Civic Intelligence

Cardiovascular Coalition Inc

990 • Fiscal year 2019 • EIN 47-5564846

Jan 01, 2019 to Dec 31, 2019 • Filed on Jun 04, 2020

300 New Jersey Avenue NW No 900Washington, DC 20001

(202) 465-8711

Siviq Scores

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

Liabilities / Assets

34th percentile

0.00x

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

2019 filings • 501(c)4 • $500k-$1M nonprofits • Source year 2019

Liabilities / Revenue

34th percentile

0.00x

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

2019 filings • 501(c)4 • $500k-$1M nonprofits • Source year 2019

Net Margin

17th percentile

-12%

Higher net margin than 17% of similar nonprofits.

2019 filings • 501(c)4 • $500k-$1M nonprofits • Source year 2019

Top Officer Pay

70th percentile

$0

Higher top officer pay than 70% of similar nonprofits.

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

2019 filings • 501(c)4 • $500k-$1M nonprofits • Source year 2019

Asset Growth

1st percentile

-100%

Faster asset growth than 1% of similar nonprofits.

2019 filings • 501(c)4 • $500k-$1M nonprofits • Annualized from 2018 to 2019

Revenue Growth

75th percentile

16%

Faster revenue growth than 75% of similar nonprofits.

2019 filings • 501(c)4 • $500k-$1M nonprofits • Annualized from 2018 to 2019

Assets

Down

$179

Down $70,785 (-100%) from 2018

Net Assets

Down

$179

Down $70,785 (-100%) from 2018

Liabilities

Flat

$0

Flat from 2018

Revenue

Up

$584,983

Up $80,521 (+16%) from 2018

Expenses

Up

$655,768

Up $210,166 (+47%) from 2018

Net Income

Down

-$70,785

Down $129,645 (-220%) from 2018

Historical Trend

Balance Sheet Trend

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

$80K$60K$40K$20K$0Assets 2016: $83Liabilities 2016: $0Net Assets 2016: $832016Assets 2017: $12,104Liabilities 2017: $0Net Assets 2017: $12,1042017Assets 2018: $70,964Liabilities 2018: $0Net Assets 2018: $70,9642018Assets 2019: $179Liabilities 2019: $0Net Assets 2019: $1792019Assets 2020: $4,193Liabilities 2020: $0Net Assets 2020: $4,1932020Assets 2021: $13,373Liabilities 2021: $0Net Assets 2021: $13,3732021Assets 2022: $729Liabilities 2022: $0Net Assets 2022: $7292022Assets 2023: $924Liabilities 2023: $0Net Assets 2023: $9242023Assets 2024: $2,097Liabilities 2024: $0Net Assets 2024: $2,0972024

Highlighted filing

2019

Assets$179
Liabilities$0
Net Assets$179

Operations Trend

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

$1.0M$500K$0-$500KRevenue 2016: $267,949Expenses 2016: $267,866Net Income 2016: $832016Revenue 2017: $426,367Expenses 2017: $414,346Net Income 2017: $12,0212017Revenue 2018: $504,462Expenses 2018: $445,602Net Income 2018: $58,8602018Revenue 2019: $584,983Expenses 2019: $655,768Net Income 2019: -$70,7852019Revenue 2020: $573,500Expenses 2020: $569,486Net Income 2020: $4,0142020Revenue 2021: $799,171Expenses 2021: $789,991Net Income 2021: $9,1802021Revenue 2022: $658,089Expenses 2022: $670,733Net Income 2022: -$12,6442022Revenue 2023: $580,385Expenses 2023: $580,190Net Income 2023: $1952023Revenue 2024: $629,565Expenses 2024: $628,392Net Income 2024: $1,1732024

Highlighted filing

2019

Revenue$584,983
Expenses$655,768
Net Income-$70,785
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Jun 4, 2020
Return Version
2019v5.1
Gross Receipts
$584,983
Mission and Program Overview

