Civic Intelligence

Central California Asthma Collaborative

EIN 45-3599201 • 501(c)3 • Fresno, CA

Profile

The mission of the Central California Asthma Collaborative (CCAC) is to develop a network of stakeholders who work in a regional capacity to improve the health and quality of life for San Joaquin Valley residents affected by asthma and other respiratory conditions.

1939 N Gateway BlvdFresno, CA 93727

centralasthma.org

Siviq Scores

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

Liabilities / Assets

53rd percentile

0.15x

Higher debt load relative to assets than 53% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Liabilities / Revenue

34th percentile

0.07x

Higher debt load relative to revenue than 34% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Net Margin

44th percentile

2.1%

Higher net margin than 44% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

79th percentile

20%

Faster asset growth than 79% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Revenue Growth

61st percentile

12%

Faster revenue growth than 61% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets53rd percentile

Assets

Up

$3,703,274

Up $626,128 (+20%) from 2023

Liabilities

Up

$539,467

Up $470,265 (+680%) from 2023

Net Assets

Up

$3,163,807

Up $155,863 (+5.2%) from 2023

Operations
Liabilities / Revenue34th percentileNet Margin44th percentile

Revenue

Up

$7,407,981

Up $822,886 (+12%) from 2023

Expenses

Up

$7,252,118

Up $1,683,495 (+30%) from 2023

Net Income

Down

$155,863

Down $860,609 (-85%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth79th percentile

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

$4.0M$3.0M$2.0M$1.0M$0Assets 2013: $223,047Liabilities 2013: $64,581Net Assets 2013: $158,4662013Assets 2014: $116,325Liabilities 2014: $5,786Net Assets 2014: $110,5392014Assets 2015: $225,550Liabilities 2015: $14,552Net Assets 2015: $210,9982015Assets 2016: $138,269Liabilities 2016: $9,247Net Assets 2016: $129,0222016Assets 2017: $105,523Liabilities 2017: $25,828Net Assets 2017: $79,6952017Assets 2018: $292,863Liabilities 2018: $19,014Net Assets 2018: $273,8492018Assets 2019: $204,537Liabilities 2019: $36,352Net Assets 2019: $168,1852019Assets 2020: $541,661Liabilities 2020: $57,911Net Assets 2020: $483,7502020Assets 2021: $516,521Liabilities 2021: $68,417Net Assets 2021: $448,1042021Assets 2022: $2,023,228Liabilities 2022: $31,756Net Assets 2022: $1,991,4722022Assets 2023: $3,077,146Liabilities 2023: $69,202Net Assets 2023: $3,007,9442023Assets 2024: $3,703,274Liabilities 2024: $539,467Net Assets 2024: $3,163,8072024

Highlighted filing

2024

Assets$3,703,274
Liabilities$539,467
Net Assets$3,163,807
Open 2024 Filing

Operations Trend

Revenue Growth61st percentile

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

$8.0M$6.0M$4.0M$2.0M$0-$2.0MRevenue 2013: $374,567Expenses 2013: $281,763Net Income 2013: $92,8042013Revenue 2014: $229,048Expenses 2014: $276,975Net Income 2014: -$47,9272014Revenue 2015: $398,014Expenses 2015: $297,555Net Income 2015: $100,4592015Revenue 2016: $431,610Expenses 2016: $513,586Net Income 2016: -$81,9762016Revenue 2017: $527,013Expenses 2017: $576,340Net Income 2017: -$49,3272017Revenue 2018: $806,325Expenses 2018: $612,171Net Income 2018: $194,1542018Revenue 2019: $768,779Expenses 2019: $874,443Net Income 2019: -$105,6642019Revenue 2020: $1,137,684Expenses 2020: $816,860Net Income 2020: $320,8242020Revenue 2021: $1,398,066Expenses 2021: $1,330,745Net Income 2021: $67,3212021Revenue 2022: $3,714,383Expenses 2022: $2,171,017Net Income 2022: $1,543,3662022Revenue 2023: $6,585,095Expenses 2023: $5,568,623Net Income 2023: $1,016,4722023Revenue 2024: $7,407,981Expenses 2024: $7,252,118Net Income 2024: $155,8632024

Highlighted filing

2024

Revenue$7,407,981
Expenses$7,252,118
Net Income$155,863
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
$3,703,274
Liabilities
$539,467
Net assets
$3,163,807
Revenue
$7,407,981
Expenses
$7,252,118
Net income
$155,863
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.70$0.54$3.16$7.41$7.25$0.16
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.08$0.07$3.01$6.59$5.57$1.02
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.02$0.03$1.99$3.71$2.17$1.54
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.52$0.07$0.45$1.40$1.33$0.07
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.54$0.06$0.48$1.14$0.82$0.32
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.20$0.04$0.17$0.77$0.87$0.11
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.29$0.02$0.27$0.81$0.61$0.19
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.11$0.03$0.08$0.53$0.58$0.05
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.14$0.01$0.13$0.43$0.51$0.08
2015Detailed filing. Detailed filing data is available for this year.$0.23$0.01$0.21$0.40$0.30$0.10
2014Detailed filing. Detailed filing data is available for this year.$0.12$0.01$0.11$0.23$0.28$0.05
2013Detailed filing. Detailed filing data is available for this year.$0.22$0.06$0.16$0.37$0.28$0.09
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 16, 2023
Return Version
2022v5.0
Gross Receipts
$3,714,383
Mission and Program Overview

