Civic Intelligence

Boots2 Roots

EIN 47-3939212 • 501(c)3 • Freeport, ME

Pub. 78 Eligible990-N Coverage

Profile

Military transition and employment services

5 Depot St Ste 12Freeport, ME 04032

boots2roots.org

Siviq Scores

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

Liabilities / Assets

51st percentile

0.02x

Higher debt load relative to assets than 51% of similar nonprofits.

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

Liabilities / Revenue

45th percentile

0.01x

Higher debt load relative to revenue than 45% of similar nonprofits.

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

Net Margin

79th percentile

28%

Higher net margin than 79% of similar nonprofits.

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

Top Officer Pay

Score unavailable

No value available

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

Asset Growth

68th percentile

12%

Faster asset growth than 68% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2021 to 2024

Revenue Growth

78th percentile

36%

Faster revenue growth than 78% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2021 to 2024

Balance Sheet
Liabilities / Assets51st percentile

Assets

Up

$377,958

Up $195,080 (+107%) from 2023

Liabilities

Down

$6,821

Down $6,710 (-50%) from 2023

Net Assets

Up

$371,137

Up $201,790 (+119%) from 2023

Operations
Liabilities / Revenue45th percentileNet Margin79th percentile

Revenue

Up

$732,357

Up $528,390 (+259%) from 2023

Expenses

Up

$530,567

Up $136,260 (+35%) from 2023

Net Income

Up

$201,790

Up $392,130 (+206%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth68th percentile

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

$400K$300K$200K$100K$0Assets 2018: $88,968Liabilities 2018: $02018Assets 2019: $137,616Liabilities 2019: $0Net Assets 2019: $137,6162019Assets 2020: $152,540Liabilities 2020: $0Net Assets 2020: $152,5402020Assets 2021: $265,608Liabilities 2021: $0Net Assets 2021: $265,6082021Assets 2022: $364,102Liabilities 2022: $4,415Net Assets 2022: $359,6872022Assets 2023: $182,878Liabilities 2023: $13,531Net Assets 2023: $169,3472023Assets 2024: $377,958Liabilities 2024: $6,821Net Assets 2024: $371,1372024

Highlighted filing

2024

Assets$377,958
Liabilities$6,821
Net Assets$371,137
Open 2024 Filing

Operations Trend

Revenue Growth78th percentile

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

$1.0M$500K$0-$500KRevenue 2018: $87,164Expenses 2018: $15,920Net Income 2018: $71,2442018Revenue 2019: $102,531Expenses 2019: $53,883Net Income 2019: $48,6482019Revenue 2020: $134,108Expenses 2020: $110,826Net Income 2020: $23,2822020Revenue 2021: $293,199Expenses 2021: $173,961Net Income 2021: $119,2382021Revenue 2022: $389,253Expenses 2022: $292,309Net Income 2022: $96,9442022Revenue 2023: $203,967Expenses 2023: $394,307Net Income 2023: -$190,3402023Revenue 2024: $732,357Expenses 2024: $530,567Net Income 2024: $201,7902024

Highlighted filing

2024

Revenue$732,357
Expenses$530,567
Net Income$201,790
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$377,958
Liabilities
$6,821
Net assets
$371,137
Revenue
$732,357
Expenses
$530,567
Net income
$201,790
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$3.78$0.07$3.71$7.32$5.31$2.02
2023Detailed filing. Detailed filing data is available for this year.$1.83$0.14$1.69$2.04$3.94$1.90
2022Detailed filing. Detailed filing data is available for this year.$3.64$0.04$3.60$3.89$2.92$0.97
2021Detailed filing. Detailed filing data is available for this year.$2.66$0.00$2.66$2.93$1.74$1.19
2020Detailed filing. Detailed filing data is available for this year.$1.53$0.00$1.53$1.34$1.11$0.23
2019Detailed filing. Detailed filing data is available for this year.$1.38$0.00$1.38$1.03$0.54$0.49
2018Summary only. Only limited summary data is available for this year.$0.89$0.00$0.87$0.16$0.71
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
May 8, 2025
Return Version
2024v5.1
Gross Receipts
$734,273
Mission and Program Overview

Mission

Military transition and employment services

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$178,808$369,852▲ $191,044
Prepaid Expenses and Deferred Charges$4,070$8,106▲ $4,036
Total Assets$182,878$377,958▲ $195,080
Liabilities
Accounts Payable and Accrued Expenses$13,531$6,821▼ $6,710
Total Liabilities$13,531$6,821▼ $6,710
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$169,347$371,137▲ $201,790
Total Net Assets Fund Balance$169,347$371,137▲ $201,790
Total Liabilities and Net Assets / Fund Balance$182,878$377,958▲ $195,080
Compensation and Service Providers
Top Officer PayScore unavailable

Employees

NameTitleFull / Part TimeBaseTotal
William BensonExecutive DirectorFT$120,300$120,300

