Form 990, Part VI, Section A, Line 8B
“There are no other committees that act on behalf of the board of directors.”
EIN 88-3618712 • 501(c)3 • Worcester, MA
Profile
Choices, inc.'s (choices) mission is to create a safe, supportive, respectful recovery community where adolescents struggling with addiction and co-occurring disorders can reclaim and restore all aspects of their lives. As an adolescent recovery community we value : hope, community, accountability, & health.
Scores are not available for this record yet.
Assets
$756,416
No earlier filing loaded for comparison.
Liabilities
$756,288
No earlier filing loaded for comparison.
Net Assets
$128
No earlier filing loaded for comparison.
Revenue
$448,576
No earlier filing loaded for comparison.
Expenses
$448,576
No earlier filing loaded for comparison.
Net Income
$0
No earlier filing loaded for comparison.
Most recent year
2023 • Form 990Detailed filing. Detailed filing data is available for this year.
Choices, inc.'s (choices) mission is to create a safe, supportive, respectful recovery community where adolescents struggling with addiction and co-occurring disorders can reclaim and restore all aspects of their lives. As an adolescent recovery community we value : hope, community, accountability, & health.
Choices, inc.'s (choices) mission is to create a safe, supportive, respectful recovery community where adolescents struggling with addiction and co-occurring disorders can reclaim and restore all aspects of their lives.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Cash and Non-Interest-Bearing Accounts | $128 | $549,608 | ▲ $549,480 |
| Receivables From Officers Etc | - | $206,808 | - |
| Total Assets | $128 | $756,416 | ▲ $756,288 |
| Liabilities | |||
| Deferred Revenue | - | $751,367 | - |
| Accounts Payable and Accrued Expenses | - | $4,921 | - |
| Total Liabilities | $0 | $756,288 | ▲ $756,288 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $128 | $128 | → $0 |
| Total Net Assets Fund Balance | $128 | $128 | → $0 |
| Total Liabilities and Net Assets / Fund Balance | $128 | $756,416 | ▲ $756,288 |
| Name | Title | Base | Other | Total |
|---|---|---|---|---|
| William Beers | President | - | $46,164 | $46,164 |
| Susan Strong | Clerk | $37,680 | - | $37,680 |
| Michelle Lipinski | Director | $10,000 | - | $10,000 |
| Name | Title |
|---|---|
| JIM O'DAY | Vice President |
| Margaret Chang | Director |
| William Manzi | Director |
| Bob Spellane | Treasurer |
| Line Item | Amount |
|---|---|
| Other Expenses | $232,375 |
| Salaries, Compensation, and Employee Benefits | $184,701 |
| Total Fundraising Expense | $63,296 |
| Professional Fundraising Fees | $31,500 |
| Grants and Similar Amounts Paid | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Fees for Services Other | $131,697 | $276 | $184 | $132,157 |
| Current Officers, Directors, Trustees, and Key Employees | $72,303 | $6,925 | $14,616 | $93,844 |
| Other Salaries and Wages | $62,162 | $12,432 | $8,288 | $82,882 |
| Fees for Services Professional Fundraising | - | - | $31,500 | $31,500 |
| Occupancy | $20,053 | $4,011 | $2,674 | $26,738 |
| Office Expenses | $3,877 | $6,578 | $3,642 | $14,097 |
| Fees for Services Legal | - | $10,000 | - | $10,000 |
| Travel | $6,799 | $1,360 | $907 | $9,066 |
| Payroll Taxes | $5,981 | $1,196 | $798 | $7,975 |
| Insurance | - | $3,965 | - | $3,965 |
| Information Technology | $1,273 | $255 | $170 | $1,698 |
| Advertising | $891 | $178 | $119 | $1,188 |
| Other Expenses | $467 | $93 | $281 | $841 |
| Total Functional Expenses | $337,836 | $47,444 | $63,296 | $448,576 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $31,500 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Kristi Wikowski Lombardo | Spouse of William Beers, President | Amount Paid to Central Ma Clincial Services for Behavioral Health Services Performed | No | $120,000 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Officers, Directors, Trustees, and Key Employees | - | $206,808 | - |
“There are no other committees that act on behalf of the board of directors.”
“Choices provided a copy of the form 990 to the board of directors for review and approval prior to submitting.”
“The organization requires the board of directors to sign off on conflicts of interest, if any, annually.”
“Choices provides its governing documents, policies and financial statements to the public upon request.”
