Civic Intelligence

Nurseadvice New Mexico

990 • Fiscal year 2016 • EIN 71-0924113

Jan 01, 2016 to Dec 31, 2016 • Filed on Nov 09, 2017

PO Box 37437Albuquerque, NM 87176

(505) 873-7461

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

97th percentile

1.61x

Higher debt load relative to assets than 97% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Liabilities / Revenue

73rd percentile

0.38x

Higher debt load relative to revenue than 73% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Net Margin

11th percentile

-30%

Higher net margin than 11% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Top Officer Pay

64th percentile

$89,412

Higher top officer pay than 64% of similar nonprofits.

Top officer pay equals 5.6% of source-year revenue.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Asset Growth

1st percentile

-67%

Faster asset growth than 1% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Revenue Growth

13th percentile

-26%

Faster revenue growth than 13% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Assets

Down

$379,410

Down $775,267 (-67%) from 2015

Net Assets

Down

-$230,015

Down $465,044 (-198%) from 2015

Liabilities

Down

$609,425

Down $310,223 (-34%) from 2015

Revenue

Down

$1,601,910

Down $559,890 (-26%) from 2015

Expenses

Down

$2,076,767

Down $317,627 (-13%) from 2015

Net Income

Down

-$474,857

Down $242,263 (-104%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$2.0M$1.0M$0-$1.0MAssets 2011: $1,498,529Liabilities 2011: $1,459,861Net Assets 2011: $38,6682011Assets 2012: $1,825,416Liabilities 2012: $1,363,305Net Assets 2012: $462,1112012Assets 2013: $1,962,986Liabilities 2013: $1,250,754Net Assets 2013: $712,2322013Assets 2014: $1,598,068Liabilities 2014: $1,130,445Net Assets 2014: $467,6232014Assets 2015: $1,154,677Liabilities 2015: $919,648Net Assets 2015: $235,0292015Assets 2016: $379,410Liabilities 2016: $609,425Net Assets 2016: -$230,0152016Assets 2017: $111,503Liabilities 2017: $424,359Net Assets 2017: -$312,8562017Assets 2018: $0Net Assets 2018: $02018

Highlighted filing

2016

Assets$379,410
Liabilities$609,425
Net Assets-$230,015

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$3.0M$2.0M$1.0M$0-$1.0MExpenses 2011: $2,060,9622011Expenses 2012: $2,160,1332012Revenue 2013: $2,497,972Expenses 2013: $2,247,851Net Income 2013: $250,1212013Revenue 2014: $2,242,763Expenses 2014: $2,487,372Net Income 2014: -$244,6092014Revenue 2015: $2,161,800Expenses 2015: $2,394,394Net Income 2015: -$232,5942015Revenue 2016: $1,601,910Expenses 2016: $2,076,767Net Income 2016: -$474,8572016Revenue 2017: $7,348Expenses 2017: $83,375Net Income 2017: -$76,0272017Expenses 2018: $6,1902018

Highlighted filing

2016

Revenue$1,601,910
Expenses$2,076,767
Net Income-$474,857
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Nov 9, 2017
Return Version
2016v3.0
Gross Receipts
$1,601,910
Mission and Program Overview

Mission

The mission of nurseadvice new mexico is to offer every new mexican an opportunity to access healthcare whether insured or not, by providing quality, cost effective and culturally sensitive services, using new mexican resources.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$242,191$275,889▲ $33,698
Cash and Non-Interest-Bearing Accounts$69,854$69,734▼ $120
Prepaid Expenses and Deferred Charges$53,550$26,917▼ $26,633
Land, Buildings, and Equipment, Net$14,240--
Savings and Temporary Cash Investments$774,842$6,870▼ $767,972
Total Assets$1,154,677$379,410▼ $775,267
Liabilities
Mortgage Notes Payable Secured by Investment Property$788,626$418,549▼ $370,077
Accounts Payable and Accrued Expenses$131,022$190,876▲ $59,854
Total Liabilities$919,648$609,425▼ $310,223
Net Assets / Fund Balance
Unrestricted Net Assets$235,029$-230,015▼ $465,044
Total Net Assets Fund Balance$235,029$-230,015▼ $465,044
Total Liabilities and Net Assets / Fund Balance$1,154,677$379,410▼ $775,267

Asset Categories

AssetBook ValueDepreciationBasis
Equipment-$467,814$467,814
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Connie FiorenzioExecutive DiFT$89,412$89,412

Board Members and Trustees

NameTitle
Robert HorwitzPresident
Arthur KaufmanBoard Member
Gayle SumnerBoard Member
Sam HowarthBoard Member
Cheryl LopezSecretary
Bob DefeliceTreasurer
Michael MarchiVice Preside
Revenue and Support

