Civic Intelligence

Myclinic Inc DBA Healthyme

990 • Fiscal year 2015 • EIN 80-0653642

Oct 01, 2014 to Sep 30, 2015 • Filed on Jul 14, 2016

6405 West Indiantown Road No Ste BJupiter, FL 33458

(561) 203-7511

Siviq Scores

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

Liabilities / Assets

57th percentile

0.00x

Higher debt load relative to assets than 57% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Liabilities / Revenue

58th percentile

0.00x

Higher debt load relative to revenue than 58% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Net Margin

88th percentile

38%

Higher net margin than 88% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Top Officer Pay

75th percentile

$0

Higher top officer pay than 75% of similar nonprofits.

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

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Asset Growth

78th percentile

32%

Faster asset growth than 78% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Annualized from 2014 to 2015

Revenue Growth

94th percentile

130%

Faster revenue growth than 94% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Annualized from 2014 to 2015

Assets

Up

$312,123

Up $75,997 (+32%) from 2014

Net Assets

Up

$311,561

Up $75,435 (+32%) from 2014

Liabilities

Up

$562

Up $562 from 2014

Revenue

Up

$197,724

Up $111,686 (+130%) from 2014

Expenses

Up

$122,289

Up $25,504 (+26%) from 2014

Net Income

Up

$75,435

Up $86,182 (+802%) from 2014

Historical Trend

Balance Sheet Trend

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

$4.0M$3.0M$2.0M$1.0M$0Assets 2013: $247,187Liabilities 2013: $0Net Assets 2013: $247,1872013Assets 2014: $236,126Liabilities 2014: $0Net Assets 2014: $236,1262014Assets 2015: $312,123Liabilities 2015: $562Net Assets 2015: $311,5612015Assets 2016: $1,952,185Liabilities 2016: $1,544,860Net Assets 2016: $407,3252016Assets 2017: $1,828,303Liabilities 2017: $1,039,111Net Assets 2017: $789,1922017Assets 2018: $2,471,458Liabilities 2018: $931,392Net Assets 2018: $1,540,0662018Assets 2019: $2,281,260Liabilities 2019: $661,057Net Assets 2019: $1,620,2032019Assets 2020: $2,377,842Liabilities 2020: $408,795Net Assets 2020: $1,969,0472020Assets 2021: $2,417,156Liabilities 2021: $329,950Net Assets 2021: $2,087,2062021Assets 2022: $3,134,120Liabilities 2022: $296,773Net Assets 2022: $2,837,3472022Assets 2023: $3,302,347Liabilities 2023: $269,753Net Assets 2023: $3,032,5942023Assets 2024: $3,491,248Liabilities 2024: $5,793Net Assets 2024: $3,485,4552024

Highlighted filing

2015

Assets$312,123
Liabilities$562
Net Assets$311,561

Operations Trend

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

$2.0M$1.5M$1.0M$500K$0-$500KExpenses 2013: $16,3622013Revenue 2014: $86,038Expenses 2014: $96,785Net Income 2014: -$10,7472014Revenue 2015: $197,724Expenses 2015: $122,289Net Income 2015: $75,4352015Revenue 2016: $273,878Expenses 2016: $176,933Net Income 2016: $96,9452016Revenue 2017: $725,772Expenses 2017: $343,905Net Income 2017: $381,8672017Revenue 2018: $1,715,988Expenses 2018: $341,246Net Income 2018: $1,374,7422018Revenue 2019: $1,553,699Expenses 2019: $454,444Net Income 2019: $1,099,2552019Revenue 2020: $1,476,639Expenses 2020: $445,269Net Income 2020: $1,031,3702020Revenue 2021: $879,588Expenses 2021: $761,429Net Income 2021: $118,1592021Revenue 2022: $1,299,610Expenses 2022: $549,469Net Income 2022: $750,1412022Revenue 2023: $756,834Expenses 2023: $561,587Net Income 2023: $195,2472023Revenue 2024: $1,127,954Expenses 2024: $675,093Net Income 2024: $452,8612024

Highlighted filing

2015

Revenue$197,724
Expenses$122,289
Net Income$75,435
Jump To
Filing Snapshot
Filing Period
Oct 1, 2014 to Sep 30, 2015
Signed
Jul 14, 2016
Return Version
2014v6.0
Gross Receipts
$197,724
Mission and Program Overview

Mission

MyClinics team, including volunteers and collaborative partners, is committed to empowering individuals and families who have limited resources to improve their health and quality of life by providing information, access to clinical care and community services.

