Civic Intelligence

Ndha Health Benefits Trust

EIN 87-1254624 • 501(c)9 • Bismarck, ND

NTEE Y43

View Organization Page

Profile

None

1622 Interstate Ave BBismarck, ND 58503

ndha.org/services/services-ndha-health-benefits-t

Siviq Scores

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

Liabilities / Assets

55th percentile

0.02x

Higher debt load relative to assets than 55% of similar nonprofits.

501(c)9 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

35th percentile

0.00x

Higher debt load relative to revenue than 35% of similar nonprofits.

501(c)9 • $10M-$25M nonprofits • Source year 2024

Net Margin

22nd percentile

-5.3%

Higher net margin than 22% of similar nonprofits.

501(c)9 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

95th percentile

$408,338

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 3.7% of source-year revenue.

501(c)9 • $10M-$25M nonprofits • Source year 2024

Asset Growth

10th percentile

-40%

Faster asset growth than 10% of similar nonprofits.

501(c)9 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

63rd percentile

11%

Faster revenue growth than 63% of similar nonprofits.

501(c)9 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets55th percentile

Assets

Down

$906,669

Down $609,662 (-40%) from 2023

Liabilities

Down

$21,957

Down $21,294 (-49%) from 2023

Net Assets

Down

$884,712

Down $588,368 (-40%) from 2023

Operations
Liabilities / Revenue35th percentileNet Margin22nd percentile

Revenue

Up

$11,003,316

Up $1,070,572 (+11%) from 2023

Expenses

Up

$11,591,684

Up $2,622,588 (+29%) from 2023

Net Income

Down

-$588,368

Down $1,552,016 (-161%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth10th percentile

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

$2.0M$1.5M$1.0M$500K$0-$500KAssets 2021: $255,079Liabilities 2021: $392,694Net Assets 2021: -$137,6152021Assets 2022: $548,829Liabilities 2022: $39,397Net Assets 2022: $509,4322022Assets 2023: $1,516,331Liabilities 2023: $43,251Net Assets 2023: $1,473,0802023Assets 2024: $906,669Liabilities 2024: $21,957Net Assets 2024: $884,7122024

Highlighted filing

2024

Assets$906,669
Liabilities$21,957
Net Assets$884,712
Open 2024 Filing

Operations Trend

Revenue Growth63rd percentile

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

$15M$10M$5.0M$0-$5.0MRevenue 2021: $3,280,240Expenses 2021: $3,417,855Net Income 2021: -$137,6152021Revenue 2022: $8,315,517Expenses 2022: $8,319,567Net Income 2022: -$4,0502022Revenue 2023: $9,932,744Expenses 2023: $8,969,096Net Income 2023: $963,6482023Revenue 2024: $11,003,316Expenses 2024: $11,591,684Net Income 2024: -$588,3682024

Highlighted filing

2024

Revenue$11,003,316
Expenses$11,591,684
Net Income-$588,368
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$906,669
Liabilities
$21,957
Net assets
$884,712
Revenue
$11,003,316
Expenses
$11,591,684
Net income
-$588,368
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$0.91$0.02$0.88$11.0$11.6$0.59
2023Detailed filing. Detailed filing data is available for this year.$1.52$0.04$1.47$9.93$8.97$0.96
2022Summary only. Only limited summary data is available for this year.$0.55$0.04$0.51$8.32$8.32$0.00
2021Detailed filing. Detailed filing data is available for this year.$0.26$0.39$0.14$3.28$3.42$0.14
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 14, 2025
Return Version
2024v5.2
Gross Receipts
$11,003,316
Mission and Program Overview

Mission

None

Provide health insurance to participating members.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$1,473,080$884,712▼ $588,368
Savings and Temporary Cash Investments$1,178,668$492,368▼ $686,300
Accounts Receivable$337,663$414,301▲ $76,638
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$1,516,331$906,669▼ $609,662
Liabilities
Accounts Payable and Accrued Expenses$43,251$21,957▼ $21,294
Total Liabilities$43,251$21,957▼ $21,294
Net Assets / Fund Balance
Total Net Assets Fund Balance$1,473,080$884,712▼ $588,368
Total Liabilities and Net Assets / Fund Balance$1,516,331$906,669▼ $609,662
Compensation and Service Providers
Top Officer Pay95th percentile

