Civic Intelligence

Friends of West Hollywood Elementary

EIN 38-3708391 • 501(c)3 • West Hollywood, CA

Profile

To work in partnership with west hollywood elementary administration to sustain a culture of academic excellence, student enrichment and personal growth supported by a committed and resourceful team of parent volunteers, educators and community leaders.

970 N Hammond DriveWest Hollywood, CA 90069

n/A

Siviq Scores

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

Liabilities / Assets

60th percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2024

Liabilities / Revenue

62nd percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2024

Net Margin

19th percentile

-30%

Higher net margin than 19% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

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 2024

Asset Growth

23rd percentile

-39%

Faster asset growth than 23% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Revenue Growth

43rd percentile

-9.1%

Faster revenue growth than 43% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Assets

Down

$145,006

Down $90,916 (-39%) from 2023

Liabilities

Flat

$0

Flat from 2023

Net Assets

Down

$145,006

Down $90,916 (-39%) from 2023

Revenue

Down

$322,668

Down $32,168 (-9.1%) from 2023

Expenses

Up

$417,908

Up $57,406 (+16%) from 2023

Net Income

Down

-$95,240

Down $89,574 (-1581%) from 2023

Trend Graphs

Balance Sheet Trend

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

$400K$300K$200K$100K$0Assets 2010: $0Liabilities 2010: $0Net Assets 2010: $02010Assets 2011: $1Liabilities 2011: $0Net Assets 2011: $02011Assets 2012: $0Liabilities 2012: $0Net Assets 2012: $02012Assets 2013: $294,494Liabilities 2013: $0Net Assets 2013: $294,4942013Assets 2014: $269,326Liabilities 2014: $0Net Assets 2014: $269,3262014Assets 2015: $256,733Liabilities 2015: $0Net Assets 2015: $256,7332015Assets 2016: $175,863Liabilities 2016: $0Net Assets 2016: $175,8632016Assets 2017: $86,887Liabilities 2017: $0Net Assets 2017: $86,8872017Assets 2018: $164,142Liabilities 2018: $0Net Assets 2018: $164,1422018Assets 2019: $285,812Liabilities 2019: $0Net Assets 2019: $285,8122019Assets 2020: $318,446Liabilities 2020: $0Net Assets 2020: $318,4462020Assets 2021: $196,246Liabilities 2021: $0Net Assets 2021: $196,2462021Assets 2022: $241,588Liabilities 2022: $0Net Assets 2022: $241,5882022Assets 2023: $235,922Liabilities 2023: $0Net Assets 2023: $235,9222023Assets 2024: $145,006Liabilities 2024: $0Net Assets 2024: $145,0062024

Highlighted filing

2024

Assets$145,006
Liabilities$0
Net Assets$145,006

Operations Trend

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

$600K$400K$200K$0-$200KExpenses 2010: $241,4802010Revenue 2011: $493,764Expenses 2011: $415,566Net Income 2011: $78,1982011Expenses 2012: $465,2482012Revenue 2013: $518,816Expenses 2013: $477,944Net Income 2013: $40,8722013Revenue 2014: $489,378Expenses 2014: $514,546Net Income 2014: -$25,1682014Revenue 2015: $454,511Expenses 2015: $467,104Net Income 2015: -$12,5932015Revenue 2016: $273,640Expenses 2016: $354,510Net Income 2016: -$80,8702016Revenue 2017: $438,493Expenses 2017: $527,469Net Income 2017: -$88,9762017Revenue 2018: $506,230Expenses 2018: $428,975Net Income 2018: $77,2552018Revenue 2019: $596,713Expenses 2019: $475,043Net Income 2019: $121,6702019Revenue 2020: $546,578Expenses 2020: $513,944Net Income 2020: $32,6342020Revenue 2021: $246,418Expenses 2021: $368,618Net Income 2021: -$122,2002021Revenue 2022: $407,141Expenses 2022: $361,799Net Income 2022: $45,3422022Revenue 2023: $354,836Expenses 2023: $360,502Net Income 2023: -$5,6662023Revenue 2024: $322,668Expenses 2024: $417,908Net Income 2024: -$95,2402024

