Civic Intelligence

Intelecom Post Retirement Health Care

EIN 45-6458516 • 501(c)9 • Milwaukee, WI

Profile

To provide welfare benefits to members

PO Box 0634Milwaukee, WI 53201-0634

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 2022

Liabilities / Revenue

76th percentile

0.00x

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

501(c)9 • <$500k nonprofits • Source year 2022

Net Margin

2nd percentile

-402001%

Higher net margin than 2% of similar nonprofits.

501(c)9 • <$500k nonprofits • Source year 2022

Top Officer Pay

Score unavailable

No value available

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

Asset Growth

40th percentile

-100%

Faster asset growth than 40% of similar nonprofits.

501(c)9 • <$500k nonprofits • Annualized from 2021 to 2022

Revenue Growth

14th percentile

-100%

Faster revenue growth than 14% of similar nonprofits.

501(c)9 • <$500k nonprofits • Annualized from 2021 to 2022

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $639,182 (-100%) from 2021

Liabilities

Flat

$0

Flat from 2021

Net Assets

Down

$0

Down $639,182 (-100%) from 2021

Operations
Liabilities / Revenue76th percentileNet Margin2nd percentile

Revenue

Down

$159

Down $139,884 (-100%) from 2021

Expenses

Up

$639,340

Up $575,251 (+898%) from 2021

Net Income

Down

-$639,181

Down $715,135 (-942%) from 2021

Trend Graphs

Balance Sheet Trend

Asset Growth40th percentile

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

$800K$600K$400K$200K$0Assets 2013: $420,359Liabilities 2013: $0Net Assets 2013: $420,3592013Assets 2014: $491,590Liabilities 2014: $0Net Assets 2014: $491,5902014Assets 2015: $503,302Liabilities 2015: $0Net Assets 2015: $503,3022015Assets 2016: $502,443Liabilities 2016: $0Net Assets 2016: $502,4432016Assets 2017: $523,236Liabilities 2017: $0Net Assets 2017: $523,2362017Assets 2018: $528,206Liabilities 2018: $0Net Assets 2018: $528,2062018Assets 2019: $538,567Liabilities 2019: $0Net Assets 2019: $538,5672019Assets 2020: $563,235Liabilities 2020: $0Net Assets 2020: $563,2352020Assets 2021: $639,182Liabilities 2021: $0Net Assets 2021: $639,1822021Assets 2022: $0Liabilities 2022: $0Net Assets 2022: $02022

Highlighted filing

2022

Assets$0
Liabilities$0
Net Assets$0
Open 2022 Filing

Operations Trend

Revenue Growth14th percentile

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

$1.0M$500K$0-$500K-$1.0MRevenue 2013: $31,128Expenses 2013: $1,994Net Income 2013: $29,1342013Revenue 2014: $44,193Expenses 2014: $2,246Net Income 2014: $41,9472014Revenue 2015: $47,022Expenses 2015: $2,559Net Income 2015: $44,4632015Revenue 2016: $25,368Expenses 2016: $2,574Net Income 2016: $22,7942016Revenue 2017: $28,441Expenses 2017: $2,658Net Income 2017: $25,7832017Revenue 2018: $30,100Expenses 2018: $25,130Net Income 2018: $4,9702018Revenue 2019: $36,871Expenses 2019: $26,491Net Income 2019: $10,3802019Revenue 2020: $27,589Expenses 2020: $2,921Net Income 2020: $24,6682020Revenue 2021: $140,043Expenses 2021: $64,089Net Income 2021: $75,9542021Revenue 2022: $159Expenses 2022: $639,340Net Income 2022: -$639,1812022

Highlighted filing

2022

Revenue$159
Expenses$639,340
Net Income-$639,181
Open 2022 Filing

Filings

Most recent year

2022 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$159
Expenses
$639,340
Net income
-$639,181
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$0.00$0.00$0.00$6.39$6.39
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6.39$0.00$6.39$1.40$0.64$0.76
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.63$0.00$5.63$0.28$0.03$0.25
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.39$0.00$5.39$0.37$0.26$0.10
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.28$0.00$5.28$0.30$0.25$0.05
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.23$0.00$5.23$0.28$0.03$0.26
2016Summary only. Only limited summary data is available for this year.$5.02$0.00$5.02$0.25$0.03$0.23
2015Detailed filing. Detailed filing data is available for this year.$5.03$0.00$5.03$0.47$0.03$0.44
2014Summary only. Only limited summary data is available for this year.$4.92$0.00$4.92$0.44$0.02$0.42
2013Summary only. Only limited summary data is available for this year.$4.20$0.00$4.20$0.31$0.02$0.29
Latest Detailed Filing

The latest 2022 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2015 below.

Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
Oct 6, 2015
Return Version
2014v5.0
Gross Receipts
$163,335
Mission and Program Overview

Mission

To provide welfare benefits to members

Balance Sheet Detail
LineBeginningEndChange
Assets
Cap Stk Tr Prin Current Funds$491,590$503,302▲ $11,712
Investments in Publicly Traded Securities$474,462$486,987▲ $12,525
Savings and Temporary Cash Investments$17,128$16,012▼ $1,116
Accounts Receivable-$303-
Total Assets$491,590$503,302▲ $11,712
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$491,590$503,302▲ $11,712
Total Liabilities and Net Assets / Fund Balance$491,590$503,302▲ $11,712
Compensation and Service Providers
Top Officer PayScore unavailable

Employees

NameTitleBaseTotal
-Trustee$2,414$2,414
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$47,022
Other Revenue
$0
Change in Net Assets
$44,463
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$2,414
Other Expenses$145
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$2,414--$2,414
Other Expenses$145--$145
Total Functional Expenses$2,559$0$0$2,559
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Audit committee
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
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, Page 6, Part VI, Line 11-description of Process for Review

“The trustee provides a copy of form 990 to the organization for review for accuracy and reasonableness. When approved, the return is signed and filed.”

Filing and Contact Details

Filer

Filer Name
Intelecom Post Retirement Health Care
EIN
45-6458516
Phone
9492247204
Address
PO BOX 0634, MILWAUKEE, WI 53201-0634

Signing Officer

Name
U S Bank N a by
Title
Trustee
Phone
9492247204
Signed
2015-10-06
Discuss with paid preparer
Yes

Organization Details

Formed
2010
Legal Domicile
Wa
Voting Board Members
1
Independent Board Members
1
Employees
0

Preparer

Firm
Pricewaterhousecoopers Llp
Address
600 GRANT STREET, PITTSBURGH, PA 15219
Preparer
Donald J Roman
Phone
4123556000
Supplemental Narrative

Additional Explanations

Description for Making Documents Public

“Governing documents and financial statments are available upon request.”

Estimate of Average Hours Per Week Devoted to Related Organizations

“NONE”

Change in Committee Oversight Review From Prior Year

“There were no changes in the way the audit committee conducted business during the current year.”

EXPLANATION FOR FORM 990, PAGE 11, PART XII, LINE 3B

“The veba's financial statements are audited on a consolidated basis with another veba.”

Raw XML Appendix224 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.

