Civic Intelligence

Scahc Qalicb Inc.

EIN 92-2486870 • 501(c)3 • San Carlos, AZ

Pub. 78 Eligible

Profile

The corporation is organized and must be operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of san carlos apache healthcare corporation ("scahc'), a nonprofit corporation formed under the laws of the san carlos apache tribe, a federal recognized indian tribe organized pursuant to the provisions of section 16 of the indian reorganization act of june 18, 1934 (48 stat. 984) (the "tribe"), which is exempt from federal income tax as a component unit of the tribe.

PO Box 40San Carlos, AZ 85550

n/A

Siviq Scores

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

Liabilities / Assets

94th percentile

1.02x

Higher debt load relative to assets than 94% of similar nonprofits.

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

Liabilities / Revenue

99th percentile

56.64x

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

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

Net Margin

76th percentile

21%

Higher net margin than 76% of similar nonprofits.

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

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 2024

Revenue Growth

Score unavailable

No value available

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

Source year 2024

Balance Sheet
Liabilities / Assets94th percentile

Assets

Down

$65,630,723

Down $3,682,676 (-5.3%) from 2023

Liabilities

Down

$66,782,747

Down $3,930,900 (-5.6%) from 2023

Net Assets

Up

-$1,152,024

Up $248,224 (+18%) from 2023

Operations
Liabilities / Revenue99th percentileNet Margin76th percentile

Revenue

Up

$1,179,174

Up $509,144 (+76%) from 2023

Expenses

Down

$930,950

Down $1,139,328 (-55%) from 2023

Net Income

Up

$248,224

Up $1,648,472 (+118%) from 2023

Trend Graphs

Balance Sheet Trend

Asset GrowthScore unavailable

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

$80M$60M$40M$20M$0-$20MAssets 2023: $69,313,399Liabilities 2023: $70,713,647Net Assets 2023: -$1,400,2482023Assets 2024: $65,630,723Liabilities 2024: $66,782,747Net Assets 2024: -$1,152,0242024

Highlighted filing

2024

Assets$65,630,723
Liabilities$66,782,747
Net Assets-$1,152,024
Open 2024 Filing

Operations Trend

Revenue GrowthScore unavailable

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

$3.0M$2.0M$1.0M$0-$1.0M-$2.0MRevenue 2023: $670,030Expenses 2023: $2,070,278Net Income 2023: -$1,400,2482023Revenue 2024: $1,179,174Expenses 2024: $930,950Net Income 2024: $248,2242024

Highlighted filing

2024

Revenue$1,179,174
Expenses$930,950
Net Income$248,224
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$65,630,723
Liabilities
$66,782,747
Net assets
-$1,152,024
Revenue
$1,179,174
Expenses
$930,950
Net income
$248,224
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$65.6$66.8$1.15$1.18$0.93$0.25
2023Detailed filing. Detailed filing data is available for this year.$69.3$70.7$1.40$0.67$2.07$1.40
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 15, 2025
Return Version
2023v6.0
Gross Receipts
$1,179,174
Mission and Program Overview

Mission

The corporation is organized and must be operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of san carlos apache healthcare corporation ("scahc'), a nonprofit corporation formed under the laws of the san carlos apache tribe, a federal recognized indian tribe organized pursuant to the provisions of section 16 of the indian reorganization act of june 18, 1934 (48 stat. 984) (the "tribe"), which is exempt from federal income tax as a component unit of the tribe.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$55,082,767$23,296,598▼ $31,786,169
Land, Buildings, and Equipment, Net$0$20,903,431▲ $20,903,431
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$-1,400,248$-1,152,024▲ $248,224
Total Assets$69,313,399$65,630,723▼ $3,682,676
Other Assets Total$14,230,632$21,430,694▲ $7,200,062
Liabilities
Mortgage Notes Payable Secured by Investment Property$50,610,000$50,610,000→ $0
Other Liabilities$19,642,872$12,253,332▼ $7,389,540
Accounts Payable and Accrued Expenses$460,775$3,919,415▲ $3,458,640
Total Liabilities$70,713,647$66,782,747▼ $3,930,900
Net Assets / Fund Balance
Total Net Assets Fund Balance$-1,400,248$-1,152,024▲ $248,224
Total Liabilities and Net Assets / Fund Balance$69,313,399$65,630,723▼ $3,682,676

