Civic Intelligence

Human Diagnosis Project Ltd

990 • Fiscal year 2019 • EIN 81-0865879

Jan 01, 2019 to Dec 31, 2019 • Filed on Oct 21, 2020

450 Lexington AvenueNew York, NY 10163-4421

(814) 777-3048

Siviq Scores

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

Liabilities / Assets

96th percentile

1.38x

Higher debt load relative to assets than 96% of similar nonprofits.

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

Liabilities / Revenue

73rd percentile

0.03x

Higher debt load relative to revenue than 73% of similar nonprofits.

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

Net Margin

53rd percentile

4.6%

Higher net margin than 53% of similar nonprofits.

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

Top Officer Pay

88th percentile

$33,059

Higher top officer pay than 88% of similar nonprofits.

Top officer pay equals 7.4% of source-year revenue.

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

Asset Growth

6th percentile

-63%

Faster asset growth than 6% of similar nonprofits.

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

Revenue Growth

8th percentile

-55%

Faster revenue growth than 8% of similar nonprofits.

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

Assets

Down

$9,434

Down $16,263 (-63%) from 2018

Net Assets

Up

-$3,626

Up $20,523 (+85%) from 2018

Liabilities

Down

$13,060

Down $36,786 (-74%) from 2018

Revenue

Down

$446,092

Down $556,270 (-55%) from 2018

Expenses

Down

$425,569

Down $1,089,254 (-72%) from 2018

Net Income

Up

$20,523

Up $532,984 (+104%) from 2018

Historical Trend

Balance Sheet Trend

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

$1.0M$500K$0-$500KAssets 2016: $925,000Liabilities 2016: $0Net Assets 2016: $925,0002016Assets 2017: $502,490Liabilities 2017: $14,178Net Assets 2017: $488,3122017Assets 2018: $25,697Liabilities 2018: $49,846Net Assets 2018: -$24,1492018Assets 2019: $9,434Liabilities 2019: $13,060Net Assets 2019: -$3,6262019Assets 2020: $22,447Liabilities 2020: $13,629Net Assets 2020: $8,8182020Assets 2021: $38,823Liabilities 2021: $4,054Net Assets 2021: $34,7692021

Highlighted filing

2019

Assets$9,434
Liabilities$13,060
Net Assets-$3,626

Operations Trend

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

$2.0M$1.0M$0-$1.0MRevenue 2016: $925,000Expenses 2016: $0Net Income 2016: $925,0002016Revenue 2017: $515,775Expenses 2017: $952,463Net Income 2017: -$436,6882017Revenue 2018: $1,002,362Expenses 2018: $1,514,823Net Income 2018: -$512,4612018Revenue 2019: $446,092Expenses 2019: $425,569Net Income 2019: $20,5232019Revenue 2020: $135,050Expenses 2020: $122,606Net Income 2020: $12,4442020Revenue 2021: $56,693Expenses 2021: $30,742Net Income 2021: $25,9512021

Highlighted filing

2019

Revenue$446,092
Expenses$425,569
Net Income$20,523
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Oct 21, 2020
Return Version
2019v5.1
Gross Receipts
$446,092
Mission and Program Overview

Mission

The human diagnosis project (also referred to as human dx or the project) is a worldwide effort, created with and led by the global medical community, to build an open intelligence system that maps the steps to help any patient

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$18,362$5,760▼ $12,602
Land, Buildings, and Equipment, Net$6,829$2,608▼ $4,221
Prepaid Expenses and Deferred Charges$506$1,066▲ $560
Total Assets$25,697$9,434▼ $16,263
Liabilities
Other Liabilities$19,072--
Accounts Payable and Accrued Expenses$30,774$13,060▼ $17,714
Total Liabilities$49,846$13,060▼ $36,786
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-24,149$-3,626▲ $20,523
Total Net Assets Fund Balance$-24,149$-3,626▲ $20,523
Total Liabilities and Net Assets / Fund Balance$25,697$9,434▼ $16,263

