Civic Intelligence

Plain Church Group Ministry Inc

EIN 92-0422914 • 501(c)3 • Topeka, IN

Profile

N/A

128 Roy StreetTopeka, IN 46571
Siviq Scores

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

Liabilities / Assets

86th percentile

0.80x

Higher debt load relative to assets than 86% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2022

Liabilities / Revenue

32nd percentile

0.14x

Higher debt load relative to revenue than 32% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2022

Net Margin

38th percentile

0.6%

Higher net margin than 38% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2022

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2022

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2022

Assets

$8,205,964

No earlier filing loaded for comparison.

Liabilities

$6,541,853

No earlier filing loaded for comparison.

Net Assets

$1,664,111

No earlier filing loaded for comparison.

Revenue

$45,784,563

No earlier filing loaded for comparison.

Expenses

$45,502,410

No earlier filing loaded for comparison.

Net Income

$282,153

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

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

$10M$5.0M$0Assets 2022: $8,205,964Liabilities 2022: $6,541,853Net Assets 2022: $1,664,1112022

Highlighted filing

2022

Assets$8,205,964
Liabilities$6,541,853
Net Assets$1,664,111

Operations Trend

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

$60M$40M$20M$0Revenue 2022: $45,784,563Expenses 2022: $45,502,410Net Income 2022: $282,1532022

Highlighted filing

2022

Revenue$45,784,563
Expenses$45,502,410
Net Income$282,153

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2022Detailed filing. Detailed filing data is available for this year.$8.21$6.54$1.66$45.8$45.5$0.28
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Sep 22, 2022 to Dec 31, 2022
Signed
May 24, 2023
Return Version
2022v5.0
Gross Receipts
$45,784,563
Mission and Program Overview

Mission

The organization is an amish nonprofit group that espouses the biblical principle of sharing financial burdens and helping one's fellow man by providing access to quality and affordable health care options.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable-$7,855,001-
Land, Buildings, and Equipment, Net-$133,849-
Total Assets$0$8,205,964▲ $8,205,964
Other Assets Total-$217,114-
Liabilities
Accounts Payable and Accrued Expenses-$2,184,283-
Mortgage Notes Payable Secured by Investment Property-$2,003,383-
Other Liabilities-$1,277,897-
Unsecured Notes Loans Payable-$1,076,290-
Total Liabilities$0$6,541,853▲ $6,541,853
Net Assets / Fund Balance
Net Assets Without Donor Restrictions-$1,664,111-
Total Net Assets Fund Balance$0$1,664,111▲ $1,664,111
Total Liabilities and Net Assets / Fund Balance$0$8,205,964▲ $8,205,964

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$98,380$8,352$106,732
Equipment$35,469$12,252$47,721
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Orva LehmanChairmanFT$88,763$88,763
Vernon BeechySecretaryFT$85,663$85,663
Melvin MillerTreasurerFT$72,902$72,902

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$45,781,159
Investment Income
$4
Other Revenue
$3,400
Change in Net Assets
$282,153

Audited Revenue Reconciliation

Revenue per Audited Statements
$45,784,563
Total Revenue per Audited Statements
$45,784,563
Total Revenue per Form 990
$45,784,563
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$45,073,956
Salaries, Compensation, and Employee Benefits$428,454
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$341,341$85,335-$426,676
Interest-$119,584-$119,584
Fees for Services Accounting-$61,864-$61,864
Office Expenses$26,732$6,682-$33,414
Depreciation Depletion$16,440$4,110-$20,550
Occupancy$16,389$4,097-$20,486
Payroll Taxes$1,422$356-$1,778
Conferences and Meetings-$1,113-$1,113
Travel$320$80-$400
Other Expenses$220$55-$275
Insurance$100$25-$125
Total Functional Expenses$45,217,471$284,939$0$45,502,410

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$45,502,410
Total Expenses per Audited Statements$45,502,410
Total Expenses per Form 990$45,502,410
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Bank Overdraft$708,208
Assets Held in Trust$350,000
Lease Liabilty - R of U Assets$219,689
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
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
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

Form 990 is reviewed by management with the tax return preparer, and changes are incorporated prior to filing. The form 990, along with management's recommendation for approval is then presented to the full board of directors, who reviews the tax return, and if they approve, the tax return is signed and filed.

Form 990, Page 6, Part VI, Line 12C

Adirector, officer, or an employee of the organization may not participate in the selection, award or any discussion related to a contract with a vendor, if the director, officer, employee or any member of his or her immediate family, has a financial or ownership interest in the vendor. And interested person must disclose the exeistence of his or her financial interest to the chairman (or in the event the interested person is a member of the board of directors). Procedures for addressing a conflict of interest by a director include: the interested person leaving the meeting during the discussion of, and the vote on, the transaction or arrangement that results in the conflict of interest, the board or committee shall determine whether the organization can obtain an arrangement with reasonable efforts from a person or entity that would not give rise to a conflict of interest, and if an arrangement is not reasonably abtainable under circumstances taht would not give rise to a conflict of interest, the board oor committee shall determine by a majoritry voteof disinterested directors whether the transaction or arrangement is in the organization's best interest and for it's own benefit and whether the transaction is fair and reasonable to the organization. Each director and officer shall sign a statement annually which affirms that such person: has received a copy of the conflict of interest policy, has read and understands the policy, has agreed to comply with the policy and in such annual statements, each director and officer shall disclose any financial interest that may be an actual or possible conflict of interest. The chairman shall be empowered to determin matters relating to the existence of conflict of interest for employees of the organization who are not officers of the organization.

