Civic Intelligence

Sschc Real Estate Inc

EIN 85-0563312 • 501(c)3 • Milwaukee, WI

Profile

To support the educational, charitable and scientific purposes of sixteenth street community health centers, inc.

1032 S Cesar E Chavez DriveMilwaukee, WI 53204

www.sschc.org

Siviq Scores

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

Liabilities / Assets

95th percentile

1.05x

Higher debt load relative to assets than 95% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Liabilities / Revenue

99th percentile

22.28x

Higher debt load relative to revenue than 99% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Net Margin

8th percentile

-38%

Higher net margin than 8% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Top Officer Pay

Score unavailable

No value available

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

Asset Growth

23rd percentile

-3.1%

Faster asset growth than 23% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2025

Revenue Growth

9th percentile

-30%

Faster revenue growth than 9% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2025

Balance Sheet
Liabilities / Assets95th percentile

Assets

Down

$5,807,992

Down $252,898 (-4.2%) from 2024

Liabilities

Down

$6,098,471

Down $148,976 (-2.4%) from 2024

Net Assets

Down

-$290,479

Down $103,922 (-56%) from 2024

Operations
Liabilities / Revenue99th percentileNet Margin8th percentile

Revenue

Up

$273,667

Up $2,099 (+0.8%) from 2024

Expenses

Down

$377,589

Down $103,257 (-21%) from 2024

Net Income

Up

-$103,922

Up $105,356 (+50%) from 2024

Trend Graphs

Balance Sheet Trend

Asset Growth23rd percentile

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

$8.0M$6.0M$4.0M$2.0M$0-$2.0MAssets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020Assets 2021: $6,771,877Liabilities 2021: $6,589,827Net Assets 2021: $182,0502021Assets 2022: $5,953,934Liabilities 2022: $6,080,926Net Assets 2022: -$126,9922022Assets 2023: $6,179,579Liabilities 2023: $6,156,858Net Assets 2023: $22,7212023Assets 2024: $6,060,890Liabilities 2024: $6,247,447Net Assets 2024: -$186,5572024Assets 2025: $5,807,992Liabilities 2025: $6,098,471Net Assets 2025: -$290,4792025

Highlighted filing

2025

Assets$5,807,992
Liabilities$6,098,471
Net Assets-$290,479
Open 2025 Filing

Operations Trend

Revenue Growth9th percentile

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

$1.0M$500K$0-$500KRevenue 2020: $0Expenses 2020: $0Net Income 2020: $02020Revenue 2021: $303,856Expenses 2021: $121,806Net Income 2021: $182,0502021Revenue 2022: $84,389Expenses 2022: $393,431Net Income 2022: -$309,0422022Revenue 2023: $561,547Expenses 2023: $411,834Net Income 2023: $149,7132023Revenue 2024: $271,568Expenses 2024: $480,846Net Income 2024: -$209,2782024Revenue 2025: $273,667Expenses 2025: $377,589Net Income 2025: -$103,9222025

Highlighted filing

2025

Revenue$273,667
Expenses$377,589
Net Income-$103,922
Open 2025 Filing

Filings

Most recent year

2025 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$5,807,992
Liabilities
$6,098,471
Net assets
-$290,479
Revenue
$273,667
Expenses
$377,589
Net income
-$103,922
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$5.81$6.10$0.29$0.27$0.38$0.10
2024Detailed filing. Detailed filing data is available for this year.$6.06$6.25$0.19$0.27$0.48$0.21
2023Detailed filing. Detailed filing data is available for this year.$6.18$6.16$0.02$0.56$0.41$0.15
2022Detailed filing. Detailed filing data is available for this year.$5.95$6.08$0.13$0.08$0.39$0.31
2021Detailed filing. Detailed filing data is available for this year.$6.77$6.59$0.18$0.30$0.12$0.18
2020Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.00$0.00
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Apr 1, 2024 to Mar 31, 2025
Signed
Jan 13, 2026
Return Version
2024v5.5
Gross Receipts
$273,667
Mission and Program Overview

