Civic Intelligence

Cannon Memorial Hospital Foundation

EIN 57-0943822 • 501(c)3 • Pickens, SC

Profile

We pledge careful stewardship of your funds, and a commitment and responsiveness to our community's immediate and emerging health care needs through the quality of health care provided by cannon memorial hospital.

PO Box 188Pickens, SC 29671-0188

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 2021

Liabilities / Revenue

62nd percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2021

Net Margin

5th percentile

-339%

Higher net margin than 5% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2021

Top Officer Pay

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

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

501(c)3 • <$500k nonprofits • Source year 2021

Asset Growth

31st percentile

-22%

Faster asset growth than 31% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2020 to 2021

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2020 to 2021

Assets

Down

$114,027

Down $32,470 (-22%) from 2020

Liabilities

Flat

$0

Flat from 2020

Net Assets

Down

$114,027

Down $32,470 (-22%) from 2020

Revenue

Up

$9,580

Up $16,476 (+239%) from 2020

Expenses

Up

$42,050

Up $41,010 (+3943%) from 2020

Net Income

Down

-$32,470

Down $24,534 (-309%) from 2020

Trend Graphs

Balance Sheet Trend

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

$600K$400K$200K$0Assets 2010: $549,051Liabilities 2010: $100,000Net Assets 2010: $449,0512010Assets 2011: $466,025Liabilities 2011: $0Net Assets 2011: $466,0252011Assets 2012: $496,453Liabilities 2012: $0Net Assets 2012: $496,4532012Assets 2013: $365,951Liabilities 2013: $0Net Assets 2013: $365,9512013Assets 2014: $425,592Liabilities 2014: $0Net Assets 2014: $425,5922014Assets 2015: $276,078Net Assets 2015: $276,0782015Assets 2016: $250,348Net Assets 2016: $250,3482016Assets 2017: $138,556Net Assets 2017: $138,5562017Assets 2018: $144,203Net Assets 2018: $144,2032018Assets 2019: $155,141Liabilities 2019: $0Net Assets 2019: $155,1412019Assets 2020: $146,497Liabilities 2020: $0Net Assets 2020: $146,4972020Assets 2021: $114,027Liabilities 2021: $0Net Assets 2021: $114,0272021

Highlighted filing

2021

Assets$114,027
Liabilities$0
Net Assets$114,027

Operations Trend

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

$200K$100K$0-$100K-$200KExpenses 2010: $106,7972010Expenses 2011: $69,6062011Expenses 2012: $107,6552012Revenue 2013: $31,616Expenses 2013: $173,231Net Income 2013: -$141,6152013Revenue 2014: $107,336Expenses 2014: $46,599Net Income 2014: $60,7372014Revenue 2015: -$53,398Expenses 2015: $94,660Net Income 2015: -$148,0582015Revenue 2016: $2,147Expenses 2016: $28,227Net Income 2016: -$26,0802016Revenue 2017: $27,157Expenses 2017: $139,664Net Income 2017: -$112,5072017Revenue 2018: $30,088Expenses 2018: $23,315Net Income 2018: $6,7732018Revenue 2019: $20,785Expenses 2019: $10,676Net Income 2019: $10,1092019Revenue 2020: -$6,896Expenses 2020: $1,040Net Income 2020: -$7,9362020Revenue 2021: $9,580Expenses 2021: $42,050Net Income 2021: -$32,4702021

Highlighted filing

2021

Revenue$9,580
Expenses$42,050
Net Income-$32,470

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
Nov 15, 2022
Return Version
2021v4.2
Gross Receipts
$9,580
Mission and Program Overview

Mission

We pledge careful stewardship of your funds, and a commitment and responsiveness to our community's immediate and emerging health care needs through the quality of health care provided by cannon memorial hospital.

We pledge careful stewardship of your funds, and a commitment and responsiveness to our community's immediate and emerging health care needs through the quality of health care provided by anmed health cannon.

