Liabilities / Assets
64th percentile
Higher debt load relative to assets than 64% of similar nonprofits.
Community Cares Clinic Inc
EIN 80-0424001 • 501(c)3 • Dekalb, IL
Profile
To provide compassionate, innovative, and affordable medical care and to collaborate with partners to serve the health needs of our community.
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
0.00x
Liabilities / Revenue
64th percentile
Higher debt load relative to revenue than 64% of similar nonprofits.
Net Margin
87th percentile
Higher net margin than 87% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
75th percentile
Faster asset growth than 75% of similar nonprofits.
Revenue Growth
5th percentile
Faster revenue growth than 5% of similar nonprofits.
Balance Sheet
Assets
Up$13,588
Up $2,076 (+18%) from 2014
Liabilities
Down$63
Down $5,918 (-99%) from 2014
Net Assets
Up$13,525
Up $7,994 (+145%) from 2014
Revenue
Down$19,435
Down $427,062 (-96%) from 2014
Expenses
Down$11,441
Down $717,391 (-98%) from 2014
Net Income
Up$7,994
Up $290,329 (+103%) from 2014
Trend Graphs
Filings
Most recent year
2015 • Form 990EZDetailed filing. Detailed filing data is available for this year.
- Assets
- $13,588
- Liabilities
- $63
- Net assets
- $13,525
- Revenue
- $19,435
- Expenses
- $11,441
- Net income
- $7,994
Latest Filing Detail
Jump To
Filing Snapshot
- Filing Period
- May 1, 2014 to Apr 30, 2015
- Signed
- Jan 20, 2016
- Return Version
- 2014v6.0
- Gross Receipts
- $19,435
Mission and Program Overview
Mission
To provide compassionate, innovative, and affordable medical care and to collaborate with partners to serve the health needs of our community.
Program Services
| Description | Grants | Expenses |
|---|---|---|
| TO PROVIDE PRIMARY AND URGENT MEDICAL CARE TO INDIVIDUALS OF ANY AGE WITHOUT REGARD TO ABILITY TO PAY. | $0 | $8,253 |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| JOE DANT | Chair, VP-Bus Dev Kishhealth System | - | $0 | - | - |
| DAVE JUDAY | Vice Chair & Secretary | - | $0 | - | - |
| RAY ALDEN | Director | - | $0 | - | - |
| DERRYL BLOCK | Director | - | $0 | - | - |
| MIKE CULLEN | Director | - | $0 | - | - |
| DOUG ROBERTS | Director | - | $0 | - | - |
| KEVIN POORTEN | Director & Pres-Kishhealth System | - | $0 | - | - |
| LOREN FOELSKE | VP - Finance Kishhealth System | - | $0 | - | - |
| MICHELE MCCLELLAND | VP Of Human Resources | - | $0 | - | - |
Filing and Contact Details
Filer
- Filer Name
- Community Cares Clinic Inc
- EIN
- 80-0424001
- Phone
- 8157523253
- Address
- ONE KISH HOSPITAL DRIVE, DEKALB, IL 60115
Signing Officer
- Name
- Loren Foelske
- Title
- Vice President - Finance, Khs
- Phone
- 8157561521
- Signed
- 2016-01-20
- Discuss with paid preparer
- Yes
Preparer
- Firm
- Cliftonlarsonallen Llp
- Address
- 114 E EVERETT, DIXON, IL 61021
- Preparer
- Kelly Jackson Hardy
- Phone
- 8152859300
Supplemental Narrative
Additional Explanations
Form 990-ez, Part I, Line 8 - Other Revenue
“Description: medicare/medicaid incentive payments. Amount: 12,178.”
Form 990-ez, Part I, Line 16 - Other Expenses
“Description: insurance. Amount: 5,807. Description: service fees. Amount: 696. Total to form 990-ez, line 16: 6,503.”
Form 990-ez, Part II, Line 24 - Other Assets
“Description: malpractice claim recovery receivable. Beg. Of year amount: 1,905. End of year amount: 0. Description: due from affiliates. Beg. Of year amount: 336. End of year amount: 25.”
