Civic Intelligence

Restore

990EZ • Fiscal year 2022 • EIN 36-3955407

Jan 01, 2022 to Dec 31, 2022 • Filed on May 02, 2023

1704 Main Avenue Ste 3Fargo, ND 58103

(701) 239-0078

Siviq Scores

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

Liabilities / Assets

84th percentile

0.20x

Higher debt load relative to assets than 84% of similar nonprofits.

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

Liabilities / Revenue

84th percentile

0.14x

Higher debt load relative to revenue than 84% of similar nonprofits.

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

Net Margin

34th percentile

-3.1%

Higher net margin than 34% of similar nonprofits.

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

Top Officer Pay

89th percentile

$35,413

Higher top officer pay than 89% of similar nonprofits.

Top officer pay equals 24.3% of source-year revenue.

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

Asset Growth

43rd percentile

-2.0%

Faster asset growth than 43% of similar nonprofits.

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

Revenue Growth

57th percentile

18%

Faster revenue growth than 57% of similar nonprofits.

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

Assets

Down

$104,962

Down $2,094 (-2.0%) from 2021

Net Assets

Down

$84,455

Down $4,533 (-5.1%) from 2021

Liabilities

Up

$20,507

Up $2,439 (+13%) from 2021

Revenue

Up

$145,570

Up $21,833 (+18%) from 2021

Expenses

Up

$150,103

Up $33,572 (+29%) from 2021

Net Income

Down

-$4,533

Down $11,739 (-163%) from 2021

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$200K$150K$100K$50K$0Assets 2013: $176,226Liabilities 2013: $1,408Net Assets 2013: $174,8182013Assets 2014: $165,939Liabilities 2014: $21,794Net Assets 2014: $144,1452014Assets 2015: $172,159Liabilities 2015: $25,664Net Assets 2015: $146,4952015Assets 2016: $185,585Liabilities 2016: $26,658Net Assets 2016: $158,9272016Assets 2017: $178,891Liabilities 2017: $18,068Net Assets 2017: $160,8232017Assets 2018: $162,669Liabilities 2018: $18,157Net Assets 2018: $144,5122018Assets 2019: $131,891Liabilities 2019: $18,288Net Assets 2019: $113,6032019Assets 2020: $99,874Liabilities 2020: $18,092Net Assets 2020: $81,7822020Assets 2021: $107,056Liabilities 2021: $18,068Net Assets 2021: $88,9882021Assets 2022: $104,962Liabilities 2022: $20,507Net Assets 2022: $84,4552022Assets 2023: $132,176Liabilities 2023: $23,933Net Assets 2023: $108,2432023Assets 2024: $0Liabilities 2024: $0Net Assets 2024: $02024

Highlighted filing

2022

Assets$104,962
Liabilities$20,507
Net Assets$84,455

Operations Trend

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

$400K$200K$0-$200KRevenue 2013: $131,843Expenses 2013: $127,707Net Income 2013: $4,1362013Revenue 2014: $101,325Expenses 2014: $131,998Net Income 2014: -$30,6732014Revenue 2015: $122,861Expenses 2015: $120,511Net Income 2015: $2,3502015Revenue 2016: $133,296Expenses 2016: $120,864Net Income 2016: $12,4322016Revenue 2017: $123,311Expenses 2017: $121,415Net Income 2017: $1,8962017Revenue 2018: $107,244Expenses 2018: $123,555Net Income 2018: -$16,3112018Revenue 2019: $101,769Expenses 2019: $132,678Net Income 2019: -$30,9092019Revenue 2020: $108,928Expenses 2020: $140,749Net Income 2020: -$31,8212020Revenue 2021: $123,737Expenses 2021: $116,531Net Income 2021: $7,2062021Revenue 2022: $145,570Expenses 2022: $150,103Net Income 2022: -$4,5332022Revenue 2023: $329,718Expenses 2023: $305,926Net Income 2023: $23,7922023Revenue 2024: $236,615Expenses 2024: $344,856Net Income 2024: -$108,2412024

Highlighted filing

2022

Revenue$145,570
Expenses$150,103
Net Income-$4,533
Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
May 2, 2023
Return Version
2022v5.0
Gross Receipts
$145,570
Mission and Program Overview

