Civic Intelligence

Moore House Inc.

990 • Fiscal year 2023 • EIN 83-3893394

Jul 01, 2022 to Jun 30, 2023 • Filed on Dec 18, 2023

3608 King StreetPortsmouth, VA 23707

(757) 397-6352

Siviq Scores

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

Liabilities / Assets

96th percentile

1.29x

Higher debt load relative to assets than 96% of similar nonprofits.

2023 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2023

Liabilities / Revenue

94th percentile

1.63x

Higher debt load relative to revenue than 94% of similar nonprofits.

2023 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2023

Net Margin

33rd percentile

-3.4%

Higher net margin than 33% of similar nonprofits.

2023 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2023

Top Officer Pay

54th percentile

$0

Higher top officer pay than 54% of similar nonprofits.

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

2023 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2023

Asset Growth

96th percentile

199%

Faster asset growth than 96% of similar nonprofits.

2023 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2022 to 2023

Revenue Growth

97th percentile

349%

Faster revenue growth than 97% of similar nonprofits.

2023 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2022 to 2023

Assets

Up

$680,231

Up $452,539 (+199%) from 2022

Net Assets

Down

-$198,232

Down $12,528 (-6.7%) from 2022

Liabilities

Up

$878,463

Up $465,067 (+112%) from 2022

Revenue

Up

$539,344

Up $419,356 (+349%) from 2022

Expenses

Up

$557,568

Up $337,021 (+153%) from 2022

Net Income

Up

-$18,224

Up $82,335 (+82%) from 2022

Historical Trend

Balance Sheet Trend

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

$1.5M$1.0M$500K$0-$500KAssets 2019: $39,619Liabilities 2019: $16,784Net Assets 2019: $22,8352019Assets 2020: $109,186Liabilities 2020: $150,303Net Assets 2020: -$41,1172020Assets 2021: $98,837Liabilities 2021: $203,983Net Assets 2021: -$105,1462021Assets 2022: $227,692Liabilities 2022: $413,396Net Assets 2022: -$185,7042022Assets 2023: $680,231Liabilities 2023: $878,463Net Assets 2023: -$198,2322023Assets 2024: $966,201Liabilities 2024: $1,128,730Net Assets 2024: -$162,5292024Assets 2025: $765,619Liabilities 2025: $819,060Net Assets 2025: -$53,4412025

Highlighted filing

2023

Assets$680,231
Liabilities$878,463
Net Assets-$198,232

Operations Trend

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

$1.5M$1.0M$500K$0-$500KRevenue 2019: $60,349Expenses 2019: $37,514Net Income 2019: $22,8352019Revenue 2020: $15,852Expenses 2020: $79,805Net Income 2020: -$63,9532020Revenue 2021: $21,826Expenses 2021: $85,855Net Income 2021: -$64,0292021Revenue 2022: $119,988Expenses 2022: $220,547Net Income 2022: -$100,5592022Revenue 2023: $539,344Expenses 2023: $557,568Net Income 2023: -$18,2242023Revenue 2024: $1,034,895Expenses 2024: $999,192Net Income 2024: $35,7032024Revenue 2025: $1,322,861Expenses 2025: $1,213,773Net Income 2025: $109,0882025

Highlighted filing

2023

Revenue$539,344
Expenses$557,568
Net Income-$18,224
Jump To
Filing Snapshot
Filing Period
Jul 1, 2022 to Jun 30, 2023
Signed
Dec 18, 2023
Return Version
2022v5.0
Gross Receipts
$539,344
Mission and Program Overview

