Civic Intelligence

Medquarter Inc

990 • Fiscal year 2017 • EIN 35-2576257

Oct 11, 2016 to Jun 30, 2017 • Filed on Nov 13, 2018

501 1st Street SECedar Rapids, IA 52401

(877) 829-5500

Siviq Scores

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

Liabilities / Assets

9th percentile

0.00x

Higher debt load relative to assets than 9% of similar nonprofits.

2017 filings • 501(c)6 • $1M-$5M nonprofits • Source year 2017

Liabilities / Revenue

10th percentile

0.00x

Higher debt load relative to revenue than 10% of similar nonprofits.

2017 filings • 501(c)6 • $1M-$5M nonprofits • Source year 2017

Net Margin

100th percentile

99%

Higher net margin than 100% of similar nonprofits.

2017 filings • 501(c)6 • $1M-$5M nonprofits • Source year 2017

Top Officer Pay

24th percentile

$25,576

Higher top officer pay than 24% of similar nonprofits.

Top officer pay equals 2.1% of source-year revenue.

2017 filings • 501(c)6 • $1M-$5M 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

$1,236,642

No earlier filing loaded for comparison.

Net Assets

$1,236,606

No earlier filing loaded for comparison.

Liabilities

$36

No earlier filing loaded for comparison.

Revenue

$1,243,483

No earlier filing loaded for comparison.

Expenses

$6,877

No earlier filing loaded for comparison.

Net Income

$1,236,606

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.

$2.0M$1.5M$1.0M$500K$0Assets 2017: $1,236,642Liabilities 2017: $36Net Assets 2017: $1,236,6062017Assets 2018: $1,488,490Liabilities 2018: $39,655Net Assets 2018: $1,448,8352018Assets 2019: $1,697,014Liabilities 2019: $25,119Net Assets 2019: $1,671,8952019Assets 2020: $1,202,214Liabilities 2020: $0Net Assets 2020: $1,202,2142020Assets 2021: $953,696Liabilities 2021: $51,139Net Assets 2021: $902,5572021Assets 2022: $881,071Liabilities 2022: $0Net Assets 2022: $881,0712022Assets 2023: $1,053,622Liabilities 2023: $0Net Assets 2023: $1,053,6222023Assets 2024: $972,593Liabilities 2024: $16,566Net Assets 2024: $956,0272024Assets 2025: $1,032,093Liabilities 2025: $0Net Assets 2025: $1,032,0932025

Highlighted filing

2017

Assets$1,236,642
Liabilities$36
Net Assets$1,236,606

Operations Trend

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

$1.5M$1.0M$500K$0-$500KRevenue 2017: $1,243,483Expenses 2017: $6,877Net Income 2017: $1,236,6062017Revenue 2018: $255,719Expenses 2018: $43,490Net Income 2018: $212,2292018Revenue 2019: $283,100Expenses 2019: $67,982Net Income 2019: $215,1182019Revenue 2020: $284,890Expenses 2020: $738,412Net Income 2020: -$453,5222020Revenue 2021: $276,138Expenses 2021: $583,075Net Income 2021: -$306,9372021Revenue 2022: $254,244Expenses 2022: $264,612Net Income 2022: -$10,3682022Revenue 2023: $222,969Expenses 2023: $53,020Net Income 2023: $169,9492023Revenue 2024: $243,371Expenses 2024: $345,299Net Income 2024: -$101,9282024Revenue 2025: $233,358Expenses 2025: $159,493Net Income 2025: $73,8652025

Highlighted filing

2017

Revenue$1,243,483
Expenses$6,877
Net Income$1,236,606
Jump To
Filing Snapshot
Filing Period
Oct 11, 2016 to Jun 30, 2017
Signed
Nov 13, 2018
Return Version
2016v3.0
Gross Receipts
$1,243,483
Mission and Program Overview

Mission

The medquarter (short for medquarter regional medical district) is a revitalization partnership committed to promoting a dynamic urban medical community to improve quality of life and advocate for new businesses and jobs in a defined medical district.

