Civic Intelligence

Nebraska Rural Health Association

EIN 47-0766519 • 501(c)3 • Papillion, NE

Profile

To bring together diverse interests and provide a unified voice to promote and enhance the quality of rural health through leadership, advocacy, coalition building, education and communication.

4505 Lake Forest CirPapillion, NE 68133

www.nebraskruralhealth.org

Siviq Scores

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

Liabilities / Assets

33rd percentile

0.00x

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

501(c)3 • $500k-$1M nonprofits • Source year 2024

Liabilities / Revenue

35th percentile

0.00x

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

501(c)3 • $500k-$1M nonprofits • Source year 2024

Net Margin

76th percentile

23%

Higher net margin than 76% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Top Officer Pay

55th percentile

$0

Higher top officer pay than 55% of similar nonprofits.

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

501(c)3 • $500k-$1M nonprofits • Source year 2024

Asset Growth

93rd percentile

100%

Faster asset growth than 93% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Revenue Growth

98th percentile

385%

Faster revenue growth than 98% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets33rd percentile

Assets

Up

$428,075

Up $213,642 (+100%) from 2023

Liabilities

Flat

$0

Flat from 2023

Net Assets

Up

$428,075

Up $213,642 (+100%) from 2023

Operations
Liabilities / Revenue35th percentileNet Margin76th percentile

Revenue

Up

$939,121

Up $745,480 (+385%) from 2023

Expenses

Up

$721,979

Up $519,321 (+256%) from 2023

Net Income

Up

$217,142

Up $226,159 (+2508%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth93rd percentile

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

$600K$400K$200K$0Assets 2010: $188,258Liabilities 2010: $0Net Assets 2010: $188,2582010Assets 2011: $172,543Liabilities 2011: $0Net Assets 2011: $172,5432011Assets 2012: $217,463Liabilities 2012: $21,525Net Assets 2012: $195,9382012Assets 2013: $213,158Liabilities 2013: $7,691Net Assets 2013: $205,4672013Assets 2014: $202,014Liabilities 2014: $0Net Assets 2014: $202,0142014Assets 2015: $216,506Liabilities 2015: $0Net Assets 2015: $216,5062015Assets 2016: $211,059Liabilities 2016: $0Net Assets 2016: $211,0592016Assets 2017: $223,520Liabilities 2017: $211,429Net Assets 2017: $12,0912017Assets 2018: $205,623Liabilities 2018: $0Net Assets 2018: $205,6232018Assets 2019: $222,480Liabilities 2019: $0Net Assets 2019: $222,4802019Assets 2020: $228,274Liabilities 2020: $0Net Assets 2020: $228,2742020Assets 2021: $211,807Liabilities 2021: $0Net Assets 2021: $211,8072021Assets 2022: $223,450Liabilities 2022: $0Net Assets 2022: $223,4502022Assets 2023: $214,433Liabilities 2023: $0Net Assets 2023: $214,4332023Assets 2024: $428,075Liabilities 2024: $0Net Assets 2024: $428,0752024

Highlighted filing

2024

Assets$428,075
Liabilities$0
Net Assets$428,075
Open 2024 Filing

Operations Trend

Revenue Growth98th percentile

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

$1.0M$500K$0-$500KRevenue 2010: $147,590Expenses 2010: $129,034Net Income 2010: $18,5562010Revenue 2011: $158,533Expenses 2011: $172,746Net Income 2011: -$14,2132011Expenses 2012: $177,9622012Revenue 2013: $186,217Expenses 2013: $176,688Net Income 2013: $9,5292013Revenue 2014: $155,372Expenses 2014: $158,825Net Income 2014: -$3,4532014Revenue 2015: $223,412Expenses 2015: $208,920Net Income 2015: $14,4922015Revenue 2016: $137,632Expenses 2016: $143,078Net Income 2016: -$5,4462016Revenue 2017: $126,533Expenses 2017: $114,442Net Income 2017: $12,0912017Revenue 2018: $105,580Expenses 2018: $117,113Net Income 2018: -$11,5332018Revenue 2019: $116,939Expenses 2019: $100,082Net Income 2019: $16,8572019Revenue 2020: $92,482Expenses 2020: $86,688Net Income 2020: $5,7942020Revenue 2021: $81,977Expenses 2021: $98,444Net Income 2021: -$16,4672021Revenue 2022: $163,833Expenses 2022: $152,190Net Income 2022: $11,6432022Revenue 2023: $193,641Expenses 2023: $202,658Net Income 2023: -$9,0172023Revenue 2024: $939,121Expenses 2024: $721,979Net Income 2024: $217,1422024