The purpose of the clinic is to operate a free health clinic that provides medical care, referrals for urgent dental care, and referrals to medical specialists as appropriate and available for low income, uninsured adults in accordance with the state of florida's volunteer healthcare provides program.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments-$167,137-
Land, Buildings, and Equipment, Net$75,690$124,336▲ $48,646
Cash and Non-Interest-Bearing Accounts$155,436$15,650▼ $139,786
Total Assets$236,126$312,123▲ $75,997
Other Assets Total$5,000$5,000→ $0
Liabilities
Accounts Payable and Accrued Expenses-$562-
Total Liabilities$0$562▲ $562
Net Assets / Fund Balance
Unrestricted Net Assets$161,126$290,378▲ $129,252
Permanently Rstr Net Assets$75,000$21,183▼ $53,817
Total Net Assets Fund Balance$236,126$311,561▲ $75,435
Total Liabilities and Net Assets / Fund Balance$236,126$312,123▲ $75,997

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$70,519$6,897$77,416
Leasehold Improvements$53,817-$53,817
Compensation and Service Providers

Board Members and Trustees

NameTitle
Ron Surowitz DoChairperson
John CourisVice Chairperson
Cathy Drourr MdDirector
Donaldson HearingDirector
Doug BrownDirector
Frank RodriguezDirector
Nancy LambrechtDirector
Stacey BrandtDirector
Amy PepperSecretary
Suzanne CorderoTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$197,248
Program Service Revenue
$0
Investment Income
$476
Other Revenue
$0
All Other Contributions
$172,248
Change in Net Assets
$75,435

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Other Non Cash Contri Table6$52,186Cost
Total Noncash Contributions6$52,186-

Audited Revenue Reconciliation

Revenue per Audited Statements
$197,724
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$657,787
Total Revenue per Audited Statements
$855,511
Total Revenue per Form 990
$197,724
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$92,012
Salaries, Compensation, and Employee Benefits$30,277
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$17,636$21,659-$39,295
Other Salaries and Wages$28,125--$28,125
Occupancy$11,340--$11,340
Insurance-$8,419-$8,419
Advertising$17$6,761-$6,778
Office Expenses$3,943$1,361-$5,304
All Other Expenses$2,705$2,299-$5,004
Depreciation Depletion$2,055$1,985-$4,040
Payroll Taxes$2,152--$2,152
Other Expenses$1,694$19-$1,694
Conferences and Meetings-$1,336-$1,336
Travel-$151-$151
Total Functional Expenses$75,099$47,190$0$122,289

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$781,257
Expenses Not Reported on Form 990$658,968
Expenses per Audited Statements$122,289
Total Expenses per Form 990$122,289
Expenses Not Reported on Financial Statements$0
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Audit committee
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
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11

Form 990 is reviewed and approved by the board secretary and acting director, treasurer, and finance chair. Directors are provided with a copy of the form 990 before filing.

Form 990, Part VI, Section C, Line 19

The corporation makes its form 990 available upon written request from the public. The corporation makes its governing documents, conflict of interest policy, and financial statements available upon written request from the public.