Mission

Monitoring clients of correctional system

Program Services

DescriptionGrantsExpenses
MONITORING CLIENTS OF CORRECTIONAL SYSTEM CLIENTS SERVED WERE 585-$149,931
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
KELSEY AUGUSTINExec DirectorFT$34,965$448$35,413
KELSEY ZINDAPast Exec DirectorFT$3,205$514$3,719
RICH WARNERPresident-$0--
BIRCH BURDICKVice President-$0--
MARK HENDRICKSONSecretary-$0--
TERRY LINDEMOENTreasurer-$0--
NICHOLE LEITNERDirector-Non Voting-$0--
TOM GRAVELDirector-$0--
BARB BRIELANDDirector-$0--
TODD THOMSONDirector-$0--
CHRIS HELMEKEDirector-$0--
TODD PEARSONDirector-$0--
LINDSEY EMERSONDirector-$0--
LINDSEY BULLISDirector-$0--
Filing and Contact Details

Filer

Filer Name
Restore
EIN
36-3955407
Phone
7012390078
Address
1704 MAIN AVENUE STE 3, FARGO, ND 58103

Signing Officer

Name
Kelsey Augustin
Title
Executive Director
Phone
7012390078
Signed
2023-05-02
Discuss with paid preparer
Yes

Preparer

Firm
Keith Ollie Ltd
Address
1111 WESTRAC DR 102, FARGO, ND 58103
Preparer
Keith Ollie
Phone
7012327439
Supplemental Narrative

