Civic Intelligence

Elk Haven Foundation C/O Complete Healthcare Resources

EIN 84-1788081 • 501(c)3 • St Marys, PA

Profile

As a non-profit organization, we will support, assist and benefit the mission and purposes of elk haven nursing home association and its operating entities through the solicitation, investment, accrual and disbursement of economic assets for the sole benefit and support of elk haven nursing home association.elk haven foundation will raise, manage and distribute funds in ways that will meet special needs and enhance the quality of living for the residents and seniors that the association serves, as well as the employees that serve the mission of the association.

785 Johnsonburg RoadSt Marys, PA 15857

www.elkhavennursinghome.com

Siviq Scores

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

Liabilities / Assets

8th percentile

0.00x

Higher debt load relative to assets than 8% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

14th percentile

0.02x

Higher debt load relative to revenue than 14% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

86th percentile

42%

Higher net margin than 86% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

15th percentile

$0

Higher top officer pay than 15% of similar nonprofits.

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

501(c)3 • $10M-$25M nonprofits • Source year 2024

Asset Growth

44th percentile

2.7%

Faster asset growth than 44% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

78th percentile

31%

Faster revenue growth than 78% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Assets

Up

$17,624,050

Up $467,609 (+2.7%) from 2023

Liabilities

Up

$13,203

Up $11,000 (+499%) from 2023

Net Assets

Up

$17,610,847

Up $456,609 (+2.7%) from 2023

Revenue

Up

$567,797

Up $134,113 (+31%) from 2023

Expenses

Up

$329,521

Up $234,219 (+246%) from 2023

Net Income

Down

$238,276

Down $100,106 (-30%) from 2023

Trend Graphs

Balance Sheet Trend

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

$20M$15M$10M$5.0M$0Assets 2020: $18,145,656Liabilities 2020: $2,100Net Assets 2020: $18,143,5562020Assets 2021: $17,919,365Liabilities 2021: $126,907Net Assets 2021: $17,792,4582021Assets 2022: $16,441,784Liabilities 2022: $2,203Net Assets 2022: $16,439,5812022Assets 2023: $17,156,441Liabilities 2023: $2,203Net Assets 2023: $17,154,2382023Assets 2024: $17,624,050Liabilities 2024: $13,203Net Assets 2024: $17,610,8472024

Highlighted filing

2024

Assets$17,624,050
Liabilities$13,203
Net Assets$17,610,847

Operations Trend

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

$600K$400K$200K$0-$200KRevenue 2020: $19,512Expenses 2020: $2,099Net Income 2020: $17,4132020Revenue 2021: $390,165Expenses 2021: $160,640Net Income 2021: $229,5252021Revenue 2022: $385,691Expenses 2022: $394,976Net Income 2022: -$9,2852022Revenue 2023: $433,684Expenses 2023: $95,302Net Income 2023: $338,3822023Revenue 2024: $567,797Expenses 2024: $329,521Net Income 2024: $238,2762024

Highlighted filing

2024

Revenue$567,797
Expenses$329,521
Net Income$238,276

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Oct 20, 2025
Return Version
2024v5.2
Gross Receipts
$567,797
Mission and Program Overview

Mission

As a non-profit organization, we will support, assist and benefit the mission and purposes of elk haven nursing home association and its operating entities through the solicitation, investment, accrual and disbursement of economic assets for the sole benefit and support of elk haven nursing home association.elk haven foundation will raise, manage and distribute funds in ways that will meet special needs and enhance the quality of living for the residents and seniors that the association serves, as well as the employees that serve the mission of the association.

To provide support to elk haven nursing home association and its operating divisions.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$14,694,885$16,056,544▲ $1,361,659
Savings and Temporary Cash Investments$2,350,763$1,432,948▼ $917,815
Accounts Receivable$110,793$134,558▲ $23,765
Total Assets$17,156,441$17,624,050▲ $467,609
Liabilities
Accounts Payable and Accrued Expenses$0$11,000▲ $11,000
Other Liabilities$2,203$2,203→ $0
Total Liabilities$2,203$13,203▲ $11,000
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$17,154,238$17,610,847▲ $456,609
Total Net Assets Fund Balance$17,154,238$17,610,847▲ $456,609
Total Liabilities and Net Assets / Fund Balance$17,156,441$17,624,050▲ $467,609
Compensation and Service Providers

Board Members and Trustees

NameTitle
June SorgPresident
Charlette GergVice President
Frank Beimel JrBoard Member
Lou RadkowskiBoard Member
Arlene AndersonAdministrator
Robert SchrieberSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$567,797
Other Revenue
$0
Change in Net Assets
$238,276
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$278,869
Other Expenses$50,652
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$278,869--$278,869
Fees for Service Investment Mgmnt Fees-$50,652-$50,652
Total Functional Expenses$278,869$50,652$0$329,521
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Elk Haven Nursing Home AssociationSt Marys, PA501(c)(3)Board Approved Grant for Mission Related Expenses.$278,869
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
Due to Related Party$2,203
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
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

Chr consulting services, inc., an unrelated third party management company, oversees the day-to-day operations, including management and financial oversight for elk haven nursing home association and the foundation. Arlene anderson, administrator, is an employee of chr. She is compensated by chr for services provided to elk haven nursing home association and its affiliate. During 2024, a total of $144,621 in compensation and benefits was paid to her for services provided to elk haven.