Employees

NameTitleOtherTotal
Aaron BrennanTrust Administrator$106,595$106,595
Chelsey TetraultTrustee$100,280$100,280

Board Members and Trustees

NameTitle
Tim BlaslPresident
Erik ChristensonVice Chair
Rachel RayTrustee
Derek SchaffSecretary/Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Blue Cross Blue Shield of North DakotaAdministrative Fees4510 13th Ave S, Fargo, ND 58121$635,467
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$10,943,652
Investment Income
$59,664
Other Revenue
$0
Change in Net Assets
$-588,368

Audited Revenue Reconciliation

Revenue per Audited Statements
$11,003,316
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$11,003,316
Total Revenue per Form 990
$11,003,316
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,818,577
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
Benefits to Members---$8,773,107
Other Expenses---$1,991,466
Fees for Services Other---$789,918
Fees for Services Accounting---$25,515
Insurance---$6,090
Office Expenses---$3,770
All Other Expenses---$1,818
Total Functional Expenses$0$0$0$11,591,684

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$11,591,684
Total Expenses per Audited Statements$11,591,684
Total Expenses per Form 990$11,591,684
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
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 1A

“The Board of Trustees consists of four Trustees that are employees of the contributing employers and one Trustee that is not an employee of the plan sponsor, contributing employer, or any organization that is considered related to the NDHA Health Benefits Trust. The four Trustees that are employees of related organizations are compensated by their respective contributing employers for the services they provide as employees. Due to this, these four Trustees are not considered independent Trustees and the one Trustee that is not compensated by a related organization is considered independent.”

Form 990, Part VI, Section A, line 8B

“The organization does not have any committees that have the authority to act on behalf of the governing body.”

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

“The Trust Administrator provides a copy to the governing body for review. The governing body, Trust Administrator, and Plan Sponsor's Director of Finance then review Form 990 together to ensure its accuracy before filing.”

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

“All Trustees are required to comply with the conflict of interest policy. Potential conflicts that are identified by the Trustees are reviewed by Melissa Hauer and Aaron Brennan. Restrictions on Trustees with conflicts include but are not limited to the removal of the trustee from the conversation/situation.”

Form 990, Part VI, Section C, line 19

“The Trust does not make the governing documents, conflict of interest policy, and financial statements available to the public.”

Form 990, Part VII, Section A, Columns (E) and (F):

“The compensation reported in columns E and F represents compensation paid by our member Hospital to their employee for services the employee provides to the Hospital as their employee. No portion of this compensation is provided for the services provided by our Trustees as a Trustee of the NDHA Health Benefits Trust.”

Filing and Contact Details

Filer

Filer Name
NDHA Health Benefits Trust
EIN
87-1254624
Phone
7012249732
Address
1622 Interstate Ave B, Bismarck, ND 58503

Signing Officer

Name
Tim Blasl
Title
Chair
Phone
7012249732
Signed
2025-11-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tim Blasl
Formed
2021
Legal Domicile
Nd
Voting Board Members
5
Independent Board Members
1
Employees
0
Volunteers
5

Preparer

Firm
Eide Bailly LLP
Address
800 Nicollet Mall Ste 1300, Minneapolis, MN 55402-7033
Preparer
Kim Hunwardsen CPA
Phone
6122536500
Supplemental Narrative

Financial Statement Notes

Part X, Line 2:

“Accounting principles generally accepted in the United States of America require trust management to evaluate tax positions taken by the trust and recognize a tax liability (or asset) if the trust has taken an uncertain tax position that more likely than not would not be sustained upon examination of the Internal Revenue Service. The trust is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress.”

