Civic Intelligence

Indiana Latino Expo

EIN 45-3636574 • 501(c)3 • Indianapolis, IN

Profile

The indiana latino expos mission is to convene partners across sectors and promote resources that resonate with the rich cultural tapestry of latino communities, strengthening the overall quality of life for latino hoosiers.

1113 E 86th Street STE 111Indianapolis, IN 46240

www.indianalatinoexpo.org

Siviq Scores

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

Liabilities / Assets

83rd percentile

0.22x

Higher debt load relative to assets than 83% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Liabilities / Revenue

82nd percentile

0.09x

Higher debt load relative to revenue than 82% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Net Margin

19th percentile

-28%

Higher net margin than 19% of similar nonprofits.

501(c)3 • <$500k 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

23rd percentile

-35%

Faster asset growth than 23% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Revenue Growth

19th percentile

-43%

Faster revenue growth than 19% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets83rd percentile

Assets

Down

$125,916

Down $66,668 (-35%) from 2023

Liabilities

Up

$27,723

Up $24,140 (+674%) from 2023

Net Assets

Down

$98,193

Down $90,808 (-48%) from 2023

Operations
Liabilities / Revenue82nd percentileNet Margin19th percentile

Revenue

Down

$304,186

Down $231,167 (-43%) from 2023

Expenses

Down

$390,104

Down $102,147 (-21%) from 2023

Net Income

Down

-$85,918

Down $129,020 (-299%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth23rd percentile

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

$200K$150K$100K$50K$0-$50KAssets 2012: $3,333Liabilities 2012: $3,914Net Assets 2012: -$5812012Assets 2013: $22,727Liabilities 2013: $2,467Net Assets 2013: $20,2602013Assets 2014: $9,529Liabilities 2014: $1,800Net Assets 2014: $7,7292014Assets 2015: $16,157Net Assets 2015: $16,1572015Assets 2016: $37,170Liabilities 2016: $0Net Assets 2016: $37,1702016Assets 2017: $30,237Liabilities 2017: $1,486Net Assets 2017: $28,7512017Assets 2018: $42,097Liabilities 2018: $2,812Net Assets 2018: $39,2852018Assets 2019: $59,359Liabilities 2019: $7,147Net Assets 2019: $52,2122019Assets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020Assets 2021: $185,585Liabilities 2021: $13,661Net Assets 2021: $171,9242021Assets 2022: $167,744Liabilities 2022: $20,418Net Assets 2022: $147,3262022Assets 2023: $192,584Liabilities 2023: $3,583Net Assets 2023: $189,0012023Assets 2024: $125,916Liabilities 2024: $27,723Net Assets 2024: $98,1932024

Highlighted filing

2024

Assets$125,916
Liabilities$27,723
Net Assets$98,193
Open 2024 Filing

Operations Trend

Revenue Growth19th percentile

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

$600K$400K$200K$0-$200KRevenue 2012: $162,883Expenses 2012: $163,464Net Income 2012: -$5812012Revenue 2013: $162,412Expenses 2013: $141,571Net Income 2013: $20,8412013Revenue 2014: $156,101Expenses 2014: $168,632Net Income 2014: -$12,5312014Revenue 2015: $184,194Expenses 2015: $175,766Net Income 2015: $8,4282015Revenue 2016: $208,653Expenses 2016: $187,640Net Income 2016: $21,0132016Revenue 2017: $164,366Expenses 2017: $172,785Net Income 2017: -$8,4192017Revenue 2018: $205,557Expenses 2018: $195,023Net Income 2018: $10,5342018Revenue 2019: $256,428Expenses 2019: $243,501Net Income 2019: $12,9272019Revenue 2020: $284,790Expenses 2020: $131,419Net Income 2020: $153,3712020Revenue 2021: $262,267Expenses 2021: $257,199Net Income 2021: $5,0682021Revenue 2022: $416,950Expenses 2022: $427,607Net Income 2022: -$10,6572022Revenue 2023: $535,353Expenses 2023: $492,251Net Income 2023: $43,1022023Revenue 2024: $304,186Expenses 2024: $390,104Net Income 2024: -$85,9182024

Highlighted filing

2024

Revenue$304,186
Expenses$390,104
Net Income-$85,918
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$125,916
Liabilities
$27,723
Net assets
$98,193
Revenue
$304,186
Expenses
$390,104
Net income
-$85,918
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$1.26$0.28$0.98$3.04$3.90$0.86
2023Detailed filing. Detailed filing data is available for this year.$1.93$0.04$1.89$5.35$4.92$0.43
2022Detailed filing. Detailed filing data is available for this year.$1.68$0.20$1.47$4.17$4.28$0.11
2021Detailed filing. Detailed filing data is available for this year.$1.86$0.14$1.72$2.62$2.57$0.05
2020Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$2.85$1.31$1.53
2019Detailed filing. Detailed filing data is available for this year.$0.59$0.07$0.52$2.56$2.44$0.13
2018Detailed filing. Detailed filing data is available for this year.$0.42$0.03$0.39$2.06$1.95$0.11
2017Detailed filing. Detailed filing data is available for this year.$0.30$0.01$0.29$1.64$1.73$0.08
2016Detailed filing. Detailed filing data is available for this year.$0.37$0.00$0.37$2.09$1.88$0.21
2015Detailed filing. Detailed filing data is available for this year.$0.16$0.16$1.84$1.76$0.08
2014Summary only. Only limited summary data is available for this year.$0.10$0.02$0.08$1.56$1.69$0.13
2013Summary only. Only limited summary data is available for this year.$0.23$0.02$0.20$1.62$1.42$0.21
2012Summary only. Only limited summary data is available for this year.$0.03$0.04$0.01$1.63$1.63$0.01
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 14, 2025
Return Version
2024v5.2
Gross Receipts
$304,186
Mission and Program Overview

