Civic Intelligence

Bowling Green Lodge 356 Loyal Order of Moose

EIN 61-0400431 • 501(c)8 • Bowling Green, KY

Profile

This organization unites its members in the bonds of fraternity, benevolence, & charity. This is accomplished through a year-round schedule of social & recreational activities for the members and their families estimated to number 300

Refreshing map…

736 Lain AvenueBowling Green, KY 42101
Siviq Scores

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

Liabilities / Assets

76th percentile

0.12x

Higher debt load relative to assets than 76% of similar nonprofits.

501(c)8 • $500k-$1M nonprofits • Source year 2025

Liabilities / Revenue

90th percentile

0.69x

Higher debt load relative to revenue than 90% of similar nonprofits.

501(c)8 • $500k-$1M nonprofits • Source year 2025

Net Margin

29th percentile

-3.3%

Higher net margin than 29% of similar nonprofits.

501(c)8 • $500k-$1M nonprofits • Source year 2025

Top Officer Pay

58th percentile

$0

Higher top officer pay than 58% of similar nonprofits.

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

501(c)8 • $500k-$1M nonprofits • Source year 2025

Asset Growth

84th percentile

14%

Faster asset growth than 84% of similar nonprofits.

501(c)8 • $500k-$1M nonprofits • Annualized from 2024 to 2025

Revenue Growth

91st percentile

77%

Faster revenue growth than 91% of similar nonprofits.

501(c)8 • $500k-$1M nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets76th percentile

Assets

Down

$562,538

Down $21,393 (-3.7%) from 2023

Liabilities

Up

$69,930

Up $69,221 (+9763%) from 2023

Net Assets

Down

$492,608

Down $90,614 (-16%) from 2023

Operations
Liabilities / Revenue90th percentileNet Margin29th percentile

Revenue

Down

$101,575

Down $225,164 (-69%) from 2023

Expenses

Up

$104,893

Up $20,919 (+25%) from 2023

Net Income

Down

-$3,318

Down $246,083 (-101%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth84th percentile

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

$600K$400K$200K$0Assets 2012: $336,005Liabilities 2012: $64,7942012Assets 2013: $341,521Liabilities 2013: $63,1402013Assets 2014: $338,189Liabilities 2014: $55,5142014Assets 2015: $341,340Liabilities 2015: $53,3502015Assets 2016: $338,257Liabilities 2016: $47,7122016Assets 2017: $338,443Liabilities 2017: $44,6442017Assets 2018: $329,049Liabilities 2018: $38,6522018Assets 2019: $354,999Liabilities 2019: $32,7292019Assets 2020: $357,481Liabilities 2020: $29,3542020Assets 2021: $357,217Liabilities 2021: $29,6802021Assets 2022: $330,070Liabilities 2022: $02022Assets 2023: $583,931Liabilities 2023: $709Net Assets 2023: $583,2222023Assets 2025: $562,538Liabilities 2025: $69,930Net Assets 2025: $492,6082025

Highlighted filing

2025

Assets$562,538
Liabilities$69,930
Net Assets$492,608
Open 2025 Filing

Operations Trend

Revenue Growth91st percentile

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

$400K$300K$200K$100K$0-$100KRevenue 2012: $102,366Expenses 2012: $95,825Net Income 2012: $6,5412012Revenue 2013: $103,664Expenses 2013: $96,494Net Income 2013: $7,1702013Revenue 2014: $101,183Expenses 2014: $96,889Net Income 2014: $4,2942014Revenue 2015: $101,232Expenses 2015: $95,917Net Income 2015: $5,3152015Revenue 2016: $0Expenses 2016: $0Net Income 2016: $02016Revenue 2017: $103,231Expenses 2017: $99,977Net Income 2017: $3,2542017Revenue 2018: $150,658Expenses 2018: $83,019Net Income 2018: $67,6392018Revenue 2019: $87,054Expenses 2019: $67,181Net Income 2019: $19,8732019Revenue 2020: $84,572Expenses 2020: $78,597Net Income 2020: $5,9752020Revenue 2021: $53,610Expenses 2021: $54,200Net Income 2021: -$5902021Revenue 2022: $35,026Expenses 2022: $35,026Net Income 2022: $02022Revenue 2023: $326,739Expenses 2023: $83,974Net Income 2023: $242,7652023Revenue 2025: $101,575Expenses 2025: $104,893Net Income 2025: -$3,3182025

