Civic Intelligence

Arizona Pharmacy Foundation Inc

990 • Fiscal year 2016 • EIN 86-0679270

Jul 01, 2015 to Jun 30, 2016 • Filed on Oct 16, 2016

1845 E Southern AvenueTempe, AZ 85282

(480) 838-3385

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

56th percentile

0.00x

Higher debt load relative to assets than 56% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Liabilities / Revenue

56th percentile

0.00x

Higher debt load relative to revenue than 56% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Net Margin

28th percentile

-6.7%

Higher net margin than 28% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Top Officer Pay

75th percentile

$0

Higher top officer pay than 75% of similar nonprofits.

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

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Asset Growth

37th percentile

-4.1%

Faster asset growth than 37% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Revenue Growth

13th percentile

-39%

Faster revenue growth than 13% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Assets

Down

$257,530

Down $10,975 (-4.1%) from 2015

Net Assets

Down

$257,428

Down $11,077 (-4.1%) from 2015

Liabilities

Up

$102

Up $102 from 2015

Revenue

Down

$164,727

Down $103,603 (-39%) from 2015

Expenses

Down

$175,804

Down $8,871 (-4.8%) from 2015

Net Income

Down

-$11,077

Down $94,732 (-113%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$300K$200K$100K$0Assets 2012: $190,166Liabilities 2012: $12,756Net Assets 2012: $177,4102012Assets 2013: $195,974Liabilities 2013: $3,194Net Assets 2013: $192,7802013Assets 2014: $184,850Liabilities 2014: $0Net Assets 2014: $184,8502014Assets 2015: $268,505Liabilities 2015: $0Net Assets 2015: $268,5052015Assets 2016: $257,530Liabilities 2016: $102Net Assets 2016: $257,4282016Assets 2017: $259,575Liabilities 2017: $1,845Net Assets 2017: $257,7302017Assets 2018: $246,006Liabilities 2018: $0Net Assets 2018: $246,0062018Assets 2019: $223,407Liabilities 2019: $85Net Assets 2019: $223,3222019Assets 2020: $222,321Liabilities 2020: $7,639Net Assets 2020: $214,6822020Assets 2021: $203,084Liabilities 2021: $8,455Net Assets 2021: $194,6292021Assets 2022: $189,381Liabilities 2022: $15,955Net Assets 2022: $173,4262022Assets 2023: $159,158Liabilities 2023: $10,558Net Assets 2023: $148,6002023Assets 2024: $139,607Liabilities 2024: $33,477Net Assets 2024: $106,1302024

Highlighted filing

2016

Assets$257,530
Liabilities$102
Net Assets$257,428

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300K$200K$100K$0-$100KRevenue 2012: $209,215Expenses 2012: $198,903Net Income 2012: $10,3122012Revenue 2013: $207,630Expenses 2013: $181,355Net Income 2013: $26,2752013Revenue 2014: $192,353Expenses 2014: $200,283Net Income 2014: -$7,9302014Revenue 2015: $268,330Expenses 2015: $184,675Net Income 2015: $83,6552015Revenue 2016: $164,727Expenses 2016: $175,804Net Income 2016: -$11,0772016Revenue 2017: $164,670Expenses 2017: $164,368Net Income 2017: $3022017Revenue 2018: $158,686Expenses 2018: $170,410Net Income 2018: -$11,7242018Revenue 2019: $105,944Expenses 2019: $128,628Net Income 2019: -$22,6842019Revenue 2020: $74,583Expenses 2020: $81,735Net Income 2020: -$7,1522020Revenue 2021: $69,962Expenses 2021: $90,015Net Income 2021: -$20,0532021Revenue 2022: $72,789Expenses 2022: $93,992Net Income 2022: -$21,2032022Revenue 2023: $50,404Expenses 2023: $75,230Net Income 2023: -$24,8262023Revenue 2024: $37,963Expenses 2024: $66,026Net Income 2024: -$28,0632024

Highlighted filing

2016

Revenue$164,727
Expenses$175,804
Net Income-$11,077
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
Oct 16, 2016
Return Version
2015v3.0
Gross Receipts
$164,727
Mission and Program Overview

