Civic Intelligence

Center Housing III Inc

EIN 43-1573068 • 501(c)3 • Saint Louis, MO

Profile

To provide low-income rental housing to persons rehabilitating from mental illness.

CO IC 4245 Forest Park BlvdSaint Louis, MO 63108-2810
Siviq Scores

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

Liabilities / Assets

84th percentile

0.43x

Higher debt load relative to assets than 84% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Liabilities / Revenue

96th percentile

2.49x

Higher debt load relative to revenue than 96% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Net Margin

9th percentile

-39%

Higher net margin than 9% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Top Officer Pay

55th percentile

$0

Higher top officer pay than 55% of similar nonprofits.

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

501(c)3 • $500k-$1M nonprofits • Source year 2024

Asset Growth

45th percentile

1.3%

Faster asset growth than 45% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Revenue Growth

75th percentile

33%

Faster revenue growth than 75% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets84th percentile

Assets

Up

$801,721

Up $10,524 (+1.3%) from 2023

Liabilities

Up

$342,560

Up $64,574 (+23%) from 2023

Net Assets

Down

$459,161

Down $54,050 (-11%) from 2023

Operations
Liabilities / Revenue96th percentileNet Margin9th percentile

Revenue

Up

$137,374

Up $33,750 (+33%) from 2023

Expenses

Down

$191,424

Down $13,758 (-6.7%) from 2023

Net Income

Up

-$54,050

Up $47,508 (+47%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth45th percentile

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

$1.5M$1.0M$500K$0Assets 2011: $1,169,670Liabilities 2011: $225,166Net Assets 2011: $944,5042011Assets 2012: $1,145,697Liabilities 2012: $235,423Net Assets 2012: $910,2742012Assets 2013: $1,078,255Liabilities 2013: $211,358Net Assets 2013: $866,8972013Assets 2014: $1,040,624Liabilities 2014: $209,168Net Assets 2014: $831,4562014Assets 2015: $1,037,616Liabilities 2015: $241,639Net Assets 2015: $795,9772015Assets 2016: $1,001,006Liabilities 2016: $213,407Net Assets 2016: $787,5992016Assets 2017: $973,056Liabilities 2017: $178,985Net Assets 2017: $794,0712017Assets 2018: $975,601Liabilities 2018: $213,295Net Assets 2018: $762,3062018Assets 2019: $902,324Liabilities 2019: $173,171Net Assets 2019: $729,1532019Assets 2020: $866,309Liabilities 2020: $177,762Net Assets 2020: $688,5472020Assets 2021: $845,612Liabilities 2021: $193,940Net Assets 2021: $651,6722021Assets 2022: $811,350Liabilities 2022: $196,581Net Assets 2022: $614,7692022Assets 2023: $791,197Liabilities 2023: $277,986Net Assets 2023: $513,2112023Assets 2024: $801,721Liabilities 2024: $342,560Net Assets 2024: $459,1612024

Highlighted filing

2024

Assets$801,721
Liabilities$342,560
Net Assets$459,161
Open 2024 Filing

Operations Trend

Revenue Growth75th percentile

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

$300K$200K$100K$0-$100K-$200KRevenue 2011: $121,596Expenses 2011: $119,737Net Income 2011: $1,8592011Revenue 2012: $108,636Expenses 2012: $142,866Net Income 2012: -$34,2302012Revenue 2013: $101,117Expenses 2013: $144,494Net Income 2013: -$43,3772013Revenue 2014: $111,324Expenses 2014: $146,765Net Income 2014: -$35,4412014Revenue 2015: $114,072Expenses 2015: $149,551Net Income 2015: -$35,4792015Revenue 2016: $136,861Expenses 2016: $145,239Net Income 2016: -$8,3782016Revenue 2017: $145,348Expenses 2017: $138,876Net Income 2017: $6,4722017Revenue 2018: $118,599Expenses 2018: $150,364Net Income 2018: -$31,7652018Revenue 2019: $120,631Expenses 2019: $153,784Net Income 2019: -$33,1532019Revenue 2020: $119,880Expenses 2020: $160,486Net Income 2020: -$40,6062020Revenue 2021: $128,121Expenses 2021: $164,996Net Income 2021: -$36,8752021Revenue 2022: $128,868Expenses 2022: $165,771Net Income 2022: -$36,9032022Revenue 2023: $103,624Expenses 2023: $205,182Net Income 2023: -$101,5582023Revenue 2024: $137,374Expenses 2024: $191,424Net Income 2024: -$54,0502024

