Civic Intelligence

Florida Initiative For

EIN 65-0370064 • 501(c)3 • Fort Lauderdale, FL

Profile

Development of a program to promote suicide prevention awareness and techniques for mental health professionals and the general public

7145 West Oakland Park BlvdFort Lauderdale, FL 33313

www.fisponline.org

Siviq Scores

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

Liabilities / Assets

60th percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2025

Liabilities / Revenue

62nd percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2025

Net Margin

62nd percentile

8.8%

Higher net margin than 62% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2025

Top Officer Pay

99th percentile

$138,587

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 51.4% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2025

Asset Growth

65th percentile

7.0%

Faster asset growth than 65% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2024 to 2025

Revenue Growth

38th percentile

-15%

Faster revenue growth than 38% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets60th percentile

Assets

Up

$279,416

Up $59,699 (+27%) from 2022

Liabilities

Flat

$0

Flat from 2022

Net Assets

Up

$279,416

Up $59,699 (+27%) from 2022

Operations
Liabilities / Revenue62nd percentileNet Margin62nd percentile

Revenue

Up

$275,994

Up $41,836 (+18%) from 2022

Expenses

Up

$216,295

Up $67,254 (+45%) from 2022

Net Income

Down

$59,699

Down $25,418 (-30%) from 2022

Trend Graphs

Balance Sheet Trend

Asset Growth65th percentile

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

$300K$200K$100K$0Assets 2011: $77,415Liabilities 2011: $1,3372011Assets 2012: $69,204Liabilities 2012: $1,074Net Assets 2012: $68,1302012Assets 2013: $80,776Liabilities 2013: $1,468Net Assets 2013: $79,3082013Assets 2014: $74,873Liabilities 2014: $1,147Net Assets 2014: $73,7262014Assets 2015: $95,253Liabilities 2015: $3,735Net Assets 2015: $91,5182015Assets 2016: $195,030Liabilities 2016: $5,977Net Assets 2016: $189,0532016Assets 2017: $163,830Liabilities 2017: $4,682Net Assets 2017: $159,1482017Assets 2018: $121,858Liabilities 2018: $3,795Net Assets 2018: $118,0632018Assets 2019: $78,196Liabilities 2019: $3,771Net Assets 2019: $74,4252019Assets 2020: $82,403Liabilities 2020: $30,125Net Assets 2020: $52,2782020Assets 2021: $134,600Liabilities 2021: $0Net Assets 2021: $134,6002021Assets 2022: $219,717Liabilities 2022: $0Net Assets 2022: $219,7172022Assets 2023: $279,416Liabilities 2023: $0Net Assets 2023: $279,4162023

Highlighted filing

2023

Assets$279,416
Liabilities$0
Net Assets$279,416
Open 2023 Filing

Operations Trend

Revenue Growth38th percentile

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

$300K$200K$100K$0-$100KRevenue 2011: $84,052Expenses 2011: $74,938Net Income 2011: $9,1142011Revenue 2012: $48,091Expenses 2012: $56,039Net Income 2012: -$7,9482012Revenue 2013: $61,675Expenses 2013: $50,497Net Income 2013: $11,1782013Revenue 2014: $60,348Expenses 2014: $65,930Net Income 2014: -$5,5822014Revenue 2015: $75,758Expenses 2015: $57,966Net Income 2015: $17,7922015Revenue 2016: $176,115Expenses 2016: $78,580Net Income 2016: $97,5352016Revenue 2017: $128,520Expenses 2017: $158,425Net Income 2017: -$29,9052017Revenue 2018: $112,348Expenses 2018: $153,433Net Income 2018: -$41,0852018Revenue 2019: $127,451Expenses 2019: $171,089Net Income 2019: -$43,6382019Revenue 2020: $168,824Expenses 2020: $190,971Net Income 2020: -$22,1472020Revenue 2021: $266,239Expenses 2021: $161,587Net Income 2021: $104,6522021Revenue 2022: $234,158Expenses 2022: $149,041Net Income 2022: $85,1172022Revenue 2023: $275,994Expenses 2023: $216,295Net Income 2023: $59,6992023

Highlighted filing

2023

Revenue$275,994
Expenses$216,295
Net Income$59,699
Open 2023 Filing

Filings

Most recent year

2023 • Form 990Summary only. Only limited summary data is available for this year.

Open filing
Assets
$279,416
Liabilities
$0
Net assets
$279,416
Revenue
$275,994
Expenses
$216,295
Net income
$59,699
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Summary only. Only limited summary data is available for this year.$2.79$0.00$2.79$2.76$2.16$0.60
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.20$0.00$2.20$2.34$1.49$0.85
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.35$0.00$1.35$2.66$1.62$1.05
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.82$0.30$0.52$1.69$1.91$0.22
2019Detailed filing. Detailed filing data is available for this year.$0.78$0.04$0.74$1.27$1.71$0.44
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.22$0.04$1.18$1.12$1.53$0.41
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.64$0.05$1.59$1.29$1.58$0.30
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.95$0.06$1.89$1.76$0.79$0.98
2015Detailed filing. Detailed filing data is available for this year.$0.95$0.04$0.92$0.76$0.58$0.18
2014Detailed filing. Detailed filing data is available for this year.$0.75$0.01$0.74$0.60$0.66$0.06
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.81$0.01$0.79$0.62$0.50$0.11
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.69$0.01$0.68$0.48$0.56$0.08
2011Summary only. Only limited summary data is available for this year.$0.77$0.01$0.84$0.75$0.09
Latest Detailed Filing

The latest 2023 filing currently has summary financial data only. Showing the latest detailed filing from 2021 below.

