Civic Intelligence

Cemc Employees Credit Union

EIN 62-6041068 • 501(c)14 • Clarksville, TN

Profile

To provide services for approximately 586 members in the form of loans, savings and other financial services.

P O Box 3300Clarksville, TN 37043
Siviq Scores

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

Liabilities / Assets

55th percentile

0.83x

Higher debt load relative to assets than 55% of similar nonprofits.

501(c)14 • $1M-$5M nonprofits • Source year 2023

Liabilities / Revenue

72nd percentile

15.75x

Higher debt load relative to revenue than 72% of similar nonprofits.

501(c)14 • $1M-$5M nonprofits • Source year 2023

Net Margin

72nd percentile

10%

Higher net margin than 72% of similar nonprofits.

501(c)14 • $1M-$5M nonprofits • Source year 2023

Top Officer Pay

18th percentile

$0

Higher top officer pay than 18% of similar nonprofits.

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

501(c)14 • $1M-$5M nonprofits • Source year 2023

Asset Growth

90th percentile

4.0%

Faster asset growth than 90% of similar nonprofits.

501(c)14 • $1M-$5M nonprofits • Annualized from 2022 to 2023

Revenue Growth

77th percentile

7.2%

Faster revenue growth than 77% of similar nonprofits.

501(c)14 • $1M-$5M nonprofits • Annualized from 2022 to 2023

Balance Sheet
Liabilities / Assets55th percentile

Assets

Up

$2,521,662

Up $98,051 (+4.0%) from 2022

Liabilities

Up

$2,085,840

Up $101,501 (+5.1%) from 2022

Net Assets

Down

$435,822

Down $3,450 (-0.8%) from 2022

Operations
Liabilities / Revenue72nd percentileNet Margin72nd percentile

Revenue

Up

$132,476

Up $8,920 (+7.2%) from 2022

Expenses

Up

$119,080

Up $8,155 (+7.4%) from 2022

Net Income

Up

$13,396

Up $765 (+6.1%) from 2022

Trend Graphs

Balance Sheet Trend

Asset Growth90th percentile

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

$4.0M$3.0M$2.0M$1.0M$0Assets 2010: $3,102,132Liabilities 2010: $2,496,691Net Assets 2010: $605,4412010Assets 2011: $3,098,983Liabilities 2011: $2,488,735Net Assets 2011: $610,2482011Assets 2012: $3,090,693Liabilities 2012: $2,487,657Net Assets 2012: $603,0362012Assets 2013: $2,787,998Liabilities 2013: $2,133,015Net Assets 2013: $654,9832013Assets 2014: $2,677,309Liabilities 2014: $2,066,580Net Assets 2014: $610,7292014Assets 2015: $2,368,518Liabilities 2015: $1,781,896Net Assets 2015: $586,6222015Assets 2016: $2,467,381Liabilities 2016: $1,904,468Net Assets 2016: $562,9132016Assets 2017: $3,283,517Liabilities 2017: $2,803,949Net Assets 2017: $479,5682017Assets 2018: $2,443,333Liabilities 2018: $1,959,275Net Assets 2018: $484,0582018Assets 2019: $2,341,901Liabilities 2019: $1,872,827Net Assets 2019: $469,0742019Assets 2020: $2,466,297Liabilities 2020: $2,043,960Net Assets 2020: $422,3372020Assets 2021: $2,352,612Liabilities 2021: $1,924,620Net Assets 2021: $427,9922021Assets 2022: $2,423,611Liabilities 2022: $1,984,339Net Assets 2022: $439,2722022Assets 2023: $2,521,662Liabilities 2023: $2,085,840Net Assets 2023: $435,8222023

Highlighted filing

2023

Assets$2,521,662
Liabilities$2,085,840
Net Assets$435,822
Open 2023 Filing

Operations Trend

Revenue Growth77th percentile

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

$300K$200K$100K$0-$100KExpenses 2010: $158,0332010Expenses 2011: $136,2752011Expenses 2012: $135,3862012Revenue 2013: $121,646Expenses 2013: $129,062Net Income 2013: -$7,4162013Revenue 2014: $109,161Expenses 2014: $153,139Net Income 2014: -$43,9782014Revenue 2015: $117,355Expenses 2015: $141,462Net Income 2015: -$24,1072015Revenue 2016: $111,328Expenses 2016: $135,035Net Income 2016: -$23,7072016Revenue 2017: $118,034Expenses 2017: $201,379Net Income 2017: -$83,3452017Revenue 2018: $120,268Expenses 2018: $115,778Net Income 2018: $4,4902018Revenue 2019: $132,021Expenses 2019: $147,006Net Income 2019: -$14,9852019Revenue 2020: $118,097Expenses 2020: $154,394Net Income 2020: -$36,2972020Revenue 2021: $115,702Expenses 2021: $110,047Net Income 2021: $5,6552021Revenue 2022: $123,556Expenses 2022: $110,925Net Income 2022: $12,6312022Revenue 2023: $132,476Expenses 2023: $119,080Net Income 2023: $13,3962023

