Civic Intelligence

Fun Coast Worksite Wellness Council

EIN 47-3257947 • 501(c)3 • Port Orange, FL

Profile

To provide resources and education to improve the health and wellness of employees in volusia and flagler counties.

1648 Taylor Road Suite 125Port Orange, FL 32128

funcoastwwc.org

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2018

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2018

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on the latest valid filing.

Source year 2018

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

9th percentile

-100%

Faster asset growth than 9% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2017 to 2018

Revenue Growth

3rd percentile

-100%

Faster revenue growth than 3% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2017 to 2018

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $3,623 (-100%) from 2017

Liabilities

Flat

$0

Flat from 2017

Net Assets

Down

$0

Down $3,623 (-100%) from 2017

Operations
Liabilities / RevenueScore unavailableNet MarginScore unavailable

Revenue

Down

$0

Down $723 (-100%) from 2017

Expenses

Up

$3,624

Up $629 (+21%) from 2017

Net Income

Down

-$3,624

Down $1,352 (-60%) from 2017

Trend Graphs

Balance Sheet Trend

Asset Growth9th percentile

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

$15K$10K$5.0K$0Assets 2015: $12,430Liabilities 2015: $8,094Net Assets 2015: $4,3362015Assets 2016: $5,895Liabilities 2016: $0Net Assets 2016: $5,8952016Assets 2017: $3,623Liabilities 2017: $0Net Assets 2017: $3,6232017Assets 2018: $0Liabilities 2018: $0Net Assets 2018: $02018

Highlighted filing

2018

Assets$0
Liabilities$0
Net Assets$0
Open 2018 Filing

Operations Trend

Revenue Growth3rd percentile

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

$15K$10K$5.0K$0-$5.0KRevenue 2015: $7,197Expenses 2015: $2,861Net Income 2015: $4,3362015Revenue 2016: $13,460Expenses 2016: $11,901Net Income 2016: $1,5592016Revenue 2017: $723Expenses 2017: $2,995Net Income 2017: -$2,2722017Revenue 2018: $0Expenses 2018: $3,624Net Income 2018: -$3,6242018

Highlighted filing

2018

Revenue$0
Expenses$3,624
Net Income-$3,624
Open 2018 Filing

Filings

Most recent year

2018 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$0
Expenses
$3,624
Net income
-$3,624
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2018Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$3.62$3.62
2017Detailed filing. Detailed filing data is available for this year.$3.62$0.00$3.62$0.72$3.00$2.27
2016Detailed filing. Detailed filing data is available for this year.$5.90$0.00$5.90$13.5$11.9$1.56
2015Detailed filing. Detailed filing data is available for this year.$12.4$8.09$4.34$7.20$2.86$4.34
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Feb 28, 2019
Return Version
2018v3.1
Gross Receipts
$0
Mission and Program Overview

Mission

To provide resources and education to improve the health and wellness of employees in volusia and flagler counties.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$3,623--
Total Assets$3,623$0▼ $3,623
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$3,623--
Total Net Assets Fund Balance$3,623$0▼ $3,623
Total Liabilities and Net Assets / Fund Balance$3,623$0▼ $3,623
Compensation and Service Providers
Top Officer PayScore unavailable

Board Members and Trustees

NameTitle
Kristin MialkiPresident
Bissy HoldenExecutive Bo
Pam PetroneExecutive Bo
Celene ConeTreasurer
Mica LillVice Preside
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-3,624
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$3,624
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
All Other Expenses-$253-$253
Other Expenses$507$197-$197
Total Functional Expenses$2,305$1,319$0$3,624
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
Backup withholding compliance
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
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

“The tax return was presented to officers in a regularly scheduled meeting and open to any questions or comments of the board members. Those comments are then resolved with the tax return preparer prior to the board providing authorization to file the tax return with the internal revenue service.”

Form 990, Page 6, Part VI, Line 19

“The governing documents are available within five business days upon receiving written request.”