Mission

To support the educational, charitable and scientific purposes of sixteenth street community health centers, inc.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$4,792,149$4,576,375▼ $215,774
Accounts Receivable$690,839$0▼ $690,839
Cash and Non-Interest-Bearing Accounts$577,902$329,517▼ $248,385
Total Assets$6,060,890$5,807,992▼ $252,898
Other Assets Total$0$902,100▲ $902,100
Liabilities
Mortgage Notes Payable Secured by Investment Property$6,081,676$6,098,471▲ $16,795
Other Liabilities$133,584$0▼ $133,584
Accounts Payable and Accrued Expenses$32,187$0▼ $32,187
Total Liabilities$6,247,447$6,098,471▼ $148,976
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-186,557$-290,479▼ $103,922
Total Net Assets Fund Balance$-186,557$-290,479▼ $103,922
Total Liabilities and Net Assets / Fund Balance$6,060,890$5,807,992▼ $252,898

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$4,229,158$737,412$4,966,570
Equipment$125,117$323,211$448,328
Land$222,100-$222,100
Other Assets Org$11,803--
Compensation and Service Providers
Top Officer PayScore unavailable

Board Members and Trustees

NameTitle
Dr Julie SchullerChairperson
Brianna Sas-perezVice Chairperson
Jordan DowDirector
Andy DresangSecretary
Kenneth MunsonTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$8,701
Other Revenue
$264,966
Change in Net Assets
$-103,922
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$377,589
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
Depreciation Depletion$238,073--$238,073
Interest$89,146--$89,146
Fees for Services Legal-$12,971-$12,971
Other Expenses$73--$73
Total Functional Expenses$364,618$12,971$0$377,589
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
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
No

Governance Explanations

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

“The 990 is provided to the board for review. The 990 is reviewed before filing of the form.”

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

“The board of directors sign a conflict of interest statement on an annual basis. If there is a potential conflict, the board member will be recused from any vote.”

Form 990, Part VI, Section C, Line 19

“The organization makes its governing documents, conflict of interest policy and financial statements available upon request and or as mandated by grants, donations, etc.”

Filing and Contact Details

Filer

Filer Name
Sschc Real Estate Inc
EIN
85-0563312
Phone
4142988189
Address
1032 S CESAR E CHAVEZ DRIVE, MILWAUKEE, WI 53204

Signing Officer

Name
Dr Julie Schuller
Title
Chairperson
Phone
4142988189
Signed
2026-01-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dr Julie Schuller
Formed
2020
Legal Domicile
Wi
Voting Board Members
5
Independent Board Members
4
Employees
0
Volunteers
4

Preparer

Firm
Baker Tilly Advisory Group Lp
Address
790 N WATER ST SUITE 2000, MILWAUKEE, WI 53202
Preparer
Shelby Netz
Phone
4147775500
Supplemental Narrative

Financial Statement Notes

PART X, LINE 2:

“Sixteenth street community health centers, inc. And sschc real estate, inc. Have received notification that they qualify as tax-exempt organizations under section 501(c)(3) of the u.s. Internal revenue code and corresponding provisions of state law and, accordingly, are not subject to federal or state income taxes. However, any unrelated business income may be subject to taxation. In order to account for any uncertain tax positions, the organization determines whether it is more likely than not that a tax position will be sustained upon examination of the technical merits of the position, assuming the taxing authority has full knowledge of all information. If the tax position does not meet the more-likely-than-not recognition threshold, the benefit of that position is not recognized in the consolidated financial statements. The organization does not believe it has any uncertain tax positions at march 31, 2025 and 2024.”

