Civic Intelligence

Sheet Metal Workers of North Carolina Health & Welfare Fund

990 • Fiscal year 2017 • EIN 56-1172168

Mar 01, 2016 to Feb 28, 2017 • Filed on Jan 30, 2018

2001 Caldwell DriveGoodlettsville, TN 37072

(800) 831-4914

Siviq Scores

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

Liabilities / Assets

56th percentile

0.02x

Higher debt load relative to assets than 56% of similar nonprofits.

2017 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2017

Liabilities / Revenue

53rd percentile

0.01x

Higher debt load relative to revenue than 53% of similar nonprofits.

2017 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2017

Net Margin

10th percentile

-41%

Higher net margin than 10% of similar nonprofits.

2017 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2017

Top Officer Pay

52nd percentile

$0

Higher top officer pay than 52% of similar nonprofits.

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

2017 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2017

Asset Growth

7th percentile

-38%

Faster asset growth than 7% of similar nonprofits.

2017 filings • 501(c)9 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Revenue Growth

63rd percentile

8.2%

Faster revenue growth than 63% of similar nonprofits.

2017 filings • 501(c)9 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Assets

Down

$997,791

Down $600,359 (-38%) from 2016

Net Assets

Down

$977,626

Down $605,252 (-38%) from 2016

Liabilities

Up

$20,165

Up $4,893 (+32%) from 2016

Revenue

Up

$1,404,007

Up $106,068 (+8.2%) from 2016

Expenses

Up

$1,984,455

Up $588,716 (+42%) from 2016

Net Income

Down

-$580,448

Down $482,648 (-494%) from 2016

Historical Trend

Balance Sheet Trend

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

$2.0M$1.5M$1.0M$500K$0Assets 2011: $1,407,894Liabilities 2011: $14,975Net Assets 2011: $1,392,9192011Assets 2012: $1,539,541Liabilities 2012: $40,032Net Assets 2012: $1,499,5092012Assets 2013: $1,624,977Liabilities 2013: $13,906Net Assets 2013: $1,611,0712013Assets 2014: $1,713,763Liabilities 2014: $14,591Net Assets 2014: $1,699,1722014Assets 2015: $1,719,797Liabilities 2015: $47,605Net Assets 2015: $1,672,1922015Assets 2016: $1,598,150Liabilities 2016: $15,272Net Assets 2016: $1,582,8782016Assets 2017: $997,791Liabilities 2017: $20,165Net Assets 2017: $977,6262017Assets 2018: $1,030,274Liabilities 2018: $73,272Net Assets 2018: $957,0022018Assets 2019: $1,122,832Liabilities 2019: $150,637Net Assets 2019: $972,1952019Assets 2020: $1,400,585Liabilities 2020: $43,117Net Assets 2020: $1,357,4682020Assets 2021: $0Liabilities 2021: $0Net Assets 2021: $02021

Highlighted filing

2017

Assets$997,791
Liabilities$20,165
Net Assets$977,626

Operations Trend

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

$4.0M$2.0M$0-$2.0MRevenue 2011: $1,427,561Expenses 2011: $1,306,471Net Income 2011: $121,0902011Revenue 2012: $1,658,769Expenses 2012: $1,552,179Net Income 2012: $106,5902012Expenses 2013: $1,280,0882013Revenue 2014: $1,337,376Expenses 2014: $1,216,090Net Income 2014: $121,2862014Revenue 2015: $1,243,609Expenses 2015: $1,275,028Net Income 2015: -$31,4192015Revenue 2016: $1,297,939Expenses 2016: $1,395,739Net Income 2016: -$97,8002016Revenue 2017: $1,404,007Expenses 2017: $1,984,455Net Income 2017: -$580,4482017Revenue 2018: $2,029,233Expenses 2018: $2,049,857Net Income 2018: -$20,6242018Revenue 2019: $2,093,282Expenses 2019: $2,078,089Net Income 2019: $15,1932019Revenue 2020: $2,454,995Expenses 2020: $2,069,722Net Income 2020: $385,2732020Revenue 2021: $2,462,723Expenses 2021: $3,820,191Net Income 2021: -$1,357,4682021

Highlighted filing

2017

Revenue$1,404,007
Expenses$1,984,455
Net Income-$580,448
Jump To
Filing Snapshot
Filing Period
Mar 1, 2016 to Feb 28, 2017
Signed
Jan 30, 2018
Return Version
2016v3.0
Gross Receipts
$1,404,007
Mission and Program Overview

