Civic Intelligence

Ican Missouri Foundation

EIN 46-1583288 • 501(c)3 • Moberly, MO

Profile

To provide our citizens who have developmental disabilities with the advocacy and support needed to work, play, worship, learn, and live as a valued memeber of our community and as an integral part of their families.

PO Box 603Moberly, MO 65270

www.icanmo.org

Siviq Scores

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

Liabilities / Assets

23rd percentile

0.01x

Higher debt load relative to assets than 23% of similar nonprofits.

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

Liabilities / Revenue

18th percentile

0.02x

Higher debt load relative to revenue than 18% of similar nonprofits.

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

Net Margin

86th percentile

42%

Higher net margin than 86% 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

91st percentile

50%

Faster asset growth than 91% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2022 to 2024

Revenue Growth

85th percentile

47%

Faster revenue growth than 85% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2022 to 2024

Balance Sheet
Liabilities / Assets23rd percentile

Assets

Up

$5,970,022

Up $2,160,800 (+57%) from 2023

Liabilities

Up

$83,099

Up $13,934 (+20%) from 2023

Net Assets

Up

$5,886,923

Up $2,146,866 (+57%) from 2023

Operations
Liabilities / Revenue18th percentileNet Margin86th percentile

Revenue

Up

$4,481,494

Up $1,484,095 (+50%) from 2023

Expenses

Up

$2,580,154

Up $700,346 (+37%) from 2023

Net Income

Up

$1,901,340

Up $783,749 (+70%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth91st percentile

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

$6.0M$4.0M$2.0M$0Assets 2014: $200,265Liabilities 2014: $58,907Net Assets 2014: $141,3582014Assets 2015: $137,601Liabilities 2015: $76,010Net Assets 2015: $61,5912015Assets 2016: $245,668Liabilities 2016: $68,698Net Assets 2016: $176,9702016Assets 2017: $1,323,943Liabilities 2017: $638,868Net Assets 2017: $685,0752017Assets 2018: $1,781,962Liabilities 2018: $605,392Net Assets 2018: $1,176,5702018Assets 2019: $2,054,431Liabilities 2019: $565,342Net Assets 2019: $1,489,0892019Assets 2020: $2,437,767Liabilities 2020: $537,658Net Assets 2020: $1,900,1092020Assets 2021: $2,644,246Liabilities 2021: $467,842Net Assets 2021: $2,176,4042021Assets 2022: $2,656,413Liabilities 2022: $33,947Net Assets 2022: $2,622,4662022Assets 2023: $3,809,222Liabilities 2023: $69,165Net Assets 2023: $3,740,0572023Assets 2024: $5,970,022Liabilities 2024: $83,099Net Assets 2024: $5,886,9232024

Highlighted filing

2024

Assets$5,970,022
Liabilities$83,099
Net Assets$5,886,923
Open 2024 Filing

Operations Trend

Revenue Growth85th percentile

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

$6.0M$4.0M$2.0M$0-$2.0MRevenue 2014: $1,965,570Expenses 2014: $1,887,162Net Income 2014: $78,4082014Revenue 2015: $2,068,672Expenses 2015: $2,148,438Net Income 2015: -$79,7662015Revenue 2016: $2,478,735Expenses 2016: $2,363,356Net Income 2016: $115,3792016Revenue 2017: $1,958,482Expenses 2017: $1,450,377Net Income 2017: $508,1052017Revenue 2018: $1,781,218Expenses 2018: $1,289,723Net Income 2018: $491,4952018Revenue 2019: $1,569,809Expenses 2019: $1,257,290Net Income 2019: $312,5192019Revenue 2020: $1,699,941Expenses 2020: $1,288,921Net Income 2020: $411,0202020Revenue 2021: $1,657,961Expenses 2021: $1,394,034Net Income 2021: $263,9272021Revenue 2022: $2,083,951Expenses 2022: $1,489,716Net Income 2022: $594,2352022Revenue 2023: $2,997,399Expenses 2023: $1,879,808Net Income 2023: $1,117,5912023Revenue 2024: $4,481,494Expenses 2024: $2,580,154Net Income 2024: $1,901,3402024

Highlighted filing

2024

Revenue$4,481,494
Expenses$2,580,154
Net Income$1,901,340
Open 2024 Filing

Filings

Most recent year

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

Open filing
Assets
$5,970,022
Liabilities
$83,099
Net assets
$5,886,923
Revenue
$4,481,494
Expenses
$2,580,154
Net income
$1,901,340
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$5.97$0.08$5.89$4.48$2.58$1.90
2023Detailed filing. Detailed filing data is available for this year.$3.81$0.07$3.74$3.00$1.88$1.12
2022Detailed filing. Detailed filing data is available for this year.$2.66$0.03$2.62$2.08$1.49$0.59
2021Detailed filing. Detailed filing data is available for this year.$2.64$0.47$2.18$1.66$1.39$0.26
2020Detailed filing. Detailed filing data is available for this year.$2.44$0.54$1.90$1.70$1.29$0.41
2019Detailed filing. Detailed filing data is available for this year.$2.05$0.57$1.49$1.57$1.26$0.31
2018Detailed filing. Detailed filing data is available for this year.$1.78$0.61$1.18$1.78$1.29$0.49
2017Detailed filing. Detailed filing data is available for this year.$1.32$0.64$0.69$1.96$1.45$0.51
2016Detailed filing. Detailed filing data is available for this year.$0.25$0.07$0.18$2.48$2.36$0.12
2015Detailed filing. Detailed filing data is available for this year.$0.14$0.08$0.06$2.07$2.15$0.08
2014Detailed filing. Detailed filing data is available for this year.$0.20$0.06$0.14$1.97$1.89$0.08
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 5, 2025
Return Version
2024v5.0
Gross Receipts
$4,481,494
Mission and Program Overview

