Civic Intelligence

Chehalis Lodge #1109 Lo of Moose Inc

EIN 91-0682582 • 501(c)8 • Chehalis, WA

Profile

To provide a family environment for the education of children in need at mooseheart and the needs of senior members at moosehaven. To provide an atmosphere which will enhance unity and growth through social and recreational activities for the membership.

P O Box 426Chehalis, WA 98532
Siviq Scores

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

Liabilities / Assets

78th percentile

0.10x

Higher debt load relative to assets than 78% of similar nonprofits.

501(c)8 • <$500k nonprofits • Source year 2025

Liabilities / Revenue

85th percentile

0.29x

Higher debt load relative to revenue than 85% of similar nonprofits.

501(c)8 • <$500k nonprofits • Source year 2025

Net Margin

17th percentile

-24%

Higher net margin than 17% of similar nonprofits.

501(c)8 • <$500k nonprofits • Source year 2025

Top Officer Pay

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

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

501(c)8 • <$500k nonprofits • Source year 2025

Asset Growth

27th percentile

-8.1%

Faster asset growth than 27% of similar nonprofits.

501(c)8 • <$500k nonprofits • Annualized from 2024 to 2025

Revenue Growth

15th percentile

-30%

Faster revenue growth than 15% of similar nonprofits.

501(c)8 • <$500k nonprofits • Annualized from 2024 to 2025

Assets

Down

$400,663

Down $35,340 (-8.1%) from 2024

Liabilities

Down

$40,674

Down $24,782 (-38%) from 2024

Net Assets

Down

$359,989

Down $10,558 (-2.8%) from 2024

Revenue

Down

$139,280

Down $60,956 (-30%) from 2024

Expenses

Down

$172,249

Down $6,991 (-3.9%) from 2024

Net Income

Down

-$32,969

Down $53,965 (-257%) from 2024

Trend Graphs

Balance Sheet Trend

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

$600K$400K$200K$0-$200KAssets 2011: $375,961Liabilities 2011: $645Net Assets 2011: $375,3162011Assets 2012: $357,222Liabilities 2012: $1,8332012Assets 2013: $329,988Liabilities 2013: $4,1732013Assets 2014: $336,608Liabilities 2014: $4,226Net Assets 2014: $332,3822014Assets 2015: $331,426Liabilities 2015: $1,572Net Assets 2015: $329,8542015Assets 2016: $309,405Liabilities 2016: $02016Assets 2017: $341,718Liabilities 2017: $14,104Net Assets 2017: $327,6142017Assets 2018: $367,028Liabilities 2018: $17,942Net Assets 2018: $349,0862018Assets 2019: $371,290Liabilities 2019: $25,677Net Assets 2019: $345,6132019Assets 2020: $348,033Liabilities 2020: $2,298Net Assets 2020: $345,7352020Assets 2021: $345,268Liabilities 2021: -$5,848Net Assets 2021: $351,1162021Assets 2022: $366,451Liabilities 2022: $11,825Net Assets 2022: $354,6262022Assets 2023: $416,967Liabilities 2023: $67,416Net Assets 2023: $349,5512023Assets 2024: $436,003Liabilities 2024: $65,456Net Assets 2024: $370,5472024Assets 2025: $400,663Liabilities 2025: $40,674Net Assets 2025: $359,9892025

Highlighted filing

2025

Assets$400,663
Liabilities$40,674
Net Assets$359,989

Operations Trend

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

$400K$200K$0-$200KRevenue 2011: $206,150Expenses 2011: $234,477Net Income 2011: -$28,3272011Revenue 2012: $195,164Expenses 2012: $217,701Net Income 2012: -$22,5372012Revenue 2013: $182,520Expenses 2013: $203,769Net Income 2013: -$21,2492013Revenue 2014: $138,948Expenses 2014: $140,939Net Income 2014: -$1,9912014Revenue 2015: $253,757Expenses 2015: $261,842Net Income 2015: -$8,0852015Revenue 2016: $210,082Expenses 2016: $215,797Net Income 2016: -$5,7152016Revenue 2017: $298,440Expenses 2017: $261,272Net Income 2017: $37,1682017Revenue 2018: $395,365Expenses 2018: $374,186Net Income 2018: $21,1792018Revenue 2019: $384,706Expenses 2019: $388,179Net Income 2019: -$3,4732019Revenue 2020: $225,959Expenses 2020: $198,645Net Income 2020: $27,3142020Revenue 2021: $122,638Expenses 2021: $117,257Net Income 2021: $5,3812021Revenue 2022: $161,398Expenses 2022: $149,657Net Income 2022: $11,7412022Revenue 2023: $182,771Expenses 2023: $187,846Net Income 2023: -$5,0752023Revenue 2024: $200,236Expenses 2024: $179,240Net Income 2024: $20,9962024Revenue 2025: $139,280Expenses 2025: $172,249Net Income 2025: -$32,9692025