Filing and Contact Details

Filer

Filer Name
Myclinic Inc
EIN
80-0653642
Phone
5612037511
Address
6405 WEST INDIANTOWN ROAD NO STE B, JUPITER, FL 33458

Signing Officer

Name
Amy Pepper
Title
Secretary
Phone
5612037511
Signed
2016-07-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Amy Pepper
Formed
2011
Legal Domicile
Fl
Voting Board Members
10
Independent Board Members
10
Employees
0
Volunteers
0

Preparer

Firm
Efpr Group Cpas Pllc
Address
6390 MAIN STREET SUITE 200, WILLIAMSVILLE, NY 14221
Preparer
JOHN T O'BRIEN
Phone
7166340700
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Audit expense: program service expenses 9,261. Management and general expenses 11,375. Fundraising expenses 0. Total expenses 20,636. Professional services: program service expenses 4,807. Management and general expenses 5,902. Fundraising expenses 0. Total expenses 10,709. Medical record management: program service expenses 3,568. Management and general expenses 4,382. Fundraising expenses 0. Total expenses 7,950.

FORM 990, PART XII, LINE 2C:

The corporation's oversight policy has not changed.

Financial Statement Notes

PART X, LINE 2:

The clinic is exempt from federal income taxes under section 501(c)(3) of the internal revenue code (the code); therefore, no provision for income taxes is reflected in the financial statements. The clinic has been classified as a publicly supported clinic that is not a private foundation under section 509(a) of the code. The clinic presently discloses or recognizes income tax positions based on management's estimate of whether it is reasonably possible or probable that a liability has been incurred for unrecognized income taxes. Management has concluded that the clinic has taken no uncertain tax positions that require adjustment in its financial statements. U.s. Forms 990 filed by the clinic are subject to examination by taxing authorities.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Revenue for 10/1/15 to 12/31/15 reported on short-year return 127,561.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

Expenses for 10/1/15 to 12/31/15 reported on short-year return 128,742.

Raw XML Appendix397 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.