Program Services

DescriptionGrantsExpenses
THE FOUNDATION PROVIDED FUNDS TO THE CITY OF PICKENS IN SUPPORT OF THE DOODLE TRAIL WHICH IS A WALKING TRAIL TO SUPPORT COMMUNITY HEALTH$42,000$42,000
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
ELIZABETH M HOLDERChair-$0--
BURNETT KELLYVice Chair-$0--
NORM RENTZTreasurer-$0--
SEAN HINTONBoard Member-$0--
LINDA S CASSELLBoard Member-$0--
MARY BEELOWBoard Member-$0--
ALEX GETTYS JRSecretary-$0--
DONNA OWENBoard Member-$0--
TIM SELFEd Ah Foundation- Ex-Officio-$0--
Filing and Contact Details

Filer

Filer Name
Cannon Memorial Hospital Foundation
EIN
57-0943822
Phone
8648788360
Address
PO BOX 188, PICKENS, SC 29671-0188

Signing Officer

Name
Norman Rentz
Title
Treasurer
Phone
8648788360
Signed
2022-11-15
Discuss with paid preparer
Yes

Preparer

Firm
Forvis Llp
Address
500 RIDGEFIELD COURT, ASHEVILLE, NC 28806
Preparer
Amy Bibby
Phone
8282542254
Supplemental Narrative

Additional Explanations

Form 990-ez, Part I, Line 8 - Other Revenue

Description: reimbursement check. Amount: 1,500.

Form 990-ez, Part I, Line 10 - Grants and Similar Amounts Paid

Activity classification: charitable support. Grantee name: city of pickens . Grantee address: 219 pendleton street pickens, sc 29671. Grantee relationship: none. Amount given: 42,000.

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

Description: sc secretary of state. Amount: 50.

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

Description: edward jones account. Beg. Of year amount: 54,101. End of year amount: 54,101. Description: td ameritrade account. Beg. Of year amount: 445. End of year amount: 445.

