Civic Intelligence

Perry Park Neighborhood Clinic Inc

EIN 56-2661674 • 501(c)3 • Brunswick, GA

Profile

Healthcare and Health Educational Services The Perry Park Clinic was created to provide high quality health care to all, regardless of ability to pay. It serves uninsured, underinsured and low income patients. We believe that everyone should have a healthy life.

2211 Bartow StreetBrunswick, GA 31520

n/A

Siviq Scores

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

Liabilities / Assets

60th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2017

Liabilities / Revenue

62nd percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2017

Net Margin

63rd percentile

9.6%

Higher net margin than 63% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2017

Top Officer Pay

83rd percentile

$5,407

Higher top officer pay than 83% of similar nonprofits.

Top officer pay equals 27.5% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2017

Asset Growth

59th percentile

2.6%

Faster asset growth than 59% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2016 to 2017

Revenue Growth

10th percentile

-80%

Faster revenue growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2016 to 2017

Assets

Up

$14,710

Up $372 (+2.6%) from 2016

Liabilities

Down

$0

Down $1,522 (-100%) from 2016

Net Assets

Up

$14,710

Up $1,894 (+15%) from 2016

Revenue

Down

$19,640

Down $77,551 (-80%) from 2016

Expenses

Down

$17,746

Down $71,192 (-80%) from 2016

Net Income

Down

$1,894

Down $6,359 (-77%) from 2016

Trend Graphs

Balance Sheet Trend

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

$20K$15K$10K$5.0K$0Assets 2010: $3,934Liabilities 2010: $02010Assets 2011: $15,328Liabilities 2011: $02011Assets 2012: $14,352Liabilities 2012: $02012Assets 2013: $11,980Liabilities 2013: $0Net Assets 2013: $11,9802013Assets 2014: $13,303Liabilities 2014: $0Net Assets 2014: $13,3032014Assets 2015: $9,685Liabilities 2015: $5,122Net Assets 2015: $4,5632015Assets 2016: $14,338Liabilities 2016: $1,522Net Assets 2016: $12,8162016Assets 2017: $14,710Liabilities 2017: $0Net Assets 2017: $14,7102017

Highlighted filing

2017

Assets$14,710
Liabilities$0
Net Assets$14,710

Operations Trend

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

$150K$100K$50K$0-$50KRevenue 2010: $35,680Expenses 2010: $34,042Net Income 2010: $1,6382010Revenue 2011: $46,142Expenses 2011: $37,463Net Income 2011: $8,6792011Revenue 2012: $45,268Expenses 2012: $46,244Net Income 2012: -$9762012Revenue 2013: $61,941Expenses 2013: $64,313Net Income 2013: -$2,3722013Revenue 2014: $80,655Expenses 2014: $79,332Net Income 2014: $1,3232014Revenue 2015: $113,600Expenses 2015: $122,340Net Income 2015: -$8,7402015Revenue 2016: $97,191Expenses 2016: $88,938Net Income 2016: $8,2532016Revenue 2017: $19,640Expenses 2017: $17,746Net Income 2017: $1,8942017

Highlighted filing

2017

Revenue$19,640
Expenses$17,746
Net Income$1,894

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Mar 16, 2018
Return Version
2017v2.2
Gross Receipts
$19,640
Mission and Program Overview

Mission

Healthcare and Health Educational Services The Perry Park Clinic was created to provide high quality health care to all, regardless of ability to pay. It serves uninsured, underinsured and low income patients. We believe that everyone should have a healthy life.

Healthcare and Health Educational Services

Program Services

DescriptionGrantsExpenses
Primary Care Services 897 clinic visits for primary care by uninsured individuals--
Health Educational Services Participate in three community health fair Free Screening--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Cathy Slay-ChippExecutiveFT$5,407-$5,407
Royal G ChippVice-Chairman-$0--
Kathie CarrollSecretary-$0--
Kim MasseyTreasurer-$0--
Filing and Contact Details

Filer

Filer Name
Perry Park Neighborhood Clinic Inc
EIN
56-2661674
Phone
9122658131
Address
2211 BARTOW STREET, BRUNSWICK, GA 31520

Signing Officer

Name
Cathy Slay-Chipp
Title
President
Signed
2018-03-16
Discuss with paid preparer
No

Preparer

Firm
Henry And Associates
Address
P O Box 682, Brunswick, GA 31521
Preparer
Henry Phillips
Phone
9122644848
Supplemental Narrative

