Civic Intelligence

Forest Lake Seniors Inc

EIN 41-1461689 • 501(c)3 • Forest Lake, MN

Profile

Fellowship needs of senior citizens

767 SW 4th StreetForest Lake, MN 55025
Siviq Scores

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

Liabilities / Assets

59th percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2020

Liabilities / Revenue

61st percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2020

Net Margin

72nd percentile

17%

Higher net margin than 72% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2020

Top Officer Pay

96th percentile

$40,190

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 40.5% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2017

Asset Growth

87th percentile

50%

Faster asset growth than 87% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2019 to 2020

Revenue Growth

37th percentile

-13%

Faster revenue growth than 37% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2019 to 2020

Balance Sheet
Liabilities / Assets59th percentile

Assets

Up

$45,225

Up $14,994 (+50%) from 2019

Liabilities

Flat

$0

Flat from 2019

Net Assets

-

No earlier filing loaded for comparison.

Operations
Liabilities / Revenue61st percentileNet Margin72nd percentile

Revenue

Down

$86,709

Down $12,965 (-13%) from 2019

Expenses

Down

$71,715

Down $21,753 (-23%) from 2019

Net Income

Up

$14,994

Up $8,788 (+142%) from 2019

Trend Graphs

Balance Sheet Trend

Asset Growth87th percentile

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

$60K$40K$20K$0Assets 2011: $54,069Net Assets 2011: $54,0692011Assets 2012: $46,706Net Assets 2012: $46,7062012Assets 2013: $38,211Liabilities 2013: $02013Assets 2014: $24,338Liabilities 2014: $0Net Assets 2014: $24,3382014Assets 2015: $26,159Liabilities 2015: $0Net Assets 2015: $26,1592015Assets 2016: $26,982Liabilities 2016: $0Net Assets 2016: $26,9822016Assets 2017: $27,730Liabilities 2017: $0Net Assets 2017: $27,7302017Assets 2018: $24,025Liabilities 2018: $0Net Assets 2018: $24,0252018Assets 2019: $30,231Liabilities 2019: $0Net Assets 2019: $30,2312019Assets 2020: $45,225Liabilities 2020: $02020

Highlighted filing

2020

Assets$45,225
Liabilities$0
Net Assets-
Open 2020 Filing

Operations Trend

Revenue Growth37th percentile

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

$150K$100K$50K$0-$50KRevenue 2011: $78,951Expenses 2011: $78,768Net Income 2011: $1832011Revenue 2012: $75,719Expenses 2012: $83,082Net Income 2012: -$7,3632012Revenue 2013: $75,585Expenses 2013: $84,080Net Income 2013: -$8,4952013Revenue 2014: $76,418Expenses 2014: $90,291Net Income 2014: -$13,8732014Revenue 2015: $83,224Expenses 2015: $81,403Net Income 2015: $1,8212015Revenue 2016: $86,549Expenses 2016: $85,726Net Income 2016: $8232016Revenue 2017: $99,234Expenses 2017: $98,486Net Income 2017: $7482017Revenue 2018: $97,695Expenses 2018: $101,400Net Income 2018: -$3,7052018Revenue 2019: $99,674Expenses 2019: $93,468Net Income 2019: $6,2062019Revenue 2020: $86,709Expenses 2020: $71,715Net Income 2020: $14,9942020

Highlighted filing

2020

Revenue$86,709
Expenses$71,715
Net Income$14,994
Open 2020 Filing

Filings

Most recent year

2020 • Form 990EZXML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$45,225
Liabilities
$0
Net assets
-
Revenue
$86,709
Expenses
$71,715
Net income
$14,994
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.45$0.00$0.87$0.72$0.15
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.30$0.00$0.30$1.00$0.93$0.06
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.24$0.00$0.24$0.98$1.01$0.04
2017Detailed filing. Detailed filing data is available for this year.$0.28$0.00$0.28$0.99$0.98$0.01
2016Detailed filing. Detailed filing data is available for this year.$0.27$0.00$0.27$0.87$0.86$0.01
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.26$0.00$0.26$0.83$0.81$0.02
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.24$0.00$0.24$0.76$0.90$0.14
2013XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.38$0.00$0.76$0.84$0.08
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.47$0.47$0.76$0.83$0.07
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.54$0.54$0.79$0.79$0.00
Latest Detailed Filing