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IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt096785
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt086038
IRS990/QuidProQuoContributionsInd00
IRS990/ReconcilationRevenueExpnssAmt075435
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0167137
IRS990ScheduleA/HospitalInd0X
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/DonatedServicesAndUseFcltsAmt0530226
IRS990ScheduleD/DonatedServicesUseFcltsAmt0530226
IRS990ScheduleD/ExpensesNotReportedAmt0658968
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt0122289
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt053817
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt053817
IRS990ScheduleD/OtherExpensesIncludedAmt0128742
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt070519
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt06897
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt077416
IRS990ScheduleD/OtherRevenueAmt0127561
IRS990ScheduleD/RevenueNotReportedAmt0657787
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt0197724
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE CLINIC IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE); THEREFORE, NO PROVISION FOR INCOME TAXES IS REFLECTED IN THE FINANCIAL STATEMENTS. THE CLINIC HAS BEEN CLASSIFIED AS A PUBLICLY SUPPORTED CLINIC THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A) OF THE CODE. THE CLINIC PRESENTLY DISCLOSES OR RECOGNIZES INCOME TAX POSITIONS BASED ON MANAGEMENT'S ESTIMATE OF WHETHER IT IS REASONABLY POSSIBLE OR PROBABLE THAT A LIABILITY HAS BEEN INCURRED FOR UNRECOGNIZED INCOME TAXES. MANAGEMENT HAS CONCLUDED THAT THE CLINIC HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT IN ITS FINANCIAL STATEMENTS. U.S. FORMS 990 FILED BY THE CLINIC ARE SUBJECT TO EXAMINATION BY TAXING AUTHORITIES.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1REVENUE FOR 10/1/15 TO 12/31/15 REPORTED ON SHORT-YEAR RETURN 127,561.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2EXPENSES FOR 10/1/15 TO 12/31/15 REPORTED ON SHORT-YEAR RETURN 128,742.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART XI, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2PART XII, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0124336
IRS990ScheduleD/TotalExpensesPerForm990Amt0122289
IRS990ScheduleD/TotalRevenuePerForm990Amt0197724
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0855511
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0781257
IRS990/ScheduleJRequiredInd00
IRS990ScheduleM/AnyPropertyThatMustBeHeldInd00
IRS990ScheduleM/OtherNonCashContriTableGrp/ContributionCnt06
IRS990ScheduleM/OtherNonCashContriTableGrp/Desc03 DENTAL CHAIRS, 2 X-RAY MACH, 1 COMPRESSOR/VACUUM
IRS990ScheduleM/OtherNonCashContriTableGrp/MethodOfDeterminingRevenuesTxt0COST
IRS990ScheduleM/OtherNonCashContriTableGrp/NonCashCheckboxInd0X
IRS990ScheduleM/OtherNonCashContriTableGrp/NoncashContributionsRptF990Amt052186
IRS990ScheduleM/ReviewProcessUnusualNCGiftsInd00
IRS990ScheduleM/ThirdPartiesUsedInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0FORM 990 IS REVIEWED AND APPROVED BY THE BOARD SECRETARY AND ACTING DIRECTOR, TREASURER, AND FINANCE CHAIR. DIRECTORS ARE PROVIDED WITH A COPY OF THE FORM 990 BEFORE FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE CORPORATION MAKES ITS FORM 990 AVAILABLE UPON WRITTEN REQUEST FROM THE PUBLIC. THE CORPORATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON WRITTEN REQUEST FROM THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2AUDIT EXPENSE: PROGRAM SERVICE EXPENSES 9,261. MANAGEMENT AND GENERAL EXPENSES 11,375. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,636. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 4,807. MANAGEMENT AND GENERAL EXPENSES 5,902. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,709. MEDICAL RECORD MANAGEMENT: PROGRAM SERVICE EXPENSES 3,568. MANAGEMENT AND GENERAL EXPENSES 4,382. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,950.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE CORPORATION'S OVERSIGHT POLICY HAS NOT CHANGED.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART IX, LINE 11G
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART XII, LINE 2C:
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0FL
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0236126
IRS990/TotalAssetsEOYAmt0312123
IRS990/TotalAssetsGrp/BOYAmt0236126
IRS990/TotalAssetsGrp/EOYAmt0312123
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt0197248
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt047190
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt075099
IRS990/TotalFunctionalExpensesGrp/TotalAmt0122289
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt0562
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt0562
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0236126
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0311561
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt075099
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt0476
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0197724
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0236126
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0312123
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ManagementAndGeneralAmt0151
IRS990/TravelGrp/TotalAmt0151
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0161126
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0290378
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt06405 WEST INDIANTOWN ROAD NO STE B
IRS990/USAddress/CityNm0JUPITER
IRS990/USAddress/StateAbbreviationCd0FL
IRS990/USAddress/ZIPCd033458
IRS990/VotingMembersGoverningBodyCnt010
IRS990/VotingMembersIndependentCnt010
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02016-12-15 16:53:06Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0AMY PEPPER
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0SECRETARY
ReturnHeader/BusinessOfficerGrp/PhoneNum05612037511
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-07-14
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0MYCLINIC INC
ReturnHeader/Filer/BusinessNameControlTxt0MYCL
ReturnHeader/Filer/EIN0800653642
ReturnHeader/Filer/PhoneNum05612037511
ReturnHeader/Filer/USAddress/AddressLine1Txt06405 WEST INDIANTOWN ROAD NO STE B
ReturnHeader/Filer/USAddress/CityNm0JUPITER
ReturnHeader/Filer/USAddress/StateAbbreviationCd0FL
ReturnHeader/Filer/USAddress/ZIPCd033458
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0474526160
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0EFPR GROUP CPAS PLLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt06390 MAIN STREET SUITE 200
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0WILLIAMSVILLE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd014221
ReturnHeader/PreparerPersonGrp/PhoneNum07166340700
ReturnHeader/PreparerPersonGrp/PreparationDt02016-07-11
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0JOHN T O'BRIEN
ReturnHeader/ReturnTs02016-07-25T13:03:39-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02014-10-01
ReturnHeader/TaxPeriodEndDt02015-09-30
ReturnHeader/TaxYr02014

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