Civic Intelligence

Mesa Associates Group Health Employee Benefit Plan and Trust

EIN 63-1253395 • 501(c)9 • Madison, AL

Profile

None

480 Production AvenueMadison, AL 35758

n/A

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 2019

Liabilities / Revenue

38th percentile

0.00x

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

501(c)9 • $5M-$10M nonprofits • Source year 2019

Net Margin

37th percentile

-0.1%

Higher net margin than 37% of similar nonprofits.

501(c)9 • $5M-$10M nonprofits • Source year 2019

Top Officer Pay

51st percentile

$0

Higher top officer pay than 51% of similar nonprofits.

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

501(c)9 • $5M-$10M nonprofits • Source year 2019

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)9 • $5M-$10M nonprofits • Annualized from 2018 to 2019

Revenue Growth

76th percentile

21%

Faster revenue growth than 76% of similar nonprofits.

501(c)9 • $5M-$10M nonprofits • Annualized from 2018 to 2019

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $40,683 (-100%) from 2018

Liabilities

Down

$0

Down $31,855 (-100%) from 2018

Net Assets

Down

$0

Down $8,828 (-100%) from 2018

Operations
Liabilities / Revenue38th percentileNet Margin37th percentile

Revenue

Up

$9,806,001

Up $1,693,709 (+21%) from 2018

Expenses

Up

$9,814,829

Up $1,442,945 (+17%) from 2018

Net Income

Up

-$8,828

Up $250,764 (+97%) from 2018

Trend Graphs

Balance Sheet Trend

Asset Growth10th percentile

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

$600K$400K$200K$0-$200KAssets 2011: $0Liabilities 2011: $33,148Net Assets 2011: -$33,1482011Assets 2012: $274,817Liabilities 2012: $25,449Net Assets 2012: $249,3682012Assets 2013: $447,961Liabilities 2013: $14,589Net Assets 2013: $433,3722013Assets 2014: $511,579Liabilities 2014: $415,065Net Assets 2014: $96,5142014Assets 2015: $215,127Liabilities 2015: $18,981Net Assets 2015: $196,1462015Assets 2016: $229,168Liabilities 2016: $25,987Net Assets 2016: $203,1812016Assets 2017: $292,535Liabilities 2017: $24,115Net Assets 2017: $268,4202017Assets 2018: $40,683Liabilities 2018: $31,855Net Assets 2018: $8,8282018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019

Highlighted filing

2019

Assets$0
Liabilities$0
Net Assets$0
Open 2019 Filing

Operations Trend

Revenue Growth76th percentile

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

$10M$5.0M$0-$5.0MRevenue 2011: $4,798,490Expenses 2011: $4,776,873Net Income 2011: $21,6172011Expenses 2012: $4,891,4292012Revenue 2013: $5,164,828Expenses 2013: $4,980,824Net Income 2013: $184,0042013Revenue 2014: $5,389,475Expenses 2014: $5,726,333Net Income 2014: -$336,8582014Revenue 2015: $6,143,311Expenses 2015: $6,043,679Net Income 2015: $99,6322015Revenue 2016: $7,138,729Expenses 2016: $7,131,694Net Income 2016: $7,0352016Revenue 2017: $7,061,777Expenses 2017: $6,996,538Net Income 2017: $65,2392017Revenue 2018: $8,112,292Expenses 2018: $8,371,884Net Income 2018: -$259,5922018Revenue 2019: $9,806,001Expenses 2019: $9,814,829Net Income 2019: -$8,8282019

Highlighted filing

2019

Revenue$9,806,001
Expenses$9,814,829
Net Income-$8,828
Open 2019 Filing

Filings

Most recent year

2019 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$9,806,001
Expenses
$9,814,829
Net income
-$8,828
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2019Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$9.81$9.81$0.01
2018Detailed filing. Detailed filing data is available for this year.$0.04$0.03$0.01$8.11$8.37$0.26
2017Detailed filing. Detailed filing data is available for this year.$0.29$0.02$0.27$7.06$7.00$0.07
2016Detailed filing. Detailed filing data is available for this year.$0.23$0.03$0.20$7.14$7.13$0.01
2015Detailed filing. Detailed filing data is available for this year.$0.22$0.02$0.20$6.14$6.04$0.10
2014Detailed filing. Detailed filing data is available for this year.$0.51$0.42$0.10$5.39$5.73$0.34
2013Detailed filing. Detailed filing data is available for this year.$0.45$0.01$0.43$5.16$4.98$0.18
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.27$0.03$0.25$4.89
2011Summary only. Only limited summary data is available for this year.$0.00$0.03$0.03$4.80$4.78$0.02
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Nov 6, 2020
Return Version
2019v5.0
Gross Receipts
$9,806,001
Mission and Program Overview

Mission

None

The plan is a partially self-insured employer group health plan. Contributions to the plan are provided by employee salary deferrals and by direct contributions from mesa associates, inc., the plan sponsor. All full-time employees are eligible to participate. The plan is subject to the provisions of the employee retirement income security act of 1974 (erisa).