Form 990, Page 6, Part VI, Line 15A

The chairman, treasurer, and secretary salaries are reviewed and approved annually by the board of directors.

Form 990, Page 6, Part VI, Line 15B

The compensation for the chairman, treasurer, and secretary is increased annually based on cost of living. Weekly pay started at the standard pay for similar positions in the community.

Form 990, Page 6, Part VI, Line 18

No documents are made available to the public except those otherwise provided by law.

Form 990, Page 6, Part VI, Line 19

No documents are made available to the public except those otherwise provided by law.

Filing and Contact Details

Filer

Filer Name
Plain Church Group Ministry Inc
EIN
92-0422914
Phone
2605930109
Address
128 ROY STREET, TOPEKA, IN 46571

Signing Officer

Name
Vernon Beechy
Title
Secretary
Phone
2605930109
Signed
2023-05-24
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Orva Lehman
Formed
2022
Legal Domicile
In
Voting Board Members
11
Independent Board Members
11
Employees
6

Preparer

Firm
David Culp & Co Llp
Address
120 S 2ND STREET, GOSHEN, IN 46526
Preparer
William E Miller CPA
Phone
5745334540
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Community health clinic, inc., 0 ein 26-4463924 is filing their own form 990 0 tax return 1,381,958 total 1,381,958

Financial Statement Notes

Schedule D, Page 3, Part X

The organization is exempt from federal income taxes under section 501(c) (3) of the internal revenue code, and state income taxes under corresponding provisions of indiana tax law. Accordingly, no provision has been made for federal or state income taxes. Current accounting standards require the organization to address the determination of whether tax benefits claimed, or expected to be claimed, on a tax return should be recorded in the financial statements. Under this guidance, the organization may recognize the tax benefit from uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities, based on the technical merits of the position. Exmaples of tax positions include the tax-exempt status of the organization, and various positions related to the potential sources of unrelated business taxable income. The tax benefits that could be recognized in the financial statements from such positions would measured based on the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate settlement. The guidance on accounting for uncertainity in income taxes also addresses dercognition, classification, interest, and penalties on income taxes, and accounting interim periods. At december 31, 2022, there were no unrecognized tax benefits identified or recorded as liabilities. The organiztion files form 990 and the related state of indiana tax return.

