Civic Intelligence

Aviva Qalicb

EIN 85-3172690 • 501(c)3 • Roseburg, OR

Profile

Aviva qalicb is organized and operates exclusively for the benefits and to carry out the purposes for umpqua community health center (dba: aviva health).

150 NE Kenneth Ford DriveRoseburg, OR 97470

n/A

Siviq Scores

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

Liabilities / Assets

88th percentile

0.82x

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

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

Liabilities / Revenue

Score unavailable

No value available

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

Source year 2024

Net Margin

100th percentile

297%

Higher net margin than 100% of similar nonprofits.

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

Top Officer Pay

60th percentile

$217,216

Higher top officer pay than 60% of similar nonprofits.

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

Asset Growth

17th percentile

-5.1%

Faster asset growth than 17% of similar nonprofits.

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

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2023 to 2024

Assets

Down

$20,151,973

Down $1,088,698 (-5.1%) from 2023

Liabilities

Up

$16,590,000

Up $669,025 (+4.2%) from 2023

Net Assets

Down

$3,561,973

Down $1,757,723 (-33%) from 2023

Revenue

Up

-$670,168

Up $184,470 (+22%) from 2023

Expenses

Up

$1,318,248

Up $1,052,691 (+396%) from 2023

Net Income

Down

-$1,988,416

Down $868,221 (-78%) from 2023

Trend Graphs

Balance Sheet Trend

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

$30M$20M$10M$0Assets 2021: $22,992,439Liabilities 2021: $16,490,000Net Assets 2021: $6,502,4392021Assets 2022: $22,394,157Liabilities 2022: $16,590,000Net Assets 2022: $5,804,1572022Assets 2023: $21,240,671Liabilities 2023: $15,920,975Net Assets 2023: $5,319,6962023Assets 2024: $20,151,973Liabilities 2024: $16,590,000Net Assets 2024: $3,561,9732024

Highlighted filing

2024

Assets$20,151,973
Liabilities$16,590,000
Net Assets$3,561,973

Operations Trend

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

$10M$5.0M$0-$5.0MRevenue 2021: $7,229,044Expenses 2021: $726,605Net Income 2021: $6,502,4392021Revenue 2022: -$556,016Expenses 2022: $266,669Net Income 2022: -$822,6852022Revenue 2023: -$854,638Expenses 2023: $265,557Net Income 2023: -$1,120,1952023Revenue 2024: -$670,168Expenses 2024: $1,318,248Net Income 2024: -$1,988,4162024

Highlighted filing

2024

Revenue-$670,168
Expenses$1,318,248
Net Income-$1,988,416

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 6, 2025
Return Version
2024v5.2
Gross Receipts
$901,017
Mission and Program Overview

Mission

Aviva qalicb is organized and operates exclusively for the benefits and to carry out the purposes for umpqua community health center (dba: aviva health).

To benefit and carry out the purposes for aviva health (umpqua community health center, inc.).

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$20,116,615$19,286,136▼ $830,479
Cash and Non-Interest-Bearing Accounts$647,632$445,997▼ $201,635
Savings and Temporary Cash Investments$476,424$419,840▼ $56,584
Total Assets$21,240,671$20,151,973▼ $1,088,698
Liabilities
Mortgage Notes Payable Secured by Investment Property$15,820,975$16,490,000▲ $669,025
Deferred Revenue$100,000$100,000→ $0
Total Liabilities$15,920,975$16,590,000▲ $669,025
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$5,319,696$3,561,973▼ $1,757,723
Total Net Assets Fund Balance$5,319,696$3,561,973▼ $1,757,723
Total Liabilities and Net Assets / Fund Balance$21,240,671$20,151,973▼ $1,088,698

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$18,310,400$2,405,802$20,716,202
Land$684,970-$684,970
Equipment$290,766$167,016$457,782
Compensation and Service Providers

Board Members and Trustees

NameTitle
Leah WoodsPresident
Micah WattersBoard Member
Betty Kay TammSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$1,017
Other Revenue
$-671,185
Change in Net Assets
$-1,988,416
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$1,269,207
Other Expenses$49,041
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$1,269,207--$1,269,207
Fees for Services Accounting-$25,041-$25,041
Fees for Services Other-$24,000-$24,000
Total Functional Expenses$1,269,207$49,041$0$1,318,248
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Umpqua Community Health Center (dba Aviva Health)Roseburg, OR501(c)(3)General Operating Support$1,269,207
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
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
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 7A

One board member must be the cfo of umpqua community health center (dba: aviva health), the supported organization.

