Civic Intelligence

Sheltercare 499 Project

990 • Fiscal year 2017 • EIN 46-3534725

Jul 01, 2016 to Jun 30, 2017 • Filed on May 07, 2018

499 W 4th AveEugene, OR 97401

(541) 686-1262

Siviq Scores

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

Liabilities / Assets

94th percentile

1.18x

Higher debt load relative to assets than 94% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Liabilities / Revenue

99th percentile

20.86x

Higher debt load relative to revenue than 99% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Net Margin

3rd percentile

-96%

Higher net margin than 3% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Top Officer Pay

74th percentile

$112,838

Higher top officer pay than 74% of similar nonprofits.

Top officer pay equals 53.5% of source-year revenue.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Asset Growth

33rd percentile

-1.4%

Faster asset growth than 33% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Revenue Growth

37th percentile

0.0%

Faster revenue growth than 37% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Assets

Down

$3,743,285

Down $51,991 (-1.4%) from 2016

Net Assets

Down

-$655,381

Down $201,786 (-44%) from 2016

Liabilities

Up

$4,398,666

Up $149,795 (+3.5%) from 2016

Revenue

Flat

$210,875

Flat from 2016

Expenses

Down

$412,661

Down $24,214 (-5.5%) from 2016

Net Income

Up

-$201,786

Up $24,214 (+11%) from 2016

Historical Trend

Balance Sheet Trend

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

$6.0M$4.0M$2.0M$0-$2.0MAssets 2014: $3,826,293Liabilities 2014: $3,880,787Net Assets 2014: -$54,4942014Assets 2015: $3,807,715Liabilities 2015: $4,035,310Net Assets 2015: -$227,5952015Assets 2016: $3,795,276Liabilities 2016: $4,248,871Net Assets 2016: -$453,5952016Assets 2017: $3,743,285Liabilities 2017: $4,398,666Net Assets 2017: -$655,3812017Assets 2018: $3,707,513Liabilities 2018: $4,567,557Net Assets 2018: -$860,0442018Assets 2019: $3,669,660Liabilities 2019: $4,661,031Net Assets 2019: -$991,3712019Assets 2020: $3,382,224Liabilities 2020: $813,032Net Assets 2020: $2,569,1922020Assets 2021: $1,537,392Liabilities 2021: $440Net Assets 2021: $1,536,9522021Assets 2022: $1,420,583Liabilities 2022: $0Net Assets 2022: $1,420,5832022Assets 2023: $1,303,774Liabilities 2023: $0Net Assets 2023: $1,303,7742023Assets 2024: $1,186,965Liabilities 2024: $0Net Assets 2024: $1,186,9652024

Highlighted filing

2017

Assets$3,743,285
Liabilities$4,398,666
Net Assets-$655,381

Operations Trend

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

$4.0M$2.0M$0-$2.0MRevenue 2014: $0Expenses 2014: $54,494Net Income 2014: -$54,4942014Revenue 2015: $175,730Expenses 2015: $348,831Net Income 2015: -$173,1012015Revenue 2016: $210,875Expenses 2016: $436,875Net Income 2016: -$226,0002016Revenue 2017: $210,875Expenses 2017: $412,661Net Income 2017: -$201,7862017Revenue 2018: $210,875Expenses 2018: $415,538Net Income 2018: -$204,6632018Revenue 2019: $210,874Expenses 2019: $342,201Net Income 2019: -$131,3272019Revenue 2020: $3,998,156Expenses 2020: $437,593Net Income 2020: $3,560,5632020Revenue 2021: $0Expenses 2021: $1,032,240Net Income 2021: -$1,032,2402021Revenue 2022: $440Expenses 2022: $116,809Net Income 2022: -$116,3692022Revenue 2023: $0Expenses 2023: $116,809Net Income 2023: -$116,8092023Revenue 2024: $0Expenses 2024: $116,809Net Income 2024: -$116,8092024

Highlighted filing

2017

Revenue$210,875
Expenses$412,661
Net Income-$201,786
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
May 7, 2018
Return Version
2016v3.1
Gross Receipts
$210,875
Mission and Program Overview

Mission

Sheltercare 499 project operates exclusively for the support and benefit, financially and/or operationally, of sheltercare, an oregon nonprofit corporation.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$2,115,565$1,999,112▼ $116,453
Accounts Receivable$189,103$284,979▲ $95,876
Intangible Assets$176,813$170,364▼ $6,449
Savings and Temporary Cash Investments$53,507$50,209▼ $3,298
Prepaid Expenses and Deferred Charges$21,678$21,678→ $0
Total Assets$3,795,276$3,743,285▼ $51,991
Other Assets Total$1,238,610$1,216,943▼ $21,667
Liabilities
Mortgage Notes Payable Secured by Investment Property$3,840,000$3,840,000→ $0
Other Liabilities$408,871$558,666▲ $149,795
Total Liabilities$4,248,871$4,398,666▲ $149,795
Net Assets / Fund Balance
Unrestricted Net Assets$-453,595$-655,381▼ $201,786
Total Net Assets Fund Balance$-453,595$-655,381▼ $201,786
Total Liabilities and Net Assets / Fund Balance$3,795,276$3,743,285▼ $51,991