Mission

To provide our citizens who have developmental disabilities with the advocacy and supports needed to work, play, worship, learn, and live as a valued member of our community and as an integral part of their families.

To provide our citizens who have developmental disabilities with the advocacy and support needed to work, play, worship, learn. And live as a valued member of our community and as an integral part of their families.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$2,113,073$3,354,250▲ $1,241,177
Savings and Temporary Cash Investments$467,250$1,036,194▲ $568,944
Land, Buildings, and Equipment, Net$884,018$887,768▲ $3,750
Accounts Receivable$250,882$679,171▲ $428,289
Cash and Non-Interest-Bearing Accounts$78,108--
Prepaid Expenses and Deferred Charges$15,891$12,639▼ $3,252
Total Assets$3,809,222$5,970,022▲ $2,160,800
Liabilities
Accounts Payable and Accrued Expenses$69,165$83,099▲ $13,934
Total Liabilities$69,165$83,099▲ $13,934
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$3,740,057$5,886,923▲ $2,146,866
Total Net Assets Fund Balance$3,740,057$5,886,923▲ $2,146,866
Total Liabilities and Net Assets / Fund Balance$3,809,222$5,970,022▲ $2,160,800

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$716,097$149,919$866,016
Equipment$171,671$221,409$393,080
Other Securities$3,354,250--
Compensation and Service Providers
Top Officer PayScore unavailable

Employees

NameTitleFull / Part TimeBaseOtherTotal
Dawn PerkinsExecutive DiFT$114,810$13,604$128,414

Board Members and Trustees

NameTitle
Joseph KrusePresident
Michael BarnerDirector
Hayley SeidelSecretary
Russell Kennison IiTreasurer
Adrienne SpillerVice Preside
Revenue and Support

Revenue Composition

Contributions and Grants
$145,557
Program Service Revenue
$4,130,874
Investment Income
$203,145
Other Revenue
$1,918
All Other Contributions
$2,779
Change in Net Assets
$1,901,340

Audited Revenue Reconciliation

Revenue per Audited Statements
$4,481,494
Revenue Not Reported on Form 990
$50,338
Total Revenue per Audited Statements
$4,531,832
Total Revenue per Form 990
$4,481,494
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$2,022,250
Other Expenses$557,904
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,204,712$358,255-$1,562,967
Occupancy$175,426$49,824-$225,250
Other Employee Benefits$154,694$48,882-$203,576
Payroll Taxes$99,095$27,699-$126,794
Current Officers, Directors, Trustees, and Key Employees$86,108$28,702-$114,810
Depreciation Depletion-$89,415-$89,415
Insurance$66,236$10,539-$76,775
Office Expenses$57,163$8,080-$65,243
Travel$36,991$3,791-$40,782
Other Expenses$39,534--$39,534
Fees for Services Other$16,441$1,975-$18,416
Pension Plan Contributions$10,859$3,244-$14,103
Advertising$1,629$860-$2,489
Total Functional Expenses$1,948,888$631,266$0$2,580,154

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$2,580,154
Total Expenses per Audited Statements$2,580,154
Total Expenses per Form 990$2,580,154
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
No
Audit committee
No
Backup withholding compliance
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
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

“The form 990 is provided to management for review prior to filing”

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

“The board of directors received a survey of executive director salaries from macdds and determined the organization's executive director's salary based upon the survey.”

Form 990, Page 6, Part VI, Line 19

“Governing documents and financial statements are provided to the public upon request the organization's form 990 is provided to the public upon request or through candid (formerly guidestar.org)”

Filing and Contact Details

Filer

Filer Name
Ican Missouri Foundation
EIN
46-1583288
Phone
6602698875
Address
PO BOX 603, MOBERLY, MO 65270

Signing Officer

Name
Dawn Perkins
Title
Executive Director
Phone
6602698875
Signed
2025-11-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dawn Perkins
Formed
2012
Legal Domicile
Mo
Voting Board Members
5
Independent Board Members
5
Employees
86
Volunteers
5

Preparer

Firm
GERDING KORTE & CHITWOOD PC CPA'S
Address
20 SOUTH FIFTH STREET, COLUMBIA, MO 65201
Preparer
Amy L Watson
Phone
5734491599
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

“Prior period restatement: 0 medicaid receivable 187,002 fixed asset 8,186 total 195,188”

