Civic Intelligence

Valley Assisted Living Inc

EIN 84-1315157 • 501(c)3 • Silver Cliff, CO

Profile

Extending life for seniors. Valis mission is to provide a warm, homelike, assisted-living facility for the elderly that will enhance their quality of life.

30 E Main StreetSilver Cliff, CO 81252

www.valiassistedliving.com

Siviq Scores

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

Liabilities / Assets

88th percentile

0.61x

Higher debt load relative to assets than 88% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Liabilities / Revenue

90th percentile

0.81x

Higher debt load relative to revenue than 90% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Net Margin

32nd percentile

-3.6%

Higher net margin than 32% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

33rd percentile

-2.8%

Faster asset growth than 33% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Revenue Growth

36th percentile

-0.9%

Faster revenue growth than 36% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Assets

Down

$942,222

Down $27,039 (-2.8%) from 2023

Liabilities

Down

$574,952

Down $15,761 (-2.7%) from 2023

Net Assets

Down

$367,270

Down $11,278 (-3.0%) from 2023

Revenue

Down

$713,101

Down $6,668 (-0.9%) from 2023

Expenses

Up

$739,011

Up $32,802 (+4.6%) from 2023

Net Income

Down

-$25,910

Down $39,470 (-291%) from 2023

Trend Graphs

Balance Sheet Trend

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

$1.5M$1.0M$500K$0Assets 2011: $1,010,208Liabilities 2011: $800,063Net Assets 2011: $210,1452011Assets 2012: $992,925Liabilities 2012: $792,587Net Assets 2012: $200,3382012Assets 2013: $995,483Liabilities 2013: $780,267Net Assets 2013: $215,2162013Assets 2014: $1,012,294Liabilities 2014: $764,689Net Assets 2014: $247,6052014Assets 2015: $1,001,051Liabilities 2015: $745,028Net Assets 2015: $256,0232015Assets 2016: $1,073,580Liabilities 2016: $726,120Net Assets 2016: $347,4602016Assets 2017: $1,141,028Liabilities 2017: $773,210Net Assets 2017: $367,8182017Assets 2018: $1,122,814Liabilities 2018: $736,576Net Assets 2018: $386,2382018Assets 2019: $1,075,334Liabilities 2019: $709,373Net Assets 2019: $365,9612019Assets 2020: $1,030,882Liabilities 2020: $675,088Net Assets 2020: $355,7942020Assets 2021: $1,045,598Liabilities 2021: $643,205Net Assets 2021: $402,3932021Assets 2022: $1,004,843Liabilities 2022: $616,416Net Assets 2022: $388,4272022Assets 2023: $969,261Liabilities 2023: $590,713Net Assets 2023: $378,5482023Assets 2024: $942,222Liabilities 2024: $574,952Net Assets 2024: $367,2702024

Highlighted filing

2024

Assets$942,222
Liabilities$574,952
Net Assets$367,270

Operations Trend

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

$800K$600K$400K$200K$0-$200KRevenue 2011: $403,024Expenses 2011: $438,121Net Income 2011: -$35,0972011Revenue 2012: $434,523Expenses 2012: $432,463Net Income 2012: $2,0602012Revenue 2013: $463,137Expenses 2013: $475,637Net Income 2013: -$12,5002013Revenue 2014: $554,011Expenses 2014: $512,083Net Income 2014: $41,9282014Revenue 2015: $534,739Expenses 2015: $556,421Net Income 2015: -$21,6822015Revenue 2016: $705,817Expenses 2016: $554,375Net Income 2016: $151,4422016Revenue 2017: $601,117Expenses 2017: $586,986Net Income 2017: $14,1312017Revenue 2018: $655,102Expenses 2018: $617,136Net Income 2018: $37,9662018Revenue 2019: $581,412Expenses 2019: $597,621Net Income 2019: -$16,2092019Revenue 2020: $604,628Expenses 2020: $611,809Net Income 2020: -$7,1812020Revenue 2021: $613,737Expenses 2021: $580,421Net Income 2021: $33,3162021Revenue 2022: $649,230Expenses 2022: $675,410Net Income 2022: -$26,1802022Revenue 2023: $719,769Expenses 2023: $706,209Net Income 2023: $13,5602023Revenue 2024: $713,101Expenses 2024: $739,011Net Income 2024: -$25,9102024

