Civic Intelligence

Eagleclaw Foundation

990 • Fiscal year 2019 • EIN 81-3600372

Jan 01, 2019 to Dec 31, 2019 • Filed on Nov 16, 2020

701 5th Avenue No 4400Seattle, WA 98104

(206) 295-2567

Siviq Scores

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

Liabilities / Assets

75th percentile

0.24x

Higher debt load relative to assets than 75% of similar nonprofits.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2019

Liabilities / Revenue

64th percentile

0.08x

Higher debt load relative to revenue than 64% of similar nonprofits.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2019

Net Margin

71st percentile

14%

Higher net margin than 71% of similar nonprofits.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2019

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2019

Asset Growth

92nd percentile

78%

Faster asset growth than 92% of similar nonprofits.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2017 to 2019

Revenue Growth

91st percentile

77%

Faster revenue growth than 91% of similar nonprofits.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2017 to 2019

Assets

Up

$198,722

Up $39,942 (+25%) from 2018

Net Assets

Down

$151,725

Down $3,069 (-2.0%) from 2018

Liabilities

Up

$46,997

Up $43,011 (+1079%) from 2018

Revenue

Up

$590,581

Up $63,218 (+12%) from 2018

Expenses

Up

$505,952

Up $72,481 (+17%) from 2018

Net Income

Down

$84,629

Down $9,263 (-9.9%) from 2018

Historical Trend

Balance Sheet Trend

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

$300K$200K$100K$0-$100KAssets 2017: $62,888Liabilities 2017: $1,986Net Assets 2017: $60,9022017Assets 2018: $158,780Liabilities 2018: $3,986Net Assets 2018: $154,7942018Assets 2019: $198,722Liabilities 2019: $46,997Net Assets 2019: $151,7252019Assets 2020: $291,914Liabilities 2020: $266,658Net Assets 2020: $25,2562020Assets 2021: $286,046Liabilities 2021: $204,474Net Assets 2021: $81,5722021Assets 2022: $236,678Liabilities 2022: $202,227Net Assets 2022: $34,4512022Assets 2023: $243,656Liabilities 2023: $200,679Net Assets 2023: $42,9772023Assets 2024: $163,632Liabilities 2024: $198,696Net Assets 2024: -$35,0642024

Highlighted filing

2019

Assets$198,722
Liabilities$46,997
Net Assets$151,725

Operations Trend

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

$1.0M$500K$0-$500KRevenue 2017: $187,662Expenses 2017: $129,363Net Income 2017: $58,2992017Revenue 2018: $527,363Expenses 2018: $433,471Net Income 2018: $93,8922018Revenue 2019: $590,581Expenses 2019: $505,952Net Income 2019: $84,6292019Revenue 2020: $290,538Expenses 2020: $417,007Net Income 2020: -$126,4692020Revenue 2021: $536,160Expenses 2021: $479,844Net Income 2021: $56,3162021Revenue 2022: $637,540Expenses 2022: $684,661Net Income 2022: -$47,1212022Revenue 2023: $718,280Expenses 2023: $706,071Net Income 2023: $12,2092023Revenue 2024: $853,352Expenses 2024: $931,393Net Income 2024: -$78,0412024

Highlighted filing

2019

Revenue$590,581
Expenses$505,952
Net Income$84,629
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Nov 16, 2020
Return Version
2019v5.1
Gross Receipts
$590,581
Mission and Program Overview

Mission

To foster the physical, mental and emotional growth and development of youth in washington state through the sport of scoccer at all levels of age and competition.