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

Form 990 is sent to the board members for review and signature prior to filing the return.

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

The board members are required to complete a conflict of interest disclosure annually. The disclosures are reviewed annually by the board and as new conflicts arise.

Form 990, Part VI, Section C, Line 19

Documents will be made available to the public based upon request.

Filing and Contact Details

Filer

Filer Name
Elk Haven Foundation
EIN
84-1788081
Phone
8148372618
Address
785 JOHNSONBURG ROAD, ST MARYS, PA 15857

Signing Officer

Name
June Sorg
Title
President
Phone
8148372618
Signed
2025-10-20
Discuss with paid preparer
Yes

Organization Details

Principal Officer
June Sorg
Formed
2019
Legal Domicile
Pa
Voting Board Members
5
Independent Board Members
5
Employees
0
Volunteers
5

Preparer

Firm
Cbiz Advisors LLC
Address
4722 N 24TH ST STE 300, PHOENIX, AZ 85016
Preparer
Kristen M Bass
Phone
6022646835
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

The process has not changed from prior year.

Financial Statement Notes

PART X, LINE 2:

The organization is a not-for-profit organization and is recognized as exempt from federal and state income taxes under section 501(c)(3) of the code and the commonwealth act of may 5, 1933, known as the nonprofit organization law and, accordingly, no provision for income taxes has been provided. The organization accounts for the effect of any uncertain tax positions based on a "more likely than not" threshold applied to the recognition of the tax positions being sustained based on the technical merits of the position under scrutiny by the applicable taxing authority. If a tax position or positions are deemed to result in uncertainties of those positions, the unrecognized tax benefit is estimated based on a "cumulative probability assessment" that aggregates the estimated tax liability for all uncertain tax positions. Interest and penalties assessed, if any, are accrued as income tax expense. The organization has identified its tax status as a tax-exempt entity as a tax position; however, the organization has determined that such a tax position does not result in an uncertainty requiring recognition. The organization believes it is no longer subject to income tax examinations for years prior to december 31, 2021.

