Civic Intelligence

Prime Wellness Community

EIN 83-4275967 • 501(c)3 • Los Angeles, CA

Profile

COMMUNITY WELLNESS

8610 S Sepulveda Blvd Ste 104Los Angeles, CA 90045
Siviq Scores

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

Liabilities / Assets

85th percentile

0.57x

Higher debt load relative to assets than 85% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2025

Liabilities / Revenue

52nd percentile

0.08x

Higher debt load relative to revenue than 52% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2025

Net Margin

46th percentile

2.5%

Higher net margin than 46% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2025

Top Officer Pay

40th percentile

$0

Higher top officer pay than 40% of similar nonprofits.

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

501(c)3 • $1M-$5M nonprofits • Source year 2025

Asset Growth

100th percentile

1625%

Faster asset growth than 100% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2024 to 2025

Revenue Growth

81st percentile

44%

Faster revenue growth than 81% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets85th percentile

Assets

Up

$259,651

Up $244,602 (+1625%) from 2024

Liabilities

Flat

$148,891

Flat from 2024

Net Assets

Up

$110,760

Up $244,602 (+183%) from 2024

Operations
Liabilities / Revenue52nd percentileNet Margin46th percentile

Revenue

Up

$1,755,762

Up $538,119 (+44%) from 2024

Expenses

Up

$1,711,507

Up $470,325 (+38%) from 2024

Net Income

Up

$44,255

Up $67,794 (+288%) from 2024

Trend Graphs

Balance Sheet Trend

Asset Growth100th percentile

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

$300K$200K$100K$0-$100K-$200KAssets 2021: $16,275Liabilities 2021: $141,231Net Assets 2021: -$124,9562021Assets 2023: $21,794Liabilities 2023: $0Net Assets 2023: $21,7942023Assets 2024: $15,049Liabilities 2024: $148,891Net Assets 2024: -$133,8422024Assets 2025: $259,651Liabilities 2025: $148,891Net Assets 2025: $110,7602025

Highlighted filing

2025

Assets$259,651
Liabilities$148,891
Net Assets$110,760
Open 2025 Filing

Operations Trend

Revenue Growth81st percentile

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

$2.0M$1.5M$1.0M$500K$0-$500KRevenue 2021: $226,209Expenses 2021: $351,165Net Income 2021: -$124,9562021Revenue 2023: $521,353Expenses 2023: $499,559Net Income 2023: $21,7942023Revenue 2024: $1,217,643Expenses 2024: $1,241,182Net Income 2024: -$23,5392024Revenue 2025: $1,755,762Expenses 2025: $1,711,507Net Income 2025: $44,2552025

Highlighted filing

2025

Revenue$1,755,762
Expenses$1,711,507
Net Income$44,255
Open 2025 Filing

Filings

Most recent year

2025 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$259,651
Liabilities
$148,891
Net assets
$110,760
Revenue
$1,755,762
Expenses
$1,711,507
Net income
$44,255
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.26$0.15$0.11$1.76$1.71$0.04
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.02$0.15$0.13$1.22$1.24$0.02
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.02$0.00$0.02$0.52$0.50$0.02
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.02$0.14$0.12$0.23$0.35$0.12
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2024 to Jun 30, 2025
Signed
Nov 12, 2025
Return Version
2024v5.0
Gross Receipts
$1,755,762
Mission and Program Overview

Mission

COMMUNITY WELLNESS

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable-$198,711-
Rtn Earn Endowment Incm Other Fnds$-133,842$110,760▲ $244,602
Cash and Non-Interest-Bearing Accounts$6,359$52,250▲ $45,891
Total Assets$15,049$259,651▲ $244,602
Other Assets Total$8,690$8,690→ $0
Liabilities
Other Liabilities$148,891$148,891→ $0
Total Liabilities$148,891$148,891→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$-133,842$110,760▲ $244,602
Total Liabilities and Net Assets / Fund Balance$15,049$259,651▲ $244,602
Compensation and Service Providers
Top Officer Pay40th percentile

Board Members and Trustees

NameTitle
Denys SlesarenkoCEO
Revenue and Support

Revenue Composition

Contributions and Grants
$1,755,762
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
All Other Contributions
$50
Change in Net Assets
$44,255
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,256,389
Salaries, Compensation, and Employee Benefits$455,118
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$993,994--$993,994
Other Salaries and Wages$340,701--$340,701
Fees for Services Legal$184,264--$184,264
Payroll Taxes$114,417--$114,417
Occupancy$58,175--$58,175
Insurance$19,556--$19,556
Fees for Services Accounting$400--$400
Total Functional Expenses$1,711,507$0$0$1,711,507
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
Long Term Loan$148,891
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
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
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, Page 6, Part VI, Line 11B

“No review was or will be conducted.”