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

Prior to filing, the form 990 was reviewed by the board of directors of umpqua community health center (dba: aviva health) and copies were provided to aviva qalicb's board of directors.

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

The organization's conflict of interest policy covers the board of directors. If a board member has a potential conflict, they are required to disclose that to the rest of the board members. A transaction involving a conflict may be authorized by majority vote of the board members who do not have conflicts.

Form 990, Part VI, Section B, Line 15

All compensation decisions are made by umpqua community health center (dba: aviva health), the supported organization.

Form 990, Part VI, Section C, Line 19

The financial statements and governing documents are available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Aviva Qalicb
EIN
85-3172690
Phone
5416729596
Address
150 NE KENNETH FORD DRIVE, ROSEBURG, OR 97470

Signing Officer

Name
Leah Woods
Title
President
Phone
5416729596
Signed
2025-11-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Leah Woods
Formed
2020
Legal Domicile
Or
Voting Board Members
3
Independent Board Members
2
Employees
0
Volunteers
2

Preparer

Firm
Cliftonlarsonallen Llp
Address
10700 NORTHUP WAY SUITE 200, BELLEVUE, WA 98004
Preparer
Kurt Bennion CPA
Phone
4252506100
Raw XML Appendix399 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/MissionDesc0AVIVA QALICB IS ORGANIZED AND OPERATES EXCLUSIVELY FOR THE BENEFITS AND TO CARRY OUT THE PURPOSES FOR UMPQUA COMMUNITY HEALTH CENTER (DBA: AVIVA HEALTH).
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0THE CFO OF UMPQUA COMMUNITY HEALTH CENTER (DBA: AVIVA HEALTH) IS THE PRESIDENT OF THE BOARD OF DIRECTORS OF AVIVA QALICB. AS ONE OF THREE BOARD MEMBERS, THE BOARD PRESIDENT IS IN THE MINORITY AND, THEREFORE, DOES NOT CONTROL THE BOARD OF DIRECTORS. HOWEVER, AS ONE OF ONLY THREE BOARD MEMBERS AND AS THE PRESIDENT OF THE BOARD, THE CFO HAS A SIGNIFICANT VOICE IN ALL DECISIONS MADE BY THE BOARD OF DIRECTORS, INCLUDING INVESTMENT DECISIONS AND OTHER DECISIONS DIRECTING THE USE OF AVIVA QALICB'S INCOME AND ASSETS AT ALL TIMES DURING THE YEAR.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1AVIVA QALICB'S ACTIVITIES CONSIST ENTIRELY OF CONSTRUCTING AND MAINTAINING A BUILDING THAT IS LEASED SOLELY TO UMPQUA COMMUNITY HEALTH CENTER (DBA: AVIVA HEALTH). AVIVA QALICB WAS CREATED AS PART OF A NEW MARKETS TAX CREDIT ARRANGEMENT THAT WILL ULTIMATELY RESULT IN THE TRANSFER OF THE BUILDING AND RELATED OPERATIONS TO AVIVA HEALTH. THE BUILDING FURTHERS AVIVA HEALTH'S MISSION OF PROVIDING HEALTHCARE SERVICES TO MEDICALLY UNDERSERVED INDIVIDUALS IN OUR COMMUNITY BY PROVIDING A MODERN FACILITY THROUGH WHICH THESE SERVICES CAN BE PROVIDED. AVIVA QALICB REMAINS RESPONSIVE TO AVIVA HEALTH THROUGH THE BOARD PRESIDENT'S DUAL POSITION AS CFO OF AVIVA HEALTH. THE BOARD PRESIDENT CAN CALL BOARD MEETINGS AND RAISE ISSUES AS NEEDED BY AVIVA HEALTH.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt2AVIVA QALICB'S ACTIVITIES CONSIST ENTIRELY OF CONSTRUCTING AND MAINTAINING A BUILDING THAT IS LEASED SOLELY TO UMPQUA COMMUNITY HEALTH CENTER (DBA: AVIVA HEALTH). IF NOT FOR THE EXISTENCE OF AVIVA QALICB, THE FACILITY COULD HAVE BEEN ACQUIRED AND/OR CONSTRUCTED DIRECTLY BY AVIVA HEALTH.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART IV, SECTION D, LINE 3:
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc1PART IV, SECTION E, LINE 2A:
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc2PART IV, SECTION E, LINE 2B:
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IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)(3)
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt00
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0GENERAL OPERATING SUPPORT
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IRS990ScheduleI/RecipientTable/RecipientEIN0931070304
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IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0THE ONLY TRANSFER WAS TO AVIVA HEALTH, A RELATED ORGANIZATION. APPROPRIATE USE OF TRANSFERRED FUNDS IS ENSURED THROUGH SHARED EXECUTIVE AND BOARD OVERSIGHT.
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0176482
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt05294
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt035392
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt048
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0LEAH WOODS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0PRESIDENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0217216
