Liabilities / Assets
Score unavailable
Liabilities-to-assets requires both liabilities and assets on the latest valid filing.
EIN 80-0488698 • 501(c)3 • Burlington, NJ
Profile
A faith-based community care program for nursing home and medicare / medicaid eligible seniors.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
Score unavailable
Liabilities-to-assets requires both liabilities and assets on the latest valid filing.
Liabilities / Revenue
Score unavailable
Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.
Net Margin
Score unavailable
Net margin requires both revenue and expenses on the latest valid filing.
Top Officer Pay
81st percentile
Higher top officer pay than 81% of similar nonprofits.
Asset Growth
Score unavailable
A valid growth rate could not be computed from the available filing history.
Revenue Growth
Score unavailable
A valid growth rate could not be computed from the available filing history.
Assets
Flat$0
Flat from 2017
Liabilities
Down$0
Down $162,295 (-100%) from 2017
Net Assets
Up$0
Up $162,295 (+100%) from 2017
Revenue
Flat$0
Flat from 2017
Expenses
Flat$0
Flat from 2017
Net Income
Flat$0
Flat from 2017
Most recent year
2018 • Form 990EZXML pending. An XML filing is linked for this year, but detailed extraction is still pending.
The latest 2018 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2017 below.
A faith-based community care program for nursing home and medicare / medicaid eligible seniors.
A faith-based community care program for nursing home and medicare/medicaid eligible seniors.
| Description | Grants | Expenses |
|---|---|---|
| LUTHERAN SENIOR HEALTHCARE AT BRICK (PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY OR "PACE") WAS FORMED TO OWN AND OPERATE A MEDICARE AND MEDICAID PROGRAM FOR ADULTS OVER THE AGE OF 55 WHO ARE ELIGIBLE FOR SKILLED NURSING CARE. THIS PROGRAM PROVIDES COMMUNITY-BASED CARE AND SERVICES TO INDIVIDUALS WHO OTHERWISE WOULD NEED NURSING HOME LEVEL OF CARE. PARTICIPANTS MUST MEET MEDICAID AND MEDICARE FINANCIAL ELIGIBILITY OR PAY PRIVATELY. PACE WAS CREATED AS A WAY TO PROVIDE FAMILIES, CAREGIVERS, AND PROFESSIONAL HEALTH CARE PROVIDERS FLEXIBILITY TO MEET THE PARTICIPANTS' HEALTH CARE NEEDS AND TO HELP EACH PARTICIPANT CONTINUE LIVING IN THE COMMUNITY. | $0 | $0 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| DAVID WADDELL | Chair | - | $0 | - | - |
| JAMES O'NEIL | Vice Chair | - | $0 | - | - |
| EDWARD P NOBLE | Treasurer | - | $0 | - | - |
| ANGELIQUE WILLIAMS | Secretary | - | $0 | - | - |
| REV TRACIE BARTHOLOMEW | Trustee | - | $0 | - | - |
| REV BRUCE DAVIDSON | Trustee | - | $0 | - | - |
| REV THOMAS DORSEY | Trustee | - | $0 | - | - |
| LINDA KASSEKERT | Trustee | - | $0 | - | - |
| ALLEN PONSINI | Trustee | - | $0 | - | - |
| JUHAN RUNNE | Trustee | - | $0 | - | - |
| KENNETH VAN DONGEN | Trustee | - | $0 | - | - |
| REV DR ANTHONY STEINBRONN | Trustee | - | $0 | - | - |
“Development of lutheran senior healthcare at brick was held off in 2017 while lutheran senior healthcare continued to focus on the existing pace program in jersey city.”
“Description: due to affiliates. Beg. Of year amount: 162,295. End of year amount: 162,295.”