“Choices implemented 3 new program services in 2023. See form 990, part iii, lines 4a-4c.”
“Choices implemented 3 new program services in 2023. See form 990, part iii, lines 4a-4c.”
“Payroll processing: program service expenses 1,380. Management and general expenses 276. Fundraising expenses 184. Total expenses 1,840. Other contracted labor: program service expenses 127,967. Management and general expenses 0. Fundraising expenses 0. Total expenses 127,967. Behavioral health consultants: program service expenses 2,350. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,350.”
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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|---|---|---|
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| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | CHOICES, INC.'S (CHOICES) MISSION IS TO CREATE A SAFE, SUPPORTIVE, RESPECTFUL RECOVERY COMMUNITY WHERE ADOLESCENTS STRUGGLING WITH ADDICTION AND CO-OCCURRING DISORDERS CAN RECLAIM AND RESTORE ALL ASPECTS OF THEIR LIVES. |
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| IRS990/Desc | 0 | THE POSITIVE ALTERNATIVES TO STUDENT SUSPENSION (PASS PROGRAM) IS AN EFFECTIVE EARLY-INTERVENTION MODEL AND ACTS AS A LEVER FOR REFERRAL TO SERVICES THAT ADDRESS THE MOUNTING ADOLESCENT SUBSTANCE USE AND MENTAL HEALTH CRISIS. CHOICES PASS PROGRAM IS THE 4TH PASS PROGRAM TO OPEN IN MASSACHUSETTS.SCHOOLS LACK THE CAPACITY TO ASSESS, OFFER INTERVENTIONS, AND CONNECT TO SERVICES THE YOUTH POPULATION WHOSUFFER FROM MENTAL HEALTH AND SUBSTANCE USE DISORDER. CHOICES HAS THE INTERNAL CAPACITY TO ASSESS, CONNECTAND INTERVENE, AS WE INTERRUPT THE TRAJECTORY FOR SUSPENDED STUDENTS WHO THEN BECOME ENTANGLED WITHIN THEJUVENILE JUSTICE SYSTEM. THE PROBLEM BEHAVIOR THAT LEADS TO SUSPENSION CAN INDICATE AN UNDERLYING ISSUE. THEMOMENT OF SUSPENSION IS ALSO A MOMENT FOR INTERVENTION AND A VITAL OPPORTUNITY TO CHANGE OUTCOMES FORSTUDENTS.DURING THE PASS PROGRAM, STUDENTS WITH SUBSTANCE USE, MENTAL HEALTH AND CO-OCCURRING DISORDERS AREIDENTIFIED AND CONNECTED TO SERVICES, INCLUDING RESOURCES FOR SUBSTANCE USE TREATMENT AND RECOVERY. THEASSESSMENT STEP OF THE PASS PROGRAM IS CRUCIAL. TYPICALLY, STUDENTS DO NOT SELF-IDENTIFY AS NEEDING SUPPORT FORMENTAL HEALTH OR SUBSTANCE USE ISSUES, AND THE SCHOOL ENVIRONMENT IS NOT STRUCTURED IN A WAY THAT DRAWS OUTTHESE ISSUES. THUS, AT THE NORTH SHORE PASS PROGRAM, OF THE 88% OF STUDENT PARTICIPANTS IDENTIFIED AS HAVINGMENTAL HEALTH AND/OR SUBSTANCE USE ISSUES, ONLY 30% HAD RECEIVED SERVICES FOR THOSE ISSUES PRIOR TO PASS.DURING THE PASS PROGRAM ASSESSMENT, THE LICENSED CLINICIAN MAY BE THE FIRST PERSON TO ASK STUDENTS ABOUTMENTAL HEALTH AND SUBSTANCE USE. STUDENTS MAY, FOR THE FIRST TIME, SEE THAT THEY CAN TAKE ACCOUNTABILITY ANDMAKE AMENDS WITHOUT THE SHAME AND BLAME SO FAMILIAR TO THEM. RATHER THAN A POTENTIALLY HARMFUL ANDUNPRODUCTIVE PUNISHMENT, SCHOOL DISTRICTS WILL HAVE AN OPTION FOR STUDENTS THAT PROVIDES THEM WITH A WAYFORWARD.PROGRAM STRUCTURE: STUDENTS FROM AREA SCHOOL DISTRICTS WHO ARE FACING SUSPENSION WILL BE OFFERED THEOPPORTUNITY TO PARTICIPATE IN THE PASS PROGRAM, WHICH THEY WILL ATTEND FOR AN AVERAGE OF FIVE DAYS FROM 9:00 AMTO 2:00 PM. PASS IS OPEN MONDAY-FRIDAY AND WILL ACCEPT A MAXIMUM OF 20 STUDENTS PER DAY. STUDENTS MAY REMAIN