Additional Explanations

Form 990-EZ, Part I, Line 16, Other Expenses

Meals and entertainment 140

Form 990-EZ, Part I, Line 16, Other Expenses

Supplies 1,586

Form 990-EZ, Part I, Line 16, Other Expenses

Telephone 2,455

Form 990-EZ, Part I, Line 16, Other Expenses

Taxes 564

Form 990-EZ, Part I, Line 16, Other Expenses

License and Permits 350

Form 990-EZ, Part I, Line 16, Other Expenses

Repairs Maintenance 1,600

Form 990-EZ, Part I, Line 16, Other Expenses

Postage 10

Form 990-EZ, Part I, Line 16, Other Expenses

Answering Service 350

Form 990-EZ, Part I, Line 16, Other Expenses

Bank Charges 315

Form 990-EZ, Part I, Line 16, Other Expenses

Security Service 120

Form 990-EZ, Part I, Line 16, Other Expenses

Medical Supplies 5,209

Form 990-EZ, Part I, Line 16, Other Expenses

Office Supplies 1,323

Form 990-EZ, Part I, Line 16, Other Expenses

Payroll Processing Fees 826

Form 990-EZ, Part II, Line 24, Other Assets

Medical Hearing Booth Beginning of year 8,679, End of year 8,679

Form 990-EZ, Part II, Line 26, Liabilities

PAYROLL TAXES PAYABLE Beginning of year 1,522, End of year 0

Raw XML Appendix197 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.

