Civic Intelligence

Florida Emergency Medicine Teaching Alliance Inc

EIN 81-3471666 • 501(c)3 • Dallas, TX

Profile

The corporation provides support for scholarly and educational activities in the field of emergency medicine, including education of medical students and resident physicians.

4475 Trinity Mills Rd 703064Dallas, TX 75370

miamiemresidency.org

Siviq Scores

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

Liabilities / Assets

60th percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2024

Liabilities / Revenue

62nd percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2024

Net Margin

51st percentile

2.0%

Higher net margin than 51% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Top Officer Pay

95th percentile

$60,000

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 12.6% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2024

Asset Growth

88th percentile

63%

Faster asset growth than 88% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Revenue Growth

29th percentile

-28%

Faster revenue growth than 29% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Assets

Up

$24,821

Up $9,605 (+63%) from 2023

Liabilities

Down

$0

Down $9 (-100%) from 2023

Net Assets

Up

$24,821

Up $9,614 (+63%) from 2023

Revenue

Down

$474,929

Down $181,221 (-28%) from 2023

Expenses

Down

$465,315

Down $288,019 (-38%) from 2023

Net Income

Up

$9,614

Up $106,798 (+110%) from 2023

Trend Graphs

Balance Sheet Trend

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

$200K$150K$100K$50K$0Assets 2017: $33,386Liabilities 2017: $0Net Assets 2017: $33,3862017Assets 2018: $124,723Liabilities 2018: $0Net Assets 2018: $124,7232018Assets 2019: $192,180Liabilities 2019: $0Net Assets 2019: $192,1802019Assets 2020: $44,438Liabilities 2020: $0Net Assets 2020: $44,4382020Assets 2021: $27,540Liabilities 2021: $0Net Assets 2021: $27,5402021Assets 2022: $112,391Liabilities 2022: $0Net Assets 2022: $112,3912022Assets 2023: $15,216Liabilities 2023: $9Net Assets 2023: $15,2072023Assets 2024: $24,821Liabilities 2024: $0Net Assets 2024: $24,8212024

Highlighted filing

2024

Assets$24,821
Liabilities$0
Net Assets$24,821

Operations Trend

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

$1.0M$500K$0-$500KRevenue 2017: $292,692Expenses 2017: $259,202Net Income 2017: $33,4902017Revenue 2018: $485,260Expenses 2018: $393,923Net Income 2018: $91,3372018Revenue 2019: $683,410Expenses 2019: $615,953Net Income 2019: $67,4572019Revenue 2020: $400,199Expenses 2020: $547,941Net Income 2020: -$147,7422020Revenue 2021: $538,453Expenses 2021: $555,351Net Income 2021: -$16,8982021Revenue 2022: $593,587Expenses 2022: $508,736Net Income 2022: $84,8512022Revenue 2023: $656,150Expenses 2023: $753,334Net Income 2023: -$97,1842023Revenue 2024: $474,929Expenses 2024: $465,315Net Income 2024: $9,6142024

Highlighted filing

2024

Revenue$474,929
Expenses$465,315
Net Income$9,614

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 18, 2025
Return Version
2024v5.1
Gross Receipts
$474,929
Mission and Program Overview

Mission

The corporation provides support for scholarly and educational activities in the field of emergency medicine, including education of medical students and resident physicians.

Femta contracts with emergency physicians to act as teaching faculty to the residents of the university of miami and medical students of holy cross hospital.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$15,207$24,821▲ $9,614
Cash and Non-Interest-Bearing Accounts$11,606$20,619▲ $9,013
Accounts Receivable$0$592▲ $592
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Land, Buildings, and Equipment, Net$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$15,216$24,821▲ $9,605
Other Assets Total$3,610$3,610→ $0
Liabilities
Accounts Payable and Accrued Expenses$9--
Other Liabilities$0$0→ $0
Total Liabilities$9$0▼ $9
Net Assets / Fund Balance
Total Net Assets Fund Balance$15,207$24,821▲ $9,614
Total Liabilities and Net Assets / Fund Balance$15,216$24,821▲ $9,605

