Civic Intelligence

Cumberland Medical Center Auxiliary

EIN 62-0988311 • 501(c)3 • Crossville, TN

Profile

To advance and promote the welfare of cumberland medical center hospital by operating a gift shop, offering lifeline units and raising money for other charitable causes within the hospital.

421 S Main StCrossville, TN 38555

www.cmchealthcare.org/AUXILIARY.HTM

Siviq Scores

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

Liabilities / Assets

64th percentile

0.00x

Higher debt load relative to assets than 64% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Liabilities / Revenue

68th percentile

0.01x

Higher debt load relative to revenue than 68% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Net Margin

19th percentile

-30%

Higher net margin than 19% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

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 2024

Asset Growth

36th percentile

-15%

Faster asset growth than 36% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Revenue Growth

36th percentile

-17%

Faster revenue growth than 36% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Assets

Down

$99,409

Down $17,513 (-15%) from 2023

Liabilities

Up

$419

Up $50 (+14%) from 2023

Net Assets

Down

$98,990

Down $17,563 (-15%) from 2023

Revenue

Down

$57,637

Down $11,741 (-17%) from 2023

Expenses

Down

$75,201

Down $3,595 (-4.6%) from 2023

Net Income

Down

-$17,564

Down $8,146 (-86%) from 2023

Trend Graphs

Balance Sheet Trend

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

$200K$150K$100K$50K$0Assets 2011: $121,997Liabilities 2011: $2922011Assets 2012: $138,484Liabilities 2012: $6362012Assets 2013: $160,095Liabilities 2013: $4182013Assets 2014: $176,617Liabilities 2014: $354Net Assets 2014: $176,2632014Assets 2015: $183,802Liabilities 2015: $357Net Assets 2015: $183,4452015Assets 2016: $143,278Liabilities 2016: $578Net Assets 2016: $142,7002016Assets 2017: $136,412Liabilities 2017: $345Net Assets 2017: $136,0672017Assets 2018: $123,904Liabilities 2018: $482Net Assets 2018: $123,4222018Assets 2019: $108,697Liabilities 2019: $583Net Assets 2019: $108,1142019Assets 2020: $119,609Liabilities 2020: $422Net Assets 2020: $119,1872020Assets 2021: $139,312Liabilities 2021: $620Net Assets 2021: $138,6922021Assets 2022: $126,223Liabilities 2022: $252Net Assets 2022: $125,9712022Assets 2023: $116,922Liabilities 2023: $369Net Assets 2023: $116,5532023Assets 2024: $99,409Liabilities 2024: $419Net Assets 2024: $98,9902024

Highlighted filing

2024

Assets$99,409
Liabilities$419
Net Assets$98,990

Operations Trend

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

$200K$100K$0-$100KRevenue 2011: $44,638Expenses 2011: $144,059Net Income 2011: -$99,4212011Revenue 2012: $50,984Expenses 2012: $34,841Net Income 2012: $16,1432012Revenue 2013: $42,434Expenses 2013: $20,605Net Income 2013: $21,8292013Revenue 2014: $36,045Expenses 2014: $19,459Net Income 2014: $16,5862014Revenue 2015: $122,551Expenses 2015: $120,618Net Income 2015: $1,9332015Revenue 2016: $113,435Expenses 2016: $154,180Net Income 2016: -$40,7452016Revenue 2017: $105,588Expenses 2017: $112,221Net Income 2017: -$6,6332017Revenue 2018: $116,333Expenses 2018: $128,978Net Income 2018: -$12,6452018Revenue 2019: $105,233Expenses 2019: $120,540Net Income 2019: -$15,3072019Revenue 2020: $89,319Expenses 2020: $78,246Net Income 2020: $11,0732020Revenue 2021: $82,520Expenses 2021: $63,015Net Income 2021: $19,5052021Revenue 2022: $82,247Expenses 2022: $94,969Net Income 2022: -$12,7222022Revenue 2023: $69,378Expenses 2023: $78,796Net Income 2023: -$9,4182023Revenue 2024: $57,637Expenses 2024: $75,201Net Income 2024: -$17,5642024