Filing and Contact Details

Filer

Filer Name
Fun Coast Worksite Wellness Council
EIN
47-3257947
Phone
3863081804
Address
1648 TAYLOR ROAD SUITE 125, PORT ORANGE, FL 32128

Signing Officer

Name
Celene Cone
Title
Treasurer
Phone
3863081804
Signed
2019-02-28
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kristin Mialki
Formed
2015
Legal Domicile
Fl
Voting Board Members
5
Independent Board Members
5
Employees
0

Preparer

Firm
Klayer and Associates Inc
Address
1275 W GRANADA BLVD STE 4C, ORMOND BEACH, FL 32174-8105
Preparer
Garrett Klayer
Phone
3862571646
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

“ROUNDING ADJUSTMENT 1”

Raw XML Appendix264 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.

Path#Value
IRS990/AccountantCompileOrReviewInd0false
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0TO PROVIDE RESOURCES AND EDUCATION TO IMPROVE THE HEALTH AND WELLNESS OF EMPLOYEES IN VOLUSIA AND FLAGLER COUNTIES.
IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt0253
IRS990/AllOtherExpensesGrp/TotalAmt0253
IRS990/BackupWthldComplianceInd0true
IRS990/BooksInCareOfDetail/PersonNm0MICA LILL
IRS990/BooksInCareOfDetail/PhoneNum03863081804
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt01648 TAYLOR ROAD SUITE 126
IRS990/BooksInCareOfDetail/USAddress/CityNm0PORT ORANGE
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0FL
IRS990/BooksInCareOfDetail/USAddress/ZIPCd032128
IRS990/BusinessRlnWithFamMemInd0false
IRS990/BusinessRlnWithOfficerEntInd0false
IRS990/BusinessRlnWithOrgMemInd0false
IRS990/CashNonInterestBearingGrp/BOYAmt03623
IRS990/ChangeToOrgDocumentsInd0false
IRS990/CollectionsOfArtInd0false
IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0false
IRS990/CompensationProcessOtherInd0false
IRS990/ConflictOfInterestPolicyInd0false
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0false
IRS990/ContractTerminationInd0X
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt00
IRS990/CYOtherExpensesAmt03624
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt0-3624
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt03624
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt00
IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/Desc0EDUCATIONAL PROGRAMMING AND CORPORATE ADMINISTRATIVE/OPERATIONAL EXPENSES
IRS990/DescribedInSection501c3Ind0true
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0false
IRS990/DonorAdvisedFundInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt00
IRS990/EngagedInExcessBenefitTransInd0false
IRS990/ExpenseAmt02305
IRS990/FamilyOrBusinessRlnInd0false
IRS990/FinalReturnInd0X
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/PersonNm0PAM PETRONE
IRS990/Form990PartVIISectionAGrp/PersonNm1BISSY HOLDEN
IRS990/Form990PartVIISectionAGrp/PersonNm2KRISTIN MIALKI
IRS990/Form990PartVIISectionAGrp/PersonNm3MICA LILL
IRS990/Form990PartVIISectionAGrp/PersonNm4CELENE CONE
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/TitleTxt0EXECUTIVE BO
IRS990/Form990PartVIISectionAGrp/TitleTxt1EXECUTIVE BO
IRS990/Form990PartVIISectionAGrp/TitleTxt2PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt3VICE PRESIDE
IRS990/Form990PartVIISectionAGrp/TitleTxt4TREASURER
IRS990/Form990ProvidedToGvrnBodyInd0false
IRS990/FormationYr02015
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedInd0false
IRS990/FundraisingActivitiesInd0false
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt05
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt00
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt05
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InvestmentInJointVentureInd0false
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0FL
IRS990/LoanOutstandingInd0false
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingCashInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0TO PROVIDE RESOURCES AND EDUCATION TO IMPROVE THE HEALTH AND WELLNESS OF EMPLOYEES IN VOLUSIA AND FLAGLER COUNTIES.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt03623
IRS990/NetAssetsOrFundBalancesEOYAmt00
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0false
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt01
IRS990/OtherExpensesGrp/Desc0OTHER COSTS
IRS990/OtherExpensesGrp/Desc1LEGAL & PROFESSIONAL FEES
IRS990/OtherExpensesGrp/Desc2AWARDS
IRS990/OtherExpensesGrp/Desc3FREIGHT AND DELIVERY
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0869
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt1197
IRS990/OtherExpensesGrp/ProgramServicesAmt01798
IRS990/OtherExpensesGrp/ProgramServicesAmt1507
IRS990/OtherExpensesGrp/TotalAmt01798
IRS990/OtherExpensesGrp/TotalAmt1869
IRS990/OtherExpensesGrp/TotalAmt2507
IRS990/OtherExpensesGrp/TotalAmt3197
IRS990/PartialLiquidationInd0false