Board Members and Trustees

NameTitle
Carrie ArsenaultBoard Chair
Kathleen TrostBoard Secretary
Allyson CoombsDirector
Bryan FullerDirector
Chad SchumanDirector
John VuruoloDirector
Josh SteirmanDirector
Laura WolfsonDirector
Matt HarmonDirector
Mike GriffinDirector
Pawel BinczykDirector
Nathan DunlapTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$727,519
Program Service Revenue
$0
Investment Income
$6,754
Other Revenue
$-1,916
All Other Contributions
$262,071
Change in Net Assets
$201,790
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$310,149
Other Expenses$220,418
Total Fundraising Expense$31,015
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Advertising$168,089--$168,089
Other Salaries and Wages$129,781$9,829$13,323$152,933
Current Officers, Directors, Trustees, and Key Employees$94,270$12,030$14,000$120,300
Payroll Taxes$16,078$1,569$1,961$19,608
Other Employee Benefits$14,193$1,384$1,731$17,308
Occupancy$12,420$1,080-$13,500
Information Technology$9,649--$9,649
Other Expenses$5,883--$5,883
Travel$5,385--$5,385
Fees for Services Accounting-$3,837-$3,837
Insurance-$1,913-$1,913
Office Expenses$509$1,369-$1,878
Total Functional Expenses$466,541$33,011$31,015$530,567
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$1,916
Fundraising Gross Income$0
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
Yes
Annual disclosure for covered persons
Yes
Audit committee
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
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, Part VI, Section B, Line 11B

“990 released to board for review”

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

“An acknowledgement of the conflict of interest policy is signed and collected as part of the annual meeting by the secretary or board chair. In that acknowledgement the board members are required to disclose any potential conflicts. Potential conflicts of interest that arise during the year are addressed to board as part of "new business" during board meetings.”

Form 990, Part VI, Section B, Line 15

“Compensation for the ed is determined by the bod annually after a performance review is conducted. The 2024 report on nonprofit wages + benefits in northern new england is used to determine competitive compensation. Compensation for the program director is proposed by the executive director based on a performance review and the 2024 nonprofit wages report. The board of directors approves the copmensation package for employees by vote when it approves the annual budget.”

Form 990, Part VI, Section C, Line 18

“Documents available upon request”

Form 990, Part VI, Section C, Line 19

“Documents available upon request”

Filing and Contact Details

Filer

Filer Name
Boots2roots
EIN
47-3939212
Phone
2077479225
Address
5 DEPOT ST STE 12, FREEPORT, ME 04032

Signing Officer

Name
William Benson
Title
Executive Director
Phone
2073295077
Signed
2025-05-08
Discuss with paid preparer
Yes

Organization Details

Principal Officer
William Benson
Formed
2016
Legal Domicile
Me
Voting Board Members
12
Independent Board Members
12
Employees
4
Volunteers
32

