Civic Intelligence

Loyal Order of Moose Lodge 602

EIN 83-0133685 • 501(c)8 • Douglas, WY

Profile

Uniting Members in bonds of fraternity.

PO Box 168Douglas, WY 82633

n/A

Siviq Scores

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

Liabilities / Assets

37th percentile

0.00x

Higher debt load relative to assets than 37% of similar nonprofits.

501(c)8 • $500k-$1M nonprofits • Source year 2025

Liabilities / Revenue

42nd percentile

0.01x

Higher debt load relative to revenue than 42% of similar nonprofits.

501(c)8 • $500k-$1M nonprofits • Source year 2025

Net Margin

56th percentile

7.9%

Higher net margin than 56% of similar nonprofits.

501(c)8 • $500k-$1M nonprofits • Source year 2025

Top Officer Pay

95th percentile

$26,100

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 23.1% of source-year revenue.

501(c)8 • $500k-$1M nonprofits • Source year 2025

Asset Growth

50th percentile

1.7%

Faster asset growth than 50% of similar nonprofits.

501(c)8 • $500k-$1M nonprofits • Annualized from 2024 to 2025

Revenue Growth

85th percentile

44%

Faster revenue growth than 85% of similar nonprofits.

501(c)8 • $500k-$1M nonprofits • Annualized from 2024 to 2025

Assets

Up

$526,889

Up $8,991 (+1.7%) from 2024

Liabilities

Up

$1,247

Up $78 (+6.7%) from 2024

Net Assets

Up

$525,642

Up $8,913 (+1.7%) from 2024

Revenue

Up

$112,888

Up $34,604 (+44%) from 2024

Expenses

Up

$103,975

Up $9,539 (+10%) from 2024

Net Income

Up

$8,913

Up $25,065 (+155%) from 2024

Trend Graphs

Balance Sheet Trend

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

$600K$400K$200K$0Assets 2012: $370,223Liabilities 2012: $1,161Net Assets 2012: $369,0622012Assets 2013: $394,577Liabilities 2013: $4,704Net Assets 2013: $389,8732013Assets 2014: $390,063Liabilities 2014: $1,190Net Assets 2014: $388,8732014Assets 2015: $385,541Liabilities 2015: $1,100Net Assets 2015: $384,4412015Assets 2016: $391,008Liabilities 2016: $1,188Net Assets 2016: $389,8202016Assets 2017: $394,557Liabilities 2017: $1,685Net Assets 2017: $392,8722017Assets 2018: $453,338Liabilities 2018: $1,687Net Assets 2018: $451,6512018Assets 2019: $495,848Liabilities 2019: $1,223Net Assets 2019: $494,6252019Assets 2020: $533,109Liabilities 2020: $20Net Assets 2020: $533,0892020Assets 2021: $531,035Liabilities 2021: $1,321Net Assets 2021: $529,7142021Assets 2022: $523,370Liabilities 2022: $1,547Net Assets 2022: $521,8232022Assets 2023: $534,019Liabilities 2023: $1,138Net Assets 2023: $532,8812023Assets 2024: $517,898Liabilities 2024: $1,169Net Assets 2024: $516,7292024Assets 2025: $526,889Liabilities 2025: $1,247Net Assets 2025: $525,6422025

Highlighted filing

2025

Assets$526,889
Liabilities$1,247
Net Assets$525,642

Operations Trend

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

$200K$150K$100K$50K$0-$50KRevenue 2012: $72,791Expenses 2012: $82,148Net Income 2012: -$9,3572012Revenue 2013: $98,589Expenses 2013: $77,778Net Income 2013: $20,8112013Revenue 2014: $76,481Expenses 2014: $77,481Net Income 2014: -$1,0002014Revenue 2015: $78,045Expenses 2015: $82,477Net Income 2015: -$4,4322015Revenue 2016: $85,164Expenses 2016: $79,785Net Income 2016: $5,3792016Revenue 2017: $87,975Expenses 2017: $84,923Net Income 2017: $3,0522017Revenue 2018: $150,103Expenses 2018: $91,324Net Income 2018: $58,7792018Revenue 2019: $123,300Expenses 2019: $80,326Net Income 2019: $42,9742019Revenue 2020: $121,499Expenses 2020: $83,035Net Income 2020: $38,4642020Revenue 2021: $83,422Expenses 2021: $86,797Net Income 2021: -$3,3752021Revenue 2022: $89,229Expenses 2022: $97,120Net Income 2022: -$7,8912022Revenue 2023: $106,004Expenses 2023: $94,946Net Income 2023: $11,0582023Revenue 2024: $78,284Expenses 2024: $94,436Net Income 2024: -$16,1522024Revenue 2025: $112,888Expenses 2025: $103,975Net Income 2025: $8,9132025