To promote a medical community that improves quality of life & advocates for new business & jobs

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments-$1,130,677-
Accounts Receivable-$62,500-
Cash and Non-Interest-Bearing Accounts-$29,715-
Prepaid Expenses and Deferred Charges-$13,750-
Total Assets$0$1,236,642▲ $1,236,642
Liabilities
Accounts Payable and Accrued Expenses-$36-
Total Liabilities$0$36▲ $36
Net Assets / Fund Balance
Unrestricted Net Assets-$1,236,606-
Total Net Assets Fund Balance$0$1,236,606▲ $1,236,606
Total Liabilities and Net Assets / Fund Balance$0$1,236,642▲ $1,236,642
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Philip WastaExecutive DirectorPT$22,029$3,547$25,576

Board Members and Trustees

NameTitle
Michelle JensenChair
Karen SmithVice-chair
John AlbertDirector
Julie SterlingDirector
Julie ThomasDirector
Kathy MccauleyDirector
Mary MeisterlingDirector
Mike SundallDirector
Richard CooleyDirector
Ted TownsendDirector
Tim CharlesDirector
Gordon EppingTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$1,241,519
Program Service Revenue
$0
Investment Income
$1,964
Other Revenue
$0
All Other Contributions
$990,519
Change in Net Assets
$1,236,606
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$6,877
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
Fees for Services Legal---$3,340
Conferences and Meetings---$2,197
Advertising---$1,034
Payment Travel Entrtnmnt Publicly Ofcl---$271
Other Expenses---$35
Total Functional Expenses$0$0$0$6,877
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
In-house lobbying only
Yes
Subject to proxy tax
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
Yes
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 1

The board of directors, designated an executive committee, which shall consist of the officers of the board of directors, shall have and exercise the authority of the board of directors in the governance of the corporation, except that the committee shall not have the authority to: 1. Amend, alter or repeal the bylaws 2. Amend the articles of incorporation 3. Adopt a plan of merger or consolidation with another corporation or association 4. Recommend to the directors or members the sale, lease, exchange or other disposition of all or substantially all of the property and assets of the organization 5. Recommending to the directors or members the voluntary dissolution of the organization or a revocation thereof 6. Adopt a plan for the distribution of the assets of the organization 7. Amend, alter or repeal any resolution of the board of directors

Form 990, Part VI, Section A, Line 3

The organization's executive director, philip wasta, is an employee of the cedar rapids metro economic alliance (ea), an unrelated irc sec. 501(c)(6) entity. The organization does not pay the executive director or the ea for the time the executive director spends working on medquarter responsibilities. Approximately 25% of the executive director's overall time is spent on medquarter responsibilities including but not limited to planning and executing budgets and financial operations.

Form 990, Part VI, Section A, Line 6

The organization has one class of member, referred to as the initial members in the governing documents. The initial members are st. Luke's methodist hospital (st. Luke's) and mercy medical center, cedar rapids (mercy). St. Luke's and mercy are both irc sec. 501(c)(3) public charities.

Form 990, Part VI, Section A, Line 7A

St. Luke's and mercy are each entitled to appoint one voting board member. St. Luke's and mercy are also jointly responsible for appointing additional voting board members as they deem necessary. No single member has the authority to elect, appoint or approve a majority of the voting board members.

Form 990, Part VI, Section A, Line 7B

The following actions require approval from st. Luke's and mercy: 1. Determination of the exact number of board members 2. Addition of any member 3. Merger 4. Sale of all or substantially all of the assets of the organization 5. Dissolution 6. Amendment or repeal of the bylaws if either initial member resigns, withdrawals or is otherwise removed this shall cause a mandatory dissolution of the organization.

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

The form 990 is prepared by an independent accounting firm. A complete draft is provided to all board members for review prior to filing. If applicable any questions, responses or changes will be communicated to all board members prior to filing.

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

The conflict of interest policy applies to the members and the board of directors of the organization. A conflict of interest transaction is reported to the members or to the board, if it arises, in order to determine whether a potential conflict is an actual conflict. The members or board also have the authority to approve or reject the conflicted transaction via a majority vote as outlined in the bylaws; in order to approve it is required that a determination be made that the transaction would be fair to the organization. Any vote cast by a member or board director in conflict is considered invalid for purposes of this vote.