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$2,608$4,852-
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Arthur HayashiDirector of MedicineFT$33,059$33,059

Board Members and Trustees

NameTitle
Dave ChokshiDirector
Jayanth KomarneniDirector
Revenue and Support

Revenue Composition

Contributions and Grants
$446,092
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
All Other Contributions
$241,092
Change in Net Assets
$20,523
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$218,336
Other Expenses$187,015
Total Fundraising Expense$29,285
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$143,746-$20,433$164,179
Fees for Services Other$152,334-$4,404$156,738
Current Officers, Directors, Trustees, and Key Employees$33,059--$33,059
Benefits to Members$20,218--$20,218
Payroll Taxes$16,704-$2,283$18,987
Occupancy-$3,850-$3,850
Insurance-$3,614-$3,614
Depreciation Depletion-$2,980-$2,980
Information Technology$637$1,836$54$2,527
Fees for Services Accounting-$2,500-$2,500
Other Employee Benefits--$2,111$2,111
Fees for Services Legal-$1,605-$1,605
Travel$523$305-$828
Office Expenses$184$404-$588
Advertising$150--$150
Other Expenses-$105-$105
Total Functional Expenses$367,555$28,729$29,285$425,569
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
Annual disclosure for covered persons
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
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Members or stockholder classes and rights Part VI line 6

The organization has a member who has certain rights enumerated in the organizations bylaws, including, but not limited to, the right to elect directors, set the number of directors, and remove directors, the right to vote on any sale, lease, transfer, or other disposition of all or substantially all of the assets or properties of the organization; the right to vote on any merger of the organization, but only to the extent required by the delaware general corporation law; the right to vote on dissolution of the organization; the right to vote on the amendment or repeal of the bylaws of the organization; and the right to vote on any amendment to the organizations certificate of incorporation.

Member election for additional members Part VI line 7A

Pursuant to its bylaws, the member of the organization has the exclusive right to elect the directors of this organization.

Governing body decisions Part VI line 7B

Pursuant to its bylaws, the member has the right to vote on any sale, lease, transfer, or other disposition of all or substantially all of the assets or properties of the organization; the right to vote on any merger of the organization, but only to the extent required by the delaware general corporation law; the right to vote on dissolution of this organization; the right to vote on the amendment or repeal of the bylaws of the organization; and the right to vote on any amendment to the organizations certificate of incorporation.

Form 990 governing body review Part VI line 11

Once the form 990 has been finalized, the form is distributed to human diagnosis project ltds board of directors for review, discussion, and acceptance. It is each board members responsibility to review the form 990 in sufficient detail so as to bring any questions or concerns to the table before acceptance.

Conflict of interest policy compliance Part VI line 12C

The human diagnosis project, ltd. Has board meetings twice annually and additionally as required. At each board meeting where the board discusses issues or other corporate actions which may involve conflicts, each board member is required to disclose potential conflicts. These disclosures are then reviewed for items of conflict. Items noted as a potential conflict, if any, are reviewed by the board, directors, officers, and, where appropriate, outside legal counsel. Appropriate action is taken to address the disclosures and to ensure that directors do not vote on any matter in which they have a conflict of interest.

CEO executive director top management comp Part VI line 15A

Each year, certain independent directors survey the marketplace and gather market data on the compensation of the acting director (the ceo/executive director) and other top management positions. The acting director position and other top management positions are matched with other similar positions in organizations with similar revenues, structures, and scope. For the acting director positions and other top management positions, both base pay and total compensation pay are compared. Total compensation includes base pay and bonus pay. (the organization does not currently provide deferred compensation.) every year, certain independent board members also conduct a formal performance evaluation on the acting director and other top management positions.

Other officer or key employee compensation Part VI line 15B

For officers and key employees, certain independent directors match these positions with other similar positions in organizations with similar revenues, structures, and scope. The market ranges for base pay are provided to those independent board members. (the organization does not currently provide bonus pay or deferred compensation to other officers and key employees.) those independent board members review this data and approve the ranges to be used by the acting director in determining their base pay. The organization maintains contemporaneous documentation regarding its deliberations and decisions regarding each management compensation arrangement.