Highlighted filing

2025

Revenue$139,280
Expenses$172,249
Net Income-$32,969

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.01$0.41$3.60$1.39$1.72$0.33
2024Summary only. Only limited summary data is available for this year.$4.36$0.65$3.71$2.00$1.79$0.21
2023Summary only. Only limited summary data is available for this year.$4.17$0.67$3.50$1.83$1.88$0.05
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.66$0.12$3.55$1.61$1.50$0.12
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.45$0.06$3.51$1.23$1.17$0.05
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.48$0.02$3.46$2.26$1.99$0.27
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.71$0.26$3.46$3.85$3.88$0.03
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.67$0.18$3.49$3.95$3.74$0.21
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.42$0.14$3.28$2.98$2.61$0.37
2016Summary only. Only limited summary data is available for this year.$3.09$0.00$2.10$2.16$0.06
2015Summary only. Only limited summary data is available for this year.$3.31$0.02$3.30$2.54$2.62$0.08
2014Detailed filing. Detailed filing data is available for this year.$3.37$0.04$3.32$1.39$1.41$0.02
2013Summary only. Only limited summary data is available for this year.$3.30$0.04$1.83$2.04$0.21
2012Summary only. Only limited summary data is available for this year.$3.57$0.02$1.95$2.18$0.23
2011Summary only. Only limited summary data is available for this year.$3.76$0.01$3.75$2.06$2.34$0.28
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
May 1, 2024 to Apr 30, 2025
Signed
Oct 22, 2025
Return Version
2024v5.2
Gross Receipts
$185,699
Mission and Program Overview

Mission

To provide a family environment for the education of children in need at Mooseheart and the needs of senior members at Moosehaven. To provide an atmosphere which will enhance unity and growth through social and recreational activities for the membership.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$298,219$298,219→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$295,234$295,234→ $0
Rtn Earn Endowment Incm Other Fnds$75,313$64,755▼ $10,558
Savings and Temporary Cash Investments$69,313$64,292▼ $5,021
Cash and Non-Interest-Bearing Accounts$56,408$26,089▼ $30,319
Inventories for Sale or Use$12,063$12,063→ $0
Total Assets$436,003$400,663▼ $35,340
Liabilities
Deferred Revenue$45,000$45,000→ $0
Other Liabilities$12,412$-868▼ $13,280
Accounts Payable and Accrued Expenses$8,044$-3,458▼ $11,502
Total Liabilities$65,456$40,674▼ $24,782
Net Assets / Fund Balance
Total Net Assets Fund Balance$370,547$359,989▼ $10,558
Total Liabilities and Net Assets / Fund Balance$436,003$400,663▼ $35,340

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$254,999-$254,999
Equipment$43,220-$40,623
Compensation and Service Providers

Board Members and Trustees

NameTitle
Diane MasonPast-president
Julie KrushPresident
Terri ZandeckiVice President
Brian TranaTrustee
Debbie C GressTrustee
Kelly JensenTrustee
Ray KlamnAdministrator
Rocky OconnorChaplin
Glenn TerryTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$5,796
Program Service Revenue
$138,240
Investment Income
$37
Other Revenue
$-4,793
Change in Net Assets
$-32,969
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$114,391
Other Expenses$57,858
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Payroll Taxes$63,937--$63,937
Occupancy$29,645--$29,645
Other Salaries and Wages$26,285--$26,285
Current Officers, Directors, Trustees, and Key Employees$23,387--$23,387
Office Expenses$14,394--$14,394
Travel$1,438--$1,438
Fees for Services Other$818--$818
Other Employee Benefits$782--$782
Other Expenses$468--$468
Insurance$-6,215--$-6,215
Total Functional Expenses$172,249$0$0$172,249
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
Yes
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Gaming Gross Income$37,783
Gaming Direct Expenses$12,715
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Sales Tax Liabilities$-868
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Backup withholding compliance
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Members or stockholder classes and rights Part VI line 6

Has dues paying members with no voting rights

Member election for additional members Part VI line 7A

Members elect the governing body on an annual basis

Governing body decisions Part VI line 7B

Membership as a whole approves the recommendations of the governing body at a general membership meeting.