Form 990, Part VI, Section B, Line 15

The executive director receives compensation from ea, an unrelated irc sec. 501(c)(6) organization, for services rendered to medquarter. The ea relies on the cedar rapids medical self-sustaining municipal improvement district (ssmid) to review the executive director's compensation. The ssmid's compensation review process consists of independent individuals using relevant comparability data to determine reasonable compensation. The ssmid uses written employee contracts. The process and final determinations are documented by the ssmid in their employee files. This process was last completed in 2017. Form 990, part vi, section b, line 15b: no other compensated individual meets the irs definition of officer or key employee.

Form 990, Part VI, Section C, Line 19

The organization does not make their governing documents, conflict of interest policy or financial statements available to the general public.

Filing and Contact Details

Filer

Filer Name
Medquarter Inc
EIN
35-2576257
Phone
8778295500
Address
501 1ST STREET SE, CEDAR RAPIDS, IA 52401

Signing Officer

Name
Michelle Jensen
Title
Chair
Phone
8778295500
Signed
2018-11-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Philip Wasta
Formed
2016
Legal Domicile
Ia
Voting Board Members
12
Independent Board Members
12
Employees
0
Volunteers
253,000

Preparer

Firm
Cliftonlarsonallen Llp
Address
600 3RD AVE SE STE 300, CEDAR RAPIDS, IA 52401
Preparer
David Little
Phone
3193632697
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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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IRS990/MissionDesc0THE MEDQUARTER (SHORT FOR MEDQUARTER REGIONAL MEDICAL DISTRICT) IS A REVITALIZATION PARTNERSHIP COMMITTED TO PROMOTING A DYNAMIC URBAN MEDICAL COMMUNITY TO IMPROVE QUALITY OF LIFE AND ADVOCATE FOR NEW BUSINESSES AND JOBS IN A DEFINED MEDICAL DISTRICT.
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0PHILIP WASTA
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0EXECUTIVE DIRECTOR
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt025576
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt00
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0SEE THE NARRATIVE ON SCHEDULE O, THAT IS REFERENCED BACK TO FORM 990, PART VI, SECTION B, LINE 15A FOR AN EXPLANATION OF THE COMPENSATION REVIEW PROCESS CONDUCTED BY THE SSMID.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1THE EXECUTIVE DIRECTOR, PHILIP WASTA, RECEIVES COMPENSATION FROM THE CEDAR RAPIDS METRO ECONOMIC ALLIANCE (EA), AN UNRELATED IRC SEC. 501(C)(6) ORGANIZATION, FOR SERVICES RENDERED TO MEDQUARTER. THE COMPENSATION IS COMPRISED OF $88,117 IN BASE COMPENSATION, $3,764 IN RETIREMENT, AND $10,425 IN NONTAXABLE BENEFITS. ONLY 25% OF PHILIP WASTA'S TIME IS SPENT PROVIDING SERVICES TO MEDQUARTER, AS SUCH ONLY 25% OF THE TOTAL COMPENSATION IS BEING REPORTED ON THE FORM 990, PART VII AND ON SCHEDULE J. THE EA RELIES ON THE CEDAR RAPIDS MEDICAL SELF-SUSTAINING MUNICIPAL IMPROVEMENT DISTRICT (SSMID) TO REVIEW THE EXECUTIVE DIRECTOR'S COMPENSATION.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE J, PART I, LINE 3:
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1SCHEDULE J, PART II, LINE 1:
