Civic Intelligence

Nikki Mitchell Foundation Inc.

990EZ • Fiscal year 2015 • EIN 46-3399632

Jan 01, 2015 to Dec 31, 2015 • Filed on May 16, 2016

PO Box 120261Nashville, TN 37212

(615) 982-6802

Siviq Scores

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

Liabilities / Assets

65th percentile

0.02x

Higher debt load relative to assets than 65% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Liabilities / Revenue

65th percentile

0.01x

Higher debt load relative to revenue than 65% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Net Margin

90th percentile

45%

Higher net margin than 90% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Top Officer Pay

75th percentile

$0

Higher top officer pay than 75% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Asset Growth

94th percentile

158%

Faster asset growth than 94% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Annualized from 2014 to 2015

Revenue Growth

85th percentile

48%

Faster revenue growth than 85% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Annualized from 2014 to 2015

Assets

Up

$61,064

Up $37,441 (+158%) from 2014

Net Assets

$59,921

No earlier filing loaded for comparison.

Liabilities

Down

$1,143

Down $2,568 (-69%) from 2014

Revenue

Up

$89,032

Up $28,677 (+48%) from 2014

Expenses

Down

$49,023

Down $3,328 (-6.4%) from 2014

Net Income

Up

$40,009

Up $32,005 (+400%) from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$1.0M$500K$0Assets 2014: $23,623Liabilities 2014: $3,7112014Assets 2015: $61,064Liabilities 2015: $1,143Net Assets 2015: $59,9212015Assets 2016: $270,799Liabilities 2016: $9,783Net Assets 2016: $261,0162016Assets 2017: $210,454Liabilities 2017: $2,061Net Assets 2017: $208,3932017Assets 2018: $435,906Liabilities 2018: $3,442Net Assets 2018: $432,4642018Assets 2019: $609,730Liabilities 2019: $1,770Net Assets 2019: $607,9602019Assets 2020: $463,557Liabilities 2020: $26,415Net Assets 2020: $437,1422020Assets 2021: $407,086Liabilities 2021: $32,790Net Assets 2021: $374,2962021Assets 2022: $548,373Liabilities 2022: $16,731Net Assets 2022: $531,6422022Assets 2023: $741,013Liabilities 2023: $9,145Net Assets 2023: $731,8682023Assets 2024: $925,635Liabilities 2024: $36,958Net Assets 2024: $888,6772024

Highlighted filing

2015

Assets$61,064
Liabilities$1,143
Net Assets$59,921

Operations Trend

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

$1.0M$500K$0-$500KRevenue 2014: $60,355Expenses 2014: $52,351Net Income 2014: $8,0042014Revenue 2015: $89,032Expenses 2015: $49,023Net Income 2015: $40,0092015Revenue 2016: $315,048Expenses 2016: $113,953Net Income 2016: $201,0952016Revenue 2017: $274,114Expenses 2017: $326,737Net Income 2017: -$52,6232017Revenue 2018: $448,254Expenses 2018: $224,183Net Income 2018: $224,0712018Revenue 2019: $517,661Expenses 2019: $342,165Net Income 2019: $175,4962019Revenue 2020: $164,540Expenses 2020: $335,358Net Income 2020: -$170,8182020Revenue 2021: $383,955Expenses 2021: $446,801Net Income 2021: -$62,8462021Revenue 2022: $595,784Expenses 2022: $463,132Net Income 2022: $132,6522022Revenue 2023: $740,331Expenses 2023: $540,105Net Income 2023: $200,2262023Revenue 2024: $757,376Expenses 2024: $600,567Net Income 2024: $156,8092024

Highlighted filing

2015

Revenue$89,032
Expenses$49,023
Net Income$40,009
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
May 16, 2016
Return Version
2015v2.1
Gross Receipts
$193,033
Mission and Program Overview

Mission

Providing comfort and relief for those affected by pancreatic cancer, while raising awareness and searching for the cure.