Mission

A person centered community based intermediate care facility (icf/id) that is dedicated to providing the best rehabilitative services in a home like environment through quality health care, therapy and advocacy for community involvement.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$102,134$102,174▲ $40
Other Notes and Loans Receivable, Net-$71,946-
Accounts Receivable$95,624$32,173▼ $63,451
Land, Buildings, and Equipment, Net$18,386$15,571▼ $2,815
Prepaid Expenses and Deferred Charges$3,234$3,289▲ $55
Cash and Non-Interest-Bearing Accounts$12,480$1,178▼ $11,302
Total Assets$233,386$680,231▲ $446,845
Other Assets Total$1,528$453,900▲ $452,372
Liabilities
Other Liabilities$407,143$842,584▲ $435,441
Accounts Payable and Accrued Expenses$6,251$35,879▲ $29,628
Total Liabilities$413,394$878,463▲ $465,069
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-180,008$-198,232▼ $18,224
Total Net Assets Fund Balance$-180,008$-198,232▼ $18,224
Total Liabilities and Net Assets / Fund Balance$233,386$680,231▲ $446,845

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$10,964$5,943$16,907
Leasehold Improvements$4,607$465$5,072
Other Assets Org$1,528--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Tilda SorensenPresident
Ave BullardMember
Marcy PronovostMember
Sharon MosesMember
Sue BurtonSecretary
Glenda AmesTreasurer
Judy MounieVice Preside
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$539,302
Investment Income
$42
Other Revenue
$0
Change in Net Assets
$-18,224

Audited Revenue Reconciliation

Revenue per Audited Statements
$539,344
Revenue Not Reported on Form 990
$102,728
Total Revenue per Audited Statements
$642,072
Total Revenue per Form 990
$539,344
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$328,244
Other Expenses$229,324
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$263,664$13,877-$277,541
Occupancy$64,356$11,400-$75,756
Other Employee Benefits$28,528$2,016-$30,544
Payroll Taxes$18,829$1,330-$20,159
All Other Expenses$5,782$2,627-$8,409
Fees for Services Other$8,037$336-$8,373
Insurance$5,584--$5,584
Interest-$4,558-$4,558
Fees for Services Accounting-$3,525-$3,525
Other Expenses$3,265$6,202-$3,265
Depreciation Depletion$2,814--$2,814
Office Expenses$1,148$831-$1,979
Fees for Services Legal-$450-$450
Total Functional Expenses$510,416$47,152$0$557,568

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$648,488
Expenses per Audited Statements$557,568
Total Expenses per Form 990$557,568
Expenses Not Reported on Form 990$90,920
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
Right of Use Operating Lease$452,372
Due to Holiday House$278,674
Line of Credit$99,498
Payroll Liabilities$12,040
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
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, Page 6, Part VI, Line 11B

Form 990 is presented to the chief administrative officer and reviewed by the president and the treasurer of the board of directors prior to filing.

Form 990, Page 6, Part VI, Line 12C

Board members update and sign annually.

Form 990, Page 6, Part VI, Line 15A

Chief administrative officer and the assistant chief administrative officers are evaluated and compensation is approved by board of directors.

Form 990, Page 6, Part VI, Line 19

Documents are available upon request.

Filing and Contact Details

Filer

Filer Name
Moore House Inc
EIN
83-3893394
Phone
7573976352
Address
3608 KING STREET, PORTSMOUTH, VA 23707

Signing Officer

Name
Tilda Sorensen
Title
President
Phone
7573976352
Signed
2023-12-18
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tilda Sorensen
Formed
2019
Legal Domicile
Va
Voting Board Members
7
Independent Board Members
7
Employees
13
Volunteers
7

Preparer

Firm
Barnes Brock Cornwell & Painter Plc
Address
908 EDEN WAY N STE 201, CHESAPEAKE, VA 23320-2640
Preparer
Kimberly C Painter CPA
Phone
7579615017
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

A person centered community based intermediate care facility (icf/id) that is dedicated to providing the best rehabilitative services in a home like environment through quality health care, therapy and advocacy for community involvement.

