Civic Intelligence

Diabesity Research Foundation

990 • Fiscal year 2016 • EIN 45-4917504

Jan 01, 2016 to Dec 31, 2016 • Filed on Sep 05, 2017

2320 W Commodore Way Suite 100Seattle, WA 98199

(206) 632-4575

Siviq Scores

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

Liabilities / Assets

26th percentile

0.00x

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

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Liabilities / Revenue

26th percentile

0.00x

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

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Net Margin

91st percentile

46%

Higher net margin than 91% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Top Officer Pay

59th percentile

$37,182

Higher top officer pay than 59% of similar nonprofits.

Top officer pay equals 7.1% of source-year revenue.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Asset Growth

96th percentile

155%

Faster asset growth than 96% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2015 to 2016

Revenue Growth

95th percentile

143%

Faster revenue growth than 95% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2015 to 2016

Assets

Up

$381,290

Up $231,624 (+155%) from 2015

Net Assets

Up

$381,290

Up $240,955 (+172%) from 2015

Liabilities

Down

$0

Down $9,331 (-100%) from 2015

Revenue

Up

$525,847

Up $309,812 (+143%) from 2015

Expenses

Up

$284,892

Up $191,871 (+206%) from 2015

Net Income

Up

$240,955

Up $117,941 (+96%) 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 2014: $17,569Liabilities 2014: $248Net Assets 2014: $17,3212014Assets 2015: $149,666Liabilities 2015: $9,331Net Assets 2015: $140,3352015Assets 2016: $381,290Liabilities 2016: $0Net Assets 2016: $381,2902016Assets 2017: $295,209Liabilities 2017: $42Net Assets 2017: $295,1672017Assets 2018: $121,239Liabilities 2018: $36Net Assets 2018: $121,2032018Assets 2019: $78,049Liabilities 2019: $0Net Assets 2019: $78,0492019Assets 2020: $43,244Liabilities 2020: $0Net Assets 2020: $43,2442020Assets 2021: $20,809Liabilities 2021: $0Net Assets 2021: $20,8092021Assets 2022: $3,681Liabilities 2022: $0Net Assets 2022: $3,6812022Assets 2023: $53,501Liabilities 2023: $0Net Assets 2023: $53,5012023Assets 2024: $43,028Liabilities 2024: $0Net Assets 2024: $43,0282024

Highlighted filing

2016

Assets$381,290
Liabilities$0
Net Assets$381,290

Operations Trend

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

$600K$400K$200K$0-$200KRevenue 2014: $154,810Expenses 2014: $138,461Net Income 2014: $16,3492014Revenue 2015: $216,035Expenses 2015: $93,021Net Income 2015: $123,0142015Revenue 2016: $525,847Expenses 2016: $284,892Net Income 2016: $240,9552016Revenue 2017: $408,477Expenses 2017: $494,600Net Income 2017: -$86,1232017Revenue 2018: $397,195Expenses 2018: $571,159Net Income 2018: -$173,9642018Revenue 2019: $229,677Expenses 2019: $250,331Net Income 2019: -$20,6542019Revenue 2020: $111,204Expenses 2020: $146,009Net Income 2020: -$34,8052020Revenue 2021: $143,644Expenses 2021: $166,079Net Income 2021: -$22,4352021Revenue 2022: $165,901Expenses 2022: $183,029Net Income 2022: -$17,1282022Revenue 2023: $254,998Expenses 2023: $205,178Net Income 2023: $49,8202023Revenue 2024: $187,370Expenses 2024: $197,843Net Income 2024: -$10,4732024

Highlighted filing

2016

Revenue$525,847
Expenses$284,892
Net Income$240,955
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Sep 5, 2017
Return Version
2016v3.0
Gross Receipts
$526,378
Mission and Program Overview

Mission

The organization's mission is to increase access to effective medical care for those suffering from Diabesity by advancing the science of metabolism.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$76,102$305,392▲ $229,290
Land, Buildings, and Equipment, Net$73,564$65,898▼ $7,666
Loans From Officers Directors$9,250--
Total Assets$149,666$381,290▲ $231,624
Other Assets Total-$10,000-
Liabilities
Accounts Payable and Accrued Expenses$81--
Total Liabilities$9,331$0▼ $9,331
Net Assets / Fund Balance
Temporarily Rstr Net Assets-$291,391-
Unrestricted Net Assets$140,335$89,899▼ $50,436
Total Net Assets Fund Balance$140,335$381,290▲ $240,955
Total Liabilities and Net Assets / Fund Balance$149,666$381,290▲ $231,624

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$62,825$12,348$75,173
Leasehold Improvements$3,073$194$3,267
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Emily Cooper MdPresidentPT$37,182$37,182

