Civic Intelligence

Nlaabc

990 • Fiscal year 2024 • EIN 83-1261878

Jul 01, 2023 to Jun 30, 2024 • Filed on Feb 10, 2025

308 15th StreetForest Lake, MN 55025

(651) 982-2773

Siviq Scores

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

Liabilities / Assets

97th percentile

1.22x

Higher debt load relative to assets than 97% of similar nonprofits.

2024 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

98th percentile

19.51x

Higher debt load relative to revenue than 98% of similar nonprofits.

2024 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

7th percentile

-40%

Higher net margin than 7% of similar nonprofits.

2024 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

9th percentile

$0

Higher top officer pay than 9% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2024 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

20th percentile

-2.4%

Faster asset growth than 20% of similar nonprofits.

2024 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

46th percentile

6.6%

Faster revenue growth than 46% of similar nonprofits.

2024 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Down

$27,247,857

Down $655,805 (-2.4%) from 2023

Net Assets

Down

-$5,923,986

Down $506,343 (-9.3%) from 2023

Liabilities

Down

$33,171,843

Down $149,462 (-0.4%) from 2023

Revenue

Up

$1,700,192

Up $105,874 (+6.6%) from 2023

Expenses

Up

$2,385,018

Up $12,902 (+0.5%) from 2023

Net Income

Up

-$684,826

Up $92,972 (+12%) from 2023

Historical Trend

Balance Sheet Trend

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

$40M$30M$20M$10M$0-$10MAssets 2019: $22,808,009Liabilities 2019: $24,994,083Net Assets 2019: -$2,186,0742019Assets 2020: $19,601,840Liabilities 2020: $22,113,573Net Assets 2020: -$2,511,7332020Assets 2021: $29,406,076Liabilities 2021: $33,447,565Net Assets 2021: -$4,041,4892021Assets 2022: $28,699,674Liabilities 2022: $33,249,253Net Assets 2022: -$4,549,5792022Assets 2023: $27,903,662Liabilities 2023: $33,321,305Net Assets 2023: -$5,417,6432023Assets 2024: $27,247,857Liabilities 2024: $33,171,843Net Assets 2024: -$5,923,9862024Assets 2025: $26,637,955Liabilities 2025: $33,075,737Net Assets 2025: -$6,437,7822025

Highlighted filing

2024

Assets$27,247,857
Liabilities$33,171,843
Net Assets-$5,923,986

Operations Trend

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

$4.0M$2.0M$0-$2.0M-$4.0MRevenue 2019: $82,190Expenses 2019: $2,268,264Net Income 2019: -$2,186,0742019Revenue 2020: $1,789,199Expenses 2020: $2,114,858Net Income 2020: -$325,6592020Revenue 2021: $954,141Expenses 2021: $2,724,938Net Income 2021: -$1,770,7972021Revenue 2022: $1,601,278Expenses 2022: $2,192,900Net Income 2022: -$591,6222022Revenue 2023: $1,594,318Expenses 2023: $2,372,116Net Income 2023: -$777,7982023Revenue 2024: $1,700,192Expenses 2024: $2,385,018Net Income 2024: -$684,8262024Revenue 2025: $1,682,234Expenses 2025: $2,467,346Net Income 2025: -$785,1122025

Highlighted filing

2024

Revenue$1,700,192
Expenses$2,385,018
Net Income-$684,826
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
Feb 10, 2025
Return Version
2023v6.0
Gross Receipts
$1,700,192
Mission and Program Overview

Mission

To purchase and lease a school facility to north lakes academy.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$24,742,455$23,875,721▼ $866,734
Savings and Temporary Cash Investments$3,161,207$3,372,136▲ $210,929
Rtn Earn Endowment Incm Other Fnds$3,073,338$3,255,246▲ $181,908
Cap Stk Tr Prin Current Funds$-860,013$-855,983▲ $4,030
Pd in Cap Srpls Land Bldg Eqp Fund$-7,630,968$-8,323,249▼ $692,281
Total Assets$27,903,662$27,247,857▼ $655,805
Liabilities
Tax Exempt Bond Liabilities$31,802,561$31,719,217▼ $83,344
Other Liabilities$816,575$845,596▲ $29,021
Mortgage Notes Payable Secured by Investment Property$702,169$607,030▼ $95,139
Total Liabilities$33,321,305$33,171,843▼ $149,462
Net Assets / Fund Balance
Total Net Assets Fund Balance$-5,417,643$-5,923,986▼ $506,343
Total Liabilities and Net Assets / Fund Balance$27,903,662$27,247,857▼ $655,805

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$22,308,372$3,682,291$25,990,663
Land$1,201,449-$1,201,449
Other Land Buildings$355,295-$355,295
Equipment$10,605$724$11,329
Compensation and Service Providers

Board Members and Trustees

NameTitle
Chris StewartChair
Jeff BeimertSecretary
Chris DaleTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,560,815
Investment Income
$139,377
Other Revenue
$0
Change in Net Assets
$-684,826
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,385,018
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Interest$1,457,413--$1,457,413
Depreciation Depletion$866,734--$866,734
Fees for Services Other$60,871--$60,871
Total Functional Expenses$2,385,018$0$0$2,385,018
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Accrued Interest on Long-term Debt$728,706
Due to North Lakes Charter Academy$116,890

Bond Issues

BondIssuerIssuedIssue PricePurpose
ACity of Forest Lake2021-05-20$30,652,829FINANCING OF 2019 BOND

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$30,652,829$19,562,881-$552,886

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

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

Governance Explanations

Form 990, Part VI, Section A, Line 6

The member of the corporation is north lakes charter academy.

