Civic Intelligence

Personal Service Providers Inc

990 • Fiscal year 2018 • EIN 91-1400684

Jan 01, 2018 to Dec 31, 2018 • Filed on Apr 06, 2019

205 7th StreetHoquiam, WA 98550

(360) 538-1540

Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Flat

$0

Flat from 2018

Net Assets

Flat

$0

Flat from 2018

Liabilities

Flat

$0

Flat from 2018

Revenue And Expenses

Revenue

Flat

$382,439

Flat from 2018

Expenses

Flat

$709,252

Flat from 2018

Net Income

Flat

-$326,813

Flat from 2018

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$1.5M$1.0M$500K$0Assets 2010: $1,105,803Liabilities 2010: $181,246Net Assets 2010: $924,5572010Assets 2011: $1,206,281Liabilities 2011: $185,652Net Assets 2011: $1,020,6292011Assets 2012: $1,370,619Liabilities 2012: $252,478Net Assets 2012: $1,118,1412012Assets 2013: $1,266,674Liabilities 2013: $249,265Net Assets 2013: $1,017,4092013Assets 2014: $1,210,065Liabilities 2014: $165,028Net Assets 2014: $1,045,0372014Assets 2015: $1,029,285Liabilities 2015: $184,891Net Assets 2015: $844,3942015Assets 2016: $710,140Liabilities 2016: $163,622Net Assets 2016: $546,5182016Assets 2017: $460,572Liabilities 2017: $132,770Net Assets 2017: $327,8022017Assets 2018: $0Liabilities 2018: $0Net Assets 2018: $02018Assets 2018: $0Liabilities 2018: $0Net Assets 2018: $02018

Highlighted filing

2018

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$3.0M$2.0M$1.0M$0-$1.0MExpenses 2010: $2,518,5462010Expenses 2011: $2,461,8052011Expenses 2012: $2,447,8322012Revenue 2013: $2,393,489Expenses 2013: $2,490,746Net Income 2013: -$97,2572013Revenue 2014: $2,439,153Expenses 2014: $2,408,548Net Income 2014: $30,6052014Revenue 2015: $1,913,809Expenses 2015: $2,112,929Net Income 2015: -$199,1202015Revenue 2016: $1,464,521Expenses 2016: $1,765,784Net Income 2016: -$301,2632016Revenue 2017: $1,535,812Expenses 2017: $1,753,067Net Income 2017: -$217,2552017Revenue 2018: $382,439Expenses 2018: $709,252Net Income 2018: -$326,8132018Revenue 2018: $382,439Expenses 2018: $709,252Net Income 2018: -$326,8132018

Highlighted filing

2018

Revenue$382,439
Expenses$709,252
Net Income-$326,813
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Apr 6, 2019
Return Version
2018v3.1
Gross Receipts
$385,566
Mission and Program Overview

Mission

To provide home care (domestic, personal and respite) to individuals recovering from illness or injury and in need of long-term care.

To provide home care to individuals recovering and in need of long-term care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$213,354--
Accounts Receivable$152,691--
Cash and Non-Interest-Bearing Accounts$89,197--
Land, Buildings, and Equipment, Net$5,330--
Total Assets$460,572$0▼ $460,572
Liabilities
Accounts Payable and Accrued Expenses$132,770--
Total Liabilities$132,770$0▼ $132,770
Net Assets / Fund Balance
Unrestricted Net Assets$327,802$0▼ $327,802
Total Net Assets Fund Balance$327,802$0▼ $327,802
Total Liabilities and Net Assets / Fund Balance$460,572$0▼ $460,572
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Larry BurgherExecutive Director (through May 2018)FT$24,753$4,903$29,656

Board Members and Trustees

NameTitle
Terry FultzPresident
Norm SpragueVice President & Treasurer
Jamie GravesDirector
Jerry KeltnerDirector (through July 2018)
Tom MayrCFO
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$380,707
Investment Income
$1,732
Other Revenue
$0
Change in Net Assets
$-326,813