Form 990, Part XI, Line 9

Medicaid payments 15 month 102,728 expenses 15 month -90,920 total 11,808

Financial Statement Notes

Schedule D, Page 3, Part X

The organization adopted the recognition requirements for uncertain income tax positions as required by generally accepted accounting principles, with no cumulative effect adjustment required. Income tax benefits are recognized for income tax positions taken or expected to be taken in a return, only when it is determined that the income tax position will more- likely-than-not be sustained upon examination by taxing authorities. The organization has analyzed the tax positions taken in its filings with the internal revenue service. The organization believes that its income tax filing positions will be sustained upon examination and does not anticipate any adjustments that would result in a material adverse effect on the organization's financial condition, results of operationgs or cash flows. Accordingly, the organization has not recorded any reserves, or related accruals for interest and penalties for uncertain income tax positions at june 30, 2023.

Schedule D, Page 4, Part XI, Line 2D

Medicaid payments 15 month 102,728

Schedule D, Page 4, Part XII, Line 2D

EXPENSES 15 MONTH 90,920

Schedule D, Page 4, Part XIII

The organization's federal return of organization exempt from income tax (form 990) for 2022, 2021 and 2020 are subject to examination by the irs, generally for three years after they were filed.

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IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0106722
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt042
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt02136
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt02178
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt0648459
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.98000
IRS990ScheduleA/PublicSupportPY170Pct00.98040
IRS990ScheduleA/PublicSupportTotal170Amt0106722
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt08699
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt021825
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt015850
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt060348
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0106722
IRS990ScheduleA/TotalSupportAmt0108900
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/EquipmentGrp/BookValueAmt010964
IRS990ScheduleD/EquipmentGrp/DepreciationAmt05943
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt016907
IRS990ScheduleD/ExpensesNotReportedAmt090920
IRS990ScheduleD/ExpensesSubtotalAmt0557568
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt04607
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt0465
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt05072
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt0452372
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt11528
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0OPERATING LEASE RIGHT OF USE ASSET
IRS990ScheduleD/OtherAssetsOrgGrp/Desc1DEPOSIT
IRS990ScheduleD/OtherExpensesIncludedAmt090920
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0452372
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt1278674
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt299498
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt312040
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0RIGHT OF USE OPERATING LEASE
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1DUE TO HOLIDAY HOUSE
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc2LINE OF CREDIT
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc3PAYROLL LIABILITIES
IRS990ScheduleD/OtherRevenueAmt0102728
IRS990ScheduleD/RevenueNotReportedAmt0102728
IRS990ScheduleD/RevenueSubtotalAmt0539344
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION ADOPTED THE RECOGNITION REQUIREMENTS FOR UNCERTAIN INCOME TAX POSITIONS AS REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, WITH NO CUMULATIVE EFFECT ADJUSTMENT REQUIRED. INCOME TAX BENEFITS ARE RECOGNIZED FOR INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A RETURN, ONLY WHEN IT IS DETERMINED THAT THE INCOME TAX POSITION WILL MORE- LIKELY-THAN-NOT BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. THE ORGANIZATION HAS ANALYZED THE TAX POSITIONS TAKEN IN ITS FILINGS WITH THE INTERNAL REVENUE SERVICE. THE ORGANIZATION BELIEVES THAT ITS INCOME TAX FILING POSITIONS WILL BE SUSTAINED UPON EXAMINATION AND DOES NOT ANTICIPATE ANY ADJUSTMENTS THAT WOULD RESULT IN A MATERIAL ADVERSE EFFECT ON THE ORGANIZATION'S FINANCIAL CONDITION, RESULTS OF OPERATIONGS OR CASH FLOWS. ACCORDINGLY, THE ORGANIZATION HAS NOT RECORDED ANY RESERVES, OR RELATED ACCRUALS FOR INTEREST AND PENALTIES FOR UNCERTAIN INCOME TAX POSITIONS AT JUNE 30, 2023.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1MEDICAID PAYMENTS 15 MONTH 102,728
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2EXPENSES 15 MONTH 90,920