Path#Value
CompensationExplanation/CompensationExplanationGrp/PersonNm0Cathy Slay-Chipp
CompensationExplanation/CompensationExplanationGrp/ShortExplanationTxt0Salaries
IRS990EZ/ActivitiesNotPreviouslyRptInd0false
IRS990EZ/BooksInCareOfDetail/PersonNm0CATHY SLAY-CHIPP
IRS990EZ/BooksInCareOfDetail/PhoneNum09122658131
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt02211 BARTOW STREET
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0BRUNSWICK
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0GA
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd031520
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt05659
IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt01894
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd0false
IRS990EZ/DonorAdvisedFndsInd0false
IRS990EZ/EngagedInExcessBenefitTransInd0false
IRS990EZ/ExcessOrDeficitForYearAmt01894
IRS990EZ/FeesAndOtherPymtToIndCntrctAmt0150
IRS990EZ/FiledScheduleAInd0true
IRS990EZ/ForeignFinancialAccountInd0false
IRS990EZ/ForeignOfficeInd0false
IRS990EZ/Form1120PolFiledInd0false
IRS990EZ/Form720FiledInd0false
IRS990EZ/Form990TotalAssetsGrp/BOYAmt014338
IRS990EZ/Form990TotalAssetsGrp/EOYAmt014710
IRS990EZ/GrossReceiptsAmt019640
IRS990EZ/InfoInScheduleOPartIIInd0X
IRS990EZ/InfoInScheduleOPartIInd0X
IRS990EZ/LandAndBuildingsGrp/EOYAmt04137
IRS990EZ/LobbyingActivitiesInd0false
IRS990EZ/MadeLoansToFromOfficersInd0false
IRS990EZ/MethodOfAccountingCashInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt012816
IRS990EZ/NetAssetsOrFundBalancesEOYAmt014710
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt012816
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt014710
IRS990EZ/OccupancyRentUtltsAndMaintAmt0777
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt0040.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt1002.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt2002.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt3000.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt05407
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0Cathy Slay-Chipp
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1Royal G Chipp
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2Kathie Carroll
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3Kim Massey
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0Executive
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1Vice-Chairman
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2Secretary
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3Treasurer
IRS990EZ/OperateHospitalInd0false
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd0false
IRS990EZ/OrganizationFiled990TInd0false
IRS990EZ/OrganizationHadUBIInd0false
IRS990EZ/OtherAssetsTotalDetail/BOYAmt08679
IRS990EZ/OtherAssetsTotalDetail/EOYAmt08679
IRS990EZ/OtherExpensesTotalAmt014848
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd0false
IRS990EZ/PrimaryExemptPurposeTxt0Healthcare and Health Educational Services
IRS990EZ/ProgramServiceRevenueAmt019640
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0Primary Care Services 897 clinic visits for primary care by uninsured individuals
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt1Health Educational Services Participate in three community health fair Free Screening
IRS990EZ/ProhibitedTaxShelterTransInd0false
IRS990EZ/RelatedOrganizationCtrlEntInd0false
IRS990EZ/RelatedOrgSect527OrgInd0false
IRS990EZ/SalariesOtherCompEmplBnftAmt01971
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SchoolOperatingInd0false
IRS990EZ/SubjectToProxyTaxInd0false
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt01522
IRS990EZ/TanningServicesProvidedInd0false
IRS990EZ/TaxImposedUnderIRC4911Amt00
IRS990EZ/TaxImposedUnderIRC4912Amt00
IRS990EZ/TaxImposedUnderIRC4955Amt00
IRS990EZ/TotalExpensesAmt017746
IRS990EZ/TotalRevenueAmt019640
IRS990EZ/TransactionWithControlEntInd0false
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0www.perryparkclinicbellsouth.net
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt01500
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt010600
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt03300
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt07554
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt022954
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt01500
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt010600
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt03300
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt07554
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt022954
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt00
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt095691
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt0102999
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt077355
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt054383
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt0330428
IRS990ScheduleA/InvestmentIncomeCYPct00.00000
IRS990ScheduleA/NetIncomeFromOtherUBIGrp/TotalAmt00
IRS990ScheduleA/OtherIncome509Grp/TotalAmt00
IRS990ScheduleA/Post1975UBTIGrp/TotalAmt00
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY170Pct01.00000
IRS990ScheduleA/PublicSupportCY509Pct01.00000
IRS990ScheduleA/PublicSupportPY170Pct01.00000
IRS990ScheduleA/PublicSupportPY509Pct01.00000
IRS990ScheduleA/PublicSupportTotal170Amt0353382
IRS990ScheduleA/PublicSupportTotal509Amt0353382
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft170Grp/CurrentTaxYearMinus1YearAmt095691
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft170Grp/CurrentTaxYearMinus2YearsAmt0102999
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft170Grp/CurrentTaxYearMinus3YearsAmt077355
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft170Grp/CurrentTaxYearMinus4YearsAmt054383
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft170Grp/TotalAmt0330428
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt097191
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0113599
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt080655
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt061937
IRS990ScheduleA/Total509Grp/TotalAmt0353382
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt097191
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0113599
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt080655
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt061937
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0353382
IRS990ScheduleA/TotalSupportAmt0353382
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt097191
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0113599
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt080655
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt061937
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0353382
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Meals and entertainment 140
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Supplies 1,586
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Telephone 2,455
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Taxes 564
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4License and Permits 350
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5Repairs Maintenance 1,600
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6Postage 10
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7Answering Service 350
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8Bank Charges 315
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9Security Service 120
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10Medical Supplies 5,209
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt11Office Supplies 1,323
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt12Payroll Processing Fees 826
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt13Medical Hearing Booth Beginning of year 8,679, End of year 8,679
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt14PAYROLL TAXES PAYABLE Beginning of year 1,522, End of year 0
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990-EZ, Part I, Line 16, Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990-EZ, Part I, Line 16, Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990-EZ, Part I, Line 16, Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990-EZ, Part I, Line 16, Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990-EZ, Part I, Line 16, Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990-EZ, Part I, Line 16, Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990-EZ, Part I, Line 16, Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Form 990-EZ, Part I, Line 16, Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8Form 990-EZ, Part I, Line 16, Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9Form 990-EZ, Part I, Line 16, Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc10Form 990-EZ, Part I, Line 16, Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc11Form 990-EZ, Part I, Line 16, Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc12Form 990-EZ, Part I, Line 16, Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc13Form 990-EZ, Part II, Line 24, Other Assets
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc14Form 990-EZ, Part II, Line 26, Liabilities
ReturnHeader/BuildTS02018-06-14 16:35:46Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0false
ReturnHeader/BusinessOfficerGrp/PersonNm0Cathy Slay-Chipp
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0President
ReturnHeader/BusinessOfficerGrp/SignatureDt02018-03-16
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0PERRY PARK NEIGHBORHOOD CLINIC INC
ReturnHeader/Filer/BusinessNameControlTxt0PERR
ReturnHeader/Filer/EIN0562661674
ReturnHeader/Filer/PhoneNum09122658131
ReturnHeader/Filer/USAddress/AddressLine1Txt02211 BARTOW STREET
ReturnHeader/Filer/USAddress/CityNm0BRUNSWICK
ReturnHeader/Filer/USAddress/StateAbbreviationCd0GA
ReturnHeader/Filer/USAddress/ZIPCd031520
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId024BE05B10E6190270653A861B72C73B3BD32BAC9
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId024BE05B10E6190270653A861B72C73B3BD32BAC9
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt067.187.56.174
ReturnHeader/FilingSecurityInformation/IPDt02018-03-16
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0ED
ReturnHeader/FilingSecurityInformation/IPTm013:42:40
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Henry And Associates
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0P O Box 682
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Brunswick
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0GA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd031521
ReturnHeader/PreparerPersonGrp/PhoneNum09122644848
ReturnHeader/PreparerPersonGrp/PreparationDt02018-03-16
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Henry Phillips
ReturnHeader/ReturnTs02018-03-16T02:26:19-00:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02017-01-01
ReturnHeader/TaxPeriodEndDt02017-12-31
ReturnHeader/TaxYr02017

Document Assets

No mirrored PDF or thumbnail assets are attached yet.