Mission

The indiana latino expos mission is to help the latino and hispanic community better understand the education, health, and business sytems in the united states as well as to promote economic development and wellness.

The indiana latino expos mission is to convene partners across sectors and promote resources that resonate with the rich cultural tapestry of latino communities, strengthening the overall quality of life for latino hoosiers.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$153,286$98,243▼ $55,043
Accounts Receivable$29,475$17,918▼ $11,557
Savings and Temporary Cash Investments$9,823$9,755▼ $68
Total Assets$192,584$125,916▼ $66,668
Liabilities
Mortgage Notes Payable Secured by Investment Property-$15,000-
Accounts Payable and Accrued Expenses$3,583$12,723▲ $9,140
Total Liabilities$3,583$27,723▲ $24,140
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$189,001$98,193▼ $90,808
Total Net Assets Fund Balance$189,001$98,193▼ $90,808
Total Liabilities and Net Assets / Fund Balance$192,584$125,916▼ $66,668
Compensation and Service Providers
Top Officer PayScore unavailable

Employees

NameTitleBaseTotal
Claudia FuentesBoard Member$129,489$129,489

Board Members and Trustees

NameTitle
Andy NinoBoard Member
Angela Smith JonesBoard Member
Carlos MayBoard Member
Monica MedinaBoard Member
Remo MezzettaBoard Member
Tiffany HansonBoard Member
Antoinette HoltBod
Bianca RomoBod
Charles GarciaBod
Fabio YatacoBod
Leticia Maki TeramotoBod
Revenue and Support

Revenue Composition

Contributions and Grants
$304,186
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
All Other Contributions
$304,186
Change in Net Assets
$-85,918
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$217,098
Salaries, Compensation, and Employee Benefits$173,006
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$129,489--$129,489
Other Expenses$127,321--$127,321
Advertising$44,572--$44,572
Payroll Taxes$43,517--$43,517
Occupancy$11,064--$11,064
Fees for Services Accounting-$8,183-$8,183
Fees for Services Other$7,277--$7,277
All Other Expenses$5,778--$5,778
Insurance-$5,577-$5,577
Office Expenses$2,355--$2,355
Information Technology$2,079--$2,079
Travel$1,801--$1,801
Interest$55--$55
Fees for Services Legal-$2-$2
Total Functional Expenses$376,342$13,762$0$390,104
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 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
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
No

Governance Explanations

Form 990 governing body review Part VI line 11

“The 990 tax return was not reviewed by the complete governing body.”

Governing documents etc available to public Part VI line 19

“No documents are currently made avaialable to the public”

Filing and Contact Details

Filer

Filer Name
Indiana Latino Expo
EIN
45-3636574
In Care Of
% Andy Nino
Phone
3177531729
Address
1113 E 86th Street STE 111, Indianapolis, IN 46240

Signing Officer

Name
Andy Nino
Title
Board Member
Phone
3174503607
Signed
2025-11-14
Discuss with paid preparer
Yes

Organization Details

Formed
2011
Legal Domicile
In
Voting Board Members
12
Independent Board Members
12
Employees
1
Volunteers
12

Preparer

Firm
Bilingual Consulting LLC
Address
7340 CROSSING PLACE SUITE 400, Fishers, IN 46038
Preparer
Catalina Zaldana
Phone
3177787910
Supplemental Narrative

Additional Explanations

Explanation of other changes in net assets or fund balances Part XI line 9

“Adjustment was required to adjust net assets due to post return changes.”

List of other fees for services expenses Part IX line 11G

“Contractors - 7,120 bank charges - 64”

List of other expenses Part IX line 24E

“Parking and tolls - 95 reimbursement - 580 axis program meals - 5,103”

