Civic Intelligence

Community Alliance Health Partners Inc

EIN 92-2341353 • 501(c)3 • Omaha, NE

Profile

It is the mission of community alliance health partners to provide quality, accessible, and affordable primary healthcare services to the community, especially to those individuals and familiies within our service area who are underserved and unserved.

7150 Arbor StreetOmaha, NE 68106

n/A

Siviq Scores

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

Liabilities / Assets

54th percentile

0.08x

Higher debt load relative to assets than 54% of similar nonprofits.

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

Liabilities / Revenue

44th percentile

0.05x

Higher debt load relative to revenue than 44% of similar nonprofits.

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

Net Margin

90th percentile

51%

Higher net margin than 90% of similar nonprofits.

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

Top Officer Pay

45th percentile

$35,210

Higher top officer pay than 45% of similar nonprofits.

Top officer pay equals 1.5% of source-year revenue.

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

Asset Growth

100th percentile

3131%

Faster asset growth than 100% of similar nonprofits.

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

Revenue Growth

100th percentile

10466%

Faster revenue growth than 100% of similar nonprofits.

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

Assets

Up

$1,336,605

Up $1,295,237 (+3131%) from 2024

Liabilities

Up

$112,012

Up $106,093 (+1792%) from 2024

Net Assets

Up

$1,224,593

Up $1,189,144 (+3355%) from 2024

Revenue

Up

$2,314,796

Up $2,292,889 (+10466%) from 2024

Expenses

Up

$1,125,652

Up $1,039,194 (+1202%) from 2024

Net Income

Up

$1,189,144

Up $1,253,695 (+1942%) from 2024

Trend Graphs

Balance Sheet Trend

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

$1.5M$1.0M$500K$0Assets 2023: $100,000Liabilities 2023: $0Net Assets 2023: $100,0002023Assets 2024: $41,368Liabilities 2024: $5,919Net Assets 2024: $35,4492024Assets 2025: $1,336,605Liabilities 2025: $112,012Net Assets 2025: $1,224,5932025

Highlighted filing

2025

Assets$1,336,605
Liabilities$112,012
Net Assets$1,224,593

Operations Trend

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

$3.0M$2.0M$1.0M$0-$1.0MRevenue 2023: $100,000Expenses 2023: $0Net Income 2023: $100,0002023Revenue 2024: $21,907Expenses 2024: $86,458Net Income 2024: -$64,5512024Revenue 2025: $2,314,796Expenses 2025: $1,125,652Net Income 2025: $1,189,1442025

Highlighted filing

2025

Revenue$2,314,796
Expenses$1,125,652
Net Income$1,189,144

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2024 to Jun 30, 2025
Signed
Mar 18, 2026
Return Version
2024v5.5
Gross Receipts
$2,314,796
Mission and Program Overview

Mission

It is the mission of community alliance health partners to provide quality, accessible, and affordable primary healthcare services to the community, especially to those individuals and familiies within our service area who are underserved and unserved.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$19,461$1,325,953▲ $1,306,492
Accounts Receivable$0$10,462▲ $10,462
Total Assets$41,368$1,336,605▲ $1,295,237
Other Assets Total$21,907$190▼ $21,717
Liabilities
Other Liabilities$0$104,143▲ $104,143
Accounts Payable and Accrued Expenses$5,919$7,869▲ $1,950
Total Liabilities$5,919$112,012▲ $106,093
Net Assets / Fund Balance
Net Assets With Donor Restrictions$0$1,000,000▲ $1,000,000
Net Assets Without Donor Restrictions$35,449$224,593▲ $189,144
Total Net Assets Fund Balance$35,449$1,224,593▲ $1,189,144
Total Liabilities and Net Assets / Fund Balance$41,368$1,336,605▲ $1,295,237
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Susan WardExecutive DirectorFT$35,210$35,210

Board Members and Trustees

NameTitle
Ralph MoroccoChair
Michael ChaseVice Chair
Arthur ContrerasDirector
Haley LarsonDirector
Jon BreuningDirector
Michael HarrisDirector
Miriam GrimaldoDirector
Patty HuberDirector
Terri MaguireDirector
Todd RecklingChief Program Officer
Margo HarveySecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Community Alliance Rehabilitation ServicClinical Staffing7150 ARBOR STREET, Omaha, NE 68106$323,822
Revenue and Support

Revenue Composition

Contributions and Grants
$2,269,968
Program Service Revenue
$44,769
Investment Income
$0
Other Revenue
$59
All Other Contributions
$2,000,000
Change in Net Assets
$1,189,144

