Civic Intelligence

Maryland Baptist Aged Home

EIN 52-1009459 • 501(c)3 • Baltimore, MD

Profile

Long-term care facility for the elderly

2801 Rayner AvenueBaltimore, MD 21216

n/A

Siviq Scores

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

Liabilities / Assets

67th percentile

0.20x

Higher debt load relative to assets than 67% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2025

Liabilities / Revenue

46th percentile

0.06x

Higher debt load relative to revenue than 46% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2025

Net Margin

56th percentile

7.4%

Higher net margin than 56% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2025

Top Officer Pay

70th percentile

$108,160

Higher top officer pay than 70% of similar nonprofits.

Top officer pay equals 4.5% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2025

Asset Growth

88th percentile

41%

Faster asset growth than 88% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2024 to 2025

Revenue Growth

43rd percentile

3.3%

Faster revenue growth than 43% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2024 to 2025

Assets

Up

$697,184

Up $204,043 (+41%) from 2024

Liabilities

Up

$136,783

Up $26,081 (+24%) from 2024

Net Assets

Up

$560,401

Up $177,962 (+47%) from 2024

Revenue

Up

$2,408,701

Up $76,119 (+3.3%) from 2024

Expenses

Up

$2,230,739

Up $55,482 (+2.6%) from 2024

Net Income

Up

$177,962

Up $20,637 (+13%) from 2024

Trend Graphs

Balance Sheet Trend

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

$1.0M$500K$0-$500KAssets 2011: $433,944Liabilities 2011: $456,076Net Assets 2011: -$22,1322011Assets 2012: $544,129Liabilities 2012: $470,691Net Assets 2012: $73,4382012Assets 2013: $500,582Liabilities 2013: $480,760Net Assets 2013: $19,8222013Assets 2014: $285,010Liabilities 2014: $403,970Net Assets 2014: -$118,9602014Assets 2015: $301,527Liabilities 2015: $433,738Net Assets 2015: -$132,2112015Assets 2016: $399,264Liabilities 2016: $413,773Net Assets 2016: -$14,5092016Assets 2017: $308,439Liabilities 2017: $292,901Net Assets 2017: $15,5382017Assets 2018: $322,027Liabilities 2018: $239,959Net Assets 2018: $82,0682018Assets 2019: $246,864Liabilities 2019: $279,328Net Assets 2019: -$32,4642019Assets 2020: $213,425Liabilities 2020: $196,654Net Assets 2020: $16,7712020Assets 2021: $592,257Liabilities 2021: $560,238Net Assets 2021: $32,0192021Assets 2022: $511,593Liabilities 2022: $258,392Net Assets 2022: $253,2012022Assets 2023: $412,755Liabilities 2023: $187,641Net Assets 2023: $225,1142023Assets 2024: $493,141Liabilities 2024: $110,702Net Assets 2024: $382,4392024Assets 2025: $697,184Liabilities 2025: $136,783Net Assets 2025: $560,4012025

Highlighted filing

2025

Assets$697,184
Liabilities$136,783
Net Assets$560,401

Operations Trend

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

$3.0M$2.0M$1.0M$0-$1.0MExpenses 2011: $1,629,0362011Expenses 2012: $1,785,4232012Expenses 2013: $1,865,5812013Revenue 2014: $1,783,443Expenses 2014: $1,922,225Net Income 2014: -$138,7822014Revenue 2015: $1,817,939Expenses 2015: $1,831,191Net Income 2015: -$13,2522015Revenue 2016: $2,137,695Expenses 2016: $2,019,993Net Income 2016: $117,7022016Revenue 2017: $2,128,470Expenses 2017: $2,129,688Net Income 2017: -$1,2182017Revenue 2018: $2,083,936Expenses 2018: $2,017,406Net Income 2018: $66,5302018Revenue 2019: $2,039,508Expenses 2019: $2,154,040Net Income 2019: -$114,5322019Revenue 2020: $1,864,307Expenses 2020: $1,815,072Net Income 2020: $49,2352020Revenue 2021: $2,027,589Expenses 2021: $2,012,341Net Income 2021: $15,2482021Revenue 2022: $2,268,627Expenses 2022: $2,047,445Net Income 2022: $221,1822022Revenue 2023: $2,283,544Expenses 2023: $2,378,349Net Income 2023: -$94,8052023Revenue 2024: $2,332,582Expenses 2024: $2,175,257Net Income 2024: $157,3252024Revenue 2025: $2,408,701Expenses 2025: $2,230,739Net Income 2025: $177,9622025

