Civic Intelligence

Iowa Health Access Coalition

EIN 84-2618588 • 501(c)4 • Des Moines, IA

Profile

The purpose of the organization is to enhance access to healthcare in iowa and an understanding of healthcare regulatory issues.

666 Grand Avenue 2000Des Moines, IA 50309

n/A

Siviq Scores

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

Liabilities / Assets

59th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)4 • <$500k nonprofits • Source year 2022

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2022

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on the latest valid filing.

Source year 2022

Top Officer Pay

Score unavailable

No value available

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

Asset Growth

15th percentile

-43%

Faster asset growth than 15% of similar nonprofits.

501(c)4 • <$500k nonprofits • Annualized from 2021 to 2022

Revenue Growth

3rd percentile

-100%

Faster revenue growth than 3% of similar nonprofits.

501(c)4 • <$500k nonprofits • Annualized from 2021 to 2022

Assets

Down

$4,555

Down $3,499 (-43%) from 2021

Liabilities

Flat

$0

Flat from 2021

Net Assets

Down

$4,555

Down $3,499 (-43%) from 2021

Revenue

Down

$0

Down $61,000 (-100%) from 2021

Expenses

Down

$3,499

Down $156,620 (-98%) from 2021

Net Income

Up

-$3,499

Up $95,620 (+96%) from 2021

Trend Graphs

Balance Sheet Trend

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

$300K$200K$100K$0Assets 2019: $272,727Liabilities 2019: $0Net Assets 2019: $272,7272019Assets 2020: $111,073Liabilities 2020: $0Net Assets 2020: $111,0732020Assets 2021: $8,054Liabilities 2021: $0Net Assets 2021: $8,0542021Assets 2022: $4,555Liabilities 2022: $0Net Assets 2022: $4,5552022

Highlighted filing

2022

Assets$4,555
Liabilities$0
Net Assets$4,555

Operations Trend

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

$800K$600K$400K$200K$0-$200KRevenue 2019: $625,000Expenses 2019: $352,273Net Income 2019: $272,7272019Revenue 2020: $240,000Expenses 2020: $401,654Net Income 2020: -$161,6542020Revenue 2021: $61,000Expenses 2021: $160,119Net Income 2021: -$99,1192021Revenue 2022: $0Expenses 2022: $3,499Net Income 2022: -$3,4992022

Highlighted filing

2022

Revenue$0
Expenses$3,499
Net Income-$3,499

Filings

Latest Detailed Filing

The latest 2022 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2021 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
May 11, 2022
Return Version
2021v4.2
Gross Receipts
$61,000
Mission and Program Overview

Mission

The purpose of the organization is to enhance access to healthcare in iowa and an understanding of healthcare regulatory issues.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$111,073$8,054▼ $103,019
Rtn Earn Endowment Incm Other Fnds$111,073$8,054▼ $103,019
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$111,073$8,054▼ $103,019
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$111,073$8,054▼ $103,019
Total Liabilities and Net Assets / Fund Balance$111,073$8,054▼ $103,019
Compensation and Service Providers

Board Members and Trustees

NameTitle
Nicholas GhiselliDirector & President
Beverly RazonDirector
Andrew PerryDirector & Secretary
Ben VallierDirector & Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Brownwinick Law FirmManagement, Lobbying, And Public Relatio666 GRAND AVENUE SUITE 2000, Des Moines, IA 50309$143,398
Revenue and Support

Revenue Composition

Contributions and Grants
$61,000
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
All Other Contributions
$61,000
Change in Net Assets
$-99,119
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$160,119
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
Fees for Services Lobbying$125,000--$125,000
Advertising$20,323--$20,323
Fees for Services Management-$14,699-$14,699
Office Expenses-$97-$97
Total Functional Expenses$145,323$14,796$0$160,119
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
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
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
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

The brownwinick law firm was engaged to serve as legal counsel and administrative agent for the organization, such services include administrative, accounting, and management support.

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

The organization does not have any committees.

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

The form 990 was circulated to each member of the board of directors for review and comment before filing, and opportunity was provided to discuss any questions or concerns about the form 990 before filing.

