Civic Intelligence

Kansas University Internal Medicine

EIN 48-0772083 • 501(c)3 • Kansas City, KS

View Organization Page

Profile

Organization provides medical education to students and residents, provides patient care, and conducts research.

3901 Rainbow Blvd Mail Stop 1022Kansas City, KS 66160

n/A

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

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2018

Asset Growth

10th percentile

-100%

Faster asset growth than 10% 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 $370,838 (-100%) from 2017

Liabilities

Flat

$0

Flat from 2017

Net Assets

Down

$0

Down $370,838 (-100%) from 2017

Operations
Liabilities / RevenueScore unavailableNet MarginScore unavailable

Revenue

Down

$0

Down $381,691 (-100%) from 2017

Expenses

Down

$6,048

Down $9,916 (-62%) from 2017

Net Income

Down

-$6,048

Down $371,775 (-102%) from 2017

Trend Graphs

Balance Sheet Trend

Asset Growth10th percentile

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

$15M$10M$5.0M$0Assets 2010: $5,910,015Liabilities 2010: $458,197Net Assets 2010: $5,451,8182010Assets 2011: $7,464,083Liabilities 2011: $530,904Net Assets 2011: $6,933,1792011Assets 2012: $11,861,899Liabilities 2012: $4,113,652Net Assets 2012: $7,748,2472012Assets 2013: $14,230,008Liabilities 2013: $5,832,477Net Assets 2013: $8,397,5312013Assets 2014: $11,375,453Liabilities 2014: $5,396,899Net Assets 2014: $5,978,5542014Assets 2015: $10,403,419Liabilities 2015: $5,237,890Net Assets 2015: $5,165,5292015Assets 2016: $215,103Liabilities 2016: $0Net Assets 2016: $215,1032016Assets 2017: $370,838Liabilities 2017: $0Net Assets 2017: $370,8382017Assets 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.

$80M$60M$40M$20M$0-$20MExpenses 2010: $26,871,2632010Expenses 2011: $31,505,5152011Expenses 2012: $50,555,6872012Revenue 2013: $54,956,580Expenses 2013: $54,307,296Net Income 2013: $649,2842013Revenue 2014: $59,962,944Expenses 2014: $62,381,921Net Income 2014: -$2,418,9772014Revenue 2015: $65,860,751Expenses 2015: $66,673,776Net Income 2015: -$813,0252015Revenue 2016: $34,484,201Expenses 2016: $35,684,826Net Income 2016: -$1,200,6252016Revenue 2017: $381,691Expenses 2017: $15,964Net Income 2017: $365,7272017Revenue 2018: $0Expenses 2018: $6,048Net Income 2018: -$6,0482018

Highlighted filing

2018

Revenue$0
Expenses$6,048
Net Income-$6,048
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
$6,048
Net income
-$6,048
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2018Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.01$0.01
2017Detailed filing. Detailed filing data is available for this year.$0.37$0.00$0.37$0.38$0.02$0.37
2016Detailed filing. Detailed filing data is available for this year.$0.22$0.00$0.22$34.5$35.7$1.20
2015Detailed filing. Detailed filing data is available for this year.$10.4$5.24$5.17$65.9$66.7$0.81
2014Detailed filing. Detailed filing data is available for this year.$11.4$5.40$5.98$60.0$62.4$2.42
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$14.2$5.83$8.40$55.0$54.3$0.65
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.9$4.11$7.75$50.6
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.46$0.53$6.93$31.5
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.91$0.46$5.45$26.9
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
Sep 25, 2018
Return Version
2017v2.3
Gross Receipts
$0
Mission and Program Overview

Mission

Organization provides medical education to students and residents, provides patient care, and conducts research.