Revenue Composition

Contributions and Grants
$660,845
Program Service Revenue
$938,614
Investment Income
$61
Other Revenue
$2,390
Change in Net Assets
$-474,857
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$1,615,619
Other Expenses$461,148
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,323,080$13,365-$1,336,445
Occupancy$217,398$29,645-$247,043
Payroll Taxes$107,731$1,088-$108,819
Current Officers, Directors, Trustees, and Key Employees$88,518$894-$89,412
Other Employee Benefits$79,324$1,619-$80,943
Fees for Services Other$52,561$23,614-$76,175
Insurance-$18,908-$18,908
Depreciation Depletion$12,104$2,136-$14,240
All Other Expenses$2,292$6,437-$8,729
Other Expenses$5,256$10,000-$5,256
Office Expenses$1,925$419-$2,344
Conferences and Meetings-$1,649-$1,649
Information Technology$900--$900
Advertising$158--$158
Travel-$148-$148
Interest$1--$1
Total Functional Expenses$1,915,698$161,069$0$2,076,767
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
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Bob DefeliceBoard MemberCEO of First ChoiceNo$24,059
Dave AntleBoard MemberCEO of Pueblo of IslNo$1,794
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
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 7A

The organization elects officers and an audit committee.

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

The form 990 is provided to the board of directors who review it with the internal accountant prior to signing and filing the tax return.

Form 990, Page 6, Part VI, Line 12C

1)all board members must review and attest by signature annually regarding matters of conflict of interest, and this is usually done at the annual meeting in the fall (oct or nov meeting). 2)the board president reviews and signs off on each attestation. 3)if, at any time during the year, a members situation changes that materially impacts his/her conflict of interest situation, that member has a duty to report it and submit a new attestation.

Form 990, Page 6, Part VI, Line 19

Governing documents and financial statements are made available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Nurseadvice New Mexico
EIN
71-0924113
Phone
5058737461
Address
PO BOX 37437, ALBUQUERQUE, NM 87176

Signing Officer

Name
Bob Defelice
Title
Treasurer
Phone
0050587374
Signed
2017-11-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Robert Horwitz
Formed
2003
Legal Domicile
Nm
Voting Board Members
8
Independent Board Members
8
Employees
62

Preparer

Firm
Hinkle Landers Pc
Address
2500 9TH ST NW, ALBUQUERQUE, NM 87102-1055
Preparer
Farley Vener
Phone
5058838788
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

The mission of nurseadvice new mexico is to offer every new mexican an opportunity to access healthcare whether insured or not, by providing quality, cost effective and culturally sensitive services, using new mexican resources.

Form 990, Page 2, Part III, Line 3

Nanm ceased operations on december 31, 2016.

Financial Statement Notes

Schedule D, Page 3, Part X

Nanm has adopted accounting principles generally accepted in the united states of america as they relate to uncertain tax positions. Any interest and penalties recognized associated with a tax position are classified as current in the nanm financial statements. Currently, the prior three tax years are open and subject to examination by the internal revenue service and new mexico taxation and revenue department. However, the organization is not currently under audit nor has the organization been contacted by any of these jurisdictions. Management believes that they are operating within their tax-exempt purpose. Therefore, no provision for the effects of uncertain tax positions has been recorded for the year.