Highlighted filing

2024

Revenue$322,668
Expenses$417,908
Net Income-$95,240

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$1.45$0.00$1.45$3.23$4.18$0.95
2023Detailed filing. Detailed filing data is available for this year.$2.36$0.00$2.36$3.55$3.61$0.06
2022Detailed filing. Detailed filing data is available for this year.$2.42$0.00$2.42$4.07$3.62$0.45
2021Detailed filing. Detailed filing data is available for this year.$1.96$0.00$1.96$2.46$3.69$1.22
2020Detailed filing. Detailed filing data is available for this year.$3.18$0.00$3.18$5.47$5.14$0.33
2019Detailed filing. Detailed filing data is available for this year.$2.86$0.00$2.86$5.97$4.75$1.22
2018Detailed filing. Detailed filing data is available for this year.$1.64$0.00$1.64$5.06$4.29$0.77
2017Detailed filing. Detailed filing data is available for this year.$0.87$0.00$0.87$4.38$5.27$0.89
2016Summary only. Only limited summary data is available for this year.$1.76$0.00$1.76$2.74$3.55$0.81
2015Detailed filing. Detailed filing data is available for this year.$2.57$0.00$2.57$4.55$4.67$0.13
2014Detailed filing. Detailed filing data is available for this year.$2.69$0.00$2.69$4.89$5.15$0.25
2013Detailed filing. Detailed filing data is available for this year.$2.94$0.00$2.94$5.19$4.78$0.41
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.00$0.00$4.65
2011Summary only. Only limited summary data is available for this year.$0.00$0.00$0.00$4.94$4.16$0.78
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.00$0.00$2.41
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 14, 2025
Return Version
2023v6.0
Gross Receipts
$344,263
Mission and Program Overview

Mission

Provide pe classes to all students of elementary school, provide extra curricular activities for the students to help expand their creativity including music classes, swim classes

To work in partnership with west hollywood elementary administration to sustain a culture of academic excellence, student enrichment and personal growth supported by a committed and resourceful team of parent volunteers, educators and community leaders.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$114,473$145,006▲ $30,533
Investments in Publicly Traded Securities$120,000$0▼ $120,000
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-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$235,922$145,006▼ $90,916
Other Assets Total$1,449$0▼ $1,449
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$235,922$145,006▼ $90,916
Total Net Assets Fund Balance$235,922$145,006▼ $90,916
Total Liabilities and Net Assets / Fund Balance$235,922$145,006▼ $90,916
Compensation and Service Providers

Board Members and Trustees

NameTitle
Jirka AmbrozPresident
Jesse SlanskyVice President
Jessica ValdesDirector
Peter GandolfoDirector
Rudy FarmanaraDirector
Garen CalacCo-Treasurer
Laura MitzmanCo-Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$260,028
Program Service Revenue
$0
Investment Income
$7,200
Other Revenue
$55,440
All Other Contributions
$257,028
Change in Net Assets
$-95,240
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$266,674
Other Expenses$151,234
Total Fundraising Expense$2,808
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$266,674--$266,674
Fees for Services Accounting-$1,929-$1,929
Other Expenses$3,023$1,570$2,452$1,570
Insurance-$405-$405
All Other Expenses--$356$356
Total Functional Expenses$411,196$3,904$2,808$417,908
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Los Angeles Unified SDLos Angeles, CA-General & After School Support$266,674
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$77,025
Fundraising Direct Expenses$21,585
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Gala/silent Auction$49,690$49,690$14,015$35,675
Step It Up$25,229$25,229-$25,229
Total Events$74,919$74,919$14,015$60,904
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-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Backup withholding compliance
No
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
No
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 copy of the tax return is provided to the Treasurer for review before filing.

Form 990, Part VI, Section C, Line 19

Documents are available to public upon request.

Filing and Contact Details

Filer

Filer Name
Friends of West Hollywood Elementary
EIN
38-3708391
Phone
3102745313
Address
970 N HAMMOND DRIVE, WEST HOLLYWOOD, CA 90069

Signing Officer

Name
Laura Mitzman
Title
Co-Treasurer
Signed
2025-05-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jirka Ambroz
Formed
2004
Legal Domicile
CA
Voting Board Members
8
Independent Board Members
8
Employees
0