Highlighted filing

2024

Revenue$713,101
Expenses$739,011
Net Income-$25,910

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.94$0.57$0.37$0.71$0.74$0.03
2023Summary only. Only limited summary data is available for this year.$0.97$0.59$0.38$0.72$0.71$0.01
2022Summary only. Only limited summary data is available for this year.$1.00$0.62$0.39$0.65$0.68$0.03
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.05$0.64$0.40$0.61$0.58$0.03
2020Summary only. Only limited summary data is available for this year.$1.03$0.68$0.36$0.60$0.61$0.01
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.08$0.71$0.37$0.58$0.60$0.02
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.12$0.74$0.39$0.66$0.62$0.04
2017Summary only. Only limited summary data is available for this year.$1.14$0.77$0.37$0.60$0.59$0.01
2016Summary only. Only limited summary data is available for this year.$1.07$0.73$0.35$0.71$0.55$0.15
2015Summary only. Only limited summary data is available for this year.$1.00$0.75$0.26$0.53$0.56$0.02
2014Summary only. Only limited summary data is available for this year.$1.01$0.76$0.25$0.55$0.51$0.04
2013Summary only. Only limited summary data is available for this year.$1.00$0.78$0.22$0.46$0.48$0.01
2012Summary only. Only limited summary data is available for this year.$0.99$0.79$0.20$0.43$0.43$0.00
2011Summary only. Only limited summary data is available for this year.$1.01$0.80$0.21$0.40$0.44$0.04
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 24, 2025
Return Version
2024v5.2
Gross Receipts
$713,101
Mission and Program Overview

Mission

Extending life for seniors. Valis mission is to provide a warm, homelike, assisted-living facility for the elderly that will enhance their quality of life.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$805,689$775,715▼ $29,974
Rtn Earn Endowment Incm Other Fnds$378,548$367,270▼ $11,278
Savings and Temporary Cash Investments$101,625$102,431▲ $806
Cash and Non-Interest-Bearing Accounts$49,306$46,370▼ $2,936
Accounts Receivable$12,641$17,706▲ $5,065
Total Assets$969,261$942,222▼ $27,039
Liabilities
Mortgage Notes Payable Secured by Investment Property$587,989$564,305▼ $23,684
Other Liabilities$2,741$10,820▲ $8,079
Accounts Payable and Accrued Expenses$-17$-173▼ $156
Total Liabilities$590,713$574,952▼ $15,761
Net Assets / Fund Balance
Total Net Assets Fund Balance$378,548$367,270▼ $11,278
Total Liabilities and Net Assets / Fund Balance$969,261$942,222▼ $27,039

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$690,077$649,320$1,339,397
Equipment$15,638$143,028$158,666
Land$70,000-$70,000
Compensation and Service Providers

Board Members and Trustees

NameTitle
Marcia GreggPresident and Temp Treasurer
Mary Ellen LasageVice President
Char FedelDirector
Elizabeth GreenDirector
Karen LeblondDirector
Maryanne HammondManager
Sheri WyattSecretary
Lee OvercampTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$29,444
Program Service Revenue
$682,407
Investment Income
$1,250
Other Revenue
$0
All Other Contributions
$29,444
Change in Net Assets
$-25,910
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$542,239
Other Expenses$196,772
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$434,585$55,447-$490,032
Payroll Taxes$46,300$5,907-$52,207
Occupancy$44,430--$44,430
Other Expenses$43,219--$43,219
Depreciation Depletion$40,216$134-$40,350
Interest$25,360--$25,360
Insurance$18,229$2,050-$20,279
All Other Expenses$10,301--$10,301
Office Expenses$725$5,242-$5,967
Advertising$1,210--$1,210
Fees for Services Other$755--$755
Information Technology$554--$554
Fees for Services Accounting$359--$359
Total Functional Expenses$670,231$68,780$0$739,011
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
Payroll Taxes Payable$10,820
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Backup withholding compliance
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
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990 governing body review Part VI line 11

REVIEW BY BOARD MEMBERS

Governing documents etc available to public Part VI line 19

Documents are available at the facility on request.

Filing and Contact Details

Filer

Filer Name
Valley Assisted Living Inc
EIN
84-1315157
In Care Of
% MARCIA GREGG
Phone
7197834401
Address
30 E MAIN STREET, SILVER CLIFF, CO 81252

Signing Officer

Name
Marcia Gregg
Title
President and Temp Treasurer
Phone
7197832289
Signed
2025-11-24
Discuss with paid preparer
No

Organization Details

Principal Officer
Marcia Gregg
Formed
1995
Legal Domicile
Co
Voting Board Members
7
Independent Board Members
7
Employees
36
Volunteers
281

Preparer

Firm
Sangre Solutions
Address
302 Main Street, Westcliffe, CO 81252
Preparer
Nancy Tracewell
Phone
7197830631
Supplemental Narrative

Additional Explanations

Explanation of other changes in net assets or fund balances Part XI line 9

Under recorded payroll on books. Corrections to 941 and w2 to be completed.

Part XI response or note to any line in Part XI

Part xi line 9due to change in payroll processorswages for one pay period are not reflected on books. Efforts will be made to correct forms 941 and w2 wages.

