Civic Intelligence

Community Outreach Medical Program

EIN 86-1067218 • 501(c)3 • Jackson, WY

Profile

To understand & serve the health & wellness needs of the medically underserved & their household members who live or work in teton county, wy.

PO Box 10044Jackson, WY 83002-0044

n/A

Siviq Scores

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

Liabilities / Assets

33rd percentile

0.00x

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

501(c)3 • $500k-$1M nonprofits • Source year 2024

Liabilities / Revenue

34th percentile

0.00x

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

501(c)3 • $500k-$1M nonprofits • Source year 2024

Net Margin

37th percentile

-1.1%

Higher net margin than 37% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Top Officer Pay

77th percentile

$17,483

Higher top officer pay than 77% of similar nonprofits.

Top officer pay equals 2.4% of source-year revenue.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Asset Growth

37th percentile

-1.4%

Faster asset growth than 37% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Revenue Growth

57th percentile

11%

Faster revenue growth than 57% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Assets

Down

$567,209

Down $7,875 (-1.4%) from 2023

Liabilities

Flat

$0

Flat from 2023

Net Assets

Down

$567,209

Down $7,875 (-1.4%) from 2023

Revenue

Up

$736,864

Up $75,765 (+11%) from 2023

Expenses

Up

$744,739

Up $4,150 (+0.6%) from 2023

Net Income

Up

-$7,875

Up $71,615 (+90%) from 2023

Trend Graphs

Balance Sheet Trend

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

$800K$600K$400K$200K$0Assets 2010: $208,308Liabilities 2010: $4,372Net Assets 2010: $203,9362010Assets 2011: $242,916Liabilities 2011: $142Net Assets 2011: $242,7742011Assets 2012: $246,325Liabilities 2012: $155Net Assets 2012: $246,1702012Assets 2013: $268,605Liabilities 2013: $230Net Assets 2013: $268,3752013Assets 2014: $295,262Liabilities 2014: $219Net Assets 2014: $295,0432014Assets 2015: $333,496Liabilities 2015: $1,723Net Assets 2015: $331,7732015Assets 2016: $386,093Liabilities 2016: $205Net Assets 2016: $385,8882016Assets 2017: $408,373Liabilities 2017: $0Net Assets 2017: $408,3732017Assets 2018: $473,024Liabilities 2018: $37,765Net Assets 2018: $435,2592018Assets 2019: $478,558Liabilities 2019: $250Net Assets 2019: $478,3082019Assets 2020: $605,179Liabilities 2020: $21Net Assets 2020: $605,1582020Assets 2021: $605,796Liabilities 2021: $128Net Assets 2021: $605,6682021Assets 2022: $654,583Liabilities 2022: $0Net Assets 2022: $654,5832022Assets 2023: $575,084Liabilities 2023: $0Net Assets 2023: $575,0842023Assets 2024: $567,209Liabilities 2024: $0Net Assets 2024: $567,2092024

Highlighted filing

2024

Assets$567,209
Liabilities$0
Net Assets$567,209

Operations Trend

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

$1.0M$500K$0-$500KExpenses 2010: $103,2112010Expenses 2011: $88,0112011Expenses 2012: $82,7782012Revenue 2013: $118,859Expenses 2013: $96,654Net Income 2013: $22,2052013Revenue 2014: $189,832Expenses 2014: $163,164Net Income 2014: $26,6682014Revenue 2015: $185,188Expenses 2015: $148,458Net Income 2015: $36,7302015Revenue 2016: $238,967Expenses 2016: $184,852Net Income 2016: $54,1152016Revenue 2017: $184,959Expenses 2017: $162,474Net Income 2017: $22,4852017Revenue 2018: $221,505Expenses 2018: $194,619Net Income 2018: $26,8862018Revenue 2019: $331,142Expenses 2019: $288,093Net Income 2019: $43,0492019Revenue 2020: $595,292Expenses 2020: $468,442Net Income 2020: $126,8502020Revenue 2021: $667,450Expenses 2021: $666,939Net Income 2021: $5112021Revenue 2022: $707,628Expenses 2022: $658,713Net Income 2022: $48,9152022Revenue 2023: $661,099Expenses 2023: $740,589Net Income 2023: -$79,4902023Revenue 2024: $736,864Expenses 2024: $744,739Net Income 2024: -$7,8752024

