Civic Intelligence

Evergreen Supported Living

EIN 91-1177243 • 501(c)3 • Bellingham, WA

Profile

Supported living services:

305 Flora StBellingham, WA 98225

www.evergreenhome.org

Siviq Scores

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

Liabilities / Assets

57th percentile

0.11x

Higher debt load relative to assets than 57% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2025

Liabilities / Revenue

46th percentile

0.06x

Higher debt load relative to revenue than 46% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2025

Net Margin

38th percentile

-0.1%

Higher net margin than 38% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2025

Top Officer Pay

75th percentile

$121,548

Higher top officer pay than 75% of similar nonprofits.

Top officer pay equals 4.6% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2025

Asset Growth

22nd percentile

-5.8%

Faster asset growth than 22% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2024 to 2025

Revenue Growth

28th percentile

-5.9%

Faster revenue growth than 28% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2024 to 2025

Assets

Down

$1,428,783

Down $182,889 (-11%) from 2023

Liabilities

Up

$224,866

Up $85,605 (+61%) from 2023

Net Assets

Down

$1,203,917

Down $268,494 (-18%) from 2023

Revenue

Down

$2,791,922

Down $1,212,673 (-30%) from 2023

Expenses

Down

$3,060,416

Down $355,890 (-10%) from 2023

Net Income

Down

-$268,494

Down $856,783 (-146%) from 2023

Trend Graphs

Balance Sheet Trend

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

$2.0M$1.5M$1.0M$500K$0Assets 2010: $207,834Liabilities 2010: $99,243Net Assets 2010: $108,5912010Assets 2011: $203,071Liabilities 2011: $87,542Net Assets 2011: $115,5292011Assets 2012: $198,930Liabilities 2012: $71,577Net Assets 2012: $127,3532012Assets 2013: $238,825Liabilities 2013: $109,355Net Assets 2013: $129,4702013Assets 2014: $250,160Liabilities 2014: $84,213Net Assets 2014: $165,9472014Assets 2015: $309,945Liabilities 2015: $86,152Net Assets 2015: $223,7932015Assets 2016: $275,422Liabilities 2016: $48,418Net Assets 2016: $227,0042016Assets 2017: $306,813Liabilities 2017: $57,884Net Assets 2017: $248,9292017Assets 2019: $423,419Liabilities 2019: $259,131Net Assets 2019: $164,2882019Assets 2020: $710,916Liabilities 2020: $258,100Net Assets 2020: $452,8162020Assets 2021: $970,457Liabilities 2021: $232,170Net Assets 2021: $738,2872021Assets 2022: $1,109,788Liabilities 2022: $225,666Net Assets 2022: $884,1222022Assets 2023: $1,611,672Liabilities 2023: $139,261Net Assets 2023: $1,472,4112023Assets 2024: $1,428,783Liabilities 2024: $224,866Net Assets 2024: $1,203,9172024

Highlighted filing

2024

Assets$1,428,783
Liabilities$224,866
Net Assets$1,203,917

Operations Trend

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

$6.0M$4.0M$2.0M$0-$2.0MExpenses 2010: $1,178,2822010Expenses 2011: $1,310,3422011Revenue 2012: $1,361,628Expenses 2012: $1,349,804Net Income 2012: $11,8242012Revenue 2013: $1,308,065Expenses 2013: $1,305,948Net Income 2013: $2,1172013Revenue 2014: $1,334,660Expenses 2014: $1,298,183Net Income 2014: $36,4772014Revenue 2015: $1,427,907Expenses 2015: $1,403,085Net Income 2015: $24,8222015Revenue 2016: $1,516,272Expenses 2016: $1,513,061Net Income 2016: $3,2112016Revenue 2017: $1,780,940Expenses 2017: $1,759,015Net Income 2017: $21,9252017Revenue 2019: $2,058,225Expenses 2019: $2,055,224Net Income 2019: $3,0012019Revenue 2020: $3,032,275Expenses 2020: $2,743,747Net Income 2020: $288,5282020Revenue 2021: $3,231,617Expenses 2021: $2,946,146Net Income 2021: $285,4712021Revenue 2022: $3,448,827Expenses 2022: $3,302,992Net Income 2022: $145,8352022Revenue 2023: $4,004,595Expenses 2023: $3,416,306Net Income 2023: $588,2892023Revenue 2024: $2,791,922Expenses 2024: $3,060,416Net Income 2024: -$268,4942024