Audited Revenue Reconciliation

Revenue per Audited Statements
$2,314,796
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$121,907
Total Revenue per Audited Statements
$2,436,703
Total Revenue per Form 990
$2,314,796
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,032,564
Salaries, Compensation, and Employee Benefits$93,088
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$691,714$149,511-$841,225
Occupancy$165,062$1,551-$166,613
Other Salaries and Wages$24,962$24,962-$49,924
Current Officers, Directors, Trustees, and Key Employees$18,133$18,133-$36,266
Insurance$18,344--$18,344
Payroll Taxes$3,227$3,227-$6,454
Fees for Services Legal-$5,713-$5,713
Other Expenses$625--$625
Pension Plan Contributions$222$222-$444
Office Expenses$44--$44
Total Functional Expenses$922,333$203,319$0$1,125,652

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$1,212,110
Expenses per Audited Statements$1,125,652
Total Expenses per Form 990$1,125,652
Expenses Not Reported on Form 990$86,458
Expenses Not Reported on Financial Statements$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
Due to Community Alliance, Inc.$104,143
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
No
Conflict-of-interest policy
Yes
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

The form 990 is prepared by the accounting firm which performs the audit of the organzation. The draft is reviewing by the cfo and executive director and then the full board of directors. Upon approval, the form 990 is finalized and filed with the irs.

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

The conflict of interest policy is reviewed annually with board members and staff. The board reviews and signs conflict of interest forms in january/february of each year. The policy states that individuals are also required to report should a potential conflict arise during the year.

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

Compensation of the executive director is reviewed and approved by the board of directors taking into account comparable wages as reviewed through nam (non-profit association of the midlands) and other comparable wages among similar organziations in size and scope.

Form 990, Part VI, Section C, Line 19

The organization makes its governing documents, conflict of interest policy, and financial statements are available upon request.

Filing and Contact Details

Filer

Filer Name
Community Alliance Health Partners
EIN
92-2341353
Phone
4023415128
Address
7150 ARBOR STREET, OMAHA, NE 68106

Signing Officer

Name
Ralph Morocco
Title
Chair
Phone
4023415128
Signed
2026-03-18
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ralph Morocco
Formed
2022
Legal Domicile
Ne
Voting Board Members
11
Independent Board Members
11
Employees
2
Volunteers
11

Preparer

Firm
Frankel LLC
Address
11404 WEST DODGE RD SUITE 700, OMAHA, NE 68154-2576
Preparer
Amy Sughroue
Phone
4024969100
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Other fees: program service expenses 21,328. Management and general expenses 0. Fundraising expenses 0. Total expenses 21,328. Contract labor: program service expenses 670,386. Management and general expenses 0. Fundraising expenses 0. Total expenses 670,386. Contracted services: program service expenses 0. Management and general expenses 149,511. Fundraising expenses 0. Total expenses 149,511.

Financial Statement Notes

PART X, LINE 2:

The agency is a not-for-profit corporation as described in section 501(c)(3) of the internal revenue code. The agency has received a determination letter that it is exempt from federal income taxes on related income pursuant to section 170 of the internal revenue code. The internal revenue service has established standards to be met to maintain the agency's tax-exempt status. Accounting standards require disclosure and recognition in financial statements of positions taken in a tax return about the treatment of transactions and events that more likely than not would not be sustained upon examination by tax authorities. Tax positions relative to a not-for-profit organization include activities that may endanger its exempt purpose and status as an exempt organization. The agency believes it complies with all relevant tax laws and regulations and has no significant uncertain tax positions; accordingly, no liability for uncertain tax positions has been recognized in the financial statements.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Revenue reported on prior year returns 121,907.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

Expenses reported on prior year returns 86,458.