Highlighted filing

2024

Revenue$736,864
Expenses$744,739
Net Income-$7,875

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.67$0.00$5.67$7.37$7.45$0.08
2023Summary only. Only limited summary data is available for this year.$5.75$0.00$5.75$6.61$7.41$0.79
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.55$0.00$6.55$7.08$6.59$0.49
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6.06$0.00$6.06$6.67$6.67$0.01
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6.05$0.00$6.05$5.95$4.68$1.27
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.79$0.00$4.78$3.31$2.88$0.43
2018Summary only. Only limited summary data is available for this year.$4.73$0.38$4.35$2.22$1.95$0.27
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.08$0.00$4.08$1.85$1.62$0.22
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.86$0.00$3.86$2.39$1.85$0.54
2015Detailed filing. Detailed filing data is available for this year.$3.33$0.02$3.32$1.85$1.48$0.37
2014Detailed filing. Detailed filing data is available for this year.$2.95$0.00$2.95$1.90$1.63$0.27
2013Detailed filing. Detailed filing data is available for this year.$2.69$0.00$2.68$1.19$0.97$0.22
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.46$0.00$2.46$0.83
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.43$0.00$2.43$0.88
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.08$0.04$2.04$1.03
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 15, 2025
Return Version
2024v5.0
Gross Receipts
$736,864
Mission and Program Overview

Mission

To understand & serve the health & wellness needs of the medically underserved & their household members who live or work in teton county, wy.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$575,084$567,209▼ $7,875
Savings and Temporary Cash Investments$427,479$446,738▲ $19,259
Cash and Non-Interest-Bearing Accounts$134,702$115,460▼ $19,242
Land, Buildings, and Equipment, Net$5,508$5,011▼ $497
Total Assets$575,084$567,209▼ $7,875
Other Assets Total$7,395--
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$575,084$567,209▼ $7,875
Total Liabilities and Net Assets / Fund Balance$575,084$567,209▼ $7,875

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$5,011$21,964$26,975
Compensation and Service Providers

Employees

NameTitleBaseTotal
Charlotte MasonSecretary$17,483$17,483

Board Members and Trustees

NameTitle
Stacey CaesarPresident
Brent PeacockDirector
Richard SugdenDirector
Jerry RankinVice Preside
Revenue and Support

Revenue Composition

Contributions and Grants
$717,604
Program Service Revenue
$0
Investment Income
$19,260
Other Revenue
$0
All Other Contributions
$717,604
Change in Net Assets
$-7,875

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 Amount
Other Non Cash Contri Table1$471,712
Total Noncash Contributions1$471,712
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$606,894
Salaries, Compensation, and Employee Benefits$137,845
Total Fundraising Expense$2,952
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$127,104--$127,104
Occupancy$17,688$6,163-$23,851
Payroll Taxes$10,741--$10,741
Fees for Services Accounting-$9,891-$9,891
Other Expenses$8,384--$8,384
Insurance$6,748--$6,748
Office Expenses$6,039--$6,039
All Other Expenses$4,580--$4,580
Advertising$1,563-$2,952$4,515
Conferences and Meetings$1,165--$1,165
Depreciation Depletion$497--$497
Total Functional Expenses$725,733$16,054$2,952$744,739
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
Yes
Other officer compensation reviewed
Yes
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, Page 6, Part VI, Line 11B

The board of directors reviews the annual form 990 during reguarly scheduled board meetings.

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

The conflict on interst policy is considered to be monitored and enforced by way of discussion during regulary scheduled board meetings.

Form 990, Page 6, Part VI, Line 15A

Neither the chairman of the board, nor any other board members are compensated.

Form 990, Page 6, Part VI, Line 15B

Neither the chairman of the board, nor any other board members are compensated.