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0THE PRESIDENT'S COMPENSATION IS SET BY UMPQUA COMMUNITY HEALTH CENTER (DBA: AVIVA HEALTH), THE SUPPORTED ORGANIZATION. A COMPENSATION SURVEY OR STUDY WAS USED BY AVIVA HEALTH TO SET THE PRESIDENT'S COMPENSATION.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0ONE BOARD MEMBER MUST BE THE CFO OF UMPQUA COMMUNITY HEALTH CENTER (DBA: AVIVA HEALTH), THE SUPPORTED ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1PRIOR TO FILING, THE FORM 990 WAS REVIEWED BY THE BOARD OF DIRECTORS OF UMPQUA COMMUNITY HEALTH CENTER (DBA: AVIVA HEALTH) AND COPIES WERE PROVIDED TO AVIVA QALICB'S BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS THE BOARD OF DIRECTORS. IF A BOARD MEMBER HAS A POTENTIAL CONFLICT, THEY ARE REQUIRED TO DISCLOSE THAT TO THE REST OF THE BOARD MEMBERS. A TRANSACTION INVOLVING A CONFLICT MAY BE AUTHORIZED BY MAJORITY VOTE OF THE BOARD MEMBERS WHO DO NOT HAVE CONFLICTS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ALL COMPENSATION DECISIONS ARE MADE BY UMPQUA COMMUNITY HEALTH CENTER (DBA: AVIVA HEALTH), THE SUPPORTED ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 7A
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 B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd01
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0UMPQUA COMMUNITY HEALTH CENTER
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0931070304
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0OR
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HEALTH CARE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 7
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0150 NE KENNETH FORD DRIVE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0ROSEBURG
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0OR
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd097470
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd01
IRS990ScheduleR/PaidEmployeesSharingInd01
IRS990ScheduleR/PerformOfServicesByOtherOrgInd01
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd01
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd01
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd01
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0OR
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt021240671
IRS990/TotalAssetsEOYAmt020151973
IRS990/TotalAssetsGrp/BOYAmt021240671
IRS990/TotalAssetsGrp/EOYAmt020151973
IRS990/TotalCompGreaterThan150KInd01
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt049041
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt01269207
IRS990/TotalFunctionalExpensesGrp/TotalAmt01318248
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt015920975
IRS990/TotalLiabilitiesEOYAmt016590000
IRS990/TotalLiabilitiesGrp/BOYAmt015920975
IRS990/TotalLiabilitiesGrp/EOYAmt016590000
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt05319696
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt03561973
IRS990/TotalOtherCompensationAmt040686
IRS990/TotalProgramServiceExpensesAmt01269207
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt01017
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0-671185
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0-670168
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt02
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt021240671
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt020151973
IRS990/TotReportableCompRltdOrgAmt0176530
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0150 NE KENNETH FORD DRIVE
IRS990/USAddress/CityNm0ROSEBURG
IRS990/USAddress/StateAbbreviationCd0OR
IRS990/USAddress/ZIPCd097470
IRS990/VotingMembersGoverningBodyCnt03
IRS990/VotingMembersIndependentCnt02
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0LEAH WOODS
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum05416729596
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-11-06
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0AVIVA QALICB
ReturnHeader/Filer/BusinessNameControlTxt0AVIV
ReturnHeader/Filer/EIN0853172690
ReturnHeader/Filer/PhoneNum05416729596
ReturnHeader/Filer/USAddress/AddressLine1Txt0150 NE KENNETH FORD DRIVE
ReturnHeader/Filer/USAddress/CityNm0ROSEBURG
ReturnHeader/Filer/USAddress/StateAbbreviationCd0OR
ReturnHeader/Filer/USAddress/ZIPCd097470
ReturnHeader/IRSResponsiblePrtyInfoCurrInd01
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0410746749
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CLIFTONLARSONALLEN LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt010700 NORTHUP WAY SUITE 200
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0BELLEVUE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0WA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd098004
ReturnHeader/PreparerPersonGrp/PhoneNum04252506100
ReturnHeader/PreparerPersonGrp/PreparationDt02025-10-23
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0KURT BENNION CPA
ReturnHeader/ReturnTs02025-11-07T08:41:00-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02024-01-01
ReturnHeader/TaxPeriodEndDt02024-12-31
ReturnHeader/TaxYr02024

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