Highlighted filing

2025

Revenue$101,575
Expenses$104,893
Net Income-$3,318
Open 2025 Filing

Filings

Most recent year

2025 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$562,538
Liabilities
$69,930
Net assets
$492,608
Revenue
$101,575
Expenses
$104,893
Net income
-$3,318
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.63$0.70$4.93$1.02$1.05$0.03
2023Summary only. Only limited summary data is available for this year.$5.84$0.01$5.83$3.27$0.84$2.43
2022Summary only. Only limited summary data is available for this year.$3.30$0.00$0.35$0.35$0.00
2021Summary only. Only limited summary data is available for this year.$3.57$0.30$0.54$0.54$0.01
2020Summary only. Only limited summary data is available for this year.$3.57$0.29$0.85$0.79$0.06
2019Summary only. Only limited summary data is available for this year.$3.55$0.33$0.87$0.67$0.20
2018Summary only. Only limited summary data is available for this year.$3.29$0.39$1.51$0.83$0.68
2017Summary only. Only limited summary data is available for this year.$3.38$0.45$1.03$1.00$0.03
2016Summary only. Only limited summary data is available for this year.$3.38$0.48$0.00$0.00$0.00
2015Summary only. Only limited summary data is available for this year.$3.41$0.53$1.01$0.96$0.05
2014Summary only. Only limited summary data is available for this year.$3.38$0.56$1.01$0.97$0.04
2013Summary only. Only limited summary data is available for this year.$3.42$0.63$1.04$0.96$0.07
2012Summary only. Only limited summary data is available for this year.$3.36$0.65$1.02$0.96$0.07
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
May 1, 2024 to Apr 30, 2025
Signed
Sep 8, 2025
Return Version
2024v5.2
Gross Receipts
$161,280
Mission and Program Overview

Mission

This organization unites its members in the bonds of fraternity, benevolence, & charity. This is accomplished through a year-round schedule of social & recreational activities for the members and their families estimated to number 300

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$271,266$271,266→ $0
Accounts Receivable$206,598$206,598→ $0
Cash and Non-Interest-Bearing Accounts$12,620$80,619▲ $67,999
Inventories for Sale or Use$4,055$4,055→ $0
Total Assets$494,539$562,538▲ $67,999
Liabilities
Accounts Payable and Accrued Expenses$792$69,930▲ $69,138
Other Liabilities$192--
Total Liabilities$984$69,930▲ $68,946
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$493,555$492,608▼ $947
Total Net Assets Fund Balance$493,555$492,608▼ $947
Total Liabilities and Net Assets / Fund Balance$494,539$562,538▲ $67,999

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$242,751-$242,751
Equipment$28,515-$28,515
Compensation and Service Providers
Top Officer Pay58th percentile

Board Members and Trustees

NameTitle
Terry GrimesPast President
Paul ChylePresident
Kevin GroganVice President
Brian McDanielsTrustee
Debbie SchoeterTrustee
Nick BrownTrustee
Clifford ParkerAdministrator
Kevin StewartChaplain
Meredith DaveTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$2,345
Program Service Revenue
$36,815
Investment Income
$0
Other Revenue
$62,415
Change in Net Assets
$-3,318
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$79,323
Salaries, Compensation, and Employee Benefits$25,570
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Comp Disqual Persons$25,570--$25,570
Occupancy$23,498--$23,498
Other Expenses$23,200--$23,200
Office Expenses$10,768--$10,768
Insurance$4,226--$4,226
Payments to Affiliates$1,680--$1,680
All Other Expenses$29--$29
Total Functional Expenses$104,893$0$0$104,893
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
Yes
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Gaming Gross Income$69,798
Gaming Direct Expenses$38,156
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Backup withholding compliance
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Members or stockholder classes and rights Part VI line 6

“We are a member organization”

Member election for additional members Part VI line 7A

“The voting members of the board of officers are elected by the membership and all newmembership applications are approved by the membership”

Governing body decisions Part VI line 7B

“All disbursement of funds including payment of bills are voted on by the membership.The membership also approves any rule changes regarding the operation of the facilityand property”

Governing body meeting documentation Part VI line 8A

“Minutes are kept of all official meetings of the Membership and Board of Officers”

Committee meeting documentation Part VI line 8B

“Minutes are kept of all official committee meetings”

Form 990 governing body review Part VI line 11

“Information for the 990 was reviewed with the board and approved for processing. Adraft copy was submitted for final approval before transmitting to the IRS.”

