Civic Intelligence

Building 21

990 • Fiscal year 2020 • EIN 47-2514219

Jul 01, 2019 to Jun 30, 2020 • Filed on Nov 03, 2020

600 West Germantown Pk Ste 400-144Plymouth Meeting, PA 19462

(415) 343-5679

Siviq Scores

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

Liabilities / Assets

46th percentile

0.08x

Higher debt load relative to assets than 46% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2020

Liabilities / Revenue

35th percentile

0.06x

Higher debt load relative to revenue than 35% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2020

Net Margin

86th percentile

39%

Higher net margin than 86% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2020

Top Officer Pay

86th percentile

$164,463

Higher top officer pay than 86% of similar nonprofits.

Top officer pay equals 5.6% of source-year revenue.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2020

Asset Growth

95th percentile

147%

Faster asset growth than 95% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2019 to 2020

Revenue Growth

71st percentile

15%

Faster revenue growth than 71% of similar nonprofits.

2020 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2019 to 2020

Assets

Up

$2,213,560

Up $1,318,190 (+147%) from 2019

Net Assets

Up

$2,047,157

Up $1,151,787 (+129%) from 2019

Liabilities

Up

$166,403

Up $166,403 from 2019

Revenue

Up

$2,920,969

Up $381,369 (+15%) from 2019

Expenses

Down

$1,769,182

Down $173,794 (-8.9%) from 2019

Net Income

Up

$1,151,787

Up $555,163 (+93%) from 2019

Historical Trend

Balance Sheet Trend

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

$8.0M$6.0M$4.0M$2.0M$0Assets 2018: $342,433Liabilities 2018: $43,687Net Assets 2018: $298,7462018Assets 2019: $895,370Liabilities 2019: $0Net Assets 2019: $895,3702019Assets 2020: $2,213,560Liabilities 2020: $166,403Net Assets 2020: $2,047,1572020Assets 2021: $1,961,531Liabilities 2021: $150,000Net Assets 2021: $1,811,5312021Assets 2022: $2,757,504Liabilities 2022: $35,957Net Assets 2022: $2,721,5472022Assets 2023: $7,037,101Liabilities 2023: $4,774,120Net Assets 2023: $2,262,9812023Assets 2024: $6,569,595Liabilities 2024: $4,819,569Net Assets 2024: $1,750,0262024Assets 2025: $6,409,392Liabilities 2025: $4,772,603Net Assets 2025: $1,636,7892025

Highlighted filing

2020

Assets$2,213,560
Liabilities$166,403
Net Assets$2,047,157

Operations Trend

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

$4.0M$2.0M$0-$2.0MRevenue 2018: $1,958,425Expenses 2018: $1,659,729Net Income 2018: $298,6962018Revenue 2019: $2,539,600Expenses 2019: $1,942,976Net Income 2019: $596,6242019Revenue 2020: $2,920,969Expenses 2020: $1,769,182Net Income 2020: $1,151,7872020Revenue 2021: $1,507,171Expenses 2021: $1,742,797Net Income 2021: -$235,6262021Revenue 2022: $2,769,126Expenses 2022: $1,859,110Net Income 2022: $910,0162022Revenue 2023: $2,351,858Expenses 2023: $2,810,424Net Income 2023: -$458,5662023Revenue 2024: $3,133,593Expenses 2024: $3,646,548Net Income 2024: -$512,9552024Revenue 2025: $3,571,694Expenses 2025: $3,684,931Net Income 2025: -$113,2372025

Highlighted filing

2020

Revenue$2,920,969
Expenses$1,769,182
Net Income$1,151,787
Jump To
Filing Snapshot
Filing Period
Jul 1, 2019 to Jun 30, 2020
Signed
Nov 3, 2020
Return Version
2019v5.0
Gross Receipts
$2,920,969
Mission and Program Overview

Mission

To empower networks of learners to connect with their passions and build agency to impact their world.

Balance Sheet Detail
LineBeginningEndChange
Assets
Pledges and Grants Receivable-$1,430,000-
Savings and Temporary Cash Investments$882,153$746,044▼ $136,109
Accounts Receivable$7,992$32,220▲ $24,228
Land, Buildings, and Equipment, Net$4,875$3,656▼ $1,219
Cash and Non-Interest-Bearing Accounts$350$1,640▲ $1,290
Total Assets$895,370$2,213,560▲ $1,318,190
Liabilities
Other Liabilities-$166,403-
Total Liabilities$0$166,403▲ $166,403
Net Assets / Fund Balance
Net Assets With Donor Restrictions$185,417$1,507,692▲ $1,322,275
Net Assets Without Donor Restrictions$709,953$539,465▼ $170,488
Total Net Assets Fund Balance$895,370$2,047,157▲ $1,151,787
Total Liabilities and Net Assets / Fund Balance$895,370$2,213,560▲ $1,318,190

