Civic Intelligence

Pride Veterinary Medical Community

990 • Fiscal year 2021 • EIN 83-0781407

Jan 01, 2021 to Dec 31, 2021 • Filed on Apr 29, 2022

584 Castro Street Number 492San Francisco, CA 94114

(336) 549-9231

Siviq Scores

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

Liabilities / Assets

56th percentile

0.00x

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

2021 filings • 501(c)3 • <$500k nonprofits • Source year 2021

Liabilities / Revenue

56th percentile

0.00x

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

2021 filings • 501(c)3 • <$500k nonprofits • Source year 2021

Net Margin

84th percentile

44%

Higher net margin than 84% of similar nonprofits.

2021 filings • 501(c)3 • <$500k nonprofits • Source year 2021

Top Officer Pay

96th percentile

$72,000

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 34.7% of source-year revenue.

2021 filings • 501(c)3 • <$500k nonprofits • Source year 2021

Asset Growth

76th percentile

38%

Faster asset growth than 76% of similar nonprofits.

2021 filings • 501(c)3 • <$500k nonprofits • Annualized from 2020 to 2021

Revenue Growth

40th percentile

-7.8%

Faster revenue growth than 40% of similar nonprofits.

2021 filings • 501(c)3 • <$500k nonprofits • Annualized from 2020 to 2021

Assets

Up

$332,366

Up $91,043 (+38%) from 2020

Net Assets

Up

$332,366

Up $91,043 (+38%) from 2020

Liabilities

Flat

$0

Flat from 2020

Revenue

Down

$207,418

Down $17,609 (-7.8%) from 2020

Expenses

Up

$116,375

Up $33,681 (+41%) from 2020

Net Income

Down

$91,043

Down $51,290 (-36%) from 2020

Historical Trend

Balance Sheet Trend

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

$600K$400K$200K$0Assets 2020: $241,323Liabilities 2020: $0Net Assets 2020: $241,3232020Assets 2021: $332,366Liabilities 2021: $0Net Assets 2021: $332,3662021Assets 2022: $442,790Liabilities 2022: $0Net Assets 2022: $442,7902022Assets 2023: $385,292Liabilities 2023: $0Net Assets 2023: $385,2922023Assets 2024: $402,837Liabilities 2024: $0Net Assets 2024: $402,8372024

Highlighted filing

2021

Assets$332,366
Liabilities$0
Net Assets$332,366

Operations Trend

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

$400K$300K$200K$100K$0-$100KRevenue 2020: $225,027Expenses 2020: $82,694Net Income 2020: $142,3332020Revenue 2021: $207,418Expenses 2021: $116,375Net Income 2021: $91,0432021Revenue 2022: $270,054Expenses 2022: $159,566Net Income 2022: $110,4882022Revenue 2023: $248,114Expenses 2023: $276,045Net Income 2023: -$27,9312023Revenue 2024: $306,494Expenses 2024: $288,949Net Income 2024: $17,5452024

Highlighted filing

2021

Revenue$207,418
Expenses$116,375
Net Income$91,043
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
Apr 29, 2022
Return Version
2021v4.2
Gross Receipts
$207,418
Mission and Program Overview

Mission

To create a better world for the lgbtq+ veterinary community

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$241,323$332,366▲ $91,043
Cash and Non-Interest-Bearing Accounts$141,282$232,305▲ $91,023
Savings and Temporary Cash Investments$100,041$100,061▲ $20
Total Assets$241,323$332,366▲ $91,043
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$241,323$332,366▲ $91,043
Total Liabilities and Net Assets / Fund Balance$241,323$332,366▲ $91,043
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Mia CaryCEOPT$72,000$72,000

Board Members and Trustees

NameTitle
Sandra HazanowPast President
Dane WhitakerPresident
Abby McelroyElect/secretary
Erin SpencerTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$207,418
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
All Other Contributions
$175,714
Change in Net Assets
$91,043
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$72,000
Other Expenses$31,837
Total Fundraising Expense$24,649
Grants and Similar Amounts Paid$12,538
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$24,000$24,000$24,000$72,000
Advertising$12,750-$300$13,050
Grants to Domestic Orgs$11,664--$11,664
Office Expenses-$5,606-$5,606
Fees for Services Accounting-$3,292-$3,292
Travel$3,154--$3,154
Fees for Services Management-$2,544-$2,544
Information Technology-$2,200-$2,200
Insurance-$1,169-$1,169
Grants to Domestic Individuals$874--$874
Fees for Services Other--$349$349
Fees for Services Legal-$256-$256
Conferences and Meetings$217--$217
Total Functional Expenses$52,659$39,067$24,649$116,375
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
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
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