Highlighted filing

2024

Revenue$57,637
Expenses$75,201
Net Income-$17,564

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.99$0.00$0.99$0.58$0.75$0.18
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.17$0.00$1.17$0.69$0.79$0.09
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.26$0.00$1.26$0.82$0.95$0.13
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.39$0.01$1.39$0.83$0.63$0.20
2020Detailed filing. Detailed filing data is available for this year.$1.20$0.00$1.19$0.89$0.78$0.11
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.09$0.01$1.08$1.05$1.21$0.15
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.24$0.00$1.23$1.16$1.29$0.13
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.36$0.00$1.36$1.06$1.12$0.07
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.43$0.01$1.43$1.13$1.54$0.41
2015Detailed filing. Detailed filing data is available for this year.$1.84$0.00$1.83$1.23$1.21$0.02
2014Detailed filing. Detailed filing data is available for this year.$1.77$0.00$1.76$0.36$0.19$0.17
2013Summary only. Only limited summary data is available for this year.$1.60$0.00$0.42$0.21$0.22
2012Summary only. Only limited summary data is available for this year.$1.38$0.01$0.51$0.35$0.16
2011Summary only. Only limited summary data is available for this year.$1.22$0.00$0.45$1.44$0.99
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2020 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
May 13, 2021
Return Version
2020v4.0
Gross Receipts
$89,319
Mission and Program Overview

Mission

To advance and promote the welfare of cumberland medical center hospital by operating a gift shop, offering lifeline units and raising money for other charitable causes within the hospital.

Program Services

DescriptionGrantsExpenses
SUPPORT TO CUMBERLAND MEDICAL CENTER$13,695$70,272
LIFELINE SUPPORT SYSTEMS ARE PROVIDED TO THE HOSPITAL AND MONITORED-$28,030
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
DICK MOMSONTreasurer-$0--
VALERIE CAPPERPresident-$0--
JUDY OLDSCorr. Secret-$0--
CHERYL HAMILTONParliamentar-$0--
JOYCE LUGOWSKIHistorian-$0--
NAN WALLACEGift Shop Tr-$0--
DEBORAH WESTLifeline Tre-$0--
Filing and Contact Details

Filer

Filer Name
Cumberland Medical Center Auxiliary
EIN
62-0988311
Phone
9314849511
Address
421 S MAIN ST, CROSSVILLE, TN 38555

Signing Officer

Name
Dick Momson
Title
Treasurer
Phone
9314849511
Signed
2021-05-13
Discuss with paid preparer
Yes

Preparer

Firm
Bilyeu CPA Group Pc
Address
314 OLD JAMESTOWN HWY STE 1, CROSSVILLE, TN 38555
Preparer
Meredith Haubrich CPA
Phone
9314848200
Supplemental Narrative

Additional Explanations

Form 990-ez, Part I, Line 10

Name: cumberland medical center address: 421 s main st crossville, tn 38555 cash contribution: 11,800

Form 990-ez, Part I, Line 16

Program expenses office 6,708 1,093 conferences/meetings 36 lifeline monitoring 21,453 lifeline system & supply 6,576 taxes/licenses 206 cost of goods sold 23,952 expenses non-investment depreciation 3,238 total 63,262

Form 990-ez, Part II, Line 24

Inventories for sale or use 22,610 28,969 292,416 292,416 less accumulated depreciation 281,083 284,321 total 33,943 37,064

Form 990-ez, Part II, Line 26

Accounts payable and accrued expenses 583 422

Form 990-ez, Part III

To advance and promote the welfare of cumberland medical center hospital by operating a gift shop, offering lifeline units and raising money for other charitable causes within the hospital.

