Civic Intelligence

T1 D Mod Squad

EIN 47-4600183 • 501(c)3 • Riverside, CA

Riverside, CA
Siviq Scores

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

Liabilities / Assets

60th percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2021

Liabilities / Revenue

62nd percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2021

Net Margin

26th percentile

-16%

Higher net margin than 26% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2021

Top Officer Pay

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

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

501(c)3 • <$500k nonprofits • Source year 2021

Asset Growth

44th percentile

-5.8%

Faster asset growth than 44% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2020 to 2021

Revenue Growth

21st percentile

-43%

Faster revenue growth than 21% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2020 to 2021

Balance Sheet
Liabilities / Assets60th percentile

Assets

Down

$87,665

Down $5,429 (-5.8%) from 2020

Liabilities

Flat

$0

Flat from 2020

Net Assets

$87,665

No earlier filing loaded for comparison.

Operations
Liabilities / Revenue62nd percentileNet Margin26th percentile

Revenue

Down

$33,954

Down $25,550 (-43%) from 2020

Expenses

Down

$39,383

Down $6,414 (-14%) from 2020

Net Income

Down

-$5,429

Down $19,136 (-140%) from 2020

Trend Graphs

Balance Sheet Trend

Asset Growth44th percentile

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

$100K$50K$0Assets 2018: $27,625Net Assets 2018: $27,6252018Assets 2019: $79,256Liabilities 2019: $02019Assets 2020: $93,094Liabilities 2020: $02020Assets 2021: $87,665Liabilities 2021: $0Net Assets 2021: $87,6652021

Highlighted filing

2021

Assets$87,665
Liabilities$0
Net Assets$87,665
Open 2021 Filing

Operations Trend

Revenue Growth21st percentile

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

$150K$100K$50K$0-$50KRevenue 2018: $78,693Expenses 2018: $57,008Net Income 2018: $21,6852018Revenue 2019: $110,563Expenses 2019: $58,932Net Income 2019: $51,6312019Revenue 2020: $59,504Expenses 2020: $45,797Net Income 2020: $13,7072020Revenue 2021: $33,954Expenses 2021: $39,383Net Income 2021: -$5,4292021

Highlighted filing

2021

Revenue$33,954
Expenses$39,383
Net Income-$5,429
Open 2021 Filing

Filings

Most recent year

2021 • Form 990EZXML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$87,665
Liabilities
$0
Net assets
$87,665
Revenue
$33,954
Expenses
$39,383
Net income
-$5,429
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.88$0.00$0.88$0.34$0.39$0.05
2020Summary only. Only limited summary data is available for this year.$0.93$0.00$0.60$0.46$0.14
2019Summary only. Only limited summary data is available for this year.$0.79$0.00$1.11$0.59$0.52
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.28$0.28$0.79$0.57$0.22
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
Apr 30, 2022
Return Version
2021v4.0
Gross Receipts
$43,415
Mission and Program Overview

Mission

Educate and prepare families with diabetes

Educate and support families with children with Type 1 diabetes

Program Services

DescriptionGrantsExpenses
Scholarship grants to Type 1 diabetes college students$5,000$5,000
World Diabetes day Honduras$1,231$1,231
Scholarships for training diabetes alert dogs$679$679
Diabetes summer camp scholarships for children with Type 1 diabetes$350$350
Compensation and Service Providers
Top Officer Pay81st percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Rebekah R HataBoard Chairman-$0--
Ryan J CobbBoard Secretary Treasurer-$0--
Filing and Contact Details

Filer

Filer Name
T1d Mod Squad
EIN
47-4600183
Phone
7207087559
Address
18791 Van Buren Blvd Ste D, Riverside, CA 92508

Signing Officer

Name
Rebekah Hata
Title
Board chairman
Phone
9512595443
Signed
2022-04-30
Discuss with paid preparer
Yes

Preparer

Firm
All Biz Services LLC
Address
9027 W Woodside Ct, Boise, ID 83704
Preparer
Christy Fieldstad
Phone
2088663072
Supplemental Narrative

Additional Explanations

Form 990-EZ, Part I, Line 10

“Scholarship grants $ 5000 Camp grants $350 alert dog training $679 World Diabetes Day $1231”

Form 990-EZ, Part I, Line 16

“Description;Amount^Advertising Marketing;168|Bank Charges;88|Equipment Furniture;1171|Program direct expense;602|Office supplies materials;216|Training Education;950|Travel;528|Volunteer recognition;730|Commnications Web;1075^Total;5528^”