Benevolence and research for pancreatic cancer

Program Services

DescriptionGrantsExpenses
THE ORGANIZATION IS ACTIVE IN PROVIDING EDUCATION AND PUBLIC AWARENESS ON PANCREATIC CANCER. Using social media with PSA's we were able to reach aprox 4,000,000 households and individuals with awareness information for detectection, treatment and cure.-$24,348
THE ORGANIZATION PROVIDES BENEVOLANCE TO FAMILIES THAT HAVE BEEN DIRECTLY AFFECTED BY PANCREATIC CANCER.$4,592-
THE ORGANIZATION WILL EXPAND DIRECT PATIENT CARE PROGRAM TO FAMILIES DIRECTLY AFFECTED BY PANCREATIC CANCER IN 2016--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
RHONDA MILESPresidentPT$0--
CINDY J DENHAMSecretary/Treasure-$0--
KIM MCCOLLUM-MELEDirector-$0--
SCOTT SAFFORDDirector-$0--
TERRI LAWRENCEDirector-$0--
Fundraising, Events, and Gaming

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Jj Golf Tournement$55,232$55,222$18,208$37,014
Fmfl Nashville Concert$48,445$47,385$28,548$18,837
Total Events$169,634$144,514$100,250$44,264
Filing and Contact Details

Filer

Filer Name
Nikki Mitchell Foundation Inc
EIN
46-3399632
Phone
6159826802
Address
PO Box 120261, Nashville, TN 37212

Signing Officer

Name
Rhonda Miles
Title
President
Phone
6159826802
Signed
2016-05-16
Discuss with paid preparer
Yes

Preparer

Firm
Cindy J Denham
Address
PO BOX 335, ASHLAND CITY, TN 37015
Preparer
Cindy J Denham
Phone
6157922930
Supplemental Narrative

Additional Explanations

Form 990EZ, Part I, Line 10

Donation; provide toys for childred; toys for tots: 18251 quantico gateway center, triangle, va, 221

Form 990EZ, Part I, Line 16

ACCOUNTING 1700.

Form 990EZ, Part I, Line 16

Advertising & promotion 808.

Form 990EZ, Part I, Line 16

Bank & paypal service charges 220.

Form 990EZ, Part I, Line 16

Books, subscriptions, reference 75.

Form 990EZ, Part I, Line 16

CABLE 1205.

Form 990EZ, Part I, Line 16

Depreciation 132.

Form 990EZ, Part I, Line 16

DUES & PUBLICATIONS 600.

Form 990EZ, Part I, Line 16

WEBSITE & INTERNET 541.

Form 990EZ, Part I, Line 16

LEGAL FEES 225.

Form 990EZ, Part I, Line 16

OFFICE EXPENSE 2375.

Form 990EZ, Part I, Line 16

LICENSES 452.

Form 990EZ, Part I, Line 16

INTEREST 564.

Form 990EZ, Part I, Line 16

TELEPHONE 1050.

Form 990EZ, Part I, Line 16

INSURANCE 323.

Form 990EZ, Part I, Line 16

TRAVEL 199.

Form 990EZ, Part I, Line 16

Program expenses-awareness 5174.

Form 990EZ, Part I, Line 16

MEALS 378.

Form 990EZ, Part I, Line 16

FLOWERS, GIFTS 585.

Form 990EZ, Part II, Line 24

TRAILER 0. 3563.