Form 990, Page 6, Part VI, Line 19

The organization makes it governing documents, conflict of interest policy and financial statements available to the public upon request. This information is available at thompson palmer & associates, 275 east broadway, jackson, wyoming 83001.

Filing and Contact Details

Filer

Filer Name
Community Outreach Medical Program
EIN
86-1067218
Phone
3077397492
Address
PO BOX 10044, JACKSON, WY 83002-0044
Doing Business As
Teton Free Clinic

Signing Officer

Name
Charlotte Mason
Title
Secretary
Phone
3077397492
Signed
2025-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Stacey Caesar
Formed
2003
Legal Domicile
Wy
Voting Board Members
6
Independent Board Members
6
Employees
13

Preparer

Firm
Thompson Palmer & Associates Pc
Address
PO BOX 5, JACKSON, WY 83001
Preparer
Richard Palmer
Phone
3077335160
Supplemental Narrative

Additional Explanations

Form 990, Part XI

Method of accounting is modified accrual

Form 990, Part XII

History of the teton free clinic the teton free clinic was a dream that became a reality for retired orthopedic surgeon dr. Robert volz as he finished his tenure on the board of directors for st. John's medical center in jackson, wy. Dr. Volz was concerned that a portion of his community did not have adequate access to health care; meaning that they either did not heave health insurance or were low-income and could not afford to pay for the care they needed. After conducting a survey, he was shocked to learn that 25% of the population did not have health insurance. People were also asked where they go for medical care. Many stated that they would go to the emergency room for even minor illnesses. Since an emergency room cannot turn people away due to their inability to pay as a result legislation passed in 1986, their departments have become overrun with this patient population. We know that the er is the most expensive form of health care and those unpaid accounts result in the rising cost of health care for the population as a whole. Dr. Volz researched this topic in great detail wondering how other communities are addressing this issue. He discovered an organization founded in hilton head, sc called the volunteers in medicine institute. Founded by dr jack connell, the vimi opened the first free clinic as a pilot program to see if volunteers could come together to offer primary care to those in need free of charge. It was a huge success and they branched out to spread the word. The vimi is now nationally recognized and currently supports over 50 free clinics nation wide. Using the vimi model, the teton free clinic was formed in 2003. Its mission is to provide primary medical care, and to understand the health and wellness needs of the medically underserved and their household members who live or work in teton county, wy. The teton free clinic was given a generous donation to provide the initial funding, and is now supported by donations made mostly through 2 local fundraisers. The clinic operates one evening per week. It is staffed by an executive director, and a physicians assistant who receive a small stipend to ensure continuity of care and many other volunteer physicians, nurses, social workers, and lay volunteer community members. The clinic sees approximately 750 patient visits per year. Patients must provide documentation stating that they are residents of teton county, wy, do not have health insurance and meet the income guidelines. Services that are offered are similar to those of any primary care facility; treating a wide range of diagnoses from diabetes to hypertension and minor accidents. Most laboratory and radiology tests are covered as well as prescriptions. The clinic's theme is the circle of caring and giving. We ask each patient to recognize that the services they receive are a gift to them out of love and concern from their community and they are in turn asked to offer an act of kindness to someone they encounter in life who is also in need. The clinic continues to be a success and it is heartwarming to see the direct impact that a program like this can have on the health and wellness needs of a local community.

