Civic Intelligence

Catch Global Foundation

990 • Fiscal year 2019 • EIN 46-5369024

Jan 01, 2019 to Dec 31, 2019 • Filed on Nov 16, 2020

8000 Centre Park Drive No 350Austin, TX 78754

(855) 500-0050

Siviq Scores

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

Liabilities / Assets

44th percentile

0.05x

Higher debt load relative to assets than 44% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Liabilities / Revenue

40th percentile

0.05x

Higher debt load relative to revenue than 40% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Net Margin

12th percentile

-23%

Higher net margin than 12% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Top Officer Pay

82nd percentile

$143,437

Higher top officer pay than 82% of similar nonprofits.

Top officer pay equals 6.8% of source-year revenue.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Asset Growth

10th percentile

-12%

Faster asset growth than 10% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2018 to 2019

Revenue Growth

84th percentile

38%

Faster revenue growth than 84% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2018 to 2019

Assets

Down

$2,108,329

Down $297,784 (-12%) from 2018

Net Assets

Down

$1,997,465

Down $297,981 (-13%) from 2018

Liabilities

Up

$110,864

Up $197 (+0.2%) from 2018

Revenue

Up

$2,123,624

Up $584,069 (+38%) from 2018

Expenses

Up

$2,608,905

Up $1,021,531 (+64%) from 2018

Net Income

Down

-$485,281

Down $437,462 (-915%) from 2018

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$0Assets 2014: $1,343,898Liabilities 2014: $789,659Net Assets 2014: $554,2392014Assets 2015: $2,022,000Liabilities 2015: $567,451Net Assets 2015: $1,454,5492015Assets 2016: $2,473,529Liabilities 2016: $792,453Net Assets 2016: $1,681,0762016Assets 2017: $3,095,641Liabilities 2017: $666,772Net Assets 2017: $2,428,8692017Assets 2018: $2,406,113Liabilities 2018: $110,667Net Assets 2018: $2,295,4462018Assets 2019: $2,108,329Liabilities 2019: $110,864Net Assets 2019: $1,997,4652019Assets 2020: $1,954,421Liabilities 2020: $151,857Net Assets 2020: $1,802,5642020Assets 2021: $2,340,967Liabilities 2021: $246,508Net Assets 2021: $2,094,4592021Assets 2022: $2,523,726Liabilities 2022: $1,061,793Net Assets 2022: $1,461,9332022Assets 2023: $5,729,742Liabilities 2023: $3,738,181Net Assets 2023: $1,991,5612023Assets 2024: $5,360,877Liabilities 2024: $3,145,858Net Assets 2024: $2,215,0192024

Highlighted filing

2019

Assets$2,108,329
Liabilities$110,864
Net Assets$1,997,465

Operations Trend

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

$4.0M$2.0M$0-$2.0MRevenue 2014: $796,168Expenses 2014: $241,929Net Income 2014: $554,2392014Revenue 2015: $1,807,554Expenses 2015: $907,244Net Income 2015: $900,3102015Revenue 2016: $1,735,129Expenses 2016: $1,485,129Net Income 2016: $250,0002016Revenue 2017: $2,124,599Expenses 2017: $1,420,086Net Income 2017: $704,5132017Revenue 2018: $1,539,555Expenses 2018: $1,587,374Net Income 2018: -$47,8192018Revenue 2019: $2,123,624Expenses 2019: $2,608,905Net Income 2019: -$485,2812019Revenue 2020: $1,988,596Expenses 2020: $2,296,140Net Income 2020: -$307,5442020Revenue 2021: $2,946,250Expenses 2021: $2,705,460Net Income 2021: $240,7902021Revenue 2022: $498,053Expenses 2022: $1,122,329Net Income 2022: -$624,2762022Revenue 2023: $3,567,344Expenses 2023: $3,026,666Net Income 2023: $540,6782023Revenue 2024: $3,061,435Expenses 2024: $3,168,391Net Income 2024: -$106,9562024

