Civic Intelligence

Dental AI Council

EIN 85-4116233 • 501(c)6

Siviq Scores

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

Liabilities / Assets

99th percentile

12.95x

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

501(c)6 • <$500k nonprofits • Source year 2021

Liabilities / Revenue

99th percentile

6.67x

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

501(c)6 • <$500k nonprofits • Source year 2021

Net Margin

3rd percentile

-368%

Higher net margin than 3% of similar nonprofits.

501(c)6 • <$500k nonprofits • Source year 2021

Top Officer Pay

77th percentile

$0

Higher top officer pay than 77% of similar nonprofits.

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

501(c)6 • <$500k nonprofits • Source year 2021

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2021

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2021

Balance Sheet
Liabilities / Assets99th percentile

Assets

$6,362

No earlier filing loaded for comparison.

Liabilities

$82,358

No earlier filing loaded for comparison.

Net Assets

-$75,996

No earlier filing loaded for comparison.

Operations
Liabilities / Revenue99th percentileNet Margin3rd percentile

Revenue

$12,354

No earlier filing loaded for comparison.

Expenses

$57,870

No earlier filing loaded for comparison.

Net Income

-$45,516

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

Asset GrowthScore unavailable

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

$100K$50K$0-$50K-$100KAssets 2021: $6,362Liabilities 2021: $82,358Net Assets 2021: -$75,9962021

Highlighted filing

2021

Assets$6,362
Liabilities$82,358
Net Assets-$75,996
Open 2021 Filing

Operations Trend

Revenue GrowthScore unavailable

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

$100K$50K$0-$50KRevenue 2021: $12,354Expenses 2021: $57,870Net Income 2021: -$45,5162021

Highlighted filing

2021

Revenue$12,354
Expenses$57,870
Net Income-$45,516
Open 2021 Filing

Filings

Most recent year

2021 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$6,362
Liabilities
$82,358
Net assets
-$75,996
Revenue
$12,354
Expenses
$57,870
Net income
-$45,516
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6.36$82.4$76.0$12.4$57.9$45.5
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
Nov 12, 2022
Return Version
2021v4.0
Gross Receipts
$12,354
Mission and Program Overview

Mission

Ai is poised to enact profound change across the field of dentistry. We will see dramatic increases in accuracy and transparency, improved patient care and automation on a variety of levels. This is a truly exciting time and has given rise to many questions. The daic's mission is to advance research, education and thought leadership that helps answer those questions, while bringing clarity and foresight to the discourse surrounding ai's role in the dental industry of tomorrow.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments-$6,362-
Total Assets$0$6,362▲ $6,362
Liabilities
Other Liabilities$30,480$82,358▲ $51,878
Total Liabilities$30,480$82,358▲ $51,878
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-30,480$-75,996▼ $45,516
Total Net Assets Fund Balance$-30,480$-75,996▼ $45,516
Total Liabilities and Net Assets / Fund Balance$0$6,362▲ $6,362
Compensation and Service Providers
Top Officer Pay77th percentile

Board Members and Trustees

NameTitle
Ophir TanzPresident
Nicholas GarrisonSecretary
Jordan PosellTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$12,354
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-45,516
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$57,870
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
Advertising$27,625--$27,625
Fees for Services Legal$15,159--$15,159
Office Expenses$3,314--$3,314
Travel$2,209--$2,209
Other Expenses$183--$183
All Other Expenses$37--$37
Total Functional Expenses$57,870$0$0$57,870
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Pearl Inc.$82,358
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
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

“No review was or will be conducted.”

Form 990, Page 6, Part VI, Line 19

“No documents available to the public”

Filing and Contact Details

Filer

Filer Name
Dental Ai Council
EIN
85-4116233
Phone
3107760581
Address
2515 BENEDICT CANYON DRIVE, BEVERLY HILLS, CA 90210

Signing Officer

Name
Ophir Tanz
Title
President
Phone
3107760581
Signed
2022-11-12

Organization Details

Principal Officer
Ophir Tanz
Formed
2020
Voting Board Members
3
Independent Board Members
3
Employees
0

Preparer

Firm
Hw Llp
Address
16501 VENTURA BLVD STE 400, ENCINO, CA 91436
Preparer
Louis N Hamel CPA
Phone
8189213980
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

“Ai is poised to enact profound change across the field of dentistry. We will see dramatic increases in accuracy and transparency, improved patient care and automation on a variety of levels. This is a truly exciting time and has given rise to many questions. The daic's mission is to advance research, education and thought leadership that helps answer those questions, while bringing clarity and foresight to the discourse surrounding ai's role in the dental industry of tomorrow.”