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,999,112$329,950$2,329,062
Other Assets Org$1,216,943--
Compensation and Service Providers

Employees

NameTitleOtherTotal
Susan BanPresident$112,838$112,838

Board Members and Trustees

NameTitle
John Van LandinghamDirector
Larry AbelDirector
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$210,875
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-201,786
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$412,661
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Payments to Affiliates$214,794--$214,794
Depreciation Depletion$116,453$6,449-$122,902
Interest$46,203--$46,203
Occupancy$21,667--$21,667
Fees for Services Accounting-$6,970-$6,970
Other Expenses-$125-$125
Total Functional Expenses$399,117$13,544$0$412,661
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Related Organization$535,116
Accrued Interest$23,550
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
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
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
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 7A

The initial board of directors shall be selected by the board of directors of sheltercare, and these individuals shall serve until the first annual meeting of the board of directors or their successors are elected. At each annual meeting of the board of directors, individuals representing a majority of the board of directors will be appointed to serve as directors for the succeeding year by the board of directors of sheltercare. The remaining directors comprising the board of directors for the succeeding year will be elected by the board of directors at the annual meeting. The tems of all directors will expire at the annual meeting of the board of directors following their appointment or election.

Form 990, Page 6, Part VI, Line 11B

Each year, prior to the filing of the form 990, the board of directors reviews the draft form 990 as soon as it is available. Once the draft 990 has been reviewed and any changes are made, the final version is reviewed and approved the the board of directors prior to filing.

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

The organization rarely has a situation that involves a conflict of interest. The organization chooses not to do business with the board members or family members of board members or their companies whenever possible to keep the opportunity for a conflict to a minimum. If there is a conflict of interest, the board member is asked to abstain from voting on any matter where the conflict of interest comes into play.

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

The organization has no compensated directors or employees. The president is compensated by a related organization. The compensation paid by the related organization is determined by reviewing a biannual survey provided by an independent organization of agencies in the area doing similar work with similar budgets and by using comparable data gathered from local sources like the employment department, register guard and email notification of local postings. This information is gathered by the human resources manager and presented to the chair of the personnel committee of the board of directors for the related organization when determining increases in the salary.

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

N/a - the organization has no employees.

Form 990, Page 6, Part VI, Line 19

These documents are made available upon request.

Filing and Contact Details

Filer

Filer Name
Sheltercare 499 Project
EIN
46-3534725
Phone
5416861262
Address
499 W 4TH AVE, EUGENE, OR 97401

Signing Officer

Name
Susan Ban
Title
President
Phone
5416861262
Signed
2018-05-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Susan Ban
Formed
2013
Legal Domicile
Or
Voting Board Members
3
Independent Board Members
3
Employees
0