Highlighted filing

2019

Revenue$2,123,624
Expenses$2,608,905
Net Income-$485,281
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Nov 16, 2020
Return Version
2019v5.1
Gross Receipts
$2,123,624
Mission and Program Overview

Mission

To improve children's health worldwide by developing, disseminating, and sustaining the CATCH platform in collaboration with researchers at UTHealth.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$2,017,934$1,891,684▼ $126,250
Savings and Temporary Cash Investments$200,013$0▼ $200,013
Cash and Non-Interest-Bearing Accounts$74,734$74,377▼ $357
Accounts Receivable$53,362$60,263▲ $6,901
Pledges and Grants Receivable$39,513$47,489▲ $7,976
Prepaid Expenses and Deferred Charges$14,265$31,305▲ $17,040
Land, Buildings, and Equipment, Net$6,292$3,211▼ $3,081
Total Assets$2,406,113$2,108,329▼ $297,784
Liabilities
Deferred Revenue$40,154$61,058▲ $20,904
Accounts Payable and Accrued Expenses$70,513$49,806▼ $20,707
Total Liabilities$110,667$110,864▲ $197
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$2,116,794$1,773,048▼ $343,746
Net Assets With Donor Restrictions$178,652$224,417▲ $45,765
Total Net Assets Fund Balance$2,295,446$1,997,465▼ $297,981
Total Liabilities and Net Assets / Fund Balance$2,406,113$2,108,329▼ $297,784

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$3,211$14,622$17,833
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Duncan Van Dusen MPHFounder & CEOFT$137,716$5,721$143,437
Peter Cribb MEdProgram Director/ SecretarPT$27,731-$27,731

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$1,560,213
Program Service Revenue
$498,079
Investment Income
$64,221
Other Revenue
$1,111
All Other Contributions
$1,560,213
Change in Net Assets
$-485,281

Audited Revenue Reconciliation

Revenue per Audited Statements
$2,123,624
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$187,300
Total Revenue per Audited Statements
$2,310,924
Total Revenue per Form 990
$2,123,624
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,574,588
Salaries, Compensation, and Employee Benefits$963,026
Total Fundraising Expense$220,340
Grants and Similar Amounts Paid$71,291
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$625,416$47,012$174,019$846,447
Travel$127,762$1,020$4,079$132,861
Information Technology$78,991--$78,991
Payroll Taxes$46,365$3,226$12,995$62,586
Grants to Domestic Orgs$61,606--$61,606
Occupancy$219$55,366-$55,585
Other Employee Benefits$42,445$2,198$9,350$53,993
Fees for Services Other$42,475$19-$42,494
Office Expenses$33,410$2,992$2,490$38,892
Fees for Services Accounting-$15,511$15,512$31,023
Advertising$20,120--$20,120
Grants to Domestic Individuals$9,685--$9,685
Depreciation Depletion-$3,753-$3,753
Insurance-$2,001-$2,001
Other Expenses$24,715$6,387$1,895$1,895
Total Functional Expenses$2,249,080$139,485$220,340$2,608,905

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$2,608,905
Total Expenses per Audited Statements$2,608,905
Total Expenses per Form 990$2,608,905
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
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
Yes
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
No
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, Part VI, Section B, line 11B

The Form 990 is provided to all Board Members before filing for comments or questions.

Form 990, Part VI, Section B, line 12C

The Organization monitors the conflict of interest policy through a regular survey of board members and officers.

Form 990, Part VI, Section C, line 19

The Organization makes its governing documents available to the public upon request.