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/PersonNm | 0 | JENNIFER CRIPPS CPA SVPCFO |
| IRS990EZ/BooksInCareOfDetail/PhoneNum | 0 | 6093867171 |
| IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 3 MANHATTAN DRIVE |
| IRS990EZ/BooksInCareOfDetail/USAddress/CityNm | 0 | BURLINGTON |
| IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NJ |
| IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 08016 |
| IRS990EZ/ChgMadeToOrgnzngDocNotRptInd | 0 | 0 |
| IRS990EZ/DirectIndirectPltclExpendAmt | 0 | 0 |
| IRS990EZ/DonorAdvisedFndsInd | 0 | 0 |
| IRS990EZ/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990EZ/ExcessOrDeficitForYearAmt | 0 | 0 |
| IRS990EZ/FiledScheduleAInd | 0 | 1 |
| IRS990EZ/ForeignFinancialAccountInd | 0 | 0 |
| IRS990EZ/ForeignOfficeInd | 0 | 0 |
| IRS990EZ/Form990TotalAssetsGrp/BOYAmt | 0 | 0 |
| IRS990EZ/Form990TotalAssetsGrp/EOYAmt | 0 | 0 |
| IRS990EZ/GrossReceiptsAmt | 0 | 0 |
| IRS990EZ/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990EZ/InfoInScheduleOPartIIInd | 0 | X |
| IRS990EZ/InfoInScheduleOPartIInd | 0 | X |
| IRS990EZ/InfoInScheduleOPartIVInd | 0 | X |
| IRS990EZ/InfoInScheduleOPartVInd | 0 | X |
| IRS990EZ/LobbyingActivitiesInd | 0 | 0 |
| IRS990EZ/MadeLoansToFromOfficersInd | 0 | 0 |
| IRS990EZ/MethodOfAccountingAccrualInd | 0 | X |
| IRS990EZ/NetAssetsOrFundBalancesBOYAmt | 0 | -162295 |
| IRS990EZ/NetAssetsOrFundBalancesEOYAmt | 0 | -162295 |
| IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt | 0 | -162295 |
| IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt | 0 | -162295 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 0 | 0.01 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 1 | 0.01 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 2 | 0.01 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 3 | 0.01 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 4 | 0.01 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 5 | 0.01 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 6 | 0.01 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 7 | 0.01 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 8 | 0.01 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 9 | 0.01 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 10 | 0.01 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 11 | 0.01 |
| 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/CompensationAmt | 9 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 10 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 11 | 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/EmployeeBenefitProgramAmt | 9 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 10 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 11 | 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/ExpenseAccountOtherAllwncAmt | 9 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 10 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 11 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 0 | DAVID WADDELL |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 1 | JAMES O'NEIL |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 2 | EDWARD P NOBLE |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 3 | ANGELIQUE WILLIAMS |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 4 | REV TRACIE BARTHOLOMEW |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 5 | REV BRUCE DAVIDSON |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 6 | REV THOMAS DORSEY |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 7 | LINDA KASSEKERT |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 8 | ALLEN PONSINI |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 9 | JUHAN RUNNE |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 10 | KENNETH VAN DONGEN |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 11 | REV DR ANTHONY STEINBRONN |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 0 | CHAIR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 1 | VICE CHAIR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 2 | TREASURER |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 3 | SECRETARY |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 4 | TRUSTEE |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 5 | TRUSTEE |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 6 | TRUSTEE |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 7 | TRUSTEE |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 8 | TRUSTEE |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 9 | TRUSTEE |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 10 | TRUSTEE |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 11 | TRUSTEE |
| IRS990EZ/OperateHospitalInd | 0 | 0 |
| IRS990EZ/Organization501c3Ind | 0 | X |
| IRS990EZ/OrganizationDissolvedEtcInd | 0 | 0 |
| IRS990EZ/OrganizationHadUBIInd | 0 | 0 |
| IRS990EZ/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt | 0 | NONE |