Board Members and Trustees

NameTitle
Andrea TaylorDirector
Janet FrohnmayerDirector
Debra CotterSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$520,480
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$5,367
All Other Contributions
$520,480
Change in Net Assets
$240,955
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$187,308
Salaries, Compensation, and Employee Benefits$80,229
Total Fundraising Expense$19,268
Professional Fundraising Fees$17,355
Grants and Similar Amounts Paid$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$54,614$40,785-$95,399
Current Officers, Directors, Trustees, and Key Employees$5,577$31,605-$37,182
Other Salaries and Wages$5,503$30,911-$36,414
Fees for Services Professional Fundraising--$17,355$17,355
Fees for Services Legal$8,624$8,625-$17,249
Occupancy$11,550$4,950-$16,500
Fees for Services Accounting$6,812$6,812-$13,624
Depreciation Depletion-$10,933-$10,933
Payroll Taxes$947$5,686-$6,633
Advertising$5,150--$5,150
Information Technology-$2,103$1,188$3,291
Office Expenses$1,464$985$725$3,174
Insurance$802$803-$1,605
All Other Expenses-$259-$259
Other Expenses$4,175$230-$230
Travel-$140-$140
Total Functional Expenses$113,363$152,261$19,268$284,892
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
Yes

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$17,355
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Seattle Performance MedicineBoard PresidentRent & UtilitiesNo$16,500
Seattle Performance MedicineBoard PresidentExpense ReimbursemenNo$3,267

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$9,250--
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
Yes
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
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, Page 6, Part VI, Line 11B

Form 990 is made available to each board member prior to submission.

Form 990, Page 6, Part VI, Line 12C

Procedures for addressing the conflict of interest: an interested person may make a presentation at the governing board or committee meeting, but after the presentation, he/she shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement involving the possible conflict of interest. The chairperson of the governing board or committee shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. After exercising due diligence, the governing board or committee shall determine whether the organization can obtain with reasonable efforts a more advantageous transaction or arrangement from a person or entity that would not give rise to a conflict of interest. If a more advantageous transaction or arrangement is not reasonably possible under circumstances not producing a conflict of interest, the governing board or committee shall determine by a majority vote of the disinterested directors whether the transaction or arrangement is in the organization's best interest, for its own benefit, and whether it is fair and reasonable. In conformity with the above determination it shall make its decision as to whether to enter into the transaction or arrangement. Violations of the conflicts of interest policy: if the governing board or committee has reasonable cause to believe a member has failed to disclose actual or possible conflicts of interest, it shall inform the member of the basis for such belief and afford the member an opportunity to explain the alleged failure to disclose. If, after hearing the member's response and after making further investigation as warranted by the circumstances, the governing board or committee determines the member has failed to disclose an actual or possible conflict of interest, it shall take appropriate disciplinary and corrective action.

Form 990, Page 6, Part VI, Line 15A

Compensation is approved by the board of directors.

Form 990, Page 6, Part VI, Line 15B

Compensation is approved by the board of directors.

Form 990, Page 6, Part VI, Line 19

The organization's form 990, governing documents, conflict of interest policy, and financial statements are available upon request.

Filing and Contact Details

Filer

Filer Name
Diabesity Research Foundation
EIN
45-4917504
Phone
2066324575
Address
2320 W COMMODORE WAY SUITE 100, SEATTLE, WA 98199

Signing Officer

Name
Emily Cooper Md
Title
Secretary
Phone
2066324575
Signed
2017-09-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Emily Cooper Md
Formed
2012
Legal Domicile
Wa
Voting Board Members
4
Independent Board Members
3
Employees
2
Volunteers
6

Preparer

Firm
GREENWOOD OHLUND & CO LLP CPA'S
Address
4241 21ST AVE W 400, SEATTLE, WA 98199
Preparer
AMANDA O'ROURKE CPA
Phone
2067821767
Supplemental Narrative

Additional Explanations

Form 990, Page 2, Part III, Line 4A

Research in collaboration with university of minnesota which focused on post gastric bypass hyperinsulinemic hypoglycemia.

Form 990, Part IX, Line 11G

Outside services 54,614 4,430 0 payroll fees 0 109 0 strategy consultant 0 36,246 0 total 54,614 40,785 0

