Civic Intelligence

Powell County Ambulance Service Inc

EIN 81-0393942 • 501(c)3 • Deer Lodge, MT

Profile

NONE

PO Box 735Deer Lodge, MT 59722

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2020

Liabilities / Revenue

62nd percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2020

Net Margin

10th percentile

-94%

Higher net margin than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2020

Top Officer Pay

83rd percentile

$3,694

Higher top officer pay than 83% of similar nonprofits.

Top officer pay equals 4.9% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2020

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2019 to 2020

Revenue Growth

13th percentile

-68%

Faster revenue growth than 13% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2019 to 2020

Assets

Down

$0

Down $326,619 (-100%) from 2019

Liabilities

Down

$0

Down $146,866 (-100%) from 2019

Net Assets

Down

$0

Down $179,753 (-100%) from 2019

Revenue

Down

$75,162

Down $158,042 (-68%) from 2019

Expenses

Down

$145,731

Down $83,808 (-37%) from 2019

Net Income

Down

-$70,569

Down $74,234 (-2025%) from 2019

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$600K$400K$200K$0Assets 2010: $221,762Liabilities 2010: $90,542Net Assets 2010: $131,2202010Assets 2011: $253,799Liabilities 2011: $56,204Net Assets 2011: $197,5952011Assets 2012: $247,882Liabilities 2012: $10,094Net Assets 2012: $237,7882012Assets 2013: $347,759Liabilities 2013: $95,803Net Assets 2013: $251,9562013Assets 2014: $360,273Liabilities 2014: $93,654Net Assets 2014: $266,6192014Assets 2015: $401,744Liabilities 2015: $91,405Net Assets 2015: $310,3392015Assets 2016: $511,614Liabilities 2016: $212,219Net Assets 2016: $299,3952016Assets 2017: $456,109Liabilities 2017: $189,573Net Assets 2017: $266,5362017Assets 2018: $340,388Liabilities 2018: $164,300Net Assets 2018: $176,0882018Assets 2019: $326,619Liabilities 2019: $146,866Net Assets 2019: $179,7532019Assets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020

Highlighted filing

2020

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$300K$200K$100K$0-$100KRevenue 2010: $170,425Expenses 2010: $173,168Net Income 2010: -$2,7432010Expenses 2011: $165,5222011Expenses 2012: $179,7922012Expenses 2013: $197,0442013Revenue 2014: $223,548Expenses 2014: $208,885Net Income 2014: $14,6632014Revenue 2015: $283,027Expenses 2015: $239,307Net Income 2015: $43,7202015Revenue 2016: $264,581Expenses 2016: $275,525Net Income 2016: -$10,9442016Revenue 2017: $237,502Expenses 2017: $270,361Net Income 2017: -$32,8592017Revenue 2018: $180,004Expenses 2018: $270,452Net Income 2018: -$90,4482018Revenue 2019: $233,204Expenses 2019: $229,539Net Income 2019: $3,6652019Revenue 2020: $75,162Expenses 2020: $145,731Net Income 2020: -$70,5692020

Highlighted filing

2020

Revenue$75,162
Expenses$145,731
Net Income-$70,569

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2019 to Jun 30, 2020
Signed
Dec 16, 2020
Return Version
2019v5.1
Gross Receipts
$368,841
Mission and Program Overview