Form 990-ez, Part II, Line 26 - Other Liabilities
“Description: accounts payable & accrued expenses. Beg. Of year amount: 4,076. End of year amount: 63. Description: accrued malpractice claims. Beg. Of year amount: 1,905. End of year amount: 0.”
Raw XML Appendix174 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 |
|---|---|---|
| IRS990EZ/ActivitiesNotPreviouslyRptInd | 0 | 0 |
| IRS990EZ/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | LOREN FOELSKE VP FINANCE |
| IRS990EZ/BooksInCareOfDetail/PhoneNum | 0 | 8157561521 |
| IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | ONE KISH HOSPITAL DRIVE |
| IRS990EZ/BooksInCareOfDetail/USAddress/CityNm | 0 | DEKALB |
| IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | IL |
| IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 60115 |
| IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt | 0 | 9271 |
| IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt | 0 | 13563 |
| IRS990EZ/ChgMadeToOrgnzngDocNotRptInd | 0 | 0 |
| IRS990EZ/CompensationOfHghstPdCntrctGrp/BusinessName/BusinessNameLine1Txt | 0 | KISHHEALTH SYSTEM |
| IRS990EZ/CompensationOfHghstPdCntrctGrp/BusinessName/BusinessNameLine1Txt | 1 | KISHHEALTH PHYSICIAN GROUP |
| IRS990EZ/CompensationOfHghstPdCntrctGrp/CompensationAmt | 0 | 169005 |
| IRS990EZ/CompensationOfHghstPdCntrctGrp/CompensationAmt | 1 | 107803 |
| IRS990EZ/CompensationOfHghstPdCntrctGrp/ServiceTypeTxt | 0 | MANAGEMENT SERVICES |
| IRS990EZ/CompensationOfHghstPdCntrctGrp/ServiceTypeTxt | 1 | PHYSICIAN SERVICES |
| IRS990EZ/CompensationOfHghstPdCntrctGrp/USAddress/AddressLine1Txt | 0 | ONE KISH HOSPITAL DRIVE |
| IRS990EZ/CompensationOfHghstPdCntrctGrp/USAddress/AddressLine1Txt | 1 | ONE KISH HOSPITAL DRIVE |
| IRS990EZ/CompensationOfHghstPdCntrctGrp/USAddress/CityNm | 0 | DEKALB |
| IRS990EZ/CompensationOfHghstPdCntrctGrp/USAddress/CityNm | 1 | DEKALB |
| IRS990EZ/CompensationOfHghstPdCntrctGrp/USAddress/StateAbbreviationCd | 0 | IL |
| IRS990EZ/CompensationOfHghstPdCntrctGrp/USAddress/StateAbbreviationCd | 1 | IL |
| IRS990EZ/CompensationOfHghstPdCntrctGrp/USAddress/ZIPCd | 0 | 60115 |
| IRS990EZ/CompensationOfHghstPdCntrctGrp/USAddress/ZIPCd | 1 | 60115 |
| IRS990EZ/ContributionsGiftsGrantsEtcAmt | 0 | 0 |
| IRS990EZ/DirectIndirectPltclExpendAmt | 0 | 0 |
| IRS990EZ/DonorAdvisedFndsInd | 0 | 0 |
| IRS990EZ/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990EZ/ExcessOrDeficitForYearAmt | 0 | 7994 |
| IRS990EZ/FeesAndOtherPymtToIndCntrctAmt | 0 | 4938 |
| IRS990EZ/FiledScheduleAInd | 0 | 1 |
| IRS990EZ/ForeignFinancialAccountInd | 0 | 0 |
| IRS990EZ/ForeignOfficeInd | 0 | 0 |
| IRS990EZ/Form990TotalAssetsGrp/BOYAmt | 0 | 11512 |
| IRS990EZ/Form990TotalAssetsGrp/EOYAmt | 0 | 13588 |
| IRS990EZ/GrossReceiptsAmt | 0 | 19435 |
| IRS990EZ/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990EZ/InfoInScheduleOPartIIInd | 0 | X |
| IRS990EZ/InfoInScheduleOPartIInd | 0 | X |
| IRS990EZ/InfoInScheduleOPartVInd | 0 | X |
| IRS990EZ/LobbyingActivitiesInd | 0 | 0 |
| IRS990EZ/MadeLoansToFromOfficersInd | 0 | 0 |
| IRS990EZ/MethodOfAccountingAccrualInd | 0 | X |
| IRS990EZ/NetAssetsOrFundBalancesBOYAmt | 0 | 5531 |
| IRS990EZ/NetAssetsOrFundBalancesEOYAmt | 0 | 13525 |
| IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt | 0 | 5531 |
| IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt | 0 | 13525 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 0 | 1.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 1 | 1.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 2 | 1.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 3 | 1.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 4 | 1.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 5 | 1.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 6 | 1.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 7 | 1.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 8 | 1.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 0 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 1 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 2 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 3 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 4 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 5 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 6 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 7 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 8 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 0 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 1 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 2 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 3 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 4 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 5 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 6 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 7 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 8 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 0 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 1 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 2 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 3 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 4 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 5 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 6 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 7 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 8 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 0 | JOE DANT |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 1 | DAVE JUDAY |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 2 | RAY ALDEN |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 3 | DERRYL BLOCK |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 4 | MIKE CULLEN |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 5 | DOUG ROBERTS |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 6 | KEVIN POORTEN |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 7 | LOREN FOELSKE |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 8 | MICHELE MCCLELLAND |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 0 | CHAIR, VP-BUS DEV KISHHEALTH SYSTEM |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 1 | VICE CHAIR & SECRETARY |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 2 | DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 3 | DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 4 | DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 5 | DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 6 | DIRECTOR & PRES-KISHHEALTH SYSTEM |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 7 | VP - FINANCE KISHHEALTH SYSTEM |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 8 | VP OF HUMAN RESOURCES |
| IRS990EZ/OperateHospitalInd | 0 | 0 |
| IRS990EZ/Organization501c3Ind | 0 | X |
| IRS990EZ/OrganizationDissolvedEtcInd | 0 | 0 |
| IRS990EZ/OrganizationHadUBIInd | 0 | 0 |
| IRS990EZ/OtherAssetsTotalDetail/BOYAmt | 0 | 2241 |
| IRS990EZ/OtherAssetsTotalDetail/EOYAmt | 0 | 25 |
| IRS990EZ/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990EZ/OtherExpensesTotalAmt | 0 | 6503 |
| IRS990EZ/OtherRevenueTotalAmt | 0 | 12178 |
| IRS990EZ/PartVIOfCompOfHghstPdEmplTxt | 0 | NONE |
| IRS990EZ/PoliticalCampaignActyInd | 0 | 0 |
| IRS990EZ/PrimaryExemptPurposeTxt | 0 | TO PROVIDE COMPASSIONATE, INNOVATIVE, AND AFFORDABLE MEDICAL CARE AND TO COLLABORATE WITH PARTNERS TO SERVE THE HEALTH NEEDS OF OUR COMMUNITY. |
| IRS990EZ/ProgramServiceRevenueAmt | 0 | 7257 |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt | 0 | TO PROVIDE PRIMARY AND URGENT MEDICAL CARE TO INDIVIDUALS OF ANY AGE WITHOUT REGARD TO ABILITY TO PAY. |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt | 0 | 0 |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt | 0 | 8253 |
