Civic Intelligence

Country Meadows Montessori School

EIN 36-3130724 • 501(c)3 • Gurnee, IL

Profile

Provide a Montessori education for preschool and elementary aged children.

6151 Washington StreetGurnee, IL 60031

n/A

Siviq Scores

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

Liabilities / Assets

90th percentile

0.76x

Higher debt load relative to assets than 90% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2025

Liabilities / Revenue

81st percentile

0.52x

Higher debt load relative to revenue than 81% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2025

Net Margin

22nd percentile

-10%

Higher net margin than 22% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2025

Top Officer Pay

63rd percentile

$92,655

Higher top officer pay than 63% of similar nonprofits.

Top officer pay equals 6.1% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2025

Asset Growth

94th percentile

95%

Faster asset growth than 94% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2024 to 2025

Revenue Growth

27th percentile

-6.2%

Faster revenue growth than 27% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets90th percentile

Assets

Up

$1,030,703

Up $501,446 (+95%) from 2024

Liabilities

Up

$788,294

Up $656,943 (+500%) from 2024

Net Assets

Down

$242,409

Down $155,497 (-39%) from 2024

Operations
Liabilities / Revenue81st percentileNet Margin22nd percentile

Revenue

Down

$1,517,524

Down $99,859 (-6.2%) from 2024

Expenses

Down

$1,673,021

Down $42,003 (-2.4%) from 2024

Net Income

Down

-$155,497

Down $57,856 (-59%) from 2024

Trend Graphs

Balance Sheet Trend

Asset Growth94th percentile

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

$1.5M$1.0M$500K$0-$500KAssets 2013: $554,668Liabilities 2013: $267,464Net Assets 2013: $287,2042013Assets 2014: $367,949Liabilities 2014: $69,063Net Assets 2014: $298,8862014Assets 2015: $354,234Liabilities 2015: $107,536Net Assets 2015: $246,6982015Assets 2016: $163,591Liabilities 2016: $86,781Net Assets 2016: $76,8102016Assets 2021: $280,681Liabilities 2021: $414,504Net Assets 2021: -$133,8232021Assets 2022: $324,394Liabilities 2022: $105,152Net Assets 2022: $219,2422022Assets 2023: $604,421Liabilities 2023: $108,874Net Assets 2023: $495,5472023Assets 2024: $529,257Liabilities 2024: $131,351Net Assets 2024: $397,9062024Assets 2025: $1,030,703Liabilities 2025: $788,294Net Assets 2025: $242,4092025

Highlighted filing

2025

Assets$1,030,703
Liabilities$788,294
Net Assets$242,409
Open 2025 Filing

Operations Trend

Revenue Growth27th percentile

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

$2.0M$1.0M$0-$1.0MExpenses 2013: $1,618,0602013Revenue 2014: $1,655,754Expenses 2014: $1,644,072Net Income 2014: $11,6822014Revenue 2015: $1,644,937Expenses 2015: $1,697,125Net Income 2015: -$52,1882015Revenue 2016: $1,675,870Expenses 2016: $1,845,758Net Income 2016: -$169,8882016Revenue 2021: $1,496,672Expenses 2021: $1,457,402Net Income 2021: $39,2702021Revenue 2022: $1,734,435Expenses 2022: $1,381,370Net Income 2022: $353,0652022Revenue 2023: $1,860,872Expenses 2023: $1,584,567Net Income 2023: $276,3052023Revenue 2024: $1,617,383Expenses 2024: $1,715,024Net Income 2024: -$97,6412024Revenue 2025: $1,517,524Expenses 2025: $1,673,021Net Income 2025: -$155,4972025