Part VIII, Line 1F

Individual donations : $ 3053

Part VIII, Line 1F

Banfield : $15000, bluepearl : $15000, boehringer ingelheim : $25000

Part VIII, Line 1F

Covetrus : $15000, hills : $15000, zoetis: $ 25000, merck : $15000

Part VIII, Line 1F

Nationwide pet insurance : $ 10000, ethos vh : $15000, emerald partner - relief rover : $5000, veg : $15000

Part VI, Section A , Line 9

Dane Whitaker - President - 152 Precita Ave, San Francisco, CA 94110

Part VI, Section A , Line 9

Sandra Hazanow - Past President - PO Box 318115, San Francisco CA, 94131

Part VI, Section A , Line 9

Abby McElroy - President-Elect/Secretary - 299 Ironmine Rd, Harrisville, RI 02830

Part VI, Section A , Line 9

ERIN SPENCER - Treasurer - 57 STONEGATE LANE, DERRY, NH 03038

Part VI, Section B, Line 11B

After the CEO and Treasurer review the 990 it is shared with all Board members for review and feedback before filing.

Part VI, Section B, Line 12C

This is a topic of discussion and review during each monthly Executive Committee meeting.

Part VI, Section B, Line 15A

The Executive Committee discussed proposed CEO compensation and compared the compensation to other nonprofit associations in the veterinary space. The discussion was then extended to all Board members.

Part VI, Section C, Line 19

All of these policies are reviewed annually by the Board of Directors and made available to members as communicated during quarterly member town hall sessions.

Filing and Contact Details

Filer

Filer Name
Pride Veterinary Medical Community
EIN
83-0781407
Phone
3365499231
Address
584 CASTRO STREET NUMBER 492, SAN FRANCISCO, CA 94114

Signing Officer

Name
Mia Cary
Title
CEO
Phone
3365499231
Signed
2022-04-29
Discuss with paid preparer
No

Organization Details

Principal Officer
Mia Cary CEO
Formed
2018
Legal Domicile
CA
Voting Board Members
9
Independent Board Members
9
Employees
0
Volunteers
62

Preparer

Firm
H and R Block
Address
3011 SPRING GARDEN ST, GREENSBORO, NC 27403
Preparer
Suvarna Dabadghav
Phone
3368544141
Supplemental Narrative

Additional Explanations

Part IX, Line 11A - Management and General Expense

NEON CRM : $2544

Part IX, Line 11B - Management and General Expense

MCBRAYER LEGAL : $255

Part IX, Line 11C - Management and General Expense

Bookkeeping : $930, paypal : $2362

Part IX, Line 13- Management and Genearal Expense - Office Expenses

P o box : $822, postage shipping : $1136, office supplies : $ 787, tax fees : $1199, newsletter : $1662

Part IX, Line 14 - Management and Genearal Expense

Website and email : $ 2200

Part IX, Line 17 - Program Service Expense

Ceo travel : $1364, board travel : $ 1790

Part IX, Line 19- Program Service Expense

CONFERENCING : $217

Part IX, Line 23 - Management and Genearal Expense

Liability insurance : $1169

Part IX Line 12 - Program Service Expense

Marketing (program service expense) : $4425, vmx networking event : $2470, wvc networking event: $5855

Part IX, Line 11G - Fundraising Expenses

VMAE MEMBERSHIP : $349

Part IX, Line 12 - Fundraising Expenses

SURVEYGIZMO : $300

Part IX Line 1 - Program Service Expense

Educational projects -pawsibilities : $5000

Part IX Line 1 - Program Service Expense

Student leadership award - univ of washington - mcelvaine grant : $ 1000, student leadership award - vca grant- western college : $ 500, student leadership award - tufts univ : $ 1000, student leadership award - univ of wisconsin - mcelvaine grant : $ 1000, student leadership award - vca grant - uga : $ 500