Preparer

Firm
Allison & Gibb Llp
Address
601 E DAILY DRIVE SUITE 117, CAMARILLO, CA 93010
Preparer
Lisa a Allison CPA
Phone
8059871999
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IRS990/OtherExpensesGrp/Desc3MEMBERSHIP & DUES
IRS990/OtherExpensesGrp/FundraisingAmt02452
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt01570
IRS990/OtherExpensesGrp/ProgramServicesAmt0141499
IRS990/OtherExpensesGrp/ProgramServicesAmt13023
IRS990/OtherExpensesGrp/TotalAmt0141499
IRS990/OtherExpensesGrp/TotalAmt13023
IRS990/OtherExpensesGrp/TotalAmt22452
IRS990/OtherExpensesGrp/TotalAmt31570
IRS990/OtherRevenueTotalAmt00
IRS990/OtherSalariesAndWagesGrp/TotalAmt00
IRS990/OtherWebsiteInd0X
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd0false
IRS990/PaymentsToAffiliatesGrp/TotalAmt00
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/TotalAmt00
IRS990/PensionPlanContributionsGrp/TotalAmt00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/PrincipalOfficerNm0Jirka Ambroz
IRS990/ProfessionalFundraisingInd0false
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt0255984
IRS990/PYExcessBenefitTransInd0false
IRS990/PYGrantsAndSimilarPaidAmt0209996
IRS990/PYInvestmentIncomeAmt021
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt0150506
IRS990/PYOtherRevenueAmt098831
IRS990/PYRevenuesLessExpensesAmt0-5666
IRS990/PYTotalExpensesAmt0360502
IRS990/PYTotalRevenueAmt0354836
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-95240
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0320602
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0371473
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0419850
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0251882
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0566209
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt01930016
IRS990ScheduleA/GovtFurnSrvcFcltsVl170Grp/TotalAmt00
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt07200
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt021
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt047
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt055
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt0166
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt07489
IRS990ScheduleA/OtherIncome170Grp/TotalAmt00
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.99610
IRS990ScheduleA/PublicSupportPY170Pct00.99980
IRS990ScheduleA/PublicSupportTotal170Amt01930016
IRS990ScheduleA/SubstantialContributorsTotAmt00
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft170Grp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0320602
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0371473
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0419850
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0251882
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0566209
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt01930016
IRS990ScheduleA/TotalSupportAmt01937505
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/TotalAmt00
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleG/AgrmtProfFundraisingActyInd0false
IRS990ScheduleG/EmailSolicitationsInd0X
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt014015
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0GALA/SILENT AUCTION
IRS990ScheduleG/FundraisingEventInformationGrp/Event2Nm0STEP IT UP
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt049690
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt025229
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt074919
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt049690
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent2Amt025229
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt074919
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt060904
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt014015
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt014015
IRS990ScheduleG/LicensedStatesCd0CA
IRS990ScheduleG/SolicitationOfGovtGrantsInd0X
IRS990ScheduleG/SpecialFundraisingEventsInd0X
IRS990ScheduleI/GrantRecordsMaintainedInd0false
IRS990ScheduleI/RecipientTable/CashGrantAmt0266674
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt00
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0GENERAL & AFTER SCHOOL SUPPORT
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0Los Angeles Unified SD
IRS990ScheduleI/RecipientTable/RecipientEIN0680503221
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0333 South Beaudry Avenue
IRS990ScheduleI/RecipientTable/USAddress/CityNm0Los Angeles
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0CA
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd090017
IRS990ScheduleI/RecipientTable/ValuationMethodUsedDesc0CASH
IRS990ScheduleI/Total501c3OrgCnt01
IRS990ScheduleI/TotalOtherOrgCnt00
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0A draft copy of the tax return is provided to the Treasurer for review before filing.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1DOCUMENTS ARE AVAILABLE TO PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section B, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section C, Line 19
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0CA
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0235922
IRS990/TotalAssetsEOYAmt0145006
IRS990/TotalAssetsGrp/BOYAmt0235922
IRS990/TotalAssetsGrp/EOYAmt0145006
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0260028
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt02808
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt03904
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0411196
IRS990/TotalFunctionalExpensesGrp/TotalAmt0417908
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0235922
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0145006
IRS990/TotalProgramServiceExpensesAmt0411196
IRS990/TotalProgramServiceRevenueAmt00
IRS990/TotalRevenueGrp/ExclusionAmt07200
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0322668
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0235922
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0145006
IRS990/TravelGrp/TotalAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/USAddress/AddressLine1Txt0970 N HAMMOND DRIVE
IRS990/USAddress/CityNm0West Hollywood
IRS990/USAddress/StateAbbreviationCd0CA
IRS990/USAddress/ZIPCd090069
IRS990/VotingMembersGoverningBodyCnt08
IRS990/VotingMembersIndependentCnt08
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0Laura Mitzman
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Co-Treasurer
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-05-14
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0FRIENDS OF WEST HOLLYWOOD ELEMENTARY
ReturnHeader/Filer/BusinessNameControlTxt0FRIE
ReturnHeader/Filer/EIN0383708391
ReturnHeader/Filer/PhoneNum03102745313
ReturnHeader/Filer/USAddress/AddressLine1Txt0970 N HAMMOND DRIVE

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