Organization provides medical education to students and residents, patient care and research.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$370,838$0▼ $370,838
Savings and Temporary Cash Investments-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$370,838$0▼ $370,838
Other Assets Total-$0-
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$370,838$0▼ $370,838
Total Net Assets Fund Balance$370,838$0▼ $370,838
Total Liabilities and Net Assets / Fund Balance$370,838$0▼ $370,838
Compensation and Service Providers
Top Officer Pay81st percentile

Board Members and Trustees

NameTitle
AMY O'BRIEN MDPresident
Gary Doolittle MdVice President
Leigh Eck MdTrustee
Leland GravesTrustee
Melissa Parkhurst MdTrustee
Mojtaba Olyaee MdTrustee
Stephen Waller MdTrustee
Tim DwyerTrustee
Daniel Hinthorn MdSecretary
Daniel Aires MdTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-6,048
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$6,048
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 Accounting-$3,850-$3,850
Office Expenses-$1,500-$1,500
Fees for Services Legal-$698-$698
Total Functional Expenses$0$6,048$0$6,048
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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
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
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

“Kansas university internal medicine foundation has members rather than stockholders.”

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

“Kansas university internal medicine foundation has as its members the faculty of the department of internal medicine at the university of kansas school of medicine.”

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

“Actions and decisions of the board of trustees are subject to approval by all of the members.”

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

“Form 990 is prepared by the organization's outside accountant, then sent to the organization's officers and accounting personnel for review. After any changes, the updated return is then sent to the board for review and comment. Once reviewed by the board, and all questions and comments have been addressed, the final form 990 is provided to the board prior to the filing with the tax authorities.”

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

“Members review the conflict of interest policy during the first quarter of each calendar year. Any potential conflicts are disclosed and resolved at that time.”

Form 990, Part VI, Section C, Line 19

“Kansas university internal medicine foundation provides upon written requested presented at its office: its original form 1023, its latest form 990, conflict of interest policy and latest financial statements within 10 business days of the receipt of such request.”

Filing and Contact Details

Filer

Filer Name
Kansas University Internal Medicine
EIN
48-0772083
Phone
9135886000
Address
3901 RAINBOW BLVD MAIL STOP 1022, KANSAS CITY, KS 66160

Signing Officer

Name
Daniel Hinthorn
Title
Secretary
Phone
9135886000
Signed
2018-09-25
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Daniel Hinthorn
Formed
1970
Legal Domicile
Ks
Voting Board Members
10
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Cudney Ecord Mcenroe & Mullane LLC
Address
1310 CARONDELET DRIVE SUITE 333, KANSAS CITY, MO 64114
Preparer
Thomas J Mullane
Phone
8169423133
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3

“Organization ceased doing business.”

FORM 990, PART XI, LINE 9:

“Transferred reserves -364790.”

FORM 990, PART XI, ADDITIONAL INFORMATION:

“The foundation signed an agreement to transfer all of its activities, assets, liabilities and fund balances into a new integrated clinical enterprise. The new enterprise is kansas university physicians (ein 48-1163756) and is a 501(c)(3) exempt entity. All transfers have been completed and the existing entity was dissolved.”

