Civic Intelligence

Southeastern Regional Medical

EIN 56-1348528 • 501(c)3 • Lumberton, NC

Profile

To organize community efforts which assist in the growth and the development of quality health care provided by southeastern regional medical center.

PO Box 1408Lumberton, NC 28359

www.unchealthsoutheastern.org

Siviq Scores

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

Liabilities / Assets

9th percentile

0.00x

Higher debt load relative to assets than 9% of similar nonprofits.

NTEE E • $5M-$10M nonprofits • Source year 2024

Liabilities / Revenue

11th percentile

0.00x

Higher debt load relative to revenue than 11% of similar nonprofits.

NTEE E • $5M-$10M nonprofits • Source year 2024

Net Margin

10th percentile

-46%

Higher net margin than 10% of similar nonprofits.

NTEE E • $5M-$10M nonprofits • Source year 2024

Top Officer Pay

16th percentile

$0

Higher top officer pay than 16% of similar nonprofits.

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

NTEE E • $5M-$10M nonprofits • Source year 2024

Asset Growth

20th percentile

-5.1%

Faster asset growth than 20% of similar nonprofits.

NTEE E • $5M-$10M nonprofits • Annualized from 2023 to 2024

Revenue Growth

14th percentile

-26%

Faster revenue growth than 14% of similar nonprofits.

NTEE E • $5M-$10M nonprofits • Annualized from 2023 to 2024

Assets

Down

$6,913,264

Down $370,131 (-5.1%) from 2023

Liabilities

Up

$6,584

Up $6,584 from 2023

Net Assets

Down

$6,906,680

Down $376,715 (-5.2%) from 2023

Revenue

Down

$1,370,440

Down $475,802 (-26%) from 2023

Expenses

Up

$2,003,282

Up $1,043,548 (+109%) from 2023

Net Income

Down

-$632,842

Down $1,519,350 (-171%) from 2023

Trend Graphs

Balance Sheet Trend

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

$10M$5.0M$0Assets 2010: $2,517,898Liabilities 2010: $258,377Net Assets 2010: $2,259,5212010Assets 2011: $3,535,777Liabilities 2011: $250,000Net Assets 2011: $3,285,7772011Assets 2012: $3,422,139Liabilities 2012: $0Net Assets 2012: $3,422,1392012Assets 2013: $3,449,449Liabilities 2013: $0Net Assets 2013: $3,449,4492013Assets 2014: $3,814,361Liabilities 2014: $0Net Assets 2014: $3,814,3612014Assets 2015: $3,974,238Liabilities 2015: $0Net Assets 2015: $3,974,2382015Assets 2016: $4,842,193Liabilities 2016: $0Net Assets 2016: $4,842,1932016Assets 2017: $5,237,111Liabilities 2017: $0Net Assets 2017: $5,237,1112017Assets 2018: $5,914,764Liabilities 2018: $0Net Assets 2018: $5,914,7642018Assets 2019: $7,104,669Liabilities 2019: $0Net Assets 2019: $7,104,6692019Assets 2020: $7,546,650Liabilities 2020: $30,278Net Assets 2020: $7,516,3722020Assets 2021: $8,593,435Liabilities 2021: $24,913Net Assets 2021: $8,568,5222021Assets 2022: $8,323,064Liabilities 2022: $0Net Assets 2022: $8,323,0642022Assets 2023: $7,283,395Liabilities 2023: $0Net Assets 2023: $7,283,3952023Assets 2024: $6,913,264Liabilities 2024: $6,584Net Assets 2024: $6,906,6802024

