Civic Intelligence

Blistex Inc Employee Benefit

EIN 36-3204401 • 501(c)9 • Oak Brook, IL

Profile

To provide health care benefits for eligible plan participants and/or their dependents in accordance with the plan document and schedule of benefits

1800 Swift DriveOak Brook, IL 60523

n/A

Siviq Scores

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

Liabilities / Assets

92nd percentile

0.82x

Higher debt load relative to assets than 92% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Source year 2016

Liabilities / Revenue

65th percentile

0.03x

Higher debt load relative to revenue than 65% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Source year 2016

Net Margin

36th percentile

-0.2%

Higher net margin than 36% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Source year 2016

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

22nd percentile

-19%

Faster asset growth than 22% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Revenue Growth

35th percentile

-1.5%

Faster revenue growth than 35% of similar nonprofits.

501(c)9 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets92nd percentile

Assets

Down

$0

Down $140,587 (-100%) from 2017

Liabilities

Down

$0

Down $121,827 (-100%) from 2017

Net Assets

Down

$0

Down $18,760 (-100%) from 2017

Operations
Liabilities / Revenue65th percentileNet Margin36th percentile

Revenue

Up

$3,913,528

Up $155,081 (+4.1%) from 2017

Expenses

Up

$3,932,288

Up $172,258 (+4.6%) from 2017

Net Income

Down

-$18,760

Down $17,177 (-1085%) from 2017

Trend Graphs

Balance Sheet Trend

Asset Growth22nd percentile

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

$200K$150K$100K$50K$0Assets 2010: $152,752Liabilities 2010: $71,942Net Assets 2010: $80,8102010Assets 2011: $123,397Liabilities 2011: $61,515Net Assets 2011: $61,8822011Assets 2012: $173,152Liabilities 2012: $55,695Net Assets 2012: $117,4572012Assets 2013: $122,180Liabilities 2013: $45,070Net Assets 2013: $77,1102013Assets 2014: $137,546Liabilities 2014: $67,566Net Assets 2014: $69,9802014Assets 2015: $138,063Liabilities 2015: $109,769Net Assets 2015: $28,2942015Assets 2016: $111,924Liabilities 2016: $91,581Net Assets 2016: $20,3432016Assets 2017: $140,587Liabilities 2017: $121,827Net Assets 2017: $18,7602017Assets 2018: $0Liabilities 2018: $0Net Assets 2018: $02018

Highlighted filing

2018

Assets$0
Liabilities$0
Net Assets$0
Open 2018 Filing

Operations Trend

Revenue Growth35th percentile

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

$4.0M$3.0M$2.0M$1.0M$0-$1.0MExpenses 2010: $2,810,8532010Expenses 2011: $2,925,2102011Expenses 2012: $2,974,2532012Revenue 2013: $2,995,491Expenses 2013: $3,035,838Net Income 2013: -$40,3472013Revenue 2014: $3,210,152Expenses 2014: $3,217,282Net Income 2014: -$7,1302014Revenue 2015: $3,647,339Expenses 2015: $3,689,025Net Income 2015: -$41,6862015Revenue 2016: $3,593,048Expenses 2016: $3,600,999Net Income 2016: -$7,9512016Revenue 2017: $3,758,447Expenses 2017: $3,760,030Net Income 2017: -$1,5832017Revenue 2018: $3,913,528Expenses 2018: $3,932,288Net Income 2018: -$18,7602018

Highlighted filing

2018

Revenue$3,913,528
Expenses$3,932,288
Net Income-$18,760
Open 2018 Filing

Filings

Most recent year

2018 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$3,913,528
Expenses
$3,932,288
Net income
-$18,760
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2018Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$3.91$3.93$0.02
2017Detailed filing. Detailed filing data is available for this year.$0.14$0.12$0.02$3.76$3.76$0.00
2016Detailed filing. Detailed filing data is available for this year.$0.11$0.09$0.02$3.59$3.60$0.01
2015Detailed filing. Detailed filing data is available for this year.$0.14$0.11$0.03$3.65$3.69$0.04
2014Detailed filing. Detailed filing data is available for this year.$0.14$0.07$0.07$3.21$3.22$0.01
2013Detailed filing. Detailed filing data is available for this year.$0.12$0.05$0.08$3.00$3.04$0.04
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.17$0.06$0.12$2.97
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.12$0.06$0.06$2.93
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.15$0.07$0.08$2.81
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Aug 30, 2019
Return Version
2018v3.1
Gross Receipts
$3,913,528
Mission and Program Overview

Mission

To provide health care benefits for eligible plan participants and/or their dependents in accordance with the plan document and schedule of benefits

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$135,526$0▼ $135,526
Rtn Earn Endowment Incm Other Fnds$18,760$0▼ $18,760
Cash and Non-Interest-Bearing Accounts$5,061$0▼ $5,061
Accounts Receivable-$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-
Land, Buildings, and Equipment, Net-$0-
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$140,587$0▼ $140,587
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$121,827$0▼ $121,827
Total Liabilities$121,827$0▼ $121,827
Net Assets / Fund Balance
Total Net Assets Fund Balance$18,760$0▼ $18,760
Total Liabilities and Net Assets / Fund Balance$140,587$0▼ $140,587
Compensation and Service Providers
Top Officer PayScore unavailable

Board Members and Trustees

NameTitle
David C ArchChairman
Michael J DonnantuonoPresident
Justin D ArchCEO
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$3,913,331
Investment Income
$197
Other Revenue
$0
Change in Net Assets
$-18,760

Audited Revenue Reconciliation

Revenue per Audited Statements
$3,913,528
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$403,062
Total Revenue per Audited Statements
$4,316,590
Total Revenue per Form 990
$3,913,528
Expenses and Functional Allocation