Part IX Line 2 - Program Service Expense

Officer scholarship sydney johnson : $100, officer scholarship kate alucard : $100, officer scholarship rachel dufour : $100, officer scholarship gabi stefou : $100, officer scholarship max veenema : $100, other awards and gifts : $374

Part IX, Line 5 - Program Service Expense

Ceo compensation : $24000

Part IX, Line 5 - Management and General Expense

Ceo management compensation : $ 24000

Part IX, Line 5 - Fundraising Expense

CEO EXPENSES : $ 24000

Part III Line 4D - Other Program Service Expenses -

Ceo compensation : $18939

Raw XML Appendix378 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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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0NEON CRM : $2544
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2BOOKKEEPING : $930, PAYPAL : $2362
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3P O BOX : $822, POSTAGE SHIPPING : $1136, OFFICE SUPPLIES : $ 787, TAX FEES : $1199, NEWSLETTER : $1662
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4WEBSITE AND EMAIL : $ 2200
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5CEO TRAVEL : $1364, BOARD TRAVEL : $ 1790
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6CONFERENCING : $217
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7LIABILITY INSURANCE : $1169
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8MARKETING (PROGRAM SERVICE EXPENSE) : $4425, VMX NETWORKING EVENT : $2470, WVC NETWORKING EVENT: $5855
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9VMAE MEMBERSHIP : $349
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10SURVEYGIZMO : $300
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt11INDIVIDUAL DONATIONS : $ 3053
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt12BANFIELD : $15000, BLUEPEARL : $15000, BOEHRINGER INGELHEIM : $25000
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt13COVETRUS : $15000, HILLS : $15000, ZOETIS: $ 25000, MERCK : $15000
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt14NATIONWIDE PET INSURANCE : $ 10000, ETHOS VH : $15000, EMERALD PARTNER - RELIEF ROVER : $5000, VEG : $15000
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt15EDUCATIONAL PROJECTS -PAWSIBILITIES : $5000
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt16STUDENT LEADERSHIP AWARD - UNIV OF WASHINGTON - MCELVAINE GRANT : $ 1000, STUDENT LEADERSHIP AWARD - VCA GRANT- WESTERN COLLEGE : $ 500, STUDENT LEADERSHIP AWARD - TUFTS UNIV : $ 1000, STUDENT LEADERSHIP AWARD - UNIV OF WISCONSIN - MCELVAINE GRANT : $ 1000, STUDENT LEADERSHIP AWARD - VCA GRANT - UGA : $ 500
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt17OFFICER SCHOLARSHIP SYDNEY JOHNSON : $100, OFFICER SCHOLARSHIP KATE ALUCARD : $100, OFFICER SCHOLARSHIP RACHEL DUFOUR : $100, OFFICER SCHOLARSHIP GABI STEFOU : $100, OFFICER SCHOLARSHIP MAX VEENEMA : $100, OTHER AWARDS AND GIFTS : $374
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt18CEO COMPENSATION : $24000
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt19CEO MANAGEMENT COMPENSATION : $ 24000
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt20CEO EXPENSES : $ 24000
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt21Dane Whitaker - President - 152 Precita Ave, San Francisco, CA 94110
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt22Sandra Hazanow - Past President - PO Box 318115, San Francisco CA, 94131
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt23Abby McElroy - President-Elect/Secretary - 299 Ironmine Rd, Harrisville, RI 02830
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt24ERIN SPENCER - Treasurer - 57 STONEGATE LANE, DERRY, NH 03038
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt25After the CEO and Treasurer review the 990 it is shared with all Board members for review and feedback before filing.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt26This is a topic of discussion and review during each monthly Executive Committee meeting.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt27The Executive Committee discussed proposed CEO compensation and compared the compensation to other nonprofit associations in the veterinary space. The discussion was then extended to all Board members.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt28All of these policies are reviewed annually by the Board of Directors and made available to members as communicated during quarterly member town hall sessions.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt29CEO COMPENSATION : $18939
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0PART IX, LINE 11A - MANAGEMENT AND GENERAL EXPENSE
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1PART IX, LINE 11B - MANAGEMENT AND GENERAL EXPENSE
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2PART IX, LINE 11C - MANAGEMENT AND GENERAL EXPENSE
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3PART IX, LINE 13- MANAGEMENT AND GENEARAL EXPENSE - OFFICE EXPENSES
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4PART IX, LINE 14 - MANAGEMENT AND GENEARAL EXPENSE
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5PART IX, LINE 17 - PROGRAM SERVICE EXPENSE