Raw XML Appendix375 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/Form990PartVIISectionAGrp/PersonNm1CHARLETTE GERG
IRS990/Form990PartVIISectionAGrp/PersonNm2ROBERT SCHRIEBER
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IRS990/MissionDesc0AS A NON-PROFIT ORGANIZATION, WE WILL SUPPORT, ASSIST AND BENEFIT THE MISSION AND PURPOSES OF ELK HAVEN NURSING HOME ASSOCIATION AND ITS OPERATING ENTITIES THROUGH THE SOLICITATION, INVESTMENT, ACCRUAL AND DISBURSEMENT OF ECONOMIC ASSETS FOR THE SOLE BENEFIT AND SUPPORT OF ELK HAVEN NURSING HOME ASSOCIATION.ELK HAVEN FOUNDATION WILL RAISE, MANAGE AND DISTRIBUTE FUNDS IN WAYS THAT WILL MEET SPECIAL NEEDS AND ENHANCE THE QUALITY OF LIVING FOR THE RESIDENTS AND SENIORS THAT THE ASSOCIATION SERVES, AS WELL AS THE EMPLOYEES THAT SERVE THE MISSION OF THE ASSOCIATION.
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION IS A NOT-FOR-PROFIT ORGANIZATION AND IS RECOGNIZED AS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE CODE AND THE COMMONWEALTH ACT OF MAY 5, 1933, KNOWN AS THE NONPROFIT ORGANIZATION LAW AND, ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. THE ORGANIZATION ACCOUNTS FOR THE EFFECT OF ANY UNCERTAIN TAX POSITIONS BASED ON A "MORE LIKELY THAN NOT" THRESHOLD APPLIED TO THE RECOGNITION OF THE TAX POSITIONS BEING SUSTAINED BASED ON THE TECHNICAL MERITS OF THE POSITION UNDER SCRUTINY BY THE APPLICABLE TAXING AUTHORITY. IF A TAX POSITION OR POSITIONS ARE DEEMED TO RESULT IN UNCERTAINTIES OF THOSE POSITIONS, THE UNRECOGNIZED TAX BENEFIT IS ESTIMATED BASED ON A "CUMULATIVE PROBABILITY ASSESSMENT" THAT AGGREGATES THE ESTIMATED TAX LIABILITY FOR ALL UNCERTAIN TAX POSITIONS. INTEREST AND PENALTIES ASSESSED, IF ANY, ARE ACCRUED AS INCOME TAX EXPENSE. THE ORGANIZATION HAS IDENTIFIED ITS TAX STATUS AS A TAX-EXEMPT ENTITY AS A TAX POSITION; HOWEVER, THE ORGANIZATION HAS DETERMINED THAT SUCH A TAX POSITION DOES NOT RESULT IN AN UNCERTAINTY REQUIRING RECOGNITION. THE ORGANIZATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2021.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalLiabilityAmt02203
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/RecipientTable/CashGrantAmt0278869
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)(3)
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt00
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0BOARD APPROVED GRANT FOR MISSION RELATED EXPENSES.
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0ELK HAVEN NURSING HOME ASSOCIATION
IRS990ScheduleI/RecipientTable/RecipientEIN0231945075
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0785 JOHNSONBURG ROAD
IRS990ScheduleI/RecipientTable/USAddress/CityNm0ST MARYS
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0PA
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd015857
IRS990ScheduleI/Total501c3OrgCnt01
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0CHR CONSULTING SERVICES, INC., AN UNRELATED THIRD PARTY MANAGEMENT COMPANY, OVERSEES THE DAY-TO-DAY OPERATIONS, INCLUDING MANAGEMENT AND FINANCIAL OVERSIGHT FOR ELK HAVEN NURSING HOME ASSOCIATION AND THE FOUNDATION. ARLENE ANDERSON, ADMINISTRATOR, IS AN EMPLOYEE OF CHR. SHE IS COMPENSATED BY CHR FOR SERVICES PROVIDED TO ELK HAVEN NURSING HOME ASSOCIATION AND ITS AFFILIATE. DURING 2024, A TOTAL OF $144,621 IN COMPENSATION AND BENEFITS WAS PAID TO HER FOR SERVICES PROVIDED TO ELK HAVEN.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1FORM 990 IS SENT TO THE BOARD MEMBERS FOR REVIEW AND SIGNATURE PRIOR TO FILING THE RETURN.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE ANNUALLY. THE DISCLOSURES ARE REVIEWED ANNUALLY BY THE BOARD AND AS NEW CONFLICTS ARISE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3DOCUMENTS WILL BE MADE AVAILABLE TO THE PUBLIC BASED UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART XII, LINE 2C:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd01
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0ELK HAVEN NURSING HOME ASSOCIATION
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0231945075
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0PA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0LONG TERM NURSING CARE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 10
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0785 JOHNSONBERG ROAD
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0ST MARYS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0PA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd015857
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd01
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd01
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd01
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0PA
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt017156441
IRS990/TotalAssetsEOYAmt017624050
IRS990/TotalAssetsGrp/BOYAmt017156441
IRS990/TotalAssetsGrp/EOYAmt017624050
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt050652
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0278869
IRS990/TotalFunctionalExpensesGrp/TotalAmt0329521
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt02203
IRS990/TotalLiabilitiesEOYAmt013203
IRS990/TotalLiabilitiesGrp/BOYAmt02203
IRS990/TotalLiabilitiesGrp/EOYAmt013203
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt017154238
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt017610847
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0278869
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt0567797
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0567797
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt05
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt017156441
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt017624050
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0785 JOHNSONBURG ROAD
IRS990/USAddress/CityNm0ST MARYS
IRS990/USAddress/StateAbbreviationCd0PA
IRS990/USAddress/ZIPCd015857
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt05
IRS990/WebsiteAddressTxt0NONE
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0JUNE SORG
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum08148372618
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-10-20
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0ELK HAVEN FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0ELKH
ReturnHeader/Filer/EIN0841788081
ReturnHeader/Filer/PhoneNum08148372618
ReturnHeader/Filer/USAddress/AddressLine1Txt0785 JOHNSONBURG ROAD
ReturnHeader/Filer/USAddress/CityNm0ST MARYS
ReturnHeader/Filer/USAddress/StateAbbreviationCd0PA
ReturnHeader/Filer/USAddress/ZIPCd015857
ReturnHeader/IRSResponsiblePrtyInfoCurrInd01
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0341884125
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CBIZ ADVISORS LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt04722 N 24TH ST STE 300
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0PHOENIX
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0AZ
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd085016
ReturnHeader/PreparerPersonGrp/PhoneNum06022646835
ReturnHeader/PreparerPersonGrp/PreparationDt02025-10-20
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0KRISTEN M BASS
ReturnHeader/ReturnTs02025-10-28T15:27:56-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02024-01-01
ReturnHeader/TaxPeriodEndDt02024-12-31
ReturnHeader/TaxYr02024

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