Major Expense Lines

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

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members---$3,932,288
Total Functional Expenses$0$0$0$3,932,288

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$4,401,883
Expenses per Audited Statements$3,932,288
Total Expenses per Form 990$3,932,288
Expenses Not Reported on Form 990$469,595
Expenses Not Reported on Financial Statements$0
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
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-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Audit committee
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
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

“David c. Arch and justin d. Arch have a family relationship”

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

“Trustees review form 990 for completeness and accuracy prior to signing and filing the return”

Form 990, Part VI, Section C, Line 19

“The organization makes its documents available to the public upon request”

Filing and Contact Details

Filer

Filer Name
Blistex Inc Employee Benefit
EIN
36-3204401
Phone
6305712870
Address
1800 SWIFT DRIVE, OAK BROOK, IL 60523

Signing Officer

Name
Justin D Arch
Title
CEO
Phone
6305712870
Signed
2019-08-30
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Justin D Arch
Formed
1982
Legal Domicile
Il
Voting Board Members
3
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Fgmk LLC
Address
2801 LAKESIDE DRIVE 3RD FLOOR, BANNOCKBURN, IL 60015
Preparer
Cheri M Mock
Phone
8473740400
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

“The process has not changed from the prior year.”

Financial Statement Notes

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Employer provided benefits-life/ad&d/dis 332,745. Employer provided life/ad&d premiums 70,317.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“Amt of total employer benefits provided 403,062. Plus change in benefits payable 66,533.”

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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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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1JUSTIN D ARCH
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2MICHAEL J DONNANTUONO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CHAIRMAN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2PRESIDENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt11
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt21
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0COMPENSATION AMOUNTS FOR THE DIRECTORS OF THE BLISTEX INC EMPLOYEE BENEFIT PLAN AND TRUST THAT ARE PAID BY ITS SPONSOR, BLISTEX INC. ARE REPORTED AS $1 ON FORM 990 PART VII AND SCHEDULE J IN AS MUCH AS FORM 990 IS A PUBLIC DOCUMENT AND THE PLAN SPONSOR, BLISTEX INC. IS A PRIVATELY HELD COMPANY. THE PLAN ITSELF DOES NOT PAY ANY COMPENSATION TO ITS DIRECTORS. THE COMPENSATION INFORMATION WILL BE PROVIDED TO THE IRS IF REQUESTED.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990 SCHEDULE J, PART III
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990ScheduleN/AssetsDistributedInd01
IRS990ScheduleN/AttorneyGeneralNotifiedInd00
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd00
IRS990ScheduleN/EmployeeOfSuccessorInd00
IRS990ScheduleN/LiabilitiesPaidInd01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0ALL REMAINING FUNDS WERE USED TO PAY OUT PARTICIPANT CLAIMS.
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02018-12-31
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt056813
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0INDIVIDUAL
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0CASH
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0DAVID C. ARCH AND JUSTIN D. ARCH HAVE A FAMILY RELATIONSHIP
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1TRUSTEES REVIEW FORM 990 FOR COMPLETENESS AND ACCURACY PRIOR TO SIGNING AND FILING THE RETURN
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART XII, LINE 2C:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN0362094164
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt0S
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd0IL
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0LIPCARE PRODUCTS
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0BLISTEX INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt01800 SWIFT DRIVE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm0OAK BROOK
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd0IL
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCd060523
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd01
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd01
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt02860000
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt0CASH PROVIDED
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt0BLISTEX INC
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt0S
IRS990ScheduleR/TransferFromOtherOrgInd01
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd01
IRS990/TotalAssetsBOYAmt0140587
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt0140587
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt03932288
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0121827
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt0121827
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt018760
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceRevenueAmt03913331
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt0197
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt03913331
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt03913528
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0140587
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotReportableCompRltdOrgAmt03
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt01800 SWIFT DRIVE
IRS990/USAddress/CityNm0OAK BROOK
IRS990/USAddress/StateAbbreviationCd0IL
IRS990/USAddress/ZIPCd060523
IRS990/VotingMembersGoverningBodyCnt03
IRS990/VotingMembersIndependentCnt00
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02019-02-21 02:37:17Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0JUSTIN D ARCH
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CEO
ReturnHeader/BusinessOfficerGrp/PhoneNum06305712870
ReturnHeader/BusinessOfficerGrp/SignatureDt02019-08-30
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0BLISTEX INC EMPLOYEE BENEFIT
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0PLAN AND TRUST
ReturnHeader/Filer/BusinessNameControlTxt0BLIS
ReturnHeader/Filer/EIN0363204401
ReturnHeader/Filer/PhoneNum06305712870
ReturnHeader/Filer/USAddress/AddressLine1Txt01800 SWIFT DRIVE
ReturnHeader/Filer/USAddress/CityNm0OAK BROOK
ReturnHeader/Filer/USAddress/StateAbbreviationCd0IL
ReturnHeader/Filer/USAddress/ZIPCd060523
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0DA39A3EE5E6B4B0D3255BFEF95601890AFD80709
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0BC8EA580E3368EBEFF23588B4D709BBEE4713B2A
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt064.135.146.196
ReturnHeader/FilingSecurityInformation/IPDt02019-08-30
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CD
ReturnHeader/FilingSecurityInformation/IPTm013:19:54
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0362929601
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0FGMK LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt02801 LAKESIDE DRIVE 3RD FLOOR
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0BANNOCKBURN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0IL
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd060015
ReturnHeader/PreparerPersonGrp/PhoneNum08473740400
ReturnHeader/PreparerPersonGrp/PreparationDt02019-07-18
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0CHERI M MOCK
ReturnHeader/ReturnTs02019-09-13T10:14:38-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02018-01-01
ReturnHeader/TaxPeriodEndDt02018-12-31
ReturnHeader/TaxYr02018

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