Mission

NONE

Provide ambulance and emergency service

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$255,612$0▼ $255,612
Rtn Earn Endowment Incm Other Fnds$179,753$0▼ $179,753
Cash and Non-Interest-Bearing Accounts$40,989$0▼ $40,989
Savings and Temporary Cash Investments$30,018$0▼ $30,018
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$326,619$0▼ $326,619
Other Assets Total-$0-
Liabilities
Mortgage Notes Payable Secured by Investment Property$145,200--
Other Liabilities$1,666$0▼ $1,666
Total Liabilities$146,866$0▼ $146,866
Net Assets / Fund Balance
Total Net Assets Fund Balance$179,753$0▼ $179,753
Total Liabilities and Net Assets / Fund Balance$326,619$0▼ $326,619
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Lori SchalkPresidentFT$3,694$3,694
Paul ChapmanDirectorFT$1,654$1,654
Robert SchalkSecretaryPT$1,174$1,174
William SchwabDirectorFT$835$835
Darren SmithVice PresidentFT$216$216
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$231,945
Investment Income
$-163,853
Other Revenue
$7,070
Change in Net Assets
$-70,569
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$132,536
Salaries, Compensation, and Employee Benefits$13,195
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
All Other Expenses$29,491--$29,491
Depreciation Depletion$18,858--$18,858
Other Salaries and Wages$11,966--$11,966
Other Expenses$9,838--$9,838
Interest$7,581--$7,581
Insurance$7,366--$7,366
Office Expenses$5,816--$5,816
Fees for Services Accounting$5,175--$5,175
Fees for Services Legal$4,849--$4,849
Occupancy$4,195--$4,195
Payroll Taxes$1,229--$1,229
Total Functional Expenses$145,731$0$0$145,731
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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
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 A, Line 2

President and secretary are married to each other.

Form 990, Part VI, Section B, Line 11B

Financial statements are reviewed monthly by board. Form 990 not typically reviewed.

Form 990, Part VI, Section C, Line 19

UPON REQUEST

Filing and Contact Details

Filer

Filer Name
Powell County Ambulance Service Inc
EIN
81-0393942
Phone
4068463677
Address
PO BOX 735, DEER LODGE, MT 59722

Signing Officer

Name
Lori Schalk
Title
President
Phone
4068463677
Signed
2020-12-16
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Lori Schalk
Formed
1985
Legal Domicile
Mt
Voting Board Members
5
Independent Board Members
5
Employees
22
Volunteers
0

Preparer

Firm
Newland and Company
Address
212 MISSOURI AVENUE, DEER LODGE, MT 59722-1075
Phone
4068463733
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 24E

Medical supplies: program service expenses 9,428. Management and general expenses 0. Fundraising expenses 0. Total expenses 9,428. Maintenance repairs: program service expenses 5,048. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,048. Supplies: program service expenses 3,628. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,628. Uniforms: program service expenses 2,695. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,695. Work comp: program service expenses 2,183. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,183. Property taxes: program service expenses 2,135. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,135. Telephone: program service expenses 2,117. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,117. Meals & entertainment: program service expenses 698. Management and general expenses 0. Fundraising expenses 0. Total expenses 698. Fees dues and subscriptions: program service expenses 586. Management and general expenses 0. Fundraising expenses 0. Total expenses 586. Training expense: program service expenses 254. Management and general expenses 0. Fundraising expenses 0. Total expenses 254. Donations: program service expenses 200. Management and general expenses 0. Fundraising expenses 0. Total expenses 200. Collection expense: program service expenses 194. Management and general expenses 0. Fundraising expenses 0. Total expenses 194. Refunds: program service expenses 177. Management and general expenses 0. Fundraising expenses 0. Total expenses 177. Laundry: program service expenses 148. Management and general expenses 0. Fundraising expenses 0. Total expenses 148.

FORM 990, PART XI, LINE 9:

Transfer to powell emergency medical services -109,184.

