Civic Intelligence

Resurrecting Lives Foundation

990 • Fiscal year 2016 • EIN 45-3554793

Jan 01, 2016 to Dec 31, 2016 • Filed on Sep 18, 2017

6724 Perimeter Loop Road Pmb 317Dublin, OH 43017

(614) 602-1753

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

56th percentile

0.00x

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

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

Liabilities / Revenue

55th percentile

0.00x

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

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

Net Margin

75th percentile

18%

Higher net margin than 75% of similar nonprofits.

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

Top Officer Pay

92nd percentile

$50,000

Higher top officer pay than 92% of similar nonprofits.

Top officer pay equals 27.7% of source-year revenue.

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

Asset Growth

66th percentile

13%

Faster asset growth than 66% of similar nonprofits.

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

Revenue Growth

22nd percentile

-23%

Faster revenue growth than 22% of similar nonprofits.

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

Assets

Up

$290,132

Up $32,921 (+13%) from 2015

Net Assets

Up

$290,132

Up $32,921 (+13%) from 2015

Liabilities

Flat

$0

Flat from 2015

Revenue

Down

$180,498

Down $53,502 (-23%) from 2015

Expenses

Down

$147,577

Down $7,697 (-5.0%) from 2015

Net Income

Down

$32,921

Down $45,805 (-58%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$400K$300K$200K$100K$0Assets 2013: $83,211Liabilities 2013: $605Net Assets 2013: $82,6062013Assets 2014: $180,256Liabilities 2014: $1,771Net Assets 2014: $178,4852014Assets 2015: $257,211Liabilities 2015: $0Net Assets 2015: $257,2112015Assets 2016: $290,132Liabilities 2016: $0Net Assets 2016: $290,1322016Assets 2017: $241,746Liabilities 2017: $61Net Assets 2017: $241,6852017Assets 2018: $329,405Liabilities 2018: $2,436Net Assets 2018: $326,9692018Assets 2019: $332,784Liabilities 2019: $1,917Net Assets 2019: $330,8672019Assets 2020: $304,836Liabilities 2020: $119Net Assets 2020: $304,7172020Assets 2021: $280,389Liabilities 2021: $0Net Assets 2021: $280,3892021Assets 2022: $285,651Liabilities 2022: $7,135Net Assets 2022: $278,5162022Assets 2023: $188,714Liabilities 2023: $11,714Net Assets 2023: $177,0002023Assets 2024: $134,657Liabilities 2024: $3,172Net Assets 2024: $131,4852024

Highlighted filing

2016

Assets$290,132
Liabilities$0
Net Assets$290,132

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300K$200K$100K$0-$100K-$200KRevenue 2013: $188,070Expenses 2013: $136,585Net Income 2013: $51,4852013Revenue 2014: $151,260Expenses 2014: $55,381Net Income 2014: $95,8792014Revenue 2015: $234,000Expenses 2015: $155,274Net Income 2015: $78,7262015Revenue 2016: $180,498Expenses 2016: $147,577Net Income 2016: $32,9212016Revenue 2017: $96,914Expenses 2017: $140,711Net Income 2017: -$43,7972017Revenue 2018: $155,656Expenses 2018: $70,382Net Income 2018: $85,2742018Revenue 2019: $132,707Expenses 2019: $128,809Net Income 2019: $3,8982019Revenue 2020: $142,495Expenses 2020: $168,645Net Income 2020: -$26,1502020Revenue 2021: $211,414Expenses 2021: $235,742Net Income 2021: -$24,3282021Revenue 2022: $167,887Expenses 2022: $169,760Net Income 2022: -$1,8732022Revenue 2023: $128,413Expenses 2023: $229,738Net Income 2023: -$101,3252023Revenue 2024: $137,305Expenses 2024: $182,820Net Income 2024: -$45,5152024

Highlighted filing

2016

Revenue$180,498
Expenses$147,577
Net Income$32,921
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Sep 18, 2017
Return Version
2016v3.0
Gross Receipts
$180,498
Mission and Program Overview

