Civic Intelligence

Catholic Families Clinicians Network Inc

EIN 52-2350360 • 501(c)3 • Fairfax, VA

Profile

Advancing the resolution of a broad range of pyschological, emotional, social, & educational problems through quality mental health services integrated with the fullness of the Catholic faith.

9677 Main StreetFairfax, VA 22031

aoclinic.org

Siviq Scores

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

Liabilities / Assets

41st percentile

0.03x

Higher debt load relative to assets than 41% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

26th percentile

0.01x

Higher debt load relative to revenue than 26% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Net Margin

45th percentile

2.3%

Higher net margin than 45% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Top Officer Pay

74th percentile

$118,903

Higher top officer pay than 74% of similar nonprofits.

Top officer pay equals 4.7% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Asset Growth

75th percentile

16%

Faster asset growth than 75% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Revenue Growth

40th percentile

1.7%

Faster revenue growth than 40% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Assets

Up

$463,019

Up $64,646 (+16%) from 2023

Liabilities

Up

$13,101

Up $7,449 (+132%) from 2023

Net Assets

Up

$449,918

Up $57,197 (+15%) from 2023

Revenue

Up

$2,513,811

Up $43,067 (+1.7%) from 2023

Expenses

Up

$2,456,614

Up $35,594 (+1.5%) from 2023

Net Income

Up

$57,197

Up $7,473 (+15%) from 2023

Trend Graphs

Balance Sheet Trend

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

$600K$400K$200K$0-$200KAssets 2010: $21,848Liabilities 2010: $183,874Net Assets 2010: -$162,0262010Assets 2011: $59,633Liabilities 2011: $218,991Net Assets 2011: -$159,3582011Assets 2012: $62,183Liabilities 2012: $32,827Net Assets 2012: $29,3562012Assets 2013: $52,090Liabilities 2013: $8,550Net Assets 2013: $43,5402013Assets 2014: $55,372Liabilities 2014: $1,598Net Assets 2014: $53,7742014Assets 2015: $77,651Liabilities 2015: $1,237Net Assets 2015: $76,4142015Assets 2016: $111,459Liabilities 2016: $3,453Net Assets 2016: $108,0062016Assets 2017: $134,171Liabilities 2017: $8,986Net Assets 2017: $125,1852017Assets 2018: $165,344Liabilities 2018: $3,934Net Assets 2018: $161,4102018Assets 2019: $212,774Liabilities 2019: $7,851Net Assets 2019: $204,9232019Assets 2020: $274,225Liabilities 2020: $15,527Net Assets 2020: $258,6982020Assets 2021: $317,274Liabilities 2021: $8,538Net Assets 2021: $308,7362021Assets 2022: $351,807Liabilities 2022: $8,810Net Assets 2022: $342,9972022Assets 2023: $398,373Liabilities 2023: $5,652Net Assets 2023: $392,7212023Assets 2024: $463,019Liabilities 2024: $13,101Net Assets 2024: $449,9182024

Highlighted filing

2024

Assets$463,019
Liabilities$13,101
Net Assets$449,918

Operations Trend

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

$3.0M$2.0M$1.0M$0-$1.0MRevenue 2010: $444,438Expenses 2010: $493,652Net Income 2010: -$49,2142010Revenue 2011: $330,528Expenses 2011: $327,860Net Income 2011: $2,6682011Revenue 2012: $410,131Expenses 2012: $218,706Net Income 2012: $191,4252012Revenue 2013: $543,904Expenses 2013: $568,632Net Income 2013: -$24,7282013Revenue 2014: $579,091Expenses 2014: $568,627Net Income 2014: $10,4642014Revenue 2015: $677,922Expenses 2015: $655,286Net Income 2015: $22,6362015Revenue 2016: $739,424Expenses 2016: $707,832Net Income 2016: $31,5922016Revenue 2017: $908,357Expenses 2017: $891,178Net Income 2017: $17,1792017Revenue 2018: $1,102,317Expenses 2018: $1,066,092Net Income 2018: $36,2252018Revenue 2019: $1,261,494Expenses 2019: $1,217,981Net Income 2019: $43,5132019Revenue 2020: $1,536,247Expenses 2020: $1,482,472Net Income 2020: $53,7752020Revenue 2021: $1,917,356Expenses 2021: $1,867,318Net Income 2021: $50,0382021Revenue 2022: $2,081,573Expenses 2022: $2,047,312Net Income 2022: $34,2612022Revenue 2023: $2,470,744Expenses 2023: $2,421,020Net Income 2023: $49,7242023Revenue 2024: $2,513,811Expenses 2024: $2,456,614Net Income 2024: $57,1972024

