Civic Intelligence

Unknown Organization

EIN 59-1968743 • 501(c)3

Profile

The clinic was organized to provide mental health, alcohol and drug treatment, and preventative services. The clinic transferred its programs to another 501(c)(3)and is in the process of termination.

PO Box 33833430
Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2014

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2014

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on the latest valid filing.

Source year 2014

Top Officer Pay

81st percentile

$575

Higher top officer pay than 81% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2014

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Revenue Growth

Score unavailable

No value available

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

Annualized from 2013 to 2014

Assets

Down

$0

Down $570,303 (-100%) from 2013

Liabilities

Down

$0

Down $608,726 (-100%) from 2013

Net Assets

Up

$0

Up $38,423 (+100%) from 2013

Revenue

Up

$0

Up $1,686 (+100%) from 2013

Expenses

Up

$1,592

Up $1,592 from 2013

Net Income

Up

-$1,592

Up $94 (+5.6%) from 2013

Trend Graphs

Balance Sheet Trend

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

$800K$600K$400K$200K$0-$200KAssets 2012: $571,989Liabilities 2012: $608,726Net Assets 2012: -$36,7372012Assets 2013: $570,303Liabilities 2013: $608,726Net Assets 2013: -$38,4232013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014

Highlighted filing

2014

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

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

$2.0K$1.0K$0-$1.0K-$2.0KExpenses 2012: $02012Revenue 2013: -$1,686Expenses 2013: $0Net Income 2013: -$1,6862013Revenue 2014: $0Expenses 2014: $1,592Net Income 2014: -$1,5922014

Highlighted filing

2014

Revenue$0
Expenses$1,592
Net Income-$1,592

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
Jul 18, 2014
Return Version
2013v3.1
Gross Receipts
$0
Mission and Program Overview

Mission

The clinic was organized to provide mental health, alcohol and drug treatment, and preventative services. The clinic transferred its programs to another 501(c)(3)and is in the process of termination.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$566,711--
Cash and Non-Interest-Bearing Accounts$3,592--
Total Assets$570,303$0▼ $570,303
Liabilities
Mortgage Notes Payable Secured by Investment Property$599,238--
Accounts Payable and Accrued Expenses$9,488--
Total Liabilities$608,726$0▼ $608,726
Net Assets / Fund Balance
Unrestricted Net Assets$-38,423--
Total Net Assets Fund Balance$-38,423$0▲ $38,423
Total Liabilities and Net Assets / Fund Balance$570,303$0▼ $570,303
Compensation and Service Providers

Employees

NameTitleBaseTotal
Joseph AmatoTreasurer$575$575

Board Members and Trustees

NameTitle
Kenneth SchenckPresident
Leigh WoodhamVice-pres.
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-1,592
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,592
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
Fees for Services Accounting-$674-$674
Fees for Services Management-$575-$575
Fees for Services Other-$343-$343
Total Functional Expenses$0$1,592$0$1,592
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
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
Yes
Other officer compensation reviewed
Yes
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, Page 6, Part VI, Line 11B

The board of directors reviews form 990 prior to filing the return.

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

Board members are required to file written notices of any situation that a conflict of interest might rise.

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

All compensation is set by the board of directors after research.

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

All compensation is set by the board of directors after research.

Form 990, Page 6, Part VI, Line 19

Documents are made available upon request.

Filing and Contact Details

Filer

EIN
59-1968743

Signing Officer

Name
Joseph Amato
Title
Treasurer
Signed
2014-07-18

Organization Details

Principal Officer
Joseph Amato
Voting Board Members
0
Independent Board Members
0
Employees
0

Preparer

Preparer
Robert W Hendrix
Phone
5616593060
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Bank charges 0 118 0 code enforcement adm 0 172 0 state fees 0 53 0

Form 990, Part XI, Line 9

Dissolution and transfer of assets 40,015 the organization terminated and transferred its remaining assets to other nonprofit organizations. These transfers have been reported on schedule n. The adjustment of 40,015, represents the difference in the book value of transferred assets and liabilities.

