Civic Intelligence

Hope to Walk Inc

990 • Fiscal year 2019 • EIN 47-3345678

Jan 01, 2019 to Dec 31, 2019 • Filed on May 01, 2020

125 North Main Street Ste 500-188Blacksburg, VA 24060

(540) 605-7102

Siviq Scores

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

Liabilities / Assets

77th percentile

0.08x

Higher debt load relative to assets than 77% of similar nonprofits.

2019 filings • 501(c)3 • <$500k nonprofits • Source year 2019

Liabilities / Revenue

76th percentile

0.04x

Higher debt load relative to revenue than 76% of similar nonprofits.

2019 filings • 501(c)3 • <$500k nonprofits • Source year 2019

Net Margin

67th percentile

13%

Higher net margin than 67% of similar nonprofits.

2019 filings • 501(c)3 • <$500k nonprofits • Source year 2019

Top Officer Pay

77th percentile

$0

Higher top officer pay than 77% of similar nonprofits.

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

2019 filings • 501(c)3 • <$500k nonprofits • Source year 2019

Asset Growth

84th percentile

50%

Faster asset growth than 84% of similar nonprofits.

2019 filings • 501(c)3 • <$500k nonprofits • Annualized from 2018 to 2019

Revenue Growth

69th percentile

16%

Faster revenue growth than 69% of similar nonprofits.

2019 filings • 501(c)3 • <$500k nonprofits • Annualized from 2018 to 2019

Assets

Up

$146,682

Up $48,735 (+50%) from 2018

Net Assets

Up

$135,195

Up $37,248 (+38%) from 2018

Liabilities

Up

$11,487

Up $11,487 from 2018

Revenue

Up

$291,450

Up $39,163 (+16%) from 2018

Expenses

Up

$254,203

Up $84,269 (+50%) from 2018

Net Income

Down

$37,247

Down $45,106 (-55%) from 2018

Historical Trend

Balance Sheet Trend

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

$400K$300K$200K$100K$0Assets 2016: $12,986Liabilities 2016: $10,373Net Assets 2016: $2,6132016Assets 2017: $33,227Liabilities 2017: $11,460Net Assets 2017: $21,7672017Assets 2018: $97,947Liabilities 2018: $0Net Assets 2018: $97,9472018Assets 2019: $146,682Liabilities 2019: $11,487Net Assets 2019: $135,1952019Assets 2020: $228,705Liabilities 2020: $4,522Net Assets 2020: $224,1832020Assets 2021: $345,042Liabilities 2021: $2,772Net Assets 2021: $342,2702021Assets 2022: $281,373Liabilities 2022: $4,942Net Assets 2022: $276,4312022

Highlighted filing

2019

Assets$146,682
Liabilities$11,487
Net Assets$135,195

Operations Trend

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

$600K$400K$200K$0-$200KRevenue 2016: $54,620Expenses 2016: $52,007Net Income 2016: $2,6132016Revenue 2017: $105,853Expenses 2017: $86,699Net Income 2017: $19,1542017Revenue 2018: $252,287Expenses 2018: $169,934Net Income 2018: $82,3532018Revenue 2019: $291,450Expenses 2019: $254,203Net Income 2019: $37,2472019Revenue 2020: $334,980Expenses 2020: $245,992Net Income 2020: $88,9882020Revenue 2021: $426,308Expenses 2021: $335,537Net Income 2021: $90,7712021Revenue 2022: $443,753Expenses 2022: $576,914Net Income 2022: -$133,1612022

Highlighted filing

2019

Revenue$291,450
Expenses$254,203
Net Income$37,247
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
May 1, 2020
Return Version
2019v5.1
Gross Receipts
$296,613
Mission and Program Overview

Mission

CHARITABLE

Hope to amputee patients living in poverty.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments-$118,196-
Cash and Non-Interest-Bearing Accounts$93,012$21,184▼ $71,828
Land, Buildings, and Equipment, Net$3,335$5,707▲ $2,372
Accounts Receivable$1,600--
Prepaid Expenses and Deferred Charges-$1,595-
Total Assets$97,947$146,682▲ $48,735
Liabilities
Accounts Payable and Accrued Expenses-$11,487-
Total Liabilities$0$11,487▲ $11,487
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$44,193$108,219▲ $64,026
Net Assets With Donor Restrictions$53,754$26,976▼ $26,778
Total Net Assets Fund Balance$97,947$135,195▲ $37,248
Total Liabilities and Net Assets / Fund Balance$97,947$146,682▲ $48,735

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$5,707$1,897$7,604
Compensation and Service Providers

Board Members and Trustees

NameTitle
Michael MabryChairman
Ken Jones MdVice Chairman
Cory SiffringDirector
Ed BellaireDirector
Jack RichmondDirector
Loy BurchDirector
Phillip JohnsonDirector
Scott VilagiDirector
Susan BeattyDirector
Todd PotgeterDirector
Revenue and Support