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION'S FEDERAL RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) FOR 2022, 2021 AND 2020 ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 3, PART X
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1SCHEDULE D, PAGE 4, PART XI, LINE 2D
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2SCHEDULE D, PAGE 4, PART XII, LINE 2D
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc3SCHEDULE D, PAGE 4, PART XIII
IRS990ScheduleD/TotalBookValueLandBuildingsAmt015571
IRS990ScheduleD/TotalBookValueOtherAssetsAmt0453900
IRS990ScheduleD/TotalExpensesPerForm990Amt0557568
IRS990ScheduleD/TotalLiabilityAmt0842584
IRS990ScheduleD/TotalRevenuePerForm990Amt0539344
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0642072
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0648488
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0A PERSON CENTERED COMMUNITY BASED INTERMEDIATE CARE FACILITY (ICF/ID) THAT IS DEDICATED TO PROVIDING THE BEST REHABILITATIVE SERVICES IN A HOME LIKE ENVIRONMENT THROUGH QUALITY HEALTH CARE, THERAPY AND ADVOCACY FOR COMMUNITY INVOLVEMENT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1FORM 990 IS PRESENTED TO THE CHIEF ADMINISTRATIVE OFFICER AND REVIEWED BY THE PRESIDENT AND THE TREASURER OF THE BOARD OF DIRECTORS PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2BOARD MEMBERS UPDATE AND SIGN ANNUALLY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3CHIEF ADMINISTRATIVE OFFICER AND THE ASSISTANT CHIEF ADMINISTRATIVE OFFICERS ARE EVALUATED AND COMPENSATION IS APPROVED BY BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4DOCUMENTS ARE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5MEDICAID PAYMENTS 15 MONTH 102,728 EXPENSES 15 MONTH -90,920 TOTAL 11,808
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990 - ORGANIZATION'S MISSION
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART XI, LINE 9
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IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0233386
IRS990/TotalAssetsEOYAmt0680231
IRS990/TotalAssetsGrp/BOYAmt0233386
IRS990/TotalAssetsGrp/EOYAmt0680231
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalEmployeeCnt013
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt047152
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0510416
IRS990/TotalFunctionalExpensesGrp/TotalAmt0557568
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0413394
IRS990/TotalLiabilitiesEOYAmt0878463
IRS990/TotalLiabilitiesGrp/BOYAmt0413394
IRS990/TotalLiabilitiesGrp/EOYAmt0878463
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-180008
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-198232
IRS990/TotalProgramServiceExpensesAmt0510416
IRS990/TotalProgramServiceRevenueAmt0539302
IRS990/TotalRevenueGrp/ExclusionAmt042
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0539302
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0539344
IRS990/TotalVolunteersCnt07
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0233386
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0680231
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt04211 COUNTY STREET
IRS990/USAddress/CityNm0PORTSMOUTH
IRS990/USAddress/StateAbbreviationCd0VA
IRS990/USAddress/ZIPCd023701
IRS990/VotingMembersGoverningBodyCnt07
IRS990/VotingMembersIndependentCnt07
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02023-04-26 12:10:37Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0TILDA SORENSEN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum07573976352
ReturnHeader/BusinessOfficerGrp/SignatureDt02023-12-18
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0MOORE HOUSE INC
ReturnHeader/Filer/BusinessNameControlTxt0MOOR
ReturnHeader/Filer/EIN0833893394
ReturnHeader/Filer/PhoneNum07573976352
ReturnHeader/Filer/USAddress/AddressLine1Txt03608 KING STREET
ReturnHeader/Filer/USAddress/CityNm0PORTSMOUTH
ReturnHeader/Filer/USAddress/StateAbbreviationCd0VA
ReturnHeader/Filer/USAddress/ZIPCd023707
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0false
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0200221868
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0BARNES BROCK CORNWELL & PAINTER PLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0908 EDEN WAY N STE 201
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0CHESAPEAKE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0VA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0233202640
ReturnHeader/PreparerPersonGrp/PhoneNum07579615017
ReturnHeader/PreparerPersonGrp/PreparationDt02023-12-21
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0KIMBERLY C PAINTER CPA
ReturnHeader/ReturnTs02024-01-03T10:14:22-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0TILDA
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0SORENSON

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