Raw XML Appendix259 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
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IRS990/ActivityOrMissionDesc0THE CLINIC WAS ORGANIZED TO PROVIDE MENTAL HEALTH, ALCOHOL AND DRUG TREATMENT, AND PREVENTATIVE SERVICES. THE CLINIC TRANSFERRED ITS PROGRAMS TO ANOTHER 501(C)(3)AND IS IN THE PROCESS OF TERMINATION.
IRS990/AnnualDisclosureCoveredPrsnInd0true
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IRS990/BooksInCareOfDetail/PersonNm0JOSEPH AMATO
IRS990/BooksInCareOfDetail/PhoneNum05612281047
IRS990/BooksInCareOfDetail/USAddress/AddressLine109774 BOWLINE DRIVE APT 201
IRS990/BooksInCareOfDetail/USAddress/City0WEST PALM BEACH
IRS990/BooksInCareOfDetail/USAddress/State0FL
IRS990/BooksInCareOfDetail/USAddress/ZIPCode033411
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IRS990/ContractTerminationInd0X
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
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IRS990/CYOtherExpensesAmt01592
IRS990/CYOtherRevenueAmt00
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IRS990/CYRevenuesLessExpensesAmt0-1592
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IRS990/Desc0PROVIDE MENTAL HEALTH, ALCOHOL AND DRUG TREATMENT, AND PREVENTATIVE SERVICES.
IRS990/DescribedInSection501c3Ind0true
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0true
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IRS990/EmployeeCnt00
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IRS990/FeesForServicesAccountingGrp/TotalAmt0674
IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt0575
IRS990/FeesForServicesManagementGrp/TotalAmt0575
IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt0343
IRS990/FeesForServicesOtherGrp/TotalAmt0343
IRS990/FinalReturnInd0X
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt01.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt11.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt21.00
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/PersonNm0JOSEPH AMATO
IRS990/Form990PartVIISectionAGrp/PersonNm1LEIGH WOODHAM
IRS990/Form990PartVIISectionAGrp/PersonNm2KENNETH SCHENCK
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt0575
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/TitleTxt0TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE-PRES.
IRS990/Form990PartVIISectionAGrp/TitleTxt2PRESIDENT
IRS990/Form990ProvidedToGvrnBodyInd0false
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedInd0false
IRS990/FundraisingActivitiesInd0false
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt00
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt00
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt00
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartIXInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InvestmentInJointVentureInd0false
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipBasisNetGrp/BOYAmt0566711
IRS990/LoanOutstandingInd0false
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0THE CLINIC WAS ORGANIZED TO PROVIDE MENTAL HEALTH, ALCOHOL AND DRUG TREATMENT, AND PREVENTATIVE SERVICES. THE CLINIC TRANSFERRED ITS PROGRAMS TO ANOTHER 501(C)(3)AND IS IN THE PROCESS OF TERMINATION.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt0599238
IRS990/NetAssetsOrFundBalancesBOYAmt0-38423
IRS990/NetAssetsOrFundBalancesEOYAmt00
IRS990/NondeductibleContributionsInd0false
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt040015
IRS990/PartialLiquidationInd0false
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0JOSEPH AMATO
IRS990/ProfessionalFundraisingInd0false
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYExcessBenefitTransInd0false
IRS990/PYOtherRevenueAmt0-1686
IRS990/PYRevenuesLessExpensesAmt0-1686
IRS990/PYTotalRevenueAmt0-1686
IRS990/ReconcilationRevenueExpnssAmt0-1592
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990ScheduleA/HospitalInd0X
IRS990/ScheduleBRequiredInd0false
IRS990/ScheduleJRequiredInd0false
IRS990ScheduleN/AssetsDistributedInd0true
IRS990ScheduleN/BondLiabilitiesDischargedInd0false
IRS990ScheduleN/BondsOutstandingInd0false
IRS990ScheduleN/DirectorOfSuccessorInd0false
IRS990ScheduleN/EmployeeOfSuccessorInd0false
IRS990ScheduleN/LiabilitiesPaidInd0false
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0LAND AND BUILDING
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc1CASH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02013-10-01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt12014-06-30
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0311496789
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN1010733180
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt0298244