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$2,860--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Mark E Caputo MDPresidentPT$60,000$60,000
Laura Eliseo MDDirector/LecturerPT$60,000$60,000

Board Members and Trustees

NameTitle
Mark W SandersonTreasurer/CFO
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$474,929
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$9,614
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$345,315
Salaries, Compensation, and Employee Benefits$120,000
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$310,801$0$0$310,801
Current Officers, Directors, Trustees, and Key Employees$90,000$30,000-$120,000
Conferences and Meetings$18,108--$18,108
Travel$12,369--$12,369
Office Expenses$3,976--$3,976
Other Expenses$61--$61
Total Functional Expenses$435,315$30,000$0$465,315
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
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
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
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 2 Family/business relationships amongst interested persons

Laura Eliseo, MD & Mark Caputo, MD - Business relationship

Form 990, Part VI, Line 11B Review of form 990 by governing body

The form 990 is prepared by an independent accounting firm. Once prepared, the form is reviewed by the board of directors prior to filing with the irs.

Form 990, Part VI, Line 12C Conflict of interest policy

Each new board member, officer, and employee shall be required to review the conflict of interest policy and acknowledge in writing he or she has reviewed. Also, each board member, officer, and employee must complete an annual disclosure form to disclose potential conflicts and submit it to the president. If a conflict is found to exist, the conflicted person will abstain from voting and discussions about the transaction.

Form 990, Part VI, Line 15A Process to establish compensation of top management official

Femta made initial inquiries with several residency programs both in texas and florida to determine both contract content and reasonable compensation levels. The arrangement is documented in a written independent contractor agreement.

Form 990, Part VI, Line 19 Required documents available to the public

The organization's governing documents, conflict of interest policy and financial statements are made available to the public upon request.

Form 990, Part VII, Section A COMPENSATION OF OFFICERS AND DIRECTORS

The compensation reported for the directors of the organization is for services rendered as a lecturer/faculty member and not as a member of the board.

Filing and Contact Details

Filer

Filer Name
Florida Emergency Medicine Teaching Alliance Inc
EIN
81-3471666
Phone
2142988785
Address
4475 Trinity Mills Rd 703064, Dallas, TX 75370

Signing Officer

Name
Mark E Caputo
Title
President
Phone
2142988785
Signed
2025-11-18
Discuss with paid preparer
Yes

Organization Details

Formed
2016
Legal Domicile
Fl
Voting Board Members
3
Independent Board Members
1
Employees
0
Volunteers
1

Preparer

Firm
Forvis Mazars LLP
Address
14221 Dallas Parkway Suite 400, Dallas, TX 75254
Preparer
Andrew Gray
Phone
9727028262
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G Other Fees

Contract Services - Total Expense: 310801, Program Service Expense: 310801, Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;