Foster the physical, mental and emotional growth and development of youth in wa state through the sport of soccer.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$115,494$160,650▲ $45,156
Rtn Earn Endowment Incm Other Fnds$154,794$151,725▼ $3,069
Savings and Temporary Cash Investments$9,130$26,331▲ $17,201
Receivable From Disqualified Prsn$24,000$0▼ $24,000
Land, Buildings, and Equipment, Net$10,156$8,969▼ $1,187
Inventories for Sale or Use$0$2,772▲ $2,772
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$158,780$198,722▲ $39,942
Liabilities
Accounts Payable and Accrued Expenses$3,986$46,997▲ $43,011
Total Liabilities$3,986$46,997▲ $43,011
Net Assets / Fund Balance
Total Net Assets Fund Balance$154,794$151,725▼ $3,069
Total Liabilities and Net Assets / Fund Balance$158,780$198,722▲ $39,942

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$8,969$4,682$13,651
Compensation and Service Providers

Board Members and Trustees

NameTitle
Joseph M CamposExecutive Director
Revenue and Support

Revenue Composition

Contributions and Grants
$42,242
Program Service Revenue
$547,397
Investment Income
$0
Other Revenue
$942
All Other Contributions
$42,242
Change in Net Assets
$84,629
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$253,340
Other Expenses$252,612
Total Fundraising Expense$4,114
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$228,722--$228,722
Occupancy$35,866$8,966-$44,832
Fees for Services Other$36,159--$36,159
Travel$34,783--$34,783
Payroll Taxes$24,618--$24,618
Office Expenses$19,005$4,749-$23,754
Fees for Services Accounting-$8,989-$8,989
Advertising$6,430--$6,430
Other Expenses$11,328$14,177$4,114$4,114
Insurance-$3,454-$3,454
Depreciation Depletion$2,600--$2,600
All Other Expenses$2,075--$2,075
Total Functional Expenses$461,503$40,335$4,114$505,952
International Activity

International Summary

Offices
0
Employees
0
Spending
$25,426

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
No
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
No

International Activities

RegionActivityServicesOfficesEmployeesSpending
Europe (including Iceland & Greenland)Program ServicesAthletics Expense00$25,426
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$24,000$0▼ $24,000
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
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
Yes
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 B, Line 11B

The executive director will review the form 990.

Form 990, Part VI, Section B, Line 15B

The executive director reviews the compensation of the director of coaching. The last compensation review took place in 2019.

Form 990, Part VI, Section C, Line 19

Eagleclaw foundation's documents are provided to the public upon request.

Filing and Contact Details

Filer

Filer Name
Eagleclaw Foundation
EIN
81-3600372
Phone
2062952567
Address
701 5TH AVENUE NO 4400, SEATTLE, WA 98104

Signing Officer

Name
Joseph M Campos
Title
Executive Director
Phone
2062952567
Signed
2020-11-16
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Joseph M Campos
Formed
2016
Legal Domicile
Wa
Voting Board Members
1
Independent Board Members
1
Employees
15
Volunteers
15

Preparer

Firm
Clark Nuber Ps
Address
10900 NE 4TH STREET SUITE 1400, BELLEVUE, WA 98004
Preparer
Jennifer Becker Harris
Phone
4254544919
Supplemental Narrative

Additional Explanations

FORM 990, PART I, LINE 6:

Eagleclaw foundation has 11 youth soccer teams in the club and each team has a volunteer coordinator. In addition, we have 2 volunteers coordinating uniforms and players, 1 volunteer assisting with marketing, and 1 uncompensated board member