Governing documents etc available to public Part VI line 19

Upon request, human diagnosis project, ltd. Provides copies of its audited financial statements, forms 990, and its conflict of interest policies.

Filing and Contact Details

Filer

Filer Name
Human Diagnosis Project Ltd
EIN
81-0865879
Address
450 Lexington Avenue, New York, NY 10163-4421

Signing Officer

Name
Jayanth Komarneni
Title
Director
Phone
2022926700
Signed
2020-10-21
Discuss with paid preparer
Yes

Organization Details

Formed
2015
Legal Domicile
Ny
Voting Board Members
2
Independent Board Members
2
Employees
5

Preparer

Firm
Ayzenberg and Goldin LLC
Address
110 Duane St Ste 1C, New York, NY 10007
Preparer
Daniel Ayzenberg CPA Esq
Phone
7184313193
Supplemental Narrative

Additional Explanations

List of other fees for services expenses Part IX line 11G

Medicine contractor and consulting fees = $152,333

Raw XML Appendix381 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/Desc0RESEARCH.Published research papers in conjunction with Harvard Medical School and Johns Hopkins authors in the Journal of the American Medical Associations Network Open publication. The Harvard Medical School research looked at the value of collective intelligence in diagnosis, and the Johns Hopkins research investigated the value of the Human Diagnosis Project as a quantitative, objective measure of clinical reasoning. Continued clinical trial research at the University of California, San Franciscos Zuckerberg Medical Center to investigate the use of the Human Diagnosis Project in clinical decision support. Developed opportunities to work with multiple leading residency programs on a national American Medical Association grant to longitudinally measure and track the development of clinical reasoning across cohorts of physicians-in-training at top academic medical centers.
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IRS990/ProgSrvcAccomActy2Grp/Desc0EDUCATION.Increased the Human Diagnosis Project Community to 25,000 contributors from nearly 100 countries, who use the open, online system to assess and improve their clinical reasoning skills. Continued to expand Human Diagnosis Projects Global Morning Report to other specialties, including Family Medicine and Pediatrics.
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IRS990/ProgSrvcAccomActy3Grp/Desc0SERVICE AND CARE.Investigated means and approach for delivering low-cost medical insights (information, rather than care or advice) to underserved patients. Completed collective opinions on dozens of test patients in process of vetting approaches.
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION HAS A MEMBER WHO HAS CERTAIN RIGHTS ENUMERATED IN THE ORGANIZATIONS BYLAWS, INCLUDING, BUT NOT LIMITED TO, THE RIGHT TO ELECT DIRECTORS, SET THE NUMBER OF DIRECTORS, AND REMOVE DIRECTORS, THE RIGHT TO VOTE ON ANY SALE, LEASE, TRANSFER, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OR PROPERTIES OF THE ORGANIZATION; THE RIGHT TO VOTE ON ANY MERGER OF THE ORGANIZATION, BUT ONLY TO THE EXTENT REQUIRED BY THE DELAWARE GENERAL CORPORATION LAW; THE RIGHT TO VOTE ON DISSOLUTION OF THE ORGANIZATION; THE RIGHT TO VOTE ON THE AMENDMENT OR REPEAL OF THE BYLAWS OF THE ORGANIZATION; AND THE RIGHT TO VOTE ON ANY AMENDMENT TO THE ORGANIZATIONS CERTIFICATE OF INCORPORATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1PURSUANT TO ITS BYLAWS, THE MEMBER OF THE ORGANIZATION HAS THE EXCLUSIVE RIGHT TO ELECT THE DIRECTORS OF THIS ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2PURSUANT TO ITS BYLAWS, THE MEMBER HAS THE RIGHT TO VOTE ON ANY SALE, LEASE, TRANSFER, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OR PROPERTIES OF THE ORGANIZATION; THE RIGHT TO VOTE ON ANY MERGER OF THE ORGANIZATION, BUT ONLY TO THE EXTENT REQUIRED BY THE DELAWARE GENERAL