Civic Intelligence

Wyoming Health Information Organization

EIN 36-4583578 • 501(c)3

Profile

To enhance access, quality, safety and the efficiency of health care in wyoming through the implementation of elctronic health care informtation exchange.

109 East 17th Street82001

www.wyhio.org

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2013

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2013

Net Margin

32nd percentile

-8.8%

Higher net margin than 32% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2013

Top Officer Pay

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2013

Asset Growth

44th percentile

-6.0%

Faster asset growth than 44% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2012 to 2013

Revenue Growth

6th percentile

-93%

Faster revenue growth than 6% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2012 to 2013

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$12,242

Down $779 (-6.0%) from 2012

Liabilities

-

No earlier filing loaded for comparison.

Net Assets

Down

$12,242

Down $779 (-6.0%) from 2012

Operations
Liabilities / RevenueScore unavailableNet Margin32nd percentile

Revenue

Down

$8,831

Down $125,210 (-93%) from 2012

Expenses

Down

$9,610

Down $150,832 (-94%) from 2012

Net Income

Up

-$779

Up $25,622 (+97%) from 2012

Trend Graphs

Balance Sheet Trend

Asset Growth44th percentile

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

$80K$60K$40K$20K$0Assets 2010: $70,798Liabilities 2010: $0Net Assets 2010: $70,7982010Assets 2011: $39,422Net Assets 2011: $39,4222011Assets 2012: $13,021Net Assets 2012: $13,0212012Assets 2013: $12,242Net Assets 2013: $12,2422013

Highlighted filing

2013

Assets$12,242
Liabilities-
Net Assets$12,242
Open 2013 Filing

Operations Trend

Revenue Growth6th percentile

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

$300K$200K$100K$0-$100KExpenses 2010: $202,0012010Revenue 2011: $113,687Expenses 2011: $145,063Net Income 2011: -$31,3762011Revenue 2012: $134,041Expenses 2012: $160,442Net Income 2012: -$26,4012012Revenue 2013: $8,831Expenses 2013: $9,610Net Income 2013: -$7792013

Highlighted filing

2013

Revenue$8,831
Expenses$9,610
Net Income-$779
Open 2013 Filing

Filings

Most recent year

2013 • Form 990EZDetailed filing. Detailed filing data is available for this year.

Open filing
Assets
$12,242
Liabilities
-
Net assets
$12,242
Revenue
$8,831
Expenses
$9,610
Net income
-$779
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2013Detailed filing. Detailed filing data is available for this year.$0.12$0.12$0.09$0.10$0.01
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.13$0.13$1.34$1.60$0.26
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.39$0.39$1.14$1.45$0.31
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.71$0.00$0.71$2.02
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Nov 14, 2014
Return Version
2013v3.1
Gross Receipts
$8,831
Mission and Program Overview

Mission

To enhance access, quality, safety and the efficiency of health care in wyoming through the implementation of elctronic health care informtation exchange.

Program Services

DescriptionGrantsExpenses
TO ENHANCE ACCESS, QUALITY, SAFETY AND THE EFFICIENCY OF HEALTH CARE IN WYOMING THROUGH THE IMPLEMENTATION OF ELECTRONIC HEALTH CARE INFORMTATION EXCHANGE.-$8,403
SUPPORT FOR EXPANSION OF TELEHEALTH IN WYOMING, TO INCLUDE ADMINISTRATIVE AND TECHNICAL SUPPORT FOR THE WYOMING TELEHEALTH CONSORTIUM, AND SEEKING FUNDS FOR THE EXPANSION OF WYOMING'S TELEHEALTH NETWORK AND ASSOCIATED HEALTH CARE CLINICAL SERVICES--
DEVELOPMENT AND IMPLEMENTATION OF THE WYOMING HELATHCARE INFORMATION TECHNOLOGY SERVICES (WYHIT) PROGRAM FOR SMALL HEALTHCARE PROVIDERS IN WYOMING AS THEY IMPLEMENT ELECTRONIC MEDICAL RECORDS AND OTHER HEALTHCARE INFORMATION TECHNOLOGIES.--
Compensation and Service Providers
Top Officer Pay81st percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
DON JACKSONDirector-$0--
KEM KRUEGERTreasurer-$0--
CURT MOBERGDirector-$0--
LIZ SIMPSONDirector-$0--
DAVID WHEELER MD PHDDirector-$0--
ALLEN GEE MDVice Chair-$0--
JACK GLODE MDDirector-$0--
MATT RODOSKYSecretary-$0--
DON ERICKSONPresident-$0--
BOBBI JO DROZDDirector-$0--
MARK LAITOSDirector-$0--
Filing and Contact Details

Filer

EIN
36-4583578
Phone
3074324025

Signing Officer

Name
Kem Krueger
Title
Treasurer
Phone
3074324025
Signed
2014-11-14
Discuss with paid preparer
Yes

Preparer

Preparer
Jennifer K Brook
Phone
3077457241
Supplemental Narrative

Additional Explanations

Form 990-ez, Part I, Line 16

“Expenses marketing 23 office 471 insurance 1,000 bank/credit card fees 119 total 1,613”

Form 990-ez, Part III

“To enhance access, quality, safety and the efficiency of health care in wyoming through the implementation of elctronic health care informtation exchange.”