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IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt0106732
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0708208
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt1350000
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt2219689
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0BANK OVERDRAFT
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1ASSETS HELD IN TRUST
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc2LEASE LIABILTY - R OF U ASSETS
IRS990ScheduleD/RevenueSubtotalAmt045784563
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE, AND STATE INCOME TAXES UNDER CORRESPONDING PROVISIONS OF INDIANA TAX LAW. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. CURRENT ACCOUNTING STANDARDS REQUIRE THE ORGANIZATION TO ADDRESS THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED, OR EXPECTED TO BE CLAIMED, ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THIS GUIDANCE, THE ORGANIZATION MAY RECOGNIZE THE TAX BENEFIT FROM UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. EXMAPLES OF TAX POSITIONS INCLUDE THE TAX-EXEMPT STATUS OF THE ORGANIZATION, AND VARIOUS POSITIONS RELATED TO THE POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME. THE TAX BENEFITS THAT COULD BE RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH POSITIONS WOULD MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50 PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE GUIDANCE ON ACCOUNTING FOR UNCERTAINITY IN INCOME TAXES ALSO ADDRESSES DERCOGNITION, CLASSIFICATION, INTEREST, AND PENALTIES ON INCOME TAXES, AND ACCOUNTING INTERIM PERIODS. AT DECEMBER 31, 2022, THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES. THE ORGANIZTION FILES FORM 990 AND THE RELATED STATE OF INDIANA TAX RETURN.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 3, PART X
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0133849
IRS990ScheduleD/TotalExpensesPerForm990Amt045502410
IRS990ScheduleD/TotalLiabilityAmt01277897
IRS990ScheduleD/TotalRevenuePerForm990Amt045784563
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt045784563
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt045502410
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0FORM 990 IS REVIEWED BY MANAGEMENT WITH THE TAX RETURN PREPARER, AND CHANGES ARE INCORPORATED PRIOR TO FILING. THE FORM 990, ALONG WITH MANAGEMENT'S RECOMMENDATION FOR APPROVAL IS THEN PRESENTED TO THE FULL BOARD OF DIRECTORS, WHO REVIEWS THE TAX RETURN, AND IF THEY APPROVE, THE TAX RETURN IS SIGNED AND FILED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1ADIRECTOR, OFFICER, OR AN EMPLOYEE OF THE ORGANIZATION MAY NOT PARTICIPATE IN THE SELECTION, AWARD OR ANY DISCUSSION RELATED TO A CONTRACT WITH A VENDOR, IF THE DIRECTOR, OFFICER, EMPLOYEE OR ANY MEMBER OF HIS OR HER IMMEDIATE FAMILY, HAS A FINANCIAL OR OWNERSHIP INTEREST IN THE VENDOR. AND INTERESTED PERSON MUST DISCLOSE THE EXEISTENCE OF HIS OR HER FINANCIAL INTEREST TO THE CHAIRMAN (OR IN THE EVENT THE INTERESTED PERSON IS A MEMBER OF THE BOARD OF DIRECTORS). PROCEDURES FOR ADDRESSING A CONFLICT OF INTEREST BY A DIRECTOR INCLUDE: THE INTERESTED PERSON LEAVING THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE ORGANIZATION CAN OBTAIN AN ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, AND IF AN ARRANGEMENT IS NOT REASONABLY ABTAINABLE UNDER CIRCUMSTANCES TAHT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OOR COMMITTEE SHALL DETERMINE BY A MAJORITRY VOTEOF DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST AND FOR IT'S OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE ORGANIZATION. EACH DIRECTOR AND OFFICER SHALL SIGN A STATEMENT ANNUALLY WHICH AFFIRMS THAT SUCH PERSON: HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY AND IN SUCH ANNUAL STATEMENTS, EACH DIRECTOR AND OFFICER SHALL DISCLOSE ANY FINANCIAL INTEREST THAT MAY BE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST. THE CHAIRMAN SHALL BE EMPOWERED TO DETERMIN MATTERS RELATING TO THE EXISTENCE OF CONFLICT OF INTEREST FOR EMPLOYEES OF THE ORGANIZATION WHO ARE NOT OFFICERS OF THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE CHAIRMAN, TREASURER, AND SECRETARY SALARIES ARE REVIEWED AND APPROVED ANNUALLY BY THE BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE COMPENSATION FOR THE CHAIRMAN, TREASURER, AND SECRETARY IS INCREASED ANNUALLY BASED ON COST OF LIVING. WEEKLY PAY STARTED AT THE STANDARD PAY FOR SIMILAR POSITIONS IN THE COMMUNITY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4NO DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC EXCEPT THOSE OTHERWISE PROVIDED BY LAW.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5NO DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC EXCEPT THOSE OTHERWISE PROVIDED BY LAW.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6COMMUNITY HEALTH CLINIC, INC., 0 EIN 26-4463924 IS FILING THEIR OWN FORM 990 0 TAX RETURN 1,381,958 TOTAL 1,381,958
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 15B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 18
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART XI, LINE 9
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IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0IN
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsEOYAmt08205964
IRS990/TotalAssetsGrp/BOYAmt00
IRS990/TotalAssetsGrp/EOYAmt08205964
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalEmployeeCnt06
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0284939
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt045217471
IRS990/TotalFunctionalExpensesGrp/TotalAmt045502410
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt06541853
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt06541853
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt01664111
IRS990/TotalProgramServiceExpensesAmt045217471
IRS990/TotalProgramServiceRevenueAmt045781159
IRS990/TotalReportableCompFromOrgAmt0247328
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt045784563
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt045784563
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt00
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt08205964
IRS990/TravelGrp/ManagementAndGeneralAmt080
IRS990/TravelGrp/ProgramServicesAmt0320
IRS990/TravelGrp/TotalAmt0400
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnsecuredNotesLoansPayableGrp/EOYAmt01076290
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt011473 CR 32
IRS990/USAddress/CityNm0GOSHEN
IRS990/USAddress/StateAbbreviationCd0IN
IRS990/USAddress/ZIPCd046528
IRS990/VotingMembersGoverningBodyCnt011
IRS990/VotingMembersIndependentCnt011
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02023-04-26 12:10:37Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0VERNON BEECHY
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0SECRETARY
ReturnHeader/BusinessOfficerGrp/PhoneNum02605930109
ReturnHeader/BusinessOfficerGrp/SignatureDt02023-05-24
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0PLAIN CHURCH GROUP MINISTRY INC
ReturnHeader/Filer/BusinessNameControlTxt0PLAI
ReturnHeader/Filer/EIN0920422914
ReturnHeader/Filer/PhoneNum02605930109
ReturnHeader/Filer/USAddress/AddressLine1Txt0128 ROY STREET
ReturnHeader/Filer/USAddress/CityNm0TOPEKA
ReturnHeader/Filer/USAddress/StateAbbreviationCd0IN
ReturnHeader/Filer/USAddress/ZIPCd046571
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0351350297
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0DAVID CULP & CO LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0120 S 2ND STREET
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0GOSHEN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0IN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd046526
ReturnHeader/PreparerPersonGrp/PhoneNum05745334540
ReturnHeader/PreparerPersonGrp/PreparationDt02023-06-07
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0WILLIAM E MILLER CPA
ReturnHeader/ReturnTs02023-06-07T14:34:56-04:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0VERNON
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0BEECHY
ReturnHeader/TaxPeriodBeginDt02022-09-22
ReturnHeader/TaxPeriodEndDt02022-12-31
ReturnHeader/TaxYr02022

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