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE BOARD OF DIRECTORS, DESIGNATED AN EXECUTIVE COMMITTEE, WHICH SHALL CONSIST OF THE OFFICERS OF THE BOARD OF DIRECTORS, SHALL HAVE AND EXERCISE THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE GOVERNANCE OF THE CORPORATION, EXCEPT THAT THE COMMITTEE SHALL NOT HAVE THE AUTHORITY TO: 1. AMEND, ALTER OR REPEAL THE BYLAWS 2. AMEND THE ARTICLES OF INCORPORATION 3. ADOPT A PLAN OF MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION OR ASSOCIATION 4. RECOMMEND TO THE DIRECTORS OR MEMBERS THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE ORGANIZATION 5. RECOMMENDING TO THE DIRECTORS OR MEMBERS THE VOLUNTARY DISSOLUTION OF THE ORGANIZATION OR A REVOCATION THEREOF 6. ADOPT A PLAN FOR THE DISTRIBUTION OF THE ASSETS OF THE ORGANIZATION 7. AMEND, ALTER OR REPEAL ANY RESOLUTION OF THE BOARD OF DIRECTORS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION'S EXECUTIVE DIRECTOR, PHILIP WASTA, IS AN EMPLOYEE OF THE CEDAR RAPIDS METRO ECONOMIC ALLIANCE (EA), AN UNRELATED IRC SEC. 501(C)(6) ENTITY. THE ORGANIZATION DOES NOT PAY THE EXECUTIVE DIRECTOR OR THE EA FOR THE TIME THE EXECUTIVE DIRECTOR SPENDS WORKING ON MEDQUARTER RESPONSIBILITIES. APPROXIMATELY 25% OF THE EXECUTIVE DIRECTOR'S OVERALL TIME IS SPENT ON MEDQUARTER RESPONSIBILITIES INCLUDING BUT NOT LIMITED TO PLANNING AND EXECUTING BUDGETS AND FINANCIAL OPERATIONS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION HAS ONE CLASS OF MEMBER, REFERRED TO AS THE INITIAL MEMBERS IN THE GOVERNING DOCUMENTS. THE INITIAL MEMBERS ARE ST. LUKE'S METHODIST HOSPITAL (ST. LUKE'S) AND MERCY MEDICAL CENTER, CEDAR RAPIDS (MERCY). ST. LUKE'S AND MERCY ARE BOTH IRC SEC. 501(C)(3) PUBLIC CHARITIES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ST. LUKE'S AND MERCY ARE EACH ENTITLED TO APPOINT ONE VOTING BOARD MEMBER. ST. LUKE'S AND MERCY ARE ALSO JOINTLY RESPONSIBLE FOR APPOINTING ADDITIONAL VOTING BOARD MEMBERS AS THEY DEEM NECESSARY. NO SINGLE MEMBER HAS THE AUTHORITY TO ELECT, APPOINT OR APPROVE A MAJORITY OF THE VOTING BOARD MEMBERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE FOLLOWING ACTIONS REQUIRE APPROVAL FROM ST. LUKE'S AND MERCY: 1. DETERMINATION OF THE EXACT NUMBER OF BOARD MEMBERS 2. ADDITION OF ANY MEMBER 3. MERGER 4. SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION 5. DISSOLUTION 6. AMENDMENT OR REPEAL OF THE BYLAWS IF EITHER INITIAL MEMBER RESIGNS, WITHDRAWALS OR IS OTHERWISE REMOVED THIS SHALL CAUSE A MANDATORY DISSOLUTION OF THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. A COMPLETE DRAFT IS PROVIDED TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING. IF APPLICABLE ANY QUESTIONS, RESPONSES OR CHANGES WILL BE COMMUNICATED TO ALL BOARD MEMBERS PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE CONFLICT OF INTEREST POLICY APPLIES TO THE MEMBERS AND THE BOARD OF DIRECTORS OF THE ORGANIZATION. A CONFLICT OF INTEREST TRANSACTION IS REPORTED TO THE MEMBERS OR TO THE BOARD, IF IT ARISES, IN ORDER TO DETERMINE WHETHER A POTENTIAL CONFLICT IS AN ACTUAL CONFLICT. THE MEMBERS OR BOARD ALSO HAVE THE AUTHORITY TO APPROVE OR REJECT THE CONFLICTED TRANSACTION VIA A MAJORITY VOTE AS OUTLINED IN THE BYLAWS; IN ORDER TO APPROVE IT IS REQUIRED THAT A DETERMINATION BE MADE THAT THE TRANSACTION WOULD BE FAIR TO THE ORGANIZATION. ANY VOTE CAST BY A MEMBER OR BOARD DIRECTOR IN CONFLICT IS CONSIDERED INVALID FOR PURPOSES OF THIS VOTE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THE EXECUTIVE DIRECTOR RECEIVES COMPENSATION FROM EA, AN UNRELATED IRC SEC. 501(C)(6) ORGANIZATION, FOR SERVICES RENDERED TO MEDQUARTER. THE EA RELIES ON THE CEDAR RAPIDS MEDICAL SELF-SUSTAINING MUNICIPAL IMPROVEMENT DISTRICT (SSMID) TO REVIEW THE EXECUTIVE DIRECTOR'S COMPENSATION. THE SSMID'S COMPENSATION REVIEW PROCESS CONSISTS OF INDEPENDENT INDIVIDUALS USING RELEVANT COMPARABILITY DATA TO DETERMINE REASONABLE COMPENSATION. THE SSMID USES WRITTEN EMPLOYEE CONTRACTS. THE PROCESS AND FINAL DETERMINATIONS ARE DOCUMENTED BY THE SSMID IN THEIR EMPLOYEE FILES. THIS PROCESS WAS LAST COMPLETED IN 2017. FORM 990, PART VI, SECTION B, LINE 15B: NO OTHER COMPENSATED INDIVIDUAL MEETS THE IRS DEFINITION OF OFFICER OR KEY EMPLOYEE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8THE ORGANIZATION DOES NOT MAKE THEIR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 1
