Civic Intelligence

Clean Slate Coalition

990EZ • Fiscal year 2016 • EIN 80-0713349

Jan 01, 2016 to Dec 31, 2016 • Filed on Jul 06, 2017

PO Box 455Webster, NC 28788

(828) 586-3939

Siviq Scores

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

Liabilities / Assets

62nd percentile

0.01x

Higher debt load relative to assets than 62% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Liabilities / Revenue

71st percentile

0.03x

Higher debt load relative to revenue than 71% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Net Margin

86th percentile

33%

Higher net margin than 86% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Top Officer Pay

82nd percentile

$16,400

Higher top officer pay than 82% of similar nonprofits.

Top officer pay equals 18.8% of source-year revenue.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Asset Growth

99th percentile

1635%

Faster asset growth than 99% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Revenue Growth

90th percentile

71%

Faster revenue growth than 90% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Assets

Up

$256,531

Up $241,747 (+1635%) from 2015

Net Assets

$254,236

No earlier filing loaded for comparison.

Liabilities

Up

$2,295

Up $1,466 (+177%) from 2015

Revenue

Up

$87,218

Up $36,214 (+71%) from 2015

Expenses

Up

$58,253

Up $19,092 (+49%) from 2015

Net Income

Up

$28,965

Up $17,122 (+145%) from 2015

Historical Trend

Balance Sheet Trend

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

$300K$200K$100K$0Assets 2015: $14,784Liabilities 2015: $8292015Assets 2016: $256,531Liabilities 2016: $2,295Net Assets 2016: $254,2362016Assets 2017: $245,980Liabilities 2017: $783Net Assets 2017: $245,1972017Assets 2018: $247,300Liabilities 2018: $739Net Assets 2018: $246,5612018Assets 2019: $233,334Liabilities 2019: $0Net Assets 2019: $233,3342019Assets 2020: $250Liabilities 2020: $0Net Assets 2020: $2502020Assets 2021: $0Net Assets 2021: $02021

Highlighted filing

2016

Assets$256,531
Liabilities$2,295
Net Assets$254,236

Operations Trend

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

$100K$50K$0-$50KRevenue 2015: $51,004Expenses 2015: $39,161Net Income 2015: $11,8432015Revenue 2016: $87,218Expenses 2016: $58,253Net Income 2016: $28,9652016Revenue 2017: $71,498Expenses 2017: $80,537Net Income 2017: -$9,0392017Revenue 2018: $88,563Expenses 2018: $87,199Net Income 2018: $1,3642018Revenue 2019: $23,327Expenses 2019: $36,554Net Income 2019: -$13,2272019Revenue 2020: $5,781Expenses 2020: $7,085Net Income 2020: -$1,3042020Revenue 2021: $0Expenses 2021: $250Net Income 2021: -$2502021

Highlighted filing

2016

Revenue$87,218
Expenses$58,253
Net Income$28,965
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Jul 6, 2017
Return Version
2016v3.0
Gross Receipts
$91,786
Mission and Program Overview

Mission

Transitional housing for women

Program Services

DescriptionGrantsExpenses
CONTRACT AND EMPLOYEES. WE HAD A CONTRACT CASE MANAGER AND HIRED AN EXECUTIVE DIRECTOR THIS YEAR.-$27,950
CUSTODIAL SERVICE. OUR RESIDENTS ARE EMPLOYED AND PROVIDE CUSTODIAL SERVICES TO INDIVIDUALS AND BUSINESSES.-$4,692
Residential housing. Women in stages of transition that need a safe supportive home that provides structure, accountability and case management-$4,596
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
CHRISTINA SMITHExecutive DirectorPT$16,400-$16,400
GENE TUNNELLBoard Member-$0$201$201
CHARLES EASTONPresident-$0--
WANDA CORWINVice President-$0--
RAY BARBERSecretary-$0--
ANTHONY HICKEYTreasurer-$0--
ROSEMARY PEEKBoard Member-$0--
MARY ELIZABETH BOYLANBoard Member-$0--
LORRAINE FISHERBoard Member-$0--
CHARLES SANDY MILLERBoard Member-$0--
KATHERINE ROODYBoard Member-$0--
SUR AH HAHNBoard Member-$0--
Filing and Contact Details

Filer

Filer Name
Clean State Coalition
EIN
80-0713349
Phone
8285863939
Address
PO Box 455, Webster, NC 28788

Signing Officer

Name
Christina Smith
Title
Executive Director
Phone
8285863939
Signed
2017-07-06

Preparer

Firm
Brooks CPA PLLC
Address
PO Box 1483, Whittier, NC 28789
Preparer
Frances M Brooks
Phone
8284975390
Supplemental Narrative

Additional Explanations

Form 990EZ, Part I, Line 16

Bank charges 195.