Form 990-EZ, Part II, Line 24

“Description;EOY Amount^prepaid expense;1064|undeposited funds;1000|security deposit;950^Total;3014^”

Raw XML Appendix243 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
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IRS990EZ/AddressChangeInd0X
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IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt018791 Van Buren Blvd Ste D
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0Riverside
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0CA
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd092508
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt093094
IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt084651
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd00
IRS990EZ/ContributionsGiftsGrantsEtcAmt09178
IRS990EZ/CostOfGoodsSoldAmt09461
IRS990EZ/CostOrOtherBasisExpenseSaleAmt00
IRS990EZ/DirectIndirectPltclExpendAmt00
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IRS990EZ/EngagedInExcessBenefitTransInd00
IRS990EZ/ExcessOrDeficitForYearAmt0-5429
IRS990EZ/FeesAndOtherPymtToIndCntrctAmt017189
IRS990EZ/FiledScheduleAInd01
IRS990EZ/ForeignFinancialAccountInd00
IRS990EZ/ForeignOfficeInd00
IRS990EZ/Form1120PolFiledInd00
IRS990EZ/Form990TotalAssetsGrp/BOYAmt093094
IRS990EZ/Form990TotalAssetsGrp/EOYAmt087665
IRS990EZ/FundraisingGrossIncomeAmt00
IRS990EZ/GainOrLossFromSaleOfAssetsAmt00
IRS990EZ/GamingGrossIncomeAmt00
IRS990EZ/GrantsAndSimilarAmountsPaidAmt07259
IRS990EZ/GrossProfitLossSlsOfInvntryAmt024776
IRS990EZ/GrossReceiptsAmt043415
IRS990EZ/GrossSalesOfInventoryAmt034237
IRS990EZ/InfoInScheduleOPartIIInd0X
IRS990EZ/InfoInScheduleOPartIInd0X
IRS990EZ/InvestmentIncomeAmt00
IRS990EZ/LandAndBuildingsGrp/BOYAmt00
IRS990EZ/LandAndBuildingsGrp/EOYAmt00
IRS990EZ/LobbyingActivitiesInd00
IRS990EZ/MadeLoansToFromOfficersInd00
IRS990EZ/MembershipDuesAmt00
IRS990EZ/MethodOfAccountingCashInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt093094
IRS990EZ/NetAssetsOrFundBalancesEOYAmt087665
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt093094
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt087665
IRS990EZ/OccupancyRentUtltsAndMaintAmt04988
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt02
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt00
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0Rebekah R Hata
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1Ryan J Cobb
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0Board chairman
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1Board Secretary Treasurer
IRS990EZ/OperateHospitalInd00
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd00
IRS990EZ/OrganizationHadUBIInd00
IRS990EZ/OtherAssetsTotalDetail/BOYAmt00
IRS990EZ/OtherAssetsTotalDetail/EOYAmt03014
IRS990EZ/OtherChangesInNetAssetsAmt00
IRS990EZ/OtherExpensesTotalAmt05528
IRS990EZ/OtherRevenueTotalAmt00
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd00
IRS990EZ/PrimaryExemptPurposeTxt0Educate and support families with children with Type 1 diabetes
IRS990EZ/PrintingPublicationsPostageAmt04419
IRS990EZ/ProgramServiceRevenueAmt00
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0Scholarship grants to Type 1 diabetes college students
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt1Diabetes summer camp scholarships for children with Type 1 diabetes
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt2Scholarships for training diabetes alert dogs
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt3World Diabetes day Honduras
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt05000
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt1350
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt2679
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt31231
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt05000
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt1350
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt2679
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt31231
IRS990EZ/ProhibitedTaxShelterTransInd00
IRS990EZ/RelatedOrganizationCtrlEntInd00
IRS990EZ/SalariesOtherCompEmplBnftAmt00
IRS990EZ/SaleOfAssetsGrossAmt00
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SchoolOperatingInd00
IRS990EZ/SpecialEventsDirectExpensesAmt00
IRS990EZ/SpecialEventsNetIncomeLossAmt00
IRS990EZ/StatesWhereCopyOfReturnIsFldCd0CA
IRS990EZ/SubjectToProxyTaxInd00
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt00
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt00
IRS990EZ/TanningServicesProvidedInd00
IRS990EZ/TaxImposedOnOrganizationMgrAmt00
IRS990EZ/TaxImposedUnderIRC4911Amt00
IRS990EZ/TaxImposedUnderIRC4912Amt00
IRS990EZ/TaxImposedUnderIRC4955Amt00
IRS990EZ/TaxReimbursedByOrganizationAmt00
IRS990EZ/TotalExpensesAmt039383
IRS990EZ/TotalProgramServiceExpensesAmt07260
IRS990EZ/TotalRevenueAmt033954
IRS990EZ/TransactionWithControlEntInd00
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0www.t1dmodsquad.org
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearAmt00
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus1YearAmt00
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus2YearsAmt00
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus3YearsAmt00
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus4YearsAmt00
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/First5Years509Ind0X
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt09178
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt027238
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt073115
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt061797
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt00
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt0171328
IRS990ScheduleA/GovtFurnSrvcFcltsVl509Grp/CurrentTaxYearAmt00
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IRS990ScheduleA/GovtFurnSrvcFcltsVl509Grp/CurrentTaxYearMinus2YearsAmt00
IRS990ScheduleA/GovtFurnSrvcFcltsVl509Grp/CurrentTaxYearMinus3YearsAmt00
IRS990ScheduleA/GovtFurnSrvcFcltsVl509Grp/CurrentTaxYearMinus4YearsAmt00
IRS990ScheduleA/GovtFurnSrvcFcltsVl509Grp/TotalAmt00