Mission

The mission of the central california asthma collaborative is to develop a network of stakeholders who work in a regional capacity to improve the health and quality of life for san joaquin valley residents affected by asthma and other respiratory conditions.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$499,208$1,687,429▲ $1,188,221
Accounts Receivable$0$335,799▲ $335,799
Land, Buildings, and Equipment, Net$14,209--
Savings and Temporary Cash Investments$3,104$0▼ $3,104
Total Assets$516,521$2,023,228▲ $1,506,707
Liabilities
Other Liabilities$68,417--
Accounts Payable and Accrued Expenses-$31,756-
Total Liabilities$68,417$31,756▼ $36,661
Net Assets / Fund Balance
Net Assets With Donor Restrictions-$1,674,210-
Net Assets Without Donor Restrictions$448,104$317,262▼ $130,842
Total Net Assets Fund Balance$448,104$1,991,472▲ $1,543,368
Total Liabilities and Net Assets / Fund Balance$516,521$2,023,228▲ $1,506,707
Compensation and Service Providers
Top Officer PayScore unavailable

Employees

NameTitleFull / Part TimeBaseTotal
Tim TynerTreasurer/ Co-Executive DirectorFT$127,237$127,237
Kevin HamiltonCo-Executive Director-$126,570$126,570

Board Members and Trustees

NameTitle
Venise CurryBoard Chair
Chang NaDirector
Jaymin KwonDirector
John CapitmanDirector
Kara ZografosDirector
Ricardo CisnerosDirector
Susie A Rico-VasquezDirector
Revenue and Support

Revenue Composition

Contributions and Grants
$3,694,410
Program Service Revenue
$0
Investment Income
$1,929
Other Revenue
$18,044
All Other Contributions
$3,694,410
Change in Net Assets
$1,543,366

Audited Revenue Reconciliation

Revenue per Audited Statements
$3,714,383
Total Revenue per Audited Statements
$3,714,383
Total Revenue per Form 990
$3,714,383
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$1,353,586
Other Expenses$817,431
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$845,028$0$0$845,028
Current Officers, Directors, Trustees, and Key Employees$188,934$50,560$0$239,494
Other Employee Benefits$149,921$19,414$0$169,335
Occupancy$13,512$129,929$0$143,441
Payroll Taxes$89,625$0$0$89,625
Office Expenses$15,397$72,452$0$87,849
Information Technology$7,338$30,036$0$37,374
Advertising$20,544$12,355$0$32,899
Other Expenses$5,159$26,231$0$31,390
Travel$21,963$5,865$0$27,828
Depreciation Depletion$0$12,886$0$12,886
Pension Plan Contributions$8,609$1,495$0$10,104
Fees for Services Legal$10$9,629$0$9,639
Insurance$0$4,514$0$4,514
Total Functional Expenses$1,787,109$383,908$0$2,171,017

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$2,171,017
Total Expenses per Audited Statements$2,171,017
Total Expenses per Form 990$2,171,017
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
Yes
Audit committee
No
Business relationship with 35% controlled entity
No
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
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No
Filing and Contact Details

Filer

Filer Name
Central California Asthma Collaborative
EIN
45-3599201
Phone
5592724874
Address
1939 N Gateway Blvd, Fresno, CA 93727

Signing Officer

Name
Tim Tyner
Title
Executive Director
Phone
5592724874
Signed
2023-11-16
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tim Tyner
Formed
2013
Legal Domicile
CA
Voting Board Members
9
Independent Board Members
7
Employees
32
Volunteers
3

Preparer

Firm
Industry Standard Inc
Address
401 Clovis Ave STE 204, Clovis, CA 93612
Preparer
Marc V Young
Phone
5594723285
Supplemental Narrative

Additional Explanations

Pt VI, Line 11B

“Accountant reviews 990 with Admin and Executive Director. When all questions are resolved a final copy is provided to the Board.”

Pt VI, Line 15A

“The Board of Directors sets the compensation of the Executive Director at the time of hiring, based on market conditions and qualifications. Thereafter, the Board reviews the Executive Director's compensation in conjunction with an annual review.”

