Civic Intelligence

Tampa Bay Hunger Relief Center Inc

EIN 92-2140288 • 501(c)3 • Tampa, FL

NTEE K31

Profile

To support feeding america tampa bay, inc. D/b/a feeding tampa bay

3624 Causeway BlvdTampa, FL 33619

www.feedingtampabay.org

Siviq Scores

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

Liabilities / Assets

90th percentile

0.91x

Higher debt load relative to assets than 90% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

99th percentile

21.10x

Higher debt load relative to revenue than 99% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

100th percentile

100%

Higher net margin than 100% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

49th percentile

$354,452

Higher top officer pay than 49% of similar nonprofits.

Top officer pay equals 12.1% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

46th percentile

4.8%

Faster asset growth than 46% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

13th percentile

-13%

Faster revenue growth than 13% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Assets

Up

$68,134,887

Up $3,121,280 (+4.8%) from 2023

Liabilities

Up

$61,828,123

Up $191,283 (+0.3%) from 2023

Net Assets

Up

$6,306,764

Up $2,929,997 (+87%) from 2023

Revenue

Down

$2,929,997

Down $446,770 (-13%) from 2023

Expenses

Flat

$0

Flat from 2023

Net Income

Down

$2,929,997

Down $446,770 (-13%) from 2023

Trend Graphs

Balance Sheet Trend

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

$80M$60M$40M$20M$0Assets 2023: $65,013,607Liabilities 2023: $61,636,840Net Assets 2023: $3,376,7672023Assets 2024: $68,134,887Liabilities 2024: $61,828,123Net Assets 2024: $6,306,7642024

Highlighted filing

2024

Assets$68,134,887
Liabilities$61,828,123
Net Assets$6,306,764

Operations Trend

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

$4.0M$3.0M$2.0M$1.0M$0Revenue 2023: $3,376,767Expenses 2023: $0Net Income 2023: $3,376,7672023Revenue 2024: $2,929,997Expenses 2024: $0Net Income 2024: $2,929,9972024

Highlighted filing

2024

Revenue$2,929,997
Expenses$0
Net Income$2,929,997

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
Mar 30, 2025
Return Version
2023v6.0
Gross Receipts
$2,929,997
Mission and Program Overview

Mission

To support feeding america tampa bay, inc. D/b/a feeding tampa bay

The tampa bay hunger relief center operates exclusively for the benefit of feeding america tampa bay and serves as the real estate holding company for the construction of a new facility which was partially funded through a new markets tax credit transaction.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$0$54,699,213▲ $54,699,213
Cash and Non-Interest-Bearing Accounts$42,161,828$6,042,344▼ $36,119,484
Savings and Temporary Cash Investments$2,504,362$2,235,012▼ $269,350
Total Assets$65,013,607$68,134,887▲ $3,121,280
Other Assets Total$20,347,417$5,158,318▼ $15,189,099
Liabilities
Unsecured Notes Loans Payable$61,495,000$61,635,000▲ $140,000
Other Liabilities$141,840$193,123▲ $51,283
Total Liabilities$61,636,840$61,828,123▲ $191,283
Net Assets / Fund Balance
Net Assets With Donor Restrictions$3,376,767$6,306,764▲ $2,929,997
Total Net Assets Fund Balance$3,376,767$6,306,764▲ $2,929,997
Total Liabilities and Net Assets / Fund Balance$65,013,607$68,134,887▲ $3,121,280

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$54,699,213-$54,699,213
Other Assets Org$2,119,573--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Anna WiandDirector
Marc SpencerDirector
Robert GreenhalghDirector
Thomas MantzExecutive Director
Amy KernChief Financial Officer
Revenue and Support

Revenue Composition

Contributions and Grants
$2,929,997
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$2,929,997
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0
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
Nmtc Accrued Interest Payable$193,123
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
Yes
Other officer compensation reviewed
No
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, Part VI, Section B, Line 11B

The form 990 is first reviewed by the chief financial officer, the president and the chief executive officer of feeding tampa bay, inc., followed by the auditing firm's representative and the treasurer of the board of directors. In addition, an electronic copy is fowarded to all board members. The public accounting firm, warren averett, llc, finalizes the return and provides technical and reporting advice to the board members to ensure a complete and accurate return is filed with the irs.