Highlighted filing

2023

Revenue$132,476
Expenses$119,080
Net Income$13,396
Open 2023 Filing

Filings

Most recent year

2023 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$2,521,662
Liabilities
$2,085,840
Net assets
$435,822
Revenue
$132,476
Expenses
$119,080
Net income
$13,396
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.52$2.09$0.44$0.13$0.12$0.01
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.42$1.98$0.44$0.12$0.11$0.01
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.35$1.92$0.43$0.12$0.11$0.01
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.47$2.04$0.42$0.12$0.15$0.04
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.34$1.87$0.47$0.13$0.15$0.01
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.44$1.96$0.48$0.12$0.12$0.00
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.28$2.80$0.48$0.12$0.20$0.08
2016Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.47$1.90$0.56$0.11$0.14$0.02
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.37$1.78$0.59$0.12$0.14$0.02
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.68$2.07$0.61$0.11$0.15$0.04
2013Detailed filing. Detailed filing data is available for this year.$2.79$2.13$0.65$0.12$0.13$0.01
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.09$2.49$0.60$0.14
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.10$2.49$0.61$0.14
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.10$2.50$0.61$0.16
Latest Detailed Filing

The latest 2023 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2017 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
May 10, 2018
Return Version
2017v2.3
Gross Receipts
$118,034
Mission and Program Overview

Mission

To provide services for approximately 585 members in the form of loans, savings and other financial services.

Credit union - to provide financial services for its members.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$1,688,470$1,722,615▲ $34,145
Cash and Non-Interest-Bearing Accounts$517,348$815,750▲ $298,402
Investments Other Securities$224,956$720,956▲ $496,000
Rtn Earn Endowment Incm Other Fnds$449,722$366,377▼ $83,345
Cap Stk Tr Prin Current Funds$113,191$113,191→ $0
Prepaid Expenses and Deferred Charges$17,673$4,493▼ $13,180
Land, Buildings, and Equipment, Net$1,202$745▼ $457
Total Assets$2,467,381$3,283,517▲ $816,136
Other Assets Total$17,732$18,958▲ $1,226
Liabilities
Other Liabilities$1,895,799$2,786,205▲ $890,406
Accounts Payable and Accrued Expenses$8,669$17,744▲ $9,075
Total Liabilities$1,904,468$2,803,949▲ $899,481
Net Assets / Fund Balance
Total Net Assets Fund Balance$562,913$479,568▼ $83,345
Total Liabilities and Net Assets / Fund Balance$2,467,381$3,283,517▲ $816,136

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$745$25,697$26,442
Other Securities$20,956--
Compensation and Service Providers
Top Officer Pay18th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Lori Von PalkoManagerFT$49,365$49,365

Board Members and Trustees

NameTitle
Gary PetersonChairman
Annebelle ChesterVice Chairpe
Christy GentryBoard Member
Kevin CainBoard Member
Vicki BostainCredit COM C
Jamie ByardCredit COM M
Toni AtkinsCredit COM M
Joan EvansSecretary/tr
Angie AdkinsSupervisor C
Carolyn DozierSupervisory
Mary Ann ToblerSupervisory
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$105,923
Investment Income
$10,812
Other Revenue
$1,299
Change in Net Assets
$-83,345
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$111,876
Salaries, Compensation, and Employee Benefits$89,503
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages-$83,016-$83,016
Interest-$17,163-$17,163
Office Expenses-$11,898-$11,898
Payroll Taxes-$6,487-$6,487
Other Expenses-$6,001-$6,001
All Other Expenses-$2,500-$2,500
Conferences and Meetings-$660-$660
Total Functional Expenses$0$201,379$0$201,379
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
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
All Other Shares$1,889,413
Regular Shares$896,792
Governance and Compliance

Governance Checklist

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

Governance Explanations

Form 990, Page 6, Part VI, Line 6

“The credit union is owned by the members.”

