Civic Intelligence

Childhood Leukemia Research & Assistance Fund

EIN 86-0966566 • 501(c)3 • Scottsdale, AZ

Profile

The organization provides medical assistance programs for leukemia and cancer patients. It provides medical equipment, supplies and humanitarian aid to hospitals, clinics and other supportive organizations.

6509 E Clinton StreetScottsdale, AZ 85254

childleukemiaresearch.org

Siviq Scores

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

Liabilities / Assets

60th percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2024

Liabilities / Revenue

62nd percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2024

Net Margin

32nd percentile

-8.4%

Higher net margin than 32% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Top Officer Pay

82nd percentile

$3,133

Higher top officer pay than 82% of similar nonprofits.

Top officer pay equals 4.1% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2024

Asset Growth

36th percentile

-15%

Faster asset growth than 36% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Revenue Growth

30th percentile

-26%

Faster revenue growth than 30% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Assets

Down

$44,498

Down $1,864 (-4.0%) from 2022

Liabilities

Down

$160

Down $1,092 (-87%) from 2022

Net Assets

Down

$44,338

Down $772 (-1.7%) from 2022

Revenue

Up

$102,734

Up $13,456 (+15%) from 2022

Expenses

Up

$103,506

Up $8,357 (+8.8%) from 2022

Net Income

Up

-$772

Up $5,099 (+87%) from 2022

Trend Graphs

Balance Sheet Trend

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

$200K$150K$100K$50K$0Assets 2011: $88,204Liabilities 2011: $2,120Net Assets 2011: $86,0842011Assets 2012: $131,807Liabilities 2012: $3,234Net Assets 2012: $128,5732012Assets 2013: $136,982Liabilities 2013: $4,766Net Assets 2013: $132,2162013Assets 2014: $154,748Liabilities 2014: $825Net Assets 2014: $153,9232014Assets 2015: $148,101Liabilities 2015: $1,584Net Assets 2015: $146,5172015Assets 2016: $124,873Liabilities 2016: $3,098Net Assets 2016: $121,7752016Assets 2017: $97,743Liabilities 2017: $2,738Net Assets 2017: $95,0052017Assets 2018: $53,330Liabilities 2018: $2,950Net Assets 2018: $50,3802018Assets 2019: $35,686Liabilities 2019: $1,403Net Assets 2019: $34,2832019Assets 2020: $33,414Liabilities 2020: $1,262Net Assets 2020: $32,1522020Assets 2021: $52,165Liabilities 2021: $1,266Net Assets 2021: $50,8992021Assets 2022: $46,362Liabilities 2022: $1,252Net Assets 2022: $45,1102022Assets 2023: $44,498Liabilities 2023: $160Net Assets 2023: $44,3382023

Highlighted filing

2023

Assets$44,498
Liabilities$160
Net Assets$44,338

Operations Trend

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

$1.5M$1.0M$500K$0-$500KRevenue 2011: $671,833Expenses 2011: $691,297Net Income 2011: -$19,4642011Expenses 2012: $642,0602012Revenue 2013: $607,741Expenses 2013: $581,114Net Income 2013: $26,6272013Revenue 2014: $965,339Expenses 2014: $913,521Net Income 2014: $51,8182014Revenue 2015: $503,333Expenses 2015: $485,893Net Income 2015: $17,4402015Revenue 2016: $982,492Expenses 2016: $1,007,234Net Income 2016: -$24,7422016Revenue 2017: $823,268Expenses 2017: $851,647Net Income 2017: -$28,3792017Revenue 2018: $547,633Expenses 2018: $592,258Net Income 2018: -$44,6252018Revenue 2019: $93,342Expenses 2019: $109,439Net Income 2019: -$16,0972019Revenue 2020: $174,028Expenses 2020: $176,158Net Income 2020: -$2,1302020Revenue 2021: $88,913Expenses 2021: $70,167Net Income 2021: $18,7462021Revenue 2022: $89,278Expenses 2022: $95,149Net Income 2022: -$5,8712022Revenue 2023: $102,734Expenses 2023: $103,506Net Income 2023: -$7722023