Highlighted filing

2025

Revenue$1,517,524
Expenses$1,673,021
Net Income-$155,497
Open 2025 Filing

Filings

Most recent year

2025 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$1,030,703
Liabilities
$788,294
Net assets
$242,409
Revenue
$1,517,524
Expenses
$1,673,021
Net income
-$155,497
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.03$0.79$0.24$1.52$1.67$0.16
2024Detailed filing. Detailed filing data is available for this year.$0.53$0.13$0.40$1.62$1.72$0.10
2023Detailed filing. Detailed filing data is available for this year.$0.60$0.11$0.50$1.86$1.58$0.28
2022Detailed filing. Detailed filing data is available for this year.$0.32$0.11$0.22$1.73$1.38$0.35
2021Detailed filing. Detailed filing data is available for this year.$0.28$0.41$0.13$1.50$1.46$0.04
2016Detailed filing. Detailed filing data is available for this year.$0.16$0.09$0.08$1.68$1.85$0.17
2015Detailed filing. Detailed filing data is available for this year.$0.35$0.11$0.25$1.64$1.70$0.05
2014Detailed filing. Detailed filing data is available for this year.$0.37$0.07$0.30$1.66$1.64$0.01
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.55$0.27$0.29$1.62
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Aug 1, 2024 to Jul 31, 2025
Signed
Nov 12, 2025
Return Version
2024v5.2
Gross Receipts
$1,535,808
Mission and Program Overview

Mission

MONTESSORI SCHOOL

Provide a Montessori education for preschool and elementary aged children.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$461,115$305,360▼ $155,755
Land, Buildings, and Equipment, Net$18,650$14,743▼ $3,907
Accounts Receivable$43,292$10,558▼ $32,734
Prepaid Expenses and Deferred Charges$6,200$8,306▲ $2,106
Cash and Non-Interest-Bearing Accounts-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Total Assets$529,257$1,030,703▲ $501,446
Other Assets Total-$691,736-
Liabilities
Other Liabilities-$691,736-
Deferred Revenue$113,234$63,543▼ $49,691
Accounts Payable and Accrued Expenses$18,117$33,015▲ $14,898
Total Liabilities$131,351$788,294▲ $656,943
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$397,906$242,409▼ $155,497
Total Net Assets Fund Balance$397,906$242,409▼ $155,497
Total Liabilities and Net Assets / Fund Balance$529,257$1,030,703▲ $501,446

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$14,428$231,864$246,292
Equipment$315$1,508$1,823
Other Assets Org$691,736--
Compensation and Service Providers
Top Officer Pay63rd percentile

Employees

NameTitleFull / Part TimeBaseTotal
Mary O'YoungPresidentFT$92,655$92,655
Jessica LandreyVP/TreasurerFT$55,387$55,387

Board Members and Trustees

NameTitle
Devin ParsonsBoard member
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,493,346
Investment Income
$140
Other Revenue
$24,038
Change in Net Assets
$-155,497

Audited Revenue Reconciliation

Revenue per Audited Statements
$1,517,524
Revenue Not Reported on Form 990
$18,284
Total Revenue per Audited Statements
$1,535,808
Total Revenue per Form 990
$1,517,524
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$1,095,667
Other Expenses$577,354
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$656,195$153,023-$809,218
Occupancy$418,467$22,258-$440,725
Current Officers, Directors, Trustees, and Key Employees$120,047$27,995-$148,042
Payroll Taxes$58,047$13,537-$71,584
Other Employee Benefits$54,187$12,636-$66,823
All Other Expenses$37,124$1,628-$38,752
Fees for Services Other$15,576$1,730-$17,306
Insurance$14,913$785-$15,698
Advertising$8,060--$8,060
Office Expenses-$7,883-$7,883
Other Expenses$7,858$12,764-$7,858
Depreciation Depletion$3,907--$3,907
Total Functional Expenses$1,418,782$254,239$0$1,673,021

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$1,691,305
Expenses per Audited Statements$1,673,021
Total Expenses per Form 990$1,673,021
Expenses Not Reported on Form 990$18,284
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$32,633
Fundraising Direct Expenses$18,284
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Annual Fundraiser$32,633$32,633$18,284$14,349
Total Events$32,633$32,633$18,284$14,349
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Operating lease liability$691,736
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
No
Audit committee
Yes
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
No
Other officer compensation reviewed
No
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

“A draft of the 990 will be provided to management and reviewed by members of the Board prior to submission.”