Form 990, Page 6, Part VI, Line 7A

“The board of directors is elected by the membership (one member, one vote). All duties, powers, and responsibilities are controlled by the board of directors. The members elect the board of directors at the annual meeting every year.”

Form 990, Page 6, Part VI, Line 7B

“Some decisions made by the board of directors are affirmed by the members.”

Form 990, Page 6, Part VI, Line 11B

“The manager reviews the form 990. The form 990 is available for review by the board of directors upon request.”

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

“The board of directors use a ccomparison of credit union compensation.”

Form 990, Page 6, Part VI, Line 19

“Financial documents are posted in the credit union lobby by the 15th of the subsequent month.”

Filing and Contact Details

Filer

Filer Name
Cemc Employees Credit Union
EIN
62-6041068
Phone
9316452481
Address
P O BOX 3300, CLARKSVILLE, TN 37043

Signing Officer

Name
Lori Von Palko
Title
Manager
Phone
9316452481
Signed
2018-05-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Lori Von Palko
Formed
1994
Legal Domicile
Tn
Voting Board Members
5
Independent Board Members
5
Employees
3
Volunteers
11

Preparer

Firm
Leverage the Lscu Service Corporation
Address
3692 COOLIDGE CT, TALLAHASSEE, FL 32311-7890
Preparer
Hiram H Hollifield
Phone
2054372133
Supplemental Narrative

Additional Explanations

Form 990, Page 1, Part I, Line 6

“Hours of service are related to duties of the board of directors, supervisory committee, and credit committee without compensation.”

Form 990, Page 5, Part V, Line 3B

“The credit union does not have any unrelated business income.”

Form 990, Part XII

“Annual agreed upon procedures are performed by an independent auditor.”