Raw XML AppendixShowing 400 of 409 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/OtherExpensesGrp/ProgramServicesAmt1175304
IRS990/OtherExpensesGrp/ProgramServicesAmt25159
IRS990/OtherExpensesGrp/TotalAmt0250890
IRS990/OtherExpensesGrp/TotalAmt1178721
IRS990/OtherExpensesGrp/TotalAmt231390
IRS990/OtherLiabilitiesGrp/BOYAmt068417
IRS990/OtherSalariesAndWagesGrp/FundraisingAmt00
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt00
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt0845028
IRS990/OtherSalariesAndWagesGrp/TotalAmt0845028
IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/FundraisingAmt00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt00
IRS990/PayrollTaxesGrp/ProgramServicesAmt089625
IRS990/PayrollTaxesGrp/TotalAmt089625
IRS990/PensionPlanContributionsGrp/FundraisingAmt00
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt01495
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt08609
IRS990/PensionPlanContributionsGrp/TotalAmt010104
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0Tim Tyner
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgSrvcAccomActy2Grp/Desc0Environmental Outreach and Policy
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt0871247
IRS990/ProgSrvcAccomActy2Grp/GrantAmt00
IRS990/ProgSrvcAccomActy2Grp/RevenueAmt01533381
IRS990/ProgSrvcAccomActy3Grp/Desc0Health Research
IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt0382441
IRS990/ProgSrvcAccomActy3Grp/GrantAmt00
IRS990/ProgSrvcAccomActy3Grp/RevenueAmt0398242
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYExcessBenefitTransInd0false
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt01543366
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/RentalIncomeOrLossGrp/RealAmt018044
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt01533381
IRS990/SavingsAndTempCashInvstGrp/BOYAmt03104
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt03694410
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt01361297
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0968092
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0671701
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0782377
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt07477877
IRS990ScheduleA/GovtFurnSrvcFcltsVl170Grp/TotalAmt00
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt00
IRS990ScheduleA/InvestmentIncomeCYPct00
IRS990ScheduleA/OtherIncome170Grp/TotalAmt00
IRS990ScheduleA/OtherSupportSumAmt00
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IRS990ScheduleA/PublicSupportCY509Pct00
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IRS990ScheduleA/PublicSupportTotal509Amt00
IRS990ScheduleA/SubstantialContributorsTotAmt00
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IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0671701
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0782377
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt07477877
IRS990ScheduleA/TotalSupportAmt07477877
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/TotalAmt00
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/ScheduleBRequiredInd0true
IRS990ScheduleD/ExpensesSubtotalAmt02171017
IRS990ScheduleD/RevenueSubtotalAmt03714383
IRS990ScheduleD/TotalExpensesPerForm990Amt02171017
IRS990ScheduleD/TotalRevenuePerForm990Amt03714383
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt03714383
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt02171017
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Accountant reviews 990 with Admin and Executive Director. When all questions are resolved a final copy is provided to the Board.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1The Board of Directors sets the compensation of the Executive Director at the time of hiring, based on market conditions and qualifications. Thereafter, the Board reviews the Executive Director's compensation in conjunction with an annual review.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Pt VI, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Pt VI, Line 15a
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0CA
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
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IRS990/TotalAssetsEOYAmt02023228
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IRS990/TotalAssetsGrp/EOYAmt02023228
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt03694410
IRS990/TotalEmployeeCnt032
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0383908
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt01787109
IRS990/TotalFunctionalExpensesGrp/TotalAmt02171017
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt068417
IRS990/TotalLiabilitiesEOYAmt031756
IRS990/TotalLiabilitiesGrp/BOYAmt068417
IRS990/TotalLiabilitiesGrp/EOYAmt031756
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0448104
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt01991472
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt01787109
IRS990/TotalReportableCompFromOrgAmt0253807
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt019973
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt03714383
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt03
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0516521
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt02023228
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/FundraisingAmt00
IRS990/TravelGrp/ManagementAndGeneralAmt05865
IRS990/TravelGrp/ProgramServicesAmt021963
IRS990/TravelGrp/TotalAmt027828
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt01939 N Gageway Blvd STE 103
IRS990/USAddress/CityNm0Fresno
IRS990/USAddress/StateAbbreviationCd0CA
IRS990/USAddress/ZIPCd093727
IRS990/VotingMembersGoverningBodyCnt09
IRS990/VotingMembersIndependentCnt07
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/FederatedAssuranceLevelCd0FAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd00
ReturnHeader/BuildTS02023-04-26 12:10:37Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0Tim Tyner
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Executive Director
ReturnHeader/BusinessOfficerGrp/PhoneNum05592724874
ReturnHeader/BusinessOfficerGrp/SignatureDt02023-11-16
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Central California Asthma Collaborative
ReturnHeader/Filer/BusinessNameControlTxt0CENT
ReturnHeader/Filer/EIN0453599201
ReturnHeader/Filer/PhoneNum05592724874
ReturnHeader/Filer/USAddress/AddressLine1Txt01939 N Gateway Blvd
ReturnHeader/Filer/USAddress/CityNm0Fresno
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CA
ReturnHeader/Filer/USAddress/ZIPCd093727
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0463674328
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Industry Standard Inc
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0401 Clovis Ave STE 204
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Clovis
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd093612
ReturnHeader/PreparerPersonGrp/PhoneNum05594723285

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