Form 990, Part VI, Section C, Line 19

“provided upon request”

Filing and Contact Details

Filer

Filer Name
Country Meadows Montessori School
EIN
36-3130724
Address
6151 Washington Street, Gurnee, IL 60031

Signing Officer

Name
Mary O'Young
Title
Executive Director
Signed
2025-11-12
Discuss with paid preparer
Yes

Organization Details

Formed
1981
Legal Domicile
Il
Voting Board Members
3
Independent Board Members
3
Employees
38

Preparer

Firm
Swarztrauber & Co
Address
1117 S MILWAUKEE AVE D6, LIBERTYVILLE, IL 60048
Preparer
John E Blackburn
Phone
8476621960
Supplemental Narrative

Financial Statement Notes

Part X : FIN48 Footnote

“Management has determined that the School does not have any uncertain tax positions and associated unrecognized benefits that materially impact the financial statementss or related disclosures. Because tax matters are subject to some degreee of uncertainty, there can be no assurance that the School's tax returns will not be challenged by the taxing authorities and that the School will not be subject to additional tax, penalties and interest as a result of such challenge.”

Part XI, Line 2D: Other revenue amounts included in F/S but not included on form 990

“Fundraising expenses $18284”

Part XII, Line 2D: Other expenses and losses per audited F/S

“Fundraising expenses $18284”