Audited Revenue Reconciliation

Revenue per Audited Statements
$382,439
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$-989
Total Revenue per Audited Statements
$381,450
Total Revenue per Form 990
$382,439
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$501,096
Other Expenses$165,640
Grants and Similar Amounts Paid$42,516
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$286,358$42,277-$328,635
Other Employee Benefits$95,448$17,439-$112,887
Grants to Domestic Orgs$42,516--$42,516
Occupancy$33,571$7,857-$41,428
Payroll Taxes$24,243$5,675-$29,918
Current Officers, Directors, Trustees, and Key Employees-$29,656-$29,656
Fees for Services Accounting$20,975$4,910-$25,885
Travel$19,480$4,560-$24,040
Insurance$17,474$4,090-$21,564
Fees for Services Management$15,194$3,556-$18,750
Office Expenses$14,974$3,505-$18,479
Advertising$5,775$1,352-$7,127
Depreciation Depletion$1,785$418-$2,203
Information Technology$1,433$336-$1,769
Other Expenses$1,966$919-$919
Conferences and Meetings$556$130-$686
Fees for Services Legal$294$69-$363
Total Functional Expenses$582,042$127,210$0$709,252

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$709,252
Total Expenses per Audited Statements$709,252
Total Expenses per Form 990$709,252
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Harbors Home Health and HospiceHoquiam, WA501(c)(3)Transfer of Assets Upon Dissolution$38,442
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
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
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
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

The organization compensated harbors home health & hospice, an unrelated 501(c)(3) organization, to provide management services through may 2018.

Form 990, Part VI, Section A, Line 4

Personal service providers filed articles of dissolution with the washington secretary of state as of december 31, 2018.

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

Form 990 was prepared by a certified public accounting firm and reviewed by the financial manager, then distributed to the board prior to filing.

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

The organization monitors its board members and employees continuously to ensure that conflicts of interest are avoided. This manifests itself in board votes where members with possible conflicts of interest abstain from certain votes. Employees are not allowed to maintain employment where a conflict of interest exists.

Form 990, Part VI, Section B, Line 15

The services of the cfo are provided as part of the management contract with harbors home health & hospice. His compensation is determined by harbors home health & hospice.

Form 990, Part VI, Section C, Line 19

The organization's conflict of interest policy, governing documents and financial statements are not open to the public. Only forms 990 and 1023 are made available to the public.

Filing and Contact Details

Filer

Filer Name
Personal Service Providers
EIN
91-1400684
Phone
3605381540
Address
205 7TH STREET, HOQUIAM, WA 98550

Signing Officer

Name
Norm Sprague
Title
Vice President & Treasurer
Phone
3605381540
Signed
2019-04-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Terry Fultz
Formed
1987
Legal Domicile
Wa
Voting Board Members
3
Independent Board Members
3
Employees
70
Volunteers
4

Preparer

Firm
Cliftonlarsonallen Llp
Address
10700 NORTHUP WAY SUITE 200, BELLEVUE, WA 98004
Preparer
Kurt Bennion
Phone
4252506100
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3

In april 2018, personal service providers ceased operations. In december 2018, personal service providers was dissolved.

Financial Statement Notes

PART X, LINE 2:

Personal service providers is a nonprofit organization as described in section 501(c)(3) of the internal revenue code (irc) and is exempt from federal and state income taxes on related income pursuant to section 501(a) of the irc. The organization is classified as a public charity. Accordingly, there is no provision for federal income taxes on the financial statements. The organization files federal form 990, return of organization exempt from income tax, and has adopted no positions that are not highly likely to be sustained if examined by relevant authorities. The organization has recognized no interest or penalties related to taxes in the accompanying financial statements.