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$3,656$2,438$6,094
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Laura a ShubillaSecretary/coFT$146,866$17,597$164,463
Laura a ShubillaSecretary/co-ed-$146,866$17,597$164,463

Board Members and Trustees

NameTitle
Lori ShorrChair
Charles M LinehanBoard Member
Jason WingardBoard Member
Stacy HollandBoard Member
Timothy HathawayTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$2,738,702
Program Service Revenue
$181,897
Investment Income
$343
Other Revenue
$27
All Other Contributions
$2,738,702
Change in Net Assets
$1,151,787

Audited Revenue Reconciliation

Revenue per Audited Statements
$2,920,969
Total Revenue per Audited Statements
$2,920,969
Total Revenue per Form 990
$2,920,969
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$961,336
Other Expenses$807,846
Total Fundraising Expense$36,780
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$615,538$31,645-$647,183
Fees for Services Other$324,425$13,015$18,784$356,224
Current Officers, Directors, Trustees, and Key Employees$82,232$65,785$16,446$164,463
Information Technology$98,238$19,934-$118,172
Other Employee Benefits$86,740$7,683$1,550$95,973
Payroll Taxes$49,361$4,356-$53,717
Conferences and Meetings$41,081$2,411-$43,492
Travel$26,099$13,457-$39,556
All Other Expenses$32,482$1,469-$33,951
Other Expenses$25,830$1,880-$25,830
Insurance$2,893$16,393-$19,286
Fees for Services Accounting-$11,450-$11,450
Office Expenses$8,422$1,945-$10,367
Fees for Services Legal$1,404--$1,404
Depreciation Depletion-$1,219-$1,219
Total Functional Expenses$1,539,760$192,642$36,780$1,769,182

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$1,769,182
Total Expenses per Audited Statements$1,769,182
Total Expenses per Form 990$1,769,182
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
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Sandra MoumoutjisFamily MemberEmployee of Org.No$106,667
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Ppp Loan$166,403
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
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
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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

A copy of the form 990 is provided to the board for review prior to filing.

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

Each year, all directors and officers review the conflict of interest policy and submit a disclosure statement disclosing any existing conflicts. In addition, the board will be notified of any potential conflicts of interest as they arise.

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

Compensation is approved by the board based on comparability data. Should the official be a board member, they may not particiapte in the transaction.

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

The process used for top official is also be used for officers or key employees.

Form 990, Page 6, Part VI, Line 19

Documents will be made available upon written request.

Filing and Contact Details

Filer

Filer Name
Building 21
EIN
47-2514219
Phone
4153435679
Address
600 WEST GERMANTOWN PK STE 400-144, PLYMOUTH MEETING, PA 19462

Signing Officer

Name
Charles M Linehan
Title
Board Member/co-ed
Phone
4153435679
Signed
2020-11-03
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Charles M Linehan
Formed
2015
Legal Domicile
Pa
Voting Board Members
6
Independent Board Members
5
Employees
10
Volunteers
115

Preparer

Firm
Bee Bergvall & Co
Address
PO BOX 754, WARRINGTON, PA 18976-0754
Preparer
Cynthia Bergvall CPA
Phone
2153432727
Supplemental Narrative

Additional Explanations

Form 990

Part ix - building renovation expenses buildings are owned by the local school districts, renovations are considered expenses as they do not improve the value of or extend the life of the organizations assets. The organization is considering the renovation a "donation". The building is provided by the local school districts in order to allow building 21 to provide education. Building 21 is not leasing the building.

Form 990, Part IX, Line 11G

Development director 11,125 0 0 partnerships director 5,925 0 0 other contractors 337,290 0 0 marketing and website 279 0 0 professional fees - other 160 1,445 0 total 354,779 1,445 0