Mission

Provide funds and materials to promote and educate the public concerning the delivery of pharmaceutical care. Support research and provide scholarship programs to deserving pharmacy students. Provide leadership development training to pharmacists and students. Create educational programming for pharmacists, enabling them to meet the demands for pharmaceutical care services and continuing education requirements for license renewal. Pharmacists assisting pharmacists (papa) drug intervention and rehabilitation program for substance abuse. Provide other public and professional services to advance education, research and the delivery of pharmaceutical care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$268,505$257,428▼ $11,077
Cash and Non-Interest-Bearing Accounts$176,747$168,894▼ $7,853
Land, Buildings, and Equipment, Net$86,185$84,206▼ $1,979
Savings and Temporary Cash Investments$5,573$4,430▼ $1,143
Total Assets$268,505$257,530▼ $10,975
Liabilities
Accounts Payable and Accrued Expenses-$102-
Total Liabilities$0$102▲ $102
Net Assets / Fund Balance
Total Net Assets Fund Balance$268,505$257,428▼ $11,077
Total Liabilities and Net Assets / Fund Balance$268,505$257,530▼ $10,975

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$64,306$2,122$66,428
Land$19,900-$19,900
Compensation and Service Providers

Board Members and Trustees

NameTitle
Kenneth BerryPresident
Betty NovackDirector
Carl LabbeDirector
Jerry DennyDirector
Lorri WalmsleyDirector
Stephanie Wernsman SparksDirector
Kelly FineSecretary
Ruth DemarTresurer
Revenue and Support

Revenue Composition

Contributions and Grants
$98,087
Program Service Revenue
$66,637
Investment Income
$3
Other Revenue
$0
All Other Contributions
$5,487
Change in Net Assets
$-11,077
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$120,708
Salaries, Compensation, and Employee Benefits$55,096
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages-$42,160-$42,160
Fees for Services Management-$24,000-$24,000
Other Employee Benefits-$7,934-$7,934
Fees for Services Other-$7,362-$7,362
Office Expenses$867$4,054-$4,921
Travel$778$2,530-$3,308
Payroll Taxes-$3,225-$3,225
All Other Expenses$2,778--$2,778
Insurance-$2,767-$2,767
Fees for Services Accounting-$2,000-$2,000
Depreciation Depletion$1,979--$1,979
Pension Plan Contributions-$1,777-$1,777
Conferences and Meetings$1,076--$1,076
Other Expenses$1,000--$1,000
Advertising$510--$510
Information Technology-$26-$26
Total Functional Expenses$77,969$97,835$0$175,804
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
Yes
Annual disclosure for covered persons
Yes
Audit committee
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
Yes

Governance Explanations

Form 990, Page 6, Part VI, Line 3

The board of directors has delegated management and operational functions to arizona pharmacy alliance a related tax-exempt organization.

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

Tax return is reviewed by board at board meeting.

Form 990, Page 6, Part VI, Line 12C

Reviewed every meeting of the board.

Form 990, Page 6, Part VI, Line 19

UPON REQUEST

Filing and Contact Details

Filer

Filer Name
Arizona Pharmacy Foundation Inc
EIN
86-0679270
Phone
4808383385
Address
1845 E SOUTHERN AVENUE, TEMPE, AZ 85282

Signing Officer

Name
Kelly Fine
Title
Secretary
Phone
4808383385
Signed
2016-10-16
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kelly Fine
Formed
1991
Legal Domicile
Az
Voting Board Members
8
Independent Board Members
0
Employees
1

Preparer

Firm
Terry Lutz CPA Pc
Address
5801 S MCCLINTOCK DR STE 106, TEMPE, AZ 85283
Preparer
Terry Lutz
Phone
4807556682
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

Provide funds and materials to promote and educate the public concerning the delivery of pharmaceutical care. Support research and provide scholarship programs to deserving pharmacy students. Provide leadership development training to pharmacists and students. Create educational programming for pharmacists, enabling them to meet the demands for pharmaceutical care services and continuing education requirements for license renewal. Pharmacists assisting pharmacists (papa) drug intervention and rehabilitation program for substance abuse. Provide other public and professional services to advance education, research and the delivery of pharmaceutical care.

Form 990, Page 1, Part I, Line 6

The governing board members volunteer their time to serve, and were the only volunteers this year.

Form 990, Page 2, Part III, Line 4D

SAME AS ABOVE.