Revenue Composition

Contributions and Grants
$296,427
Program Service Revenue
$0
Investment Income
$186
Other Revenue
$-5,163
All Other Contributions
$267,842
Change in Net Assets
$37,247

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeReported AmountValuation Method
Other Non Cash Contri Table$29,428Cost
Total Noncash Contributions$29,428-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$254,203
Total Fundraising Expense$5,291
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Travel$85,297$2,864-$88,161
All Other Expenses$8,119$13,613$5,057$26,789
Advertising$20,660--$20,660
Other Expenses$9,288--$9,288
Office Expenses-$2,344$234$2,578
Fees for Services Accounting-$2,350-$2,350
Fees for Services Legal-$1,365-$1,365
Depreciation Depletion$1,063--$1,063
Insurance-$866-$866
Occupancy-$539-$539
Fees for Services Other-$20-$20
Total Functional Expenses$224,951$23,961$5,291$254,203
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$5,163
Fundraising Gross Income$0
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Banquets$28,585-$500-
Total Events$28,585-$5,163$-5,163
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 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
No
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 review process for the tax return is currently being developed by the organization. The chair and other board members will review before filing.

Form 990, Part VI, Section C, Line 19

Documents are available upon request and form 990 is available on guide star's website.

Filing and Contact Details

Filer

Filer Name
Hope to Walk Inc
EIN
47-3345678
Phone
5406057102
Address
125 NORTH MAIN STREET STE 500-188, BLACKSBURG, VA 24060

Signing Officer

Name
Michael Mabry
Title
President
Phone
5406057102
Signed
2020-05-01
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Michael Mabry
Formed
2015
Legal Domicile
Va
Voting Board Members
10
Independent Board Members
10
Employees
0
Volunteers
50

Preparer

Firm
Blackburn Childers & Steagall Plc
Address
801B SUNSET DRIVE, JOHNSON CITY, TN 37604-3033
Preparer
Kevin Peters
Phone
4232824511
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 24E

License and fees: program service expenses 0. Management and general expenses 4,135. Fundraising expenses 0. Total expenses 4,135. Postage & delivery: program service expenses 8. Management and general expenses 2,327. Fundraising expenses 1,488. Total expenses 3,823. Outside services: program service expenses 0. Management and general expenses 1,500. Fundraising expenses 1,900. Total expenses 3,400. Cogs - prosthetics labor: program service expenses 2,830. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,830. Dues and subscriptions: program service expenses 1,500. Management and general expenses 189. Fundraising expenses 468. Total expenses 2,157. Training and development: program service expenses 2,000. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,000. Meals: program service expenses 0. Management and general expenses 1,161. Fundraising expenses 0. Total expenses 1,161. Cogs - prosthetics tools and equipment: program service expenses 1,093. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,093. Internet and phone: program service expenses 0. Management and general expenses 1,044. Fundraising expenses 0. Total expenses 1,044. Paypal fees/bank charges: program service expenses 0. Management and general expenses 0. Fundraising expenses 995. Total expenses 995. Uniforms: program service expenses 0. Management and general expenses 888. Fundraising expenses 0. Total expenses 888. Bank charges: program service expenses 0. Management and general expenses 776. Fundraising expenses 0. Total expenses 776. Cogs - prosthetics freight out: program service expenses 688. Management and general expenses 0. Fundraising expenses 0. Total expenses 688. Fuel: program service expenses 0. Management and general expenses 446. Fundraising expenses 0. Total expenses 446. Parking: program service expenses 0. Management and general expenses 429. Fundraising expenses 0. Total expenses 429. Car rental.taxi: program service expenses 0. Management and general expenses 398. Fundraising expenses 0. Total expenses 398. Banquet expenses: program service expenses 0. Management and general expenses 320. Fundraising expenses 0. Total expenses 320. Fundraising expenses: program service expenses 0. Management and general expenses 0. Fundraising expenses 206. Total expenses 206.