Highlighted filing

2024

Revenue$137,374
Expenses$191,424
Net Income-$54,050
Open 2024 Filing

Filings

Most recent year

2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$801,721
Liabilities
$342,560
Net assets
$459,161
Revenue
$137,374
Expenses
$191,424
Net income
-$54,050
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.80$0.34$0.46$0.14$0.19$0.05
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.79$0.28$0.51$0.10$0.21$0.10
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.81$0.20$0.61$0.13$0.17$0.04
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.85$0.19$0.65$0.13$0.16$0.04
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.87$0.18$0.69$0.12$0.16$0.04
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.90$0.17$0.73$0.12$0.15$0.03
2018Detailed filing. Detailed filing data is available for this year.$0.98$0.21$0.76$0.12$0.15$0.03
2017Summary only. Only limited summary data is available for this year.$0.97$0.18$0.79$0.15$0.14$0.01
2016Summary only. Only limited summary data is available for this year.$1.00$0.21$0.79$0.14$0.15$0.01
2015Summary only. Only limited summary data is available for this year.$1.04$0.24$0.80$0.11$0.15$0.04
2014Summary only. Only limited summary data is available for this year.$1.04$0.21$0.83$0.11$0.15$0.04
2013Summary only. Only limited summary data is available for this year.$1.08$0.21$0.87$0.10$0.14$0.04
2012Summary only. Only limited summary data is available for this year.$1.15$0.24$0.91$0.11$0.14$0.03
2011Summary only. Only limited summary data is available for this year.$1.17$0.23$0.94$0.12$0.12$0.00
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2018 below.

Jump To
Filing Snapshot
Filing Period
Dec 1, 2017 to Nov 30, 2018
Signed
Sep 6, 2019
Return Version
2017v2.2
Gross Receipts
$118,599
Mission and Program Overview

Mission

To provide low-income rental housing to persons rehabilitating from mental illness

To provide low-income rental housing to persons rehabilitating from mental illness.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$771,802$744,120▼ $27,682
Investments Program Related$182,774$209,283▲ $26,509
Cash and Non-Interest-Bearing Accounts$13,687$17,132▲ $3,445
Prepaid Expenses and Deferred Charges$2,817$3,294▲ $477
Accounts Receivable$83--
Total Assets$973,056$975,601▲ $2,545
Other Assets Total$1,893$1,772▼ $121
Liabilities
Accounts Payable and Accrued Expenses$114,892$148,665▲ $33,773
Other Liabilities$64,093$64,028▼ $65
Deferred Revenue-$602-
Total Liabilities$178,985$213,295▲ $34,310
Net Assets / Fund Balance
Unrestricted Net Assets$794,071$762,306▼ $31,765
Total Net Assets Fund Balance$794,071$762,306▼ $31,765
Total Liabilities and Net Assets / Fund Balance$973,056$975,601▲ $2,545

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$683,565$665,844$1,349,409
Land$49,583-$49,583
Equipment$9,668$18,519$28,187
Other Land Buildings$1,304$17,720$19,024
Investment Program Related Org$6,155--
Other Assets Org$1,772--
Compensation and Service Providers
Top Officer Pay55th percentile

Board Members and Trustees

NameTitle
Matt DoylePresident
Mark BethellVice President
Jennifer HigginbothamSecretary
Kara Daumueller-morrellTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$117,226
Investment Income
$1,373
Other Revenue
$0
Change in Net Assets
$-31,765
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$150,364
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Depreciation Depletion$57,057$501-$57,558
Occupancy$54,749--$54,749
Other Expenses-$15,840-$15,840
Fees for Services Management-$9,276-$9,276
Office Expenses-$4,855-$4,855
Fees for Services Accounting-$4,081-$4,081
Insurance$3,732--$3,732
Fees for Services Legal-$273-$273
Total Functional Expenses$115,538$34,826$0$150,364
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
Lobbying activity
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Independence Center$62,936
Deposit Liabilities$1,092
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
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
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Management duties delegation Part VI line 3

“Independence Center serves as the Projects sponsor and managing agent.”

Committee meeting documentation Part VI line 8B

“The Project has no committees with the authority to act on behalf of the governing body.”

Form 990 governing body review Part VI line 11

“The Form 990 was reviewed by the Projects Board of Directors prior to its submittal to the Internal Revenue Service.”

Governing documents etc available to public Part VI line 19

“The Project will make certain documents available upon written request or through GuideStar.org.”

Filing and Contact Details

Filer

Filer Name
Center Housing Iii Inc
EIN
43-1573068
Address
CO IC 4245 Forest Park Blvd, Saint Louis, MO 63108-2810
Doing Business As
Center Iii Apartments

Signing Officer

Name
Mark Bethell
Title
Vice-President
Phone
3145334245
Signed
2019-09-06
Discuss with paid preparer
No

Organization Details

Formed
1990
Legal Domicile
Mo
Voting Board Members
4
Independent Board Members
4
Employees
0

Preparer

Firm
Mare and Company
Address
330 North Fourth Street, Saint Louis, MO 63102
Preparer
Shawn Sieve
Phone
3142410456
Raw XML Appendix383 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.