Mission

SEE SCHEDULE O.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$70,964$179▼ $70,785
Rtn Earn Endowment Incm Other Fnds$70,964$179▼ $70,785
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$70,964$179▼ $70,785
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$70,964$179▼ $70,785
Total Liabilities and Net Assets / Fund Balance$70,964$179▼ $70,785
Compensation and Service Providers

Board Members and Trustees

NameTitle
Marjorie MeleskoChairman
Bruce ShookDirector
David BakerDirector
David KonurDirector
Jan DeesDirector
Jeff CarrDirector
Neil MarwahDirector
Stacey FahrnerSecretary
Jim BloostonTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Liberty Partners GroupConsulting Services300 NEW JERSEY AVE NW SUITE 900, Washington, DC 20001$492,500
Schmidt Public Affairs LLCConsulting Services917 PRINCE STREET, Alexandria, VA 22314$131,927
Revenue and Support

Revenue Composition

Contributions and Grants
$584,983
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-70,785
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$655,768
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
Fees for Services Lobbying$475,250--$475,250
Fees for Services Other$131,927--$131,927
Fees for Services Management-$17,250-$17,250
Fees for Services Accounting$6,036--$6,036
Fees for Services Legal$1,964--$1,964
Travel$1,424--$1,424
Insurance$731--$731
Other Expenses$3--$3
Total Functional Expenses$638,518$17,250$0$655,768
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
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
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

The organization has outsourced certain management duties to independent contractors but has retained oversight responsibilities.

Form 990, Part VI, Section A, Line 6

The organizations accepts members on an ongoing basis.

Form 990, Part VI, Section A, Line 7A

The organization's members elect the governing body.

Form 990, Part VI, Section B, Line 11B

Governing body will be provided a copy of the 990 before filing for review and approval.

Form 990, Part VI, Section C, Line 19

The governing documents, including any conflict of interest policy and the financial statements are not available to the public.

Filing and Contact Details

Filer

Filer Name
Cardiovascular Coalition Inc
EIN
47-5564846
Phone
2024658711
Address
300 NEW JERSEY AVENUE NW NO 900, WASHINGTON, DC 20001

Signing Officer

Name
James Blooston
Title
Treasurer
Phone
2024658711
Signed
2020-06-04
Discuss with paid preparer
Yes

Organization Details

Formed
2015
Legal Domicile
Dc
Voting Board Members
9
Independent Board Members
9
Employees
0
Volunteers
0

Preparer

Firm
Gaffey Deane & Talley Pllc
Address
12355 SUNRISE VALLEY DRIVE 305, RESTON, VA 20191
Preparer
Jon B Deane
Phone
7036576040
Supplemental Narrative

Additional Explanations

FORM 990, PART 1, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:

The mission of the cvc is to advance patient access to cardiovascular care, particularly as it relates to peripheral artery disease (pad). The cvc recognizes that pad is a leading - and preventable - cause of death in the united states. It is estimated that 20 million persons in the united states have pad, which can lead to critical limb ischemia (cli) and then amputation. The number of amputations performed annually in the united states is estimated to be 200,000 with almost 43,000 medicare patients per year receiving non-traumatic amputations. In addition, there are significant racial disparities in amputation rates among african-american, native american, and hispanic populations. Members of the cvc are dedicated to: 1. Earlier detection of pad; 2. Minimally-invasive treatment of pad; 3. Reducing the overall number of amputations, as well as related racial disparities, in the united states; 4. Payment stability and predictability for pad and other cardiovascular interventions; 5. Improved incentives for appropriate care through payment reform; and 6. Collecting and reporting of relevant patient data to improve outcomes over time.

FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:

The mission of the cvc is to advance patient access to cardiovascular care, particularly as it relates to peripheral artery disease (pad). The cvc recognizes that pad is a leading - and preventable - cause of death in the united states. It is estimated that 20 million persons in the united states have pad, which can lead to critical limb ischemia (cli) and then amputation. The number of amputations performed annually in the united states is estimated to be 200,000 with almost 43,000 medicare patients per year receiving non-traumatic amputations. In addition, there are significant racial disparities in amputation rates among african-american, native american, and hispanic populations. Members of the cvc are dedicated to: 1. Earlier detection of pad; 2. Minimally-invasive treatment of pad; 3. Reducing the overall number of amputations, as well as related racial disparities, in the united states; 4. Payment stability and predictability for pad and other cardiovascular interventions; 5. Improved incentives for appropriate care through payment reform; and 6. Collecting and reporting of relevant patient data to improve outcomes over time.

Form 990, Part IX, Line 11G

Public relations: program service expenses 131,927. Management and general expenses 0. Fundraising expenses 0. Total expenses 131,927.

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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE MISSION OF THE CVC IS TO ADVANCE PATIENT ACCESS TO CARDIOVASCULAR CARE, PARTICULARLY AS IT RELATES TO PERIPHERAL ARTERY DISEASE (PAD). THE CVC RECOGNIZES THAT PAD IS A LEADING - AND PREVENTABLE - CAUSE OF DEATH IN THE UNITED STATES. IT IS ESTIMATED THAT 20 MILLION PERSONS IN THE UNITED STATES HAVE PAD, WHICH CAN LEAD TO CRITICAL LIMB ISCHEMIA (CLI) AND THEN AMPUTATION. THE NUMBER OF AMPUTATIONS PERFORMED ANNUALLY IN THE UNITED STATES IS ESTIMATED TO BE 200,000 WITH ALMOST 43,000 MEDICARE PATIENTS PER YEAR RECEIVING NON-TRAUMATIC AMPUTATIONS. IN ADDITION, THERE ARE SIGNIFICANT RACIAL DISPARITIES IN AMPUTATION RATES AMONG AFRICAN-AMERICAN, NATIVE AMERICAN, AND HISPANIC POPULATIONS. MEMBERS OF THE CVC ARE DEDICATED TO: 1. EARLIER DETECTION OF PAD; 2. MINIMALLY-INVASIVE TREATMENT OF PAD; 3. REDUCING THE OVERALL NUMBER OF AMPUTATIONS, AS WELL AS RELATED RACIAL DISPARITIES, IN THE UNITED STATES; 4. PAYMENT STABILITY AND PREDICTABILITY FOR PAD AND OTHER CARDIOVASCULAR INTERVENTIONS; 5. IMPROVED INCENTIVES FOR APPROPRIATE CARE THROUGH PAYMENT REFORM; AND 6. COLLECTING AND REPORTING OF RELEVANT PATIENT DATA TO IMPROVE OUTCOMES OVER TIME.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE MISSION OF THE CVC IS TO ADVANCE PATIENT ACCESS TO CARDIOVASCULAR CARE, PARTICULARLY AS IT RELATES TO PERIPHERAL ARTERY DISEASE (PAD). THE CVC RECOGNIZES THAT PAD IS A LEADING - AND PREVENTABLE - CAUSE OF DEATH IN THE UNITED STATES. IT IS ESTIMATED THAT 20 MILLION PERSONS IN THE UNITED STATES HAVE PAD, WHICH CAN LEAD TO CRITICAL LIMB ISCHEMIA (CLI) AND THEN AMPUTATION. THE NUMBER OF AMPUTATIONS PERFORMED ANNUALLY IN THE UNITED STATES IS ESTIMATED TO BE 200,000 WITH ALMOST 43,000 MEDICARE PATIENTS PER YEAR RECEIVING NON-TRAUMATIC AMPUTATIONS. IN ADDITION, THERE ARE SIGNIFICANT RACIAL DISPARITIES IN AMPUTATION RATES AMONG AFRICAN-AMERICAN, NATIVE AMERICAN, AND HISPANIC POPULATIONS. MEMBERS OF THE CVC ARE DEDICATED TO: 1. EARLIER DETECTION OF PAD; 2. MINIMALLY-INVASIVE TREATMENT OF PAD; 3. REDUCING THE OVERALL NUMBER OF AMPUTATIONS, AS WELL AS RELATED RACIAL DISPARITIES, IN THE UNITED STATES; 4. PAYMENT STABILITY AND PREDICTABILITY FOR PAD AND OTHER CARDIOVASCULAR INTERVENTIONS; 5. IMPROVED INCENTIVES FOR APPROPRIATE CARE THROUGH PAYMENT REFORM; AND 6. COLLECTING AND REPORTING OF RELEVANT PATIENT DATA TO IMPROVE OUTCOMES OVER TIME.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION HAS OUTSOURCED CERTAIN MANAGEMENT DUTIES TO INDEPENDENT CONTRACTORS BUT HAS RETAINED OVERSIGHT RESPONSIBILITIES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATIONS ACCEPTS MEMBERS ON AN ONGOING BASIS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE ORGANIZATION'S MEMBERS ELECT THE GOVERNING BODY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5GOVERNING BODY WILL BE PROVIDED A COPY OF THE 990 BEFORE FILING FOR REVIEW AND APPROVAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE GOVERNING DOCUMENTS, INCLUDING ANY CONFLICT OF INTEREST POLICY AND THE FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7PUBLIC RELATIONS: PROGRAM SERVICE EXPENSES 131,927. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 131,927.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART 1, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART IX, LINE 11G