Highlighted filing

2024

Revenue$939,121
Expenses$721,979
Net Income$217,142
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$428,075
Liabilities
$0
Net assets
$428,075
Revenue
$939,121
Expenses
$721,979
Net income
$217,142
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.28$0.00$4.28$9.39$7.22$2.17
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.14$0.00$2.14$1.94$2.03$0.09
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.23$0.00$2.23$1.64$1.52$0.12
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.12$0.00$2.12$0.82$0.98$0.16
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.28$0.00$2.28$0.92$0.87$0.06
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.22$0.00$2.22$1.17$1.00$0.17
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.06$0.00$2.06$1.06$1.17$0.12
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.24$2.11$0.12$1.27$1.14$0.12
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.11$0.00$2.11$1.38$1.43$0.05
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.17$0.00$2.17$2.23$2.09$0.14
2014Detailed filing. Detailed filing data is available for this year.$2.02$0.00$2.02$1.55$1.59$0.03
2013Detailed filing. Detailed filing data is available for this year.$2.13$0.08$2.05$1.86$1.77$0.10
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.17$0.22$1.96$1.78
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.73$0.00$1.73$1.59$1.73$0.14
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.88$0.00$1.88$1.48$1.29$0.19
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Oct 8, 2025
Return Version
2024v5.2
Gross Receipts
$939,121
Mission and Program Overview

Mission

To bring together diverse interests and provide a unified voice to promote and enhance the quality of rural health through leadership, advocacy, coalition building, education and communication.

The NeRHA is a non-profit, grassroots, member-driven organization interested in the health of rural Nebraskans throughout the state. The NeRHA membership works together to identify health concerns of rural Nebraska and find ways to improve services in our communities.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$214,433$265,283▲ $50,850
Savings and Temporary Cash Investments-$162,792-
Total Assets$214,433$428,075▲ $213,642
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$214,433$394,068▲ $179,635
Net Assets With Donor Restrictions-$34,007-
Total Net Assets Fund Balance$214,433$428,075▲ $213,642
Total Liabilities and Net Assets / Fund Balance$214,433$428,075▲ $213,642
Compensation and Service Providers
Top Officer Pay55th percentile

Board Members and Trustees

NameTitle
Kendra BrownPresident
Alex BurhopBoard Member
Brady BeechamBoard Member
David SlatteryBoard Member
Erica HasenohrBoard Member
Heather HarrisBoard Member
Mirya HallockBoard Member
Nicole CarrittBoard Member
Scott CookBoard Member
Zach WittBoard Member
Julie NilesSecretary
Kristie StricklinTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$873,943
Program Service Revenue
$60,350
Investment Income
$4,828
Other Revenue
$0
All Other Contributions
$839,366
Change in Net Assets
$217,142
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$718,994
Grants and Similar Amounts Paid$2,985
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Travel$53,068$0$0$53,068
Fees for Services Management$51,135$0$0$51,135
Conferences and Meetings$20,408$0$0$20,408
Advertising$15,951$0$0$15,951
Office Expenses$10,074$0$0$10,074
Information Technology$4,416$0$0$4,416
Grants to Domestic Individuals$2,985--$2,985
Occupancy$2,600$0$0$2,600
Other Expenses$104$0$0$104
Total Functional Expenses$721,979$0$0$721,979
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
Backup withholding compliance
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
Filing and Contact Details

Filer

Filer Name
Nebraska Rural Health Association
EIN
47-0766519
Phone
4026860564
Address
4505 LAKE FOREST CIR, PAPILLION, NE 68133

Signing Officer

Name
Jed Hansen
Title
Executive Director
Phone
4026860564
Signed
2025-10-08
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jed Hansen
Formed
1991
Legal Domicile
Ne
Voting Board Members
12
Independent Board Members
12
Employees
0
Volunteers
0

Preparer

Firm
Mark Blair LLC
Address
12335 Gold Street, Omaha, NE 68144
Preparer
Mark T Blair
Phone
4023159966
Supplemental Narrative

Additional Explanations

Pt VI, Line 11B

“Reviewed at board meeting”

Pt VI, Line 19

“Governing documents, conflict of interest policy, and”

Pt VI, Line 19

“Financial statements were not made available to the public.”

Pt VI, Line 8B

“There are no committees authorized to act for the governing”

Pt VI, Line 8B

“BODY.”