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6PART IX, LINE 19- PROGRAM SERVICE EXPENSE
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7PART IX, LINE 23 - MANAGEMENT AND GENEARAL EXPENSE
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8PART IX LINE 12 - PROGRAM SERVICE EXPENSE
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9PART IX, LINE 11G - FUNDRAISING EXPENSES
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc10PART IX, LINE 12 - FUNDRAISING EXPENSES
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc11PART VIII, LINE 1F
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc12PART VIII, LINE 1F
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc13PART VIII, LINE 1F
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc14PART VIII, LINE 1F
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc15PART IX LINE 1 - PROGRAM SERVICE EXPENSE
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc16PART IX LINE 1 - PROGRAM SERVICE EXPENSE
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc17PART IX LINE 2 - PROGRAM SERVICE EXPENSE
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc18PART IX, LINE 5 - PROGRAM SERVICE EXPENSE
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc19PART IX, LINE 5 - MANAGEMENT AND GENERAL EXPENSE
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc20PART IX, LINE 5 - FUNDRAISING EXPENSE
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc21PART VI, SECTION A , LINE 9
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc22PART VI, SECTION A , LINE 9
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc23PART VI, SECTION A , LINE 9
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc24PART VI, SECTION A , LINE 9
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc25PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc26PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc27PART VI, SECTION B, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc28PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc29PART III LINE 4D - OTHER PROGRAM SERVICE EXPENSES -
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IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0CA
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxableDistributionsInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TaxExemptInterestAmt00
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0241323
IRS990/TotalAssetsEOYAmt0332366
IRS990/TotalAssetsGrp/BOYAmt0241323
IRS990/TotalAssetsGrp/EOYAmt0332366
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0207418
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt024649
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt039067
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt052659
IRS990/TotalFunctionalExpensesGrp/TotalAmt0116375
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0241323
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0332366
IRS990/TotalOtherProgSrvcExpenseAmt018939
IRS990/TotalProgramServiceExpensesAmt052660
IRS990/TotalReportableCompFromOrgAmt072000
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0207418
IRS990/TotalVolunteersCnt062
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0241323
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0332366
IRS990/TravelGrp/ProgramServicesAmt03154
IRS990/TravelGrp/TotalAmt03154
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0409 AUTUMN RIDGE COURT
IRS990/USAddress/CityNm0Greensboro
IRS990/USAddress/StateAbbreviationCd0NC
IRS990/USAddress/ZIPCd027455
IRS990/VotingMembersGoverningBodyCnt09
IRS990/VotingMembersIndependentCnt09
IRS990/WebsiteAddressTxt0WWW.PRIDEVMC.ORG
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0false
ReturnHeader/BusinessOfficerGrp/PersonNm0MIA CARY
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CEO
ReturnHeader/BusinessOfficerGrp/PhoneNum03365499231
ReturnHeader/BusinessOfficerGrp/SignatureDt02022-04-29
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0PRIDE VETERINARY MEDICAL COMMUNITY
ReturnHeader/Filer/BusinessNameControlTxt0PRID
ReturnHeader/Filer/EIN0830781407
ReturnHeader/Filer/PhoneNum03365499231
ReturnHeader/Filer/USAddress/AddressLine1Txt0584 CASTRO STREET NUMBER 492
ReturnHeader/Filer/USAddress/CityNm0SAN FRANCISCO
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CA
ReturnHeader/Filer/USAddress/ZIPCd094114
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0203706839
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0H AND R BLOCK
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt03011 SPRING GARDEN ST
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0GREENSBORO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd027403
ReturnHeader/PreparerPersonGrp/PhoneNum03368544141
ReturnHeader/PreparerPersonGrp/PreparationDt02022-05-02
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Suvarna Dabadghav
ReturnHeader/ReturnTs02022-05-02T14:44:17Z
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0MIA
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0CARY
ReturnHeader/TaxPeriodBeginDt02021-01-01
ReturnHeader/TaxPeriodEndDt02021-12-31
ReturnHeader/TaxYr02021

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