Civic Intelligence

Delta Dental Plan of Michigan Inc Veba Local 724

EIN 38-3304640 • 501(c)9 • Lansing, MI

Profile

NONE

PO Box 30416Lansing, MI 48909-7916

n/A

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 2014

Liabilities / Revenue

80th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)9 • <$500k nonprofits • Source year 2014

Net Margin

3rd percentile

-249190%

Higher net margin than 3% of similar nonprofits.

501(c)9 • <$500k nonprofits • Source year 2014

Top Officer Pay

75th percentile

$0

Higher top officer pay than 75% of similar nonprofits.

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

501(c)9 • <$500k nonprofits • Source year 2014

Asset Growth

46th percentile

-100%

Faster asset growth than 46% of similar nonprofits.

501(c)9 • <$500k nonprofits • Annualized from 2013 to 2014

Revenue Growth

43rd percentile

-50%

Faster revenue growth than 43% of similar nonprofits.

501(c)9 • <$500k nonprofits • Annualized from 2013 to 2014

Assets

Down

$0

Down $24,919 (-100%) from 2013

Liabilities

Down

$0

Down $24,919 (-100%) from 2013

Net Assets

Flat

$0

Flat from 2013

Revenue

Down

$10

Down $10 (-50%) from 2013

Expenses

Up

$24,929

Up $24,919 (+249190%) from 2013

Net Income

Down

-$24,919

Down $24,929 (-249290%) from 2013

Trend Graphs

Balance Sheet Trend

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

$800K$600K$400K$200K$0Assets 2010: $779,840Liabilities 2010: $779,840Net Assets 2010: $02010Assets 2011: $258,806Liabilities 2011: $258,806Net Assets 2011: $02011Assets 2012: $24,909Liabilities 2012: $24,909Net Assets 2012: $02012Assets 2013: $24,919Liabilities 2013: $24,919Net Assets 2013: $02013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014

Highlighted filing

2014

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

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

$1.0M$500K$0-$500K-$1.0MExpenses 2010: $373,0892010Revenue 2011: $1,065Expenses 2011: $522,099Net Income 2011: -$521,0342011Expenses 2012: $234,1212012Revenue 2013: $20Expenses 2013: $10Net Income 2013: $102013Revenue 2014: $10Expenses 2014: $24,929Net Income 2014: -$24,9192014

Highlighted filing

2014

Revenue$10
Expenses$24,929
Net Income-$24,919

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
May 12, 2015
Return Version
2014v5.0
Gross Receipts
$24,938
Mission and Program Overview

Mission

NONE

The trust provides assets to fund health and welfare benefits to covered employees of delta dental plan of michigan inc, in accordance with its tax exempt purpose under irs section 501(c)(9).

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$24,918$0▼ $24,918
Savings and Temporary Cash Investments-$0-
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
Rtn Earn Endowment Incm Other Fnds$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$24,919$0▼ $24,919
Other Assets Total$1$0▼ $1
Liabilities
Other Liabilities$24,919$0▼ $24,919
Total Liabilities$24,919$0▼ $24,919
Net Assets / Fund Balance
Total Net Assets Fund Balance$0$0→ $0
Total Liabilities and Net Assets / Fund Balance$24,919$0▼ $24,919
Compensation and Service Providers

Board Members and Trustees

NameTitle
-Trustee
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$10
Other Revenue
$0
Change in Net Assets
$-24,919
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---$24,929
Total Functional Expenses$0$0$0$24,929
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
Backup withholding compliance
Yes
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
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 8A

There are no meetings held. The funds are held in trust and managed by a trustee.

Form 990, Part VI, Section A, Line 8B

There are no meetings held. The funds are held in trust and managed by a trustee.

Form 990, Part VI, Section B, Line 11

The 990 information is compiled by the organization's senior tax administrator, reviewed by the cfo, then sent to an outside cpa firm for preparation where is it prepared and reviewed. The completed 990 is sent to the trustee for review and signature.

Form 990, Part VI, Section C, Line 19

The organization makes its form 1023 and form 990 available for public inspection by request.