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0CARDIOVASCULAR COALITION INC POLITICAL ACTION COMMITTEE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0475555289
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0527
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0FL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0ENGAGE IN ACTIVITIES RELATING TO THE SUPPORT OF CANDIDATES.
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0FL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd033606
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0DC
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt070964
IRS990/TotalAssetsEOYAmt0179
IRS990/TotalAssetsGrp/BOYAmt070964
IRS990/TotalAssetsGrp/EOYAmt0179
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt0584983
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt017250
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0638518
IRS990/TotalFunctionalExpensesGrp/TotalAmt0655768
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt070964
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0179
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0638518
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0584983
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt070964
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0179
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ProgramServicesAmt01424
IRS990/TravelGrp/TotalAmt01424
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0300 NEW JERSEY AVENUE NW NO 900
IRS990/USAddress/CityNm0WASHINGTON
IRS990/USAddress/StateAbbreviationCd0DC
IRS990/USAddress/ZIPCd020001
IRS990/VotingMembersGoverningBodyCnt09
IRS990/VotingMembersIndependentCnt09
IRS990/WebsiteAddressTxt0CARDIOVASCULARCOALITION.COM
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02020-04-17 16:48:07Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0JAMES BLOOSTON
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum02024658711
ReturnHeader/BusinessOfficerGrp/SignatureDt02020-06-04
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0CARDIOVASCULAR COALITION INC
ReturnHeader/Filer/BusinessNameControlTxt0CARD
ReturnHeader/Filer/EIN0475564846
ReturnHeader/Filer/PhoneNum02024658711
ReturnHeader/Filer/USAddress/AddressLine1Txt0300 NEW JERSEY AVENUE NW NO 900
ReturnHeader/Filer/USAddress/CityNm0WASHINGTON
ReturnHeader/Filer/USAddress/StateAbbreviationCd0DC
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ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0A46B7E5EAA70A800749981C3E449C956F8CF27BD
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0A46B7E5EAA70A800749981C3E449C956F8CF27BD
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt024.249.33.154
ReturnHeader/FilingSecurityInformation/IPDt02020-06-04
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0ED
ReturnHeader/FilingSecurityInformation/IPTm015:11:19
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0833045455
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0GAFFEY DEANE & TALLEY PLLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt012355 SUNRISE VALLEY DRIVE 305
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0RESTON
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0VA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd020191
ReturnHeader/PreparerPersonGrp/PhoneNum07036576040
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0JON B DEANE
ReturnHeader/ReturnTs02020-06-15T12:11:48-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02019-01-01
ReturnHeader/TaxPeriodEndDt02019-12-31
ReturnHeader/TaxYr02019

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