Mission

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$257,163$290,132▲ $32,969
Prepaid Expenses and Deferred Charges$48$0▼ $48
Total Assets$257,211$290,132▲ $32,921
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$232,211$290,132▲ $57,921
Temporarily Rstr Net Assets$25,000$0▼ $25,000
Total Net Assets Fund Balance$257,211$290,132▲ $32,921
Total Liabilities and Net Assets / Fund Balance$257,211$290,132▲ $32,921
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Chrisanne Gordon MdBoard Chair/executive DirectorPT$50,000$50,000

Board Members and Trustees

NameTitle
Tim GorrellVice-chairman
Christopher Brown Md MphDirector
Connie PillichDirector
Jon GiacominDirector
Rich PoachDirector
Stan CraderDirector
Dino VillarrealSecretary
Paul CarlsonTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$180,498
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
All Other Contributions
$135,123
Change in Net Assets
$32,921
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$115,294
Other Expenses$31,383
Grants and Similar Amounts Paid$900
Total Fundraising Expense$145
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$53,714--$53,714
Current Officers, Directors, Trustees, and Key Employees$50,000--$50,000
Fees for Services Other$10,000$1,870-$11,870
Payroll Taxes$11,580--$11,580
Travel$4,537$77-$4,614
Office Expenses$25$3,987$145$4,157
Occupancy-$2,915-$2,915
Fees for Services Accounting-$2,400-$2,400
Insurance-$2,180-$2,180
Other Expenses-$1,387-$1,387
Conferences and Meetings$953--$953
Advertising$352$555-$907
Grants to Domestic Orgs$900--$900
Total Functional Expenses$132,061$15,371$145$147,577
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
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
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
Yes
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
No

Governance Explanations

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

The form 990 is reviewed and approved by the board chair and treasurer prior to its filing. Further, the entire board has the opportunity to review and comment on the return prior to its filing.

Form 990, Part VI, Section B, Line 12C

The conflict of interest policy is consistently monitored by the board and, if issues arise, addressed per policy guidelines.

Form 990, Part VI, Section B, Line 15A

The compensation was determined by independent members of the board, based on data available for a similar part-time position. The deliberation/documentation of this determination was properly recorded in the board minutes.

Form 990, Part VI, Section C, Line 18

The organization's form 990 and 1023 are available upon request. Further, a copy of the form 990 is posted to another's website, www.guidestar.org.

Form 990, Part VI, Section C, Line 19

The documents are made available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Resurrecting Lives Foundation
EIN
45-3554793
Phone
6146021753
Address
6724 PERIMETER LOOP ROAD PMB 317, DUBLIN, OH 43017

Signing Officer

Name
Chrisanne Gordon Md
Title
Board Chair
Phone
6146021753
Signed
2017-09-18

Organization Details

Principal Officer
Chrisanne Gordon Md
Formed
2011
Legal Domicile
Oh
Voting Board Members
9
Independent Board Members
8
Employees
3
Volunteers
15

Preparer

Firm
John Gerlach & Company Llp
Address
37 W BROAD ST STE 800, COLUMBUS, OH 43215
Preparer
Jon Yerian CPA
Phone
6142242164
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 1

To assist the recovery/reintegration of our oif/oef veterans with traumatic brain injury (tbi) by defining the brain pathology and by developing the protocols for recovery. Advocating for our returning heroes and their families while educating the public about the injuries and co-morbidities associated with a traumatic brain injury.

FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION'S MISSION:

To assist the recovery/reintegration of our oif/oef veterans with traumatic brain injury (tbi) by defining the brain pathology and by developing the protocols for recovery. Advocating for our returning heroes and their families while educating the public about the injuries and co-morbidities associated with a traumatic brain injury.