Raw XML Appendix389 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/AccountsReceivableGrp/EOYAmt01722615
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0CREDIT UNION - TO PROVIDE FINANCIAL SERVICES FOR ITS MEMBERS.
IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt02500
IRS990/AllOtherExpensesGrp/TotalAmt02500
IRS990/BackupWthldComplianceInd0true
IRS990/BooksInCareOfDetail/PersonNm0LORI VON PALKO
IRS990/BooksInCareOfDetail/PhoneNum09316452481
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0P O BOX 3300
IRS990/BooksInCareOfDetail/USAddress/CityNm0CLARKSVILLE
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0TN
IRS990/BooksInCareOfDetail/USAddress/ZIPCd0370433300
IRS990/BusinessRlnWithFamMemInd0false
IRS990/BusinessRlnWithOfficerEntInd0false
IRS990/BusinessRlnWithOrgMemInd0false
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IRS990/CapStkTrPrinCurrentFundsGrp/EOYAmt0113191
IRS990/CashNonInterestBearingGrp/BOYAmt0517348
IRS990/CashNonInterestBearingGrp/EOYAmt0815750
IRS990/ChangeToOrgDocumentsInd0false
IRS990/CollectionsOfArtInd0false
IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0true
IRS990/CompensationProcessOtherInd0false
IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt0660
IRS990/ConferencesMeetingsGrp/TotalAmt0660
IRS990/ConflictOfInterestPolicyInd0false
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0false
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt010812
IRS990/CYOtherExpensesAmt0111876
IRS990/CYOtherRevenueAmt01299
IRS990/CYProgramServiceRevenueAmt0105923
IRS990/CYRevenuesLessExpensesAmt0-83345
IRS990/CYSalariesCompEmpBnftPaidAmt089503
IRS990/CYTotalExpensesAmt0201379
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt0118034
IRS990/DecisionsSubjectToApprovaInd0true
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/Desc0THE CREDIT UNION PROVIDED A VARIETY OF LOAN SERVICES FOR ITS MEMBERS.
IRS990/DescribedInSection501c3Ind0false
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0false
IRS990/DonorAdvisedFundInd0false
IRS990/ElectionOfBoardMembersInd0true
IRS990/EmployeeCnt03
IRS990/EmploymentTaxReturnsFiledInd0true
IRS990/ExpenseAmt0184216
IRS990/FamilyOrBusinessRlnInd0false
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
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IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt10.00
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IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
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IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd3X
IRS990/Form990PartVIISectionAGrp/OfficerInd4X
IRS990/Form990PartVIISectionAGrp/OfficerInd5X
IRS990/Form990PartVIISectionAGrp/OfficerInd6X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
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IRS990/Form990PartVIISectionAGrp/PersonNm0LORI VON PALKO
IRS990/Form990PartVIISectionAGrp/PersonNm1GARY PETERSON
IRS990/Form990PartVIISectionAGrp/PersonNm2ANNEBELLE CHESTER
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IRS990/Form990PartVIISectionAGrp/TitleTxt0MANAGER
IRS990/Form990PartVIISectionAGrp/TitleTxt1CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt2VICE CHAIRPE
IRS990/Form990PartVIISectionAGrp/TitleTxt3SECRETARY/TR
IRS990/Form990PartVIISectionAGrp/TitleTxt4BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt5BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt6SUPERVISOR C
IRS990/Form990PartVIISectionAGrp/TitleTxt7SUPERVISORY
IRS990/Form990PartVIISectionAGrp/TitleTxt8SUPERVISORY
IRS990/Form990PartVIISectionAGrp/TitleTxt9CREDIT COM C
IRS990/Form990PartVIISectionAGrp/TitleTxt10CREDIT COM M
IRS990/Form990PartVIISectionAGrp/TitleTxt11CREDIT COM M
IRS990/Form990ProvidedToGvrnBodyInd0false
IRS990/FormationYr01994
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IRS990/FSAuditedInd0false
IRS990/FundraisingActivitiesInd0false
IRS990/GamingActivitiesInd0false
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IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
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IRS990/GroupReturnForAffiliatesInd0false
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IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartVInd0X
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IRS990/LoanOutstandingInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0true
IRS990/MethodOfAccountingOtherInd0X
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IRS990/MissionDesc0TO PROVIDE SERVICES FOR APPROXIMATELY 595 MEMBERS IN THE FORM OF LOANS, SAVINGS AND OTHER FINANCIAL SERVICES.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt0562913
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE CREDIT UNION DOES NOT HAVE ANY UNRELATED BUSINESS INCOME.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE CREDIT UNION IS OWNED BY THE MEMBERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE BOARD OF DIRECTORS IS ELECTED BY THE MEMBERSHIP (ONE MEMBER, ONE VOTE). ALL DUTIES, POWERS, AND RESPONSIBILITIES ARE CONTROLLED BY THE BOARD OF DIRECTORS. THE MEMBERS ELECT THE BOARD OF DIRECTORS AT THE ANNUAL MEETING EVERY YEAR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4SOME DECISIONS MADE BY THE BOARD OF DIRECTORS ARE AFFIRMED BY THE MEMBERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE MANAGER REVIEWS THE FORM 990. THE FORM 990 IS AVAILABLE FOR REVIEW BY THE BOARD OF DIRECTORS UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE BOARD OF DIRECTORS USE A CCOMPARISON OF CREDIT UNION COMPENSATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7FINANCIAL DOCUMENTS ARE POSTED IN THE CREDIT UNION LOBBY BY THE 15TH OF THE SUBSEQUENT MONTH.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8ANNUAL AGREED UPON PROCEDURES ARE PERFORMED BY AN INDEPENDENT AUDITOR.
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IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 5, PART V, LINE 3B
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IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART XII
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IRS990/TotalReportableCompFromOrgAmt049365
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IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0118034
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IRS990/TypeOfOrganizationOtherInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
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ReturnHeader/BuildTS02018-06-14 16:35:46Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0LORI VON PALKO
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0MANAGER
ReturnHeader/BusinessOfficerGrp/PhoneNum09316452481
ReturnHeader/BusinessOfficerGrp/SignatureDt02018-05-10
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0CEMC EMPLOYEES CREDIT UNION
ReturnHeader/Filer/BusinessNameControlTxt0CEMC
ReturnHeader/Filer/EIN0626041068
ReturnHeader/Filer/PhoneNum09316452481
ReturnHeader/Filer/USAddress/AddressLine1Txt0P O BOX 3300
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ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId06225844A9469B874AA6651EF4D5340F9A9EB90C8
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ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt074.205.135.252
ReturnHeader/FilingSecurityInformation/IPDt02018-05-10
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CD
ReturnHeader/FilingSecurityInformation/IPTm019:12:34
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0591086132
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0LEVERAGE THE LSCU SERVICE CORPORATION
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt03692 COOLIDGE CT
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0TALLAHASSEE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0FL
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0323117890
ReturnHeader/PreparerPersonGrp/PhoneNum02054372133
ReturnHeader/PreparerPersonGrp/PreparationDt02018-05-10
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0HIRAM H HOLLIFIELD
ReturnHeader/ReturnTs02018-05-10T19:12:34-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02017-01-01
ReturnHeader/TaxPeriodEndDt02017-12-31
ReturnHeader/TaxYr02017

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