AT PASS BEYOND THE TYPICAL SUSPENSION PERIOD WITH AGREEMENT FROM THAT STUDENT'S SCHOOL ANDCOMMUNITY TEAM. KEY COMPONENTS OF THE PASS PROGRAM INCLUDE:1) INTERVENTION: STUDENTS FACING SUSPENSION WILL BE OFFERED THE OPTION TO ATTEND AN OUT-OF-SCHOOL THERAPEUTICPROGRAM IN A SUPPORTIVE, DIGNIFIED SPACE WHERE THEY WILL RECEIVE THE SOCIAL AND EMOTIONAL SUPPORT THEY NEEDAND ACCESS THEIR SCHOOLWORK THROUGH REMOTE PLATFORMS DIRECTLY FROM THEIR HOME SCHOOL.2) ASSESSMENT & INDIVIDUAL COUNSELING: STUDENTS WILL BE ASSESSED FOR MENTAL HEALTH AND SUBSTANCE USEDISORDERS BY A LICENSED CLINICIAN ON THEIR FIRST DAY OF ATTENDANCE. STUDENTS WILL ALSO RECEIVE SUBSTANCE USE ANDMENTAL HEALTH EDUCATION, COUNSELING FOR HEALTHY COPING SKILLS, DECISION MAKING, NAVIGATING DIFFICULT SITUATIONS,AND SPECIFIC SUBSTANCE USE DISORDER TREATMENT IF NEEDED. STUDENTS WILL ENGAGE WITH RESTORATIVE PRACTICE TRAININGAND IMPLEMENTATION AND TECHNIQUES FOR SELF REGULATION AND SOCIAL EMOTIONAL LEARNING.3) REFERRAL TO SERVICES: STUDENTS WHO NEED MENTAL HEALTH OR SUBSTANCE USE SUPPORT WILL BE REFERRED TO CMCAFOR CLINICAL INTERVENTIONS, INCLUDING 1:1 COUNSELING, IN HOME BEHAVIORAL THERAPY, THERAPEUTIC MENTORING,RECOVERY COACHING AND FAMILY COUNSELING.4) MEANINGFUL PROGRAMMING IN A SAFE, SUPPORTIVE SPACE: STUDENTS WILL RECEIVE SUPPORT TO COMPLETE DAILYSCHOOLWORK AND TESTS, AS WELL AS ACADEMIC PLANNING. THIS SUPPORT IS PROVIDED BY A LICENSED SPECIAL EDUCATOR.THROUGH GROUP ACTIVITIES AND LEARNING SESSIONS, STUDENTS WILL WORK ON SOCIAL SKILL BUILDING, INCLUDING TOOLS FOR COMMUNICATING WITH PARENTS AND TEACHERS; RESTORATIVE PRACTICE STRATEGIES FOR AVOIDING REACTIVITY AND REBUILDINGTRUST; AND SELF-REFLECTION, IDENTITY, AND SELF-AWARENESS. THEY WILL ALSO HAVE THE OPPORTUNITY FOR PHYSICAL ACTIVITIES,RECREATION, AND ARTISTI |
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| IRS990/MissionDesc | 0 | CHOICES, INC.'S (CHOICES) MISSION IS TO CREATE A SAFE, SUPPORTIVE, RESPECTFUL RECOVERY COMMUNITY WHERE ADOLESCENTS STRUGGLING WITH ADDICTION AND CO-OCCURRING DISORDERS CAN RECLAIM AND RESTORE ALL ASPECTS OF THEIR LIVES. AS AN ADOLESCENT RECOVERY COMMUNITY WE VALUE : HOPE, COMMUNITY, ACCOUNTABILITY, & HEALTH. |
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| IRS990/ProgSrvcAccomActy2Grp/Desc | 0 | THE ALTERNATIVE PEER GROUP (APG) IS A RECOVERY SUPPORT SERVICE FOR ADOLESCENTS EXPERIENCING SUD AND CO-OCCURRING DISORDERS. POSITIVE RECOVERING PEERS SUPPORT RECOVERY BY REINFORCING RECOVERY AND PROSOCIAL BEHAVIORS. ONE OF THE FIRST LESSONS PEER ROLE MODELS TEACH NEW ADOLESCENTS IS HOW TO HAVE FUN IN RECOVERY. APG YOUTH STAFF MEMBERS (I.E: YOUNG PEOPLE IN RECOVERY) ASSIST THE COUNSELORS IN SHAPING RECOVERY NORMS BY ENGAGING WITH CLIENTS AS MENTORS AND COACHES, FACILITATING PEER- LED GROUPS, AND ENGAGING IN AND MONITORING PRO-RECOVERY SOCIAL ACTIVITIES AND AFTERSCHOOL HANGOUTS. AS NEW APG MEMBERS GAIN TIME IN THE PROGRAM, THEY ARE TAUGHT AND HELD RESPONSIBLE FORBECOMING A LEADER. THESE ADOLESCENTS ARE ASKED TO SIT ON COMMITTEES THAT MAY PLAN AND ORGANIZE WEEKENDPRO-RECOVERY SOCIAL FUNCTIONS OR RETREATS. AS THE ADOLESCENT DEVELOPS FRIENDSHIPS AND BECOMES MORE INVESTED INTHE COMMUNITY, THE SOCIAL PRESSURE TO MAINTAIN PROSOCIAL BEHAVIOR GROWS. MANY ADOLESCENTS REPORT THEIR DESIRETO BE HONEST ABOUT RELAPSES AND BEHAVIORAL REGRESSIONS. NEW FAMILIES ARE ENCOURAGED TO LISTEN AND LEARN FROMFAMILIES WHO HAVE ''BEEN THERE'' WITH THEIR CHILDREN THROUGH PARENT GROUPS AND INFORMAL COFFEE CONVERSATIONS.MORE EXPERIENCED FAMILIES MODEL AND REINFORCE NEW FAMILY NORMS THAT SUPPORT RECOVERY. MANY APG COUNSELINGSTAFF MEMBERS ARE PERSONS IN LONG-TERM RECOVERY FROM ADOLESCENT SUD. THUS, THEY PROVIDE EXAMPLES OFSUCCESSFUL ADULT LIVES BORN FROM A TUMULTUOUS ADOLESCENCE. |
| IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt | 0 | 202702 |
| IRS990/ProgSrvcAccomActy3Grp/Desc | 0 | THE EDUCATION AND RECOVERY ACADEMY (ERA) IS A FLEXIBLE, CREATIVE PROGRAM THAT AFFORDS ADOLESCENTS STRUGGLING WITH SUBSTANCE USE AND CO-OCCURRING DISORDERS, THE OPPORTUNITY TO TO PREPARE AND TAKE THE HISET OR GED, OR TO ENROLL IN ONE OF 2 MASSACHUSETTS DIPLOMA GRANTING VIRTUAL HIGH SCHOOLS, WHILE GAINING BOTH ACADEMIC AND PSYCHO-SOCIAL SUPPORT. CHOICES ERA PROVIDES A TREATMENT FOCUSED ENVIRONMENT WITH EMBEDDED ACADEMIC PREPARATION FOR ADOLESCENTS AND YOUNG ADULTSTHROUGH AGE 21. MANY OF OUR STUDENTS HAVE EXPERIENCED SCHOOL FAILURE, INVISIBILITY AND SHAME AT THE HANDS OF A SYSTEM THAT IS NOT CRAFTED TO MEET SIGNIFICANT MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES.STUDENTS WHO ARE 16 PLUS, ARE ELIGIBLE TO TAKE THE GED (GENERAL EQUIVALENCY DEGREE) OR THE HISET (HIGHSCHOOL EQUIVALENCY TEST) EXAM, AND PREPARE FOR AND TAKE THESE EXAMS AT CHOICES, WHILE RECEIVINGSOCIAL/EMOTIONAL SUPPORT AND MENTORING WITHIN THE FRAMEWORK OF A RECOVERY ENVIRONMENT. FINANCIALLITERACY, CAREER EXPLORATION AND JOB COACHING ARE EMBEDDED WITHIN THE SCHEDULE.THE ERA PROGRAM ISOPEN FROM 10:00-6:00 PM, MONDAY-FRIDAY, AND THE SCHEDULE IS INDIVIDUALIZED BASED ON EDUCATIONAL ANDPSYCHO-SOCIAL NEED. |
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| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt | 0 | 197 |
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| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt | 0 | 197 |
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| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
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| IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc | 0 | AMOUNT PAID TO CENTRAL MA CLINCIAL SERVICES FOR BEHAVIORAL HEALTH SERVICES PERFORMED |
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| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | CHOICES IMPLEMENTED 3 NEW PROGRAM SERVICES IN 2023. SEE FORM 990, PART III, LINES 4A-4C. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | CHOICES IMPLEMENTED 3 NEW PROGRAM SERVICES IN 2023. SEE FORM 990, PART III, LINES 4A-4C. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | THERE ARE NO OTHER COMMITTEES THAT ACT ON BEHALF OF THE BOARD OF DIRECTORS. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | CHOICES PROVIDED A COPY OF THE FORM 990 TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO SUBMITTING. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | THE ORGANIZATION REQUIRES THE BOARD OF DIRECTORS TO SIGN OFF ON CONFLICTS OF INTEREST, IF ANY, ANNUALLY. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | CHOICES PROVIDES ITS GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 6 | PAYROLL PROCESSING: PROGRAM SERVICE EXPENSES 1,380. MANAGEMENT AND GENERAL EXPENSES 276. FUNDRAISING EXPENSES 184. TOTAL EXPENSES 1,840. OTHER CONTRACTED LABOR: PROGRAM SERVICE EXPENSES 127,967. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 127,967. BEHAVIORAL HEALTH CONSULTANTS: PROGRAM SERVICE EXPENSES 2,350. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,350. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990, PART III, LINE 2 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990, PART III, LINE 3 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990, PART VI, SECTION A, LINE 8B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990, PART VI, SECTION B, LINE 11B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | FORM 990, PART VI, SECTION B, LINE 12C |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | FORM 990, PART VI, SECTION C, LINE 19 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 6 | FORM 990, PART IX, LINE 11G |
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| IRS990/TerminateOperationsInd | 0 | 0 |
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| IRS990/TotalAssetsEOYAmt | 0 | 756416 |
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| IRS990/TotalLiabilitiesEOYAmt | 0 | 756288 |
| IRS990/TotalLiabilitiesGrp/BOYAmt | 0 | 0 |
| IRS990/TotalLiabilitiesGrp/EOYAmt | 0 | 756288 |
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| IRS990/TravelGrp/ManagementAndGeneralAmt | 0 | 1360 |
| IRS990/TravelGrp/ProgramServicesAmt | 0 | 6799 |
| IRS990/TravelGrp/TotalAmt | 0 | 9066 |
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| IRS990/TypeOfOrganizationCorpInd | 0 | X |
| IRS990/UnrelatedBusIncmOverLimitInd | 0 | 0 |
| IRS990/UponRequestInd | 0 | X |
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| IRS990/USAddress/CityNm | 0 | WORCESTER |
| IRS990/USAddress/StateAbbreviationCd | 0 | MA |
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| IRS990/VotingMembersIndependentCnt | 0 | 6 |
| IRS990/WebsiteAddressTxt | 0 | WWW.4CHOICES.ORG |
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| ReturnHeader/BuildTS | 0 | 2024-10-15 13:58:12Z |
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| ReturnHeader/BusinessOfficerGrp/PersonNm | 0 | WILLIAM BEERS |
| ReturnHeader/BusinessOfficerGrp/PersonTitleTxt | 0 | PRESIDENT |
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| ReturnHeader/Filer/BusinessNameControlTxt | 0 | CHOI |
| ReturnHeader/Filer/EIN | 0 | 883618712 |
| ReturnHeader/Filer/PhoneNum | 0 | 5084555053 |
| ReturnHeader/Filer/USAddress/AddressLine1Txt | 0 | 108 GROVE STREET 205 |
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| ReturnHeader/Filer/USAddress/StateAbbreviationCd | 0 | MA |
| ReturnHeader/Filer/USAddress/ZIPCd | 0 | 01605 |
| ReturnHeader/IRSResponsiblePrtyInfoCurrInd | 0 | 0 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmEIN | 0 | 383697447 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt | 0 | NON PROFIT CAPITAL MANAGEMENT LLC |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt | 0 | 153 CLINTON RD |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm | 0 | STERLING |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd | 0 | MA |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd | 0 | 015642357 |
| ReturnHeader/PreparerPersonGrp/PhoneNum | 0 | 7819336726 |
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