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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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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt040957
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt143972
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt234791
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt09805
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Tim Blasl
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1Erik Christenson
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2Derek Schaff
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0President
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1Vice Chair
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2Secretary/Treasurer
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0410084
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1227205
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt2200046
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0The Board of Trustees consists of four Trustees that are employees of the contributing employers and one Trustee that is not an employee of the plan sponsor, contributing employer, or any organization that is considered related to the NDHA Health Benefits Trust. The four Trustees that are employees of related organizations are compensated by their respective contributing employers for the services they provide as employees. Due to this, these four Trustees are not considered independent Trustees and the one Trustee that is not compensated by a related organization is considered independent.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1The organization does not have any committees that have the authority to act on behalf of the governing body.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2The Trust Administrator provides a copy to the governing body for review. The governing body, Trust Administrator, and Plan Sponsor's Director of Finance then review Form 990 together to ensure its accuracy before filing.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3All Trustees are required to comply with the conflict of interest policy. Potential conflicts that are identified by the Trustees are reviewed by Melissa Hauer and Aaron Brennan. Restrictions on Trustees with conflicts include but are not limited to the removal of the trustee from the conversation/situation.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4The Trust does not make the governing documents, conflict of interest policy, and financial statements available to the public.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5The compensation reported in columns E and F represents compensation paid by our member Hospital to their employee for services the employee provides to the Hospital as their employee. No portion of this compensation is provided for the services provided by our Trustees as a Trustee of the NDHA Health Benefits Trust.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section A, line 1a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section A, line 8b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section B, line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section B, line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Section C, line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990, Part VII, Section A, Columns (E) and (F):
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0North Dakota Hospital Association
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1Heart of America
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt2Linton Regional Medical Center
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt3Nelson County Health System
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt4Pembina County Memorial Hospital Association
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt5Prairie Rose Assisted Living
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt6Southwest Healthcare Services
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt7St Luke's Hospital
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt8Towner County Medical Center
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt9West River Health Services
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt10Wishek Community Hospital & Clinics
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt11Sakakawea Medical Center
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0450274165
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(c)(6)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0ND
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0Association to advance health status
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0PO Box 7340
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0Bismarck
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0ND
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd058507
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd01
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd01
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt01516331
IRS990/TotalAssetsEOYAmt0906669
IRS990/TotalAssetsGrp/BOYAmt01516331
IRS990/TotalAssetsGrp/EOYAmt0906669
IRS990/TotalCompGreaterThan150KInd01
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt011591684
IRS990/TotalGrossUBIAmt059664
IRS990/TotalLiabilitiesBOYAmt043251
IRS990/TotalLiabilitiesEOYAmt021957
IRS990/TotalLiabilitiesGrp/BOYAmt043251
IRS990/TotalLiabilitiesGrp/EOYAmt021957
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt01473080
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0884712
IRS990/TotalOtherCompensationAmt0198095
IRS990/TotalProgramServiceRevenueAmt010943652
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt010943652
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt011003316
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt059664
IRS990/TotalVolunteersCnt05
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt01516331
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0906669
IRS990/TotReportableCompRltdOrgAmt0842636
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd01
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt01622 Interstate Ave B
IRS990/USAddress/CityNm0Bismarck
IRS990/USAddress/StateAbbreviationCd0ND
IRS990/USAddress/ZIPCd058503
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt01
IRS990/WebsiteAddressTxt0ndha.org/services/services-ndha-health-benefits-t
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0Tim Blasl
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Chair
ReturnHeader/BusinessOfficerGrp/PhoneNum07012249732
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-11-14
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0NDHA Health Benefits Trust
ReturnHeader/Filer/BusinessNameControlTxt0NDHA
ReturnHeader/Filer/EIN0871254624
ReturnHeader/Filer/PhoneNum07012249732
ReturnHeader/Filer/USAddress/AddressLine1Txt01622 Interstate Ave B
ReturnHeader/Filer/USAddress/CityNm0Bismarck
ReturnHeader/Filer/USAddress/StateAbbreviationCd0ND
ReturnHeader/Filer/USAddress/ZIPCd058503
ReturnHeader/IRSResponsiblePrtyInfoCurrInd01
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0450250958
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Eide Bailly LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0800 Nicollet Mall Ste 1300
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Minneapolis
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0554027033
ReturnHeader/PreparerPersonGrp/PhoneNum06122536500
ReturnHeader/PreparerPersonGrp/PreparationDt02025-11-13
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Kim Hunwardsen CPA
ReturnHeader/ReturnTs02025-11-14T15:53:31-06:00
ReturnHeader/ReturnTypeCd0990

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