Raw XML Appendix167 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/PersonNm0DICK MOMSON
CompensationExplanation/CompensationExplanationGrp/PersonNm1VALERIE CAPPER
CompensationExplanation/CompensationExplanationGrp/PersonNm2JUDY OLDS
CompensationExplanation/CompensationExplanationGrp/PersonNm3CHERYL HAMILTON
CompensationExplanation/CompensationExplanationGrp/PersonNm4JOYCE LUGOWSKI
CompensationExplanation/CompensationExplanationGrp/PersonNm5NAN WALLACE
CompensationExplanation/CompensationExplanationGrp/PersonNm6DEBORAH WEST
IRS990EZ/ActivitiesNotPreviouslyRptInd0false
IRS990EZ/BooksInCareOfDetail/PersonNm0TINA TREADWAY
IRS990EZ/BooksInCareOfDetail/PhoneNum09314597118
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt0421 S MAIN ST
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0CROSSVILLE
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0TN
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd038555
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt074754
IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt082545
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd0false
IRS990EZ/DonorAdvisedFndsInd0false
IRS990EZ/EngagedInExcessBenefitTransInd0false
IRS990EZ/ExcessOrDeficitForYearAmt011073
IRS990EZ/FeesAndOtherPymtToIndCntrctAmt0875
IRS990EZ/FiledScheduleAInd0true
IRS990EZ/ForeignFinancialAccountInd0false
IRS990EZ/ForeignOfficeInd0false
IRS990EZ/Form1120PolFiledInd0false
IRS990EZ/Form990TotalAssetsGrp/BOYAmt0108697
IRS990EZ/Form990TotalAssetsGrp/EOYAmt0119609
IRS990EZ/FundraisingGrossIncomeAmt011084
IRS990EZ/GrantsAndSimilarAmountsPaidAmt013695
IRS990EZ/GrossReceiptsAmt089319
IRS990EZ/InfoInScheduleOPartIIIInd0X
IRS990EZ/InfoInScheduleOPartIIInd0X
IRS990EZ/InfoInScheduleOPartIInd0X
IRS990EZ/LobbyingActivitiesInd0false
IRS990EZ/MadeLoansToFromOfficersInd0false
IRS990EZ/MethodOfAccountingCashInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt0108114
IRS990EZ/NetAssetsOrFundBalancesEOYAmt0119187
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt0108114
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt0119187
IRS990EZ/OccupancyRentUtltsAndMaintAmt0414
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt0000.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt1000.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt2000.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt3000.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt4000.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt5000.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt6000.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0DICK MOMSON
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1VALERIE CAPPER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2JUDY OLDS
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3CHERYL HAMILTON
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4JOYCE LUGOWSKI
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm5NAN WALLACE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm6DEBORAH WEST
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0TREASURER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1PRESIDENT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2CORR. SECRET
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3PARLIAMENTAR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4HISTORIAN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt5GIFT SHOP TR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt6LIFELINE TRE
IRS990EZ/OperateHospitalInd0false
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd0false
IRS990EZ/OrganizationHadUBIInd0false
IRS990EZ/OtherAssetsTotalDetail/BOYAmt033943
IRS990EZ/OtherAssetsTotalDetail/EOYAmt037064
IRS990EZ/OtherExpensesTotalAmt063262
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd0false
IRS990EZ/PrimaryExemptPurposeTxt0TO ADVANCE AND PROMOTE THE WELFARE OF CUMBERLAND MEDICAL CENTER HOSPITAL BY OPERATING A GIFT SHOP, OFFERING LIFELINE UNITS AND RAISING MONEY FOR OTHER CHARITABLE CAUSES WITHIN THE HOSPITAL.
IRS990EZ/ProgramServiceRevenueAmt078235
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0LIFELINE SUPPORT SYSTEMS ARE PROVIDED TO THE HOSPITAL AND MONITORED
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt1SUPPORT TO CUMBERLAND MEDICAL CENTER
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt013695
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt028030
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt170272
IRS990EZ/ProhibitedTaxShelterTransInd0false
IRS990EZ/RelatedOrganizationCtrlEntInd0false
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SchoolOperatingInd0false