Highlighted filing

2023

Revenue$102,734
Expenses$103,506
Net Income-$772

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Summary only. Only limited summary data is available for this year.$0.04$0.00$0.04$0.10$0.10$0.00
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.05$0.00$0.05$0.09$0.10$0.01
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.05$0.00$0.05$0.09$0.07$0.02
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.03$0.00$0.03$0.17$0.18$0.00
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.04$0.00$0.03$0.09$0.11$0.02
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.05$0.00$0.05$0.55$0.59$0.04
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.10$0.00$0.10$0.82$0.85$0.03
2016Detailed filing. Detailed filing data is available for this year.$0.12$0.00$0.12$0.98$1.01$0.02
2015Detailed filing. Detailed filing data is available for this year.$0.15$0.00$0.15$0.50$0.49$0.02
2014Summary only. Only limited summary data is available for this year.$0.15$0.00$0.15$0.97$0.91$0.05
2013Summary only. Only limited summary data is available for this year.$0.14$0.00$0.13$0.61$0.58$0.03
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.13$0.00$0.13$0.64
2011Summary only. Only limited summary data is available for this year.$0.09$0.00$0.09$0.67$0.69$0.02
Latest Detailed Filing

The latest 2023 filing currently has summary financial data only. Showing the latest detailed filing from 2016 below.

Jump To
Filing Snapshot
Filing Period
Oct 1, 2015 to Sep 30, 2016
Signed
May 10, 2017
Return Version
2015v3.0
Gross Receipts
$982,492
Mission and Program Overview

Mission

The organization provides medical assistance programs for leukemia and cancer patients. It provides medical equipment, supplies and humanitarian aid to hospitals, clinics and other supportive organizations.

Balance Sheet Detail
LineBeginningEndChange
Assets
Pledges and Grants Receivable$74,537$53,497▼ $21,040
Cash and Non-Interest-Bearing Accounts$45,542$42,360▼ $3,182
Savings and Temporary Cash Investments$26,054$26,056▲ $2
Land, Buildings, and Equipment, Net$1,968$2,960▲ $992
Total Assets$148,101$124,873▼ $23,228
Liabilities
Accounts Payable and Accrued Expenses$1,584$3,098▲ $1,514
Total Liabilities$1,584$3,098▲ $1,514
Net Assets / Fund Balance
Unrestricted Net Assets$146,517$121,775▼ $24,742
Total Net Assets Fund Balance$146,517$121,775▼ $24,742
Total Liabilities and Net Assets / Fund Balance$148,101$124,873▼ $23,228

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$2,960$3,583$6,543
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Louise GardnerPresidentPT$29,250$29,250

Board Members and Trustees

NameTitle
Sarah DavidsonVice President
Adriana MartindaleSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$982,489
Program Service Revenue
$0
Investment Income
$3
Other Revenue
$0
All Other Contributions
$927,129
Change in Net Assets
$-24,742

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Drugs and Medical Supplies52$671,398-
Food Inventory4$255,731Fair Market Value (FMV)
Total Noncash Contributions56$927,129-

Audited Revenue Reconciliation

Revenue per Audited Statements
$982,492
Total Revenue per Audited Statements
$982,492
Total Revenue per Form 990
$982,492
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$935,396
Other Expenses$40,350
Salaries, Compensation, and Employee Benefits$31,488
Total Fundraising Expense$2,401
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Foreign Grants$799,264--$799,264
Grants to Domestic Orgs$136,132--$136,132
Current Officers, Directors, Trustees, and Key Employees$23,400$4,387$1,463$29,250
Insurance$9,482$1,778$593$11,853
Fees for Services Accounting-$9,813-$9,813
Fees for Services Other$9,000--$9,000
Other Expenses$4,000--$4,000
Travel$2,472$463$155$3,090
Payroll Taxes$1,790$336$112$2,238
Advertising-$1,536$78$1,614
Depreciation Depletion$784$196-$980
Total Functional Expenses$986,324$18,509$2,401$1,007,234

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$1,007,234
Total Expenses per Audited Statements$1,007,234
Total Expenses per Form 990$1,007,234
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
CHILDREN'S CANCER AID & RESEARCH INSTITUTEPhoenix, AZ-Program Support$6,000
Alliance of Nutrition and HealthSan Luis, AZ---

