Civic Intelligence

Clean Slate Coalition

990EZ • Fiscal year 2019 • EIN 80-0713349

Jan 01, 2019 to Dec 31, 2019 • Filed on Nov 15, 2020

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

57th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2019 filings • 501(c)3 • <$500k nonprofits • Source year 2019

Liabilities / Revenue

57th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2019 filings • 501(c)3 • <$500k nonprofits • Source year 2019

Net Margin

7th percentile

-57%

Higher net margin than 7% of similar nonprofits.

2019 filings • 501(c)3 • <$500k nonprofits • Source year 2019

Top Officer Pay

82nd percentile

$14,560

Higher top officer pay than 82% of similar nonprofits.

Top officer pay equals 62.4% of source-year revenue.

2019 filings • 501(c)3 • <$500k nonprofits • Source year 2019

Asset Growth

34th percentile

-5.6%

Faster asset growth than 34% of similar nonprofits.

2019 filings • 501(c)3 • <$500k nonprofits • Annualized from 2018 to 2019

Revenue Growth

5th percentile

-74%

Faster revenue growth than 5% of similar nonprofits.

2019 filings • 501(c)3 • <$500k nonprofits • Annualized from 2018 to 2019

Assets

Down

$233,334

Down $13,966 (-5.6%) from 2018

Net Assets

Down

$233,334

Down $13,227 (-5.4%) from 2018

Liabilities

Down

$0

Down $739 (-100%) from 2018

Revenue

Down

$23,327

Down $65,236 (-74%) from 2018

Expenses

Down

$36,554

Down $50,645 (-58%) from 2018

Net Income

Down

-$13,227

Down $14,591 (-1070%) from 2018

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

2019

Assets$233,334
Liabilities$0
Net Assets$233,334

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

2019

Revenue$23,327
Expenses$36,554
Net Income-$13,227
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Nov 15, 2020
Return Version
2019v5.1
Gross Receipts
$27,082
Mission and Program Overview

Mission

Transitional housing for women

Program Services

DescriptionGrantsExpenses
Residential housing. Women in stages of transition that needa safe supportive home that provides structure,accountability and case management$0$3,770
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Amelia ThompsonExecutive DirectorPT$14,560-$14,560
Rosemary PeekPresident-$0--
Wanda CorwinVice President-$0--
Katherine RoodySecretary-$0--
Anthony HickeyTreasurer-$0--
Charles Sandy MillerBoard Member-$0--
Sur Ah HahnBoard Member-$0--
Florence WillisBoard Member-$0--
Wesley SatterwhiteBoard Member-$0--
Michelle CooperBoard 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
Amelia Thompson
Title
Executive Director
Phone
8285863939
Signed
2020-11-15

Preparer

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

Additional Explanations

Form 990EZ, Part I, Line 8

Rental income from residents 3233.

Form 990EZ, Part I, Line 8

Misc 37.

Form 990EZ, Part I, Line 16

Bank charges 336.

Form 990EZ, Part I, Line 16

Registration fees 65.

Form 990EZ, Part I, Line 16

Custodial supplies 501.

Form 990EZ, Part I, Line 16

Insurance 4899.

Form 990EZ, Part I, Line 16

Property taxes

Form 990EZ, Part I, Line 16

Sales tax 196.

Form 990EZ, Part I, Line 16

Travel and meeting expenses 1575.

Form 990EZ, Part I, Line 16

Computer and Internet

Form 990EZ, Part I, Line 16

Education

Form 990EZ, Part I, Line 16

Theft

Form 990EZ, Part I, Line 16

Advertising & Promotion 80.

Form 990EZ, Part I, Line 16

Misc 5.

Form 990EZ, Part I, Line 16

Office Supplies 1516.

Form 990EZ, Part I, Line 16

Depreciation 2418.

Form 990EZ, Part I, Line 16

Continuing Ed 100.

Form 990EZ, Part II, Line 24

Inventory 5000. 5000.

Form 990EZ, Part II, Line 24

Furniture 18200. 18200.

Form 990EZ, Part II, Line 24

Office Equipment 5000. 5000.

Form 990EZ, Part II, Line 24

Vehicles 4900. 4900.

Form 990EZ, Part II, Line 24

Employee Advance 229. 142.

Form 990EZ, Part II, Line 24

Car donation 1395. 0.

Form 990EZ, Part II, Line 26

Payroll liabilities 739. 0.