Highlighted filing

2024

Assets$6,913,264
Liabilities$6,584
Net Assets$6,906,680

Operations Trend

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

$3.0M$2.0M$1.0M$0-$1.0MExpenses 2010: $715,8352010Expenses 2011: $470,5302011Expenses 2012: $750,5852012Expenses 2013: $645,3852013Revenue 2014: $1,798,699Expenses 2014: $1,091,384Net Income 2014: $707,3152014Revenue 2015: $1,803,697Expenses 2015: $56,640Net Income 2015: $1,747,0572015Revenue 2016: $1,551,848Expenses 2016: $680,489Net Income 2016: $871,3592016Revenue 2017: $1,233,166Expenses 2017: $884,261Net Income 2017: $348,9052017Revenue 2018: $1,156,582Expenses 2018: $775,006Net Income 2018: $381,5762018Revenue 2019: $1,881,625Expenses 2019: $1,334,830Net Income 2019: $546,7952019Revenue 2020: $1,867,310Expenses 2020: $1,371,737Net Income 2020: $495,5732020Revenue 2021: $2,367,491Expenses 2021: $1,437,417Net Income 2021: $930,0742021Revenue 2022: $655,053Expenses 2022: $1,053,210Net Income 2022: -$398,1572022Revenue 2023: $1,846,242Expenses 2023: $959,734Net Income 2023: $886,5082023Revenue 2024: $1,370,440Expenses 2024: $2,003,282Net Income 2024: -$632,8422024

Highlighted filing

2024

Revenue$1,370,440
Expenses$2,003,282
Net Income-$632,842

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$6.91$0.01$6.91$1.37$2.00$0.63
2023Detailed filing. Detailed filing data is available for this year.$7.28$0.00$7.28$1.85$0.96$0.89
2022Detailed filing. Detailed filing data is available for this year.$8.32$0.00$8.32$0.66$1.05$0.40
2021Detailed filing. Detailed filing data is available for this year.$8.59$0.02$8.57$2.37$1.44$0.93
2020Detailed filing. Detailed filing data is available for this year.$7.55$0.03$7.52$1.87$1.37$0.50
2019Detailed filing. Detailed filing data is available for this year.$7.10$0.00$7.10$1.88$1.33$0.55
2018Detailed filing. Detailed filing data is available for this year.$5.91$0.00$5.91$1.16$0.78$0.38
2017Detailed filing. Detailed filing data is available for this year.$5.24$0.00$5.24$1.23$0.88$0.35
2016Detailed filing. Detailed filing data is available for this year.$4.84$0.00$4.84$1.55$0.68$0.87
2015Detailed filing. Detailed filing data is available for this year.$3.97$0.00$3.97$1.80$0.06$1.75
2014Detailed filing. Detailed filing data is available for this year.$3.81$0.00$3.81$1.80$1.09$0.71
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.45$0.00$3.45$0.65
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.42$0.00$3.42$0.75
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.54$0.25$3.29$0.47
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.52$0.26$2.26$0.72
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
Apr 30, 2025
Return Version
2023v6.0
Gross Receipts
$1,485,336
Mission and Program Overview

Mission

Here for you. Here for good. To provide exceptional care for our diverse region, to provide the highest quality standards in a safe environment, and to provide compassionate care provided by a committed team.

To organize community efforts which assist in the growth and the development of quality health care provided by southeastern regional medical center.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$5,194,666$5,918,068▲ $723,402
Cash and Non-Interest-Bearing Accounts$2,055,862$992,696▼ $1,063,166
Accounts Receivable$32,867$2,500▼ $30,367
Total Assets$7,283,395$6,913,264▼ $370,131
Liabilities
Accounts Payable and Accrued Expenses-$6,584-
Total Liabilities$0$6,584▲ $6,584
Net Assets / Fund Balance
Net Assets With Donor Restrictions$5,709,767$6,090,279▲ $380,512
Net Assets Without Donor Restrictions$1,573,628$816,401▼ $757,227
Total Net Assets Fund Balance$7,283,395$6,906,680▼ $376,715
Total Liabilities and Net Assets / Fund Balance$7,283,395$6,913,264▼ $370,131
Compensation and Service Providers
Revenue and Support

Revenue Composition

Contributions and Grants
$569,698
Program Service Revenue
$0
Investment Income
$619,429
Other Revenue
$181,313
All Other Contributions
$569,698
Change in Net Assets
$-632,842
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,003,282
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
Other Expenses$2,003,282--$2,003,282
Total Functional Expenses$2,003,282$0$0$2,003,282
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$296,209
Fundraising Direct Expenses$114,896
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Gala Ball$214,038$214,038$88,452$125,586
Boots & Bbq$44,275$44,275$17,148$27,127
Total Events$296,209$296,209$114,896$181,313
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
Annual disclosure for covered persons
Yes
Audit committee
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
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