Form 990, Part VI, Section B, Line 15

Form 990, part vi, section b, lines 15a & 15b: the organization does not compensate its top management official or any of the other officers.

Form 990, Part VI, Section C, Line 19

The organization makes its governing documents and financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Iowa Health Access Coalition
EIN
84-2618588
Phone
5152422456
Address
666 GRAND AVENUE 2000, DES MOINES, IA 50309

Signing Officer

Name
Nicholas Ghiselli
Title
President
Phone
5152422456
Signed
2022-05-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Nicholas Ghiselli
Formed
2019
Legal Domicile
Ia
Voting Board Members
4
Independent Board Members
4
Employees
0
Volunteers
5

Preparer

Firm
Brown Winick Graves Gross & Baskerville
Address
666 GRAND AVENUE SUITE 2000, DES MOINES, IA 50309-2510
Preparer
Christopher L Nuss
Phone
5152422400
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Prior period adjustment - refund of contribution -3,900.

Raw XML Appendix287 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/AccountantCompileOrReviewInd00
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0THE PURPOSE OF THE ORGANIZATION IS TO ENHANCE ACCESS TO HEALTHCARE IN IOWA AND AN UNDERSTANDING OF HEALTHCARE REGULATORY ISSUES.
IRS990/AdvertisingGrp/ProgramServicesAmt020323
IRS990/AdvertisingGrp/TotalAmt020323
IRS990/AllOtherContributionsAmt061000
IRS990/BooksInCareOfDetail/PersonNm0MARK ROTH
IRS990/BooksInCareOfDetail/PhoneNum05152422456
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0666 GRAND AVENUE 2000
IRS990/BooksInCareOfDetail/USAddress/CityNm0DES MOINES
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0IA
IRS990/BooksInCareOfDetail/USAddress/ZIPCd050309
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IRS990/CashNonInterestBearingGrp/EOYAmt08054
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt01
IRS990/CollectionsOfArtInd00
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd00
IRS990/CompensationProcessOtherInd00
IRS990/ConflictOfInterestPolicyInd00
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd00
IRS990/ContractorCompensationGrp/CompensationAmt0143398
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt0666 GRAND AVENUE SUITE 2000
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm0DES MOINES
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd0IA
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd050309
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt0BROWNWINICK LAW FIRM
IRS990/ContractorCompensationGrp/ServicesDesc0MANAGEMENT, LOBBYING, AND PUBLIC RELATIO
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt061000
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt00
IRS990/CYOtherExpensesAmt0160119
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt0-99119
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt0160119
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt061000
IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DelegationOfMgmtDutiesInd01
IRS990/Desc0THE SERVICES INCLUDED PROVIDING INFORMATION AND EDUCATION ON HEALTHCARE AND ACCESS TO HEALTHCARE IN IOWA AND MONITORING AND LOBBYING ON LEGISLATIVE AND REGULATORY ENVIRONMENTS TO ASSIST THE CITIZENS OF IOWA TO HAVE ACCESS TO AFFORDABLE HEALTHCARE.
IRS990/DescribedInSection501c3Ind00
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd00
IRS990/DonorAdvisedFundInd00
IRS990/DonorRstrOrQuasiEndowmentsInd00
IRS990/ElectionOfBoardMembersInd00
IRS990/EmployeeCnt00
IRS990/EngagedInExcessBenefitTransInd00
IRS990/ExpenseAmt0145323
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/FeesForServicesLobbyingGrp/ProgramServicesAmt0125000
IRS990/FeesForServicesLobbyingGrp/TotalAmt0125000
IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt014699
IRS990/FeesForServicesManagementGrp/TotalAmt014699
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form8282PropertyDisposedOfInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt04.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt12.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt22.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt32.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
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IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/PersonNm0NICHOLAS GHISELLI
IRS990/Form990PartVIISectionAGrp/PersonNm1ANDREW PERRY
IRS990/Form990PartVIISectionAGrp/PersonNm2BEVERLY RAZON
IRS990/Form990PartVIISectionAGrp/PersonNm3BEN VALLIER
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/TitleTxt0DIRECTOR & PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR & SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR & TREASURER
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr02019
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedInd00
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt04
IRS990/GrantAmt00
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt061000
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt04