Preparer

Firm
Wipfli Llp
Address
30 LONG CREEK DRIVE, SOUTH PORTLAND, ME 04106-2437
Preparer
Julia Howland CPA
Phone
2077745701
Raw XML AppendixShowing 400 of 407 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/Desc0BOOTS2ROOTS HAS ONE MISSION AND ONE PROGRAM AND THAT IS TO ASSIST MILITARY MEMBERS, VETERANS AND SPOUSES FIND MEANINGFUL WORK IN MAINE WHILE PROVIDING A PIPELINE OF TALENT TO MAINE EMPLOYERS. THE TRANSITION-TO-WORK PROGRAM CONSISTS OF THREE PARTS. 1) PERSONALIZED TRANSITION COACHING INCLUDING CAREER COACHING, RESUME COACHING AND JOB-INTERVIEW COACHING 2) NETWORKING WITH MAINE BUSINESSES AND VETERAN PEER MENTORS ACROSS THE STATE; AND 3) OUTREACH TO MILITARY COMMUNITIES AROUND THE COUNTRY SO THE TRANSITIONING MILITARY MEMBERS LEARN ABOUT EMPLOYMENT OPPORTUNITIES IN MAINE. BOOTS2ROOTS' TWO PRIMARY GOALS ARE 1) TEAMMATES FIND MEANINGFUL WORK WITHIN TWO MONTHS OF ARRIVING IN MAINE, AND 2) THAT THEY REMAIN IN THEIR FIRST POST-MILITARY JOB FOR AT LEAST 12 MONTHS. BOOTS2ROOTS ENJOYS AN OVER 94% SUCCESS RATE FOR EACH GOAL.HERE IS A RECAP OF OUR FINAL NUMBERS FOR 2024: 225 TOTAL TEAMMATES HIRED - 84 IN 2024763 TOTAL TEAMMATES ENROLLED - 213 IN 2024 800+ NEW MAINE RESIDENTS AND FUTURE WORKERS 170+ MAINE EMPLOYERS HAVE HIRED OUR TEAMMATES $80 MILLION RETURN ON INVESTMENT FOR MAINE SO FAR
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IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt04070
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt08106
IRS990/PrincipalOfficerNm0WILLIAM BENSON
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0201643
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt03655
IRS990/PYOtherExpensesAmt0178771
IRS990/PYOtherRevenueAmt0-1331
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt0-190340
IRS990/PYSalariesCompEmpBnftPaidAmt0215536
IRS990/PYTotalExpensesAmt0394307
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0203967
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0201790
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt00
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0727519
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0201643
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0394181
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0293199
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0134108
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt01750650
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt06754
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt03655
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt010409
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt01929
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus2YearsAmt0191
IRS990ScheduleA/OtherIncome170Grp/TotalAmt0191
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.92280
IRS990ScheduleA/PublicSupportPY170Pct00.87180
IRS990ScheduleA/PublicSupportTotal170Amt01625225
IRS990ScheduleA/SubstantialContributorsTotAmt0125425
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0727519
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0201643
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0394181
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0293199
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0134108
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt01750650
IRS990ScheduleA/TotalSupportAmt01761250
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
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0990 RELEASED TO BOARD FOR REVIEW
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1AN ACKNOWLEDGEMENT OF THE CONFLICT OF INTEREST POLICY IS SIGNED AND COLLECTED AS PART OF THE ANNUAL MEETING BY THE SECRETARY OR BOARD CHAIR. IN THAT ACKNOWLEDGEMENT THE BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS. POTENTIAL CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR ARE ADDRESSED TO BOARD AS PART OF "NEW BUSINESS" DURING BOARD MEETINGS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2COMPENSATION FOR THE ED IS DETERMINED BY THE BOD ANNUALLY AFTER A PERFORMANCE REVIEW IS CONDUCTED. THE 2024 REPORT ON NONPROFIT WAGES + BENEFITS IN NORTHERN NEW ENGLAND IS USED TO DETERMINE COMPETITIVE COMPENSATION. COMPENSATION FOR THE PROGRAM DIRECTOR IS PROPOSED BY THE EXECUTIVE DIRECTOR BASED ON A PERFORMANCE REVIEW AND THE 2024 NONPROFIT WAGES REPORT. THE BOARD OF DIRECTORS APPROVES THE COPMENSATION PACKAGE FOR EMPLOYEES BY VOTE WHEN IT APPROVES THE ANNUAL BUDGET.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3DOCUMENTS AVAILABLE UPON REQUEST
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4DOCUMENTS AVAILABLE 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 B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 18
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION C, LINE 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0182878
IRS990/TotalAssetsEOYAmt0377958
IRS990/TotalAssetsGrp/BOYAmt0182878
IRS990/TotalAssetsGrp/EOYAmt0377958
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt0727519
IRS990/TotalEmployeeCnt04
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt031015
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt033011
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0466541
IRS990/TotalFunctionalExpensesGrp/TotalAmt0530567
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt013531
IRS990/TotalLiabilitiesEOYAmt06821
IRS990/TotalLiabilitiesGrp/BOYAmt013531
IRS990/TotalLiabilitiesGrp/EOYAmt06821
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0169347
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0371137
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0466541
IRS990/TotalReportableCompFromOrgAmt0120300
IRS990/TotalRevenueGrp/ExclusionAmt04838
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0732357
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt032
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0182878
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0377958
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ProgramServicesAmt05385
IRS990/TravelGrp/TotalAmt05385
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt05 DEPOT ST STE 12
IRS990/USAddress/CityNm0FREEPORT
IRS990/USAddress/StateAbbreviationCd0ME
IRS990/USAddress/ZIPCd004032
IRS990/VotingMembersGoverningBodyCnt012
IRS990/VotingMembersIndependentCnt012
IRS990/WebsiteAddressTxt0BOOTS2ROOTS.ORG
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0WILLIAM BENSON
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0EXECUTIVE DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum02073295077
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-05-08
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0BOOTS2ROOTS
ReturnHeader/Filer/BusinessNameControlTxt0BOOT
ReturnHeader/Filer/EIN0473939212
ReturnHeader/Filer/PhoneNum02077479225
ReturnHeader/Filer/USAddress/AddressLine1Txt05 DEPOT ST STE 12
ReturnHeader/Filer/USAddress/CityNm0FREEPORT
ReturnHeader/Filer/USAddress/StateAbbreviationCd0ME
ReturnHeader/Filer/USAddress/ZIPCd004032
ReturnHeader/IRSResponsiblePrtyInfoCurrInd00
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0390758449
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0WIPFLI LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt030 LONG CREEK DRIVE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0SOUTH PORTLAND
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0ME
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0041062437
ReturnHeader/PreparerPersonGrp/PhoneNum02077745701

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