IRS990EZ/SpecialEventsNetIncomeLossAmt011084
IRS990EZ/SubjectToProxyTaxInd0false
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt0583
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt0422
IRS990EZ/TanningServicesProvidedInd0false
IRS990EZ/TotalExpensesAmt078246
IRS990EZ/TotalProgramServiceExpensesAmt098302
IRS990EZ/TotalRevenueAmt089319
IRS990EZ/TransactionWithControlEntInd0false
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0WWW.CMCHEALTHCARE.ORG/AUXILIARY.HTM
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt089319
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt0149933
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt0147091
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt0105588
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt0113435
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt0605366
IRS990ScheduleA/InvestmentIncomeCYPct00.00000
IRS990ScheduleA/InvestmentIncomePYPct00.00000
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct01.00000
IRS990ScheduleA/PublicSupportPY509Pct01.00000
IRS990ScheduleA/PublicSupportTotal509Amt0605366
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt089319
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0149933
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0147091
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0105588
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0113435
IRS990ScheduleA/Total509Grp/TotalAmt0605366
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt089319
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0149933
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0147091
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0105588
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0113435
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0605366
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0NAME: CUMBERLAND MEDICAL CENTER ADDRESS: 421 S MAIN ST CROSSVILLE, TN 38555 CASH CONTRIBUTION: 11,800
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1PROGRAM EXPENSES OFFICE 6,708 1,093 CONFERENCES/MEETINGS 36 LIFELINE MONITORING 21,453 LIFELINE SYSTEM & SUPPLY 6,576 TAXES/LICENSES 206 COST OF GOODS SOLD 23,952 EXPENSES NON-INVESTMENT DEPRECIATION 3,238 TOTAL 63,262
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2INVENTORIES FOR SALE OR USE 22,610 28,969 292,416 292,416 LESS ACCUMULATED DEPRECIATION 281,083 284,321 TOTAL 33,943 37,064
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ACCOUNTS PAYABLE AND ACCRUED EXPENSES 583 422
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4TO ADVANCE AND PROMOTE THE WELFARE OF CUMBERLAND MEDICAL CENTER HOSPITAL BY OPERATING A GIFT SHOP, OFFERING LIFELINE UNITS AND RAISING MONEY FOR OTHER CHARITABLE CAUSES WITHIN THE HOSPITAL.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990-EZ, PART I, LINE 10
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990-EZ, PART I, LINE 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990-EZ, PART II, LINE 24
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990-EZ, PART II, LINE 26
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990-EZ, PART III
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0DICK MOMSON
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum09314849511
ReturnHeader/BusinessOfficerGrp/SignatureDt02021-05-13
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0CUMBERLAND MEDICAL CENTER AUXILIARY
ReturnHeader/Filer/BusinessNameControlTxt0CUMB
ReturnHeader/Filer/EIN0620988311
ReturnHeader/Filer/PhoneNum09314849511
ReturnHeader/Filer/USAddress/AddressLine1Txt0421 S MAIN ST
ReturnHeader/Filer/USAddress/CityNm0CROSSVILLE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0TN
ReturnHeader/Filer/USAddress/ZIPCd038555
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0621429876
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0BILYEU CPA GROUP PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0314 OLD JAMESTOWN HWY STE 1
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0CROSSVILLE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0TN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd038555
ReturnHeader/PreparerPersonGrp/PhoneNum09314848200
ReturnHeader/PreparerPersonGrp/PreparationDt02021-05-14
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0MEREDITH HAUBRICH CPA
ReturnHeader/ReturnTs02021-05-14T13:58:06-05:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0VAL
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0CAPPER
ReturnHeader/TaxPeriodBeginDt02020-01-01
ReturnHeader/TaxPeriodEndDt02020-12-31
ReturnHeader/TaxYr02020

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