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0IA
IRS990/LoanOutstandingInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingCashInd0X
IRS990/MinutesOfCommitteesInd00
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0THE PURPOSE OF THE ORGANIZATION IS TO ENHANCE ACCESS TO HEALTHCARE IN IOWA AND AN UNDERSTANDING OF HEALTHCARE REGULATORY ISSUES.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0111073
IRS990/NetAssetsOrFundBalancesEOYAmt08054
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd01
IRS990/NondeductibleContriDisclInd01
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt097
IRS990/OfficeExpensesGrp/TotalAmt097
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowFASB117Ind0X
IRS990/OtherChangesInNetAssetsAmt0-3900
IRS990/PartialLiquidationInd00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt00
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IRS990/PoliticalCampaignActyInd00
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IRS990/PYRevenuesLessExpensesAmt0-161654
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IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0240000
IRS990/QuidProQuoContributionsInd00
IRS990/ReconcilationRevenueExpnssAmt0-99119
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IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
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IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
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IRS990/ScheduleJRequiredInd00
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE BROWNWINICK LAW FIRM WAS ENGAGED TO SERVE AS LEGAL COUNSEL AND ADMINISTRATIVE AGENT FOR THE ORGANIZATION, SUCH SERVICES INCLUDE ADMINISTRATIVE, ACCOUNTING, AND MANAGEMENT SUPPORT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE FORM 990 WAS CIRCULATED TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR REVIEW AND COMMENT BEFORE FILING, AND OPPORTUNITY WAS PROVIDED TO DISCUSS ANY QUESTIONS OR CONCERNS ABOUT THE FORM 990 BEFORE FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3FORM 990, PART VI, SECTION B, LINES 15A & 15B: THE ORGANIZATION DOES NOT COMPENSATE ITS TOP MANAGEMENT OFFICIAL OR ANY OF THE OTHER OFFICERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5PRIOR PERIOD ADJUSTMENT - REFUND OF CONTRIBUTION -3,900.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART XI, LINE 9:
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
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IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
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IRS990/TotalAssetsEOYAmt08054
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IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt00
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IRS990/TotalLiabilitiesGrp/EOYAmt00
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IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
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IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt05
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IRS990/TotReportableCompRltdOrgAmt00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0666 GRAND AVENUE 2000
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IRS990/USAddress/StateAbbreviationCd0IA
IRS990/USAddress/ZIPCd050309
IRS990/VotingMembersGoverningBodyCnt04
IRS990/VotingMembersIndependentCnt04
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd03
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0NICHOLAS GHISELLI
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum05152422456
ReturnHeader/BusinessOfficerGrp/SignatureDt02022-05-11
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0IOWA HEALTH ACCESS COALITION
ReturnHeader/Filer/BusinessNameControlTxt0IOWA
ReturnHeader/Filer/EIN0842618588
ReturnHeader/Filer/PhoneNum05152422456
ReturnHeader/Filer/USAddress/AddressLine1Txt0666 GRAND AVENUE 2000
ReturnHeader/Filer/USAddress/CityNm0DES MOINES
ReturnHeader/Filer/USAddress/StateAbbreviationCd0IA
ReturnHeader/Filer/USAddress/ZIPCd050309
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0420704554
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0BROWN WINICK GRAVES GROSS & BASKERVILLE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0666 GRAND AVENUE SUITE 2000
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0DES MOINES
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0IA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0503092510
ReturnHeader/PreparerPersonGrp/PhoneNum05152422400
ReturnHeader/PreparerPersonGrp/PreparationDt02022-05-11
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0CHRISTOPHER L NUSS
ReturnHeader/ReturnTs02022-05-16T10:29:35-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0NICHOLAS
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0GHISELLI
ReturnHeader/TaxPeriodBeginDt02021-01-01
ReturnHeader/TaxPeriodEndDt02021-12-31
ReturnHeader/TaxYr02021

Document Assets

No mirrored PDF or thumbnail assets are attached yet.