Form 990 governing body review Part VI line 11

Review will not be conducted prior to e filing. If necessary Form 990 will be amended if a discrepancy is found.

Governing documents etc available to public Part VI line 19

Organization has copy on file in the ortanization office for the public to review upon request during normal business hours.

Filing and Contact Details

Filer

Filer Name
CHEHALIS LODGE #1109 LO OF MOOSE INC
EIN
91-0682582
In Care Of
% RAY KLAMN
Address
P O BOX 426, CHEHALIS, WA 98532

Signing Officer

Name
Ray Klamn
Title
Administrator
Phone
3607369030
Signed
2025-10-22
Discuss with paid preparer
No

Organization Details

Formed
1912
Legal Domicile
Wa
Voting Board Members
401
Independent Board Members
401
Employees
6
Volunteers
63

Preparer

Firm
Tom Nicholas CPA Inc PS
Address
1303 Grand Ave, Centralia, WA 98531
Preparer
Tom Nicholas
Phone
3606231515
Supplemental Narrative

Additional Explanations

Part XI response or note to any line in Part XI

Part xi, line 8- there are prior year adjusting entries that the client made to retained earnings. $12,223, -$1930, and $12040. Plus $78 that was not found. Totaling $22,411

Raw XML AppendixShowing 400 of 407 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.