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt00
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt00
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt00
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt00
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt00
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt00
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt024776
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt032266
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt037448
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt016896
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt00
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt0111386
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearAmt00
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus1YearAmt00
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus2YearsAmt00
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus3YearsAmt00
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IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt00
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IRS990ScheduleA/NetIncomeFromOtherUBIGrp/CurrentTaxYearAmt00
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IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt00
IRS990ScheduleA/OtherIncome509Grp/TotalAmt00
IRS990ScheduleA/Post1975UBTIGrp/CurrentTaxYearAmt00
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IRS990ScheduleA/Post1975UBTIGrp/CurrentTaxYearMinus2YearsAmt00
IRS990ScheduleA/Post1975UBTIGrp/CurrentTaxYearMinus3YearsAmt00
IRS990ScheduleA/Post1975UBTIGrp/CurrentTaxYearMinus4YearsAmt00
IRS990ScheduleA/Post1975UBTIGrp/TotalAmt00
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportTotal509Amt0282714
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearAmt00
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus1YearAmt00
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus2YearsAmt00
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus3YearsAmt00
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus4YearsAmt00
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IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearAmt00
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IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus2YearsAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus3YearsAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus4YearsAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/CurrentTaxYearAmt00
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IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/CurrentTaxYearMinus2YearsAmt00
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/CurrentTaxYearMinus3YearsAmt00
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/CurrentTaxYearMinus4YearsAmt00
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IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt059504
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0110563
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt078693
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt00
IRS990ScheduleA/Total509Grp/TotalAmt0282714
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt033954
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt059504
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0110563
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt078693
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt00
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0282714
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Scholarship grants $ 5000 Camp grants $350 alert dog training $679 World Diabetes Day $1231
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Description;Amount^Advertising Marketing;168|Bank Charges;88|Equipment Furniture;1171|Program direct expense;602|Office supplies materials;216|Training Education;950|Travel;528|Volunteer recognition;730|Commnications Web;1075^Total;5528^
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Description;EOY Amount^prepaid expense;1064|undeposited funds;1000|security deposit;950^Total;3014^
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990-EZ, Part I, Line 10
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990-EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990-EZ, Part II, Line 24
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL2
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/LastSubmissionRqrOOBCd01
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/OOBSecurityVerificationCd011
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd00
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0Rebekah Hata
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Board chairman
ReturnHeader/BusinessOfficerGrp/PhoneNum09512595443
ReturnHeader/BusinessOfficerGrp/SignatureDt02022-04-30
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0T1D MOD SQUAD
ReturnHeader/Filer/BusinessNameControlTxt0T1DM
ReturnHeader/Filer/EIN0474600183
ReturnHeader/Filer/PhoneNum07207087559
ReturnHeader/Filer/USAddress/AddressLine1Txt018791 Van Buren Blvd Ste D
ReturnHeader/Filer/USAddress/CityNm0Riverside
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CA
ReturnHeader/Filer/USAddress/ZIPCd092508
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0200726178
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0All Biz Services LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt09027 W Woodside Ct
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Boise
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0ID
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd083704
ReturnHeader/PreparerPersonGrp/PhoneNum02088663072
ReturnHeader/PreparerPersonGrp/PreparationDt02022-04-12
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Christy Fieldstad
ReturnHeader/PreparerPersonGrp/SelfEmployedInd0X
ReturnHeader/ReturnTs02022-04-29T20:11:06-07:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02021-01-01
ReturnHeader/TaxPeriodEndDt02021-12-31
ReturnHeader/TaxYr02021

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