Highlighted filing

2025

Revenue$2,408,701
Expenses$2,230,739
Net Income$177,962

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$0.70$0.14$0.56$2.41$2.23$0.18
2024Detailed filing. Detailed filing data is available for this year.$0.49$0.11$0.38$2.33$2.18$0.16
2023Detailed filing. Detailed filing data is available for this year.$0.41$0.19$0.23$2.28$2.38$0.09
2022Detailed filing. Detailed filing data is available for this year.$0.51$0.26$0.25$2.27$2.05$0.22
2021Detailed filing. Detailed filing data is available for this year.$0.59$0.56$0.03$2.03$2.01$0.02
2020Summary only. Only limited summary data is available for this year.$0.21$0.20$0.02$1.86$1.82$0.05
2019Summary only. Only limited summary data is available for this year.$0.25$0.28$0.03$2.04$2.15$0.11
2018Summary only. Only limited summary data is available for this year.$0.32$0.24$0.08$2.08$2.02$0.07
2017Summary only. Only limited summary data is available for this year.$0.31$0.29$0.02$2.13$2.13$0.00
2016Detailed filing. Detailed filing data is available for this year.$0.40$0.41$0.01$2.14$2.02$0.12
2015Detailed filing. Detailed filing data is available for this year.$0.30$0.43$0.13$1.82$1.83$0.01
2014Detailed filing. Detailed filing data is available for this year.$0.29$0.40$0.12$1.78$1.92$0.14
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.50$0.48$0.02$1.87
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.54$0.47$0.07$1.79
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.43$0.46$0.02$1.63
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Mar 1, 2024 to Feb 28, 2025
Signed
Jan 19, 2026
Return Version
2024v5.5
Gross Receipts
$2,408,701
Mission and Program Overview

Mission

Long-term care facility for the elderly

Long term care facility for the elderly

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$233,603$442,534▲ $208,931
Land, Buildings, and Equipment, Net$202,809$204,951▲ $2,142
Cash and Non-Interest-Bearing Accounts$32,495$19,069▼ $13,426
Inventories for Sale or Use$11,072$11,072→ $0
Total Assets$493,141$697,184▲ $204,043
Other Assets Total$13,162$19,558▲ $6,396
Liabilities
Accounts Payable and Accrued Expenses$88,072$97,153▲ $9,081
Unsecured Notes Loans Payable$22,630$39,630▲ $17,000
Total Liabilities$110,702$136,783▲ $26,081
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$382,439$560,401▲ $177,962
Total Net Assets Fund Balance$382,439$560,401▲ $177,962
Total Liabilities and Net Assets / Fund Balance$493,141$697,184▲ $204,043

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$4,692$35,995-
Equipment$19,094$169,017-
Leasehold Improvements$181,165$168,902-
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Ms Johana WalburnAdministratorFT$108,160$108,160
Dr Derrick DewittCFOFT$97,500$97,500

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$1,765
Program Service Revenue
$2,406,936
Investment Income
$0
Other Revenue
$0
All Other Contributions
$1,765
Change in Net Assets
$177,962
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$1,555,752
Other Expenses$674,987
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,170,654$66,143-$1,236,797
Current Officers, Directors, Trustees, and Key Employees$111,338$97,768-$209,106
Fees for Services Other$114,143$14,117-$128,260
Payroll Taxes$93,350$16,395-$109,745
Occupancy$82,456$16,024-$98,480
Fees for Services Accounting-$62,800-$62,800
Fees for Services Legal-$40,079-$40,079
Information Technology$28,785$5,742-$34,527
Office Expenses$12,424$20,066-$32,490
Depreciation Depletion$21,602$4,309-$25,911
Insurance$19,241$3,838-$23,079
Fees for Services Management-$12,000-$12,000
Travel-$4,031-$4,031
Advertising-$2,846-$2,846
Other Expenses$1,190$4,449-$1,190
Interest-$215-$215
Other Employee Benefits$104--$104
Total Functional Expenses$1,859,763$370,976$0$2,230,739
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
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
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 form 990 is thoroughly reviewed and approved by management prior to signature and filing. A copy of the form 990 is destributed to the board of directors.

Form 990, Part VI, Section B, Line 15

The board of directors approves the compensation of the cfo and the adminstrator of maryland baptist aged home and any other key employees.

Form 990, Part VI, Section C, Line 19

The organization's governing documents and financial statements are available for public inspection upon request.