Form 990, Page 6, Part VI, Line 19

“No documents available to the public”

Filing and Contact Details

Filer

Filer Name
Prime Wellness Community
EIN
83-4275967
Phone
3106597867
Address
8610 S SEPULVEDA BLVD STE 104, LOS ANGELES, CA 90045

Signing Officer

Name
Denys Slesarenko
Title
CEO
Phone
3235528899
Signed
2025-11-12

Organization Details

Principal Officer
Denys Slesarenko
Voting Board Members
10
Independent Board Members
10
Employees
10

Preparer

Firm
Zadoyen Income Tax
Address
17337 VENTURA BLVD STE 100, ENCINO, CA 91316
Preparer
Sergey Shapiro
Phone
8189906785
Supplemental Narrative

Additional Explanations

Form 990, Page 2, Part III, Line 4D

“QUALIFIED EXPENSES”

Form 990, Part IX, Line 11G

“Professional services 993,994 0 0”

Form 990, Part XI, Line 9

“LOAN RECORDED 0”

Raw XML Appendix252 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
IRS990/AccountantCompileOrReviewInd0false
IRS990/AccountsReceivableGrp/EOYAmt0198711
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0COMMUNITY WELLNESS
IRS990/AllOtherContributionsAmt050
IRS990/BackupWthldComplianceInd0false
IRS990/BooksInCareOfDetail/PersonNm0DENYS SLESARENKO
IRS990/BooksInCareOfDetail/PhoneNum03106597867
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt08610 S SEPULVEDA BLVD SUITE 104
IRS990/BooksInCareOfDetail/USAddress/CityNm0LOS ANGELES
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0CA
IRS990/BooksInCareOfDetail/USAddress/ZIPCd090045
IRS990/BusinessRlnWith35CtrlEntInd0false
IRS990/BusinessRlnWithFamMemInd0false
IRS990/BusinessRlnWithOrgMemInd0false
IRS990/CashNonInterestBearingGrp/BOYAmt06359
IRS990/CashNonInterestBearingGrp/EOYAmt052250
IRS990/ChangeToOrgDocumentsInd0false
IRS990/CollectionsOfArtInd0false
IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0false
IRS990/CompensationProcessOtherInd0false
IRS990/ConflictOfInterestPolicyInd0false
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0false
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt01755762
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt00
IRS990/CYOtherExpensesAmt01256389
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt044255
IRS990/CYSalariesCompEmpBnftPaidAmt0455118
IRS990/CYTotalExpensesAmt01711507
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt01755762
IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/Desc0WELLNESS COMMUNITY
IRS990/DescribedInSection501c3Ind0true
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0false
IRS990/DonorAdvisedFundInd0false
IRS990/DonorRstrOrQuasiEndowmentsInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt010
IRS990/EmploymentTaxReturnsFiledInd0false
IRS990/EngagedInExcessBenefitTransInd0false
IRS990/FamilyOrBusinessRlnInd0false
IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt0400
IRS990/FeesForServicesAccountingGrp/TotalAmt0400
IRS990/FeesForServicesLegalGrp/ProgramServicesAmt0184264
IRS990/FeesForServicesLegalGrp/TotalAmt0184264
IRS990/FeesForServicesOtherGrp/ProgramServicesAmt0993994
IRS990/FeesForServicesOtherGrp/TotalAmt0993994
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/PersonNm0DENYS SLESARENKO
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/TitleTxt0CEO
IRS990/Form990ProvidedToGvrnBodyInd0false
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedInd0false
IRS990/FundraisingActivitiesInd0false
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt010
IRS990/GovernmentGrantsAmt01755712
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt01755762
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt010
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartIXInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InsuranceGrp/ProgramServicesAmt019556
IRS990/InsuranceGrp/TotalAmt019556
IRS990/InvestmentInJointVentureInd0false
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LoanOutstandingInd0false
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0COMMUNITY WELLNESS
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt0-133842
IRS990/NetAssetsOrFundBalancesEOYAmt0110760
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0false
IRS990/OccupancyGrp/ProgramServicesAmt058175
IRS990/OccupancyGrp/TotalAmt058175
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrgDoesNotFollowFASB117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt08690
IRS990/OtherAssetsTotalGrp/EOYAmt08690
IRS990/OtherChangesInNetAssetsAmt0200347
IRS990/OtherLiabilitiesGrp/BOYAmt0148891
IRS990/OtherLiabilitiesGrp/EOYAmt0148891
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt0340701
IRS990/OtherSalariesAndWagesGrp/TotalAmt0340701
IRS990/PartialLiquidationInd0false
IRS990/PayrollTaxesGrp/ProgramServicesAmt0114417
IRS990/PayrollTaxesGrp/TotalAmt0114417
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0DENYS SLESARENKO
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgSrvcAccomActyOtherGrp/Desc0QUALIFIED EXPENSES
IRS990/ProgSrvcAccomActyOtherGrp/ExpenseAmt01711507
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt01217643