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt12000
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt1501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0PBC APPR
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt1COST
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/PersonNm0WE HELP COMMUNITY DEVELOPMENT CORP
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/PersonNm1THE GLADES INITIATIVE INC
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine10349 SE 3RD STREET
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine11141 SE AVENUE C
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/City0BELLE GLADE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/City1BELLE GLADE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/State0FL
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/State1FL
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCode033430
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCode133430
IRS990ScheduleN/OwnerOfSuccessorInd0false
IRS990ScheduleN/ReceiveCompensationInd0false
IRS990ScheduleN/RequiredToNotifyAGInd0true
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE BOARD OF DIRECTORS REVIEWS FORM 990 PRIOR TO FILING THE RETURN.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1BOARD MEMBERS ARE REQUIRED TO FILE WRITTEN NOTICES OF ANY SITUATION THAT A CONFLICT OF INTEREST MIGHT RISE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ALL COMPENSATION IS SET BY THE BOARD OF DIRECTORS AFTER RESEARCH.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ALL COMPENSATION IS SET BY THE BOARD OF DIRECTORS AFTER RESEARCH.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5BANK CHARGES 0 118 0 CODE ENFORCEMENT ADM 0 172 0 STATE FEES 0 53 0
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6DISSOLUTION AND TRANSFER OF ASSETS 40,015 THE ORGANIZATION TERMINATED AND TRANSFERRED ITS REMAINING ASSETS TO OTHER NONPROFIT ORGANIZATIONS. THESE TRANSFERS HAVE BEEN REPORTED ON SCHEDULE N. THE ADJUSTMENT OF 40,015, REPRESENTS THE DIFFERENCE IN THE BOOK VALUE OF TRANSFERRED ASSETS AND LIABILITIES.
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 IX, LINE 11G
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART XI, LINE 9
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0true
IRS990/TotalAssetsBOYAmt0570303
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt0570303
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalEmployeeCnt00
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IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt01592
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0608726
IRS990/TotalLiabilitiesEOYAmt00
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IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-38423
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalReportableCompFromOrgAmt0575
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0570303
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0-38423
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine109774 BOWLINE DRIVE APT 201
IRS990/USAddress/City0WEST PAM BEACH
IRS990/USAddress/State0FL
IRS990/USAddress/ZIPCode033411
IRS990/VotingMembersGoverningBodyCnt00
IRS990/VotingMembersIndependentCnt00
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02015-11-30 17:44:51Z
ReturnHeader/BusinessOfficerGrp/PersonNm0JOSEPH AMATO
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/SignatureDt02014-07-18
ReturnHeader/Filer/BusinessName/BusinessNameLine10WESTERN PALM BEACH COUNTY MENTAL
ReturnHeader/Filer/BusinessName/BusinessNameLine20HEALTH CLINIC INC
ReturnHeader/Filer/BusinessNameControlTxt0WEST
ReturnHeader/Filer/EIN0591968743
ReturnHeader/Filer/USAddress/AddressLine10PO BOX 338
ReturnHeader/Filer/USAddress/City0BELLE GLADE
ReturnHeader/Filer/USAddress/State0FL
ReturnHeader/Filer/USAddress/ZIPCode033430
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0592749772
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine10NOWLEN HOLT & MINER PA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine10515 N FLAGLER DRIVE STE 1700
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/City0WEST PALM BEACH
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/State0FL
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCode0334014330
ReturnHeader/PreparerPersonGrp/PhoneNum05616593060
ReturnHeader/PreparerPersonGrp/PreparationDt02014-08-04
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0ROBERT W HENDRIX
ReturnHeader/ReturnTs02014-08-04T16:05:32-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02013-07-01
ReturnHeader/TaxPeriodEndDt02014-06-30
ReturnHeader/TaxYr02013

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