The latest 2020 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2017 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Jan 18, 2018
Return Version
2017v2.2
Gross Receipts
$99,234
Mission and Program Overview

Mission

Fellowhip needs of senior citizens

Fellowship needs of senior citizens

Program Services

DescriptionGrantsExpenses
SENIOR DRIVING CLASSES DINING OPPORTUNITIES ARTS CRAFTS GROUP RECREATIONAL ACTIVITIES-$13,685
Compensation and Service Providers
Top Officer Pay96th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
SHARON LUNDQUISTManagerFT$40,190-$40,190
MARY ERKENBRACKPresident-$0--
MARY SCHUMACHERVice President-$0--
KEITH HEGSTROMTreasurer-$0--
CHARLOTTE DAHLSecretary-$0--
BYRON ANDERSONDirector-$0--
WILMA DROHERDirector-$0--
DAVID VERNESSDirector-$0--
JANET WILEYDirector-$0--
Filing and Contact Details

Filer

Filer Name
Forest Lake Seniors Inc
EIN
41-1461689
Address
767 SW 4TH STREET, FOREST LAKE, MN 55025

Signing Officer

Name
Mary Erkenbrack
Title
President
Phone
6514645833
Signed
2018-01-18
Discuss with paid preparer
No

Preparer

Firm
David E Engelking Ltd
Address
80 NW 3RD STREET, FOREST LAKE, MN 55025
Preparer
David E Engelking
Phone
6514643231
Supplemental Narrative

Additional Explanations

Description of other revenue Part I line 8

“Description amountrental income 27,614”

Description of other expenses Part I line 16

“Description amountadvertising 40dues fees licenses 2,265insurance 5,951office supplies 827outside services 10,450payroll taxes 2,821repairs and maintenance 6,554senior benefits 13,685supplies 734telephone 2,365utilities 10,489vehicle expenses 1,200”