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IRS990/ProgSrvcAccomActy2Grp/Desc0EMPLOYMENT INITIATIVE: "INVEST IN VETS" PROGRAM: THIS PROGRAM IS TARGETED AT PROVIDING EMPLOYMENT FOR OUR RETURNING HEROES WITH TBI WITH EMPLOYERS INTERESTED IN LONG-TERM COMMITMENTS AND OPPORTUNITIES FOR ADVANCEMENT, EDUCATION, AND GROWTH. RESURRECTING LIVES FOUNDATION IS COLLABORATING WITH THE DEPARTMENT OF DEFENSE, THE VETERANS ADMINISTRATION, AND EMPLOYERS TO PROVIDE OCCUPATIONAL OPPORTUNITIES PRIOR TO MILITARY SEPARATION. WE ARE INTERESTED IN UTILIZING THE ABILITIES OF OUR MILITARY MEMBERS, AND BELIEVE THAT THEY WILL STRENGTHEN THE EMPLOYMENT COMMUNITY, MAKING FOR A SMOOTHER TRANSITION FROM MILITARY LIFE TO CIVILIAN LIFE; A TRANSITION THAT IS EASIER FOR THE FAMILIES AS WELL. THE PILOT PROGRAM WILL HELP 100 SEPARATING SOLDIERS GAIN EMPLOYMENT.
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IRS990/ProgSrvcAccomActy3Grp/Desc0VETERANS LEGISLATIVE REFORM PROJECT: THE CONFLICTS IN IRAQ AND AFGHANISTAN HAVE RESULTED IN A NEW "SIGNATURE WOUND", TRAUMATIC BRAIN INJURY. WE ARE LEARNING, THROUGH RESEARCH WE SPONSORED AT ALBERT EINSTEIN UNIVERSITY IN 2012-2013, THAT OUR HEROES ARE "OUT OF THEIR BRAINS, NOT OUT OF THEIR MINDS" AS MICHAEL LIPTON, MD/PHD REVEALED IN OUR LANDMARK STUDY USING RECENTLY DEVELOPED NEURORADIOLOGIC TECHNIQUES TO PROVE THE BRAIN INJURY THROUGH IED BLAST. THE CO MORBIDITIES OF TBI INCLUDE SUBSTANCE ABUSE, UNEMPLOYMENT, HOMELESSNESS, INCARCERATION, AND EVEN SUICIDE. WE WORK WITH OUR NATIONAL LEGISLATORS TO DEVELOP SYSTEMS TO ACCURATELY TRACK THESE INJURIES AND MAKE IT EASIER TO DIAGNOSE AND TREAT TBI IN OUR MILITARY POPULATION AND VETERANS. RENDERING CARE AS SOON AS POSSIBLE IS KEY TO REDUCE THE SEQUELLAE OF TBI WHICH REDUCES THE FINANCIAL BURDEN TO THE COMMUNITY, AND, MORE IMPORTANTLY, THE EMOTIONAL BURDEN TO THE FAMILY. WE ALSO COLLABORATE IN A NONPARTISAN CAMPAIGN FOR SUICIDE PREVENTION LEGISLATION, AND AN INCREASED AWARENESS IN OUR NATION'S LEADERS OF THE NEED FOR COLLABORATIONS WITH THE DOD/VA/ AND CIVILIAN RESOURCES, SUCH AS THE CHOICE ACT.
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IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0234000
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0151260
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0188070
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt030572
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0784400
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.63420
IRS990ScheduleA/PublicSupportPY170Pct00.59500
IRS990ScheduleA/PublicSupportTotal170Amt0497475
IRS990ScheduleA/SubstantialContributorsTotAmt0286925
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0180498
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0234000
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0151260
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0188070
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt030572
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0784400
IRS990ScheduleA/TotalSupportAmt0784400
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0TO ASSIST THE RECOVERY/REINTEGRATION OF OUR OIF/OEF VETERANS WITH TRAUMATIC BRAIN INJURY (TBI) BY DEFINING THE BRAIN PATHOLOGY AND BY DEVELOPING THE PROTOCOLS FOR RECOVERY. ADVOCATING FOR OUR RETURNING HEROES AND THEIR FAMILIES WHILE EDUCATING THE PUBLIC ABOUT THE INJURIES AND CO-MORBIDITIES ASSOCIATED WITH A TRAUMATIC BRAIN INJURY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1TO ASSIST THE RECOVERY/REINTEGRATION OF OUR OIF/OEF VETERANS WITH TRAUMATIC BRAIN INJURY (TBI) BY DEFINING THE BRAIN PATHOLOGY AND BY DEVELOPING THE PROTOCOLS FOR RECOVERY. ADVOCATING FOR OUR RETURNING HEROES AND THEIR FAMILIES WHILE EDUCATING THE PUBLIC ABOUT THE INJURIES AND CO-MORBIDITIES ASSOCIATED WITH A TRAUMATIC BRAIN INJURY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE FORM 990 IS REVIEWED AND APPROVED BY THE BOARD CHAIR AND TREASURER PRIOR TO ITS FILING. FURTHER, THE ENTIRE BOARD HAS THE OPPORTUNITY TO REVIEW AND COMMENT ON THE RETURN PRIOR TO ITS FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE CONFLICT OF INTEREST POLICY IS CONSISTENTLY MONITORED BY THE BOARD AND, IF ISSUES ARISE, ADDRESSED PER POLICY GUIDELINES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE COMPENSATION WAS DETERMINED BY INDEPENDENT MEMBERS OF THE BOARD, BASED ON DATA AVAILABLE FOR A SIMILAR PART-TIME POSITION. THE DELIBERATION/DOCUMENTATION OF THIS DETERMINATION WAS PROPERLY RECORDED IN THE BOARD MINUTES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE ORGANIZATION'S FORM 990 AND 1023 ARE AVAILABLE UPON REQUEST. FURTHER, A COPY OF THE FORM 990 IS POSTED TO ANOTHER'S WEBSITE, WWW.GUIDESTAR.ORG.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART I, LINE 1