Filing and Contact Details

Filer

Filer Name
CATCH Global Foundation
EIN
46-5369024
Phone
8555000050
Address
8000 Centre Park Drive No 350, Austin, TX 78754

Signing Officer

Name
Duncan Van Dusen
Title
Founder & CEO
Phone
8555000050
Signed
2020-11-16
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Duncan Van Dusen
Formed
2014
Legal Domicile
TX
Voting Board Members
4
Independent Board Members
2
Employees
0
Volunteers
0

Preparer

Firm
Jay M Johnson LLC
Address
25 Jefferson Way Suite 202, Ketchikan, AK 99901
Preparer
Grant M Alkire CPA
Phone
9072209970
Supplemental Narrative

Financial Statement Notes

Part X, Line 2:

The Foundation has been granted exemption from Federal income taxes by the United States Treasury Department under section 501(c)(3) of the Internal Revenue Code. The Foundation qualifies for the charitable contribution deduction under Section 170 and has also been classified as an entity that is not a private foundation within the meaning of Section 509(a). Management has evaluated the Foundation's tax positions and concluded the Foundation had taken no uncertain tax positions.

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IRS990/Desc0Whole Child Health & Wellness. In 2019, CATCH Global Foundation continued this program's focus on low-income urban communities. Major projects included ongoing work in schools in Edinburg TX (funded by a grant from Valley Baptist Legacy Foundation) and Lansing MI (funded by a grant from Michigan Health Endowment Fund), launch of a project in Harford CT (funded by Aetna Foundation), and a self-funded projects in Chicago Public Schools. We also created powerpoint slides and audio clips on CATCH.org for all K-8 nutrition lessons to facilitate teaching. Finally, CATCH Global Foundation provided support, evaluation assistance and technical assistance to schools around the country who were expanding or sustaining the CATCH Whole Child Health program. In total CATCH's programs now reach approximately 2.8 million school-age children each year in over 13,500 schools and educational sites.
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IRS990/Form990PartVIISectionAGrp/PersonNm0Duncan Van Dusen MPH
IRS990/Form990PartVIISectionAGrp/PersonNm1Steve Kelder PhD MPH
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IRS990/ProgSrvcAccomActy2Grp/Desc0Out-of-School Physical Activity & Nutrition Education. In 2019, CATCH Global Foundation continued to bring the CATCH after-school programs to youth around the country including several train-the-trainer sessions with the American Diabetes Association in California and Texas and work with YMCAs in communities such as Wilkes Barre PA, Nashville TN, and Grant County IN. CATCH also expanded its early childhood programs through work with the Connecticut Department of Health, Arizona Department of Health Services, and UC CalFresh. We created a video series on leading physical activity for children with intellectual disabilities (funded by Special Olympics International), and provided support, evaluation assistance and technical assistance to out-of-school sites who were expanding or sustaining the CATCH Out-of-School programs.
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IRS990/ProgSrvcAccomActy3Grp/Desc0Youth Nicotine Prevention. In 2019, CATCH Global Foundation continued the rapid expansion of the CATCH My Breath Youth E-Cigarette & JUUL Prevention Program serving youth ages 11-18. We were awarded a large grant from CVS Health Foundation to work with Discovery Education on updating and expanding curricular materials, and delivered a new version of the elementary school program including supplemental modules for use in STEM and humanities classrooms. We also launched Youth Service Learning Projects designed to enable high school students to take initiative in advocating for youth vaping prevention. Finally, a key paper demonstrating positive outcomes in reducing vaping initiation was accepted for publication in Public Health Reports, making CATCH My Breath the first and only evidence-based youth vaping prevention program. We reached approximately 600,000 students during the year.
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IRS990/PYTotalExpensesAmt01587374
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt01539555
IRS990/QuidProQuoContributionsInd00
IRS990/ReconcilationRevenueExpnssAmt0-485281
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt0449511
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0200013
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt01548199
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0973585
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt01610062
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt01329444
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt01414991
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt06876281
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt0223769
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt0-16866
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt092869
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt06638
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt0609
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt0307019
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.95730
IRS990ScheduleA/PublicSupportPY170Pct00.98620
IRS990ScheduleA/PublicSupportTotal170Amt06876281
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt01548199
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0973585
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt01610062
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt01329444
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt01414991