Raw XML Appendix186 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
IRS990EZ/ActivitiesNotPreviouslyRptInd0false
IRS990EZ/BooksInCareOfDetail/PersonNm0SHARON LUNDQUIST
IRS990EZ/BooksInCareOfDetail/PhoneNum06514645833
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt0619 10TH AVENUE SE
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0FOREST LAKE
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0MN
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd055025
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt026982
IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt027730
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd0false
IRS990EZ/ContributionsGiftsGrantsEtcAmt067977
IRS990EZ/DonorAdvisedFndsInd0false
IRS990EZ/EngagedInExcessBenefitTransInd0false
IRS990EZ/ExcessOrDeficitForYearAmt0748
IRS990EZ/FeesAndOtherPymtToIndCntrctAmt0915
IRS990EZ/FiledScheduleAInd0true
IRS990EZ/ForeignFinancialAccountInd0false
IRS990EZ/ForeignOfficeInd0false
IRS990EZ/Form1120PolFiledInd0false
IRS990EZ/Form990TotalAssetsGrp/BOYAmt026982
IRS990EZ/Form990TotalAssetsGrp/EOYAmt027730
IRS990EZ/GrossReceiptsAmt099234
IRS990EZ/InfoInScheduleOPartIInd0X
IRS990EZ/InvestmentIncomeAmt064
IRS990EZ/LandAndBuildingsGrp/BOYAmt00
IRS990EZ/LandAndBuildingsGrp/EOYAmt00
IRS990EZ/LobbyingActivitiesInd0false
IRS990EZ/MadeLoansToFromOfficersInd0false
IRS990EZ/MembershipDuesAmt03579
IRS990EZ/MethodOfAccountingCashInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt026982
IRS990EZ/NetAssetsOrFundBalancesEOYAmt027730
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt026982
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt027730
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt01.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt11.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt21.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt31.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt41.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt51.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt61.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt71.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt840.00
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/CompensationAmt840190
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0MARY ERKENBRACK
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1MARY SCHUMACHER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2KEITH HEGSTROM
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3CHARLOTTE DAHL
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4BYRON ANDERSON
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm5WILMA DROHER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm6DAVID VERNESS
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm7JANET WILEY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm8SHARON LUNDQUIST
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0PRESIDENT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1VICE PRESIDENT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2TREASURER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3SECRETARY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt5DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt6DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt7DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt8MANAGER
IRS990EZ/OperateHospitalInd0false
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd0false
IRS990EZ/OrganizationHadUBIInd0false
IRS990EZ/OtherAssetsTotalDetail/BOYAmt00
IRS990EZ/OtherAssetsTotalDetail/EOYAmt00
IRS990EZ/OtherExpensesTotalAmt057381
IRS990EZ/OtherRevenueTotalAmt027614
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd0false
IRS990EZ/PrimaryExemptPurposeTxt0FELLOWSHIP NEEDS OF SENIOR CITIZENS
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0SENIOR DRIVING CLASSES DINING OPPORTUNITIES ARTS CRAFTS GROUP RECREATIONAL ACTIVITIES
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt013685
IRS990EZ/ProhibitedTaxShelterTransInd0false
IRS990EZ/RelatedOrganizationCtrlEntInd0false
IRS990EZ/SalariesOtherCompEmplBnftAmt040190
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SchoolOperatingInd0false
IRS990EZ/SubjectToProxyTaxInd0false
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt00
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt00
IRS990EZ/TanningServicesProvidedInd0false
IRS990EZ/TotalExpensesAmt098486
IRS990EZ/TotalProgramServiceExpensesAmt013685
IRS990EZ/TotalRevenueAmt099234
IRS990EZ/TransactionWithControlEntInd0false
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt071556
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt071504
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt071189
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt064262
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt063558
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0342069
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt064
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt068
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt04
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt062
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt0171
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt0369
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearAmt027614
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus1YearAmt014976
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus2YearsAmt012031
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus3YearsAmt012094
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus4YearsAmt011856
IRS990ScheduleA/OtherIncome170Grp/TotalAmt078571
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.81250
IRS990ScheduleA/PublicSupportPY170Pct00.83490
IRS990ScheduleA/PublicSupportTotal170Amt0342069
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt071556
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt071504
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt071189
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt064262
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt063558
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0342069
IRS990ScheduleA/TotalSupportAmt0421009
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0DESCRIPTION AMOUNTRENTAL INCOME 27,614
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1DESCRIPTION AMOUNTADVERTISING 40DUES FEES LICENSES 2,265INSURANCE 5,951OFFICE SUPPLIES 827OUTSIDE SERVICES 10,450PAYROLL TAXES 2,821REPAIRS AND MAINTENANCE 6,554SENIOR BENEFITS 13,685SUPPLIES 734TELEPHONE 2,365UTILITIES 10,489VEHICLE EXPENSES 1,200
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Description of other revenue Part I line 8
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Description of other expenses Part I line 16
ReturnHeader/BuildTS02018-06-14 16:35:46Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0false
ReturnHeader/BusinessOfficerGrp/PersonNm0MARY ERKENBRACK
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum06514645833
ReturnHeader/BusinessOfficerGrp/SignatureDt02018-01-18
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0FOREST LAKE SENIORS INC
ReturnHeader/Filer/BusinessNameControlTxt0FORE
ReturnHeader/Filer/EIN0411461689
ReturnHeader/Filer/USAddress/AddressLine1Txt0767 SW 4TH STREET
ReturnHeader/Filer/USAddress/CityNm0FOREST LAKE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0MN
ReturnHeader/Filer/USAddress/ZIPCd055025
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId06870BCCC4EDAA3B06E9AA6DD11F2893BBA7230C9
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId06870BCCC4EDAA3B06E9AA6DD11F2893BBA7230C9
ReturnHeader/FilingSecurityInformation/FederalOriginalSubmissionId04143122018023y5x5tsu
ReturnHeader/FilingSecurityInformation/FederalOriginalSubmissionIdDt02018-01-23
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt063.224.11.17
ReturnHeader/FilingSecurityInformation/IPDt02018-01-23
ReturnHeader/FilingSecurityInformation/IPTm010:46:13
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0411837625
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0DAVID E ENGELKING LTD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt080 NW 3RD STREET
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0FOREST LAKE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd055025
ReturnHeader/PreparerPersonGrp/PhoneNum06514643231
ReturnHeader/PreparerPersonGrp/PreparationDt02018-01-23
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0DAVID E ENGELKING
ReturnHeader/ReturnTs02018-01-23T10:44:56-05:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02017-01-01
ReturnHeader/TaxPeriodEndDt02017-12-31
ReturnHeader/TaxYr02017

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