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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/PYSalariesCompEmpBnftPaidAmt01139531
IRS990/PYTotalExpensesAmt01715024
IRS990/PYTotalRevenueAmt01617383
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-155497
IRS990/RegularMonitoringEnfrcInd0false
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0true
IRS990/ReportOtherLiabilitiesInd0true
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0461115
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0305360
IRS990ScheduleA/SchoolInd0X
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/EquipmentGrp/BookValueAmt0315
IRS990ScheduleD/EquipmentGrp/DepreciationAmt01508
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt01823
IRS990ScheduleD/ExpensesNotReportedAmt018284
IRS990ScheduleD/ExpensesSubtotalAmt01673021
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt0691736
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0Operating lease right of use
IRS990ScheduleD/OtherExpensesIncludedAmt018284
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt014428
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt0231864
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt0246292
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0691736
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Operating lease liability
IRS990ScheduleD/OtherRevenueAmt018284
IRS990ScheduleD/RevenueNotReportedAmt018284
IRS990ScheduleD/RevenueSubtotalAmt01517524
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0Management has determined that the School does not have any uncertain tax positions and associated unrecognized benefits that materially impact the financial statementss or related disclosures. Because tax matters are subject to some degreee of uncertainty, there can be no assurance that the School's tax returns will not be challenged by the taxing authorities and that the School will not be subject to additional tax, penalties and interest as a result of such challenge.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1Fundraising expenses $18284
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2Fundraising expenses $18284
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part X : FIN48 Footnote
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2Part XII, Line 2d: Other expenses and losses per audited F/S
IRS990ScheduleD/TotalBookValueLandBuildingsAmt014743
IRS990ScheduleD/TotalBookValueOtherAssetsAmt0691736
IRS990ScheduleD/TotalExpensesPerForm990Amt01673021
IRS990ScheduleD/TotalLiabilityAmt0691736
IRS990ScheduleD/TotalRevenuePerForm990Amt01517524
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt01535808
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt01691305
IRS990ScheduleE/ComplianceWithRevProc7550Ind0true
IRS990ScheduleE/DiscriminateRaceAdmissPlcyInd0false
IRS990ScheduleE/DiscriminateRaceAthltProgInd0false
IRS990ScheduleE/DiscriminateRaceEducPlcyInd0false
IRS990ScheduleE/DiscriminateRaceEmplmFcultyInd0false
IRS990ScheduleE/DiscriminateRaceOtherActyInd0false
IRS990ScheduleE/DiscriminateRaceSchsInd0false
IRS990ScheduleE/DiscriminateRaceStdntsRghtsInd0false
IRS990ScheduleE/DiscriminateRaceUseOfFcltsInd0false
IRS990ScheduleE/GovernmentFinancialAidRcvdInd0false
IRS990ScheduleE/GovernmentFinancialAidRvkdInd0false
IRS990ScheduleE/MaintainCpyOfAllSolInd0true
IRS990ScheduleE/MaintainCpyOfBrochuresEtcInd0true
IRS990ScheduleE/MaintainRacialCompRecsInd0true
IRS990ScheduleE/MaintainScholarshipsRecsInd0true
IRS990ScheduleE/NondiscriminatoryPolicyStmtInd0true
IRS990ScheduleE/PlcyPblczdViaBroadcastMediaInd0true
IRS990ScheduleE/PolicyStmtInBrochuresEtcInd0true
IRS990ScheduleE/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule E, Line 3 - Racially Nondiscriminatory Policy Publicized
IRS990ScheduleE/SupplementalInformationDetail/FormAndLineReferenceDesc1Schedule E, Line 4 - Explanation of Records and Materials Not Maintained
IRS990ScheduleE/SupplementalInformationDetail/FormAndLineReferenceDesc2Schedule E, Line 5 - Explanation of Organization Discrimination by Race
IRS990ScheduleG/AgrmtProfFundraisingActyInd0false
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt018284
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0Annual Fundraiser
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt032633
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt032633
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt032633
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt032633
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt014349
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt018284
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt018284
IRS990ScheduleG/LicensedStatesCd0IL
IRS990ScheduleG/SpecialFundraisingEventsInd0X
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0A draft of the 990 will be provided to management and reviewed by members of the Board prior to submission.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1provided upon request
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section B, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section C, Line 19
IRS990/SchoolOperatingInd0true
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0IL
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0529257
IRS990/TotalAssetsEOYAmt01030703
IRS990/TotalAssetsGrp/BOYAmt0529257
IRS990/TotalAssetsGrp/EOYAmt01030703
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt00
IRS990/TotalEmployeeCnt038
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0254239
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt01418782
IRS990/TotalFunctionalExpensesGrp/TotalAmt01673021
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0131351
IRS990/TotalLiabilitiesEOYAmt0788294
IRS990/TotalLiabilitiesGrp/BOYAmt0131351
IRS990/TotalLiabilitiesGrp/EOYAmt0788294
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0397906
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0242409
IRS990/TotalProgramServiceExpensesAmt01418782
IRS990/TotalProgramServiceRevenueAmt01493346
IRS990/TotalReportableCompFromOrgAmt0148042
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt01503175
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt01517524
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0529257
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt01030703
IRS990/TravelGrp/TotalAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt06151 Washington Street
IRS990/USAddress/CityNm0Gurnee
IRS990/USAddress/StateAbbreviationCd0IL
IRS990/USAddress/ZIPCd060031
IRS990/VotingMembersGoverningBodyCnt03
IRS990/VotingMembersIndependentCnt03
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0Mary O'Young
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Executive Dir.
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-11-12
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Country Meadows Montessori School
ReturnHeader/Filer/BusinessNameControlTxt0COUN
ReturnHeader/Filer/EIN0363130724
ReturnHeader/Filer/USAddress/AddressLine1Txt06151 Washington Street
ReturnHeader/Filer/USAddress/CityNm0Gurnee
ReturnHeader/Filer/USAddress/StateAbbreviationCd0IL
ReturnHeader/Filer/USAddress/ZIPCd060031
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0364472389
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Swarztrauber & Co
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01117 S MILWAUKEE AVE D6
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0LIBERTYVILLE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0IL
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd060048
ReturnHeader/PreparerPersonGrp/PhoneNum08476621960
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0John E Blackburn

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