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0KRISTIN MIALKI
IRS990/ProfessionalFundraisingInd0false
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt0723
IRS990/PYExcessBenefitTransInd0false
IRS990/PYOtherExpensesAmt02995
IRS990/PYRevenuesLessExpensesAmt0-2272
IRS990/PYTotalExpensesAmt02995
IRS990/PYTotalRevenueAmt0723
IRS990/ReconcilationRevenueExpnssAmt0-3624
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0723
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt013460
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt07197
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt021380
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct01.00000
IRS990ScheduleA/PublicSupportPY170Pct01.00000
IRS990ScheduleA/PublicSupportTotal170Amt021380
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0723
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt013460
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt07197
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt021380
IRS990ScheduleA/TotalSupportAmt021380
IRS990/ScheduleBRequiredInd0false
IRS990/ScheduleJRequiredInd0false
IRS990ScheduleN/AssetsDistributedInd0true
IRS990ScheduleN/BondsOutstandingInd0false
IRS990ScheduleN/DirectorOfSuccessorInd0false
IRS990ScheduleN/EmployeeOfSuccessorInd0false
IRS990ScheduleN/LiabilitiesPaidInd0true
IRS990ScheduleN/OwnerOfSuccessorInd0false
IRS990ScheduleN/ReceiveCompensationInd0false
IRS990ScheduleN/RequiredToNotifyAGInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE TAX RETURN WAS PRESENTED TO OFFICERS IN A REGULARLY SCHEDULED MEETING AND OPEN TO ANY QUESTIONS OR COMMENTS OF THE BOARD MEMBERS. THOSE COMMENTS ARE THEN RESOLVED WITH THE TAX RETURN PREPARER PRIOR TO THE BOARD PROVIDING AUTHORIZATION TO FILE THE TAX RETURN WITH THE INTERNAL REVENUE SERVICE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE GOVERNING DOCUMENTS ARE AVAILABLE WITHIN FIVE BUSINESS DAYS UPON RECEIVING WRITTEN REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ROUNDING ADJUSTMENT 1
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART XI, LINE 9
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0true
IRS990/TotalAssetsBOYAmt03623
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt03623
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt01319
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt02305
IRS990/TotalFunctionalExpensesGrp/TotalAmt03624
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt03623
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalProgramServiceExpensesAmt02305
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt03623
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt03623
IRS990/UponRequestInd0X
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt05
IRS990/WebsiteAddressTxt0FUNCOASTWWC.ORG
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02019-02-21 02:37:17Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0CELENE CONE
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum03863081804
ReturnHeader/BusinessOfficerGrp/SignatureDt02019-02-28
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0FUN COAST WORKSITE WELLNESS COUNCIL
ReturnHeader/Filer/BusinessNameControlTxt0FUNC
ReturnHeader/Filer/EIN0473257947
ReturnHeader/Filer/PhoneNum03863081804
ReturnHeader/Filer/USAddress/AddressLine1Txt01648 TAYLOR ROAD SUITE 125
ReturnHeader/Filer/USAddress/CityNm0PORT ORANGE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0FL
ReturnHeader/Filer/USAddress/ZIPCd032128
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0D25F9E24720345D158D0F7E778E85ED8B70C7ACC
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId05F202FC7436AB086EA80916CD1D82D8912CAA2FD
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt052.37.240.203
ReturnHeader/FilingSecurityInformation/IPDt02019-02-06
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CS
ReturnHeader/FilingSecurityInformation/IPTm016:08:34
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0822405559
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0KLAYER AND ASSOCIATES INC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01275 W GRANADA BLVD STE 4C
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0ORMOND BEACH
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0FL
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0321748105
ReturnHeader/PreparerPersonGrp/PhoneNum03862571646
ReturnHeader/PreparerPersonGrp/PreparationDt02019-01-17
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0GARRETT KLAYER
ReturnHeader/ReturnTs02019-02-06T16:08:34-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02018-01-01
ReturnHeader/TaxPeriodEndDt02018-12-31
ReturnHeader/TaxYr02018

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