IRS990/PYExcessBenefitTransInd0false
IRS990/PYOtherExpensesAmt0912474
IRS990/PYRevenuesLessExpensesAmt0-23539
IRS990/PYSalariesCompEmpBnftPaidAmt0328708
IRS990/PYTotalExpensesAmt01241182
IRS990/PYTotalRevenueAmt01217643
IRS990/ReconcilationRevenueExpnssAmt044255
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0true
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt0-133842
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt0110760
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt01755762
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt01217643
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt0521353
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt03494758
IRS990ScheduleA/InvestmentIncomeCYPct00.00000
IRS990ScheduleA/InvestmentIncomePYPct00.00000
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct01.00000
IRS990ScheduleA/PublicSupportPY509Pct01.00000
IRS990ScheduleA/PublicSupportTotal509Amt03494758
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt01755762
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt01217643
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0521353
IRS990ScheduleA/Total509Grp/TotalAmt03494758
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt01755762
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt01217643
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0521353
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt03494758
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0148891
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0LONG TERM LOAN
IRS990ScheduleD/TotalLiabilityAmt0148891
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0false
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0QUALIFIED EXPENSES
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1NO REVIEW WAS OR WILL BE CONDUCTED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2NO DOCUMENTS AVAILABLE TO THE PUBLIC
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3PROFESSIONAL SERVICES 993,994 0 0
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4LOAN RECORDED 0
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 2, PART III, LINE 4D
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART IX, LINE 11G
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART XI, LINE 9
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt015049
IRS990/TotalAssetsEOYAmt0259651
IRS990/TotalAssetsGrp/BOYAmt015049
IRS990/TotalAssetsGrp/EOYAmt0259651
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt01755762
IRS990/TotalEmployeeCnt010
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt01711507
IRS990/TotalFunctionalExpensesGrp/TotalAmt01711507
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0148891
IRS990/TotalLiabilitiesEOYAmt0148891
IRS990/TotalLiabilitiesGrp/BOYAmt0148891
IRS990/TotalLiabilitiesGrp/EOYAmt0148891
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-133842
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0110760
IRS990/TotalOtherProgSrvcExpenseAmt01711507
IRS990/TotalProgramServiceExpensesAmt01711507
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt01755762
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt015049
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0259651
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/USAddress/AddressLine1Txt08610 S SEPULVEDA BLVD SUITE 104
IRS990/USAddress/CityNm0LOS ANGELES
IRS990/USAddress/StateAbbreviationCd0CA
IRS990/USAddress/ZIPCd090045
IRS990/VotingMembersGoverningBodyCnt010
IRS990/VotingMembersIndependentCnt010
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/PersonNm0DENYS SLESARENKO
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CEO
ReturnHeader/BusinessOfficerGrp/PhoneNum03235528899
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-11-12
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0PRIME WELLNESS COMMUNITY
ReturnHeader/Filer/BusinessNameControlTxt0PRIM
ReturnHeader/Filer/EIN0834275967
ReturnHeader/Filer/PhoneNum03106597867
ReturnHeader/Filer/USAddress/AddressLine1Txt08610 S SEPULVEDA BLVD STE 104
ReturnHeader/Filer/USAddress/CityNm0LOS ANGELES
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CA
ReturnHeader/Filer/USAddress/ZIPCd090045
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0false
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0271618599
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0ZADOYEN INCOME TAX
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt017337 VENTURA BLVD STE 100
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0ENCINO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd091316
ReturnHeader/PreparerPersonGrp/PhoneNum08189906785
ReturnHeader/PreparerPersonGrp/PreparationDt02025-11-12
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0SERGEY SHAPIRO
ReturnHeader/ReturnTs02025-11-13T16:47:48-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02024-07-01
ReturnHeader/TaxPeriodEndDt02025-06-30
ReturnHeader/TaxYr02024

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