Reviewed by officers before form 990 filed

Form 990, Page 6, Part VI, Line 12C

A copy of southeastern regional medical center's (center) conflict of interest policy along with a statement of conflict of interest is given to the center's officers, directors, trustees and key employees annually to review and sign. If any disclosures are made, discussions with the interested person occur and then he or she leaves the meeting, at which time the remaining board or committee members decide if a conflict of interest exists. If a conflict of interest is determined to exist, the board determines whether the center can obtain a more advantageous transaction or arrangement with reasonable efforts from a person or entity that would not give rise to a conflict of interest. If that is not reasonably attainable, the board or committee, by a majority vote of disinterested directors, shall determine whether the transaction or arrangement is in the center's best interest, for its own benefit, and whether the transaction is fair and reasonable to the center.

Form 990, Page 6, Part VI, Line 15A

The ceo and vice president positions were evaluated by a separate compensation committee and an independent consulting firm. The executive compensation philosophy was updated. Information was gathered on competitive practices and a reasonable compensation plan was determined. Actions of the committee are approved regularly and is based on the organization's rebuttable presumption policy that requires the committee to exercise the diligence needed to meet the requirements for the presumption of reasonableness.

Form 990, Page 6, Part VI, Line 15B

SAME AS ABOVE

Form 990, Page 6, Part VI, Line 19

Various governing documents are made available to the general public using srmc's website, other website, and providing copies upon request.

Filing and Contact Details

Filer

Filer Name
Southeastern Regional Medical
EIN
56-1348528
Phone
9106715090
Address
PO BOX 1408, LUMBERTON, NC 28359

Signing Officer

Name
Sara Bradley
Title
VP-finance, CFO
Phone
9106715000
Signed
2025-04-30
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Chris Ellington
Formed
1983
Legal Domicile
Nc
Voting Board Members
17
Independent Board Members
16
Employees
0

Preparer

Firm
S Preston Douglas & Associates Llp
Address
PO BOX 2339, LUMBERTON, NC 28359-2339
Preparer
John L Grissom Jr
Phone
9107397523
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Transfers to parent organization 256,127 transfers from parent organization 0 total 256,127

Financial Statement Notes

Schedule D, Page 2, Part V, Line 4

Permanently restricted funds - only earnings are available to be spent as per the restricted donor's intended purposes as they relate to patient care.