Form 990-ez, Part III, Line 28

“Support for expansion of telehealth in wyoming, to include administrative and technical support for the wyoming telehealth consortium, and seeking funds for the expansion of wyoming's telehealth network and associated health care clinical services”

Form 990-ez, Part III, Line 29

“Development and implementation of the wyoming helathcare information technology services (wyhit) program for small healthcare providers in wyoming as they implement electronic medical records and other healthcare information technologies.”

Raw XML Appendix177 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
CompensationExplanation/CompensationExplanationGrp/PersonNm0DON JACKSON
CompensationExplanation/CompensationExplanationGrp/PersonNm1KEM KRUEGER
CompensationExplanation/CompensationExplanationGrp/PersonNm2CURT MOBERG
CompensationExplanation/CompensationExplanationGrp/PersonNm3LIZ SIMPSON
CompensationExplanation/CompensationExplanationGrp/PersonNm4DAVID WHEELER MD PHD
CompensationExplanation/CompensationExplanationGrp/PersonNm5ALLEN GEE MD
CompensationExplanation/CompensationExplanationGrp/PersonNm6JACK GLODE MD
CompensationExplanation/CompensationExplanationGrp/PersonNm7MATT RODOSKY
CompensationExplanation/CompensationExplanationGrp/PersonNm8DON ERICKSON
CompensationExplanation/CompensationExplanationGrp/PersonNm9BOBBI JO DROZD
CompensationExplanation/CompensationExplanationGrp/PersonNm10MARK LAITOS
IRS990EZ/ActivitiesNotPreviouslyRptInd0false
IRS990EZ/BooksInCareOfDetail/PersonNm0KEM KRUEGER
IRS990EZ/BooksInCareOfDetail/PhoneNum03077666532
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine10109 EAST 17TH STREET
IRS990EZ/BooksInCareOfDetail/USAddress/City0CHEYENNE
IRS990EZ/BooksInCareOfDetail/USAddress/State0WY
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCode082001
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt013021
IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt012242
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd0false
IRS990EZ/ContributionsGiftsGrantsEtcAmt05346
IRS990EZ/DonorAdvisedFndsInd0false
IRS990EZ/EngagedInExcessBenefitTransInd0false
IRS990EZ/ExcessOrDeficitForYearAmt0-779
IRS990EZ/FeesAndOtherPymtToIndCntrctAmt04601
IRS990EZ/FiledScheduleAInd0true
IRS990EZ/ForeignFinancialAccountInd0false
IRS990EZ/ForeignOfficeInd0false
IRS990EZ/Form1120PolFiledInd0false
IRS990EZ/Form990TotalAssetsGrp/BOYAmt013021
IRS990EZ/Form990TotalAssetsGrp/EOYAmt012242
IRS990EZ/GrossReceiptsAmt08831
IRS990EZ/InfoInScheduleOPartIIIInd0X
IRS990EZ/InfoInScheduleOPartIInd0X
IRS990EZ/LobbyingActivitiesInd0false
IRS990EZ/MadeLoansToFromOfficersInd0false
IRS990EZ/MethodOfAccountingCashInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt013021
IRS990EZ/NetAssetsOrFundBalancesEOYAmt012242
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt013021
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt012242
IRS990EZ/OccupancyRentUtltsAndMaintAmt03396
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt00.50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt10.50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt20.50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt30.50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt40.50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt50.50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt60.50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt70.50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt80.50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt90.50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt100.50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt90
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt100
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0DON JACKSON
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1KEM KRUEGER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2CURT MOBERG
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3LIZ SIMPSON
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4DAVID WHEELER MD PHD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm5ALLEN GEE MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm6JACK GLODE MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm7MATT RODOSKY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm8DON ERICKSON
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm9BOBBI JO DROZD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm10MARK LAITOS
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1TREASURER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt5VICE CHAIR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt6DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt7SECRETARY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt8PRESIDENT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt9DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt10DIRECTOR
IRS990EZ/OperateHospitalInd0false
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd0false
IRS990EZ/OrganizationHadUBIInd0false
IRS990EZ/OtherExpensesTotalAmt01613
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd0false