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IRS990/Form990PartVIISectionAGrp/TitleTxt2VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt3TREASURER
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IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0145348
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0136861
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0114072
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0111324
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0626204
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/BuildingsGrp/BookValueAmt0683565
IRS990ScheduleD/BuildingsGrp/DepreciationAmt0665844
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt01349409
IRS990ScheduleD/EquipmentGrp/BookValueAmt09668
IRS990ScheduleD/EquipmentGrp/DepreciationAmt018519
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt028187
IRS990ScheduleD/InvstProgramRelatedOrgGrp/BookValueAmt0203128
IRS990ScheduleD/InvstProgramRelatedOrgGrp/BookValueAmt16155
IRS990ScheduleD/InvstProgramRelatedOrgGrp/Desc0RESERVE FOR REPLACEMENTS
IRS990ScheduleD/InvstProgramRelatedOrgGrp/Desc1OTHER RESERVES
IRS990ScheduleD/InvstProgramRelatedOrgGrp/MethodValuationCd0C
IRS990ScheduleD/InvstProgramRelatedOrgGrp/MethodValuationCd1C
IRS990ScheduleD/LandGrp/BookValueAmt049583
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt049583
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt01772
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0DEPOSITS AND TRUST
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt01304
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt017720
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt019024
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt01092
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt162936
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DEPOSIT LIABILITIES
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1DUE TO INDEPENDENCE CENTER
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0744120
IRS990ScheduleD/TotalBookValueOtherAssetsAmt01772
IRS990ScheduleD/TotalBookValueProgramRltdAmt0209283
IRS990ScheduleD/TotalLiabilityAmt064028
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Independence Center serves as the Projects sponsor and managing agent.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1The Project has no committees with the authority to act on behalf of the governing body.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2The Form 990 was reviewed by the Projects Board of Directors prior to its submittal to the Internal Revenue Service.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3The Project will make certain documents available upon written request or through GuideStar.org.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Management duties delegation Part VI line 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Committee meeting documentation Part VI line 8b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990 governing body review Part VI line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Governing documents etc available to public Part VI line 19
IRS990ScheduleR/AssetExchangeInd0false
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd0false
IRS990ScheduleR/AssetSaleToOtherOrgInd0false
IRS990ScheduleR/DivRelatedOrganizationInd0false
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd0false
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0INDEPENDENCE CENTER
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0431195240
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501c3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0MO
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0ASSISTING ADULTS WITH MENTAL ILLNESS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt012b
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt04245 FOREST PARK BLVD
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0Saint Louis
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0MO
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd063108
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd0false
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd0false
IRS990ScheduleR/PaidEmployeesSharingInd0false
IRS990ScheduleR/PerformOfServicesByOtherOrgInd0false
IRS990ScheduleR/PerformOfServicesForOthOrgInd0false
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd0false
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd0true
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd0true
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd0false
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd0false
IRS990ScheduleR/SharingOfFacilitiesInd0false
IRS990ScheduleR/TransferFromOtherOrgInd0false
IRS990ScheduleR/TransferToOtherOrgInd0false
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0973056
IRS990/TotalAssetsEOYAmt0975601
IRS990/TotalAssetsGrp/BOYAmt0973056
IRS990/TotalAssetsGrp/EOYAmt0975601
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt034826
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0115538
IRS990/TotalFunctionalExpensesGrp/TotalAmt0150364
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0178985
IRS990/TotalLiabilitiesEOYAmt0213295
IRS990/TotalLiabilitiesGrp/BOYAmt0178985
IRS990/TotalLiabilitiesGrp/EOYAmt0213295
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0794071
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0762306
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0115538
IRS990/TotalProgramServiceRevenueAmt0117226
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt01373
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0117226
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0118599
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0973056
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0975601
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TransactionWithControlEntInd0false
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0794071
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0762306
IRS990/UponRequestInd0X
IRS990/VotingMembersGoverningBodyCnt04
IRS990/VotingMembersIndependentCnt04
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02019-02-21 02:37:17Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0false
ReturnHeader/BusinessOfficerGrp/PersonNm0Mark Bethell
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Vice-President
ReturnHeader/BusinessOfficerGrp/PhoneNum03145334245
ReturnHeader/BusinessOfficerGrp/SignatureDt02019-09-06
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0CENTER HOUSING III INC
ReturnHeader/Filer/BusinessNameControlTxt0CENT
ReturnHeader/Filer/EIN0431573068
ReturnHeader/Filer/USAddress/AddressLine1Txt0CO IC 4245 Forest Park Blvd
ReturnHeader/Filer/USAddress/CityNm0Saint Louis
ReturnHeader/Filer/USAddress/StateAbbreviationCd0MO
ReturnHeader/Filer/USAddress/ZIPCd0631082810
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0E7056B773431B5BE47D942ACA68D4C11EEB8074D
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0E7056B773431B5BE47D942ACA68D4C11EEB8074D
ReturnHeader/FilingSecurityInformation/FederalOriginalSubmissionId04375342019249ongpv1m
ReturnHeader/FilingSecurityInformation/FederalOriginalSubmissionIdDt02019-09-06
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt0108.75.26.39
ReturnHeader/FilingSecurityInformation/IPDt02019-09-06
ReturnHeader/FilingSecurityInformation/IPTm012:49:49
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0430646227
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Mare and Company
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0330 North Fourth Street
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Saint Louis
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd063102
ReturnHeader/PreparerPersonGrp/PhoneNum03142410456
ReturnHeader/PreparerPersonGrp/PreparationDt02019-09-06
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Shawn Sieve
ReturnHeader/ReturnTs02019-09-06T12:34:54-04:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02017-12-01
ReturnHeader/TaxPeriodEndDt02018-11-30
ReturnHeader/TaxYr02017

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