Form 990, Part VII

Wells fargo - 34100 woodward, suite 300, birmingham, mi 48009.

Filing and Contact Details

Filer

Filer Name
Delta Dental Plan of Michigan Inc
EIN
38-3304640
Phone
5173496000
Address
PO BOX 30416, LANSING, MI 48909-7916

Signing Officer

Name
Tony Laubach
Title
Trustee
Phone
5173496000
Signed
2015-05-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tony Laubach
Formed
1995
Legal Domicile
Mi
Voting Board Members
1
Independent Board Members
1
Employees
0
Volunteers
0

Preparer

Firm
Plante & Moran Pllc
Address
1111 MICHIGAN AVE, EAST LANSING, MI 48823
Preparer
Margarete L Chalker CPA
Phone
5173326200
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Change in benefit obligation 24,919.

FORM 990, PART XI, LINE 2A AND B:

The plan does not have an audit or review requirement. All assets of the plan are held in trust.

Raw XML Appendix324 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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IRS990/AccountsReceivableGrp/EOYAmt00
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0THE TRUST PROVIDES ASSETS TO FUND HEALTH AND WELFARE BENEFITS TO COVERED EMPLOYEES OF DELTA DENTAL PLAN OF MICHIGAN INC, IN ACCORDANCE WITH ITS TAX EXEMPT PURPOSE UNDER IRS SECTION 501(C)(9).
IRS990/BackupWthldComplianceInd01
IRS990/BenefitsToMembersGrp/TotalAmt024929
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0GORAN JURKOVIC CPA AND CFO
IRS990/BooksInCareOfDetail/PhoneNum05173496000
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt04100 OKEMOS ROAD
IRS990/BooksInCareOfDetail/USAddress/CityNm0OKEMOS
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IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd00
IRS990/CompensationFromOtherSrcsInd00
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IRS990/CompensationProcessOtherInd00
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
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IRS990/GoverningBodyVotingMembersCnt01
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt024928
IRS990/GrossReceiptsAmt024938
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt01
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
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IRS990/IntangibleAssetsGrp/EOYAmt00
IRS990/InventoriesForSaleOrUseGrp/EOYAmt00
IRS990/InvestmentIncomeGrp/ExclusionAmt010
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt010
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt00
IRS990/InvestmentsProgramRelatedGrp/EOYAmt00
IRS990/InvestmentsPubTradedSecGrp/EOYAmt00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipBasisNetGrp/EOYAmt00
IRS990/LegalDomicileStateCd0MI
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt024928
IRS990/LoanOutstandingInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd00
IRS990/MinutesOfGoverningBodyInd00
IRS990/MissionDesc0NONE
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt00
IRS990/NetAssetsOrFundBalancesEOYAmt00
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt00
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd01
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt01
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherChangesInNetAssetsAmt024919
IRS990/OtherLiabilitiesGrp/BOYAmt024919
IRS990/OtherLiabilitiesGrp/EOYAmt00
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/PrincipalOfficerNm0TONY LAUBACH
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt020
IRS990/PYOtherExpensesAmt00
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt010
IRS990/PYSalariesCompEmpBnftPaidAmt010
IRS990/PYTotalExpensesAmt010
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt020
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-24919
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
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IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990/ScheduleBRequiredInd00
IRS990/ScheduleJRequiredInd00
IRS990ScheduleN/AssetsDistributedInd01
IRS990ScheduleN/AttorneyGeneralNotifiedInd00
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd00
IRS990ScheduleN/EmployeeOfSuccessorInd00
IRS990ScheduleN/LiabilitiesPaidInd00
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0SEE SCHEDULE N PART III
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02014-12-19
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt024929
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0INDIVIDUAL
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0SEE SCHEDULE N PART III
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/PersonNm0TRUST BENEFICIARIES
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt0PO BOX 30416
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0LANSING
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0MI
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd048909
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd00