CORPORATION LAW; THE RIGHT TO VOTE ON DISSOLUTION OF THIS ORGANIZATION; THE RIGHT TO VOTE ON THE AMENDMENT OR REPEAL OF THE BYLAWS OF THE ORGANIZATION; AND THE RIGHT TO VOTE ON ANY AMENDMENT TO THE ORGANIZATIONS CERTIFICATE OF INCORPORATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ONCE THE FORM 990 HAS BEEN FINALIZED, THE FORM IS DISTRIBUTED TO HUMAN DIAGNOSIS PROJECT LTDS BOARD OF DIRECTORS FOR REVIEW, DISCUSSION, AND ACCEPTANCE. IT IS EACH BOARD MEMBERS RESPONSIBILITY TO REVIEW THE FORM 990 IN SUFFICIENT DETAIL SO AS TO BRING ANY QUESTIONS OR CONCERNS TO THE TABLE BEFORE ACCEPTANCE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE HUMAN DIAGNOSIS PROJECT, LTD. HAS BOARD MEETINGS TWICE ANNUALLY AND ADDITIONALLY AS REQUIRED. AT EACH BOARD MEETING WHERE THE BOARD DISCUSSES ISSUES OR OTHER CORPORATE ACTIONS WHICH MAY INVOLVE CONFLICTS, EACH BOARD MEMBER IS REQUIRED TO DISCLOSE POTENTIAL CONFLICTS. THESE DISCLOSURES ARE THEN REVIEWED FOR ITEMS OF CONFLICT. ITEMS NOTED AS A POTENTIAL CONFLICT, IF ANY, ARE REVIEWED BY THE BOARD, DIRECTORS, OFFICERS, AND, WHERE APPROPRIATE, OUTSIDE LEGAL COUNSEL. APPROPRIATE ACTION IS TAKEN TO ADDRESS THE DISCLOSURES AND TO ENSURE THAT DIRECTORS DO NOT VOTE ON ANY MATTER IN WHICH THEY HAVE A CONFLICT OF INTEREST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5EACH YEAR, CERTAIN INDEPENDENT DIRECTORS SURVEY THE MARKETPLACE AND GATHER MARKET DATA ON THE COMPENSATION OF THE ACTING DIRECTOR (THE CEO/EXECUTIVE DIRECTOR) AND OTHER TOP MANAGEMENT POSITIONS. THE ACTING DIRECTOR POSITION AND OTHER TOP MANAGEMENT POSITIONS ARE MATCHED WITH OTHER SIMILAR POSITIONS IN ORGANIZATIONS WITH SIMILAR REVENUES, STRUCTURES, AND SCOPE. FOR THE ACTING DIRECTOR POSITIONS AND OTHER TOP MANAGEMENT POSITIONS, BOTH BASE PAY AND TOTAL COMPENSATION PAY ARE COMPARED. TOTAL COMPENSATION INCLUDES BASE PAY AND BONUS PAY. (THE ORGANIZATION DOES NOT CURRENTLY PROVIDE DEFERRED COMPENSATION.) EVERY YEAR, CERTAIN INDEPENDENT BOARD MEMBERS ALSO CONDUCT A FORMAL PERFORMANCE EVALUATION ON THE ACTING DIRECTOR AND OTHER TOP MANAGEMENT POSITIONS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6FOR OFFICERS AND KEY EMPLOYEES, CERTAIN INDEPENDENT DIRECTORS MATCH THESE POSITIONS WITH OTHER SIMILAR POSITIONS IN ORGANIZATIONS WITH SIMILAR REVENUES, STRUCTURES, AND SCOPE. THE MARKET RANGES FOR BASE PAY ARE PROVIDED TO THOSE INDEPENDENT BOARD MEMBERS. (THE ORGANIZATION DOES NOT CURRENTLY PROVIDE BONUS PAY OR DEFERRED COMPENSATION TO OTHER OFFICERS AND KEY EMPLOYEES.) THOSE INDEPENDENT BOARD MEMBERS REVIEW THIS DATA AND APPROVE THE RANGES TO BE USED BY THE ACTING DIRECTOR IN DETERMINING THEIR BASE PAY. THE ORGANIZATION MAINTAINS CONTEMPORANEOUS DOCUMENTATION REGARDING ITS DELIBERATIONS AND DECISIONS REGARDING EACH MANAGEMENT COMPENSATION ARRANGEMENT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7UPON REQUEST, HUMAN DIAGNOSIS PROJECT, LTD. PROVIDES COPIES OF ITS AUDITED FINANCIAL STATEMENTS, FORMS 990, AND ITS CONFLICT OF INTEREST POLICIES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8Medicine contractor and consulting fees = $152,333
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Members or stockholder classes and rights Part VI line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Member election for additional members Part VI line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Governing body decisions Part VI line 7b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990 governing body review Part VI line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Conflict of interest policy compliance Part VI line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5CEO executive director top management comp Part VI line 15a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Other officer or key employee compensation Part VI line 15b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Governing documents etc available to public Part VI line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8List of other fees for services expenses Part IX line 11g