Jump To
Filing Snapshot
Filing Period
Jul 1, 2020 to Jun 30, 2021
Signed
Mar 28, 2022
Return Version
2020v4.2
Gross Receipts
$266,239
Mission and Program Overview

Mission

Development of a program to promote suicide prevention awareness and techniques for mental health professionals and the general public.

Development of a program to promote suicide prevention awareness and techniques for mental health professionals and the general public

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$81,858--
Inventories for Sale or Use$496--
Land, Buildings, and Equipment, Net$48--
Other Assets Total-$134,600-
Total Assets$82,402$134,600▲ $52,198
Liabilities
Other Liabilities$30,124--
Total Liabilities$30,124$0▼ $30,124
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$52,278$134,600▲ $82,322
Total Net Assets Fund Balance$52,278$134,600▲ $82,322
Total Liabilities and Net Assets / Fund Balance$82,402$134,600▲ $52,198

Asset Categories

AssetBook ValueDepreciationBasis
Equipment-$14,619$14,619
Other Assets Org$134,600--
Compensation and Service Providers
Top Officer Pay99th percentile

Board Members and Trustees

NameTitle
Lois WexlerPresident
David SchoppVice President
Debbie SchoppDirector
Harry RosenDirector
Howard ForemanDirector
Josh SternDirector
Joshua PlantzDirector
Nigel Lovell-martinDirector
Revenue and Support

Revenue Composition

Contributions and Grants
$259,648
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$6,591
All Other Contributions
$259,648
Change in Net Assets
$104,652

Audited Revenue Reconciliation

Revenue per Audited Statements
$266,239
Total Revenue per Audited Statements
$266,239
Total Revenue per Form 990
$266,239
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$112,661
Other Expenses$48,926
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Employee Benefits$90,129$22,532-$112,661
Office Expenses$16,078$1,786-$17,864
Occupancy$10,740$4,885-$15,625
Fees for Services Other$2,579--$2,579
Other Expenses$1,954$48-$2,002
Insurance$1,256--$1,256
Total Functional Expenses$132,336$29,251$0$161,587

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$161,587
Total Expenses per Audited Statements$161,587
Total Expenses per Form 990$161,587
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Federal income taxes-
Payroll Liabilities-
Credit Card Liabilities-
Ppp Loan-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Audit committee
Yes
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
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 11B

“A review was conducted by the officers of the affiliated organization mental health america of south east florida”

Filing and Contact Details

Filer

Filer Name
Florida Initiative for Suicide Prevention Inc
EIN
65-0370064
Phone
9547462055
Address
7145 WEST OAKLAND PARK BLVD, Fort Lauderdale, FL 33313

Signing Officer

Name
Paul F Jaquith
Title
President
Signed
2022-03-28
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Paul Jaquith
Formed
1992
Legal Domicile
Fl
Voting Board Members
8
Independent Board Members
0
Employees
3

Preparer

Firm
Thomas & Company CPA Pa
Address
9710 STIRLING RD STE 101, COOPER CITY, FL 33024
Preparer
Roby J Thomas CPA
Phone
9544357272
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

“During the year the organization transferred all cash in the bank in december to the affiliated organization mental health america of south east florida. All grants awarded to fisp carry out the joint mission of mental health america and fisp.”