Raw XML AppendixShowing 400 of 406 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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IRS990/ProgramServiceRevenueGrp/Desc2MISC
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0556286
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1124581
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt21540
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0556286
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1124581
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt21540
IRS990/ProgSrvcAccomActy2Grp/Desc0PROVIDING HOME HEALTH CARE TO SENIOR CITIZENS AND VETERANS TO PROLONG THEIR ABILITY TO LIVE IN THEIR OWN HOMES.
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt061407
IRS990/PYExcessBenefitTransInd0false
IRS990/PYInvestmentIncomeAmt0806
IRS990/PYOtherExpensesAmt0205181
IRS990/PYProgramServiceRevenueAmt0657556
IRS990/PYRevenuesLessExpensesAmt013560
IRS990/PYSalariesCompEmpBnftPaidAmt0501028
IRS990/PYTotalExpensesAmt0706209
IRS990/PYTotalRevenueAmt0719769
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt0-25910
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0true
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt0378548
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt0367270
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0101625
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0102431
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt029444
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt061407
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt020588
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0127294
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt052984
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0291717
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt01250
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt0806
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt0824
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt0656
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt0700
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt04236
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.66670
IRS990ScheduleA/PublicSupportPY170Pct00.65380
IRS990ScheduleA/PublicSupportTotal170Amt0197300
IRS990ScheduleA/SubstantialContributorsTotAmt094417
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt029444
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt061407
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt020588
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0127294
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt052984
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0291717
IRS990ScheduleA/TotalSupportAmt0295953
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
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IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd0true
IRS990ScheduleD/BuildingsGrp/BookValueAmt0690077
IRS990ScheduleD/BuildingsGrp/DepreciationAmt0649320
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt01339397
IRS990ScheduleD/EquipmentGrp/BookValueAmt015638
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0143028
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0158666
IRS990ScheduleD/LandGrp/BookValueAmt070000
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt070000
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt010820
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0PAYROLL TAXES PAYABLE
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0775715
IRS990ScheduleD/TotalLiabilityAmt010820
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0REVIEW BY BOARD MEMBERS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1DOCUMENTS ARE AVAILABLE AT THE FACILITY ON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2UNDER RECORDED PAYROLL ON BOOKS. CORRECTIONS TO 941 AND W2 TO BE COMPLETED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3PART XI LINE 9DUE TO CHANGE IN PAYROLL PROCESSORSWAGES FOR ONE PAY PERIOD ARE NOT REFLECTED ON BOOKS. EFFORTS WILL BE MADE TO CORRECT FORMS 941 AND W2 WAGES.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990 governing body review Part VI line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Governing documents etc available to public Part VI line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Explanation of other changes in net assets or fund balances Part XI line 9
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Part XI response or note to any line in Part XI
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IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0CO
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0969261
IRS990/TotalAssetsEOYAmt0942222
IRS990/TotalAssetsGrp/BOYAmt0969261
IRS990/TotalAssetsGrp/EOYAmt0942222
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt029444
IRS990/TotalEmployeeCnt036
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt068780
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0670231
IRS990/TotalFunctionalExpensesGrp/TotalAmt0739011
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0590713
IRS990/TotalLiabilitiesEOYAmt0574952
IRS990/TotalLiabilitiesGrp/BOYAmt0590713
IRS990/TotalLiabilitiesGrp/EOYAmt0574952
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0378548
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0367270
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0670231
IRS990/TotalProgramServiceRevenueAmt0682407
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0683657
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0713101
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt0281
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0969261
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0942222
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TransactionWithControlEntInd0false
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt030 E MAIN STREET
IRS990/USAddress/CityNm0SILVER CLIFF
IRS990/USAddress/StateAbbreviationCd0CO
IRS990/USAddress/ZIPCd081252
IRS990/VotingMembersGoverningBodyCnt07
IRS990/VotingMembersIndependentCnt07
IRS990/WebsiteAddressTxt0WWW.VALIASSISTEDLIVING.COM
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0false
ReturnHeader/BusinessOfficerGrp/PersonNm0MARCIA GREGG
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT AND TEMP TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum07197832289
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-11-24
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0VALLEY ASSISTED LIVING INC
ReturnHeader/Filer/BusinessNameControlTxt0VALL
ReturnHeader/Filer/EIN0841315157
ReturnHeader/Filer/InCareOfNm0% MARCIA GREGG
ReturnHeader/Filer/PhoneNum07197834401
ReturnHeader/Filer/USAddress/AddressLine1Txt030 E MAIN STREET
ReturnHeader/Filer/USAddress/CityNm0SILVER CLIFF
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CO
ReturnHeader/Filer/USAddress/ZIPCd081252
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0431998065
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Sangre Solutions
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0302 Main Street
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Westcliffe
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd081252
ReturnHeader/PreparerPersonGrp/PhoneNum07197830631
ReturnHeader/PreparerPersonGrp/PreparationDt02025-11-24

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