Civic Intelligence

Pine Community Food Shelf

EIN 41-1922737 • 501(c)3 • North Branch, MN

Profile

Food Distrbution

6413 Oak StreetNorth Branch, MN 55056

pinecommunityfoodshelf.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 2016

Liabilities / Revenue

62nd percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2016

Net Margin

59th percentile

6.5%

Higher net margin than 59% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2016

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 2016

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Revenue Growth

23rd percentile

-39%

Faster revenue growth than 23% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $177,156 (-100%) from 2015

Liabilities

Flat

$0

Flat from 2015

Net Assets

Down

$0

Down $177,156 (-100%) from 2015

Operations
Liabilities / Revenue62nd percentileNet Margin59th percentile

Revenue

Down

$41,239

Down $26,154 (-39%) from 2015

Expenses

Down

$38,567

Down $30,270 (-44%) from 2015

Net Income

Up

$2,672

Up $4,116 (+285%) from 2015

Trend Graphs

Balance Sheet Trend

Asset Growth10th percentile

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

$200K$150K$100K$50K$0Assets 2011: $121,648Liabilities 2011: $02011Assets 2012: $185,058Liabilities 2012: $02012Assets 2013: $182,252Liabilities 2013: $0Net Assets 2013: $182,2522013Assets 2014: $178,600Liabilities 2014: $0Net Assets 2014: $178,6002014Assets 2015: $177,156Liabilities 2015: $0Net Assets 2015: $177,1562015Assets 2016: $0Liabilities 2016: $0Net Assets 2016: $02016

Highlighted filing

2016

Assets$0
Liabilities$0
Net Assets$0
Open 2016 Filing

Operations Trend

Revenue Growth23rd percentile

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

$150K$100K$50K$0-$50KRevenue 2011: $64,709Expenses 2011: $61,106Net Income 2011: $3,6032011Revenue 2012: $142,406Expenses 2012: $77,860Net Income 2012: $64,5462012Revenue 2013: $63,646Expenses 2013: $66,452Net Income 2013: -$2,8062013Revenue 2014: $61,692Expenses 2014: $65,344Net Income 2014: -$3,6522014Revenue 2015: $67,393Expenses 2015: $68,837Net Income 2015: -$1,4442015Revenue 2016: $41,239Expenses 2016: $38,567Net Income 2016: $2,6722016

Highlighted filing

2016

Revenue$41,239
Expenses$38,567
Net Income$2,672
Open 2016 Filing

Filings

Most recent year

2016 • Form 990EZDetailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$41,239
Expenses
$38,567
Net income
$2,672
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2016Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.41$0.39$0.03
2015Detailed filing. Detailed filing data is available for this year.$1.77$0.00$1.77$0.67$0.69$0.01
2014Detailed filing. Detailed filing data is available for this year.$1.79$0.00$1.79$0.62$0.65$0.04
2013Detailed filing. Detailed filing data is available for this year.$1.82$0.00$1.82$0.64$0.66$0.03
2012Summary only. Only limited summary data is available for this year.$1.85$0.00$1.42$0.78$0.65
2011Summary only. Only limited summary data is available for this year.$1.22$0.00$0.65$0.61$0.04
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Jan 18, 2017
Return Version
2016v3.0
Gross Receipts
$41,239
Mission and Program Overview

Mission

Food Distrbution

Program Services

DescriptionGrantsExpenses
Food was distributed to 3000 Households 6000 Individuals living in those households and 250000 lbs of food$41,239$38,567
Compensation and Service Providers
Top Officer Pay81st percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Lois SplittgerberVice Chair-$0--
Melissa OlsonBoard Member-$0--
Virginia JohnsonBoard Member-$0--
Arlen LundBoard Member-$0--
Steve OvickBoard Member-$0--
Kam SchroederBoard Member-$0--
Carolyn TucknerBoard Member-$0--
Steven RoubinekBoard Member-$0--
Jane DoranBoard Member-$0--
Filing and Contact Details

Filer

Filer Name
Pine Community Food Shelf
EIN
41-1922737
Address
6413 Oak Street, North Branch, MN 55056

Signing Officer

Name
Lois Splittgerber
Title
Board Chair
Phone
6516748040
Signed
2017-01-18
Discuss with paid preparer
No

Preparer

Firm
Todds Tax Service LLC
Address
165 5th St SE, Pine City, MN 55063
Preparer
Todd Fogelberg EA
Phone
3206294745
Supplemental Narrative

Additional Explanations

Description of other expenses Part I line 16

“Description AmountPayroll taxes 1,224Insurance Liability -Building 3,770Supplies Food 12,179Office Expense 697Equipment Expense 1,383Maintenance 95Vehicle Expense 129Miscellaneous 65Conference Expense 30”

Other changes in net assets or fund balances Part I line 20

“Description AmountTransfer to FP (179,828)”

Description of other assets Part II line 24

“Category Beginning of Year End of YearOther 37,713 0”