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

The organization's conflict of interest policy requires that all officers, directors, and employees disclose any conflicts immediately upon discovery. Compliance is consistently monitored and reviewed on an annual basis.

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

Tampa bay hunger relief center does not pay any employees, officers, or board members. Any officers or board members of tampa bay hunger relief center are compensated by feeding tampa bay, inc. The board of directors for feeding tampa bay, inc. Is responsible for reviewing and approving employment contracts and compensation levels for the organization's chief executive officer. Employee performance history and industry standards for similarly qualified individuals in comparable positions are used to set compensation.

Form 990, Part VI, Section C, Line 19

The organization makes its governing documents, policies, and financials statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Tampa Bay Hunger Relief Center Inc
EIN
92-2140288
Phone
8132541190
Address
3624 CAUSEWAY BLVD, TAMPA, FL 33619

Signing Officer

Name
Thomas Mantz
Title
President & CEO
Phone
8132541190
Signed
2025-03-30
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Thomas Mantz
Formed
2023
Legal Domicile
Fl
Voting Board Members
3
Independent Board Members
3
Employees
0
Volunteers
3

Preparer

Firm
Warren Averett LLC
Address
2500 ACTON ROAD, BIRMINGHAM, AL 35243
Preparer
Megan Randolph
Phone
2059794100
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

The process has not changed from prior years.

Financial Statement Notes

PART X, LINE 2:

The following disclosure appears in the income taxes footnote to our financial statements for the year ended june 30, 2024. (note that our audited financial statements sometimes refer to us as the food bank): the food bank qualifies as a tax-exempt organization under section 501(c)(3) of the internal revenue code and therefore has no provision for federal or state income taxes recorded in the financial statements. There were no significant non-exempt business activities during the years ended june 30, 2024 and 2023. U.s. Gaap requires management to evaluate tax positions taken by the food bank. The food bank has adopted the authoritative guidance relating to accounting for uncertainty in income taxes included in financial accounting standards board (fasb) accounting standards codification (asc) topic 740, income taxes. These provisions provide consistent guidance for the accounting for uncertainty in income taxes recognized in an entity's financial statements and prescribe a threshold of "more likely than not" for recognition and derecognition of tax positions taken or expected to be taken in a tax return. Management has concluded that there was no uncertainty in income taxes that would require recognition in the financial statements or that may have any effect on its tax-exempt status, and no provision for income taxes is required for the years ended june 30, 2024 or 2023.