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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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IRS990ScheduleD/OtherAssetsOrgGrp/Desc0LEASE ASSET
IRS990ScheduleD/OtherAssetsOrgGrp/Desc1RELATED PARTY RECEIVABLES
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0SIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC. AND SSCHC REAL ESTATE, INC. HAVE RECEIVED NOTIFICATION THAT THEY QUALIFY AS TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING PROVISIONS OF STATE LAW AND, ACCORDINGLY, ARE NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, ANY UNRELATED BUSINESS INCOME MAY BE SUBJECT TO TAXATION. IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE ORGANIZATION DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION DOES NOT BELIEVE IT HAS ANY UNCERTAIN TAX POSITIONS AT MARCH 31, 2025 AND 2024.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt04576375
IRS990ScheduleD/TotalBookValueOtherAssetsAmt0902100
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt091334
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0363451
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt013173
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt021258
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0DR JULIE SCHULLER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CHAIRPERSON
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0489216
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0SIXTEENTH STREET COMMUNITY HEALTH CENTERS, A RELATED ORGANIZATION, IS RESPONSIBLE FOR ALL COMPENSATION. SIXTEENTH STREET USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE CEO: COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE 990 IS PROVIDED TO THE BOARD FOR REVIEW. THE 990 IS REVIEWED BEFORE FILING OF THE FORM.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE BOARD OF DIRECTORS SIGN A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS. IF THERE IS A POTENTIAL CONFLICT, THE BOARD MEMBER WILL BE RECUSED FROM ANY VOTE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST AND OR AS MANDATED BY GRANTS, DONATIONS, ETC.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0SIXTEENTH STREET COMMUNITY HEALTH CENTERS INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0391180475
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0WI
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HEALTH CARE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 7
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt01032 S CESAR E CHAVEZ DRIVE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0MILWAUKEE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0WI
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd053204
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd01
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd01
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt06060890
IRS990/TotalAssetsEOYAmt05807992
IRS990/TotalAssetsGrp/BOYAmt06060890
IRS990/TotalAssetsGrp/EOYAmt05807992
IRS990/TotalCompGreaterThan150KInd01
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt012971
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0364618
IRS990/TotalFunctionalExpensesGrp/TotalAmt0377589
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt06247447
IRS990/TotalLiabilitiesEOYAmt06098471
IRS990/TotalLiabilitiesGrp/BOYAmt06247447
IRS990/TotalLiabilitiesGrp/EOYAmt06098471
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-186557
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-290479
IRS990/TotalOtherCompensationAmt034431
IRS990/TotalProgramServiceExpensesAmt0364618
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt08701
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0264966
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0273667
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt04
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt06060890
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt05807992
IRS990/TotReportableCompRltdOrgAmt0454785
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt01032 S CESAR E CHAVEZ DRIVE
IRS990/USAddress/CityNm0MILWAUKEE
IRS990/USAddress/StateAbbreviationCd0WI
IRS990/USAddress/ZIPCd053204
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt04
IRS990/WebsiteAddressTxt0WWW.SSCHC.ORG
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0DR JULIE SCHULLER
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CHAIRPERSON
ReturnHeader/BusinessOfficerGrp/PhoneNum04142988189
ReturnHeader/BusinessOfficerGrp/SignatureDt02026-01-13
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0SSCHC REAL ESTATE INC
ReturnHeader/Filer/BusinessNameControlTxt0SSCH
ReturnHeader/Filer/EIN0850563312
ReturnHeader/Filer/PhoneNum04142988189
ReturnHeader/Filer/USAddress/AddressLine1Txt01032 S CESAR E CHAVEZ DRIVE
ReturnHeader/Filer/USAddress/CityNm0MILWAUKEE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0WI
ReturnHeader/Filer/USAddress/ZIPCd053204
ReturnHeader/IRSResponsiblePrtyInfoCurrInd01
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0390859910
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0BAKER TILLY ADVISORY GROUP LP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0790 N WATER ST SUITE 2000
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0MILWAUKEE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0WI
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd053202
ReturnHeader/PreparerPersonGrp/PhoneNum04147775500
ReturnHeader/PreparerPersonGrp/PreparationDt02026-01-13

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