Highlighted filing

2024

Revenue$2,791,922
Expenses$3,060,416
Net Income-$268,494

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.43$0.22$1.20$2.79$3.06$0.27
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.61$0.14$1.47$4.00$3.42$0.59
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.11$0.23$0.88$3.45$3.30$0.15
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.97$0.23$0.74$3.23$2.95$0.29
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.71$0.26$0.45$3.03$2.74$0.29
2019Summary only. Only limited summary data is available for this year.$0.42$0.26$0.16$2.06$2.06$0.00
2017Summary only. Only limited summary data is available for this year.$0.31$0.06$0.25$1.78$1.76$0.02
2016Summary only. Only limited summary data is available for this year.$0.28$0.05$0.23$1.52$1.51$0.00
2015Detailed filing. Detailed filing data is available for this year.$0.31$0.09$0.22$1.43$1.40$0.02
2014Detailed filing. Detailed filing data is available for this year.$0.25$0.08$0.17$1.33$1.30$0.04
2013Detailed filing. Detailed filing data is available for this year.$0.24$0.11$0.13$1.31$1.31$0.00
2012Summary only. Only limited summary data is available for this year.$0.20$0.07$0.13$1.36$1.35$0.01
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.20$0.09$0.12$1.31
2010XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.21$0.10$0.11$1.18
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Apr 7, 2023
Return Version
2022v5.0
Gross Receipts
$3,448,827
Mission and Program Overview

Mission

The organization provided supported living services and community integration services to ten developmentally disabled adults living independently in apartments and houses in the community.

Supported Living Services: The organization provides living and community integration services to developmentally disabled adults.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$738,287$884,122▲ $145,835
Savings and Temporary Cash Investments$525,297$679,303▲ $154,006
Accounts Receivable$279,560$300,838▲ $21,278
Land, Buildings, and Equipment, Net$124,613$107,070▼ $17,543
Cash and Non-Interest-Bearing Accounts$38,487$20,077▼ $18,410
Prepaid Expenses and Deferred Charges$2,500$2,500→ $0
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Total Assets$970,457$1,109,788▲ $139,331
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$157,468$166,396▲ $8,928
Mortgage Notes Payable Secured by Investment Property$74,702$59,270▼ $15,432
Total Liabilities$232,170$225,666▼ $6,504
Net Assets / Fund Balance
Total Net Assets Fund Balance$738,287$884,122▲ $145,835
Total Liabilities and Net Assets / Fund Balance$970,457$1,109,788▲ $139,331

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$107,070$120,897$227,967
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Zay McShaneExecutive DirectorFT$109,346$109,346

Board Members and Trustees

NameTitle
Kathleen UusitaloPresident
Bryan BrinkDirector
Mary Ellen HuusDirector
Neil McKayDirector
Revenue and Support

Revenue Composition

Contributions and Grants
$6,250
Program Service Revenue
$3,438,759
Investment Income
$3,493
Other Revenue
$325
All Other Contributions
$6,250
Change in Net Assets
$145,835
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$3,027,312
Other Expenses$275,680
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,340,872$205,663-$2,546,535
Other Employee Benefits$222,208$23,066-$245,274
Payroll Taxes$219,744$15,759-$235,503
Occupancy$24,567$47,638-$72,205
Insurance$18,905$18,251-$37,156
Depreciation Depletion$26,364$5,033-$31,397
Information Technology$27,897--$27,897
Fees for Services Other$21,265--$21,265
Travel$14,874$900-$15,774
Fees for Services Accounting-$11,271-$11,271
Advertising-$8,059-$8,059
Interest$2,769--$2,769
Other Expenses$1,466$4,404-$1,466
All Other Expenses-$1,453-$1,453
Fees for Services Legal-$370-$370
Total Functional Expenses$2,961,125$341,867$0$3,302,992
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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

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

Governance Explanations

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

Before the Form 990 is filed, the Executive Director and the Board of Directors are provided copies of the Form 990 and encouraged to review it.

Form 990, Part VI, Section B, Line 15A

The Board of Directors determines all employee compensation. For the Executive Director, the salary is directly approved by the Board of Directors. The members of the Board of Directors are not compensated.

Form 990, Part VI, Section B, Line 15B

The Board of Directors determines all employee compensation. For employees other than the Executive Director, the Board of Directors approves the overall plan of compensation.

Form 990, Part VI, Section C, Line 19

Upon request, the Executive Director or the President of the Board of Directors will provide copies of the governing documents, policies, and financial statements as may be relevant to the requestor.