Preparer

Firm
Jones & Roth Pc
Address
PO BOX 10086, EUGENE, OR 97440
Preparer
Kari Young
Phone
5416872320
Raw XML Appendix359 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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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE INITIAL BOARD OF DIRECTORS SHALL BE SELECTED BY THE BOARD OF DIRECTORS OF SHELTERCARE, AND THESE INDIVIDUALS SHALL SERVE UNTIL THE FIRST ANNUAL MEETING OF THE BOARD OF DIRECTORS OR THEIR SUCCESSORS ARE ELECTED. AT EACH ANNUAL MEETING OF THE BOARD OF DIRECTORS, INDIVIDUALS REPRESENTING A MAJORITY OF THE BOARD OF DIRECTORS WILL BE APPOINTED TO SERVE AS DIRECTORS FOR THE SUCCEEDING YEAR BY THE BOARD OF DIRECTORS OF SHELTERCARE. THE REMAINING DIRECTORS COMPRISING THE BOARD OF DIRECTORS FOR THE SUCCEEDING YEAR WILL BE ELECTED BY THE BOARD OF DIRECTORS AT THE ANNUAL MEETING. THE TEMS OF ALL DIRECTORS WILL EXPIRE AT THE ANNUAL MEETING OF THE BOARD OF DIRECTORS FOLLOWING THEIR APPOINTMENT OR ELECTION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1EACH YEAR, PRIOR TO THE FILING OF THE FORM 990, THE BOARD OF DIRECTORS REVIEWS THE DRAFT FORM 990 AS SOON AS IT IS AVAILABLE. ONCE THE DRAFT 990 HAS BEEN REVIEWED AND ANY CHANGES ARE MADE, THE FINAL VERSION IS REVIEWED AND APPROVED THE THE BOARD OF DIRECTORS PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION RARELY HAS A SITUATION THAT INVOLVES A CONFLICT OF INTEREST. THE ORGANIZATION CHOOSES NOT TO DO BUSINESS WITH THE BOARD MEMBERS OR FAMILY MEMBERS OF BOARD MEMBERS OR THEIR COMPANIES WHENEVER POSSIBLE TO KEEP THE OPPORTUNITY FOR A CONFLICT TO A MINIMUM. IF THERE IS A CONFLICT OF INTEREST, THE BOARD MEMBER IS ASKED TO ABSTAIN FROM VOTING ON ANY MATTER WHERE THE CONFLICT OF INTEREST COMES INTO PLAY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION HAS NO COMPENSATED DIRECTORS OR EMPLOYEES. THE PRESIDENT IS COMPENSATED BY A RELATED ORGANIZATION. THE COMPENSATION PAID BY THE RELATED ORGANIZATION IS DETERMINED BY REVIEWING A BIANNUAL SURVEY PROVIDED BY AN INDEPENDENT ORGANIZATION OF AGENCIES IN THE AREA DOING SIMILAR WORK WITH SIMILAR BUDGETS AND BY USING COMPARABLE DATA GATHERED FROM LOCAL SOURCES LIKE THE EMPLOYMENT DEPARTMENT, REGISTER GUARD AND EMAIL NOTIFICATION OF LOCAL POSTINGS. THIS INFORMATION IS GATHERED BY THE HUMAN RESOURCES MANAGER AND PRESENTED TO THE CHAIR OF THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS FOR THE RELATED ORGANIZATION WHEN DETERMINING INCREASES IN THE SALARY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4N/A - THE ORGANIZATION HAS NO EMPLOYEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THESE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 7A
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
IRS990ScheduleR/AssetExchangeInd0false
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd0false
IRS990ScheduleR/AssetSaleToOtherOrgInd0false
IRS990ScheduleR/DivRelatedOrganizationInd0false
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd0false
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0SHELTERCARE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0237115003
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501C3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0OR
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0CHARITABLE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt07
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0499 W 4TH AVENUE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0EUGENE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0OR
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd097401
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd0true
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd0false
IRS990ScheduleR/PaidEmployeesSharingInd0true
IRS990ScheduleR/PerformOfServicesByOtherOrgInd0true
IRS990ScheduleR/PerformOfServicesForOthOrgInd0true
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd0false
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd0true
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd0true
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd0true
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd0true
IRS990ScheduleR/SharingOfFacilitiesInd0true
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt03840000
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt1210875
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt221667
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt3214794
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt0LOAN PRINCIPAL
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt1PER LEASE AGREEMENT
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt2PER GROUND LEASE AGREEMNT
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt3PER TERMS OF LEASE AGRMNT
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt0SHELTERCARE
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt1SHELTERCARE
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt2SHELTERCARE
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt3SHELTERCARE
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt0E
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt1J
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt2K
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt3P
IRS990ScheduleR/TransferFromOtherOrgInd0false
IRS990ScheduleR/TransferToOtherOrgInd0false
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0OR
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt03795276
IRS990/TotalAssetsEOYAmt03743285
IRS990/TotalAssetsGrp/BOYAmt03795276
IRS990/TotalAssetsGrp/EOYAmt03743285
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt013544
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0399117
IRS990/TotalFunctionalExpensesGrp/TotalAmt0412661
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt04248871
IRS990/TotalLiabilitiesEOYAmt04398666
IRS990/TotalLiabilitiesGrp/BOYAmt04248871
IRS990/TotalLiabilitiesGrp/EOYAmt04398666
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-453595
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-655381
IRS990/TotalOtherCompensationAmt08590
IRS990/TotalProgramServiceExpensesAmt0399117
IRS990/TotalProgramServiceRevenueAmt0210875
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0210875
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0210875
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt03795276
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt03743285
IRS990/TotReportableCompRltdOrgAmt0104248
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0-453595
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0-655381
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0499 W 4TH AVE
IRS990/USAddress/CityNm0EUGENE
IRS990/USAddress/StateAbbreviationCd0OR
IRS990/USAddress/ZIPCd097401
IRS990/VotingMembersGoverningBodyCnt03
IRS990/VotingMembersIndependentCnt03
IRS990/WebsiteAddressTxt0SHELTERCARE.ORG
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02018-06-14 16:35:46Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0SUSAN BAN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum05416861262
ReturnHeader/BusinessOfficerGrp/SignatureDt02018-05-07
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0SHELTERCARE 499 PROJECT
ReturnHeader/Filer/BusinessNameControlTxt0SHEL
ReturnHeader/Filer/EIN0463534725
ReturnHeader/Filer/PhoneNum05416861262
ReturnHeader/Filer/USAddress/AddressLine1Txt0499 W 4TH AVE
ReturnHeader/Filer/USAddress/CityNm0EUGENE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0OR
ReturnHeader/Filer/USAddress/ZIPCd097401
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0C9E21E635FBF3B49EFFC6769C6377F6DC1330F24
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0C9E21E635FBF3B49EFFC6769C6377F6DC1330F24
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0930819646
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0JONES & ROTH PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0PO BOX 10086
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0EUGENE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0OR
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd097440
ReturnHeader/PreparerPersonGrp/PhoneNum05416872320
ReturnHeader/PreparerPersonGrp/PreparationDt02018-05-14
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0KARI YOUNG
ReturnHeader/ReturnTs02018-05-15T11:11:28-07:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02016-07-01
ReturnHeader/TaxPeriodEndDt02017-06-30
ReturnHeader/TaxYr02016

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