Raw XML AppendixShowing 400 of 408 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/PYInvestmentIncomeAmt0193978
IRS990/PYOtherExpensesAmt0335320
IRS990/PYOtherRevenueAmt03201
IRS990/PYProgramServiceRevenueAmt02618309
IRS990/PYRevenuesLessExpensesAmt01117591
IRS990/PYSalariesCompEmpBnftPaidAmt01544488
IRS990/PYTotalExpensesAmt01879808
IRS990/PYTotalRevenueAmt02997399
IRS990/ReconcilationRevenueExpnssAmt01901340
IRS990/RegularMonitoringEnfrcInd0false
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0true
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt04130874
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0467250
IRS990/SavingsAndTempCashInvstGrp/EOYAmt01036194
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt042,945
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART III, LINE 12
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt0145557
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt02800220
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt02029454
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt01604199
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt01673777
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt08253207
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt087169
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt0193977
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt045044
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt040284
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt09647
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt0376121
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt04132792
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt04132792
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt087169
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt0193977
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt045044
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt040284
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt09647
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IRS990ScheduleA/InvestmentIncomeCYPct00.03000
IRS990ScheduleA/InvestmentIncomePYPct00.03000
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt03201
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt09453
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt013478
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt016813
IRS990ScheduleA/OtherIncome509Grp/TotalAmt042945
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.96730
IRS990ScheduleA/PublicSupportPY509Pct00.96470
IRS990ScheduleA/PublicSupportTotal509Amt012385999
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IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt02800220
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt02029454
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt01604199
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt01673777
IRS990ScheduleA/Total509Grp/TotalAmt012385999
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt04365518
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt02997398
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt02083951
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt01657961
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt01700237
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt012805065
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IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
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IRS990ScheduleD/BuildingsGrp/DepreciationAmt0149919
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IRS990ScheduleD/EquipmentGrp/BookValueAmt0171671
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0221409
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0393080
IRS990ScheduleD/ExpensesSubtotalAmt02580154
IRS990ScheduleD/NetUnrealizedGainsInvstAmt050338
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt03354250
IRS990ScheduleD/OtherSecuritiesGrp/Desc0MUTUAL FUNDS
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IRS990ScheduleD/RevenueSubtotalAmt04481494
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0887768
IRS990ScheduleD/TotalBookValueSecuritiesAmt03354250
IRS990ScheduleD/TotalExpensesPerForm990Amt02580154
IRS990ScheduleD/TotalRevenuePerForm990Amt04481494
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt04531832
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt02580154
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE FORM 990 IS PROVIDED TO MANAGEMENT FOR REVIEW PRIOR TO FILING
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE BOARD OF DIRECTORS RECEIVED A SURVEY OF EXECUTIVE DIRECTOR SALARIES FROM MACDDS AND DETERMINED THE ORGANIZATION'S EXECUTIVE DIRECTOR'S SALARY BASED UPON THE SURVEY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC UPON REQUEST THE ORGANIZATION'S FORM 990 IS PROVIDED TO THE PUBLIC UPON REQUEST OR THROUGH CANDID (FORMERLY GUIDESTAR.ORG)
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3PRIOR PERIOD RESTATEMENT: 0 MEDICAID RECEIVABLE 187,002 FIXED ASSET 8,186 TOTAL 195,188
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART XI, LINE 9
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IRS990/TotalEmployeeCnt086
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IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0631266
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt01948888
IRS990/TotalFunctionalExpensesGrp/TotalAmt02580154
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt069165
IRS990/TotalLiabilitiesEOYAmt083099
IRS990/TotalLiabilitiesGrp/BOYAmt069165
IRS990/TotalLiabilitiesGrp/EOYAmt083099
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt03740057
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt05886923
IRS990/TotalOtherCompensationAmt013604
IRS990/TotalProgramServiceExpensesAmt01948888
IRS990/TotalProgramServiceRevenueAmt04130874
IRS990/TotalReportableCompFromOrgAmt0114810
IRS990/TotalRevenueGrp/ExclusionAmt0203145
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt04132792
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt04481494
IRS990/TotalVolunteersCnt05
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt03809222
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt05970022
IRS990/TravelGrp/ManagementAndGeneralAmt03791
IRS990/TravelGrp/ProgramServicesAmt036991
IRS990/TravelGrp/TotalAmt040782
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IRS990/UnrelatedBusIncmOverLimitInd0false
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ReturnHeader/BuildTS02025-03-06 01:10:19Z
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ReturnHeader/BusinessOfficerGrp/PersonNm0DAWN PERKINS
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0EXECUTIVE DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum06602698875
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-11-05
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0ICAN MISSOURI FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0ICAN
ReturnHeader/Filer/EIN0461583288
ReturnHeader/Filer/PhoneNum06602698875
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 603
ReturnHeader/Filer/USAddress/CityNm0MOBERLY
ReturnHeader/Filer/USAddress/StateAbbreviationCd0MO
ReturnHeader/Filer/USAddress/ZIPCd065270
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0false
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0431260512
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0GERDING KORTE & CHITWOOD PC CPA'S
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt020 SOUTH FIFTH STREET
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0COLUMBIA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd065201

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