Mission

The purpose of this organization is to maintain a plan of benefits which provides hospitalization and major medical benefits for eligible participants as specified in the plan.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$1,582,878$977,626▼ $605,252
Investments in Publicly Traded Securities$1,380,029$746,607▼ $633,422
Cash and Non-Interest-Bearing Accounts$104,398$133,390▲ $28,992
Accounts Receivable$97,279$97,980▲ $701
Savings and Temporary Cash Investments$15,204$18,975▲ $3,771
Prepaid Expenses and Deferred Charges$1,240$839▼ $401
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$1,598,150$997,791▼ $600,359
Liabilities
Accounts Payable and Accrued Expenses$15,272$20,165▲ $4,893
Total Liabilities$15,272$20,165▲ $4,893
Net Assets / Fund Balance
Total Net Assets Fund Balance$1,582,878$977,626▼ $605,252
Total Liabilities and Net Assets / Fund Balance$1,598,150$997,791▼ $600,359
Compensation and Service Providers

Board Members and Trustees

NameTitle
Christopher GriffeyTrustee
Don DetteTrustee
Steve SmithTrustee
William BlankTrustee
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,385,597
Investment Income
$18,410
Other Revenue
$0
Change in Net Assets
$-580,448

Audited Revenue Reconciliation

Revenue per Audited Statements
$1,399,681
Revenue Not Reported on Financial Statements
$4,325
Revenue Not Reported on Form 990
$-24,804
Total Revenue per Audited Statements
$1,374,877
Total Revenue per Form 990
$1,404,006
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$120,009
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
Benefits to Members---$1,864,446
Fees for Services Other---$83,069
Fees for Services Legal---$11,117
Fees for Services Accounting---$7,976
Insurance---$5,230
Fees for Service Investment Mgmnt Fees---$4,325
Other Expenses---$3,195
Conferences and Meetings---$2,846
Office Expenses---$2,251
Total Functional Expenses$0$0$0$1,984,455

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$1,984,455
Expenses per Audited Statements$1,980,130
Total Expenses per Audited Statements$1,980,130
Expenses Not Reported on Financial Statements$4,325
Expenses Not Reported on Form 990$0
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
Annual disclosure for covered persons
Yes
Audit committee
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
No
Management duties delegated
No

Governance Explanations

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

A copy of form 990 is on file at the fund office to be reviewed by the board of trustees. A copy can be emailed or faxed to trustees that cannot come by the fund office. The trustees are notified the the form 990 is ready for review at board meetings.

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

Each officer is required to review the conflict of interest policy and sign the annual conflict of interest statement.

Form 990, Part VI, Section C, Line 19

All are available upon request at the fund office.

Filing and Contact Details

Filer

Filer Name
Sheet Metal Workers of
EIN
56-1172168
Phone
8008314914
Address
2001 CALDWELL DRIVE, GOODLETTSVILLE, TN 37072

Signing Officer

Name
Christopher Griffey
Title
Chairman
Phone
8008314914
Signed
2018-01-30
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Christopher Griffey
Formed
1989
Legal Domicile
Tn
Voting Board Members
4
Independent Board Members
4
Employees
0
Volunteers
0

Preparer

Firm
Carr Riggs & Ingram LLC
Address
3500 PIEDMONT RD SUITE 500, ATLANTA, GA 30305
Preparer
K Shannon Clack
Phone
4042335486
Supplemental Narrative

Financial Statement Notes

PART X, LINE 2:

U.s. Gaap: requires plan management to evaluate tax positions taken by the plan and recognize a tax liability (or asset) if the plan has taken an uncertain position that more likely than not would be sustainable upon examination by the irs. The plan administrator has analyzed the tax positions taken by the plan and has concluded that as of february 28, 2017 there are no uncertain tax positions taken or expected to be takenthat would require recognition of a liability (or asset) or disclosure in the financial statements.