Additional Explanations

Form 990-EZ, Part I, Line 16, Other Expenses

Travel 145

Form 990-EZ, Part I, Line 16, Other Expenses

Meals and entertainment 69

Form 990-EZ, Part I, Line 16, Other Expenses

Equipment rental and maintenance 595

Form 990-EZ, Part I, Line 16, Other Expenses

Telephone 3,785

Form 990-EZ, Part I, Line 16, Other Expenses

Depreciation 485

Form 990-EZ, Part I, Line 16, Other Expenses

Insurance 1,446

Form 990-EZ, Part I, Line 16, Other Expenses

Program expenses 3,510

Form 990-EZ, Part I, Line 16, Other Expenses

Payroll Taxes 6,327

Form 990-EZ, Part I, Line 16, Other Expenses

Professional Development and Training 168

Form 990-EZ, Part I, Line 16, Other Expenses

Credit Card Expenses 1,005

Form 990-EZ, Part I, Line 16, Other Expenses

Miscellaneous Board Expenses 30

Form 990-EZ, Part I, Line 16, Other Expenses

Contracted Services 29,265

Form 990-EZ, Part I, Line 16, Other Expenses

Bank Charges 332

Form 990-EZ, Part I, Line 16, Other Expenses

Miscellaneous Expense 183

Form 990-EZ, Part II, Line 26, Liabilities

PAYROLL TAX PAYABLE Beginning of year 748, End of year 3,187

Form 990-EZ, Part II, Line 26, Liabilities

UNEARNED GRANT REVENUE Beginning of year 17,320, End of year 17,320

Raw XML Appendix243 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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IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0FARGO
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt90
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt103205
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt110
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt120
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt1334965
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt0514
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt1448
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0RICH WARNER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1BIRCH BURDICK
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2MARK HENDRICKSON
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3TERRY LINDEMOEN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4NICHOLE LEITNER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm5TOM GRAVEL
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm6BARB BRIELAND
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm7TODD THOMSON
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm8CHRIS HELMEKE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm9TODD PEARSON
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm10KELSEY ZINDA
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm11LINDSEY EMERSON
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm12LINDSEY BULLIS
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm13KELSEY AUGUSTIN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0PRESIDENT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1VICE PRESIDENT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2SECRETARY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3TREASURER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4DIRECTOR-NON VOTING
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt5DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt6DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt7DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt8DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt9DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt10PAST EXEC DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt11DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt12DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt13EXEC DIRECTOR
IRS990EZ/OperateHospitalInd0false
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd0false
IRS990EZ/OrganizationHadUBIInd0false
IRS990EZ/OtherExpensesTotalAmt047345
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd0false
IRS990EZ/PrimaryExemptPurposeTxt0MONITORING CLIENTS OF CORRECTIONAL SYSTEM
IRS990EZ/PrintingPublicationsPostageAmt02233
IRS990EZ/ProgramServiceRevenueAmt037251
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0MONITORING CLIENTS OF CORRECTIONAL SYSTEM CLIENTS SERVED WERE 585
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt0149931
IRS990EZ/RelatedOrganizationCtrlEntInd0false
IRS990EZ/SalariesOtherCompEmplBnftAmt081938
IRS990EZ/SchoolOperatingInd0false
IRS990EZ/SubjectToProxyTaxInd0false
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt018068
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt020507
IRS990EZ/TanningServicesProvidedInd0false
IRS990EZ/TaxImposedUnderIRC4911Amt00
IRS990EZ/TaxImposedUnderIRC4912Amt00
IRS990EZ/TaxImposedUnderIRC4955Amt00
IRS990EZ/TotalExpensesAmt0150103
IRS990EZ/TotalProgramServiceExpensesAmt0149931
IRS990EZ/TotalRevenueAmt0145570
IRS990EZ/TransactionWithControlEntInd0false
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0RESTORE-INC.ORG
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt0108153
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt056963
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt032524
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt034904
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt033742
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt0266286
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt0166
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt0638
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt0874
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt0985
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt0591
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt03254
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt037251
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt044765
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt075530
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt065880
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt072911
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt0296337
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt0166
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt0638
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt0874
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt0985
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt0591
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt03254
IRS990ScheduleA/InvestmentIncomeCYPct00.00580
IRS990ScheduleA/InvestmentIncomePYPct00.00610
IRS990ScheduleA/NetIncomeFromOtherUBIGrp/TotalAmt00
IRS990ScheduleA/OtherIncome509Grp/TotalAmt00
IRS990ScheduleA/Post1975UBTIGrp/TotalAmt00
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.99420
IRS990ScheduleA/PublicSupportPY509Pct00.99390
IRS990ScheduleA/PublicSupportTotal509Amt0562623
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0145404
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IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0108054
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0100784
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0106653
IRS990ScheduleA/Total509Grp/TotalAmt0562623
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0145570
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0102366
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IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0107244
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0565877
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Travel 145
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Meals and entertainment 69
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Equipment rental and maintenance 595
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Telephone 3,785
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4Depreciation 485
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5Insurance 1,446
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6Program expenses 3,510
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7Payroll Taxes 6,327
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8Professional Development and Training 168
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9Credit Card Expenses 1,005
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10Miscellaneous Board Expenses 30
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt11Contracted Services 29,265
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt12Bank Charges 332
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt13Miscellaneous Expense 183
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt14PAYROLL TAX PAYABLE Beginning of year 748, End of year 3,187
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt15UNEARNED GRANT REVENUE Beginning of year 17,320, End of year 17,320
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990-EZ, Part I, Line 16, Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990-EZ, Part I, Line 16, Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990-EZ, Part I, Line 16, Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990-EZ, Part I, Line 16, Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990-EZ, Part I, Line 16, Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990-EZ, Part I, Line 16, Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990-EZ, Part I, Line 16, Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Form 990-EZ, Part I, Line 16, Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8Form 990-EZ, Part I, Line 16, Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9Form 990-EZ, Part I, Line 16, Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc10Form 990-EZ, Part I, Line 16, Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc11Form 990-EZ, Part I, Line 16, Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc12Form 990-EZ, Part I, Line 16, Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc13Form 990-EZ, Part I, Line 16, Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc14Form 990-EZ, Part II, Line 26, Liabilities
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc15Form 990-EZ, Part II, Line 26, Liabilities
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd02
ReturnHeader/BuildTS02023-04-26 12:10:37Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0KELSEY AUGUSTIN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0EXECUTIVE DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum07012390078
ReturnHeader/BusinessOfficerGrp/SignatureDt02023-05-02
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0RESTORE
ReturnHeader/Filer/BusinessNameControlTxt0REST
ReturnHeader/Filer/EIN0363955407
ReturnHeader/Filer/PhoneNum07012390078
ReturnHeader/Filer/USAddress/AddressLine1Txt01704 MAIN AVENUE STE 3
ReturnHeader/Filer/USAddress/CityNm0FARGO
ReturnHeader/Filer/USAddress/StateAbbreviationCd0ND
ReturnHeader/Filer/USAddress/ZIPCd058103
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0411964410
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0KEITH OLLIE LTD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01111 WESTRAC DR 102
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0FARGO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0ND
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd058103
ReturnHeader/PreparerPersonGrp/PhoneNum07012327439
ReturnHeader/PreparerPersonGrp/PreparationDt02023-05-03
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0KEITH OLLIE
ReturnHeader/ReturnTs02023-05-09T06:11:21-00:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0KELSEY
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0AUGUSTIN
ReturnHeader/TaxPeriodBeginDt02022-01-01
ReturnHeader/TaxPeriodEndDt02022-12-31
ReturnHeader/TaxYr02022

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