Raw XML Appendix334 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/Desc0THE CLINIC WAS OPEN 2 EVENING PER WEEK FOR 48 WEEKS DURING THE YEAR. WE HOSTED MONTHLY DIABETES AND HEALTHY LIFESTYLE EDUCATION CLASSES. ATTENDANCE IN THESE CLASSES IS MANDTORY FOR PATIENTS WHO HAVE DIABETES. THE CLINIC IS STAFFED BY 3 MDS, 4 FNPS, 2 PAS,AND 16 NURSES AND MEDICAL ASSISTANTS. WE HAVE 12 OTHER VOLUNTEERS THAT FILL ROLES IN THE FRONT OFFICE AND PROVIDE TRANSLATION SERVICES. DURING THE YEAR WE PROVDED CARE THROUGH 997 PATIENT VISITS. THE CLINIC CONTINUES TO COLLABORATE WITH MANY LOCAL HEALTH AND HUMAN SERVICE PROVIDERS AND CONTINUES TO BE A PICKUP SITE FOR WHOLE FOOD RESCUE NO COST GROCERY PROGRAM.
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IRS990/ProgSrvcAccomActy2Grp/Desc0THE COMMUNITY FOUNDATION OF JACKSON HOLE AWARDED A COMMUNITY IMPACT GRANT TO THE CLINIC TO BE USED TO SUPPORT THE CLINIC'S PILOT PROGRAM - MEDICAL MANAGEMENT FOR DIABETES IN TETON COUNTY. THE GRANT COVERED INSULIN COSTS, STIPENDS FOR MEDICAL CARE PROVIDERS DIRECTLY INVOLVED WITH THIS PROGRAM, ADMINISTRATIVE COSTS, AND INTERPRETATIVE SERVICES. PATIENTS WERE REQUIRED TO ATTEND CLASSES IN LIFESTYLE MODIFICATION SUPPORT AND SOCIAL NEEDS ASSESSMENT PROVIDED BY ST. JOHN'S HEALTH DIABETES EDUCATION GROUP. EARLY RESULTS SHOW IMPROVED PATIENT COMPLIANCE AND IMPROVED HEALTH.
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE BOARD OF DIRECTORS REVIEWS THE ANNUAL FORM 990 DURING REGUARLY SCHEDULED BOARD MEETINGS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE CONFLICT ON INTERST POLICY IS CONSIDERED TO BE MONITORED AND ENFORCED BY WAY OF DISCUSSION DURING REGULARY SCHEDULED BOARD MEETINGS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2NEITHER THE CHAIRMAN OF THE BOARD, NOR ANY OTHER BOARD MEMBERS ARE COMPENSATED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3NEITHER THE CHAIRMAN OF THE BOARD, NOR ANY OTHER BOARD MEMBERS ARE COMPENSATED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THIS INFORMATION IS AVAILABLE AT THOMPSON PALMER & ASSOCIATES, 275 EAST BROADWAY, JACKSON, WYOMING 83001.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5METHOD OF ACCOUNTING IS MODIFIED ACCRUAL
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6HISTORY OF THE TETON FREE CLINIC THE TETON FREE CLINIC WAS A DREAM THAT BECAME A REALITY FOR RETIRED ORTHOPEDIC SURGEON DR. ROBERT VOLZ AS HE FINISHED HIS TENURE ON THE BOARD OF DIRECTORS FOR ST. JOHN'S MEDICAL CENTER IN JACKSON, WY. DR. VOLZ WAS CONCERNED THAT A PORTION OF HIS COMMUNITY DID NOT HAVE ADEQUATE ACCESS TO HEALTH CARE; MEANING THAT THEY EITHER DID NOT HEAVE HEALTH INSURANCE OR WERE LOW-INCOME AND COULD NOT AFFORD TO PAY FOR THE CARE THEY NEEDED. AFTER CONDUCTING A SURVEY, HE WAS SHOCKED TO LEARN THAT 25% OF THE POPULATION DID NOT HAVE HEALTH INSURANCE. PEOPLE WERE ALSO ASKED WHERE THEY GO FOR MEDICAL CARE. MANY STATED THAT THEY WOULD GO TO THE EMERGENCY ROOM FOR EVEN MINOR ILLNESSES. SINCE AN EMERGENCY ROOM CANNOT TURN PEOPLE AWAY DUE TO THEIR INABILITY TO PAY AS A RESULT