Form 990 availability to public Part VI line 18

“All members can request to review the records which are located on-site. All non-members are directed to free websites such as irs.gov or GuideStar for viewing or they can make an appointment with the Administrator to view”

Governing documents etc available to public Part VI line 19

“All members can request to review the records which are located on-site. All non-members are directed to free websites such as irs.gov or GuideStar for viewing or they can make an appointment with the Administrator to view”

Filing and Contact Details

Filer

Filer Name
Bowling Green Lodge 356 Loyal Order of Moose
EIN
61-0400431
In Care Of
% Clifford Parker
Phone
2708427271
Address
736 Lain Avenue, Bowling Green, KY 42101

Signing Officer

Name
Clifford Parker
Title
Administrator
Phone
2708427271
Signed
2025-09-08
Discuss with paid preparer
No

Organization Details

Formed
1935
Legal Domicile
Ky
Voting Board Members
9
Independent Board Members
9
Employees
0
Volunteers
25

Preparer

Firm
SET Bookkeeping Service
Address
10703 Waxhaw Manor Dr, Waxhaw, NC 28173
Preparer
Emily Thompson
Phone
7042324373
Raw XML AppendixShowing 400 of 410 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/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/BuildingsGrp/BookValueAmt0242751
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt0242751
IRS990ScheduleD/EquipmentGrp/BookValueAmt028515
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt028515
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0271266
IRS990ScheduleG/CharitableDistributionRqrInd0false
IRS990ScheduleG/CntrctWith3rdPrtyForGameRevInd0false
IRS990ScheduleG/GamingInformationGrp/CashPrizesOtherGamingAmt020787
IRS990ScheduleG/GamingInformationGrp/CashPrizesPullTabsAmt014155
IRS990ScheduleG/GamingInformationGrp/CashPrizesTotalGamingAmt034942
IRS990ScheduleG/GamingInformationGrp/DirectExpenseSummaryGamingAmt038156
IRS990ScheduleG/GamingInformationGrp/GrossRevenueOtherGamingAmt036140
IRS990ScheduleG/GamingInformationGrp/GrossRevenuePullTabsAmt033658
IRS990ScheduleG/GamingInformationGrp/GrossRevenueTotalGamingAmt069798
IRS990ScheduleG/GamingInformationGrp/NetGamingIncomeSummaryAmt031642
IRS990ScheduleG/GamingInformationGrp/RentFacilityCostsPullTabsAmt0841
IRS990ScheduleG/GamingInformationGrp/RentFcltyCostsOtherGamingAmt02373
IRS990ScheduleG/GamingInformationGrp/RentFcltyCostsTotalGamingAmt03214
IRS990ScheduleG/GamingInformationGrp/VolunteerLaborOtherGamingInd0true
IRS990ScheduleG/GamingInformationGrp/VolunteerLaborOtherGamingPct01.00000
IRS990ScheduleG/GamingInformationGrp/VolunteerLaborPullTabsInd0true
IRS990ScheduleG/GamingInformationGrp/VolunteerLaborPullTabsPct01.00000
IRS990ScheduleG/GamingManagerIsDirectorOfcrInd0X
IRS990ScheduleG/GamingManagerPersonNm0Cliff Parker
IRS990ScheduleG/GamingManagerServicesProvTxt0Overall Management & Bookkeeping
IRS990ScheduleG/GamingOwnFacilityPct01.000
IRS990ScheduleG/GamingWithNonmembersInd0false
IRS990ScheduleG/IndividualWithBooksNm0Clifford Parker
IRS990ScheduleG/LicensedInd0true
IRS990ScheduleG/LicenseSuspendedEtcInd0false
IRS990ScheduleG/MemberOfOtherEntityInd0false
IRS990ScheduleG/PersonsWithBooksUSAddress/AddressLine1Txt0736 Lain Avenue
IRS990ScheduleG/PersonsWithBooksUSAddress/CityNm0Bowling Green
IRS990ScheduleG/PersonsWithBooksUSAddress/StateAbbreviationCd0KY
IRS990ScheduleG/PersonsWithBooksUSAddress/ZIPCd042101
IRS990ScheduleG/StatesWhereGamingConductedCd0KY
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0We are a member organization
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1The voting members of the board of officers are elected by the membership and all newmembership applications are approved by the membership
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2All disbursement of funds including payment of bills are voted on by the membership.The membership also approves any rule changes regarding the operation of the facilityand property
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Minutes are kept of all official meetings of the Membership and Board of Officers
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4Minutes are kept of all official committee meetings
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5Information for the 990 was reviewed with the board and approved for processing. Adraft copy was submitted for final approval before transmitting to the IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6All members can request to review the records which are located on-site. All non-members are directed to free websites such as irs.gov or GuideStar for viewing or they can make an appointment with the Administrator to view
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7All members can request to review the records which are located on-site. All non-members are directed to free websites such as irs.gov or GuideStar for viewing or they can make an appointment with the Administrator to view
