Civic Intelligence

Island Hospital Medical Properties

EIN 45-2509265 • 501(c)2 • Anacortes, WA

Profile

Lease of medical office pavillion to its member, skagit county public hospital district no. 2 (dba: island hospital), furthering the charitable purpose and missions of its member.

1211 24th StreetAnacortes, WA 98221

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 2018

Liabilities / Revenue

57th percentile

0.00x

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

501(c)2 • <$500k nonprofits • Source year 2018

Net Margin

15th percentile

-96%

Higher net margin than 15% of similar nonprofits.

501(c)2 • <$500k nonprofits • Source year 2018

Top Officer Pay

96th percentile

$324,020

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 101.8% of source-year revenue.

501(c)2 • <$500k nonprofits • Source year 2018

Asset Growth

23rd percentile

-100%

Faster asset growth than 23% of similar nonprofits.

501(c)2 • <$500k nonprofits • Annualized from 2017 to 2018

Revenue Growth

24th percentile

-42%

Faster revenue growth than 24% of similar nonprofits.

501(c)2 • <$500k nonprofits • Annualized from 2017 to 2018

Assets

Down

$0

Down $9,581,805 (-100%) from 2017

Liabilities

Down

$0

Down $10,030,796 (-100%) from 2017

Net Assets

Up

$0

Up $448,991 (+100%) from 2017

Revenue

Down

$318,145

Down $227,336 (-42%) from 2017

Expenses

Down

$624,278

Down $274,061 (-31%) from 2017

Net Income

Up

-$306,133

Up $46,725 (+13%) from 2017

Trend Graphs

Balance Sheet Trend

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

$15M$10M$5.0M$0-$5.0MAssets 2011: $11,991,606Liabilities 2011: $9,994,000Net Assets 2011: $1,997,6062011Assets 2012: $11,799,198Liabilities 2012: $10,133,118Net Assets 2012: $1,666,0802012Assets 2013: $11,319,001Liabilities 2013: $10,052,218Net Assets 2013: $1,266,7832013Assets 2014: $10,624,493Liabilities 2014: $10,049,650Net Assets 2014: $574,8432014Assets 2015: $10,299,769Liabilities 2015: $10,047,868Net Assets 2015: $251,9012015Assets 2016: $9,934,663Liabilities 2016: $10,030,796Net Assets 2016: -$96,1332016Assets 2017: $9,581,805Liabilities 2017: $10,030,796Net Assets 2017: -$448,9912017Assets 2018: $0Liabilities 2018: $0Net Assets 2018: $02018

Highlighted filing

2018

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-$500KExpenses 2011: $2,3942011Expenses 2012: $869,3662012Revenue 2013: $546,608Expenses 2013: $945,905Net Income 2013: -$399,2972013Revenue 2014: $546,023Expenses 2014: $918,909Net Income 2014: -$372,8862014Revenue 2015: $545,616Expenses 2015: $868,558Net Income 2015: -$322,9422015Revenue 2016: $545,559Expenses 2016: $893,593Net Income 2016: -$348,0342016Revenue 2017: $545,481Expenses 2017: $898,339Net Income 2017: -$352,8582017Revenue 2018: $318,145Expenses 2018: $624,278Net Income 2018: -$306,1332018

Highlighted filing

2018

Revenue$318,145
Expenses$624,278
Net Income-$306,133

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Aug 2, 2018
Signed
Jul 23, 2019
Return Version
2018v3.1
Gross Receipts
$318,145
Mission and Program Overview

Mission

Lease of medical office pavillion to its member, skagit county public hospital district no. 2 (dba: island hospital), furthering the charitable purpose and missions of its member.