Form 990, Part VI, Section A, Line 7A

The member shall elect three directors.

Form 990, Part VI, Section A, Line 8B

The organization does not have any committees which have the authority to act on behalf of the governing body.

Form 990, Part VI, Section B, Line 11B

The form 990 is prepared by an independent accounting firm. The form 990 is then sent to the board of directors for review and approval prior to filing with the irs.

Form 990, Part VI, Section B, Line 12C

The conflict-of-interest policy applies to the school's board of directors, committees of the board, as well as employees and parents of enrolled students. Transactions where a conflict of interest was determined to exist by remaining independent members may not be executed unless all of the following conditions are met: (1) the interest is disclosed or known to the members of the board (or committee thereof) (2) the board or committee approves, authorizes, or ratifies the action in good faith (3) the approval is by a majority of members (not counting the interested individual) at (4) a meeting where a quorum is present (not counting the interested individual). The individual with the conflict may be present for discussion to answer questions but may not advocate for the action to be taken or vote on the action. The minutes of the meeting document clearly that the proceedings related to conflicts of interest and that the policy's requirements have been met.

Form 990, Part VI, Section C, Line 19

The school makes its governing documents, conflict of interest policy, and financial statements available to the public upon request at their office.

Filing and Contact Details

Filer

Filer Name
Nlaabc
EIN
83-1261878
Phone
6519822773
Address
308 15TH STREET, FOREST LAKE, MN 55025

Signing Officer

Name
Jeff Beimert
Title
Chairperson
Phone
6519822773
Signed
2025-02-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jeff Beimert
Formed
2018
Legal Domicile
Mn
Voting Board Members
3
Independent Board Members
3
Employees
0
Volunteers
3

Preparer

Firm
Wipfli Llp
Address
1502 LONDON ROAD SUITE 200, DULUTH, MN 55812
Preparer
Michael J Peterson CPA
Phone
2187224705
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Bond refunding adjustment 178,483.

FORM 990, PART XII, LINE 1:

The organization follows a modified accrual method of accounting as prescribed by the minnesota department of education. The school-wide financial statements are reported using the economic resources measurement focus and the accrual basis of accounting. Grants and similar items are recognized when all eligibility requirements imposed by the provider have been met.