Highlighted filing

2024

Revenue$2,513,811
Expenses$2,456,614
Net Income$57,197

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$0.46$0.01$0.45$2.51$2.46$0.06
2023Detailed filing. Detailed filing data is available for this year.$0.40$0.01$0.39$2.47$2.42$0.05
2022Detailed filing. Detailed filing data is available for this year.$0.35$0.01$0.34$2.08$2.05$0.03
2021Detailed filing. Detailed filing data is available for this year.$0.32$0.01$0.31$1.92$1.87$0.05
2020Detailed filing. Detailed filing data is available for this year.$0.27$0.02$0.26$1.54$1.48$0.05
2019Detailed filing. Detailed filing data is available for this year.$0.21$0.01$0.20$1.26$1.22$0.04
2018Detailed filing. Detailed filing data is available for this year.$0.17$0.00$0.16$1.10$1.07$0.04
2017Detailed filing. Detailed filing data is available for this year.$0.13$0.01$0.13$0.91$0.89$0.02
2016Detailed filing. Detailed filing data is available for this year.$0.11$0.00$0.11$0.74$0.71$0.03
2015Detailed filing. Detailed filing data is available for this year.$0.08$0.00$0.08$0.68$0.66$0.02
2014Detailed filing. Detailed filing data is available for this year.$0.06$0.00$0.05$0.58$0.57$0.01
2013Detailed filing. Detailed filing data is available for this year.$0.05$0.01$0.04$0.54$0.57$0.02
2012Summary only. Only limited summary data is available for this year.$0.06$0.03$0.03$0.41$0.22$0.19
2011Summary only. Only limited summary data is available for this year.$0.06$0.22$0.16$0.33$0.33$0.00
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.02$0.18$0.16$0.44$0.49$0.05
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
May 2, 2025
Return Version
2024v5.2
Gross Receipts
$2,513,811
Mission and Program Overview

Mission

The organization provides counseling

Advancing the resolution of a broad range of pyschological, emotional, social, & educational problems through quality mental health services integrated with the fullness of the Catholic faith.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$334,588$306,484▼ $28,104
Savings and Temporary Cash Investments-$100,000-
Land, Buildings, and Equipment, Net$63,785$56,535▼ $7,250
Total Assets$398,373$463,019▲ $64,646
Liabilities
Accounts Payable and Accrued Expenses$5,652$13,101▲ $7,449
Total Liabilities$5,652$13,101▲ $7,449
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$392,721$449,918▲ $57,197
Total Net Assets Fund Balance$392,721$449,918▲ $57,197
Total Liabilities and Net Assets / Fund Balance$398,373$463,019▲ $64,646

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$34,468$70,390$104,858
Leasehold Improvements$22,067$45,064$67,131
Land$0--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Kathleen MusselwhiteExecutive DirectorFT$118,903$118,903

Board Members and Trustees

NameTitle
Fr Peter HopkinsPresident
Fr Charles SikorskyVice President
Fr John HopkinsBoard Member
Fr Daniel PajerskiTreasurer & Secretary
Revenue and Support

Revenue Composition

Contributions and Grants
$40,199
Program Service Revenue
$2,473,527
Investment Income
$85
Other Revenue
$0
All Other Contributions
$40,199
Change in Net Assets
$57,197
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,909,344
Salaries, Compensation, and Employee Benefits$547,270
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$1,542,367$0$0$1,542,367
Other Salaries and Wages$95,527$238,906$0$334,433
Occupancy$198,821$35,086$0$233,907
Current Officers, Directors, Trustees, and Key Employees$101,069$17,835$0$118,904
Other Employee Benefits$26,171$34,178$0$60,349
Information Technology$26,740$11,460$0$38,200
Payroll Taxes$14,441$19,143$0$33,584
Insurance$10,957$10,958$0$21,915
Conferences and Meetings$14,351$0$0$14,351
Office Expenses$9,797$4,197$0$13,994
Depreciation Depletion$9,676$1,708$0$11,384
Advertising$11,158$0$0$11,158
Fees for Services Accounting$0$10,797$0$10,797
Other Expenses$2,207$0$0$2,207
Total Functional Expenses$2,072,346$384,268$0$2,456,614
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

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Husband of EmployeeFacility & maintenanceNo$340
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
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
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No
Filing and Contact Details

Filer

Filer Name
Catholic Families Clinicians Network Inc
EIN
52-2350360
Phone
3017671733
Address
9677 Main Street, Fairfax, VA 22031
Doing Business As
Alpha Omega Clinic

Signing Officer

Name
Ann Samperio
Title
Executive Director
Phone
3017671733
Signed
2025-05-02
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kathleen Musslewhite
Formed
2003
Legal Domicile
Va
Voting Board Members
4
Independent Board Members
4
Employees
9
Volunteers
2

Preparer

Firm
Elements CPA LLC
Address
322 MAIN ST STE 103, LAUREL, MD 20707
Preparer
Adrian G Simmons
Phone
3016043247
Supplemental Narrative

Additional Explanations

Pt VI, Line 11B

The management team reviews the 990 before submission then makes available to the Board at the next scheduled meeting.

Pt VI, Line 12C

Staff meets regularly with director to review new contracts and identify possible conflicts.