Raw XML Appendix235 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/AccountantCompileOrReviewInd0false
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0AI IS POISED TO ENACT PROFOUND CHANGE ACROSS THE FIELD OF DENTISTRY. WE WILL SEE DRAMATIC INCREASES IN ACCURACY AND TRANSPARENCY, IMPROVED PATIENT CARE AND AUTOMATION ON A VARIETY OF LEVELS. THIS IS A TRULY EXCITING TIME AND HAS GIVEN RISE TO MANY QUESTIONS. THE DAIC'S MISSION IS TO ADVANCE RESEARCH, EDUCATION AND THOUGHT LEADERSHIP THAT HELPS ANSWER THOSE QUESTIONS, WHILE BRINGING CLARITY AND FORESIGHT TO THE DISCOURSE SURROUNDING AI'S ROLE IN THE DENTAL INDUSTRY OF TOMORROW.
IRS990/AdvertisingGrp/ProgramServicesAmt027625
IRS990/AdvertisingGrp/TotalAmt027625
IRS990/AllOtherExpensesGrp/ProgramServicesAmt037
IRS990/AllOtherExpensesGrp/TotalAmt037
IRS990/BooksInCareOfDetail/PersonNm0OPHIR TANZ
IRS990/BooksInCareOfDetail/PhoneNum08189213980
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt02515 BENEDICT CANYON DRIVE
IRS990/BooksInCareOfDetail/USAddress/CityNm0BEVERLY HILLS
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0CA
IRS990/BooksInCareOfDetail/USAddress/ZIPCd090210
IRS990/BusinessRlnWith35CtrlEntInd0false
IRS990/BusinessRlnWithFamMemInd0false
IRS990/BusinessRlnWithOrgMemInd0false
IRS990/ChangeToOrgDocumentsInd0false
IRS990/CollectionsOfArtInd0false
IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0false
IRS990/CompensationProcessOtherInd0false
IRS990/ConflictOfInterestPolicyInd0false
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0false
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt00
IRS990/CYOtherExpensesAmt057870
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt012354
IRS990/CYRevenuesLessExpensesAmt0-45516
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt057870
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt012354
IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/Desc0THE PRIMARY PURPOSE OF THE DAIC IS TO CONDUCT INDEPENDENT RESEARCH TO BETTER UNDERSTAND WHERE AND HOW AI WILL MOST SIGNIFICANTLY IMPACT THE DENTAL INDUSTRY, VALIDATE THE TECHNOLOGYS PERFORMANCE AND CAPABILITIES, AND ANSWER FUNDAMENTAL QUESTIONS RELATED TO AI'S ROLE IN THE ORAL HEALTHCARE ECOSYSTEM OF TOMORROW. IN ADDITION TO RESEARCH, THE DAIC WILL ADVANCE AI-RELATED EDUCATIONAL PROGRAMMING, THOUGHT LEADERSHIP CONTENT AND PUBLIC ADVOCACY INITIATIVES.
IRS990/DescribedInSection501c3Ind0false
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0false
IRS990/DonorAdvisedFundInd0false
IRS990/DonorRstrOrQuasiEndowmentsInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt00
IRS990/FamilyOrBusinessRlnInd0false
IRS990/FeesForServicesLegalGrp/ProgramServicesAmt015159
IRS990/FeesForServicesLegalGrp/TotalAmt015159
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt01.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt11.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt21.00
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/PersonNm0NICHOLAS GARRISON
IRS990/Form990PartVIISectionAGrp/PersonNm1JORDAN POSELL
IRS990/Form990PartVIISectionAGrp/PersonNm2OPHIR TANZ
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/TitleTxt0SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt1TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt2PRESIDENT
IRS990/Form990ProvidedToGvrnBodyInd0false
IRS990/FormationYr02020
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedInd0false
IRS990/FundraisingActivitiesInd0false
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt03
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt012354
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt03
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InvestmentInJointVentureInd0false
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LoanOutstandingInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0AI IS POISED TO ENACT PROFOUND CHANGE ACROSS THE FIELD OF DENTISTRY. WE WILL SEE DRAMATIC INCREASES IN ACCURACY AND TRANSPARENCY, IMPROVED PATIENT CARE AND AUTOMATION ON A VARIETY OF LEVELS. THIS IS A TRULY EXCITING TIME AND HAS GIVEN RISE TO MANY QUESTIONS. THE DAIC'S MISSION IS TO ADVANCE RESEARCH, EDUCATION AND THOUGHT LEADERSHIP THAT HELPS ANSWER THOSE QUESTIONS, WHILE BRINGING CLARITY AND FORESIGHT TO THE DISCOURSE SURROUNDING AI'S ROLE IN THE DENTAL INDUSTRY OF TOMORROW.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt0-30480
IRS990/NetAssetsOrFundBalancesEOYAmt0-75996
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt0-30480
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0-75996
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0false
IRS990/OfficeExpensesGrp/ProgramServicesAmt03314
IRS990/OfficeExpensesGrp/TotalAmt03314
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501cInd0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherExpensesGrp/Desc0PR SERVICE
IRS990/OtherExpensesGrp/Desc1SOFTWARE SUBSCRIPTION