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$20,639,745$267,091$20,906,836
Equipment$263,686$17,565$281,251
Other Assets Org$21,430,694--
Compensation and Service Providers
Top Officer PayScore unavailable

Employees

NameTitleOtherTotal
John CarrollPresident$104,167$104,167

Board Members and Trustees

NameTitle
Christine KeyonnieFormer President
Matt OlinSecretary
Bernadette GoodeTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$1,179,174
Other Revenue
$0
Change in Net Assets
$248,224
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$930,950
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Interest$399,806--$399,806
Depreciation Depletion$284,656--$284,656
Other Expenses$14,926--$14,926
Total Functional Expenses$930,950$0$0$930,950
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 Scahc$11,503,136
Due to Tribe$750,196
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Audit committee
Yes
Backup withholding compliance
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
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

“Copies of the form 990 are provided to the board members for review and approval prior to filing.”

Form 990, Part VI, Section C, Line 19

“Records are available upon request.”

Filing and Contact Details

Filer

Filer Name
Scahc Qalicb Inc
EIN
92-2486870
Phone
5033129273
Address
PO BOX 40, SAN CARLOS, AZ 85550

Signing Officer

Name
John Carroll
Title
President
Phone
5033129273
Signed
2025-08-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
John Carroll
Formed
2023
Voting Board Members
3
Independent Board Members
2
Employees
0
Volunteers
0

Preparer

Firm
Redw LLC
Address
8801 HORIZON BLVD NE 401, ALBUQUERQUE, NM 87113
Preparer
Phillip Walck
Phone
5059983200
Supplemental Narrative

Financial Statement Notes

PART X, LINE 2:

“The corporation is a component unit of the san carlos apache tribe. It is consequently exempt from federal income taxes under section 7871 of the internal revenue code. Accordingly, no provision for income taxes has been made in these financial statements.”