Highlighted filing

2025

Revenue$112,888
Expenses$103,975
Net Income$8,913

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.27$0.01$5.26$1.13$1.04$0.09
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.18$0.01$5.17$0.78$0.94$0.16
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.34$0.01$5.33$1.06$0.95$0.11
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.23$0.02$5.22$0.89$0.97$0.08
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.31$0.01$5.30$0.83$0.87$0.03
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.33$0.00$5.33$1.21$0.83$0.38
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.96$0.01$4.95$1.23$0.80$0.43
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.53$0.02$4.52$1.50$0.91$0.59
2017Detailed filing. Detailed filing data is available for this year.$3.95$0.02$3.93$0.88$0.85$0.03
2016Detailed filing. Detailed filing data is available for this year.$3.91$0.01$3.90$0.85$0.80$0.05
2015Detailed filing. Detailed filing data is available for this year.$3.86$0.01$3.84$0.78$0.82$0.04
2014Detailed filing. Detailed filing data is available for this year.$3.90$0.01$3.89$0.76$0.77$0.01
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.95$0.05$3.90$0.99$0.78$0.21
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.70$0.01$3.69$0.73$0.82$0.09
Latest Detailed Filing

The latest 2025 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2018 below.

Jump To
Filing Snapshot
Filing Period
May 1, 2017 to Apr 30, 2018
Signed
Mar 12, 2019
Return Version
2017v2.2
Gross Receipts
$220,337
Mission and Program Overview

Mission

Uniting Members in bonds of fraternity.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$392,872$451,651▲ $58,779
Land, Buildings, and Equipment, Net$294,399$348,114▲ $53,715
Savings and Temporary Cash Investments$94,617$97,675▲ $3,058
Cash and Non-Interest-Bearing Accounts$2,891$4,899▲ $2,008
Inventories for Sale or Use$2,650$2,650→ $0
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-
Intangible Assets-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$394,557$453,338▲ $58,781
Other Assets Total-$0-
Liabilities
Other Liabilities$1,685$1,687▲ $2
Total Liabilities$1,685$1,687▲ $2
Net Assets / Fund Balance
Total Net Assets Fund Balance$392,872$451,651▲ $58,779
Total Liabilities and Net Assets / Fund Balance$394,557$453,338▲ $58,781

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$234,137-$234,137
Leasehold Improvements$101,157-$101,157
Other Land Buildings$2,820$61,677$64,497
Land$10,000-$10,000
Compensation and Service Providers

Board Members and Trustees

NameTitle
Bernie UnderbergTrustee
Dan BohlanderTrustee
Scott BonerTrustee
Bill AuyerAdministrator
Larry GomezGovernor
Trent BonerJunior Governor
Duane SiebkenPast Governor
Taylor LiscoPrelate
Thad EisenbergerSecretary-Treas
Revenue and Support

Revenue Composition

Contributions and Grants
$61,068
Program Service Revenue
$9,080
Investment Income
$1,105
Other Revenue
$78,850
All Other Contributions
$61,068
Change in Net Assets
$58,779
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$42,731
Salaries, Compensation, and Employee Benefits$34,865
Grants and Similar Amounts Paid$13,728
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$23,851--$23,851
Occupancy$8,474$8,474-$16,948
Grants to Domestic Individuals$13,200--$13,200
Payroll Taxes$11,014--$11,014
Insurance$3,110$3,111-$6,221
All Other Expenses$3,172$1,903-$5,075
Other Expenses$1,548$3,561-$1,548
Depreciation Depletion$558$558-$1,116
Interest-$556-$556
Grants to Domestic Orgs$528--$528
Fees for Services Accounting-$468-$468
Advertising$291--$291
Travel-$172-$172
Total Functional Expenses$70,267$21,057$0$91,324
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$11,019
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign 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-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Payroll taxes withheld$764
Endowment$510
Sales tax payable$412
Rounding$1
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
No
Backup withholding compliance
Yes
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, Line 6: Explanation of Classes of Members or Shareholder

Members pay an annual fee to be members of Moose Lodge 602

Form 990, Part VI, Line 11B: Form 990 Review Process

Governor of the Moose reviews the 990 before filing

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

No documents available to the public.

Filing and Contact Details

Filer

Filer Name
Loyal Order of Moose Lodge 602
EIN
83-0133685
Phone
3073585359
Address
PO Box 168, Douglas, WY 82633

