $0Net Assets 2020: $327,0702020Assets 2021: $397,460Liabilities 2021: $0Net Assets 2021: $397,4602021Assets 2022: $456,359Liabilities 2022: $0Net Assets 2022: $456,3592022Assets 2023: $492,011Liabilities 2023: $0Net Assets 2023: $492,0112023Assets 2024: $464,236Liabilities 2024: $933Net Assets 2024: $463,3032024

Highlighted filing

2024

Assets$464,236
Liabilities$933
Net Assets$463,303
Open 2024 Filing

Operations Trend

Revenue Growth71st percentile

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

$300K$200K$100K$0-$100KRevenue 2010: $61,282Expenses 2010: $34,181Net Income 2010: $27,1012010Revenue 2013: $112,494Expenses 2013: $111,448Net Income 2013: $1,0462013Revenue 2014: $101,933Expenses 2014: $111,414Net Income 2014: -$9,4812014Revenue 2015: $153,985Expenses 2015: $141,423Net Income 2015: $12,5622015Revenue 2016: $170,639Expenses 2016: $152,101Net Income 2016: $18,5382016Revenue 2017: $131,587Expenses 2017: $154,883Net Income 2017: -$23,2962017Revenue 2018: $115,909Expenses 2018: $99,505Net Income 2018: $16,4042018Revenue 2019: $134,835Expenses 2019: $134,849Net Income 2019: -$142019Revenue 2020: $158,760Expenses 2020: $131,658Net Income 2020: $27,1022020Revenue 2021: $213,405Expenses 2021: $143,015Net Income 2021: $70,3902021Revenue 2022: $230,524Expenses 2022: $171,625Net Income 2022: $58,8992022Revenue 2023: $215,207Expenses 2023: $179,555Net Income 2023: $35,6522023Revenue 2024: $229,807Expenses 2024: $258,515Net Income 2024: -$28,7082024

Highlighted filing

2024

Revenue$229,807
Expenses$258,515
Net Income-$28,708
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$464,236
Liabilities
$933
Net assets
$463,303
Revenue
$229,807
Expenses
$258,515
Net income
-$28,708
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$4.64$0.01$4.63$2.30$2.59$0.29
2023Detailed filing. Detailed filing data is available for this year.$4.92$0.00$4.92$2.15$1.80$0.36
2022Detailed filing. Detailed filing data is available for this year.$4.56$0.00$4.56$2.31$1.72$0.59
2021Detailed filing. Detailed filing data is available for this year.$3.97$0.00$3.97$2.13$1.43$0.70
2020Detailed filing. Detailed filing data is available for this year.$3.27$0.00$3.27$1.59$1.32$0.27
2019Detailed filing. Detailed filing data is available for this year.$3.00$0.00$3.00$1.35$1.35$0.00
2018Detailed filing. Detailed filing data is available for this year.$3.07$0.02$3.06$1.16$1.00$0.16
2017Detailed filing. Detailed filing data is available for this year.$0.57$0.01$0.57$1.32$1.55$0.23
2016Detailed filing. Detailed filing data is available for this year.$0.82$0.02$0.80$1.71$1.52$0.19
2015Detailed filing. Detailed filing data is available for this year.$0.61$0.00$0.61$1.54$1.41$0.13
2014Detailed filing. Detailed filing data is available for this year.$0.48$0.00$0.48$1.02$1.11$0.09
2013Detailed filing. Detailed filing data is available for this year.$0.57$0.00$0.57$1.12$1.11$0.01
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.62$0.62$0.61$0.34$0.27
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
May 8, 2025
Return Version
2024v5.1
Gross Receipts
$258,896
Mission and Program Overview

Mission

To provide support for pregnant women

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$492,011$463,303▼ $28,708
Cash and Non-Interest-Bearing Accounts$286,830$264,716▼ $22,114
Land, Buildings, and Equipment, Net$205,071$199,520▼ $5,551
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$492,011$464,236▼ $27,775
Other Assets Total$110$0▼ $110
Liabilities
Other Liabilities$0$933▲ $933
Total Liabilities$0$933▲ $933
Net Assets / Fund Balance
Total Net Assets Fund Balance$492,011$463,303▼ $28,708
Total Liabilities and Net Assets / Fund Balance$492,011$464,236▼ $27,775

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$161,868$50,632$212,500
Land$37,500-$37,500
Other Land Buildings$152$11,252$11,404
Compensation and Service Providers
Top Officer Pay97th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Jillmarie WilliamsExecutive DirectorPT$36,250$36,250
Chris DowdenMemberPT$18,900$18,900

Board Members and Trustees

NameTitle
John DavisBoard Chair
Alicia BarnettMember
Dave CombsMember
Ginger YoungMember
John HuntMember
Kathy PetersMember
Vicki SmithMember
Revenue and Support

Revenue Composition

Contributions and Grants
$126,530
Program Service Revenue
$0
Investment Income
$7,951
Other Revenue
$95,326
All Other Contributions
$126,530
Change in Net Assets
$-28,708
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$145,079
Other Expenses$113,129
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$78,229--$78,229
Current Officers, Directors, Trustees, and Key Employees$56,322--$56,322
Occupancy$14,315--$14,315
Payroll Taxes$10,528--$10,528
Insurance$5,884--$5,884
Depreciation Depletion$5,551--$5,551
Fees for Services Legal$3,266--$3,266
Fees for Services Accounting$2,662--$2,662
Other Expenses$2,148--$2,148
All Other Expenses$1,950--$1,950
Advertising$1,603--$1,603
Benefits to Members$307--$307
Total Functional Expenses$258,515$0$0$258,515
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
Yes

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$124,415
Fundraising Direct Expenses$29,089
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Fundraising Banquet$124,415$124,415$10,557$113,858
Total Events$124,415$124,415$29,090$95,325
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Credit Card Payable$933
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
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
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

“The organization provides a copy of the 990 at the board meeting for review among the governing body.”