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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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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0AT ALL TIMES THE DESIGNATED DIRECTOR OF SCAHC QALICB INC MUST BE THE CFO OF SCAHC. THUS, THE SUPPORTED ORGANIZATION HAS A SIGNIFICANT VOICE IN SCAHC QALICB INC'S OPERATIONS AND DIRECTING THE USE OF ITS ASSETS THROUGH THE DESIGNATED DIRECTOR.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1SCAHC QALICB INC (THE ORGANIZATION) WAS FORMED TO BE THE QALICB IN A NMTC TRANSACTION TO FINANCE CONSTRUCTION A NEW ANNEX TO AN EXISTING HOSPITAL OPERATED BY SCAHC AND A NEW MEDICAL CLINIC. IF THE PROJECT WERE NOT FINANCED USING THE NMTC PROGRAM, INFLATION AND ESCALATING COSTS WOULD DELAY THE PROJECT OR REQUIRE SCAHC TO DEDICATE A GREATER PORTION OF ITS ASSETS TO THE PROJECT JEOPARDIZING OTHER CAPITAL PROJECTS INTENDED TO ENHANCE SCAHC'S ABILITY TO PROVIDE HEALTHCARE SERVICES IN THE LOW-INCOME COMMUNITY SERVED BY SCAHC. FURTHER, DUE TO ITS STATUS AS A COMPONENT UNIT OF THE TRIBE, SCAHC IS NOT ITSELF ELIGIBLE TO BE A QALICB. THUS, ABSENT THE ORGANIZATION'S PARTICIPATION IN THE PROJECT FINANCING, THE SUBSIDY INTENDED BY CONGRESS IN ENACTING THE NMTC PROGRAM WOULD NOT BE AVAILABLE FOR THE PROJECT. THE ORGANIZATION'S ACTIVITIES ARE OF A TYPE THAT WOULD BE PERFORMED BY SCAHC, FINANCING THE PROJECT, BUT THAT REDUCE THE BURDENS OF GOVERNMENT BY ENABLING SCAHC TO BENEFIT FROM THE NMTC PROGRAM.
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IRS990ScheduleA/SupportingOrgType3FuncIntInd0X
IRS990ScheduleA/SupportSumAmt00
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/BuildingsGrp/BookValueAmt020639745
IRS990ScheduleD/BuildingsGrp/DepreciationAmt0267091
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt020906836
IRS990ScheduleD/EquipmentGrp/BookValueAmt0263686
IRS990ScheduleD/EquipmentGrp/DepreciationAmt017565
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0281251
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt021430694
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0CONSTRUCTION IN PROCESS
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt011503136
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt1750196
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO SCAHC
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1DUE TO TRIBE
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE CORPORATION IS A COMPONENT UNIT OF THE SAN CARLOS APACHE TRIBE. IT IS CONSEQUENTLY EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 7871 OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THESE FINANCIAL STATEMENTS.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt020903431
IRS990ScheduleD/TotalBookValueOtherAssetsAmt021430694
IRS990ScheduleD/TotalLiabilityAmt012253332
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0145833
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0CHRISTINE KEYONNIE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0FORMER PRESIDENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0145833
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0COPIES OF THE FORM 990 ARE PROVIDED TO THE BOARD MEMBERS FOR REVIEW AND APPROVAL PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1RECORDS ARE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt0SAN CARLOS APACHE TRIBE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0SAN CARLOS APACHE HEALTHCARE CORPORATION
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0473255211
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileForeignCountryCd0OC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HEALTHCARE SERVICES
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 6
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0103 MEDICINE WAY ROAD
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0PERIDOT
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0AZ
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd085542
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd01
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt011833055
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt0ACUTAL AMOUNT
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt0SAN CARLOS APACHE HEALTHCARE CORPORATION
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt0P
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt069313399
IRS990/TotalAssetsEOYAmt065630723
IRS990/TotalAssetsGrp/BOYAmt069313399
IRS990/TotalAssetsGrp/EOYAmt065630723
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0930950
IRS990/TotalFunctionalExpensesGrp/TotalAmt0930950
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt070713647
IRS990/TotalLiabilitiesEOYAmt066782747
IRS990/TotalLiabilitiesGrp/BOYAmt070713647
IRS990/TotalLiabilitiesGrp/EOYAmt066782747
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-1400248
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-1152024
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0930950
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt01179174
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt01179174
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt069313399
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt065630723
IRS990/TotReportableCompRltdOrgAmt0250000
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0PO BOX 40
IRS990/USAddress/CityNm0SAN CARLOS
IRS990/USAddress/StateAbbreviationCd0AZ
IRS990/USAddress/ZIPCd085550
IRS990/VotingMembersGoverningBodyCnt03
IRS990/VotingMembersIndependentCnt02
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0JOHN CARROLL
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum05033129273
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-08-15
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0SCAHC QALICB INC
ReturnHeader/Filer/BusinessNameControlTxt0SCAH
ReturnHeader/Filer/EIN0922486870
ReturnHeader/Filer/PhoneNum05033129273
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 40
ReturnHeader/Filer/USAddress/CityNm0SAN CARLOS
ReturnHeader/Filer/USAddress/StateAbbreviationCd0AZ
ReturnHeader/Filer/USAddress/ZIPCd085550
ReturnHeader/IRSResponsiblePrtyInfoCurrInd01
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0850203431
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0REDW LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt08801 HORIZON BLVD NE 401
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0ALBUQUERQUE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NM
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd087113
ReturnHeader/PreparerPersonGrp/PhoneNum05059983200
ReturnHeader/PreparerPersonGrp/PreparationDt02025-08-15
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0PHILLIP WALCK
ReturnHeader/ReturnTs02025-08-15T21:35:35-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02023-10-01
ReturnHeader/TaxPeriodEndDt02024-09-30
ReturnHeader/TaxYr02023

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