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$40,683--
Rtn Earn Endowment Incm Other Fnds$8,828--
Total Assets$40,683$0▼ $40,683
Liabilities
Accounts Payable and Accrued Expenses$31,855--
Total Liabilities$31,855$0▼ $31,855
Net Assets / Fund Balance
Total Net Assets Fund Balance$8,828$0▼ $8,828
Total Liabilities and Net Assets / Fund Balance$40,683$0▼ $40,683
Compensation and Service Providers
Top Officer Pay51st percentile

Board Members and Trustees

NameTitle
June BunnellAdministrato
Ranjana SavantAdministrato
Destinie C SavantHr Administr
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$9,804,258
Investment Income
$1,743
Other Revenue
$0
Change in Net Assets
$-8,828

Audited Revenue Reconciliation

Revenue per Audited Statements
$9,806,001
Total Revenue per Audited Statements
$9,806,001
Total Revenue per Form 990
$9,806,001
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,142,152
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
Benefits to Members---$8,672,677
Other Expenses---$45,803
Total Functional Expenses$0$0$0$9,814,829

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$9,814,829
Total Expenses per Audited Statements$9,814,829
Total Expenses per Form 990$9,814,829
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Audit committee
No
Backup withholding compliance
No
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
No
Management duties delegated
No

Governance Explanations

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

“No review was or will be conducted.”

Form 990, Page 6, Part VI, Line 19

“The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Mesa Associates Group Health
EIN
63-1253395
Phone
2562582100
Address
480 PRODUCTION AVENUE, MADISON, AL 35758

Signing Officer

Name
Ranjana Savant
Title
Administrator
Phone
2562582100
Signed
2020-11-06

Organization Details

Principal Officer
Ranjana Savant
Formed
2000
Legal Domicile
Al
Voting Board Members
0
Independent Board Members
0
Employees
0

Preparer

Firm
Hill Fogg & Associates Pc
Address
2420 L N DR SW STE A, HUNTSVILLE, AL 35801
Preparer
George H Hill CPA
Phone
2565394413
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITES

“The plan is a partially self-insured employer group health plan. Contributions to the plan are provided by employee salary deferrals and by direct contributions from mesa associates, inc., the plan sponsor. All full-time employees are eligible to participate. The plan is subject to the provisions of the employee retirement income security act of 1974 (erisa).”