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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/Desc0SOCCER TRAINING PROGRAMS; PRIMARY ACADEMY: PLAYER DEVELOPMENT BEGINS WITH PRIMARY ACADEMY, A TOP-QUALITY DEVELOPMENT PROGRAM FOR YOUTH PLAYERS AGE 5-13. EACH SEMESTER, THERE ARE ADMISSIONS UP TO 150 PLAYERS WHO TRAIN WITH EXPERIENCED COACHES. BETWEEN THE AGES OF 5 AND 13, THE OVERRIDING CONCERN IS PLAYER DEVELOPMENT AND FORMATION, NOT TEAM DEVELOPMENT; THAT COMES LATER IN OUR ADVANCED ACADEMY. FOR THAT REASON, A KEY OBJECTIVE OF THE ACADEMY IS TO PREPARE PLAYERS FOR THEIR EVENTUAL TRYOUT FOR THE ADVANCED ACADEMY.SOCCER TRAINING PROGRAMS; ADVANCED ACADEMY: THE ADVANCED ACADEMY IS THE COMPETITIVE DEVELOPMENT PROGRAM FOR TALENTED AND AMBITIOUS PLAYERS. THROUGH COMPETITIVE TRYOUTS, EAGLECLAW WILL FORM UP TO TWO BOYS' TEAMS AND UP TO TWO GIRLS' TEAMS PER BIRTH YEAR. EACH TEAM WILL HAVE A MAXIMUM ROSTER OF 16 PLAYERS AND A DEDICATED COACHING STAFF. ADVANCED ACADEMY TEAMS WILL COMPETE IN THE MOST COMPETITIVE LEAGUES AVAILABLE, AND IN THE PROCESS DEVELOP PLAYERS WHO WILL HAVE OPPORTUNITIES TO CONTINUE PLAYING AT HIGHER LEVELS, WHETHER COLLEGIATELY OR FOR PROFESSIONAL SOCCER CLUBS.YOUTH SOCCER TRAINING; ADDITIONAL PROGRAMS: EACH SUMMER EAGLECLAW FC HOSTS THE VALENCIA CF SUMMER ACADEMY. THIS WEEK-LONG SOCCER CAMP FOR YOUTH PLAYERS IS LED BY COACHES FROM THE PROFESSIONAL SPANISH CLUB, VALENCIA CF. EAGLECLAW FC IS AUTHORIZED BY VALENCIA CF TO OPERATE THE VALENCIA DISCOVERY PROGRAM (VDP). VDP IS A PROGRAM INTENDED TO IDENTIFY AND DEVELOP YOUTH SOCCER PLAYERS WITH THE POTENTIAL TO PLAY AT THE PROFESSIONAL LEVELS AND POTENTIAL WITH VALENCIA CF IN SPAIN. EACH APRIL, EAGLECLAW VDP TEAMS TRAVEL TO VALENCIA, SPAIN, TO TRAIN AT THE VALENCIA CF YOUTH ACADEMY AND PARTICIPATE IN THE VALENCIA SOCCER CUP TOURNAMENT. EAGLECLAW FC'S TEAMS ALSO COMPETE IN THE PUGET SOUND PREMIER LEAGUE AND THE WASHINGTON NATIONAL PREMIER LEAGUE.
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IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt013651
IRS990ScheduleD/TotalBookValueLandBuildingsAmt08969
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/EmployeeCnt00
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/OfficesCnt00
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTotalExpendituresAmt025426
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTxt0EUROPE (INCLUDING ICELAND & GREENLAND)
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/SpecificServicesProvidedTxt0ATHLETICS EXPENSE
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/TypeOfActivitiesConductedTxt0PROGRAM SERVICES
IRS990ScheduleF/BoycottCountriesInd00
IRS990ScheduleF/ContinuationSpentAmt00
IRS990ScheduleF/ContinuationTotalEmployeeCnt00
IRS990ScheduleF/ContinuationTotalOfficeCnt00
IRS990ScheduleF/ForeignCorpOwnershipInd00
IRS990ScheduleF/ForeignPartnershipInd00
IRS990ScheduleF/InterestInForeignTrustInd00
IRS990ScheduleF/PassiveForeignInvestmestCoInd00
IRS990ScheduleF/SubtotalEmployeesCnt00
IRS990ScheduleF/SubtotalOfficesCnt00
IRS990ScheduleF/SubtotalSpentAmt025426
IRS990ScheduleF/SupplementalInformationDetail/ExplanationTxt0PER FORM 990 INSTRUCTIONS, THE ACCRUAL METHOD OF ACCOUNTING WAS USED.
IRS990ScheduleF/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3:
IRS990ScheduleF/SupplementalInformationDetail/FormAndLineReferenceDesc1PART III ACCOUNTING METHOD:
IRS990ScheduleF/TotalEmployeeCnt00
IRS990ScheduleF/TotalOfficeCnt00
IRS990ScheduleF/TotalSpentAmt025426
IRS990ScheduleF/TransferToForeignCorpInd00
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0EAGLECLAW FOUNDATION HAS 11 YOUTH SOCCER TEAMS IN THE CLUB AND EACH TEAM HAS A VOLUNTEER COORDINATOR. IN ADDITION, WE HAVE 2 VOLUNTEERS COORDINATING UNIFORMS AND PLAYERS, 1 VOLUNTEER ASSISTING WITH MARKETING, AND 1 UNCOMPENSATED BOARD MEMBER
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE EXECUTIVE DIRECTOR WILL REVIEW THE FORM 990.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE EXECUTIVE DIRECTOR REVIEWS THE COMPENSATION OF THE DIRECTOR OF COACHING. THE LAST COMPENSATION REVIEW TOOK PLACE IN 2019.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3EAGLECLAW FOUNDATION'S DOCUMENTS ARE PROVIDED TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART I, LINE 6:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 15B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