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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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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt06900
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt13264
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt06013
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt13789
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0THOMAS MANTZ
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1AMY KERN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0EXECUTIVE DIRECTOR
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1CHIEF FINANCIAL OFFICER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0354452
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1180787
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0TAMPA BAY HUNGER RELIEF CENTER DOES NOT PAY ANY EMPLOYEES, OFFICERS, OR BOARD MEMBERS. ANY OFFICERS OR BOARD MEMBERS OF TAMPA BAY HUNGER RELIEF CENTER ARE COMPENSATED BY FEEDING TAMPA BAY, INC. THE BOARD OF DIRECTORS FOR FEEDING TAMPA BAY, INC. IS RESPONSIBLE FOR REVIEWING AND APPROVING EMPLOYMENT CONTRACTS AND COMPENSATION LEVELS FOR THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER. EMPLOYEE PERFORMANCE HISTORY AND INDUSTRY STANDARDS FOR SIMILARLY QUALIFIED INDIVIDUALS IN COMPARABLE POSITIONS ARE USED TO SET COMPENSATION.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE FORM 990 IS FIRST REVIEWED BY THE CHIEF FINANCIAL OFFICER, THE PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF FEEDING TAMPA BAY, INC., FOLLOWED BY THE AUDITING FIRM'S REPRESENTATIVE AND THE TREASURER OF THE BOARD OF DIRECTORS. IN ADDITION, AN ELECTRONIC COPY IS FOWARDED TO ALL BOARD MEMBERS. THE PUBLIC ACCOUNTING FIRM, WARREN AVERETT, LLC, FINALIZES THE RETURN AND PROVIDES TECHNICAL AND REPORTING ADVICE TO THE BOARD MEMBERS TO ENSURE A COMPLETE AND ACCURATE RETURN IS FILED WITH THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES THAT ALL OFFICERS, DIRECTORS, AND EMPLOYEES DISCLOSE ANY CONFLICTS IMMEDIATELY UPON DISCOVERY. COMPLIANCE IS CONSISTENTLY MONITORED AND REVIEWED ON AN ANNUAL BASIS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2TAMPA BAY HUNGER RELIEF CENTER DOES NOT PAY ANY EMPLOYEES, OFFICERS, OR BOARD MEMBERS. ANY OFFICERS OR BOARD MEMBERS OF TAMPA BAY HUNGER RELIEF CENTER ARE COMPENSATED BY FEEDING TAMPA BAY, INC. THE BOARD OF DIRECTORS FOR FEEDING TAMPA BAY, INC. IS RESPONSIBLE FOR REVIEWING AND APPROVING EMPLOYMENT CONTRACTS AND COMPENSATION LEVELS FOR THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER. EMPLOYEE PERFORMANCE HISTORY AND INDUSTRY STANDARDS FOR SIMILARLY QUALIFIED INDIVIDUALS IN COMPARABLE POSITIONS ARE USED TO SET COMPENSATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, POLICIES, AND FINANCIALS STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE PROCESS HAS NOT CHANGED FROM PRIOR YEARS.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART XII, LINE 2C:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd01
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0FEEDING AMERICA TAMPA BAY INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0592116576
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0FL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HUNGER RELIEF
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 7
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt03624 CAUSEWAY BLVD
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0TAMPA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0FL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd033619
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd01
IRS990ScheduleR/PaidEmployeesSharingInd01
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd01
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0FL
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt065013607
IRS990/TotalAssetsEOYAmt068134887
IRS990/TotalAssetsGrp/BOYAmt065013607
IRS990/TotalAssetsGrp/EOYAmt068134887
IRS990/TotalCompGreaterThan150KInd01
IRS990/TotalContributionsAmt02929997
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt00
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt061636840
IRS990/TotalLiabilitiesEOYAmt061828123
IRS990/TotalLiabilitiesGrp/BOYAmt061636840
IRS990/TotalLiabilitiesGrp/EOYAmt061828123
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt03376767
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt06306764
IRS990/TotalOtherCompensationAmt019966
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt02929997
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt03
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt065013607
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt068134887
IRS990/TotReportableCompRltdOrgAmt0515273
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnsecuredNotesLoansPayableGrp/BOYAmt061495000
IRS990/UnsecuredNotesLoansPayableGrp/EOYAmt061635000
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt03624 CAUSEWAY BLVD
IRS990/USAddress/CityNm0TAMPA
IRS990/USAddress/StateAbbreviationCd0FL
IRS990/USAddress/ZIPCd033619
IRS990/VotingMembersGoverningBodyCnt03
IRS990/VotingMembersIndependentCnt03
IRS990/WebsiteAddressTxt0WWW.FEEDINGTAMPABAY.ORG
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0THOMAS MANTZ
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT & CEO
ReturnHeader/BusinessOfficerGrp/PhoneNum08132541190
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-03-30
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0TAMPA BAY HUNGER RELIEF CENTER INC
ReturnHeader/Filer/BusinessNameControlTxt0TAMP
ReturnHeader/Filer/EIN0922140288
ReturnHeader/Filer/PhoneNum08132541190
ReturnHeader/Filer/USAddress/AddressLine1Txt03624 CAUSEWAY BLVD
ReturnHeader/Filer/USAddress/CityNm0TAMPA
ReturnHeader/Filer/USAddress/StateAbbreviationCd0FL
ReturnHeader/Filer/USAddress/ZIPCd033619
ReturnHeader/IRSResponsiblePrtyInfoCurrInd01
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0454084437
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0WARREN AVERETT LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt02500 ACTON ROAD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0BIRMINGHAM
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0AL
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd035243
ReturnHeader/PreparerPersonGrp/PhoneNum02059794100

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