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0ASSETS OF THIS TRUST ARE USED FOR PAYMENT OF CERTAIN HEALTH BENEFITS FOR RETIREE BENEFICIARIES OF THE TRUST. AS OF DECEMBER 19, 2014 ALL TRUST ASSETS HAVE BEEN EXHAUSTED AND THUS THE ENTITY HAS BEEN LIQUIDATED.
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt1ACCOUNT MARKET VALUE FOR CASH EQUIVALENT SECURITIES HELD INSIDE WELLS FARGO ACCOUNT 8004383 AS OF DATE OF LIQUIDATION AND DISBURSEMENT
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE N, PART I, LINE 1A
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc1SCHEDULE N, PART I, LINE 1D
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THERE ARE NO MEETINGS HELD. THE FUNDS ARE HELD IN TRUST AND MANAGED BY A TRUSTEE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THERE ARE NO MEETINGS HELD. THE FUNDS ARE HELD IN TRUST AND MANAGED BY A TRUSTEE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE 990 INFORMATION IS COMPILED BY THE ORGANIZATION'S SENIOR TAX ADMINISTRATOR, REVIEWED BY THE CFO, THEN SENT TO AN OUTSIDE CPA FIRM FOR PREPARATION WHERE IS IT PREPARED AND REVIEWED. THE COMPLETED 990 IS SENT TO THE TRUSTEE FOR REVIEW AND SIGNATURE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION MAKES ITS FORM 1023 AND FORM 990 AVAILABLE FOR PUBLIC INSPECTION BY REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4WELLS FARGO - 34100 WOODWARD, SUITE 300, BIRMINGHAM, MI 48009.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5CHANGE IN BENEFIT OBLIGATION 24,919.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE PLAN DOES NOT HAVE AN AUDIT OR REVIEW REQUIREMENT. ALL ASSETS OF THE PLAN ARE HELD IN TRUST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 8A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VII
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART XI, LINE 9:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART XI, LINE 2A AND B:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
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IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd20
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt0DELTA DENTAL PLAN OF MICHIGAN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt1DELTA DENTAL PLAN OF MICHIGAN
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1DELTA DENTAL PLAN OF MICHIGAN INC VEBA SALARIED
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt2DELTA DENTAL PLAN OF MICHIGAN INC VEBA LOCAL 889
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0381791480
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN1383327507
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN2383304643
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd2MI
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0PROVIDES MANAGED DENTAL CARE SERVICES
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1TRUST PROVIDING SUPPLEMENTAL MEDICAL BENEFITS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt2TRUST PROVIDING SUPPLEMENTAL MEDICAL BENEFITS
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt2PO BOX 30416
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IRS990/UponRequestInd0X
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IRS990/USAddress/CityNm0BIRMINGHAM
IRS990/USAddress/StateAbbreviationCd0MI
IRS990/USAddress/ZIPCd048009
IRS990/VotingMembersGoverningBodyCnt01
IRS990/VotingMembersIndependentCnt01
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02016-03-07 17:11:31Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0TONY LAUBACH
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TRUSTEE
ReturnHeader/BusinessOfficerGrp/PhoneNum05173496000
ReturnHeader/BusinessOfficerGrp/SignatureDt02015-05-12
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0DELTA DENTAL PLAN OF MICHIGAN INC
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0VEBA LOCAL 724
ReturnHeader/Filer/BusinessNameControlTxt0DELT
ReturnHeader/Filer/EIN0383304640
ReturnHeader/Filer/PhoneNum05173496000
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 30416
ReturnHeader/Filer/USAddress/CityNm0LANSING
ReturnHeader/Filer/USAddress/StateAbbreviationCd0MI
ReturnHeader/Filer/USAddress/ZIPCd0489097916
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0381357951
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0PLANTE & MORAN PLLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01111 MICHIGAN AVE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0EAST LANSING
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MI
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd048823
ReturnHeader/PreparerPersonGrp/PhoneNum05173326200
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0MARGARETE L CHALKER CPA
ReturnHeader/ReturnTs02015-05-13T14:01:41-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02014-01-01
ReturnHeader/TaxPeriodEndDt02014-12-31
ReturnHeader/TaxYr02014

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