Form 990, Part XI, Line 9

CONSOLIDATION 0

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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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IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt098087
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0181153
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt095385
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0207630
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0195481
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0777736
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt04
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt04
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt04
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt012
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt066640
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus4YearsAmt013730
IRS990ScheduleA/OtherIncome170Grp/TotalAmt013730
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.98260
IRS990ScheduleA/PublicSupportPY170Pct00.96900
IRS990ScheduleA/PublicSupportTotal170Amt0777736
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt098087
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0181153
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt095385
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0207630
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0195481
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0777736
IRS990ScheduleA/TotalSupportAmt0791478
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/LandGrp/BookValueAmt019900
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt019900
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt064306
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt02122
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt066428
IRS990ScheduleD/TotalBookValueLandBuildingsAmt084206
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0PROVIDE FUNDS AND MATERIALS TO PROMOTE AND EDUCATE THE PUBLIC CONCERNING THE DELIVERY OF PHARMACEUTICAL CARE. SUPPORT RESEARCH AND PROVIDE SCHOLARSHIP PROGRAMS TO DESERVING PHARMACY STUDENTS. PROVIDE LEADERSHIP DEVELOPMENT TRAINING TO PHARMACISTS AND STUDENTS. CREATE EDUCATIONAL PROGRAMMING FOR PHARMACISTS, ENABLING THEM TO MEET THE DEMANDS FOR PHARMACEUTICAL CARE SERVICES AND CONTINUING EDUCATION REQUIREMENTS FOR LICENSE RENEWAL. PHARMACISTS ASSISTING PHARMACISTS (PAPA) DRUG INTERVENTION AND REHABILITATION PROGRAM FOR SUBSTANCE ABUSE. PROVIDE OTHER PUBLIC AND PROFESSIONAL SERVICES TO ADVANCE EDUCATION, RESEARCH AND THE DELIVERY OF PHARMACEUTICAL CARE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE GOVERNING BOARD MEMBERS VOLUNTEER THEIR TIME TO SERVE, AND WERE THE ONLY VOLUNTEERS THIS YEAR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2SAME AS ABOVE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE BOARD OF DIRECTORS HAS DELEGATED MANAGEMENT AND OPERATIONAL FUNCTIONS TO ARIZONA PHARMACY ALLIANCE A RELATED TAX-EXEMPT ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4TAX RETURN IS REVIEWED BY BOARD AT BOARD MEETING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5REVIEWED EVERY MEETING OF THE BOARD.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6UPON REQUEST
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7CONSOLIDATION 0
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990 - ORGANIZATION'S MISSION
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 1, PART I, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 2, PART III, LINE 4D
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART XI, LINE 9
IRS990ScheduleR/AssetExchangeInd0false
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd0false
IRS990ScheduleR/AssetSaleToOtherOrgInd0false
IRS990ScheduleR/DivRelatedOrganizationInd0false
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd0false
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd0false
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd0false
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN0860663721
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd0AZ
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0MARKETING
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0PHARMACY NETWORK OF ARIZONA
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt01845 EAST SOUTHERN AVENUE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm0TEMPE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd0AZ
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCd0852825831
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0ARIZONA PHARMACY ALLIANCE INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0010820836
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501C6
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0AZ
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0EDUCATION
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt07
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt01845 E SOUTHERN AVENUE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0TEMPE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0AZ
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd085282
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd0false
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd0false
IRS990ScheduleR/PaidEmployeesSharingInd0true
IRS990ScheduleR/PerformOfServicesByOtherOrgInd0false
IRS990ScheduleR/PerformOfServicesForOthOrgInd0false
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd0false
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd0true
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd0true
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd0true
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd0false
IRS990ScheduleR/SharingOfFacilitiesInd0true
IRS990ScheduleR/TransferFromOtherOrgInd0false
IRS990ScheduleR/TransferToOtherOrgInd0false
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0AZ
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0268505
IRS990/TotalAssetsEOYAmt0257530
IRS990/TotalAssetsGrp/BOYAmt0268505
IRS990/TotalAssetsGrp/EOYAmt0257530
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt098087
IRS990/TotalEmployeeCnt01
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt097835
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt077969
IRS990/TotalFunctionalExpensesGrp/TotalAmt0175804
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt0102
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt0102
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0268505
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0257428
IRS990/TotalOtherProgSrvcExpenseAmt01979
IRS990/TotalProgramServiceExpensesAmt077969
IRS990/TotalProgramServiceRevenueAmt066637
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt066640
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0164727
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0268505
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0257530
IRS990/TravelGrp/ManagementAndGeneralAmt02530
IRS990/TravelGrp/ProgramServicesAmt0778
IRS990/TravelGrp/TotalAmt03308
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt01845 E SOUTHERN AVE
IRS990/USAddress/CityNm0TEMPE
IRS990/USAddress/StateAbbreviationCd0AZ
IRS990/USAddress/ZIPCd085282
IRS990/VotingMembersGoverningBodyCnt08
IRS990/VotingMembersIndependentCnt00
IRS990/WebsiteAddressTxt0AZPHARMACY.ORG
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0KELLY FINE
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0SECRETARY
ReturnHeader/BusinessOfficerGrp/PhoneNum04808383385
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-10-16

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