Filing and Contact Details

Filer

Filer Name
Maryland Baptist Aged Home
EIN
52-1009459
Phone
4109457650
Address
2801 RAYNER AVENUE, BALTIMORE, MD 21216

Signing Officer

Name
Dr Derrick Dewitt
Title
CFO
Phone
4109451837
Signed
2026-01-19
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dr Derrick Dewitt
Formed
1920
Legal Domicile
Md
Voting Board Members
8
Independent Board Members
8
Employees
59
Volunteers
0

Preparer

Firm
Gross Mendelsohn & Associates Pa
Address
1801 PORTER STREET SUITE 500, BALTIMORE, MD 21230
Preparer
Jennifer Rock
Phone
4106855512
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IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt02406936
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt00
IRS990/PYOtherExpensesAmt0665945
IRS990/PYOtherRevenueAmt01323
IRS990/PYProgramServiceRevenueAmt02331259
IRS990/PYRevenuesLessExpensesAmt0157325
IRS990/PYSalariesCompEmpBnftPaidAmt01509312
IRS990/PYTotalExpensesAmt02175257
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt02332582
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0177962
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt02406936
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt01765
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt089744
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt0406928
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt0202531
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt0700968
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt02406936
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt02331259
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt02192228
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt01861699
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt01823281
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt010615403
IRS990ScheduleA/InvestmentIncomeCYPct00.00000
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt01323
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt01572
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt01777
IRS990ScheduleA/OtherIncome509Grp/TotalAmt04672
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.99960
IRS990ScheduleA/PublicSupportPY509Pct00.99870
IRS990ScheduleA/PublicSupportTotal509Amt011316371
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt02408701
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt02331259
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt02281972
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt02268627
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt02025812
IRS990ScheduleA/Total509Grp/TotalAmt011316371
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt02408701
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt02332582
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt02283544
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt02268627
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt02027589
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt011321043
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/EquipmentGrp/BookValueAmt019094
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0169017
IRS990ScheduleD/EquipmentGrp/InvestmentCostOrOtherBasisAmt0188111
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt0181165
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt0168902
IRS990ScheduleD/LeaseholdImprovementsGrp/InvestmentCostOrOtherBasisAmt0350067
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt04692
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt035995
IRS990ScheduleD/OtherLandBuildingsGrp/InvestmentCostOrOtherBasisAmt040687
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0204951
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE FORM 990 IS THOROUGHLY REVIEWED AND APPROVED BY MANAGEMENT PRIOR TO SIGNATURE AND FILING. A COPY OF THE FORM 990 IS DESTRIBUTED TO THE BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE BOARD OF DIRECTORS APPROVES THE COMPENSATION OF THE CFO AND THE ADMINSTRATOR OF MARYLAND BAPTIST AGED HOME AND ANY OTHER KEY EMPLOYEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0MD
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0493141
IRS990/TotalAssetsEOYAmt0697184
IRS990/TotalAssetsGrp/BOYAmt0493141
IRS990/TotalAssetsGrp/EOYAmt0697184
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt01765
IRS990/TotalEmployeeCnt059
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0370976
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt01859763
IRS990/TotalFunctionalExpensesGrp/TotalAmt02230739
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0110702
IRS990/TotalLiabilitiesEOYAmt0136783
IRS990/TotalLiabilitiesGrp/BOYAmt0110702
IRS990/TotalLiabilitiesGrp/EOYAmt0136783
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0382439
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0560401
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt01859763
IRS990/TotalProgramServiceRevenueAmt02406936
IRS990/TotalReportableCompFromOrgAmt0205660
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt02406936
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt02408701
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0493141
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0697184
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ManagementAndGeneralAmt04031
IRS990/TravelGrp/TotalAmt04031
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnsecuredNotesLoansPayableGrp/BOYAmt022630
IRS990/UnsecuredNotesLoansPayableGrp/EOYAmt039630
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt02801 RAYNER AVENUE
IRS990/USAddress/CityNm0BALTIMORE
IRS990/USAddress/StateAbbreviationCd0MD
IRS990/USAddress/ZIPCd021216
IRS990/VotingMembersGoverningBodyCnt08
IRS990/VotingMembersIndependentCnt08
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0DR DERRICK DEWITT
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CFO
ReturnHeader/BusinessOfficerGrp/PhoneNum04109451837
ReturnHeader/BusinessOfficerGrp/SignatureDt02026-01-19
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0MARYLAND BAPTIST AGED HOME
ReturnHeader/Filer/BusinessNameControlTxt0MARY
ReturnHeader/Filer/EIN0521009459
ReturnHeader/Filer/PhoneNum04109457650
ReturnHeader/Filer/USAddress/AddressLine1Txt02801 RAYNER AVENUE
ReturnHeader/Filer/USAddress/CityNm0BALTIMORE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0MD
ReturnHeader/Filer/USAddress/ZIPCd021216
ReturnHeader/IRSResponsiblePrtyInfoCurrInd01
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0520982413
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0GROSS MENDELSOHN & ASSOCIATES PA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01801 PORTER STREET SUITE 500
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0BALTIMORE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd021230
ReturnHeader/PreparerPersonGrp/PhoneNum04106855512
ReturnHeader/PreparerPersonGrp/PreparationDt02026-01-19

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