Raw XML Appendix384 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/Form990PartVIISectionAGrp/TitleTxt1VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt2TREASURER
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IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt059939520
IRS990ScheduleA/Total509Grp/TotalAmt0160621642
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0381691
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt034484201
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt065860751
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt059962944
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0160689587
IRS990/ScheduleBRequiredInd00
IRS990/ScheduleJRequiredInd00
IRS990ScheduleN/AssetsDistributedInd01
IRS990ScheduleN/AttorneyGeneralNotifiedInd01
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd00
IRS990ScheduleN/EmployeeOfSuccessorInd00
IRS990ScheduleN/LiabilitiesPaidInd01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0CASH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt0KANSAS UNIV PHYSICIANS
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02018-06-25
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0481163756
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt0364790
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0CASH VALUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt03901 RAINBOW BLVD
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0KANSAS CITY
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0KS
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd066160
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd01
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0ORGANIZATION CEASED DOING BUSINESS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1KANSAS UNIVERSITY INTERNAL MEDICINE FOUNDATION HAS MEMBERS RATHER THAN STOCKHOLDERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2KANSAS UNIVERSITY INTERNAL MEDICINE FOUNDATION HAS AS ITS MEMBERS THE FACULTY OF THE DEPARTMENT OF INTERNAL MEDICINE AT THE UNIVERSITY OF KANSAS SCHOOL OF MEDICINE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ACTIONS AND DECISIONS OF THE BOARD OF TRUSTEES ARE SUBJECT TO APPROVAL BY ALL OF THE MEMBERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4FORM 990 IS PREPARED BY THE ORGANIZATION'S OUTSIDE ACCOUNTANT, THEN SENT TO THE ORGANIZATION'S OFFICERS AND ACCOUNTING PERSONNEL FOR REVIEW. AFTER ANY CHANGES, THE UPDATED RETURN IS THEN SENT TO THE BOARD FOR REVIEW AND COMMENT. ONCE REVIEWED BY THE BOARD, AND ALL QUESTIONS AND COMMENTS HAVE BEEN ADDRESSED, THE FINAL FORM 990 IS PROVIDED TO THE BOARD PRIOR TO THE FILING WITH THE TAX AUTHORITIES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5MEMBERS REVIEW THE CONFLICT OF INTEREST POLICY DURING THE FIRST QUARTER OF EACH CALENDAR YEAR. ANY POTENTIAL CONFLICTS ARE DISCLOSED AND RESOLVED AT THAT TIME.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6KANSAS UNIVERSITY INTERNAL MEDICINE FOUNDATION PROVIDES UPON WRITTEN REQUESTED PRESENTED AT ITS OFFICE: ITS ORIGINAL FORM 1023, ITS LATEST FORM 990, CONFLICT OF INTEREST POLICY AND LATEST FINANCIAL STATEMENTS WITHIN 10 BUSINESS DAYS OF THE RECEIPT OF SUCH REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7TRANSFERRED RESERVES -364790.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8THE FOUNDATION SIGNED AN AGREEMENT TO TRANSFER ALL OF ITS ACTIVITIES, ASSETS, LIABILITIES AND FUND BALANCES INTO A NEW INTEGRATED CLINICAL ENTERPRISE. THE NEW ENTERPRISE IS KANSAS UNIVERSITY PHYSICIANS (EIN 48-1163756) AND IS A 501(C)(3) EXEMPT ENTITY. ALL TRANSFERS HAVE BEEN COMPLETED AND THE EXISTING ENTITY WAS DISSOLVED.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART III, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART XI, LINE 9:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART XI, ADDITIONAL INFORMATION:
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd01
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd01
IRS990/TotalAssetsBOYAmt0370838
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt0370838
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt06048
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt06048
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0370838
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalOtherCompensationAmt00
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt00
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0370838
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0370838
IRS990/UnrestrictedNetAssetsGrp/EOYAmt00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt03901 RAINBOW BLVD MAIL STOP 1022
IRS990/USAddress/CityNm0KANSAS CITY
IRS990/USAddress/StateAbbreviationCd0KS
IRS990/USAddress/ZIPCd066160
IRS990/VotingMembersGoverningBodyCnt010
IRS990/VotingMembersIndependentCnt00
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02018-06-14 16:35:46Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0DANIEL HINTHORN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0SECRETARY
ReturnHeader/BusinessOfficerGrp/PhoneNum09135886000
ReturnHeader/BusinessOfficerGrp/SignatureDt02018-09-25
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0KANSAS UNIVERSITY INTERNAL MEDICINE
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0KANS
ReturnHeader/Filer/EIN0480772083
ReturnHeader/Filer/PhoneNum09135886000
ReturnHeader/Filer/USAddress/AddressLine1Txt03901 RAINBOW BLVD MAIL STOP 1022
ReturnHeader/Filer/USAddress/CityNm0KANSAS CITY
ReturnHeader/Filer/USAddress/StateAbbreviationCd0KS
ReturnHeader/Filer/USAddress/ZIPCd066160
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0BE60A170866019A3CB94DEAB001E78225EE6E077
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0BE60A170866019A3CB94DEAB001E78225EE6E077
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt0104.7.73.144
ReturnHeader/FilingSecurityInformation/IPDt02018-09-25
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CD
ReturnHeader/FilingSecurityInformation/IPTm015:20:36
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0480779042
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CUDNEY ECORD MCENROE & MULLANE LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01310 CARONDELET DRIVE SUITE 333
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0KANSAS CITY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd064114
ReturnHeader/PreparerPersonGrp/PhoneNum08169423133
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0THOMAS J MULLANE
ReturnHeader/ReturnTs02018-10-09T14:53:30-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02017-07-01
ReturnHeader/TaxPeriodEndDt02018-06-30
ReturnHeader/TaxYr02017

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