Pt VI, Line 15A

Board annually reviews salaries and current market conditions with assistance of HR director from Consolidated Catholic Administrative Services.

Pt VI, Line 19

The organization makes its governing documents and conflict of interest policy available to the public upon request.

Form 990, Part IX, Line 11G

Contractor payments 1542367. 1542367. 0. 0.

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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/PYProgramServiceRevenueAmt02468036
IRS990/PYRevenuesLessExpensesAmt049724
IRS990/PYSalariesCompEmpBnftPaidAmt0517390
IRS990/PYTotalExpensesAmt02421020
IRS990/PYTotalRevenueAmt02470744
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt057197
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt02473527
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0100000
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt040199
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt02624
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt01098
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt01000
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt044921
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt084
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt057
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt071
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt060
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt0272
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt02473527
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt02468036
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt02080418
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt01905193
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt01536843
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt010464017
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt00
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt084
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt057
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt071
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt060
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt0272
IRS990ScheduleA/InvestmentIncomeCYPct00.00000
IRS990ScheduleA/InvestmentIncomePYPct00.00000
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00
IRS990ScheduleA/PublicSupportCY509Pct01.00000
IRS990ScheduleA/PublicSupportPY509Pct01.00000
IRS990ScheduleA/PublicSupportTotal509Amt010508938
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/TotalAmt00
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IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt02081516
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt01906193
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt01536843
IRS990ScheduleA/Total509Grp/TotalAmt010508938
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt010509210
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IRS990ScheduleD/EquipmentGrp/BookValueAmt034468
IRS990ScheduleD/EquipmentGrp/DepreciationAmt070390
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0104858
IRS990ScheduleD/LandGrp/BookValueAmt00
IRS990ScheduleD/LandGrp/InvestmentCostOrOtherBasisAmt00
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt022067
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt045064
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt067131
IRS990ScheduleD/TotalBookValueLandBuildingsAmt056535
IRS990/ScheduleJRequiredInd0false
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/BusinessName/BusinessNameLine1Txt0Astro Services LLC
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt0Husband of Employee
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd0false
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionAmt0340
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc0Facility & maintenance
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0The management team reviews the 990 before submission then makes available to the Board at the next scheduled meeting.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Staff meets regularly with director to review new contracts and identify possible conflicts.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Board annually reviews salaries and current market conditions with assistance of HR director from Consolidated Catholic Administrative Services.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3The organization makes its governing documents and conflict of interest policy available to the public upon request.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4Contractor payments 1542367. 1542367. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Pt VI, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Pt VI, Line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Pt VI, Line 15a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Pt VI, Line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part IX, Line 11g
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IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
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IRS990/TotalAssetsEOYAmt0463019
IRS990/TotalAssetsGrp/BOYAmt0398373
IRS990/TotalAssetsGrp/EOYAmt0463019
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt040199
IRS990/TotalEmployeeCnt09
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0384268
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt02072346
IRS990/TotalFunctionalExpensesGrp/TotalAmt02456614
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt05652
IRS990/TotalLiabilitiesEOYAmt013101
IRS990/TotalLiabilitiesGrp/BOYAmt05652
IRS990/TotalLiabilitiesGrp/EOYAmt013101
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0392721
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0449918
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt02072346
IRS990/TotalProgramServiceRevenueAmt02473527
IRS990/TotalReportableCompFromOrgAmt0118903
IRS990/TotalRevenueGrp/ExclusionAmt085
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt02473527
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt02513811
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt02
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0398373
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0463019
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt09677 Main Street Unit C
IRS990/USAddress/CityNm0Fairfax
IRS990/USAddress/StateAbbreviationCd0VA
IRS990/USAddress/ZIPCd022031
IRS990/VotingMembersGoverningBodyCnt04
IRS990/VotingMembersIndependentCnt04
IRS990/WebsiteAddressTxt0https://aoclinic.org/
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0Ann Samperio
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Executive Director
ReturnHeader/BusinessOfficerGrp/PhoneNum03017671733
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-05-02
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Catholic Families Clinicians Network Inc
ReturnHeader/Filer/BusinessNameControlTxt0CATH
ReturnHeader/Filer/EIN0522350360
ReturnHeader/Filer/PhoneNum03017671733
ReturnHeader/Filer/USAddress/AddressLine1Txt09677 Main Street
ReturnHeader/Filer/USAddress/CityNm0Fairfax
ReturnHeader/Filer/USAddress/StateAbbreviationCd0VA
ReturnHeader/Filer/USAddress/ZIPCd022031
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0201636684
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0ELEMENTS CPA LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0322 MAIN ST STE 103
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0LAUREL
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd020707
ReturnHeader/PreparerPersonGrp/PhoneNum03016043247
ReturnHeader/PreparerPersonGrp/PreparationDt02025-11-14
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Adrian G Simmons
ReturnHeader/ReturnTs02025-11-14T11:12:26-08:00

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