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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/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt0181897
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0882153
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0746044
IRS990ScheduleA/First5Years170Ind0X
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0OTHER REVENUE 382
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART II, LINE 10
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt02738702
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt02229605
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt01566595
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt06534902
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt0343
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt0478
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt0295
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt01116
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt0882621
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearAmt027
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus1YearAmt0355
IRS990ScheduleA/OtherIncome170Grp/TotalAmt0382
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportTotal170Amt04792081
IRS990ScheduleA/SubstantialContributorsTotAmt01742821
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt02738702
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt02229605
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt01566595
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt06534902
IRS990ScheduleA/TotalSupportAmt06536400
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
IRS990/ScheduleBRequiredInd0true
IRS990ScheduleD/EquipmentGrp/BookValueAmt03656
IRS990ScheduleD/EquipmentGrp/DepreciationAmt02438
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt06094
IRS990ScheduleD/ExpensesSubtotalAmt01769182
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0166403
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0PPP LOAN
IRS990ScheduleD/RevenueSubtotalAmt02920969
IRS990ScheduleD/TotalBookValueLandBuildingsAmt03656
IRS990ScheduleD/TotalExpensesPerForm990Amt01769182
IRS990ScheduleD/TotalLiabilityAmt0166403
IRS990ScheduleD/TotalRevenuePerForm990Amt02920969
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt02920969
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt01769182
IRS990ScheduleJ/AnyNonFixedPaymentsInd0false
IRS990ScheduleJ/BoardOrCommitteeApprovalInd0X
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd0false
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd0false
IRS990ScheduleJ/CompensationCommitteeInd0X
IRS990ScheduleJ/CompensationSurveyInd0X
IRS990ScheduleJ/EquityBasedCompArrngmInd0false
IRS990ScheduleJ/InitialContractExceptionInd0false
IRS990/ScheduleJRequiredInd0true
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt0146866
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt017597
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0LAURA A SHUBILLA
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0SECRETARY/CO-ED
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt0164463
IRS990ScheduleJ/SeverancePaymentInd0false
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd0false
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/PersonNm0SANDRA MOUMOUTJIS
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt0FAMILY MEMBER
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd0false
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionAmt0106667
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc0EMPLOYEE OF ORG.
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0PART IX - BUILDING RENOVATION EXPENSES BUILDINGS ARE OWNED BY THE LOCAL SCHOOL DISTRICTS, RENOVATIONS ARE CONSIDERED EXPENSES AS THEY DO NOT IMPROVE THE VALUE OF OR EXTEND THE LIFE OF THE ORGANIZATIONS ASSETS. THE ORGANIZATION IS CONSIDERING THE RENOVATION A "DONATION". THE BUILDING IS PROVIDED BY THE LOCAL SCHOOL DISTRICTS IN ORDER TO ALLOW BUILDING 21 TO PROVIDE EDUCATION. BUILDING 21 IS NOT LEASING THE BUILDING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD FOR REVIEW PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2EACH YEAR, ALL DIRECTORS AND OFFICERS REVIEW THE CONFLICT OF INTEREST POLICY AND SUBMIT A DISCLOSURE STATEMENT DISCLOSING ANY EXISTING CONFLICTS. IN ADDITION, THE BOARD WILL BE NOTIFIED OF ANY POTENTIAL CONFLICTS OF INTEREST AS THEY ARISE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3COMPENSATION IS APPROVED BY THE BOARD BASED ON COMPARABILITY DATA. SHOULD THE OFFICIAL BE A BOARD MEMBER, THEY MAY NOT PARTICIAPTE IN THE TRANSACTION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE PROCESS USED FOR TOP OFFICIAL IS ALSO BE USED FOR OFFICERS OR KEY EMPLOYEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5DOCUMENTS WILL BE MADE AVAILABLE UPON WRITTEN REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6DEVELOPMENT DIRECTOR 11,125 0 0 PARTNERSHIPS DIRECTOR 5,925 0 0 OTHER CONTRACTORS 337,290 0 0 MARKETING AND WEBSITE 279 0 0 PROFESSIONAL FEES - OTHER 160 1,445 0 TOTAL 354,779 1,445 0
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990
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
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART IX, LINE 11G
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0PA
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0895370
IRS990/TotalAssetsEOYAmt02213560
IRS990/TotalAssetsGrp/BOYAmt0895370
IRS990/TotalAssetsGrp/EOYAmt02213560
IRS990/TotalCompGreaterThan150KInd0true
IRS990/TotalContributionsAmt02738702
IRS990/TotalEmployeeCnt010
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt036780
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0192642
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt01539760
IRS990/TotalFunctionalExpensesGrp/TotalAmt01769182
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt0166403
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt0166403
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0895370
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt02047157
IRS990/TotalOtherCompensationAmt017597
IRS990/TotalProgramServiceExpensesAmt01539760
IRS990/TotalProgramServiceRevenueAmt0181897
IRS990/TotalReportableCompFromOrgAmt0146866
IRS990/TotalRevenueGrp/ExclusionAmt0343
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0181924
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt02920969
IRS990/TotalVolunteersCnt0115
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0895370
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt02213560
IRS990/TravelGrp/ManagementAndGeneralAmt013457
IRS990/TravelGrp/ProgramServicesAmt026099
IRS990/TravelGrp/TotalAmt039556
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0600 WEST GERMANTOWN PK STE 400-144
IRS990/USAddress/CityNm0PLYMOUTH MEETING
IRS990/USAddress/StateAbbreviationCd0PA
IRS990/USAddress/ZIPCd019462
IRS990/VotingMembersGoverningBodyCnt06
IRS990/VotingMembersIndependentCnt05
IRS990/WebsiteAddressTxt0WWW.BUILDING21.ORG
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02021-01-29 14:40:06Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0CHARLES M LINEHAN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0BOARD MEMBER/CO-ED
ReturnHeader/BusinessOfficerGrp/PhoneNum04153435679
ReturnHeader/BusinessOfficerGrp/SignatureDt02020-11-03

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