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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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IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0520247
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0559088
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0529244
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt02850545
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt01
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt01285
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt01559
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt01569
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt02659
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt07073
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt0941004
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus2YearsAmt0462
IRS990ScheduleA/OtherIncome170Grp/TotalAmt0462
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.99740
IRS990ScheduleA/PublicSupportPY170Pct00.99650
IRS990ScheduleA/PublicSupportTotal170Amt02850545
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0660845
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0581121
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0520247
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0559088
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0529244
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt02850545
IRS990ScheduleA/TotalSupportAmt02858080
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0467814
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0467814
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0NANM HAS ADOPTED ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA AS THEY RELATE TO UNCERTAIN TAX POSITIONS. ANY INTEREST AND PENALTIES RECOGNIZED ASSOCIATED WITH A TAX POSITION ARE CLASSIFIED AS CURRENT IN THE NANM FINANCIAL STATEMENTS. CURRENTLY, THE PRIOR THREE TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND NEW MEXICO TAXATION AND REVENUE DEPARTMENT. HOWEVER, THE ORGANIZATION IS NOT CURRENTLY UNDER AUDIT NOR HAS THE ORGANIZATION BEEN CONTACTED BY ANY OF THESE JURISDICTIONS. MANAGEMENT BELIEVES THAT THEY ARE OPERATING WITHIN THEIR TAX-EXEMPT PURPOSE. THEREFORE, NO PROVISION FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAS BEEN RECORDED FOR THE YEAR.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 3, PART X
IRS990/ScheduleJRequiredInd0false
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/PersonNm0BOB DEFELICE
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/PersonNm1DAVE ANTLE
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt0BOARD MEMBER
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt1BOARD MEMBER
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IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd1false
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionAmt024059
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionAmt11794
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc0CEO OF FIRST CHOICE
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc1CEO OF PUEBLO OF ISL
IRS990ScheduleL/SupplementalInformationDetail/ExplanationTxt0(A) NAME OF PERSON: BOB DEFELICE (D) DESCRIPTION OF TRANSACTION: BOB IS CEO OF FIRST CHOICE COMMUNITY HEALTH, WITH WHOM NANM IS CONTRACTED. (A) NAME OF PERSON: DAVE ANTLE (D) DESCRIPTION OF TRANSACTION: DAVE IS CEO OF PUEBLO OF ISLETA'S DEPARTMENT OF HEALTH SERVICES, WITH WHOM NANM IS CONTRACTED.
IRS990ScheduleL/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE L, PART V
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE MISSION OF NURSEADVICE NEW MEXICO IS TO OFFER EVERY NEW MEXICAN AN OPPORTUNITY TO ACCESS HEALTHCARE WHETHER INSURED OR NOT, BY PROVIDING QUALITY, COST EFFECTIVE AND CULTURALLY SENSITIVE SERVICES, USING NEW MEXICAN RESOURCES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1NANM CEASED OPERATIONS ON DECEMBER 31, 2016.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION ELECTS OFFICERS AND AN AUDIT COMMITTEE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS WHO REVIEW IT WITH THE INTERNAL ACCOUNTANT PRIOR TO SIGNING AND FILING THE TAX RETURN.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt41)ALL BOARD MEMBERS MUST REVIEW AND ATTEST BY SIGNATURE ANNUALLY REGARDING MATTERS OF CONFLICT OF INTEREST, AND THIS IS USUALLY DONE AT THE ANNUAL MEETING IN THE FALL (OCT OR NOV MEETING). 2)THE BOARD PRESIDENT REVIEWS AND SIGNS OFF ON EACH ATTESTATION. 3)IF, AT ANY TIME DURING THE YEAR, A MEMBERS SITUATION CHANGES THAT MATERIALLY IMPACTS HIS/HER CONFLICT OF INTEREST SITUATION, THAT MEMBER HAS A DUTY TO REPORT IT AND SUBMIT A NEW ATTESTATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990 - ORGANIZATION'S MISSION
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 2, PART III, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PAGE 6, PART VI, LINE 19
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IRS990/SignificantChangeInd0true
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0NM
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt01154677
IRS990/TotalAssetsEOYAmt0379410
IRS990/TotalAssetsGrp/BOYAmt01154677
IRS990/TotalAssetsGrp/EOYAmt0379410
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0660845
IRS990/TotalEmployeeCnt062
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0161069
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt01915698
IRS990/TotalFunctionalExpensesGrp/TotalAmt02076767
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0919648
IRS990/TotalLiabilitiesEOYAmt0609425
IRS990/TotalLiabilitiesGrp/BOYAmt0919648
IRS990/TotalLiabilitiesGrp/EOYAmt0609425
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0235029
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-230015
IRS990/TotalProgramServiceExpensesAmt01915698
IRS990/TotalProgramServiceRevenueAmt0938614
IRS990/TotalReportableCompFromOrgAmt089412
IRS990/TotalRevenueGrp/ExclusionAmt061
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0941004
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt01601910
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt01154677
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0379410
IRS990/TravelGrp/ManagementAndGeneralAmt0148
IRS990/TravelGrp/TotalAmt0148
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0235029
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0-230015
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0PO BOX 37437
IRS990/USAddress/CityNm0ALBUQUERQUE
IRS990/USAddress/StateAbbreviationCd0NM
IRS990/USAddress/ZIPCd087176
IRS990/VotingMembersGoverningBodyCnt08
IRS990/VotingMembersIndependentCnt08
IRS990/WebsiteAddressTxt0WWW.NURSEADVICE.ORG
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0BOB DEFELICE
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum00050587374
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-11-09
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0NURSEADVICE NEW MEXICO
ReturnHeader/Filer/BusinessNameControlTxt0NURS
ReturnHeader/Filer/EIN0710924113
ReturnHeader/Filer/PhoneNum05058737461
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 37437
ReturnHeader/Filer/USAddress/CityNm0ALBUQUERQUE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NM
ReturnHeader/Filer/USAddress/ZIPCd087176
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId062B1E1048A6945FC30CE29C5B7AF21C6C4BA4330
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0F568730183B0C4E00A3988643C5B77D372E0B0A8
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0850232815
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0HINKLE LANDERS PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt02500 9TH ST NW
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0ALBUQUERQUE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NM
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0871021055
ReturnHeader/PreparerPersonGrp/PhoneNum05058838788
ReturnHeader/PreparerPersonGrp/PreparationDt02017-11-14
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0FARLEY VENER
ReturnHeader/ReturnTs02017-11-14T13:36:33-07:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02016-01-01
ReturnHeader/TaxPeriodEndDt02016-12-31
ReturnHeader/TaxYr02016

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