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/OwnershipPct00.00000
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0To build technology to elevate wellbeing for all
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0Human Dx Ltd
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ShareOfTotalIncomeAmt0205000
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt01013 Center Road Suite 403-B
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm0Wilmington
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IRS990/TotalAssetsGrp/EOYAmt09434
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IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt028729
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0367555
IRS990/TotalFunctionalExpensesGrp/TotalAmt0425569
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IRS990/TotalLiabilitiesEOYAmt013060
IRS990/TotalLiabilitiesGrp/BOYAmt049846
IRS990/TotalLiabilitiesGrp/EOYAmt013060
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-24149
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-3626
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0367555
IRS990/TotalReportableCompFromOrgAmt033059
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0446092
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt025697
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt09434
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ManagementAndGeneralAmt0305
IRS990/TravelGrp/ProgramServicesAmt0523
IRS990/TravelGrp/TotalAmt0828
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IRS990/TypeOfOrganizationCorpInd0X
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IRS990/UponRequestInd0X
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IRS990/WebsiteAddressTxt0https://npc.humandx.org/donate
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02021-01-29 14:40:06Z
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ReturnHeader/BusinessOfficerGrp/PersonNm0Jayanth Komarneni
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Director
ReturnHeader/BusinessOfficerGrp/PhoneNum02022926700
ReturnHeader/BusinessOfficerGrp/SignatureDt02020-10-21
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Human Diagnosis Project Ltd
ReturnHeader/Filer/BusinessNameControlTxt0HUMA
ReturnHeader/Filer/EIN0810865879
ReturnHeader/Filer/USAddress/AddressLine1Txt0450 Lexington Avenue
ReturnHeader/Filer/USAddress/CityNm0New York
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NY
ReturnHeader/Filer/USAddress/ZIPCd0101634421
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ReturnHeader/FilingSecurityInformation/FederalOriginalSubmissionIdDt02020-11-13
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt065.221.110.233
ReturnHeader/FilingSecurityInformation/IPDt02020-11-13
ReturnHeader/FilingSecurityInformation/IPTm010:58:05
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0453990442
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Ayzenberg and Goldin LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0110 Duane St Ste 1C
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0New York
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd010007
ReturnHeader/PreparerPersonGrp/PhoneNum07184313193
ReturnHeader/PreparerPersonGrp/PreparationDt02020-11-13
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Daniel Ayzenberg CPA Esq
ReturnHeader/PreparerPersonGrp/SelfEmployedInd0X
ReturnHeader/ReturnTs02020-11-13T10:56:48-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02019-01-01
ReturnHeader/TaxPeriodEndDt02019-12-31
ReturnHeader/TaxYr02019

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