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IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0102653
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt054620
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0703347
IRS990ScheduleA/TotalSupportAmt0703533
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/ScheduleBRequiredInd01
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt05707
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt01897
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt07604
IRS990ScheduleD/TotalBookValueLandBuildingsAmt05707
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt028585
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt028585
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt05163
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0BANQUETS
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent1Amt04663
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageTotalEventsAmt04663
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt028585
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt028585
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt0-5163
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt0500
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt0500
IRS990/ScheduleJRequiredInd00
IRS990ScheduleM/AnyPropertyThatMustBeHeldInd00
IRS990ScheduleM/OtherNonCashContriTableGrp/ContributionCnt00
IRS990ScheduleM/OtherNonCashContriTableGrp/Desc0TRAVEL EXPENSES, POSTAGE, SOFTWARE
IRS990ScheduleM/OtherNonCashContriTableGrp/MethodOfDeterminingRevenuesTxt0COST
IRS990ScheduleM/OtherNonCashContriTableGrp/NonCashCheckboxInd0X
IRS990ScheduleM/OtherNonCashContriTableGrp/NoncashContributionsRptF990Amt029428
IRS990ScheduleM/ReviewProcessUnusualNCGiftsInd00
IRS990ScheduleM/ThirdPartiesUsedInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE REVIEW PROCESS FOR THE TAX RETURN IS CURRENTLY BEING DEVELOPED BY THE ORGANIZATION. THE CHAIR AND OTHER BOARD MEMBERS WILL REVIEW BEFORE FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1DOCUMENTS ARE AVAILABLE UPON REQUEST AND FORM 990 IS AVAILABLE ON GUIDE STAR'S WEBSITE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2LICENSE AND FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,135. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,135. POSTAGE & DELIVERY: PROGRAM SERVICE EXPENSES 8. MANAGEMENT AND GENERAL EXPENSES 2,327. FUNDRAISING EXPENSES 1,488. TOTAL EXPENSES 3,823. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,500. FUNDRAISING EXPENSES 1,900. TOTAL EXPENSES 3,400. COGS - PROSTHETICS LABOR: PROGRAM SERVICE EXPENSES 2,830. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,830. DUES AND SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 1,500. MANAGEMENT AND GENERAL EXPENSES 189. FUNDRAISING EXPENSES 468. TOTAL EXPENSES 2,157. TRAINING AND DEVELOPMENT: PROGRAM SERVICE EXPENSES 2,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,000. MEALS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,161. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,161. COGS - PROSTHETICS TOOLS AND EQUIPMENT: PROGRAM SERVICE EXPENSES 1,093. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,093. INTERNET AND PHONE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,044. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,044. PAYPAL FEES/BANK CHARGES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 995. TOTAL EXPENSES 995. UNIFORMS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 888. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 888. BANK CHARGES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 776. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 776. COGS - PROSTHETICS FREIGHT OUT: PROGRAM SERVICE EXPENSES 688. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 688. FUEL: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 446. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 446. PARKING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 429. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 429. CAR RENTAL.TAXI: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 398. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 398. BANQUET EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 320. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 320. FUNDRAISING EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 206. TOTAL EXPENSES 206.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART IX, LINE 24E
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt097947
IRS990/TotalAssetsEOYAmt0146682
IRS990/TotalAssetsGrp/BOYAmt097947
IRS990/TotalAssetsGrp/EOYAmt0146682
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt0296427
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt05291
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt023961
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0224951
IRS990/TotalFunctionalExpensesGrp/TotalAmt0254203
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt011487
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt011487
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt097947
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0135195
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0224951
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt0-4977
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0291450
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt050
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt097947
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0146682
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ManagementAndGeneralAmt02864
IRS990/TravelGrp/ProgramServicesAmt085297
IRS990/TravelGrp/TotalAmt088161
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/USAddress/AddressLine1Txt03635 A SOUTH MAIN STREET
IRS990/USAddress/CityNm0BLACKSBURG
IRS990/USAddress/StateAbbreviationCd0VA
IRS990/USAddress/ZIPCd024060
IRS990/VotingMembersGoverningBodyCnt010
IRS990/VotingMembersIndependentCnt010
IRS990/WebsiteAddressTxt0WWW.HOPETOWALK.ORG
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02021-01-29 14:40:06Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0MICHAEL MABRY
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum05406057102
ReturnHeader/BusinessOfficerGrp/SignatureDt02020-05-01
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0HOPE TO WALK INC
ReturnHeader/Filer/BusinessNameControlTxt0HOPE
ReturnHeader/Filer/EIN0473345678
ReturnHeader/Filer/PhoneNum05406057102
ReturnHeader/Filer/USAddress/AddressLine1Txt0125 NORTH MAIN STREET STE 500-188
ReturnHeader/Filer/USAddress/CityNm0BLACKSBURG
ReturnHeader/Filer/USAddress/StateAbbreviationCd0VA
ReturnHeader/Filer/USAddress/ZIPCd024060
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId077F300CC248BD87B6DB8D2D7F8DE26565A304511
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId02CFC9D658337AFE8C4AFB377FF1C32E98419E9C7
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt035.130.96.146
ReturnHeader/FilingSecurityInformation/IPDt02020-05-01
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0ED
ReturnHeader/FilingSecurityInformation/IPTm009:17:40
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0620647474
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0BLACKBURN CHILDERS & STEAGALL PLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0801B SUNSET DRIVE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0JOHNSON CITY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0TN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0376043033
ReturnHeader/PreparerPersonGrp/PhoneNum04232824511
ReturnHeader/PreparerPersonGrp/PreparationDt02020-04-30
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0KEVIN PETERS

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