Raw XML Appendix249 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
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IRS990EZ/BooksInCareOfDetail/PhoneNum08285863939
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt0139 Allen St
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0Sylva
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0NC
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd028779
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt010298
IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt0232
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IRS990EZ/LandAndBuildingsGrp/BOYAmt0202278
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IRS990EZ/MadeLoansToFromOfficersInd0false
IRS990EZ/MembershipDuesAmt00
IRS990EZ/MethodOfAccountingCashInd0X
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt71.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt81.00
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt014560
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt10
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt90
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt90
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt90
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0Amelia Thompson
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1Rosemary Peek
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2Wanda Corwin
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3Katherine Roody
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4Anthony Hickey
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm5Charles Sandy Miller
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm6Sur Ah Hahn
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm7Florence Willis
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm8Wesley Satterwhite
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm9Michelle Cooper
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0Executive Director
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1President
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2Vice President
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3Secretary
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4Treasurer
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt5Board Member
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt6Board Member
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt7Board Member
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt8Board Member
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt9Board Member
IRS990EZ/OperateHospitalInd0false
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd0false
IRS990EZ/OrganizationHadUBIInd0false
IRS990EZ/OtherAssetsTotalDetail/BOYAmt034724
IRS990EZ/OtherAssetsTotalDetail/EOYAmt033242
IRS990EZ/OtherExpensesTotalAmt011691
IRS990EZ/OtherRevenueTotalAmt03270
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd0false
IRS990EZ/PrimaryExemptPurposeTxt0Transitional housing for women
IRS990EZ/PrintingPublicationsPostageAmt069
IRS990EZ/ProgramServiceRevenueAmt00
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0Residential housing. Women in stages of transition that needa safe supportive home that provides structure,accountability and case management
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt00
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt03770
IRS990EZ/ProhibitedTaxShelterTransInd0false
IRS990EZ/RelatedOrganizationCtrlEntInd0false
IRS990EZ/SalariesOtherCompEmplBnftAmt016984
IRS990EZ/SaleOfAssetsGrossAmt0200
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SchoolOperatingInd0false
IRS990EZ/SpecialEventsDirectExpensesAmt02530
IRS990EZ/SpecialEventsNetIncomeLossAmt03104
IRS990EZ/SubjectToProxyTaxInd0false
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt0739
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt00
IRS990EZ/TanningServicesProvidedInd0false
IRS990EZ/TotalExpensesAmt036554
IRS990EZ/TotalProgramServiceExpensesAmt03770
IRS990EZ/TotalRevenueAmt023327
IRS990EZ/TransactionWithControlEntInd0false
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0N/A
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt015662
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt043286
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt024732
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt061824
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt039441
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0184945
IRS990ScheduleA/GovtFurnSrvcFcltsVl170Grp/TotalAmt00
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt00
IRS990ScheduleA/InvestmentIncomeCYPct00
IRS990ScheduleA/OtherIncome170Grp/TotalAmt00
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct01.00000
IRS990ScheduleA/PublicSupportCY509Pct00
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IRS990ScheduleA/PublicSupportTotal170Amt0184945
IRS990ScheduleA/PublicSupportTotal509Amt00
IRS990ScheduleA/SubstantialContributorsTotAmt00
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft170Grp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt015662
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IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt061824
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IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0184945
IRS990ScheduleA/TotalSupportAmt0184945
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/TotalAmt00
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Rental income from residents 3233.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Misc 37.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Bank charges 336.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Registration fees 65.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4Custodial supplies 501.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5Insurance 4899.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6Property taxes
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7Sales tax 196.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8Travel and meeting expenses 1575.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9Computer and Internet
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10Education
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt11Theft
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt12Advertising & Promotion 80.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt13Misc 5.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt14Office Supplies 1516.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt15Depreciation 2418.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt16Continuing Ed 100.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt17Inventory 5000. 5000.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt18Furniture 18200. 18200.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt19Office Equipment 5000. 5000.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt20Vehicles 4900. 4900.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt21Employee Advance 229. 142.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt22Car donation 1395. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt23Payroll liabilities 739. 0.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990EZ, Part I, Line 8
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990EZ, Part I, Line 8
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 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc12Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc13Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc14Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc15Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc16Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc17Form 990EZ, Part II, Line 24
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc18Form 990EZ, Part II, Line 24
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc19Form 990EZ, Part II, Line 24
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc20Form 990EZ, Part II, Line 24
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc21Form 990EZ, Part II, Line 24
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc22Form 990EZ, Part II, Line 24
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc23Form 990EZ, Part II, Line 26
ReturnHeader/BuildTS02021-04-22 16:20:28Z
ReturnHeader/BusinessOfficerGrp/PersonNm0Amelia Thompson
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Executive Director
ReturnHeader/BusinessOfficerGrp/PhoneNum08285863939
ReturnHeader/BusinessOfficerGrp/SignatureDt02020-11-15
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/IPv4AddressTxt063.142.129.114
ReturnHeader/FilingSecurityInformation/IPDt02020-11-15
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0PS
ReturnHeader/FilingSecurityInformation/IPTm009:46:29
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/PreparationDt02020-11-15
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Frances M Brooks CPA
ReturnHeader/ReturnTs02020-11-15T09:46:42-08:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02019-01-01
ReturnHeader/TaxPeriodEndDt02019-12-31
ReturnHeader/TaxYr02019

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