Raw XML Appendix190 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
IRS990EZ/ActivitiesNotPreviouslyRptInd00
IRS990EZ/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0SHON HERRON
IRS990EZ/BooksInCareOfDetail/PhoneNum08648788360
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt0PO BOX 188
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0PICKENS
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0SC
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd029671
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt091951
IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt059481
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd00
IRS990EZ/ContributionsGiftsGrantsEtcAmt08080
IRS990EZ/DirectIndirectPltclExpendAmt00
IRS990EZ/DonorAdvisedFndsInd00
IRS990EZ/EngagedInExcessBenefitTransInd00
IRS990EZ/ExcessOrDeficitForYearAmt0-32470
IRS990EZ/FiledScheduleAInd01
IRS990EZ/ForeignFinancialAccountInd00
IRS990EZ/ForeignOfficeInd00
IRS990EZ/Form990TotalAssetsGrp/BOYAmt0146497
IRS990EZ/Form990TotalAssetsGrp/EOYAmt0114027
IRS990EZ/GrantsAndSimilarAmountsPaidAmt042000
IRS990EZ/GrossReceiptsAmt09580
IRS990EZ/InfoInScheduleOPartIIIInd0X
IRS990EZ/InfoInScheduleOPartIIInd0X
IRS990EZ/InfoInScheduleOPartIInd0X
IRS990EZ/InfoInScheduleOPartVInd0X
IRS990EZ/LobbyingActivitiesInd00
IRS990EZ/MadeLoansToFromOfficersInd00
IRS990EZ/MethodOfAccountingAccrualInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt0146497
IRS990EZ/NetAssetsOrFundBalancesEOYAmt0114027
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt0146497
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt0114027
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt01.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt11.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt21.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt31.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt41.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt51.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt61.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt71.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt81.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0ELIZABETH M HOLDER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1BURNETT KELLY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2NORM RENTZ
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3SEAN HINTON
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4LINDA S CASSELL
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm5MARY BEELOW
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm6ALEX GETTYS JR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm7DONNA OWEN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm8TIM SELF
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0CHAIR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1VICE CHAIR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2TREASURER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3BOARD MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4BOARD MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt5BOARD MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt6SECRETARY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt7BOARD MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt8ED AH FOUNDATION- EX-OFFICIO
IRS990EZ/OperateHospitalInd00
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd00
IRS990EZ/OrganizationHadUBIInd00
IRS990EZ/OtherAssetsTotalDetail/BOYAmt054546
IRS990EZ/OtherAssetsTotalDetail/EOYAmt054546
IRS990EZ/OtherChangesInNetAssetsAmt00
IRS990EZ/OtherExpensesTotalAmt050
IRS990EZ/OtherRevenueTotalAmt01500
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd00
IRS990EZ/PrimaryExemptPurposeTxt0WE PLEDGE CAREFUL STEWARDSHIP OF YOUR FUNDS, AND A COMMITMENT AND RESPONSIVENESS TO OUR COMMUNITY'S IMMEDIATE AND EMERGING HEALTH CARE NEEDS THROUGH THE QUALITY OF HEALTH CARE PROVIDED BY ANMED HEALTH CANNON.
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0THE FOUNDATION PROVIDED FUNDS TO THE CITY OF PICKENS IN SUPPORT OF THE DOODLE TRAIL WHICH IS A WALKING TRAIL TO SUPPORT COMMUNITY HEALTH
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt042000
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt042000
IRS990EZ/ProhibitedTaxShelterTransInd00
IRS990EZ/RelatedOrganizationCtrlEntInd00
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SchoolOperatingInd00
IRS990EZ/StatesWhereCopyOfReturnIsFldCd0SC
IRS990EZ/SubjectToProxyTaxInd00
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt00
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt00
IRS990EZ/TanningServicesProvidedInd00
IRS990EZ/TaxImposedOnOrganizationMgrAmt00
IRS990EZ/TaxImposedUnderIRC4911Amt00
IRS990EZ/TaxImposedUnderIRC4912Amt00
IRS990EZ/TaxImposedUnderIRC4955Amt00
IRS990EZ/TaxReimbursedByOrganizationAmt00
IRS990EZ/TotalExpensesAmt042050
IRS990EZ/TotalProgramServiceExpensesAmt042000
IRS990EZ/TotalRevenueAmt09580
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0N/A
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt08080
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt010271
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt025521
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt032973
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt027566
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0104411
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt01164
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt01620
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt0253
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt0285
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt03322
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearAmt01500
IRS990ScheduleA/OtherIncome170Grp/TotalAmt01500
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.95590
IRS990ScheduleA/PublicSupportPY170Pct00.96380
IRS990ScheduleA/PublicSupportTotal170Amt0104411
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt08080
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt010271
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt025521
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt032973
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt027566
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0104411
IRS990ScheduleA/TotalSupportAmt0109233
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0DESCRIPTION: REIMBURSEMENT CHECK. AMOUNT: 1,500.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1ACTIVITY CLASSIFICATION: CHARITABLE SUPPORT. GRANTEE NAME: CITY OF PICKENS . GRANTEE ADDRESS: 219 PENDLETON STREET PICKENS, SC 29671. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 42,000.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2DESCRIPTION: SC SECRETARY OF STATE. AMOUNT: 50.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3DESCRIPTION: EDWARD JONES ACCOUNT. BEG. OF YEAR AMOUNT: 54,101. END OF YEAR AMOUNT: 54,101. DESCRIPTION: TD AMERITRADE ACCOUNT. BEG. OF YEAR AMOUNT: 445. END OF YEAR AMOUNT: 445.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS
TransferPrsnlBnftContractsDecl/DeclarationDesc0THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd03
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0NORMAN RENTZ
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum08648788360
ReturnHeader/BusinessOfficerGrp/SignatureDt02022-11-15
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0CANNON MEMORIAL HOSPITAL FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0CANN
ReturnHeader/Filer/EIN0570943822
ReturnHeader/Filer/PhoneNum08648788360
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 188
ReturnHeader/Filer/USAddress/CityNm0PICKENS
ReturnHeader/Filer/USAddress/StateAbbreviationCd0SC
ReturnHeader/Filer/USAddress/ZIPCd0296710188
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0440160260
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0FORVIS LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0500 RIDGEFIELD COURT
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0ASHEVILLE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd028806
ReturnHeader/PreparerPersonGrp/PhoneNum08282542254
ReturnHeader/PreparerPersonGrp/PreparationDt02022-11-15
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0AMY BIBBY
ReturnHeader/ReturnTs02022-11-15T12:32:10-06:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0NORMAN
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0RENTZ
ReturnHeader/TaxPeriodBeginDt02021-01-01
ReturnHeader/TaxPeriodEndDt02021-12-31
ReturnHeader/TaxYr02021

Document Assets

No mirrored PDF or thumbnail assets are attached yet.