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IRS990ScheduleK/TaxExemptBondsPrivateBusUseGrp/BondIssMeetPrvtSecPymtTestInd00
IRS990ScheduleK/TaxExemptBondsPrivateBusUseGrp/BondReferenceCd0A
IRS990ScheduleK/TaxExemptBondsPrivateBusUseGrp/ChangeInUseBondFinancedPropInd00
IRS990ScheduleK/TaxExemptBondsPrivateBusUseGrp/MgmtContractBondFincdPropInd00
IRS990ScheduleK/TaxExemptBondsPrivateBusUseGrp/OwningBondFinancedPropertyInd00
IRS990ScheduleK/TaxExemptBondsPrivateBusUseGrp/ProcsNonqualifiedBondRemdtdInd01
IRS990ScheduleK/TaxExemptBondsProceedsGrp/AdequateBooksAndRecMaintInd01
IRS990ScheduleK/TaxExemptBondsProceedsGrp/BondReferenceCd0A
IRS990ScheduleK/TaxExemptBondsProceedsGrp/CapitalExpendituresAmt08727673
IRS990ScheduleK/TaxExemptBondsProceedsGrp/FinalAllocationMadeInd01
IRS990ScheduleK/TaxExemptBondsProceedsGrp/InReserveFundAmt01809389
IRS990ScheduleK/TaxExemptBondsProceedsGrp/IssuanceCostsFromProceedsAmt0552886
IRS990ScheduleK/TaxExemptBondsProceedsGrp/OtherSpentProceedsAmt019562881
IRS990ScheduleK/TaxExemptBondsProceedsGrp/RefundingTaxableBondsInd01
IRS990ScheduleK/TaxExemptBondsProceedsGrp/RefundingTaxExemptBondsInd01
IRS990ScheduleK/TaxExemptBondsProceedsGrp/SubstantialCompletionYr02019
IRS990ScheduleK/TaxExemptBondsProceedsGrp/TotalProceedsAmt030652829
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE MEMBER OF THE CORPORATION IS NORTH LAKES CHARTER ACADEMY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE MEMBER SHALL ELECT THREE DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WHICH HAVE THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE FORM 990 IS THEN SENT TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE CONFLICT-OF-INTEREST POLICY APPLIES TO THE SCHOOL'S BOARD OF DIRECTORS, COMMITTEES OF THE BOARD, AS WELL AS EMPLOYEES AND PARENTS OF ENROLLED STUDENTS. TRANSACTIONS WHERE A CONFLICT OF INTEREST WAS DETERMINED TO EXIST BY REMAINING INDEPENDENT MEMBERS MAY NOT BE EXECUTED UNLESS ALL OF THE FOLLOWING CONDITIONS ARE MET: (1) THE INTEREST IS DISCLOSED OR KNOWN TO THE MEMBERS OF THE BOARD (OR COMMITTEE THEREOF) (2) THE BOARD OR COMMITTEE APPROVES, AUTHORIZES, OR RATIFIES THE ACTION IN GOOD FAITH (3) THE APPROVAL IS BY A MAJORITY OF MEMBERS (NOT COUNTING THE INTERESTED INDIVIDUAL) AT (4) A MEETING WHERE A QUORUM IS PRESENT (NOT COUNTING THE INTERESTED INDIVIDUAL). THE INDIVIDUAL WITH THE CONFLICT MAY BE PRESENT FOR DISCUSSION TO ANSWER QUESTIONS BUT MAY NOT ADVOCATE FOR THE ACTION TO BE TAKEN OR VOTE ON THE ACTION. THE MINUTES OF THE MEETING DOCUMENT CLEARLY THAT THE PROCEEDINGS RELATED TO CONFLICTS OF INTEREST AND THAT THE POLICY'S REQUIREMENTS HAVE BEEN MET.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE SCHOOL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THEIR OFFICE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6BOND REFUNDING ADJUSTMENT 178,483.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THE ORGANIZATION FOLLOWS A MODIFIED ACCRUAL METHOD OF ACCOUNTING AS PRESCRIBED BY THE MINNESOTA DEPARTMENT OF EDUCATION. THE SCHOOL-WIDE FINANCIAL STATEMENTS ARE REPORTED USING THE ECONOMIC RESOURCES MEASUREMENT FOCUS AND THE ACCRUAL BASIS OF ACCOUNTING. GRANTS AND SIMILAR ITEMS ARE RECOGNIZED WHEN ALL ELIGIBILITY REQUIREMENTS IMPOSED BY THE PROVIDER HAVE BEEN MET.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART XI, LINE 9:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART XII, LINE 1:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0NORTH LAKES ACADEMY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0411941981
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0MN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0EDUCATION
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 2
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0308 15TH STREET
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0FOREST LAKE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0MN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd055025
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd01
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd01
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd01
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondLiabilitiesGrp/BOYAmt031802561
IRS990/TaxExemptBondLiabilitiesGrp/EOYAmt031719217
IRS990/TaxExemptBondsInd01
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt027903662
IRS990/TotalAssetsEOYAmt027247857
IRS990/TotalAssetsGrp/BOYAmt027903662
IRS990/TotalAssetsGrp/EOYAmt027247857
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt02385018
IRS990/TotalFunctionalExpensesGrp/TotalAmt02385018
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt033321305
IRS990/TotalLiabilitiesEOYAmt033171843
IRS990/TotalLiabilitiesGrp/BOYAmt033321305
IRS990/TotalLiabilitiesGrp/EOYAmt033171843
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-5417643
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-5923986
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt02385018
IRS990/TotalProgramServiceRevenueAmt01560815
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt0139377
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt01560815
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt01700192
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt03
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt027903662
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt027247857
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0308 15TH STREET
IRS990/USAddress/CityNm0FOREST LAKE
IRS990/USAddress/StateAbbreviationCd0MN
IRS990/USAddress/ZIPCd055025
IRS990/VotingMembersGoverningBodyCnt03
IRS990/VotingMembersIndependentCnt03
IRS990/WebsiteAddressTxt0WWW.NORTHLAKESACADEMY.ORG/BUILDINGCOMPANY
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0JEFF BEIMERT
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CHAIRPERSON
ReturnHeader/BusinessOfficerGrp/PhoneNum06519822773
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-02-10
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0NLAABC
ReturnHeader/Filer/BusinessNameControlTxt0NLAA
ReturnHeader/Filer/EIN0831261878
ReturnHeader/Filer/PhoneNum06519822773
ReturnHeader/Filer/USAddress/AddressLine1Txt0308 15TH STREET
ReturnHeader/Filer/USAddress/CityNm0FOREST LAKE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0MN
ReturnHeader/Filer/USAddress/ZIPCd055025
ReturnHeader/IRSResponsiblePrtyInfoCurrInd01
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0390758449
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0WIPFLI LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01502 LONDON ROAD SUITE 200
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0DULUTH
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd055812

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