Lease of medical office to further the charitable purpose and missions of its member.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$8,898,864$0▼ $8,898,864
Cash and Non-Interest-Bearing Accounts$595,147$0▼ $595,147
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-
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Cap Stk Tr Prin Current Funds$-448,991$0▲ $448,991
Total Assets$9,581,805$0▼ $9,581,805
Other Assets Total$87,794$0▼ $87,794
Liabilities
Unsecured Notes Loans Payable$9,994,000$0▼ $9,994,000
Accounts Payable and Accrued Expenses$36,796$0▼ $36,796
Total Liabilities$10,030,796$0▼ $10,030,796
Net Assets / Fund Balance
Total Net Assets Fund Balance$-448,991$0▲ $448,991
Total Liabilities and Net Assets / Fund Balance$9,581,805$0▼ $9,581,805
Compensation and Service Providers

Employees

NameTitleOtherTotal
Armen Chip Bogosian MdDirector$9,105$9,105

Board Members and Trustees

NameTitle
John WalgamottDirector
Vincent OliverDirector
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$317,919
Investment Income
$226
Other Revenue
$0
Change in Net Assets
$-306,133
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$624,278
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
Interest---$336,455
Depreciation Depletion---$184,818
All Other Expenses---$53,159
Fees for Services Accounting---$26,162
Fees for Services Management---$23,684
Total Functional Expenses$0$0$0$624,278
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
Audit committee
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 4

The corporation was dissolved on august 2, 2018.

Form 990, Part VI, Section A, Line 6

Island hospital medical properties has one member, skagit county public hospital district no 2 (d/b/a island hospital).

Form 990, Part VI, Section A, Line 7A

Skagit county public hospital district no 2 (d/b/a island hospital) elects the directors of island hospital medical properties.

Form 990, Part VI, Section B, Line 11B

The form 990 was reviewed by management with the preparers when it was ready to submit.

Form 990, Part VI, Section B, Line 15

Island medical properties does not have any employees.

Form 990, Part VI, Section C, Line 19

The organization's financial statements are a component unit of the hospital financial statements and are available to the public through the state auditor's website or the hospital's website.

Filing and Contact Details

Filer

Filer Name
Island Hospital Medical Properties
EIN
45-2509265
Phone
3602994265
Address
1211 24TH STREET, ANACORTES, WA 98221

Signing Officer

Name
Armen Chip Bogosian
Title
Director
Phone
3602994265
Signed
2019-07-23
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Armen Chip Bogosian
Formed
2011
Legal Domicile
Wa
Voting Board Members
3
Independent Board Members
2
Employees
0
Volunteers
3

Preparer

Firm
Wipfli Llp
Address
PO BOX 12237, GREEN BAY, WI 54307-2237
Preparer
Terri Rexrode CPA Mst
Phone
9206620016
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Equity adjustment on liquidation 755,124.

Financial Statement Notes

PART III, LINE 4:

The organization owns various pieces of art that are on display in skagit county public hospital distric no 2 (dba island hopsital). All pieces of art were transferred to skagit county public hospital distric no 2 when the organization was dissolved, august 2, 2018.