Signing Officer

Name
Larry Gomez
Title
Governor
Signed
2019-03-12
Discuss with paid preparer
Yes

Organization Details

Voting Board Members
9
Independent Board Members
9
Employees
4
Volunteers
50

Preparer

Firm
CPA Advantage LLC
Address
315 Walnut Street, Douglas, WY 82633
Preparer
Tracy Boner
Phone
3073581818
Raw XML AppendixShowing 400 of 405 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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IRS990/BooksInCareOfDetail/PhoneNum03073585359
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IRS990/BooksInCareOfDetail/USAddress/CityNm0Douglas
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0WY
IRS990/BooksInCareOfDetail/USAddress/ZIPCd082633
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IRS990/DescribedInSection501c3Ind0false
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IRS990/ForeignOfficeInd0false
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IRS990/Form990PartVIISectionAGrp/TitleTxt5Past Governor
IRS990/Form990PartVIISectionAGrp/TitleTxt6Administrator
IRS990/Form990PartVIISectionAGrp/TitleTxt7Prelate
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IRS990/OccupancyGrp/ProgramServicesAmt08474
IRS990/OccupancyGrp/TotalAmt016948
IRS990/OfficeExpensesGrp/TotalAmt00
IRS990/OfficerMailingAddressInd0false
IRS990/OnBehalfOfIssuerInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowSFAS117Ind0X
IRS990/OrgFiledInLieuOfForm1041Ind0false
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherEmployeeBenefitsGrp/TotalAmt00
IRS990/OtherExpensesGrp/Desc0Repair and maintenance
IRS990/OtherExpensesGrp/Desc1Moose dues and fees
IRS990/OtherExpensesGrp/Desc2Postage and Shipping
IRS990/OtherExpensesGrp/Desc3Printing and Publications
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt02254
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt13561
IRS990/OtherExpensesGrp/ProgramServicesAmt02255
IRS990/OtherExpensesGrp/ProgramServicesAmt12266
IRS990/OtherExpensesGrp/ProgramServicesAmt21548
IRS990/OtherExpensesGrp/TotalAmt04509
IRS990/OtherExpensesGrp/TotalAmt13561
IRS990/OtherExpensesGrp/TotalAmt22266
IRS990/OtherExpensesGrp/TotalAmt31548
IRS990/OtherLiabilitiesGrp/BOYAmt01685
IRS990/OtherLiabilitiesGrp/EOYAmt01687
IRS990/OtherRevenueTotalAmt00
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt023851
IRS990/OtherSalariesAndWagesGrp/TotalAmt023851
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd0false
IRS990/PaymentsToAffiliatesGrp/TotalAmt00
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/ProgramServicesAmt011014
IRS990/PayrollTaxesGrp/TotalAmt011014
IRS990/PensionPlanContributionsGrp/TotalAmt00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/Desc0Membership Dues & Assessments
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt09080
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt09080
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt058779
IRS990/RegularMonitoringEnfrcInd0false
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/RentalIncomeOrLossGrp/RealAmt05925
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0true
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt0392872
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt0451651
IRS990/SavingsAndTempCashInvstGrp/BOYAmt094617
IRS990/SavingsAndTempCashInvstGrp/EOYAmt097675
IRS990/ScheduleBRequiredInd0true
IRS990ScheduleD/BuildingsGrp/BookValueAmt0234137
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt0234137
IRS990ScheduleD/LandGrp/BookValueAmt010000
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt010000
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt0101157
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt0101157
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt02820
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt061677
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt064497
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0510
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt1764
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt21
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt3412
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Endowment
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1Payroll taxes withheld
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc2Rounding
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc3Sales tax payable
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0348114
IRS990ScheduleD/TotalLiabilityAmt01687
IRS990ScheduleI/GrantRecordsMaintainedInd0true
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt013200
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt0Scholarships
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt014
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0The organization has a scholarship committee that reviews the applicants qualifications and awards the scholarships based on those applications
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0Grantmaker's Description of How Grants are Used
IRS990ScheduleI/Total501c3OrgCnt00
IRS990ScheduleI/TotalOtherOrgCnt00
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0false
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Members pay an annual fee to be members of Moose Lodge 602
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Governor of the Moose reviews the 990 before filing
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2No documents available to the public.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Line 11b: Form 990 Review Process
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxableDistributionsInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0394557
IRS990/TotalAssetsEOYAmt0453338
IRS990/TotalAssetsGrp/BOYAmt0394557
IRS990/TotalAssetsGrp/EOYAmt0453338
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt061068
IRS990/TotalEmployeeCnt04
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt021057
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt070267
IRS990/TotalFunctionalExpensesGrp/TotalAmt091324
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt01685
IRS990/TotalLiabilitiesEOYAmt01687
IRS990/TotalLiabilitiesGrp/BOYAmt01685
IRS990/TotalLiabilitiesGrp/EOYAmt01687
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0392872
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0451651
IRS990/TotalProgramServiceExpensesAmt070267
IRS990/TotalProgramServiceRevenueAmt09080
IRS990/TotalRevenueGrp/ExclusionAmt018049
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt070986
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0150103
IRS990/TotalVolunteersCnt050
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0394557
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0453338
IRS990/TravelGrp/ManagementAndGeneralAmt0172
IRS990/TravelGrp/TotalAmt0172
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/VotingMembersGoverningBodyCnt09
IRS990/VotingMembersIndependentCnt09
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02019-02-21 02:37:17Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0Larry Gomez
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Governor
ReturnHeader/BusinessOfficerGrp/SignatureDt02019-03-12
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Loyal Order of Moose Lodge 602
ReturnHeader/Filer/BusinessNameControlTxt0LOYA
ReturnHeader/Filer/EIN0830133685
ReturnHeader/Filer/PhoneNum03073585359
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO Box 168
ReturnHeader/Filer/USAddress/CityNm0Douglas
ReturnHeader/Filer/USAddress/StateAbbreviationCd0WY
ReturnHeader/Filer/USAddress/ZIPCd082633
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0830332658
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CPA Advantage LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0315 Walnut Street
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Douglas
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0WY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd082633
ReturnHeader/PreparerPersonGrp/PhoneNum03073581818
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Tracy Boner
ReturnHeader/PreparerPersonGrp/SelfEmployedInd0X

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