Form 990EZ, Part I, Line 16

Registration fees 50.

Form 990EZ, Part I, Line 16

Fines and penalties 275.

Form 990EZ, Part I, Line 16

Custodial supplies 4692.

Form 990EZ, Part I, Line 16

Depreciation 981.

Form 990EZ, Part I, Line 16

Insurance 8076.

Form 990EZ, Part I, Line 16

Advertising and Marketing 920.

Form 990EZ, Part I, Line 16

Misc 14.

Form 990EZ, Part I, Line 16

Property taxes 944.

Form 990EZ, Part I, Line 16

Sales tax 264.

Form 990EZ, Part I, Line 16

Travel expenses 1143.

Form 990EZ, Part I, Line 20

To record fixed assets not listed on previous returns 211316.

Form 990EZ, Part II, Line 24

Inventory 5000.

Form 990EZ, Part II, Line 24

Furniture 18200.

Form 990EZ, Part II, Line 24

Office Equipment 5000.

Form 990EZ, Part II, Line 24

Vehicles 7000.

Raw XML Appendix216 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/ActivitiesNotPreviouslyRptInd0false
IRS990EZ/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0Clean Slate Coalition
IRS990EZ/BooksInCareOfDetail/PhoneNum08285863939
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt0139 Allen St
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0Sylva
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0NC
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd028779
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt014784
IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt016930
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd0false
IRS990EZ/ContributionsGiftsGrantsEtcAmt061824
IRS990EZ/CostOfGoodsSoldAmt02344
IRS990EZ/CostOrOtherBasisExpenseSaleAmt00
IRS990EZ/DonorAdvisedFndsInd0false
IRS990EZ/EngagedInExcessBenefitTransInd0false
IRS990EZ/ExcessOrDeficitForYearAmt028965
IRS990EZ/FeesAndOtherPymtToIndCntrctAmt01650
IRS990EZ/ForeignFinancialAccountInd0false
IRS990EZ/ForeignOfficeInd0false
IRS990EZ/Form1120PolFiledInd0false
IRS990EZ/Form990TotalAssetsGrp/BOYAmt014784
IRS990EZ/Form990TotalAssetsGrp/EOYAmt0256531
IRS990EZ/FundraisingGrossIncomeAmt06700
IRS990EZ/GainOrLossFromSaleOfAssetsAmt0280
IRS990EZ/GamingGrossIncomeAmt00
IRS990EZ/GrossProfitLossSlsOfInvntryAmt01717
IRS990EZ/GrossReceiptsAmt091786
IRS990EZ/GrossSalesOfInventoryAmt04061
IRS990EZ/InfoInScheduleOPartIIInd0X
IRS990EZ/InfoInScheduleOPartIInd0X
IRS990EZ/InvestmentIncomeAmt00
IRS990EZ/LandAndBuildingsGrp/EOYAmt0204401
IRS990EZ/LobbyingActivitiesInd0false
IRS990EZ/MadeLoansToFromOfficersInd0false
IRS990EZ/MembershipDuesAmt00
IRS990EZ/MethodOfAccountingCashInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt013955
IRS990EZ/NetAssetsOrFundBalancesEOYAmt0254236
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt013955
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt0254236
IRS990EZ/OccupancyRentUtltsAndMaintAmt010296
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt030.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt11.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt21.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt33.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt42.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt51.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt61.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt71.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt81.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt91.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt101.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt111.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt016400
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt90
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt100
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt110
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt0201
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0CHRISTINA SMITH
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1CHARLES EASTON
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2WANDA CORWIN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3GENE TUNNELL
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4RAY BARBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm5ANTHONY HICKEY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm6ROSEMARY PEEK
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm7MARY ELIZABETH BOYLAN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm8LORRAINE FISHER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm9CHARLES SANDY MILLER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm10KATHERINE ROODY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm11SUR AH HAHN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0Executive Director
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1President
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2Vice President
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3Board Member
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4Secretary
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt5Treasurer
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt6Board Member
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt7Board Member
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt8Board Member
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt9Board Member
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt10Board Member
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt11Board Member
IRS990EZ/OperateHospitalInd0false
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd0false
IRS990EZ/OrganizationHadUBIInd0false
IRS990EZ/OtherAssetsTotalDetail/EOYAmt035200
IRS990EZ/OtherChangesInNetAssetsAmt0211316
IRS990EZ/OtherExpensesTotalAmt017554
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd0false
IRS990EZ/PrimaryExemptPurposeTxt0Transitional housing for women