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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/NoDonorRestrictionNetAssetsGrp/EOYAmt0816401
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IRS990/Organization501c3Ind0X
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IRS990/OtherChangesInNetAssetsAmt0256127
IRS990/OtherExpensesGrp/Desc0OTHER OPERATING EXPENSE
IRS990/OtherExpensesGrp/ProgramServicesAmt02003282
IRS990/OtherExpensesGrp/TotalAmt02003282
IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0CHRIS ELLINGTON
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IRS990/PYContributionsGrantsAmt0990798
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IRS990/PYTotalRevenueAmt01846242
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IRS990/QuidProQuoContriDisclInd0true
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IRS990/ReconcilationRevenueExpnssAmt0-632842
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
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IRS990/ReportLandBuildingEquipmentInd0false
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt02259409
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0SOUTHEASTERN REGIONAL MEDICAL CENTER
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine2Txt0SOUTHEASTERN REGIONAL MEDICAL CENTER
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0PERMANENTLY RESTRICTED FUNDS - ONLY EARNINGS ARE AVAILABLE TO BE SPENT AS PER THE RESTRICTED DONOR'S INTENDED PURPOSES AS THEY RELATE TO PATIENT CARE.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 2, PART V, LINE 4
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt0114896
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0GALA BALL
IRS990ScheduleG/FundraisingEventInformationGrp/Event2Nm0BOOTS & BBQ
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt0214038
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt044275
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsOtherEventsAmt037896
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt0296209
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt0214038
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent2Amt044275
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueOtherEventsAmt037896
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt0296209
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt0181313
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssOtherEventsAmt09296
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt0114896
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt088452
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent2Amt017148
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0REVIEWED BY OFFICERS BEFORE FORM 990 FILED
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1A COPY OF SOUTHEASTERN REGIONAL MEDICAL CENTER'S (CENTER) CONFLICT OF INTEREST POLICY ALONG WITH A STATEMENT OF CONFLICT OF INTEREST IS GIVEN TO THE CENTER'S OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ANNUALLY TO REVIEW AND SIGN. IF ANY DISCLOSURES ARE MADE, DISCUSSIONS WITH THE INTERESTED PERSON OCCUR AND THEN HE OR SHE LEAVES THE MEETING, AT WHICH TIME THE REMAINING BOARD OR COMMITTEE MEMBERS DECIDE IF A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE BOARD DETERMINES WHETHER THE CENTER CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF THAT IS NOT REASONABLY ATTAINABLE, THE BOARD OR COMMITTEE, BY A MAJORITY VOTE OF DISINTERESTED DIRECTORS, SHALL DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CENTER'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE CENTER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE CEO AND VICE PRESIDENT POSITIONS WERE EVALUATED BY A SEPARATE COMPENSATION COMMITTEE AND AN INDEPENDENT CONSULTING FIRM. THE EXECUTIVE COMPENSATION PHILOSOPHY WAS UPDATED. INFORMATION WAS GATHERED ON COMPETITIVE PRACTICES AND A REASONABLE COMPENSATION PLAN WAS DETERMINED. ACTIONS OF THE COMMITTEE ARE APPROVED REGULARLY AND IS BASED ON THE ORGANIZATION'S REBUTTABLE PRESUMPTION POLICY THAT REQUIRES THE COMMITTEE TO EXERCISE THE DILIGENCE NEEDED TO MEET THE REQUIREMENTS FOR THE PRESUMPTION OF REASONABLENESS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3SAME AS ABOVE
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4VARIOUS GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE GENERAL PUBLIC USING SRMC'S WEBSITE, OTHER WEBSITE, AND PROVIDING COPIES UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5TRANSFERS TO PARENT ORGANIZATION 256,127 TRANSFERS FROM PARENT ORGANIZATION 0 TOTAL 256,127
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 15B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART XI, LINE 9
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IRS990/SubjectToProxyTaxInd0false
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IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt07283395
IRS990/TotalAssetsEOYAmt06913264
IRS990/TotalAssetsGrp/BOYAmt07283395
IRS990/TotalAssetsGrp/EOYAmt06913264
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IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt02003282
IRS990/TotalFunctionalExpensesGrp/TotalAmt02003282
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt06584
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt06584
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt07283395
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt06906680
IRS990/TotalProgramServiceExpensesAmt02003282
IRS990/TotalRevenueGrp/ExclusionAmt0181313
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0619429
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt01370440
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt07283395
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt06913264
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0PO BOX 1408
IRS990/USAddress/CityNm0LUMBERTON
IRS990/USAddress/StateAbbreviationCd0NC
IRS990/USAddress/ZIPCd028359
IRS990/VotingMembersGoverningBodyCnt017
IRS990/VotingMembersIndependentCnt016
IRS990/WebsiteAddressTxt0WWW.UNCHEALTHSOUTHEASTERN.ORG
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0SARA BRADLEY
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0VP-FINANCE, CFO
ReturnHeader/BusinessOfficerGrp/PhoneNum09106715000
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-04-30
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0SOUTHEASTERN REGIONAL MEDICAL
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0CENTER FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0SOUT
ReturnHeader/Filer/EIN0561348528
ReturnHeader/Filer/PhoneNum09106715090
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 1408
ReturnHeader/Filer/USAddress/CityNm0LUMBERTON
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NC
ReturnHeader/Filer/USAddress/ZIPCd028359
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0false
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0560731535
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0S PRESTON DOUGLAS & ASSOCIATES LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0PO BOX 2339
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0LUMBERTON
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0283592339
ReturnHeader/PreparerPersonGrp/PhoneNum09107397523
ReturnHeader/PreparerPersonGrp/PreparationDt02025-05-13
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0JOHN L GRISSOM JR
ReturnHeader/ReturnTs02025-05-13T08:06:43-04:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02023-07-01
ReturnHeader/TaxPeriodEndDt02024-06-30
ReturnHeader/TaxYr02023

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