Raw XML Appendix344 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/ActivitiesConductedPrtshpInd00
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
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IRS990/Form990PartVIISectionAGrp/PersonNm1STEVE SMITH
IRS990/Form990PartVIISectionAGrp/PersonNm2CHRISTOPHER GRIFFEY
IRS990/Form990PartVIISectionAGrp/PersonNm3DON DETTE
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
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IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt01404007
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt04
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InsuranceGrp/TotalAmt05230
IRS990/InvestmentIncomeGrp/ExclusionAmt018410
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt018410
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsPubTradedSecGrp/BOYAmt01380029
IRS990/InvestmentsPubTradedSecGrp/EOYAmt0746607
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
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IRS990/LoanOutstandingInd00
IRS990/LocalChaptersInd00
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IRS990/MembersOrStockholdersInd00
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IRS990/PoliticalCampaignActyInd00
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0U.S. GAAP: REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINABLE UPON EXAMINATION BY THE IRS. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT AS OF FEBRUARY 28, 2017 THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKENTHAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0A COPY OF FORM 990 IS ON FILE AT THE FUND OFFICE TO BE REVIEWED BY THE BOARD OF TRUSTEES. A COPY CAN BE EMAILED OR FAXED TO TRUSTEES THAT CANNOT COME BY THE FUND OFFICE. THE TRUSTEES ARE NOTIFIED THE THE FORM 990 IS READY FOR REVIEW AT BOARD MEETINGS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1EACH OFFICER IS REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND SIGN THE ANNUAL CONFLICT OF INTEREST STATEMENT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ALL ARE AVAILABLE UPON REQUEST AT THE FUND OFFICE.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
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IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0A P T INDUSTRIES INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt1CHASE PLUMBING & MECHANICAL
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt2COMFORT CONTROL INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt3CRITCHFIELD MECHANICAL
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt4CROWN CORR INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt5DYNAMIC SYSTEMS INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt6INITIAL SOLUTIONS
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt7KIRK & BLUM MANUFACTURING CO
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt8MCKENNEYS INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt9PETTUS MECHANICAL SERVICES
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt10RF KNOX COMPANY INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt11RAYS' METAL WORKS INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt12RESEARCH AIR FLO INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt13SEMCO
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt14STROMBERG SHEET METAL WORKS INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt15VENTCON INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt16VIKING INDUSTRIAL
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/RelatedOrganizationName/BusinessNameLine1Txt0LEWIS & LAMBERT LLC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0SHEET METAL WORKERS LOCAL 177
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1SHEET METAL WORKERS LOCAL 83
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt2SHEET METAL WORKERS NATIONAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt3SOUTHERN TIER BUILDING TRADES
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt4CAROLINA SHEET METAL
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/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt01598150
IRS990/TotalAssetsEOYAmt0997791
IRS990/TotalAssetsGrp/BOYAmt01598150
IRS990/TotalAssetsGrp/EOYAmt0997791
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt01984455
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt015272
IRS990/TotalLiabilitiesEOYAmt020165
IRS990/TotalLiabilitiesGrp/BOYAmt015272
IRS990/TotalLiabilitiesGrp/EOYAmt020165
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt01582878
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0977626
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceRevenueAmt01385597
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt018410
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt01385597
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt01404007
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt01598150
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0997791
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt02001 CALDWELL DRIVE
IRS990/USAddress/CityNm0GOODLETTSVILLE
IRS990/USAddress/StateAbbreviationCd0TN
IRS990/USAddress/ZIPCd037072
IRS990/VotingMembersGoverningBodyCnt04
IRS990/VotingMembersIndependentCnt04
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02018-03-14 21:41:22Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0CHRISTOPHER GRIFFEY
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CHAIRMAN
ReturnHeader/BusinessOfficerGrp/PhoneNum08008314914
ReturnHeader/BusinessOfficerGrp/SignatureDt02018-01-30
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0SHEET METAL WORKERS OF
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0NORTH CAROLINA HEALTH & WELFARE FUND
ReturnHeader/Filer/BusinessNameControlTxt0SHEE
ReturnHeader/Filer/EIN0561172168
ReturnHeader/Filer/PhoneNum08008314914
ReturnHeader/Filer/USAddress/AddressLine1Txt02001 CALDWELL DRIVE
ReturnHeader/Filer/USAddress/CityNm0GOODLETTSVILLE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0TN
ReturnHeader/Filer/USAddress/ZIPCd037072
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId03A6253DAF6A852B8B3144E973BC34C0B6B7B741B
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0EC133D774EA5142B5D5D773DCB383AB1DF564412
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt099.76.171.161
ReturnHeader/FilingSecurityInformation/IPDt02018-01-30
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0ES
ReturnHeader/FilingSecurityInformation/IPTm009:33:19
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0721396621
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CARR RIGGS & INGRAM LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt03500 PIEDMONT RD SUITE 500
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0ATLANTA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0GA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd030305
ReturnHeader/PreparerPersonGrp/PhoneNum04042335486
ReturnHeader/PreparerPersonGrp/PreparationDt02018-01-26
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0K SHANNON CLACK
ReturnHeader/ReturnTs02018-01-30T11:39:01-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02016-03-01
ReturnHeader/TaxPeriodEndDt02017-02-28
ReturnHeader/TaxYr02016

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