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Members or stockholder classes and rights Part VI line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Member election for additional members Part VI line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Governing body decisions Part VI line 7b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Governing body meeting documentation Part VI line 8a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Committee meeting documentation Part VI line 8b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990 governing body review Part VI line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990 availability to public Part VI line 18
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Governing documents etc available to public Part VI line 19
IRS990ScheduleR/AssetExchangeInd0false
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd0false
IRS990ScheduleR/AssetSaleToOtherOrgInd0false
IRS990ScheduleR/DivRelatedOrganizationInd0false
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd0false
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt0Sole Member
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0Moose International
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0361408120
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501 c 8
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0IL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0Fraternalism
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0155 S International Dr
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0Mooseheart
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0IL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd060539
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd0false
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd0false
IRS990ScheduleR/PaidEmployeesSharingInd0false
IRS990ScheduleR/PerformOfServicesByOtherOrgInd0false
IRS990ScheduleR/PerformOfServicesForOthOrgInd0false
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd0false
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd0false
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd0false
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd0false
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd0false
IRS990ScheduleR/SharingOfFacilitiesInd0false
IRS990ScheduleR/TransferFromOtherOrgInd0false
IRS990ScheduleR/TransferToOtherOrgInd0false
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0494539
IRS990/TotalAssetsEOYAmt0562538
IRS990/TotalAssetsGrp/BOYAmt0494539
IRS990/TotalAssetsGrp/EOYAmt0562538
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt02345
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0104893
IRS990/TotalFunctionalExpensesGrp/TotalAmt0104893
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0984
IRS990/TotalLiabilitiesEOYAmt069930
IRS990/TotalLiabilitiesGrp/BOYAmt0984
IRS990/TotalLiabilitiesGrp/EOYAmt069930
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0493555
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0492608
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0104893
IRS990/TotalProgramServiceRevenueAmt036815
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt099230
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0101575
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt025
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0494539
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0562538
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/VotingMembersGoverningBodyCnt09
IRS990/VotingMembersIndependentCnt09
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0false
ReturnHeader/BusinessOfficerGrp/PersonNm0CLIFFORD PARKER
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Administrator
ReturnHeader/BusinessOfficerGrp/PhoneNum02708427271
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-09-08
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Bowling Green Lodge 356 Loyal Order of Moose
ReturnHeader/Filer/BusinessNameControlTxt0BOWL
ReturnHeader/Filer/EIN0610400431
ReturnHeader/Filer/InCareOfNm0% Clifford Parker
ReturnHeader/Filer/PhoneNum02708427271
ReturnHeader/Filer/USAddress/AddressLine1Txt0736 Lain Avenue
ReturnHeader/Filer/USAddress/CityNm0Bowling Green
ReturnHeader/Filer/USAddress/StateAbbreviationCd0KY
ReturnHeader/Filer/USAddress/ZIPCd042101
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0934287035
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0SET Bookkeeping Service
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt010703 Waxhaw Manor Dr
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Waxhaw
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NC

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