Raw XML AppendixShowing 400 of 403 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/OtherExpensesGrp/FundraisingAmt30
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt00
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt10
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt20
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt30
IRS990/OtherExpensesGrp/ProgramServicesAmt0214650
IRS990/OtherExpensesGrp/ProgramServicesAmt1345550
IRS990/OtherExpensesGrp/ProgramServicesAmt21038
IRS990/OtherExpensesGrp/ProgramServicesAmt3104
IRS990/OtherExpensesGrp/TotalAmt0214650
IRS990/OtherExpensesGrp/TotalAmt1345550
IRS990/OtherExpensesGrp/TotalAmt21038
IRS990/OtherExpensesGrp/TotalAmt3104
IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0JED HANSEN
IRS990/PriorPeriodAdjustmentsAmt0-3500
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/BusinessCd0900099
IRS990/ProgramServiceRevenueGrp/BusinessCd1900099
IRS990/ProgramServiceRevenueGrp/Desc0ANNUAL CONFERENCE
IRS990/ProgramServiceRevenueGrp/Desc1EDUCATIONAL PROGRAMS
IRS990/ProgramServiceRevenueGrp/ExclusionAmt00
IRS990/ProgramServiceRevenueGrp/ExclusionAmt10
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt054500
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt15850
IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt10
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt0130112
IRS990/PYExcessBenefitTransInd0false
IRS990/PYGrantsAndSimilarPaidAmt075991
IRS990/PYInvestmentIncomeAmt04683
IRS990/PYOtherExpensesAmt0126667
IRS990/PYProgramServiceRevenueAmt058846
IRS990/PYRevenuesLessExpensesAmt0-9017
IRS990/PYTotalExpensesAmt0202658
IRS990/PYTotalRevenueAmt0193641
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt0217142
IRS990/RegularMonitoringEnfrcInd0false
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt060350
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0162792
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt0130112
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt064657
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt077169
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt026224
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt029798
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt0327960
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt04828
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt04683
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt09511
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt00
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt00
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt04828
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt04683
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt09511
IRS990ScheduleA/InvestmentIncomeCYPct00.02820
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00
IRS990ScheduleA/PublicSupportCY509Pct00.97180
IRS990ScheduleA/PublicSupportPY509Pct01.00000
IRS990ScheduleA/PublicSupportTotal509Amt0327960
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0130112
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt064657
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt077169
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt026224
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt029798
IRS990ScheduleA/Total509Grp/TotalAmt0327960
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0337471
IRS990/ScheduleBRequiredInd0false
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0REVIEWED AT BOARD MEETING
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2FINANCIAL STATEMENTS WERE NOT MADE AVAILABLE TO THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THERE ARE NO COMMITTEES AUTHORIZED TO ACT FOR THE GOVERNING
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4BODY.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Pt VI, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Pt VI, Line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Pt VI, Line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Pt VI, Line 8b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Pt VI, Line 8b
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0214433
IRS990/TotalAssetsEOYAmt0428075
IRS990/TotalAssetsGrp/BOYAmt0214433
IRS990/TotalAssetsGrp/EOYAmt0428075
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0873943
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0721979
IRS990/TotalFunctionalExpensesGrp/TotalAmt0721979
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0214433
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0428075
IRS990/TotalProgramServiceExpensesAmt0721979
IRS990/TotalProgramServiceRevenueAmt060350
IRS990/TotalRevenueGrp/ExclusionAmt04828
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt060350
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0939121
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0214433
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0428075
IRS990/TravelGrp/FundraisingAmt00
IRS990/TravelGrp/ManagementAndGeneralAmt00
IRS990/TravelGrp/ProgramServicesAmt053068
IRS990/TravelGrp/TotalAmt053068
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/USAddress/AddressLine1Txt04505 LAKE FOREST CIR
IRS990/USAddress/CityNm0PAPILLION
IRS990/USAddress/StateAbbreviationCd0NE
IRS990/USAddress/ZIPCd068133
IRS990/VotingMembersGoverningBodyCnt012
IRS990/VotingMembersIndependentCnt012
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0JED HANSEN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0EXECUTIVE DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum04026860564
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-10-08
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0NEBRASKA RURAL HEALTH ASSOCIATION
ReturnHeader/Filer/BusinessNameControlTxt0NEBR
ReturnHeader/Filer/EIN0470766519
ReturnHeader/Filer/PhoneNum04026860564
ReturnHeader/Filer/USAddress/AddressLine1Txt04505 LAKE FOREST CIR
ReturnHeader/Filer/USAddress/CityNm0PAPILLION
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NE
ReturnHeader/Filer/USAddress/ZIPCd068133
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0462114318
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Mark Blair LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt012335 Gold Street
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Omaha
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd068144
ReturnHeader/PreparerPersonGrp/PhoneNum04023159966
ReturnHeader/PreparerPersonGrp/PreparationDt02025-11-17
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0MARK T BLAIR
ReturnHeader/ReturnTs02025-11-17T14:54:01-08:00
ReturnHeader/ReturnTypeCd0990

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