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IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt00
IRS990/PYOtherExpensesAmt00
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt00
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt00
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt00
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt01189144
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt044828
IRS990ScheduleA/HospitalInd0X
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/ScheduleBRequiredInd01
IRS990ScheduleD/ExpensesNotReportedAmt086458
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt01125652
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/OtherExpensesIncludedAmt086458
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0104143
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO COMMUNITY ALLIANCE, INC.
IRS990ScheduleD/OtherRevenueAmt0121907
IRS990ScheduleD/RevenueNotReportedAmt0121907
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt02314796
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE AGENCY IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE AGENCY HAS RECEIVED A DETERMINATION LETTER THAT IT IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 170 OF THE INTERNAL REVENUE CODE. THE INTERNAL REVENUE SERVICE HAS ESTABLISHED STANDARDS TO BE MET TO MAINTAIN THE AGENCY'S TAX-EXEMPT STATUS. ACCOUNTING STANDARDS REQUIRE DISCLOSURE AND RECOGNITION IN FINANCIAL STATEMENTS OF POSITIONS TAKEN IN A TAX RETURN ABOUT THE TREATMENT OF TRANSACTIONS AND EVENTS THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAX AUTHORITIES. TAX POSITIONS RELATIVE TO A NOT-FOR-PROFIT ORGANIZATION INCLUDE ACTIVITIES THAT MAY ENDANGER ITS EXEMPT PURPOSE AND STATUS AS AN EXEMPT ORGANIZATION. THE AGENCY BELIEVES IT COMPLIES WITH ALL RELEVANT TAX LAWS AND REGULATIONS AND HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS; ACCORDINGLY, NO LIABILITY FOR UNCERTAIN TAX POSITIONS HAS BEEN RECOGNIZED IN THE FINANCIAL STATEMENTS.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1REVENUE REPORTED ON PRIOR YEAR RETURNS 121,907.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2EXPENSES REPORTED ON PRIOR YEAR RETURNS 86,458.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART XI, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2PART XII, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalExpensesPerForm990Amt01125652
IRS990ScheduleD/TotalLiabilityAmt0104143
IRS990ScheduleD/TotalRevenuePerForm990Amt02314796
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt02436703
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt01212110
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE FORM 990 IS PREPARED BY THE ACCOUNTING FIRM WHICH PERFORMS THE AUDIT OF THE ORGANZATION. THE DRAFT IS REVIEWING BY THE CFO AND EXECUTIVE DIRECTOR AND THEN THE FULL BOARD OF DIRECTORS. UPON APPROVAL, THE FORM 990 IS FINALIZED AND FILED WITH THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY WITH BOARD MEMBERS AND STAFF. THE BOARD REVIEWS AND SIGNS CONFLICT OF INTEREST FORMS IN JANUARY/FEBRUARY OF EACH YEAR. THE POLICY STATES THAT INDIVIDUALS ARE ALSO REQUIRED TO REPORT SHOULD A POTENTIAL CONFLICT ARISE DURING THE YEAR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2COMPENSATION OF THE EXECUTIVE DIRECTOR IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS TAKING INTO ACCOUNT COMPARABLE WAGES AS REVIEWED THROUGH NAM (NON-PROFIT ASSOCIATION OF THE MIDLANDS) AND OTHER COMPARABLE WAGES AMONG SIMILAR ORGANZIATIONS IN SIZE AND SCOPE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4OTHER FEES: PROGRAM SERVICE EXPENSES 21,328. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,328. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 670,386. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 670,386. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 149,511. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 149,511.
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 IX, LINE 11G
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt041368
IRS990/TotalAssetsEOYAmt01336605
IRS990/TotalAssetsGrp/BOYAmt041368
IRS990/TotalAssetsGrp/EOYAmt01336605
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt02269968
IRS990/TotalEmployeeCnt02
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0203319
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0922333
IRS990/TotalFunctionalExpensesGrp/TotalAmt01125652
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt05919
IRS990/TotalLiabilitiesEOYAmt0112012
IRS990/TotalLiabilitiesGrp/BOYAmt05919
IRS990/TotalLiabilitiesGrp/EOYAmt0112012
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt035449
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt01224593
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0922333
IRS990/TotalProgramServiceRevenueAmt044769
IRS990/TotalReportableCompFromOrgAmt035210
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt044828
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt02314796
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt011
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt041368
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt01336605
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt07150 ARBOR STREET
IRS990/USAddress/CityNm0OMAHA
IRS990/USAddress/StateAbbreviationCd0NE
IRS990/USAddress/ZIPCd068106
IRS990/VotingMembersGoverningBodyCnt011
IRS990/VotingMembersIndependentCnt011
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0RALPH MOROCCO
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CHAIR
ReturnHeader/BusinessOfficerGrp/PhoneNum04023415128
ReturnHeader/BusinessOfficerGrp/SignatureDt02026-03-18
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0COMMUNITY ALLIANCE HEALTH PARTNERS
ReturnHeader/Filer/BusinessNameControlTxt0COMM
ReturnHeader/Filer/EIN0922341353
ReturnHeader/Filer/PhoneNum04023415128
ReturnHeader/Filer/USAddress/AddressLine1Txt07150 ARBOR STREET
ReturnHeader/Filer/USAddress/CityNm0OMAHA
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NE
ReturnHeader/Filer/USAddress/ZIPCd068106
ReturnHeader/IRSResponsiblePrtyInfoCurrInd00
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0470574775
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0FRANKEL LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt011404 WEST DODGE RD SUITE 700
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0OMAHA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0681542576
ReturnHeader/PreparerPersonGrp/PhoneNum04024969100
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0AMY SUGHROUE
ReturnHeader/ReturnTs02026-03-26T16:55:51-05:00
ReturnHeader/ReturnTypeCd0990

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