Form 990, Part VI, Section B, Line 12C

“Board members sign conflict of interest statements annually.”

Form 990, Part VI, Section B, Line 15

“Board researches other nonprofits and evaluates director against measurable goals and compensates accordingly”

Form 990, Part VI, Section C, Line 19

“The organization makes its governing documents available upon request.”

Filing and Contact Details

Filer

Filer Name
Life Choices Care Center
EIN
35-2101283
Phone
3174679700
Address
1454 N STATE STREET PO BOX 584, GREENFIELD, IN 46140

Signing Officer

Name
Jillmarie Williams
Title
Executive Director
Phone
3174679700
Signed
2025-05-08
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jillmarie Williams
Formed
1999
Legal Domicile
In
Voting Board Members
7
Independent Board Members
7
Employees
0
Volunteers
0

Preparer

Firm
Kemper CPA Group Llp
Address
332 E MAIN ST PO BOX 9, GREENFIELD, IN 46140-0009
Preparer
Emily Schenk CPA
Phone
3174623401
Raw XML AppendixShowing 400 of 407 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.

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IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt0217865
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt0162660
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt01101926
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt07951
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt08292
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt016243
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt07951
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt08292
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt016243
IRS990ScheduleA/InvestmentIncomeCYPct00.01450
IRS990ScheduleA/InvestmentIncomePYPct00.00830
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.98550
IRS990ScheduleA/PublicSupportPY509Pct00.99170
IRS990ScheduleA/PublicSupportTotal509Amt01101926
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0250945
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0229189
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0241267
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0217865
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0162660
IRS990ScheduleA/Total509Grp/TotalAmt01101926
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0258896
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0237481
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0241267
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0217865
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0162660
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt01118169
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
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IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/BuildingsGrp/BookValueAmt0161868
IRS990ScheduleD/BuildingsGrp/DepreciationAmt050632
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt0212500
IRS990ScheduleD/LandGrp/BookValueAmt037500
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt037500
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt0152
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt011252
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt011404
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0933
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0CREDIT CARD PAYABLE
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0199520
IRS990ScheduleD/TotalLiabilityAmt0933
IRS990ScheduleG/AgrmtProfFundraisingActyInd00
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt029090
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentEvent1Amt011058
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentTotalEventsAmt011058
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0FUNDRAISING BANQUET
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent1Amt07475
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageTotalEventsAmt07475
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt0124415
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt0124415
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt0124415
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt0124415
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt095325
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt010557
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt010557
IRS990ScheduleG/LicensedStatesCd0IN
IRS990ScheduleG/SpecialFundraisingEventsInd0X
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION PROVIDES A COPY OF THE 990 AT THE BOARD MEETING FOR REVIEW AMONG THE GOVERNING BODY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1BOARD MEMBERS SIGN CONFLICT OF INTEREST STATEMENTS ANNUALLY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2BOARD RESEARCHES OTHER NONPROFITS AND EVALUATES DIRECTOR AGAINST MEASURABLE GOALS AND COMPENSATES ACCORDINGLY
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0IN
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0492011
IRS990/TotalAssetsEOYAmt0464236
IRS990/TotalAssetsGrp/BOYAmt0492011
IRS990/TotalAssetsGrp/EOYAmt0464236
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt0126530
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0258515
IRS990/TotalFunctionalExpensesGrp/TotalAmt0258515
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt0933
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt0933
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0492011
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0463303
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0258515
IRS990/TotalReportableCompFromOrgAmt055150
IRS990/TotalRevenueGrp/ExclusionAmt095326
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt07951
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0229807
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0492011
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0464236
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt01454 N STATE STREET PO BOX 584
IRS990/USAddress/CityNm0GREENFIELD
IRS990/USAddress/StateAbbreviationCd0IN
IRS990/USAddress/ZIPCd046140
IRS990/VotingMembersGoverningBodyCnt07
IRS990/VotingMembersIndependentCnt07
IRS990/WebsiteAddressTxt0LIFECHOICESCARECENTER.ORG
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0JILLMARIE WILLIAMS
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0EXECUTIVE DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum03174679700
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-05-08
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0LIFE CHOICES CARE CENTER
ReturnHeader/Filer/BusinessNameControlTxt0LIFE
ReturnHeader/Filer/EIN0352101283
ReturnHeader/Filer/PhoneNum03174679700
ReturnHeader/Filer/USAddress/AddressLine1Txt01454 N STATE STREET PO BOX 584
ReturnHeader/Filer/USAddress/CityNm0GREENFIELD
ReturnHeader/Filer/USAddress/StateAbbreviationCd0IN
ReturnHeader/Filer/USAddress/ZIPCd046140
ReturnHeader/IRSResponsiblePrtyInfoCurrInd00
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0370818432
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0KEMPER CPA GROUP LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0332 E MAIN ST PO BOX 9
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0GREENFIELD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0IN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0461400009
ReturnHeader/PreparerPersonGrp/PhoneNum03174623401

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