Filing and Contact Details

Filer

Filer Name
Evergreen Supported Living
EIN
91-1177243
Phone
3606715898
Address
305 Flora St, Bellingham, WA 98225

Signing Officer

Name
Kathleen Uusitalo
Title
President
Signed
2023-04-07

Organization Details

Principal Officer
Kathleen Uusitalo
Formed
1982
Legal Domicile
Wa
Voting Board Members
5
Independent Board Members
4
Employees
79
Volunteers
1
Raw XML AppendixShowing 400 of 402 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/PayrollTaxesGrp/ProgramServicesAmt0219744
IRS990/PayrollTaxesGrp/TotalAmt0235503
IRS990/PensionPlanContributionsGrp/TotalAmt00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt02500
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt02500
IRS990/PrincipalOfficerNm0Kathleen Uusitalo
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/BusinessCd0624100
IRS990/ProgramServiceRevenueGrp/Desc0Supported Living Services
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt03438759
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt03438759
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt05000
IRS990/PYExcessBenefitTransInd0false
IRS990/PYInvestmentIncomeAmt01361
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt0277643
IRS990/PYOtherRevenueAmt010256
IRS990/PYProgramServiceRevenueAmt03215000
IRS990/PYRevenuesLessExpensesAmt0285471
IRS990/PYSalariesCompEmpBnftPaidAmt02668503
IRS990/PYTotalExpensesAmt02946146
IRS990/PYTotalRevenueAmt03231617
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0145835
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt03438759
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt0738287
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt0884122
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0525297
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0679303
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt03445009
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt03220000
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt03015541
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt02053788
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt01896276
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt013630614
IRS990ScheduleA/GovtFurnSrvcFcltsVl170Grp/TotalAmt00
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt03493
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt01361
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt0734
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt0645
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt0895
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt07128
IRS990ScheduleA/OtherIncome170Grp/TotalAmt00
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.99950
IRS990ScheduleA/PublicSupportPY170Pct00.99970
IRS990ScheduleA/PublicSupportTotal170Amt013630614
IRS990ScheduleA/SubstantialContributorsTotAmt00
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft170Grp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt03445009
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt03220000
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt03015541
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt02053788
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt01896276
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt013630614
IRS990ScheduleA/TotalSupportAmt013637742
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/TotalAmt00
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/BookValueAmt0107070
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0120897
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0227967
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0107070
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Before the Form 990 is filed, the Executive Director and the Board of Directors are provided copies of the Form 990 and encouraged to review it.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1The Board of Directors determines all employee compensation. For the Executive Director, the salary is directly approved by the Board of Directors. The members of the Board of Directors are not compensated.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2The Board of Directors determines all employee compensation. For employees other than the Executive Director, the Board of Directors approves the overall plan of compensation.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Upon request, the Executive Director or the President of the Board of Directors will provide copies of the governing documents, policies, and financial statements as may be relevant to the requestor.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section B, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section B, Line 15a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section B, Line 15b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section C, Line 19
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0970457
IRS990/TotalAssetsEOYAmt01109788
IRS990/TotalAssetsGrp/BOYAmt0970457
IRS990/TotalAssetsGrp/EOYAmt01109788
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt06250
IRS990/TotalEmployeeCnt079
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0341867
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt02961125
IRS990/TotalFunctionalExpensesGrp/TotalAmt03302992
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0232170
IRS990/TotalLiabilitiesEOYAmt0225666
IRS990/TotalLiabilitiesGrp/BOYAmt0232170
IRS990/TotalLiabilitiesGrp/EOYAmt0225666
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0738287
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0884122
IRS990/TotalProgramServiceExpensesAmt02961125
IRS990/TotalProgramServiceRevenueAmt03438759
IRS990/TotalReportableCompFromOrgAmt0109346
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt03442577
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt03448827
IRS990/TotalVolunteersCnt01
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0970457
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt01109788
IRS990/TravelGrp/ManagementAndGeneralAmt0900
IRS990/TravelGrp/ProgramServicesAmt014874
IRS990/TravelGrp/TotalAmt015774
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0305 Flora St
IRS990/USAddress/CityNm0Bellingham
IRS990/USAddress/StateAbbreviationCd0WA
IRS990/USAddress/ZIPCd098225
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt04
IRS990/WebsiteAddressTxt0www.evergreenhome.org
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/FederatedAssuranceLevelCd0FAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd03
ReturnHeader/BuildTS02023-04-26 12:10:37Z
ReturnHeader/BusinessOfficerGrp/PersonNm0Kathleen Uusitalo
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0President
ReturnHeader/BusinessOfficerGrp/SignatureDt02023-04-07
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Evergreen Supported Living
ReturnHeader/Filer/BusinessNameControlTxt0EVER
ReturnHeader/Filer/EIN0911177243
ReturnHeader/Filer/PhoneNum03606715898
ReturnHeader/Filer/USAddress/AddressLine1Txt0305 Flora St
ReturnHeader/Filer/USAddress/CityNm0Bellingham
ReturnHeader/Filer/USAddress/StateAbbreviationCd0WA
ReturnHeader/Filer/USAddress/ZIPCd098225
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/ReturnTs02023-04-07T12:26:42-07:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0Kathleen
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0Uusitalo
ReturnHeader/TaxPeriodBeginDt02022-01-01

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