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION'S MISSION:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION C, LINE 18
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION C, LINE 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0OH
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TemporarilyRstrNetAssetsGrp/BOYAmt025000
IRS990/TemporarilyRstrNetAssetsGrp/EOYAmt00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0257211
IRS990/TotalAssetsEOYAmt0290132
IRS990/TotalAssetsGrp/BOYAmt0257211
IRS990/TotalAssetsGrp/EOYAmt0290132
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt0180498
IRS990/TotalEmployeeCnt03
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt0145
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt015371
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0132061
IRS990/TotalFunctionalExpensesGrp/TotalAmt0147577
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0257211
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0290132
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0132061
IRS990/TotalReportableCompFromOrgAmt050000
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0180498
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt015
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0257211
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0290132
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ManagementAndGeneralAmt077
IRS990/TravelGrp/ProgramServicesAmt04537
IRS990/TravelGrp/TotalAmt04614
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0232211
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0290132
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt06724 PERIMETER LOOP ROAD PMB 317
IRS990/USAddress/CityNm0DUBLIN
IRS990/USAddress/StateAbbreviationCd0OH
IRS990/USAddress/ZIPCd043017
IRS990/VotingMembersGoverningBodyCnt09
IRS990/VotingMembersIndependentCnt08
IRS990/WebsiteAddressTxt0HTTP://WWW.RESURRECTINGLIVES.ORG/
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/PersonNm0CHRISANNE GORDON MD
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0BOARD CHAIR
ReturnHeader/BusinessOfficerGrp/PhoneNum06146021753
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-09-18
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0RESURRECTING LIVES FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0RESU
ReturnHeader/Filer/EIN0453554793
ReturnHeader/Filer/PhoneNum06146021753
ReturnHeader/Filer/USAddress/AddressLine1Txt06724 PERIMETER LOOP ROAD PMB 317
ReturnHeader/Filer/USAddress/CityNm0DUBLIN
ReturnHeader/Filer/USAddress/StateAbbreviationCd0OH
ReturnHeader/Filer/USAddress/ZIPCd043017
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0187E02ABD51768E305471598A0F911C4CCE972AD
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId08E0D0BCA8468AACCB5F7A10ACD30ACF537877738
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt024.123.133.58
ReturnHeader/FilingSecurityInformation/IPDt02017-09-18
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0ED
ReturnHeader/FilingSecurityInformation/IPTm009:11:08
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0314419361
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0JOHN GERLACH & COMPANY LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt037 W BROAD ST STE 800
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0COLUMBUS
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0OH
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd043215
ReturnHeader/PreparerPersonGrp/PhoneNum06142242164
ReturnHeader/PreparerPersonGrp/PreparationDt02017-09-18
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0JON YERIAN CPA
ReturnHeader/ReturnTs02017-09-19T13:47:36-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02016-01-01
ReturnHeader/TaxPeriodEndDt02016-12-31
ReturnHeader/TaxYr02016

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