IRS990EZ/PrintingPublicationsPostageAmt0803
IRS990EZ/ProgramServiceRevenueAmt018921
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0Residential housing. Women in stages of transition that need a safe supportive home that provides structure, accountability and case management
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt1CUSTODIAL SERVICE. OUR RESIDENTS ARE EMPLOYED AND PROVIDE CUSTODIAL SERVICES TO INDIVIDUALS AND BUSINESSES.
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt2CONTRACT AND EMPLOYEES. WE HAD A CONTRACT CASE MANAGER AND HIRED AN EXECUTIVE DIRECTOR THIS YEAR.
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt04596
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt14692
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt227950
IRS990EZ/ProhibitedTaxShelterTransInd0false
IRS990EZ/RelatedOrganizationCtrlEntInd0false
IRS990EZ/SalariesOtherCompEmplBnftAmt027950
IRS990EZ/SaleOfAssetsGrossAmt0280
IRS990EZ/SchoolOperatingInd0false
IRS990EZ/SpecialEventsDirectExpensesAmt02224
IRS990EZ/SpecialEventsNetIncomeLossAmt04476
IRS990EZ/SubjectToProxyTaxInd0false
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt0829
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt02295
IRS990EZ/TanningServicesProvidedInd0false
IRS990EZ/TotalExpensesAmt058253
IRS990EZ/TotalProgramServiceExpensesAmt037238
IRS990EZ/TotalRevenueAmt087218
IRS990EZ/TransactionWithControlEntInd0false
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0N/A
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt061824
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt039441
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0101265
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt00
IRS990ScheduleA/InvestmentIncomeCYPct00
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct01.00000
IRS990ScheduleA/PublicSupportCY509Pct00
IRS990ScheduleA/PublicSupportPY170Pct01.00000
IRS990ScheduleA/PublicSupportTotal170Amt0101265
IRS990ScheduleA/PublicSupportTotal509Amt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt061824
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt039441
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0101265
IRS990ScheduleA/TotalSupportAmt0101265
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
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Bank charges 195.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Registration fees 50.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Fines and penalties 275.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Custodial supplies 4692.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4Depreciation 981.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5Insurance 8076.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6Advertising and Marketing 920.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7Misc 14.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8Property taxes 944.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9Sales tax 264.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10Travel expenses 1143.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt11To record fixed assets not listed on previous returns 211316.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt12Inventory 5000.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt13Furniture 18200.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt14Office Equipment 5000.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt15Vehicles 7000.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc10Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc11Form 990EZ, Part I, Line 20
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc12Form 990EZ, Part II, Line 24
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc13Form 990EZ, Part II, Line 24
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc14Form 990EZ, Part II, Line 24
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc15Form 990EZ, Part II, Line 24
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/PersonNm0CHRISTINA SMITH
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0EXECUTIVE DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum08285863939
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-07-06
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Clean State Coalition
ReturnHeader/Filer/BusinessNameControlTxt0CLEA
ReturnHeader/Filer/EIN0800713349
ReturnHeader/Filer/PhoneNum08285863939
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO Box 455
ReturnHeader/Filer/USAddress/CityNm0Webster
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NC
ReturnHeader/Filer/USAddress/ZIPCd028788
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId02A2018714B172832EE47495B31ADBAA5DB305953
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId02A2018714B172832EE47495B31ADBAA5DB305953
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt050.111.118.0
ReturnHeader/FilingSecurityInformation/IPDt02017-07-06
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0PD
ReturnHeader/FilingSecurityInformation/IPTm012:04:37
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Brooks CPA PLLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0PO Box 1483
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Whittier
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd028789
ReturnHeader/PreparerPersonGrp/PhoneNum08284975390
ReturnHeader/PreparerPersonGrp/PreparationDt02017-07-06
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0FRANCES M BROOKS
ReturnHeader/ReturnTs02017-07-06T12:05:04-07:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02016-01-01
ReturnHeader/TaxPeriodEndDt02016-12-31
ReturnHeader/TaxYr02016

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