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART VI, SECTION C, LINE 19
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IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
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IRS990/USAddress/CityNm0CEDAR RAPIDS
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ReasonableCauseExplanation/ExplanationTxt0THIS IS THE INITIAL FILING FOR MEDQUARTER, INC., AN IRC SEC. 501(C)(6) EXEMPT ORGANIZATION, FORMED EFFECTIVE OCTOBER 11, 2016. THE TAX YEAR-END IS JUNE 30, MAKING THE INITIAL FILING FOR THE SHORT PERIOD OCTOBER 11, 2016 THROUGH JUNE 30, 2017. THE ORGANIZATION WAS UNDER THE MISTAKEN IMPRESSION THAT THERE WAS NO ANNUAL FILING REQUIREMENT AND IS NOW FULLY AWARE THAT IMPRESSION WAS INCORRECT. AS SOON AS THE ERROR WAS DISCOVERED THEY REACHED OUT TO RECEIVE ASSISTANCE FROM EXPERIENCED PROFESSIONALS WHO COULD HELP THEM GET THEIR DELINQUENT FILINGS UP TO DATE AS WELL AS ASSIST WITH ENSURING FUTURE FILINGS ARE MADE TIMELY.THIS MISUNDERSTANDING WAS NOT DUE TO WILLFUL DISREGARD, IT WAS AN INADVERTENT MISTAKE MADE BY GOVERNANCE AND MANAGEMENT THAT WAS IMMEDIATELY RECTIFIED UPON DISCOVERY.BASED ON THIS INFORMATION AND REG. 301.6652-2(F), I RESPECTFULLY REQUEST THAT ANY LATE FILING PENALTY DUE UNDER IRC SECS. 6652(C)(1)(A) AND 6652(C)(5) BE WAIVED FOR REASONABLE CAUSE.UNDER PENALTIES OF PERJURY, I DECLARE THAT THE ABOVE STATEMENT, TO THE BEST OF MY KNOWLEDGE AND BELIEF, IS TRUE, COMPLETE, AND CORRECT._____________________________ ___________ MICHELLE JENSEN, CHAIR DATE
ReturnHeader/BuildTS02019-02-21 02:37:17Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0MICHELLE JENSEN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CHAIR
ReturnHeader/BusinessOfficerGrp/PhoneNum08778295500
ReturnHeader/BusinessOfficerGrp/SignatureDt02018-11-13
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0MEDQUARTER INC
ReturnHeader/Filer/BusinessNameControlTxt0MEDQ
ReturnHeader/Filer/EIN0352576257
ReturnHeader/Filer/PhoneNum08778295500
ReturnHeader/Filer/USAddress/AddressLine1Txt0501 1ST STREET SE
ReturnHeader/Filer/USAddress/CityNm0CEDAR RAPIDS
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ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId06D02191CF9C944EB82A9BF1505FE3F9994645990
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId06AC994CC6E966492A269A55B5E1BF13C867CD4A4
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt067.137.57.251
ReturnHeader/FilingSecurityInformation/IPDt02018-11-13
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CS
ReturnHeader/FilingSecurityInformation/IPTm009:15:56
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0410746749
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CLIFTONLARSONALLEN LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0600 3RD AVE SE STE 300
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0CEDAR RAPIDS
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0IA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd052401
ReturnHeader/PreparerPersonGrp/PhoneNum03193632697
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0DAVID LITTLE
ReturnHeader/ReturnTs02018-11-14T11:17:29-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02016-10-11
ReturnHeader/TaxPeriodEndDt02017-06-30
ReturnHeader/TaxYr02016

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