International Summary

Spending
$1,015,615

International Compliance

Foreign grant records maintained
Yes
Activity in boycott countries
No
Foreign corporation ownership
No
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
No

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanProgram ServicesHumanitarian Aid--$887,749
North AmericaProgram ServicesHumanitarian Aid--$127,866
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Federal income taxes-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
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
Yes
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 C, Line 19

Information is available upon request

Filing and Contact Details

Filer

Filer Name
Childhood Leukemia Research & Assistance Fund
EIN
86-0966566
Phone
4807475028
Address
6509 E CLINTON STREET, SCOTTSDALE, AZ 85254

Signing Officer

Name
Louise Gardner
Title
President
Phone
4807475028
Signed
2017-05-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Louise Gardner
Formed
1999
Legal Domicile
Az
Voting Board Members
3
Independent Board Members
2
Employees
1

Preparer

Firm
Westar Financial LLC
Address
POB 72118, PHOENIX, AZ 85050
Preparer
Michael Koning CPA
Phone
4806289407
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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/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0578589
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0684542
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt03930627
IRS990ScheduleA/TotalSupportAmt03930627
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd0true
IRS990ScheduleD/EquipmentGrp/BookValueAmt02960
IRS990ScheduleD/EquipmentGrp/DepreciationAmt03583
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt06543
IRS990ScheduleD/ExpensesSubtotalAmt01007234
IRS990ScheduleD/InclEscrowCustodialAcctLiabInd0false
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Federal income taxes
IRS990ScheduleD/OtherSecuritiesGrp/Desc0Financial derivatives and other financial products
IRS990ScheduleD/OtherSecuritiesGrp/Desc1Closely-held equity interests
IRS990ScheduleD/RevenueSubtotalAmt0982492
IRS990ScheduleD/TotalBookValueLandBuildingsAmt02960
IRS990ScheduleD/TotalExpensesPerForm990Amt01007234
IRS990ScheduleD/TotalRevenuePerForm990Amt0982492
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0982492
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt01007234
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTotalExpendituresAmt0887749
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTotalExpendituresAmt1127866
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTxt0Central America and the Caribbean
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/RegionTxt1North America
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/SpecificServicesProvidedTxt0Humanitarian Aid
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/SpecificServicesProvidedTxt1Humanitarian Aid
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/TypeOfActivitiesConductedTxt0Program Services
IRS990ScheduleF/AccountActivitiesOutsideUSGrp/TypeOfActivitiesConductedTxt1Program Services
IRS990ScheduleF/BoycottCountriesInd0false
IRS990ScheduleF/ForeignCorpOwnershipInd0false
IRS990ScheduleF/ForeignPartnershipInd0false
IRS990ScheduleF/GrantRecordsMaintainedInd0true
IRS990ScheduleF/GrantsToOrgOutsideUSGrp/DescriptionOfNonCashAsstTxt0Medical Aid
IRS990ScheduleF/GrantsToOrgOutsideUSGrp/DescriptionOfNonCashAsstTxt1Humanitarian Aid
IRS990ScheduleF/GrantsToOrgOutsideUSGrp/NonCashAssistanceAmt0887749
IRS990ScheduleF/GrantsToOrgOutsideUSGrp/NonCashAssistanceAmt1127866
IRS990ScheduleF/GrantsToOrgOutsideUSGrp/PurposeOfGrantTxt0Program Support
IRS990ScheduleF/GrantsToOrgOutsideUSGrp/PurposeOfGrantTxt1Program Support
IRS990ScheduleF/GrantsToOrgOutsideUSGrp/RegionTxt0Central America and the Caribbean
IRS990ScheduleF/GrantsToOrgOutsideUSGrp/RegionTxt1North America
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IRS990ScheduleF/InterestInForeignTrustInd0false
IRS990ScheduleF/PassiveForeignInvestmestCoInd0false
IRS990ScheduleF/SubtotalSpentAmt01015615
IRS990ScheduleF/TotalOtherOrgCnt02
IRS990ScheduleF/TotalSpentAmt01015615
IRS990ScheduleF/TransferToForeignCorpInd0false
IRS990ScheduleI/GrantRecordsMaintainedInd0true
IRS990ScheduleI/RecipientTable/CashGrantAmt06000
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt0127865
IRS990ScheduleI/RecipientTable/NonCashAssistanceDesc0Humanitarian Aid
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0Program Support