Raw XML Appendix368 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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IRS990ScheduleG/AgrmtProfFundraisingActyInd0true
IRS990ScheduleG/FundraiserActivityInfoGrp/ActivityTxt0CONSULTING
IRS990ScheduleG/FundraiserActivityInfoGrp/FundraiserControlOfFundsInd0false
IRS990ScheduleG/FundraiserActivityInfoGrp/NetToOrganizationAmt0-17355
IRS990ScheduleG/FundraiserActivityInfoGrp/OrganizationBusinessName/BusinessNameLine1Txt0THE OSTARA GROUP
IRS990ScheduleG/FundraiserActivityInfoGrp/RetainedByContractorAmt017355
IRS990ScheduleG/FundraiserActivityInfoGrp/USAddress/AddressLine1Txt0FORUM BUILDING 102 W ROY ST
IRS990ScheduleG/FundraiserActivityInfoGrp/USAddress/CityNm0SEATTLE
IRS990ScheduleG/FundraiserActivityInfoGrp/USAddress/StateAbbreviationCd0WA
IRS990ScheduleG/FundraiserActivityInfoGrp/USAddress/ZIPCd098119
IRS990ScheduleG/TotalNetToOrganizationAmt0-17355
IRS990ScheduleG/TotalRetainedByContractorsAmt017355
IRS990/ScheduleJRequiredInd0false
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/PersonNm0SEATTLE PERFORMANCE MEDICINE
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/PersonNm1SEATTLE PERFORMANCE MEDICINE
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt0BOARD PRESIDENT
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt1BOARD PRESIDENT
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd0false
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd1false
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionAmt016500
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionAmt13267
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc0RENT & UTILITIES
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc1EXPENSE REIMBURSEMEN
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0RESEARCH IN COLLABORATION WITH UNIVERSITY OF MINNESOTA WHICH FOCUSED ON POST GASTRIC BYPASS HYPERINSULINEMIC HYPOGLYCEMIA.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1FORM 990 IS MADE AVAILABLE TO EACH BOARD MEMBER PRIOR TO SUBMISSION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST: AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE ORGANIZATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY: IF THE GOVERNING BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE MEMBER'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE DETERMINES THE MEMBER HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3COMPENSATION IS APPROVED BY THE BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4COMPENSATION IS APPROVED BY THE BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE ORGANIZATION'S FORM 990, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6OUTSIDE SERVICES 54,614 4,430 0 PAYROLL FEES 0 109 0 STRATEGY CONSULTANT 0 36,246 0 TOTAL 54,614 40,785 0
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 2, PART III, LINE 4A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 15B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART IX, LINE 11G
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TemporarilyRstrNetAssetsGrp/EOYAmt0291391
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0149666
IRS990/TotalAssetsEOYAmt0381290
IRS990/TotalAssetsGrp/BOYAmt0149666
IRS990/TotalAssetsGrp/EOYAmt0381290
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0520480
IRS990/TotalEmployeeCnt02
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt019268
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0152261
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0113363
IRS990/TotalFunctionalExpensesGrp/TotalAmt0284892
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt09331
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt09331
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0140335
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0381290
IRS990/TotalProgramServiceExpensesAmt0113363
IRS990/TotalReportableCompFromOrgAmt037182
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt05367
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0525847
IRS990/TotalVolunteersCnt06
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0149666
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0381290
IRS990/TravelGrp/ManagementAndGeneralAmt0140
IRS990/TravelGrp/TotalAmt0140
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0140335
IRS990/UnrestrictedNetAssetsGrp/EOYAmt089899
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt02320 WEST COMMODORE WAY 100
IRS990/USAddress/CityNm0SEATTLE
IRS990/USAddress/StateAbbreviationCd0WA
IRS990/USAddress/ZIPCd098199
IRS990/VotingMembersGoverningBodyCnt04
IRS990/VotingMembersIndependentCnt03
IRS990/WebsiteAddressTxt0WWW.DIABESITYRESEARCHFOUNDATION.ORG
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0EMILY COOPER MD
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0SECRETARY
ReturnHeader/BusinessOfficerGrp/PhoneNum02066324575
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-09-05
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0DIABESITY RESEARCH FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0DIAB
ReturnHeader/Filer/EIN0454917504
ReturnHeader/Filer/PhoneNum02066324575
ReturnHeader/Filer/USAddress/AddressLine1Txt02320 W COMMODORE WAY SUITE 100
ReturnHeader/Filer/USAddress/CityNm0SEATTLE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0WA
ReturnHeader/Filer/USAddress/ZIPCd098199
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0FBEE34AAC36B075F161021D92B55926F29454F9B
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0791687598B8DDA9BBCB22C771830AE99C53E9511
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0910873571
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0GREENWOOD OHLUND & CO LLP CPA'S
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt04241 21ST AVE W 400
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0SEATTLE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0WA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd098199
ReturnHeader/PreparerPersonGrp/PhoneNum02067821767
ReturnHeader/PreparerPersonGrp/PreparationDt02017-11-15
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0AMANDA O'ROURKE CPA
ReturnHeader/ReturnTs02017-11-15T14:55:35-08:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02016-01-01
ReturnHeader/TaxPeriodEndDt02016-12-31
ReturnHeader/TaxYr02016

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