Raw XML Appendix205 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/PersonNm0Melissa Olson
IRS990EZ/BooksInCareOfDetail/PhoneNum03206290128
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt08446 540th St
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0Rush City
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0MN
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd055069
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt019443
IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt00
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd0false
IRS990EZ/ContributionsGiftsGrantsEtcAmt041239
IRS990EZ/DonorAdvisedFndsInd0false
IRS990EZ/EngagedInExcessBenefitTransInd0false
IRS990EZ/ExcessOrDeficitForYearAmt02672
IRS990EZ/FiledScheduleAInd0true
IRS990EZ/FinalReturnInd0X
IRS990EZ/ForeignFinancialAccountInd0false
IRS990EZ/ForeignOfficeInd0false
IRS990EZ/Form1120PolFiledInd0false
IRS990EZ/Form990TotalAssetsGrp/BOYAmt0177156
IRS990EZ/Form990TotalAssetsGrp/EOYAmt00
IRS990EZ/GrossReceiptsAmt041239
IRS990EZ/InfoInScheduleOPartIIInd0X
IRS990EZ/InfoInScheduleOPartIInd0X
IRS990EZ/LandAndBuildingsGrp/BOYAmt0120000
IRS990EZ/LandAndBuildingsGrp/EOYAmt00
IRS990EZ/LobbyingActivitiesInd0false
IRS990EZ/MadeLoansToFromOfficersInd0false
IRS990EZ/MethodOfAccountingCashInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt0177156
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt0177156
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt00
IRS990EZ/OccupancyRentUtltsAndMaintAmt03357
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/AverageHrsPerWkDevotedToPosRt81.00
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/CompensationAmt80
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/PersonNm0Lois Splittgerber
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1Melissa Olson
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2Virginia Johnson
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3Arlen Lund
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4Steve Ovick
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm5Kam Schroeder
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm6Carolyn Tuckner
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm7Steven Roubinek
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm8Jane Doran
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0Vice Chair
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1Board Member
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2Board Member
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3Board Member
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4Board Member
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt5Board Member
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt6Board Member
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt7Board Member
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt8Board Member
IRS990EZ/OperateHospitalInd0false
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd0true
IRS990EZ/OrganizationHadUBIInd0false
IRS990EZ/OtherAssetsTotalDetail/BOYAmt037713
IRS990EZ/OtherAssetsTotalDetail/EOYAmt00
IRS990EZ/OtherChangesInNetAssetsAmt0-179828
IRS990EZ/OtherExpensesTotalAmt019572
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd0false
IRS990EZ/PrimaryExemptPurposeTxt0Food Distrbution
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0Food was distributed to 3000 Households 6000 Individuals living in those households and 250000 lbs of food
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt041239
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt038567
IRS990EZ/ProhibitedTaxShelterTransInd0false
IRS990EZ/RelatedOrganizationCtrlEntInd0false
IRS990EZ/RelatedOrgSect527OrgInd0false
IRS990EZ/SalariesOtherCompEmplBnftAmt015638
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SchoolOperatingInd0false
IRS990EZ/StatesWhereCopyOfReturnIsFldCd0MN
IRS990EZ/SubjectToProxyTaxInd0false
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt00
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt00
IRS990EZ/TanningServicesProvidedInd0false
IRS990EZ/TotalExpensesAmt038567
IRS990EZ/TotalProgramServiceExpensesAmt038567
IRS990EZ/TotalRevenueAmt041239
IRS990EZ/TransactionWithControlEntInd0false
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd0true
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0pinecommunityfoodshelf.org
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt041239
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt067392
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt061529
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt063409
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt0142000
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt0375569
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt01
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt0163
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt0237
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt0406
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt0807
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt01
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt0163
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt0237
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt0406
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt0807
IRS990ScheduleA/InvestmentIncomeCYPct00.00000
IRS990ScheduleA/InvestmentIncomePYPct00.00000
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.99790
IRS990ScheduleA/PublicSupportPY509Pct01.00000
IRS990ScheduleA/PublicSupportTotal509Amt0375569
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt041239
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt067392
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt061529
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt063409
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0142000
IRS990ScheduleA/Total509Grp/TotalAmt0375569
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt041239
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt067393
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt061692
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt063646
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0142406
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0376376
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0Merger
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02016-06-30
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0411332828
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/PersonNm0Family Pathways
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt06413 Oak St
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0North Branch
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0MN
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd055056
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Description AmountPayroll taxes 1,224Insurance Liability -Building 3,770Supplies Food 12,179Office Expense 697Equipment Expense 1,383Maintenance 95Vehicle Expense 129Miscellaneous 65Conference Expense 30
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Description AmountTransfer to FP (179,828)
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Category Beginning of Year End of YearOther 37,713 0
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Description of other expenses Part I line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Other changes in net assets or fund balances Part I line 20
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Description of other assets Part II line 24
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0false
ReturnHeader/BusinessOfficerGrp/PersonNm0Lois Splittgerber
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Board Chair
ReturnHeader/BusinessOfficerGrp/PhoneNum06516748040
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-01-18
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Pine Community Food Shelf
ReturnHeader/Filer/BusinessNameControlTxt0PINE
ReturnHeader/Filer/EIN0411922737
ReturnHeader/Filer/USAddress/AddressLine1Txt06413 Oak Street
ReturnHeader/Filer/USAddress/CityNm0North Branch
ReturnHeader/Filer/USAddress/StateAbbreviationCd0MN
ReturnHeader/Filer/USAddress/ZIPCd055056
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0F8B5007E898E39E5DF0EE6EE7352914102AFCC23
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0F8B5007E898E39E5DF0EE6EE7352914102AFCC23
ReturnHeader/FilingSecurityInformation/FederalOriginalSubmissionId04161362017018csn0cqj
ReturnHeader/FilingSecurityInformation/FederalOriginalSubmissionIdDt02017-01-18
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt0184.97.175.63
ReturnHeader/FilingSecurityInformation/IPDt02017-01-18
ReturnHeader/FilingSecurityInformation/IPTm010:57:59
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0272961341
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Todds Tax Service LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0165 5th St SE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Pine City
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd055063
ReturnHeader/PreparerPersonGrp/PhoneNum03206294745
ReturnHeader/PreparerPersonGrp/PreparationDt02017-01-18
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Todd Fogelberg EA
ReturnHeader/PreparerPersonGrp/SelfEmployedInd0X
ReturnHeader/ReturnTs02017-01-18T10:57:10-05:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02016-01-01
ReturnHeader/TaxPeriodEndDt02016-12-31
ReturnHeader/TaxYr02016

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