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt06876281
IRS990ScheduleA/TotalSupportAmt07183300
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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
IRS990/ScheduleBRequiredInd01
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IRS990ScheduleD/EquipmentGrp/BookValueAmt03211
IRS990ScheduleD/EquipmentGrp/DepreciationAmt014622
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt017833
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IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt02608905
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/NetUnrealizedGainsInvstAmt0159548
IRS990ScheduleD/RevenueNotReportedAmt0187300
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt02123624
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0The Foundation has been granted exemption from Federal income taxes by the United States Treasury Department under section 501(c)(3) of the Internal Revenue Code. The Foundation qualifies for the charitable contribution deduction under Section 170 and has also been classified as an entity that is not a private foundation within the meaning of Section 509(a). Management has evaluated the Foundation's tax positions and concluded the Foundation had taken no uncertain tax positions.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part X, Line 2:
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IRS990ScheduleD/TotalExpensesPerForm990Amt02608905
IRS990ScheduleD/TotalRevenuePerForm990Amt02123624
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt02310924
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt02608905
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0The Form 990 is provided to all Board Members before filing for comments or questions.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1The Organization monitors the conflict of interest policy through a regular survey of board members and officers.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2The Organization makes its governing documents available to the public upon request.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section B, line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section B, line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section C, line 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
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IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
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IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
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IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0139485
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt02249080
IRS990/TotalFunctionalExpensesGrp/TotalAmt02608905
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0110667
IRS990/TotalLiabilitiesEOYAmt0110864
IRS990/TotalLiabilitiesGrp/BOYAmt0110667
IRS990/TotalLiabilitiesGrp/EOYAmt0110864
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt02295446
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt01997465
IRS990/TotalOtherCompensationAmt05721
IRS990/TotalProgramServiceExpensesAmt02249080
IRS990/TotalProgramServiceRevenueAmt0498079
IRS990/TotalReportableCompFromOrgAmt0165447
IRS990/TotalRevenueGrp/ExclusionAmt051991
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0511420
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt02123624
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt02406113
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt02108329
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/FundraisingAmt04079
IRS990/TravelGrp/ManagementAndGeneralAmt01020
IRS990/TravelGrp/ProgramServicesAmt0127762
IRS990/TravelGrp/TotalAmt0132861
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/USAddress/AddressLine1Txt08000 Centre Park Drive No 350
IRS990/USAddress/CityNm0Austin
IRS990/USAddress/StateAbbreviationCd0TX
IRS990/USAddress/ZIPCd078754
IRS990/VotingMembersGoverningBodyCnt04
IRS990/VotingMembersIndependentCnt02
IRS990/WebsiteAddressTxt0www.catchinfo.org
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02021-01-29 14:40:06Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0Duncan Van Dusen
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Founder & CEO
ReturnHeader/BusinessOfficerGrp/PhoneNum08555000050
ReturnHeader/BusinessOfficerGrp/SignatureDt02020-11-16
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0CATCH Global Foundation
ReturnHeader/Filer/BusinessNameControlTxt0CATC
ReturnHeader/Filer/EIN0465369024
ReturnHeader/Filer/PhoneNum08555000050
ReturnHeader/Filer/USAddress/AddressLine1Txt08000 Centre Park Drive No 350
ReturnHeader/Filer/USAddress/CityNm0Austin
ReturnHeader/Filer/USAddress/StateAbbreviationCd0TX
ReturnHeader/Filer/USAddress/ZIPCd078754
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0DA39A3EE5E6B4B0D3255BFEF95601890AFD80709
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId053CD97C8DC2916E6822DF49A5CCE2BF3DA9767A7
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt065.74.66.4
ReturnHeader/FilingSecurityInformation/IPDt02020-11-16
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0AS
ReturnHeader/FilingSecurityInformation/IPTm017:36:50
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0464570451
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Jay M Johnson LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt025 Jefferson Way Suite 202
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Ketchikan
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0AK
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd099901
ReturnHeader/PreparerPersonGrp/PhoneNum09072209970

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