| IRS990EZ/PartVIOfCompOfHghstPdEmplTxt | 0 | NONE |
| IRS990EZ/PoliticalCampaignActyInd | 0 | 0 |
| IRS990EZ/PrimaryExemptPurposeTxt | 0 | A FAITH-BASED COMMUNITY CARE PROGRAM FOR NURSING HOME AND MEDICARE/MEDICAID ELIGIBLE SENIORS. |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt | 0 | LUTHERAN SENIOR HEALTHCARE AT BRICK (PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY OR "PACE") WAS FORMED TO OWN AND OPERATE A MEDICARE AND MEDICAID PROGRAM FOR ADULTS OVER THE AGE OF 55 WHO ARE ELIGIBLE FOR SKILLED NURSING CARE. THIS PROGRAM PROVIDES COMMUNITY-BASED CARE AND SERVICES TO INDIVIDUALS WHO OTHERWISE WOULD NEED NURSING HOME LEVEL OF CARE. PARTICIPANTS MUST MEET MEDICAID AND MEDICARE FINANCIAL ELIGIBILITY OR PAY PRIVATELY. PACE WAS CREATED AS A WAY TO PROVIDE FAMILIES, CAREGIVERS, AND PROFESSIONAL HEALTH CARE PROVIDERS FLEXIBILITY TO MEET THE PARTICIPANTS' HEALTH CARE NEEDS AND TO HELP EACH PARTICIPANT CONTINUE LIVING IN THE COMMUNITY. |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt | 0 | 0 |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt | 0 | 0 |
| IRS990EZ/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990EZ/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990EZ/ScheduleBNotRequiredInd | 0 | X |
| IRS990EZ/SchoolOperatingInd | 0 | 0 |
| IRS990EZ/SubjectToProxyTaxInd | 0 | 0 |
| IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt | 0 | 162295 |
| IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt | 0 | 162295 |
| 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 | 0 |
| IRS990EZ/TotalProgramServiceExpensesAmt | 0 | 0 |
| IRS990EZ/TotalRevenueAmt | 0 | 0 |
| IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd | 0 | 0 |
| IRS990EZ/TypeOfOrganizationCorpInd | 0 | X |
| IRS990EZ/WebsiteAddressTxt | 0 | WWW.LSMNJ.ORG |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00000 |
| IRS990ScheduleA/PrivateFoundation509Ind | 0 | X |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.00000 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 0 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | DEVELOPMENT OF LUTHERAN SENIOR HEALTHCARE AT BRICK WAS HELD OFF IN 2017 WHILE LUTHERAN SENIOR HEALTHCARE CONTINUED TO FOCUS ON THE EXISTING PACE PROGRAM IN JERSEY CITY. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | DESCRIPTION: DUE TO AFFILIATES. BEG. OF YEAR AMOUNT: 162,295. END OF YEAR AMOUNT: 162,295. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990-EZ, PART I: |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | 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 | 2019-02-21 02:37:17Z |
| ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd | 0 | 1 |
| ReturnHeader/BusinessOfficerGrp/PersonNm | 0 | JENNIFER CRIPPS CPA |
| ReturnHeader/BusinessOfficerGrp/PersonTitleTxt | 0 | SVP & CFO |
| ReturnHeader/BusinessOfficerGrp/PhoneNum | 0 | 6093867171 |
| ReturnHeader/BusinessOfficerGrp/SignatureDt | 0 | 2018-11-13 |
| ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt | 0 | LUTHERAN SENIOR HEALTHCARE AT BRICK |
| ReturnHeader/Filer/BusinessNameControlTxt | 0 | LUTH |
| ReturnHeader/Filer/EIN | 0 | 800488698 |
| ReturnHeader/Filer/PhoneNum | 0 | 6093867171 |
| ReturnHeader/Filer/USAddress/AddressLine1Txt | 0 | 3 MANHATTAN DRIVE |
| ReturnHeader/Filer/USAddress/CityNm | 0 | BURLINGTON |
| ReturnHeader/Filer/USAddress/StateAbbreviationCd | 0 | NJ |
| ReturnHeader/Filer/USAddress/ZIPCd | 0 | 08016 |
| ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId | 0 | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 |
| ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId | 0 | AAD235D504C2444AEC74171655760D719365F2AA |
| ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd | 0 | P |
| ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt | 0 | 50.243.90.186 |
| ReturnHeader/FilingSecurityInformation/IPDt | 0 | 2018-11-13 |
| ReturnHeader/FilingSecurityInformation/IPTimezoneCd | 0 | ES |
| ReturnHeader/FilingSecurityInformation/IPTm | 0 | 10:31:52 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmEIN | 0 | 390859910 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt | 0 | BAKER TILLY VIRCHOW KRAUSE LLP |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt | 0 | 1650 MARKET STREET SUITE 4500 |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm | 0 | PHILADELPHIA |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd | 0 | PA |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd | 0 | 191037341 |
| ReturnHeader/PreparerPersonGrp/PhoneNum | 0 | 2159720701 |
| ReturnHeader/PreparerPersonGrp/PreparerPersonNm | 0 | JULIUS C GREEN CPA |
| ReturnHeader/ReturnTs | 0 | 2018-11-13T15:22:00-06:00 |
| ReturnHeader/ReturnTypeCd | 0 | 990EZ |
| ReturnHeader/TaxPeriodBeginDt | 0 | 2017-01-01 |
| ReturnHeader/TaxPeriodEndDt | 0 | 2017-12-31 |
| ReturnHeader/TaxYr | 0 | 2017 |
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