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IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt01529918
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt01456051
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt01933739
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt02431062
IRS990ScheduleA/Total509Grp/TotalAmt07731477
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0382318
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt01536620
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt01464694
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt01944386
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt02439153
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt07767171
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt0709252
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/NetUnrealizedGainsInvstAmt0-989
IRS990ScheduleD/RevenueNotReportedAmt0-989
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt0382439
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0PERSONAL SERVICE PROVIDERS IS A NONPROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. THE ORGANIZATION IS CLASSIFIED AS A PUBLIC CHARITY. ACCORDINGLY, THERE IS NO PROVISION FOR FEDERAL INCOME TAXES ON THE FINANCIAL STATEMENTS. THE ORGANIZATION FILES FEDERAL FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, AND HAS ADOPTED NO POSITIONS THAT ARE NOT HIGHLY LIKELY TO BE SUSTAINED IF EXAMINED BY RELEVANT AUTHORITIES. THE ORGANIZATION HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO TAXES IN THE ACCOMPANYING FINANCIAL STATEMENTS.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalExpensesPerForm990Amt0709252
IRS990ScheduleD/TotalRevenuePerForm990Amt0382439
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0381450
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0709252
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/RecipientTable/CashGrantAmt038442
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)(3)
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt04074
IRS990ScheduleI/RecipientTable/NonCashAssistanceDesc0ACCOUNTS RECEIVABLE
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0TRANSFER OF ASSETS UPON DISSOLUTION
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0HARBORS HOME HEALTH AND HOSPICE
IRS990ScheduleI/RecipientTable/RecipientEIN0911143445
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0201 7TH STREET
IRS990ScheduleI/RecipientTable/USAddress/CityNm0HOQUIAM
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0WA
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd098550
IRS990ScheduleI/RecipientTable/ValuationMethodUsedDesc0BOOK VALUE
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0THE ONLY GRANT WAS A TRANSFER OF THE ORGANIZATION'S REMAINING ASSETS UPON DISSOLUTION, AFTER SETTLING LIABILITIES. THE SAME INDIVIDUAL SERVES AS CFO OF BOTH ORGANIZATIONS, ENSURING THAT ALL ASSETS ARE USED FOR APPROPRIATE PURPOSES.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2:
IRS990ScheduleI/Total501c3OrgCnt01
IRS990ScheduleI/TotalOtherOrgCnt00
IRS990/ScheduleJRequiredInd00
IRS990ScheduleN/AssetsDistributedInd01
IRS990ScheduleN/AttorneyGeneralNotifiedInd01
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd01
IRS990ScheduleN/EmployeeOfSuccessorInd01
IRS990ScheduleN/LiabilitiesPaidInd01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0CASH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc1ACCOUNTS RECEIVABLE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt0HARBORS HOME HEALTH & HOSPICE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt1HARBORS HOME HEALTH & HOSPICE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02018-12-31
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt12018-12-31
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0911143445
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN1911143445
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt038442
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt14074
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt1501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0BOOK VALUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt1BOOK VALUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt0201 7TH STREET
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt1201 7TH STREET
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0HOQUIAM
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm1HOQUIAM
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0WA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd1WA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd098550
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd198550
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd01
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0EXPLANATION OF INVOLVEMENT: NORM SPRAGUE, A BOARD MEMBER, ALSO SERVES ON THE BOARD OF DIRECTORS OF HARBORS HOME HEALTH & HOSPICE. TOM MAYR, THE CFO, ALSO SERVES AS THE CFO OF HARBORS HOME HEALTH & HOSPICE.
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2E:
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0IN APRIL 2018, PERSONAL SERVICE PROVIDERS CEASED OPERATIONS. IN DECEMBER 2018, PERSONAL SERVICE PROVIDERS WAS DISSOLVED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION COMPENSATED HARBORS HOME HEALTH & HOSPICE, AN UNRELATED 501(C)(3) ORGANIZATION, TO PROVIDE MANAGEMENT SERVICES THROUGH MAY 2018.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2PERSONAL SERVICE PROVIDERS FILED ARTICLES OF DISSOLUTION WITH THE WASHINGTON SECRETARY OF STATE AS OF DECEMBER 31, 2018.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3FORM 990 WAS PREPARED BY A CERTIFIED PUBLIC ACCOUNTING FIRM AND REVIEWED BY THE FINANCIAL MANAGER, THEN DISTRIBUTED TO THE BOARD PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE ORGANIZATION MONITORS ITS BOARD MEMBERS AND EMPLOYEES CONTINUOUSLY TO ENSURE THAT CONFLICTS OF INTEREST ARE AVOIDED. THIS MANIFESTS ITSELF IN BOARD VOTES WHERE MEMBERS WITH POSSIBLE CONFLICTS OF INTEREST ABSTAIN FROM CERTAIN VOTES. EMPLOYEES ARE NOT ALLOWED TO MAINTAIN EMPLOYMENT WHERE A CONFLICT OF INTEREST EXISTS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE SERVICES OF THE CFO ARE PROVIDED AS PART OF THE MANAGEMENT CONTRACT WITH HARBORS HOME HEALTH & HOSPICE. HIS COMPENSATION IS DETERMINED BY HARBORS HOME HEALTH & HOSPICE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT OPEN TO THE PUBLIC. ONLY FORMS 990 AND 1023 ARE MADE AVAILABLE TO THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART III, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 4
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION C, LINE 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd01
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd01
IRS990/TotalAssetsBOYAmt0460572
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt0460572
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt070
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0127210
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0582042
IRS990/TotalFunctionalExpensesGrp/TotalAmt0709252
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0132770
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt0132770
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0327802

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