IRS990EZ/PrimaryExemptPurposeTxt0TO ENHANCE ACCESS, QUALITY, SAFETY AND THE EFFICIENCY OF HEALTH CARE IN WYOMING THROUGH THE IMPLEMENTATION OF ELCTRONIC HEALTH CARE INFORMTATION EXCHANGE.
IRS990EZ/ProgramServiceRevenueAmt03485
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0SUPPORT FOR EXPANSION OF TELEHEALTH IN WYOMING, TO INCLUDE ADMINISTRATIVE AND TECHNICAL SUPPORT FOR THE WYOMING TELEHEALTH CONSORTIUM, AND SEEKING FUNDS FOR THE EXPANSION OF WYOMING'S TELEHEALTH NETWORK AND ASSOCIATED HEALTH CARE CLINICAL SERVICES
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt1DEVELOPMENT AND IMPLEMENTATION OF THE WYOMING HELATHCARE INFORMATION TECHNOLOGY SERVICES (WYHIT) PROGRAM FOR SMALL HEALTHCARE PROVIDERS IN WYOMING AS THEY IMPLEMENT ELECTRONIC MEDICAL RECORDS AND OTHER HEALTHCARE INFORMATION TECHNOLOGIES.
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt2TO ENHANCE ACCESS, QUALITY, SAFETY AND THE EFFICIENCY OF HEALTH CARE IN WYOMING THROUGH THE IMPLEMENTATION OF ELECTRONIC HEALTH CARE INFORMTATION EXCHANGE.
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt08403
IRS990EZ/ProhibitedTaxShelterTransInd0false
IRS990EZ/RelatedOrganizationCtrlEntInd0false
IRS990EZ/SchoolOperatingInd0false
IRS990EZ/SubjectToProxyTaxInd0false
IRS990EZ/TanningServicesProvidedInd0false
IRS990EZ/TotalExpensesAmt09610
IRS990EZ/TotalProgramServiceExpensesAmt08403
IRS990EZ/TotalRevenueAmt08831
IRS990EZ/TransactionWithControlEntInd0false
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0WWW.WYHIO.ORG
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt05346
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt07775
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0113687
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0211881
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0116866
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0455555
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt03485
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct01.00000
IRS990ScheduleA/PublicSupportPY170Pct01.00000
IRS990ScheduleA/PublicSupportTotal170Amt0455555
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt05346
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt07775
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0113687
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0211881
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0116866
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0455555
IRS990ScheduleA/TotalSupportAmt0455555
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/ExplanationTxt0EXPENSES MARKETING 23 OFFICE 471 INSURANCE 1,000 BANK/CREDIT CARD FEES 119 TOTAL 1,613
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1TO ENHANCE ACCESS, QUALITY, SAFETY AND THE EFFICIENCY OF HEALTH CARE IN WYOMING THROUGH THE IMPLEMENTATION OF ELCTRONIC HEALTH CARE INFORMTATION EXCHANGE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2SUPPORT FOR EXPANSION OF TELEHEALTH IN WYOMING, TO INCLUDE ADMINISTRATIVE AND TECHNICAL SUPPORT FOR THE WYOMING TELEHEALTH CONSORTIUM, AND SEEKING FUNDS FOR THE EXPANSION OF WYOMING'S TELEHEALTH NETWORK AND ASSOCIATED HEALTH CARE CLINICAL SERVICES
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3DEVELOPMENT AND IMPLEMENTATION OF THE WYOMING HELATHCARE INFORMATION TECHNOLOGY SERVICES (WYHIT) PROGRAM FOR SMALL HEALTHCARE PROVIDERS IN WYOMING AS THEY IMPLEMENT ELECTRONIC MEDICAL RECORDS AND OTHER HEALTHCARE INFORMATION TECHNOLOGIES.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990-EZ, PART I, LINE 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990-EZ, PART III
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990-EZ, PART III, LINE 28
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990-EZ, PART III, LINE 29
ReturnHeader/BuildTS02015-11-30 17:44:51Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0KEM KRUEGER
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum03074324025
ReturnHeader/BusinessOfficerGrp/SignatureDt02014-11-14
ReturnHeader/Filer/BusinessName/BusinessNameLine10WYOMING HEALTH INFORMATION
ReturnHeader/Filer/BusinessName/BusinessNameLine20ORGANIZATION
ReturnHeader/Filer/BusinessNameControlTxt0WYOM
ReturnHeader/Filer/EIN0364583578
ReturnHeader/Filer/PhoneNum03074324025
ReturnHeader/Filer/USAddress/AddressLine10109 EAST 17TH STREET
ReturnHeader/Filer/USAddress/City0CHEYENNE
ReturnHeader/Filer/USAddress/State0WY
ReturnHeader/Filer/USAddress/ZIPCode082001
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0273854246
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine10CPA GROUP OF LARAMIE LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine101273 N 15TH ST SUITE 121
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/City0LARAMIE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/State0WY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCode082072
ReturnHeader/PreparerPersonGrp/PhoneNum03077457241
ReturnHeader/PreparerPersonGrp/PreparationDt02014-11-15
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0JENNIFER K BROOK
ReturnHeader/ReturnTs02014-11-15T10:53:28-06:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02013-01-01
ReturnHeader/TaxPeriodEndDt02013-12-31
ReturnHeader/TaxYr02013

Document Assets

No mirrored PDF or thumbnail assets are attached yet.