Raw XML Appendix399 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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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt1BOOK VALUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt2BOOK VALUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt3BOOK VALUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt01211 24TH STREET
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt11211 24TH STREET
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt21211 24TH STREET
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt31211 24TH STREET
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0ANACORTES
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm1ANACORTES
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm2ANACORTES
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm3ANACORTES
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0WA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd1WA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd2WA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd3WA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd098221
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd198221
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd298221
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd398221
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd00
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0PERSON(S) INVOLVED: VINCENT OLIVERARMEN BOGOSIAN
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt1EXPLANATION OF INVOLVEMENT: VINCENT OLIVER - INDIVIDUAL IS A DIRECTOR OF THE ORGANIZATION AND AN EMPLOYEE OF SKAGIT COUNTY PUBLIC HOSPITAL DISTRIC NO 2 (D/B/A ISLAND HOSPITAL), THE TRANSFEREE ORGANIZATION. UPON DISSOLUTION, INDIVIDUAL WILL BE RETAINED BY ISLAND HOSPITAL.ARMEN BOGOSIAN - INDIVIDUAL IS A DIRECTOR OF THE ORGANIZATION AND AN EMPLOYEE OF SKAGIT COUNTY PUBLIC HOSPITAL DISTRIC NO 2 (D/B/A ISLAND HOSPITAL), THE TRANSFEREE ORGANIZATION. UPON DISSOLUTION, INDIVIDUAL WILL BE RETAINED BY ISLAND HOSPITAL.
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2E:
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc1PART I, LINE 2E:
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE CORPORATION WAS DISSOLVED ON AUGUST 2, 2018.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1ISLAND HOSPITAL MEDICAL PROPERTIES HAS ONE MEMBER, SKAGIT COUNTY PUBLIC HOSPITAL DISTRICT NO 2 (D/B/A ISLAND HOSPITAL).
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2SKAGIT COUNTY PUBLIC HOSPITAL DISTRICT NO 2 (D/B/A ISLAND HOSPITAL) ELECTS THE DIRECTORS OF ISLAND HOSPITAL MEDICAL PROPERTIES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE FORM 990 WAS REVIEWED BY MANAGEMENT WITH THE PREPARERS WHEN IT WAS READY TO SUBMIT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4ISLAND MEDICAL PROPERTIES DOES NOT HAVE ANY EMPLOYEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE ORGANIZATION'S FINANCIAL STATEMENTS ARE A COMPONENT UNIT OF THE HOSPITAL FINANCIAL STATEMENTS AND ARE AVAILABLE TO THE PUBLIC THROUGH THE STATE AUDITOR'S WEBSITE OR THE HOSPITAL'S WEBSITE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6EQUITY ADJUSTMENT ON LIQUIDATION 755,124.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 4
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART XI, LINE 9:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0SKAGIT COUNTY PUBLIC HOSPITAL DISTRICT NO 2
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0910729255
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0WA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt01211 24TH STREET
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0ANACORTES
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0WA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd098221
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd01
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd01
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd01
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd01
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd01
IRS990/TotalAssetsBOYAmt09581805
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt09581805
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd01
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt0624278
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt010030796
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt010030796
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-448991
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalOtherCompensationAmt049930
IRS990/TotalProgramServiceRevenueAmt0317919
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt0226
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0317919
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0318145
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt03
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt09581805
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotReportableCompRltdOrgAmt0283195
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnsecuredNotesLoansPayableGrp/BOYAmt09994000
IRS990/UnsecuredNotesLoansPayableGrp/EOYAmt00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt01211 24TH STREET
IRS990/USAddress/CityNm0ANACORTES
IRS990/USAddress/StateAbbreviationCd0WA
IRS990/USAddress/ZIPCd098221
IRS990/VotingMembersGoverningBodyCnt03
IRS990/VotingMembersIndependentCnt02
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02019-02-21 02:37:17Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0ARMEN CHIP BOGOSIAN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum03602994265
ReturnHeader/BusinessOfficerGrp/SignatureDt02019-07-23
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0ISLAND HOSPITAL MEDICAL PROPERTIES
ReturnHeader/Filer/BusinessNameControlTxt0ISLA
ReturnHeader/Filer/EIN0452509265
ReturnHeader/Filer/PhoneNum03602994265
ReturnHeader/Filer/USAddress/AddressLine1Txt01211 24TH STREET
ReturnHeader/Filer/USAddress/CityNm0ANACORTES
ReturnHeader/Filer/USAddress/StateAbbreviationCd0WA
ReturnHeader/Filer/USAddress/ZIPCd098221
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0DA39A3EE5E6B4B0D3255BFEF95601890AFD80709
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0FD80E9F6A2A78AE2356123F7B9F1F99F6856B854
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt074.87.127.216
ReturnHeader/FilingSecurityInformation/IPDt02019-07-23
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CD
ReturnHeader/FilingSecurityInformation/IPTm014:26:49
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0390758449
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0WIPFLI LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0PO BOX 12237
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0GREEN BAY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0WI
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0543072237
ReturnHeader/PreparerPersonGrp/PhoneNum09206620016
ReturnHeader/PreparerPersonGrp/PreparationDt02019-07-23
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0TERRI REXRODE CPA MST
ReturnHeader/ReturnTs02019-07-23T14:26:53-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02018-01-01
ReturnHeader/TaxPeriodEndDt02018-08-02
ReturnHeader/TaxYr02018

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