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IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN0462761125
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt0S
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd0WA
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0OPERATIONS
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0EAGLECLAW FOOTBALL CLUB INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt0701 5TH AVENUE SUITE 4400
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm0SEATTLE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd0WA
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCd098104
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0158780
IRS990/TotalAssetsEOYAmt0198722
IRS990/TotalAssetsGrp/BOYAmt0158780
IRS990/TotalAssetsGrp/EOYAmt0198722
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt042242
IRS990/TotalEmployeeCnt015
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt04114
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt040335
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0461503
IRS990/TotalFunctionalExpensesGrp/TotalAmt0505952
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt03986
IRS990/TotalLiabilitiesEOYAmt046997
IRS990/TotalLiabilitiesGrp/BOYAmt03986
IRS990/TotalLiabilitiesGrp/EOYAmt046997
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0154794
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0151725
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0461503
IRS990/TotalProgramServiceRevenueAmt0547397
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt0942
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0547397
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0590581
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt015
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0158780
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0198722
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ProgramServicesAmt034783
IRS990/TravelGrp/TotalAmt034783
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt01536 NW BLUE RIDGE DRIVE
IRS990/USAddress/CityNm0SEATTLE
IRS990/USAddress/StateAbbreviationCd0WA
IRS990/USAddress/ZIPCd098177
IRS990/VotingMembersGoverningBodyCnt01
IRS990/VotingMembersIndependentCnt01
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02021-01-29 14:40:06Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0JOSEPH M CAMPOS
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0EXECUTIVE DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum02062952567
ReturnHeader/BusinessOfficerGrp/SignatureDt02020-11-16
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0EAGLECLAW FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0EAGL
ReturnHeader/Filer/EIN0813600372
ReturnHeader/Filer/PhoneNum02062952567
ReturnHeader/Filer/USAddress/AddressLine1Txt0701 5TH AVENUE NO 4400
ReturnHeader/Filer/USAddress/CityNm0SEATTLE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0WA
ReturnHeader/Filer/USAddress/ZIPCd098104
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0DA39A3EE5E6B4B0D3255BFEF95601890AFD80709
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0F854BF809C194E76DACB80B9C1D7D4F8CD5FCEA2
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt065.158.230.194
ReturnHeader/FilingSecurityInformation/IPDt02020-11-16
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0PS
ReturnHeader/FilingSecurityInformation/IPTm016:41:26
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0911194016
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CLARK NUBER PS
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt010900 NE 4TH STREET SUITE 1400
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0BELLEVUE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0WA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd098004
ReturnHeader/PreparerPersonGrp/PhoneNum04254544919
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0JENNIFER BECKER HARRIS
ReturnHeader/ReturnTs02020-11-16T19:38:31-06:00

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