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IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherChangesInNetAssetsAmt0-4890
IRS990/OtherExpensesGrp/Desc0MISCELLANEOUS
IRS990/OtherExpensesGrp/Desc1TAXES AND LICENSES
IRS990/OtherExpensesGrp/Desc2OTHER BUSINESS EXPENSES
IRS990/OtherExpensesGrp/Desc3PROGRAM EXPENSES
IRS990/OtherExpensesGrp/ProgramServicesAmt0696
IRS990/OtherExpensesGrp/ProgramServicesAmt1308
IRS990/OtherExpensesGrp/ProgramServicesAmt230
IRS990/OtherExpensesGrp/ProgramServicesAmt3127321
IRS990/OtherExpensesGrp/TotalAmt0696
IRS990/OtherExpensesGrp/TotalAmt1308
IRS990/OtherExpensesGrp/TotalAmt230
IRS990/OtherExpensesGrp/TotalAmt3127321
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt0129489
IRS990/OtherSalariesAndWagesGrp/TotalAmt0129489
IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/ProgramServicesAmt043517
IRS990/PayrollTaxesGrp/TotalAmt043517
IRS990/PoliticalCampaignActyInd0false
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgSrvcAccomActy2Grp/Desc0ILE GALA
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt044113
IRS990/ProgSrvcAccomActy2Grp/RevenueAmt011286
IRS990/ProgSrvcAccomActy3Grp/Desc0MAYORAL BREAKFAST
IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt024892
IRS990/ProgSrvcAccomActy3Grp/RevenueAmt07875
IRS990/ProgSrvcAccomActyOtherGrp/ExpenseAmt0254377
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt0304186
IRS990/PYExcessBenefitTransInd0false
IRS990/PYOtherExpensesAmt0260616
IRS990/PYRevenuesLessExpensesAmt0-85919
IRS990/PYSalariesCompEmpBnftPaidAmt0129489
IRS990/PYTotalExpensesAmt0390105
IRS990/PYTotalRevenueAmt0304186
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt0-85918
IRS990/RegularMonitoringEnfrcInd0false
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt0723
IRS990/SavingsAndTempCashInvstGrp/BOYAmt09823
IRS990/SavingsAndTempCashInvstGrp/EOYAmt09755
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0293655
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0501698
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0416950
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0247661
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0284790
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt01744754
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt01
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt01
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus1YearAmt06730
IRS990ScheduleA/OtherIncome170Grp/TotalAmt06730
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.88390
IRS990ScheduleA/PublicSupportPY170Pct00.93410
IRS990ScheduleA/PublicSupportTotal170Amt01548062
IRS990ScheduleA/SubstantialContributorsTotAmt0196692
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0293655
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0501698
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0416950
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0247661
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0284790
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt01744754
IRS990ScheduleA/TotalSupportAmt01751485
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
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0The 990 tax return was not reviewed by the complete governing body.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1No documents are currently made avaialable to the public
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Adjustment was required to adjust net assets due to post return changes.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3CONTRACTORS - 7,120 BANK CHARGES - 64
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4PARKING AND TOLLS - 95 REIMBURSEMENT - 580 AXIS PROGRAM MEALS - 5,103
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990 governing body review Part VI line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Governing documents etc available to public Part VI line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Explanation of other changes in net assets or fund balances Part XI line 9
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3List of other fees for services expenses Part IX line 11g
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4List of other expenses Part IX line 24e
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0IN
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxableDistributionsInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0192584
IRS990/TotalAssetsEOYAmt0125916
IRS990/TotalAssetsGrp/BOYAmt0192584
IRS990/TotalAssetsGrp/EOYAmt0125916
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0304186
IRS990/TotalEmployeeCnt01
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt013762
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0376342
IRS990/TotalFunctionalExpensesGrp/TotalAmt0390104
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt03583
IRS990/TotalLiabilitiesEOYAmt027723
IRS990/TotalLiabilitiesGrp/BOYAmt03583
IRS990/TotalLiabilitiesGrp/EOYAmt027723
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0189001
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt098193
IRS990/TotalOtherCompensationAmt00
IRS990/TotalOtherProgSrvcExpenseAmt0254377
IRS990/TotalProgramServiceExpensesAmt0376342
IRS990/TotalReportableCompFromOrgAmt0129489
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0304186
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt012
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0192584
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0125916
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TransactionWithControlEntInd0false
IRS990/TravelGrp/ProgramServicesAmt01801
IRS990/TravelGrp/TotalAmt01801
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/VotingMembersGoverningBodyCnt012
IRS990/VotingMembersIndependentCnt012
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0ANDY NINO
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Board Member
ReturnHeader/BusinessOfficerGrp/PhoneNum03174503607
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-11-14
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0INDIANA LATINO EXPO
ReturnHeader/Filer/BusinessNameControlTxt0INDI
ReturnHeader/Filer/EIN0453636574
ReturnHeader/Filer/InCareOfNm0% Andy Nino
ReturnHeader/Filer/PhoneNum03177531729
ReturnHeader/Filer/USAddress/AddressLine1Txt01113 E 86th Street STE 111
ReturnHeader/Filer/USAddress/CityNm0Indianapolis
ReturnHeader/Filer/USAddress/StateAbbreviationCd0IN
ReturnHeader/Filer/USAddress/ZIPCd046240
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0812325621
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Bilingual Consulting LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt07340 CROSSING PLACE SUITE 400
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Fishers
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0IN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd046038
ReturnHeader/PreparerPersonGrp/PhoneNum03177787910
ReturnHeader/PreparerPersonGrp/PreparationDt02025-11-14

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