IRS990/OtherExpensesGrp/Desc2DUES AND SUBSCRIPTIONS
IRS990/OtherExpensesGrp/Desc3MEALS
IRS990/OtherExpensesGrp/ProgramServicesAmt08590
IRS990/OtherExpensesGrp/ProgramServicesAmt1504
IRS990/OtherExpensesGrp/ProgramServicesAmt2249
IRS990/OtherExpensesGrp/ProgramServicesAmt3183
IRS990/OtherExpensesGrp/TotalAmt08590
IRS990/OtherExpensesGrp/TotalAmt1504
IRS990/OtherExpensesGrp/TotalAmt2249
IRS990/OtherExpensesGrp/TotalAmt3183
IRS990/OtherLiabilitiesGrp/BOYAmt030480
IRS990/OtherLiabilitiesGrp/EOYAmt082358
IRS990/PartialLiquidationInd0false
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0OPHIR TANZ
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/Desc0REVENUE
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt012354
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt012354
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/ReconcilationRevenueExpnssAmt0-45516
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0true
IRS990/ReportProgramRelatedInvstInd0false
IRS990/SavingsAndTempCashInvstGrp/EOYAmt06362
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt082358
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO PEARL INC.
IRS990ScheduleD/TotalLiabilityAmt082358
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0false
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0AI IS POISED TO ENACT PROFOUND CHANGE ACROSS THE FIELD OF DENTISTRY. WE WILL SEE DRAMATIC INCREASES IN ACCURACY AND TRANSPARENCY, IMPROVED PATIENT CARE AND AUTOMATION ON A VARIETY OF LEVELS. THIS IS A TRULY EXCITING TIME AND HAS GIVEN RISE TO MANY QUESTIONS. THE DAIC'S MISSION IS TO ADVANCE RESEARCH, EDUCATION AND THOUGHT LEADERSHIP THAT HELPS ANSWER THOSE QUESTIONS, WHILE BRINGING CLARITY AND FORESIGHT TO THE DISCOURSE SURROUNDING AI'S ROLE IN THE DENTAL INDUSTRY OF TOMORROW.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1NO REVIEW WAS OR WILL BE CONDUCTED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2NO DOCUMENTS AVAILABLE TO THE PUBLIC
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990 - ORGANIZATION'S MISSION
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 19
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0CA
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsEOYAmt06362
IRS990/TotalAssetsGrp/BOYAmt00
IRS990/TotalAssetsGrp/EOYAmt06362
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt057870
IRS990/TotalFunctionalExpensesGrp/TotalAmt057870
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt030480
IRS990/TotalLiabilitiesEOYAmt082358
IRS990/TotalLiabilitiesGrp/BOYAmt030480
IRS990/TotalLiabilitiesGrp/EOYAmt082358
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-30480
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-75996
IRS990/TotalProgramServiceRevenueAmt012354
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt012354
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt012354
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt00
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt06362
IRS990/TravelGrp/ProgramServicesAmt02209
IRS990/TravelGrp/TotalAmt02209
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/USAddress/AddressLine1Txt02515 BENEDICT CANYON DRIVE
IRS990/USAddress/CityNm0BEVERLY HILLS
IRS990/USAddress/StateAbbreviationCd0CA
IRS990/USAddress/ZIPCd090210
IRS990/VotingMembersGoverningBodyCnt03
IRS990/VotingMembersIndependentCnt03
IRS990/WebsiteAddressTxt0WWW.DENTALAICOUNCIL.ORG
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/PersonNm0OPHIR TANZ
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum03107760581
ReturnHeader/BusinessOfficerGrp/SignatureDt02022-11-12
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0DENTAL AI COUNCIL
ReturnHeader/Filer/BusinessNameControlTxt0DENT
ReturnHeader/Filer/EIN0854116233
ReturnHeader/Filer/PhoneNum03107760581
ReturnHeader/Filer/USAddress/AddressLine1Txt02515 BENEDICT CANYON DRIVE
ReturnHeader/Filer/USAddress/CityNm0BEVERLY HILLS
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CA
ReturnHeader/Filer/USAddress/ZIPCd090210
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0454205322
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0HW LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt016501 VENTURA BLVD STE 400
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0ENCINO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd091436
ReturnHeader/PreparerPersonGrp/PhoneNum08189213980
ReturnHeader/PreparerPersonGrp/PreparationDt02022-11-15
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0LOUIS N HAMEL CPA
ReturnHeader/ReturnTs02022-11-15T14:13:45-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0OPHIR
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0TANZ
ReturnHeader/TaxPeriodBeginDt02021-01-01
ReturnHeader/TaxPeriodEndDt02021-12-31
ReturnHeader/TaxYr02021

Document Assets

No mirrored PDF or thumbnail assets are attached yet.