Raw XML AppendixShowing 400 of 404 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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IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt040466
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt068987
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0532435
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct01.00000
IRS990ScheduleA/PublicSupportTotal170Amt0532435
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0259648
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt083135
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt080199
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt040466
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt068987
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0532435
IRS990ScheduleA/TotalSupportAmt0532435
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/EquipmentGrp/DepreciationAmt014619
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt014619
IRS990ScheduleD/ExpensesSubtotalAmt0161587
IRS990ScheduleD/InclEscrowCustodialAcctLiabInd0false
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt0134600
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0CASH APPROPRIATED BY MENTAL HEALTH OF SOUTHEAST FLORIDA FOR BOARD USE
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Federal income taxes
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1PAYROLL LIABILITIES
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc2CREDIT CARD LIABILITIES
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc3PPP LOAN
IRS990ScheduleD/OtherSecuritiesGrp/Desc0Financial derivatives and other financial products
IRS990ScheduleD/OtherSecuritiesGrp/Desc1Closely-held equity interests
IRS990ScheduleD/RevenueSubtotalAmt0266239
IRS990ScheduleD/TotalBookValueOtherAssetsAmt0134600
IRS990ScheduleD/TotalExpensesPerForm990Amt0161587
IRS990ScheduleD/TotalRevenuePerForm990Amt0266239
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0266239
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0161587
IRS990/ScheduleJRequiredInd0false
IRS990ScheduleN/DispositionOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0CASH
IRS990ScheduleN/DispositionOfAssetsDetail/BusinessName/BusinessNameLine1Txt0MENTAL HEALTH AMERICA OF SOUTHEAST FLORIDA INC
IRS990ScheduleN/DispositionOfAssetsDetail/DistributionDt02020-12-17
IRS990ScheduleN/DispositionOfAssetsDetail/EIN0590816448
IRS990ScheduleN/DispositionOfAssetsDetail/FairMarketValueOfAssetAmt022330
IRS990ScheduleN/DispositionOfAssetsDetail/IRCSectionTxt0501C3
IRS990ScheduleN/DispositionOfAssetsDetail/MethodOfFMVDeterminationTxt0FMV
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/AddressLine1Txt07145 WEST OAKLAND PARK BLVD
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/CityNm0LAUDERHILL
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/StateAbbreviationCd0FL
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/ZIPCd033313
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0A REVIEW WAS CONDUCTED BY THE OFFICERS OF THE AFFILIATED ORGANIZATION MENTAL HEALTH AMERICA OF SOUTH EAST FLORIDA
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1DURING THE YEAR THE ORGANIZATION TRANSFERRED ALL CASH IN THE BANK IN DECEMBER TO THE AFFILIATED ORGANIZATION MENTAL HEALTH AMERICA OF SOUTH EAST FLORIDA. ALL GRANTS AWARDED TO FISP CARRY OUT THE JOINT MISSION OF MENTAL HEALTH AMERICA AND FISP.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Line 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part XI, Line 9
IRS990ScheduleR/AssetExchangeInd0false
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd0false
IRS990ScheduleR/AssetSaleToOtherOrgInd0false
IRS990ScheduleR/DivRelatedOrganizationInd0false
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd0false
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd0true
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0MENTAL HEALTH AMERICA OF SOUTHEAST FLORIDA INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0590816448
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501C3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0FL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0MENTAL HEALTH SERVICES
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt07145 WEST OAKLAND PARK BLVD
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0LAUDERHILL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0FL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd033313
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd0false
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd0false
IRS990ScheduleR/PaidEmployeesSharingInd0false
IRS990ScheduleR/PerformOfServicesByOtherOrgInd0false
IRS990ScheduleR/PerformOfServicesForOthOrgInd0false
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd0false
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd0false
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd0false
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd0false
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd0false
IRS990ScheduleR/SharingOfFacilitiesInd0false
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt022330
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt0FMV
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt0MENTAL HEALTH AMERICA OF SOUTHEAST FLORIDA INC
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt0b
IRS990ScheduleR/TransferFromOtherOrgInd0false
IRS990ScheduleR/TransferToOtherOrgInd0false
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt082402
IRS990/TotalAssetsEOYAmt0134600
IRS990/TotalAssetsGrp/BOYAmt082402
IRS990/TotalAssetsGrp/EOYAmt0134600
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0259648
IRS990/TotalEmployeeCnt03
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt029251
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0132336
IRS990/TotalFunctionalExpensesGrp/TotalAmt0161587
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt030124
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt030124
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt052278
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0134600
IRS990/TotalProgramServiceExpensesAmt0132336
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0266239
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt082402
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0134600
IRS990/TransactionWithControlEntInd0false
IRS990/TravelGrp/TotalAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0true
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt07145 W OAKLAND PARK BLVD
IRS990/USAddress/CityNm0LAUDERHILL
IRS990/USAddress/StateAbbreviationCd0FL
IRS990/USAddress/ZIPCd033313
IRS990/VotingMembersGoverningBodyCnt08
IRS990/VotingMembersIndependentCnt00
IRS990/WebsiteAddressTxt0WWW.FISPONLINE.ORG
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/BuildTS02022-05-20 13:21:51Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0PAUL F JAQUITH
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/SignatureDt02022-03-28
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0FLORIDA INITIATIVE FOR SUICIDE PREVENTION INC
ReturnHeader/Filer/BusinessNameControlTxt0FLOR
ReturnHeader/Filer/EIN0650370064
ReturnHeader/Filer/PhoneNum09547462055
ReturnHeader/Filer/USAddress/AddressLine1Txt07145 WEST OAKLAND PARK BLVD
ReturnHeader/Filer/USAddress/CityNm0Fort Lauderdale
ReturnHeader/Filer/USAddress/StateAbbreviationCd0FL
ReturnHeader/Filer/USAddress/ZIPCd033313
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0THOMAS & COMPANY CPA PA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt09710 STIRLING RD STE 101
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0COOPER CITY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0FL
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd033024
ReturnHeader/PreparerPersonGrp/PhoneNum09544357272
ReturnHeader/PreparerPersonGrp/PreparationDt02022-03-28
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0ROBY J THOMAS CPA
ReturnHeader/ReturnTs02022-03-28T02:13:49-00:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0PAUL JAQUITH

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