Raw XML Appendix264 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/AccountsPayableAccrExpnssGrp/BOYAmt031855
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IRS990/AuditCommitteeInd0false
IRS990/BackupWthldComplianceInd0false
IRS990/BenefitsToMembersGrp/TotalAmt08672677
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IRS990/BooksInCareOfDetail/PhoneNum02562582100
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IRS990/BooksInCareOfDetail/USAddress/CityNm0MADISON
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0AL
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IRS990/ChangeToOrgDocumentsInd0false
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IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0false
IRS990/CompensationProcessOtherInd0false
IRS990/ConflictOfInterestPolicyInd0false
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0false
IRS990/ContractTerminationInd0X
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt08672677
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt01743
IRS990/CYOtherExpensesAmt01142152
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt09804258
IRS990/CYRevenuesLessExpensesAmt0-8828
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt09814829
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt09806001
IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/Desc0HEALTH INSURANCE WAS PROVIDED TO THE PARTICIPATING EMPLOYEES AND THEIR COVERED DEPENDENTS OF MESA ASSOCIATES, INC. THE PLAN COVERED AN AVERAGE OF 749 EMPLOYEES THIS PLAN YEAR.
IRS990/DescribedInSection501c3Ind0false
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0false
IRS990/DonorAdvisedFundInd0false
IRS990/DonorRstrOrQuasiEndowmentsInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt00
IRS990/ExpenseAmt09814829
IRS990/FamilyOrBusinessRlnInd0false
IRS990/FederalGrantAuditRequiredInd0false
IRS990/FinalReturnInd0X
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
IRS990/Form1098CFiledInd0false
IRS990/Form8282PropertyDisposedOfInd0false
IRS990/Form8899Filedind0false
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt02.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt12.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt21.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/PersonNm0JUNE BUNNELL
IRS990/Form990PartVIISectionAGrp/PersonNm1DESTINIE C SAVANT
IRS990/Form990PartVIISectionAGrp/PersonNm2RANJANA SAVANT
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/TitleTxt0ADMINISTRATO
IRS990/Form990PartVIISectionAGrp/TitleTxt1HR ADMINISTR
IRS990/Form990PartVIISectionAGrp/TitleTxt2ADMINISTRATO
IRS990/Form990ProvidedToGvrnBodyInd0false
IRS990/FormationYr02000
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedInd0true
IRS990/FundraisingActivitiesInd0false
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt00
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt09806001
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0true
IRS990/IndependentVotingMemberCnt00
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InvestmentIncomeGrp/ExclusionAmt01743
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt01743
IRS990/InvestmentInJointVentureInd0false
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0AL
IRS990/LoanOutstandingInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt08828
IRS990/NetAssetsOrFundBalancesEOYAmt00
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0false
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowFASB117Ind0X
IRS990/OtherExpensesGrp/Desc0ADMINISTRATION FEES
IRS990/OtherExpensesGrp/Desc1REINSURANCE PREMIUMS
IRS990/OtherExpensesGrp/Desc2OTHER EXPENSES
IRS990/OtherExpensesGrp/TotalAmt0637402
IRS990/OtherExpensesGrp/TotalAmt1458947
IRS990/OtherExpensesGrp/TotalAmt245803
IRS990/PartialLiquidationInd0true
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0RANJANA SAVANT
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/Desc0EMPLOYER CONTRIBUTIONS
IRS990/ProgramServiceRevenueGrp/Desc1EMPLOYEE CONTRIBUTIONS
IRS990/ProgramServiceRevenueGrp/Desc2OTHER INCOME
IRS990/ProgramServiceRevenueGrp/ExclusionAmt07152687
IRS990/ProgramServiceRevenueGrp/ExclusionAmt11789950
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0861621
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt07152687
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt11789950
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt2861621
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYBenefitsPaidToMembersAmt07336723
IRS990/PYInvestmentIncomeAmt02056
IRS990/PYOtherExpensesAmt01035161
IRS990/PYProgramServiceRevenueAmt08110236
IRS990/PYRevenuesLessExpensesAmt0-259592
IRS990/PYTotalExpensesAmt08371884
IRS990/PYTotalRevenueAmt08112292
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt0-8828
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt09806001
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt08828
IRS990/SavingsAndTempCashInvstGrp/BOYAmt040683
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/ExpensesSubtotalAmt09814829
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IRS990ScheduleD/TotalExpensesPerForm990Amt09814829
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IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt09806001
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IRS990/ScheduleJRequiredInd0false
IRS990ScheduleN/DirectorOfSuccessor2Ind0false
IRS990ScheduleN/EmployeeOfSuccessor2Ind0false
IRS990ScheduleN/OwnerOfSuccessor2Ind0false
IRS990ScheduleN/ReceiveCompensation2Ind0false
IRS990/ScheduleORequiredInd0false
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE PLAN IS A PARTIALLY SELF-INSURED EMPLOYER GROUP HEALTH PLAN. CONTRIBUTIONS TO THE PLAN ARE PROVIDED BY EMPLOYEE SALARY DEFERRALS AND BY DIRECT CONTRIBUTIONS FROM MESA ASSOCIATES, INC., THE PLAN SPONSOR. ALL FULL-TIME EMPLOYEES ARE ELIGIBLE TO PARTICIPATE. THE PLAN IS SUBJECT TO THE PROVISIONS OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA).
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1NO REVIEW WAS OR WILL BE CONDUCTED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990 - ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITES
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 19
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IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt040683
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IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalEmployeeCnt00
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IRS990/TotalGrossUBIAmt00
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IRS990/TotalLiabilitiesEOYAmt00
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IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
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IRS990/USAddress/StateAbbreviationCd0AL
IRS990/USAddress/ZIPCd035758
IRS990/VotingMembersGoverningBodyCnt00
IRS990/VotingMembersIndependentCnt00
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02021-04-22 16:20:28Z
ReturnHeader/BusinessOfficerGrp/PersonNm0RANJANA SAVANT
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0ADMINISTRATOR
ReturnHeader/BusinessOfficerGrp/PhoneNum02562582100
ReturnHeader/BusinessOfficerGrp/SignatureDt02020-11-06
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0MESA ASSOCIATES GROUP HEALTH
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0EMPLOYEE BENEFIT PLAN AND TRUST
ReturnHeader/Filer/BusinessNameControlTxt0MESA
ReturnHeader/Filer/EIN0631253395
ReturnHeader/Filer/PhoneNum02562582100
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ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt050.236.34.114
ReturnHeader/FilingSecurityInformation/IPDt02020-11-11
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CS
ReturnHeader/FilingSecurityInformation/IPTm014:21:18
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0630857231
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ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0HUNTSVILLE
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ReturnHeader/PreparerPersonGrp/PhoneNum02565394413
ReturnHeader/PreparerPersonGrp/PreparationDt02020-11-06
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0GEORGE H HILL CPA
ReturnHeader/ReturnTs02020-11-11T14:21:18-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02019-01-01
ReturnHeader/TaxPeriodEndDt02019-12-31
ReturnHeader/TaxYr02019

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