Raw XML Appendix217 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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IRS990EZ/BooksInCareOfDetail/PhoneNum06155044866
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IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0ASHLAND CITY
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0TN
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd037015
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt023623
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IRS990EZ/InfoInScheduleOPartIIInd0X
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt020.00
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt00
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0RHONDA MILES
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1CINDY J DENHAM
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2KIM MCCOLLUM-MELE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3SCOTT SAFFORD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4TERRI LAWRENCE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0PRESIDENT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1SECRETARY/TREASURE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4DIRECTOR
IRS990EZ/OperateHospitalInd0false
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd0false
IRS990EZ/OrganizationHadUBIInd0false
IRS990EZ/OtherAssetsTotalDetail/EOYAmt03563
IRS990EZ/OtherExpensesTotalAmt016606
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd0false
IRS990EZ/PrimaryExemptPurposeTxt0BENEVOLENCE AND RESEARCH FOR PANCREATIC CANCER
IRS990EZ/PrintingPublicationsPostageAmt0338
IRS990EZ/ProgramServiceRevenueAmt00
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0THE ORGANIZATION IS ACTIVE IN PROVIDING EDUCATION AND PUBLIC AWARENESS ON PANCREATIC CANCER. Using social media with PSA's we were able to reach aprox 4,000,000 households and individuals with awareness information for detectection, treatment and cure.
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt1THE ORGANIZATION PROVIDES BENEVOLANCE TO FAMILIES THAT HAVE BEEN DIRECTLY AFFECTED BY PANCREATIC CANCER.
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt2THE ORGANIZATION WILL EXPAND DIRECT PATIENT CARE PROGRAM TO FAMILIES DIRECTLY AFFECTED BY PANCREATIC CANCER IN 2016
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt04592
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt024348
IRS990EZ/ProhibitedTaxShelterTransInd0false
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IRS990EZ/SchoolOperatingInd0false
IRS990EZ/SpecialEventsDirectExpensesAmt0104001
IRS990EZ/SpecialEventsNetIncomeLossAmt040514
IRS990EZ/StatesWhereCopyOfReturnIsFldCd0TN
IRS990EZ/SubjectToProxyTaxInd0false
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt03711
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt01143
IRS990EZ/TanningServicesProvidedInd0false
IRS990EZ/TotalExpensesAmt049023
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IRS990EZ/TotalRevenueAmt089032
IRS990EZ/TransactionWithControlEntInd0false
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0WWW.NIKKIMITCHELLFOUNDATION.ORG
IRS990ScheduleA/First5Years170Ind0X
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt048517
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt033576
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt01500
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt083593
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt00
IRS990ScheduleA/InvestmentIncomeCYPct00
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00
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IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt048517
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IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt01500
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt083593
IRS990ScheduleA/TotalSupportAmt083593
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
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt025120
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt010
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent2Amt01060
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriOtherEventsAmt024050
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt0100250
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0JJ GOLF TOURNEMENT
IRS990ScheduleG/FundraisingEventInformationGrp/Event2Nm0FMFL NASHVILLE CONCERT
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent1Amt06000
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageOtherEventsAmt015530
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageTotalEventsAmt021530
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt055232
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt048445
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsOtherEventsAmt065957
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt0169634
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt055222
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent2Amt047385
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueOtherEventsAmt041907
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt0144514
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt044264
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesEvent1Amt0819
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesTotalEventsAmt0819
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssOtherEventsAmt017020
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt063776
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt018208
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent2Amt028548
IRS990ScheduleG/FundraisingEventInformationGrp/OtherEventsTotalCnt04
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent1Amt09000
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent2Amt03375
IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsOtherEventsAmt01750
IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsTotalEventsAmt014125
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0DONATION; PROVIDE TOYS FOR CHILDRED; TOYS FOR TOTS: 18251 QUANTICO GATEWAY CENTER, TRIANGLE, VA, 221
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1ACCOUNTING 1700.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ADVERTISING & PROMOTION 808.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3BANK & PAYPAL SERVICE CHARGES 220.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4BOOKS, SUBSCRIPTIONS, REFERENCE 75.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5CABLE 1205.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6Depreciation 132.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7DUES & PUBLICATIONS 600.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8WEBSITE & INTERNET 541.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9LEGAL FEES 225.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10OFFICE EXPENSE 2375.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt11LICENSES 452.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt12INTEREST 564.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt13TELEPHONE 1050.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt14INSURANCE 323.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt15TRAVEL 199.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt16PROGRAM EXPENSES-AWARENESS 5174.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt17MEALS 378.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt18FLOWERS, GIFTS 585.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt19TRAILER 0. 3563.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990EZ, Part I, Line 10
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc10Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc11Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc12Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc13Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc14Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc15Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc16Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc17Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc18Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc19Form 990EZ, Part II, Line 24
ReturnHeader/BuildTS02016-09-27 15:27:22Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0RHONDA MILES
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum06159826802
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-05-16
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0NIKKI MITCHELL FOUNDATION INC
ReturnHeader/Filer/BusinessNameControlTxt0NIKK
ReturnHeader/Filer/EIN0463399632
ReturnHeader/Filer/PhoneNum06159826802
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO Box 120261
ReturnHeader/Filer/USAddress/CityNm0Nashville
ReturnHeader/Filer/USAddress/StateAbbreviationCd0TN
ReturnHeader/Filer/USAddress/ZIPCd037212
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CINDY J DENHAM
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0PO BOX 335
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0ASHLAND CITY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0TN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd037015
ReturnHeader/PreparerPersonGrp/PhoneNum06157922930
ReturnHeader/PreparerPersonGrp/PreparationDt02016-08-15
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0CINDY J DENHAM
ReturnHeader/PreparerPersonGrp/SelfEmployedInd0X
ReturnHeader/ReturnTs02016-08-15T14:10:25-07:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02015-01-01
ReturnHeader/TaxPeriodEndDt02015-12-31
ReturnHeader/TaxYr02015

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