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IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt00
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt00
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt00
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IRS990ScheduleA/PublicSupportCY509Pct01
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IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus2YearsAmt00
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus3YearsAmt00
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus4YearsAmt00
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearAmt00
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IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus3YearsAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus4YearsAmt00
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IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0656150
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0593587
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0538453
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0400199
IRS990ScheduleA/Total509Grp/TotalAmt02663318
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0474929
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IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0593587
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0538453
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0400199
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt02663318
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IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt0750
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt12860
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0Security Deposit
IRS990ScheduleD/OtherAssetsOrgGrp/Desc1Other Assets
IRS990ScheduleD/TotalBookValueOtherAssetsAmt03610
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Laura Eliseo, MD & Mark Caputo, MD - Business relationship
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. ONCE PREPARED, THE FORM IS REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2EACH NEW BOARD MEMBER, OFFICER, AND EMPLOYEE SHALL BE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND ACKNOWLEDGE IN WRITING HE OR SHE HAS REVIEWED. ALSO, EACH BOARD MEMBER, OFFICER, AND EMPLOYEE MUST COMPLETE AN ANNUAL DISCLOSURE FORM TO DISCLOSE POTENTIAL CONFLICTS AND SUBMIT IT TO THE PRESIDENT. IF A CONFLICT IS FOUND TO EXIST, THE CONFLICTED PERSON WILL ABSTAIN FROM VOTING AND DISCUSSIONS ABOUT THE TRANSACTION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3FEMTA MADE INITIAL INQUIRIES WITH SEVERAL RESIDENCY PROGRAMS BOTH IN TEXAS AND FLORIDA TO DETERMINE BOTH CONTRACT CONTENT AND REASONABLE COMPENSATION LEVELS. THE ARRANGEMENT IS DOCUMENTED IN A WRITTEN INDEPENDENT CONTRACTOR AGREEMENT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE COMPENSATION REPORTED FOR THE DIRECTORS OF THE ORGANIZATION IS FOR SERVICES RENDERED AS A LECTURER/FACULTY MEMBER AND NOT AS A MEMBER OF THE BOARD.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6Contract Services - Total Expense: 310801, Program Service Expense: 310801, Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Line 2 Family/business relationships amongst interested persons
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Line 11b Review of form 990 by governing body
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Line 12c Conflict of interest policy
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Line 15a Process to establish compensation of top management official
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Line 19 Required documents available to the public
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990, Part VII, Section A COMPENSATION OF OFFICERS AND DIRECTORS
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990, Part IX, Line 11g Other Fees
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt015216
IRS990/TotalAssetsEOYAmt024821
IRS990/TotalAssetsGrp/BOYAmt015216
IRS990/TotalAssetsGrp/EOYAmt024821
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt030000
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0435315
IRS990/TotalFunctionalExpensesGrp/TotalAmt0465315
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt09
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt09
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt015207
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt024821
IRS990/TotalOtherCompensationAmt00
IRS990/TotalOthProgramServiceRevGrp/ExclusionAmt00
IRS990/TotalOthProgramServiceRevGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalOthProgramServiceRevGrp/TotalRevenueColumnAmt00
IRS990/TotalOthProgramServiceRevGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalProgramServiceExpensesAmt0435315
IRS990/TotalProgramServiceRevenueAmt0474929
IRS990/TotalReportableCompFromOrgAmt0120000
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0474929
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0474929
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt01
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IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt024821
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TransactionWithControlEntInd0false
IRS990/TravelGrp/ProgramServicesAmt012369
IRS990/TravelGrp/TotalAmt012369
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt04475 Trinity Mills Rd 703064
IRS990/USAddress/CityNm0Dallas
IRS990/USAddress/StateAbbreviationCd0TX
IRS990/USAddress/ZIPCd075370
IRS990/VotingMembersGoverningBodyCnt03
IRS990/VotingMembersIndependentCnt01
IRS990/WebsiteAddressTxt0miamiemresidency.org
IRS990/WhistleblowerPolicyInd0true
IRS990/WrittenPolicyOrProcedureInd0false
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0Mark E Caputo
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0President
ReturnHeader/BusinessOfficerGrp/PhoneNum02142988785
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-11-18
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Florida Emergency Medicine Teaching Alliance Inc
ReturnHeader/Filer/BusinessNameControlTxt0FLOR
ReturnHeader/Filer/EIN0813471666
ReturnHeader/Filer/PhoneNum02142988785
ReturnHeader/Filer/USAddress/AddressLine1Txt04475 Trinity Mills Rd 703064
ReturnHeader/Filer/USAddress/CityNm0Dallas
ReturnHeader/Filer/USAddress/StateAbbreviationCd0TX
ReturnHeader/Filer/USAddress/ZIPCd075370
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0440160260
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Forvis Mazars LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt014221 Dallas Parkway Suite 400
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Dallas
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0TX
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd075254
ReturnHeader/PreparerPersonGrp/PhoneNum09727028262
ReturnHeader/PreparerPersonGrp/PreparationDt02025-11-17
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Andrew Gray
ReturnHeader/ReturnTs02025-11-18T07:41:59+00:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02024-01-01
ReturnHeader/TaxPeriodEndDt02024-12-31
ReturnHeader/TaxYr02024

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