Raw XML AppendixShowing 400 of 417 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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IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt0840
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt060
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt01960
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt09300
IRS990ScheduleA/OtherIncome509Grp/TotalAmt019230
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.98240
IRS990ScheduleA/PublicSupportPY509Pct00.98270
IRS990ScheduleA/PublicSupportTotal509Amt01134122
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0231945
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0232186
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0179736
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0235252
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0255003
IRS990ScheduleA/Total509Grp/TotalAmt01134122
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0239139
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0233204
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0180004
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0237502
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0264582
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt01154431
IRS990/ScheduleBRequiredInd00
IRS990/ScheduleJRequiredInd00
IRS990ScheduleN/AssetsDistributedInd01
IRS990ScheduleN/AttorneyGeneralNotifiedInd00
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd00
IRS990ScheduleN/EmployeeOfSuccessorInd01
IRS990ScheduleN/LiabilitiesPaidInd01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0CASH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt0POWELL EMERGENCY MEDICAL SERVICE LLC
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02020-06-30
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0843599616
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt0109184
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501(C)3
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt01100 HOLLENBECK LANE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0DEER LODGE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0MT
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd059722
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd00
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0PERSON(S) INVOLVED: LORI SCHALK, ROBERT SCHALK, WILLIAM SCHWAB, PAUL CHAPMAN
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt1EXPLANATION OF INVOLVEMENT: DIRECTORS WERE ALSO PART OF THE AMBULANCE CREW AND CONTINUED TO WORK AS PART OF THE AMBULANCE CREW FOR THE NEW ENTITY.
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2E:
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc1PART I, LINE 2E:
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0PRESIDENT AND SECRETARY ARE MARRIED TO EACH OTHER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1FINANCIAL STATEMENTS ARE REVIEWED MONTHLY BY BOARD. FORM 990 NOT TYPICALLY REVIEWED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2UPON REQUEST
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3MEDICAL SUPPLIES: PROGRAM SERVICE EXPENSES 9,428. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,428. MAINTENANCE REPAIRS: PROGRAM SERVICE EXPENSES 5,048. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,048. SUPPLIES: PROGRAM SERVICE EXPENSES 3,628. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,628. UNIFORMS: PROGRAM SERVICE EXPENSES 2,695. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,695. WORK COMP: PROGRAM SERVICE EXPENSES 2,183. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,183. PROPERTY TAXES: PROGRAM SERVICE EXPENSES 2,135. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,135. TELEPHONE: PROGRAM SERVICE EXPENSES 2,117. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,117. MEALS & ENTERTAINMENT: PROGRAM SERVICE EXPENSES 698. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 698. FEES DUES AND SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 586. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 586. TRAINING EXPENSE: PROGRAM SERVICE EXPENSES 254. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 254. DONATIONS: PROGRAM SERVICE EXPENSES 200. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 200. COLLECTION EXPENSE: PROGRAM SERVICE EXPENSES 194. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 194. REFUNDS: PROGRAM SERVICE EXPENSES 177. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 177. LAUNDRY: PROGRAM SERVICE EXPENSES 148. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 148.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4TRANSFER TO POWELL EMERGENCY MEDICAL SERVICES -109,184.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART IX, LINE 24E
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART XI, LINE 9:
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd01
IRS990/TotalAssetsBOYAmt0326619
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt0326619
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt022
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0145731
IRS990/TotalFunctionalExpensesGrp/TotalAmt0145731
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0146866
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt0146866
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0179753
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0145731
IRS990/TotalProgramServiceRevenueAmt0231945
IRS990/TotalReportableCompFromOrgAmt07573
IRS990/TotalRevenueGrp/ExclusionAmt0124
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt075038
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt075162
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0326619
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0PO BOX 735
IRS990/USAddress/CityNm0DEER LODGE
IRS990/USAddress/StateAbbreviationCd0MT
IRS990/USAddress/ZIPCd059722
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt05
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02021-01-29 14:40:06Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0LORI SCHALK
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum04068463677
ReturnHeader/BusinessOfficerGrp/SignatureDt02020-12-16
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0POWELL COUNTY AMBULANCE SERVICE INC
ReturnHeader/Filer/BusinessNameControlTxt0POWE
ReturnHeader/Filer/EIN0810393942
ReturnHeader/Filer/PhoneNum04068463677
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 735
ReturnHeader/Filer/USAddress/CityNm0DEER LODGE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0MT
ReturnHeader/Filer/USAddress/ZIPCd059722
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0DA39A3EE5E6B4B0D3255BFEF95601890AFD80709
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0C008B759B014F00423926F98D3E35A2C940ECD98
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P

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