| IRS990EZ/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990EZ/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990EZ/ScheduleBNotRequiredInd | 0 | X |
| IRS990EZ/SchoolOperatingInd | 0 | 0 |
| IRS990EZ/StatesWhereCopyOfReturnIsFldCd | 0 | IL |
| IRS990EZ/SubjectToProxyTaxInd | 0 | 0 |
| IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt | 0 | 5981 |
| IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt | 0 | 63 |
| IRS990EZ/TanningServicesProvidedInd | 0 | 0 |
| IRS990EZ/TaxImposedOnOrganizationMgrAmt | 0 | 0 |
| IRS990EZ/TaxImposedUnderIRC4911Amt | 0 | 0 |
| IRS990EZ/TaxImposedUnderIRC4912Amt | 0 | 0 |
| IRS990EZ/TaxImposedUnderIRC4955Amt | 0 | 0 |
| IRS990EZ/TaxReimbursedByOrganizationAmt | 0 | 0 |
| IRS990EZ/TotalExpensesAmt | 0 | 11441 |
| IRS990EZ/TotalProgramServiceExpensesAmt | 0 | 8253 |
| IRS990EZ/TotalRevenueAmt | 0 | 19435 |
| IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd | 0 | 0 |
| IRS990EZ/TypeOfOrganizationCorpInd | 0 | X |
| IRS990EZ/WebsiteAddressTxt | 0 | WWW.KISHHEALTH.ORG |
| IRS990ScheduleA/HospitalInd | 0 | X |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | DESCRIPTION: MEDICARE/MEDICAID INCENTIVE PAYMENTS. AMOUNT: 12,178. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | DESCRIPTION: INSURANCE. AMOUNT: 5,807. DESCRIPTION: SERVICE FEES. AMOUNT: 696. TOTAL TO FORM 990-EZ, LINE 16: 6,503. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | DESCRIPTION: MALPRACTICE CLAIM RECOVERY RECEIVABLE. BEG. OF YEAR AMOUNT: 1,905. END OF YEAR AMOUNT: 0. DESCRIPTION: DUE FROM AFFILIATES. BEG. OF YEAR AMOUNT: 336. END OF YEAR AMOUNT: 25. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | DESCRIPTION: ACCOUNTS PAYABLE & ACCRUED EXPENSES. BEG. OF YEAR AMOUNT: 4,076. END OF YEAR AMOUNT: 63. DESCRIPTION: ACCRUED MALPRACTICE CLAIMS. BEG. OF YEAR AMOUNT: 1,905. END OF YEAR AMOUNT: 0. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES |
| TransferPrsnlBnftContractsDecl/DeclarationDesc | 0 | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. |
| ReturnHeader/BuildTS | 0 | 2016-04-25 22:37:26Z |
| ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd | 0 | 1 |
| ReturnHeader/BusinessOfficerGrp/PersonNm | 0 | LOREN FOELSKE |
| ReturnHeader/BusinessOfficerGrp/PersonTitleTxt | 0 | VICE PRESIDENT - FINANCE, KHS |
| ReturnHeader/BusinessOfficerGrp/PhoneNum | 0 | 8157561521 |
| ReturnHeader/BusinessOfficerGrp/SignatureDt | 0 | 2016-01-20 |
| ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt | 0 | COMMUNITY CARES CLINIC INC |
| ReturnHeader/Filer/BusinessNameControlTxt | 0 | COMM |
| ReturnHeader/Filer/EIN | 0 | 800424001 |
| ReturnHeader/Filer/PhoneNum | 0 | 8157523253 |
| ReturnHeader/Filer/USAddress/AddressLine1Txt | 0 | ONE KISH HOSPITAL DRIVE |
| ReturnHeader/Filer/USAddress/CityNm | 0 | DEKALB |
| ReturnHeader/Filer/USAddress/StateAbbreviationCd | 0 | IL |
| ReturnHeader/Filer/USAddress/ZIPCd | 0 | 60115 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmEIN | 0 | 410746749 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt | 0 | CLIFTONLARSONALLEN LLP |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt | 0 | 114 E EVERETT |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm | 0 | DIXON |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd | 0 | IL |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd | 0 | 61021 |
| ReturnHeader/PreparerPersonGrp/PhoneNum | 0 | 8152859300 |
| ReturnHeader/PreparerPersonGrp/PreparerPersonNm | 0 | KELLY JACKSON HARDY |
| ReturnHeader/ReturnTs | 0 | 2016-01-29T14:03:13-06:00 |
| ReturnHeader/ReturnTypeCd | 0 | 990EZ |
| ReturnHeader/TaxPeriodBeginDt | 0 | 2014-05-01 |
| ReturnHeader/TaxPeriodEndDt | 0 | 2015-04-30 |
| ReturnHeader/TaxYr | 0 | 2014 |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.