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0CHILDREN'S CANCER AID & RESEARCH INSTITUTE
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt1ALLIANCE OF NUTRITION AND HEALTH
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0POB 38056
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt1POB 3137
IRS990ScheduleI/RecipientTable/USAddress/CityNm0PHOENIX
IRS990ScheduleI/RecipientTable/USAddress/CityNm1SAN LUIS
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0AZ
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd1AZ
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd085069
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd185349
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IRS990ScheduleI/TotalOtherOrgCnt02
IRS990/ScheduleJRequiredInd0false
IRS990ScheduleM/AnyPropertyThatMustBeHeldInd0false
IRS990ScheduleM/DrugsAndMedicalSuppliesGrp/ContributionCnt052
IRS990ScheduleM/DrugsAndMedicalSuppliesGrp/NonCashCheckboxInd0X
IRS990ScheduleM/DrugsAndMedicalSuppliesGrp/NoncashContributionsRptF990Amt0671398
IRS990ScheduleM/FoodInventoryGrp/ContributionCnt04
IRS990ScheduleM/FoodInventoryGrp/MethodOfDeterminingRevenuesTxt0FMV
IRS990ScheduleM/FoodInventoryGrp/NonCashCheckboxInd0X
IRS990ScheduleM/FoodInventoryGrp/NoncashContributionsRptF990Amt0255731
IRS990ScheduleM/ReviewProcessUnusualNCGiftsInd0false
IRS990ScheduleM/ThirdPartiesUsedInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Information is available upon request
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section C, Line 19
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0AZ
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0148101
IRS990/TotalAssetsEOYAmt0124873
IRS990/TotalAssetsGrp/BOYAmt0148101
IRS990/TotalAssetsGrp/EOYAmt0124873
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0982489
IRS990/TotalEmployeeCnt01
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt02401
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt018509
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0986324
IRS990/TotalFunctionalExpensesGrp/TotalAmt01007234
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt01584
IRS990/TotalLiabilitiesEOYAmt03098
IRS990/TotalLiabilitiesGrp/BOYAmt01584
IRS990/TotalLiabilitiesGrp/EOYAmt03098
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0146517
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0121775
IRS990/TotalProgramServiceExpensesAmt0986324
IRS990/TotalReportableCompFromOrgAmt029250
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0982492
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0148101
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0124873
IRS990/TravelGrp/FundraisingAmt0155
IRS990/TravelGrp/ManagementAndGeneralAmt0463
IRS990/TravelGrp/ProgramServicesAmt02472
IRS990/TravelGrp/TotalAmt03090
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0146517
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0121775
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt06509 E CLINTON STREET
IRS990/USAddress/CityNm0SCOTTSDALE
IRS990/USAddress/StateAbbreviationCd0AZ
IRS990/USAddress/ZIPCd085254
IRS990/VotingMembersGoverningBodyCnt03
IRS990/VotingMembersIndependentCnt02
IRS990/WebsiteAddressTxt0CHILDLEUKEMIARESEARCH.ORG
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0LOUISE GARDNER
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum04807475028
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-05-10
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Childhood Leukemia Research & Assistance Fund
ReturnHeader/Filer/BusinessNameControlTxt0CHIL
ReturnHeader/Filer/EIN0860966566
ReturnHeader/Filer/PhoneNum04807475028
ReturnHeader/Filer/USAddress/AddressLine1Txt06509 E CLINTON STREET
ReturnHeader/Filer/USAddress/CityNm0SCOTTSDALE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0AZ
ReturnHeader/Filer/USAddress/ZIPCd085254
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0WESTAR FINANCIAL LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0POB 72118
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0PHOENIX
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0AZ
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd085050
ReturnHeader/PreparerPersonGrp/PhoneNum04806289407
ReturnHeader/PreparerPersonGrp/PreparationDt02017-05-10
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0MICHAEL KONING CPA
ReturnHeader/ReturnTs02017-05-11T11:45:16-00:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02015-10-01
ReturnHeader/TaxPeriodEndDt02016-09-30
ReturnHeader/TaxYr02015

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