Path#Value
IRS990/AccountantCompileOrReviewInd0false
IRS990/AccountsReceivableGrp/EOYAmt0303
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0TO PROVIDE WELFARE BENEFITS TO MEMBERS
IRS990/AddressChangeInd0X
IRS990/AuditCommitteeInd0true
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0US BANK NA
IRS990/BooksInCareOfDetail/PhoneNum09492247204
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt03121 MICHELSON DR 3RD FL
IRS990/BooksInCareOfDetail/USAddress/CityNm0IRVINE
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0CA
IRS990/BooksInCareOfDetail/USAddress/ZIPCd092612
IRS990/BusinessRlnWithFamMemInd0false
IRS990/BusinessRlnWithOfficerEntInd0false
IRS990/BusinessRlnWithOrgMemInd0false
IRS990/CapStkTrPrinCurrentFundsGrp/BOYAmt0491590
IRS990/CapStkTrPrinCurrentFundsGrp/EOYAmt0503302
IRS990/ChangeToOrgDocumentsInd0false
IRS990/CollectionsOfArtInd0false
IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt02414
IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt02414
IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0false
IRS990/CompensationProcessOtherInd0false
IRS990/ConflictOfInterestPolicyInd0false
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0true
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt047022
IRS990/CYOtherExpensesAmt0145
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt044463
IRS990/CYSalariesCompEmpBnftPaidAmt02414
IRS990/CYTotalExpensesAmt02559
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt047022
IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/Desc0THE PRIMARY EXEMPT PURPOSE FOR THIS PLAN DURING THE YEAR WAS TO FUND WELFARE BENEFITS FOR ITS MEMBERS.
IRS990/DescribedInSection501c3Ind0false
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0false
IRS990/DonorAdvisedFundInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt00
IRS990/FamilyOrBusinessRlnInd0false
IRS990/FederalGrantAuditRequiredInd0false
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt0US BANK NA
IRS990/Form990PartVIISectionAGrp/InstitutionalTrusteeInd0X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt02414
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/TitleTxt0TRUSTEE
IRS990/Form990ProvidedToGvrnBodyInd0true
IRS990/FormationYr02010
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd0X
IRS990/FSAuditedInd0true
IRS990/FundraisingActivitiesInd0false
IRS990/GainOrLossGrp/SecuritiesAmt035974
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt01
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt0152287
IRS990/GrossReceiptsAmt0163335
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt01
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartVIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt011048
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt011048
IRS990/InvestmentInJointVentureInd0false
IRS990/InvestmentsPubTradedSecGrp/BOYAmt0474462
IRS990/InvestmentsPubTradedSecGrp/EOYAmt0486987
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0WA
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt0116313
IRS990/LoanOutstandingInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0TO PROVIDE WELFARE BENEFITS TO MEMBERS
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt0491590
IRS990/NetAssetsOrFundBalancesEOYAmt0503302
IRS990/NetGainOrLossInvestmentsGrp/RelatedOrExemptFuncIncomeAmt035974
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt035974
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0-32751
IRS990/NondeductibleContributionsInd0false
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowSFAS117Ind0X
IRS990/OtherExpensesGrp/Desc0FOREIGN TAX WITHHELD
IRS990/OtherExpensesGrp/ProgramServicesAmt0145
IRS990/OtherExpensesGrp/TotalAmt0145
IRS990/PartialLiquidationInd0false
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfcrBusinessName/BusinessNameLine1Txt0FRAN SCHOENFELD
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/BusinessCd0900001
IRS990/ProgramServiceRevenueGrp/Desc0PLAN CONTRIBUTIONS
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYExcessBenefitTransInd0false
IRS990/PYInvestmentIncomeAmt029600
IRS990/PYOtherExpensesAmt079
IRS990/PYOtherRevenueAmt020
IRS990/PYProgramServiceRevenueAmt014573
IRS990/PYRevenuesLessExpensesAmt041947
IRS990/PYSalariesCompEmpBnftPaidAmt02167
IRS990/PYTotalExpensesAmt02246
IRS990/PYTotalRevenueAmt044193
IRS990/ReconcilationRevenueExpnssAmt044463
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/SavingsAndTempCashInvstGrp/BOYAmt017128
IRS990/SavingsAndTempCashInvstGrp/EOYAmt016012
IRS990/ScheduleBRequiredInd0false
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE TRUSTEE PROVIDES A COPY OF FORM 990 TO THE ORGANIZATION FOR REVIEW FOR ACCURACY AND REASONABLENESS. WHEN APPROVED, THE RETURN IS SIGNED AND FILED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1GOVERNING DOCUMENTS AND FINANCIAL STATMENTS ARE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2NONE
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THERE WERE NO CHANGES IN THE WAY THE AUDIT COMMITTEE CONDUCTED BUSINESS DURING THE CURRENT YEAR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE VEBA'S FINANCIAL STATEMENTS ARE AUDITED ON A CONSOLIDATED BASIS WITH ANOTHER VEBA.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 11-DESCRIPTION OF PROCESS FOR REVIEW
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1DESCRIPTION FOR MAKING DOCUMENTS PUBLIC
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2ESTIMATE OF AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3CHANGE IN COMMITTEE OVERSIGHT REVIEW FROM PRIOR YEAR
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4EXPLANATION FOR FORM 990, PAGE 11, PART XII, LINE 3b
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0491590
IRS990/TotalAssetsEOYAmt0503302
IRS990/TotalAssetsGrp/BOYAmt0491590
IRS990/TotalAssetsGrp/EOYAmt0503302
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt02559
IRS990/TotalFunctionalExpensesGrp/TotalAmt02559
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0491590
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0503302
IRS990/TotalOtherCompensationAmt00
IRS990/TotalReportableCompFromOrgAmt02414
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt047022
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt047022
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0491590
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0503302
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/VotingMembersGoverningBodyCnt01
IRS990/VotingMembersIndependentCnt01
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02016-02-25 16:41:14Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0U S BANK N A BY
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TRUSTEE
ReturnHeader/BusinessOfficerGrp/PhoneNum09492247204
ReturnHeader/BusinessOfficerGrp/SignatureDt02015-10-06
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0INTELECOM POST RETIREMENT HEALTH CARE
ReturnHeader/Filer/BusinessNameControlTxt0PARS
ReturnHeader/Filer/EIN0456458516
ReturnHeader/Filer/PhoneNum09492247204
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 0634
ReturnHeader/Filer/USAddress/CityNm0MILWAUKEE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0WI
ReturnHeader/Filer/USAddress/ZIPCd0532010634
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0134008324
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0PRICEWATERHOUSECOOPERS LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0600 GRANT STREET
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0PITTSBURGH
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0PA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd015219
ReturnHeader/PreparerPersonGrp/PhoneNum04123556000
ReturnHeader/PreparerPersonGrp/PreparationDt02015-10-06
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0DONALD J ROMAN
ReturnHeader/PreparerPersonGrp/SelfEmployedInd0X
ReturnHeader/ReturnTs02015-10-23T15:00:14-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02014-07-01
ReturnHeader/TaxPeriodEndDt02015-06-30
ReturnHeader/TaxYr02014

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