Path#Value
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IRS990/OtherExpensesGrp/TotalAmt05825
IRS990/OtherExpensesGrp/TotalAmt13126
IRS990/OtherExpensesGrp/TotalAmt28359
IRS990/OtherExpensesGrp/TotalAmt3468
IRS990/OtherLiabilitiesGrp/BOYAmt012412
IRS990/OtherLiabilitiesGrp/EOYAmt0-868
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
IRS990/OtherRevenueMiscGrp/Desc0HALL RENTAL
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt03843
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt03843
IRS990/OtherRevenueTotalAmt03843
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt026285
IRS990/OtherSalariesAndWagesGrp/TotalAmt026285
IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/ProgramServicesAmt063937
IRS990/PayrollTaxesGrp/TotalAmt063937
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt0295234
IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt0295234
IRS990/PoliciesReferenceChaptersInd0true
IRS990/PoliticalCampaignActyInd0false
IRS990/PriorPeriodAdjustmentsAmt022411
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/BusinessCd0900099
IRS990/ProgramServiceRevenueGrp/BusinessCd1900099
IRS990/ProgramServiceRevenueGrp/BusinessCd2900099
IRS990/ProgramServiceRevenueGrp/Desc0SOCIAL QUARTERS SALES
IRS990/ProgramServiceRevenueGrp/Desc1SERVICES
IRS990/ProgramServiceRevenueGrp/Desc2DONATIONS
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0120716
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1153
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt217371
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0120716
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1153
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt217371
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt06819
IRS990/PYInvestmentIncomeAmt014
IRS990/PYOtherExpensesAmt0123537
IRS990/PYOtherRevenueAmt0-33828
IRS990/PYProgramServiceRevenueAmt0227231
IRS990/PYRevenuesLessExpensesAmt020996
IRS990/PYSalariesCompEmpBnftPaidAmt055703
IRS990/PYTotalExpensesAmt0179240
IRS990/PYTotalRevenueAmt0200236
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt0-32969
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0true
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt075313
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt064755
IRS990/SavingsAndTempCashInvstGrp/BOYAmt069313
IRS990/SavingsAndTempCashInvstGrp/EOYAmt064292
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/BuildingsGrp/BookValueAmt0254999
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt0254999
IRS990ScheduleD/EquipmentGrp/BookValueAmt043220
IRS990ScheduleD/EquipmentGrp/InvestmentCostOrOtherBasisAmt02597
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt040623
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0-868
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0SALES TAX LIABILITIES
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0298219
IRS990ScheduleD/TotalLiabilityAmt0-868
IRS990ScheduleG/CharitableDistributionRqrInd0false
IRS990ScheduleG/CntrctWith3rdPrtyForGameRevInd0false
IRS990ScheduleG/GamingInformationGrp/CashPrizesPullTabsAmt08461
IRS990ScheduleG/GamingInformationGrp/CashPrizesTotalGamingAmt08461
IRS990ScheduleG/GamingInformationGrp/DirectExpenseSummaryGamingAmt012715
IRS990ScheduleG/GamingInformationGrp/GrossRevenueOtherGamingAmt03353
IRS990ScheduleG/GamingInformationGrp/GrossRevenuePullTabsAmt034430
IRS990ScheduleG/GamingInformationGrp/GrossRevenueTotalGamingAmt037783
IRS990ScheduleG/GamingInformationGrp/NetGamingIncomeSummaryAmt025068
IRS990ScheduleG/GamingInformationGrp/OthDirectExpnssTotalGamingAmt04254
IRS990ScheduleG/GamingInformationGrp/OtherDirectExpensesPullTabsAmt04254
IRS990ScheduleG/GamingInformationGrp/VolunteerLaborOtherGamingInd0false
IRS990ScheduleG/GamingInformationGrp/VolunteerLaborPullTabsInd0false
IRS990ScheduleG/GamingManagerIsDirectorOfcrInd0X
IRS990ScheduleG/GamingManagerPersonNm0RAY KLAMN
IRS990ScheduleG/GamingOwnFacilityPct01.000
IRS990ScheduleG/GamingWithNonmembersInd0false
IRS990ScheduleG/IndividualWithBooksNm0RAY KLAMN
IRS990ScheduleG/LicensedInd0true
IRS990ScheduleG/LicenseSuspendedEtcInd0false
IRS990ScheduleG/MemberOfOtherEntityInd0false
IRS990ScheduleG/PersonsWithBooksUSAddress/AddressLine1Txt0P O BOX 426
IRS990ScheduleG/PersonsWithBooksUSAddress/CityNm0CHEHALIS
IRS990ScheduleG/PersonsWithBooksUSAddress/StateAbbreviationCd0WA
IRS990ScheduleG/PersonsWithBooksUSAddress/ZIPCd098532
IRS990ScheduleG/StatesWhereGamingConductedCd0WA
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Has dues paying members with no voting rights
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Members elect the governing body on an annual basis
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Membership as a whole approves the recommendations of the governing body at a general membership meeting.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Review will not be conducted prior to e filing. If necessary Form 990 will be amended if a discrepancy is found.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4Organization has copy on file in the ortanization office for the public to review upon request during normal business hours.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5PART XI, LINE 8- THERE ARE PRIOR YEAR ADJUSTING ENTRIES THAT THE CLIENT MADE TO RETAINED EARNINGS. $12,223, -$1930, AND $12040. PLUS $78 THAT WAS NOT FOUND. TOTALING $22,411
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Members or stockholder classes and rights Part VI line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Member election for additional members Part VI line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Governing body decisions Part VI line 7b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990 governing body review Part VI line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Governing documents etc available to public Part VI line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Part XI response or note to any line in Part XI
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0WA
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxableDistributionsInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0436003
IRS990/TotalAssetsEOYAmt0400663
IRS990/TotalAssetsGrp/BOYAmt0436003
IRS990/TotalAssetsGrp/EOYAmt0400663
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt05796
IRS990/TotalEmployeeCnt06
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0172249
IRS990/TotalFunctionalExpensesGrp/TotalAmt0172249
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt065456
IRS990/TotalLiabilitiesEOYAmt040674
IRS990/TotalLiabilitiesGrp/BOYAmt065456
IRS990/TotalLiabilitiesGrp/EOYAmt040674
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0370547
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0359989
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0172249
IRS990/TotalProgramServiceRevenueAmt0138240
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0133484
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0139280
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt063
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0436003
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0400663
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TransactionWithControlEntInd0false
IRS990/TravelGrp/ProgramServicesAmt01438
IRS990/TravelGrp/TotalAmt01438
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/VotingMembersGoverningBodyCnt0401
IRS990/VotingMembersIndependentCnt0401
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0false
ReturnHeader/BusinessOfficerGrp/PersonNm0RAY KLAMN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0ADMINISTRATOR
ReturnHeader/BusinessOfficerGrp/PhoneNum03607369030
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-10-22
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0CHEHALIS LODGE #1109 LO OF MOOSE INC
ReturnHeader/Filer/BusinessNameControlTxt0CHEH
ReturnHeader/Filer/EIN0910682582
ReturnHeader/Filer/InCareOfNm0% RAY KLAMN
ReturnHeader/Filer/USAddress/AddressLine1Txt0P O BOX 426
ReturnHeader/Filer/USAddress/CityNm0CHEHALIS
ReturnHeader/Filer/USAddress/StateAbbreviationCd0WA
ReturnHeader/Filer/USAddress/ZIPCd098532
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0274551900
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Tom Nicholas CPA Inc PS
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01303 Grand Ave
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Centralia
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0WA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd098531
ReturnHeader/PreparerPersonGrp/PhoneNum03606231515

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