LEGISLATION PASSED IN 1986, THEIR DEPARTMENTS HAVE BECOME OVERRUN WITH THIS PATIENT POPULATION. WE KNOW THAT THE ER IS THE MOST EXPENSIVE FORM OF HEALTH CARE AND THOSE UNPAID ACCOUNTS RESULT IN THE RISING COST OF HEALTH CARE FOR THE POPULATION AS A WHOLE. DR. VOLZ RESEARCHED THIS TOPIC IN GREAT DETAIL WONDERING HOW OTHER COMMUNITIES ARE ADDRESSING THIS ISSUE. HE DISCOVERED AN ORGANIZATION FOUNDED IN HILTON HEAD, SC CALLED THE VOLUNTEERS IN MEDICINE INSTITUTE. FOUNDED BY DR JACK CONNELL, THE VIMI OPENED THE FIRST FREE CLINIC AS A PILOT PROGRAM TO SEE IF VOLUNTEERS COULD COME TOGETHER TO OFFER PRIMARY CARE TO THOSE IN NEED FREE OF CHARGE. IT WAS A HUGE SUCCESS AND THEY BRANCHED OUT TO SPREAD THE WORD. THE VIMI IS NOW NATIONALLY RECOGNIZED AND CURRENTLY SUPPORTS OVER 50 FREE CLINICS NATION WIDE. USING THE VIMI MODEL, THE TETON FREE CLINIC WAS FORMED IN 2003. ITS MISSION IS TO PROVIDE PRIMARY MEDICAL CARE, AND TO UNDERSTAND THE HEALTH AND WELLNESS NEEDS OF THE MEDICALLY UNDERSERVED AND THEIR HOUSEHOLD MEMBERS WHO LIVE OR WORK IN TETON COUNTY, WY. THE TETON FREE CLINIC WAS GIVEN A GENEROUS DONATION TO PROVIDE THE INITIAL FUNDING, AND IS NOW SUPPORTED BY DONATIONS MADE MOSTLY THROUGH 2 LOCAL FUNDRAISERS. THE CLINIC OPERATES ONE EVENING PER WEEK. IT IS STAFFED BY AN EXECUTIVE DIRECTOR, AND A PHYSICIANS ASSISTANT WHO RECEIVE A SMALL STIPEND TO ENSURE CONTINUITY OF CARE AND MANY OTHER VOLUNTEER PHYSICIANS, NURSES, SOCIAL WORKERS, AND LAY VOLUNTEER COMMUNITY MEMBERS. THE CLINIC SEES APPROXIMATELY 750 PATIENT VISITS PER YEAR. PATIENTS MUST PROVIDE DOCUMENTATION STATING THAT THEY ARE RESIDENTS OF TETON COUNTY, WY, DO NOT HAVE HEALTH INSURANCE AND MEET THE INCOME GUIDELINES. SERVICES THAT ARE OFFERED ARE SIMILAR TO THOSE OF ANY PRIMARY CARE FACILITY; TREATING A WIDE RANGE OF DIAGNOSES FROM DIABETES TO HYPERTENSION AND MINOR ACCIDENTS. MOST LABORATORY AND RADIOLOGY TESTS ARE COVERED AS WELL AS PRESCRIPTIONS. THE CLINIC'S THEME IS THE CIRCLE OF CARING AND GIVING. WE ASK EACH PATIENT TO RECOGNIZE THAT THE SERVICES THEY RECEIVE ARE A GIFT TO THEM OUT OF LOVE AND CONCERN FROM THEIR COMMUNITY AND THEY ARE IN TURN ASKED TO OFFER AN ACT OF KINDNESS TO SOMEONE THEY ENCOUNTER IN LIFE WHO IS ALSO IN NEED. THE CLINIC CONTINUES TO BE A SUCCESS AND IT IS HEARTWARMING TO SEE THE DIRECT IMPACT THAT A PROGRAM LIKE THIS CAN HAVE ON THE HEALTH AND WELLNESS NEEDS OF A LOCAL COMMUNITY.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 15B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART XI
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART XII
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ReturnHeader/BuildTS02025-03-06 01:10:19Z
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ReturnHeader/BusinessOfficerGrp/PersonNm0CHARLOTTE MASON
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ReturnHeader/PreparerPersonGrp/PreparationDt02025-11-14
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0RICHARD PALMER
ReturnHeader/ReturnTs02025-11-17T18:41:41-05:00
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