Civic Intelligence

Hedwig House Inc

EIN 93-0838324 • 501(c)3 • Milwaukee, WI

Profile

To provide housing for low income elderly individuals.

1716 North Humboldt AvenueMilwaukee, WI 53202

www.capricommunities.com

Siviq Scores

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

Liabilities / Assets

89th percentile

0.56x

Higher debt load relative to assets than 89% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Liabilities / Revenue

91st percentile

0.48x

Higher debt load relative to revenue than 91% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Net Margin

79th percentile

27%

Higher net margin than 79% of similar nonprofits.

501(c)3 • <$500k 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

59th percentile

3.0%

Faster asset growth than 59% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Revenue Growth

60th percentile

7.1%

Faster revenue growth than 60% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets89th percentile

Assets

Up

$758,278

Up $606,932 (+401%) from 2024

Liabilities

Up

$749,748

Up $665,264 (+787%) from 2024

Net Assets

Down

$8,530

Down $58,332 (-87%) from 2024

Operations
Liabilities / Revenue91st percentileNet Margin79th percentile

Revenue

Up

$190,160

Up $13,417 (+7.6%) from 2024

Expenses

Up

$248,491

Up $118,729 (+91%) from 2024

Net Income

Down

-$58,331

Down $105,312 (-224%) from 2024

Trend Graphs

Balance Sheet Trend

Asset Growth59th percentile

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

$1.0M$500K$0-$500KAssets 2012: $235,719Liabilities 2012: $418,694Net Assets 2012: -$182,9752012Assets 2013: $233,655Liabilities 2013: $425,425Net Assets 2013: -$191,7702013Assets 2014: $232,541Liabilities 2014: $407,165Net Assets 2014: -$174,6242014Assets 2016: $252,322Liabilities 2016: $379,590Net Assets 2016: -$127,2682016Assets 2017: $203,788Liabilities 2017: $321,410Net Assets 2017: -$117,6222017Assets 2018: $184,734Liabilities 2018: $278,785Net Assets 2018: -$94,0512018Assets 2019: $182,668Liabilities 2019: $254,655Net Assets 2019: -$71,9872019Assets 2020: $167,330Liabilities 2020: $239,489Net Assets 2020: -$72,1592020Assets 2021: $166,476Liabilities 2021: $207,925Net Assets 2021: -$41,4492021Assets 2022: $154,307Liabilities 2022: $167,439Net Assets 2022: -$13,1322022Assets 2023: $146,925Liabilities 2023: $127,044Net Assets 2023: $19,8812023Assets 2024: $151,346Liabilities 2024: $84,484Net Assets 2024: $66,8622024Assets 2025: $758,278Liabilities 2025: $749,748Net Assets 2025: $8,5302025

Highlighted filing

2025

Assets$758,278
Liabilities$749,748
Net Assets$8,530
Open 2025 Filing

Operations Trend

Revenue Growth60th percentile

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

$300K$200K$100K$0-$100KRevenue 2012: $150,304Expenses 2012: $131,617Net Income 2012: $18,6872012Revenue 2013: $126,853Expenses 2013: $128,581Net Income 2013: -$1,7282013Revenue 2014: $151,563Expenses 2014: $134,418Net Income 2014: $17,1452014Revenue 2016: $158,634Expenses 2016: $132,916Net Income 2016: $25,7182016Revenue 2017: $173,845Expenses 2017: $164,198Net Income 2017: $9,6472017Revenue 2018: $167,028Expenses 2018: $143,457Net Income 2018: $23,5712018Revenue 2019: $159,454Expenses 2019: $137,390Net Income 2019: $22,0642019Revenue 2020: $142,526Expenses 2020: $142,699Net Income 2020: -$1732020Revenue 2021: $158,795Expenses 2021: $128,087Net Income 2021: $30,7082021Revenue 2022: $159,709Expenses 2022: $131,393Net Income 2022: $28,3162022Revenue 2023: $165,037Expenses 2023: $132,025Net Income 2023: $33,0122023Revenue 2024: $176,743Expenses 2024: $129,762Net Income 2024: $46,9812024Revenue 2025: $190,160Expenses 2025: $248,491Net Income 2025: -$58,3312025

Highlighted filing

2025

Revenue$190,160
Expenses$248,491
Net Income-$58,331
Open 2025 Filing

Filings

Most recent year

2025 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$758,278
Liabilities
$749,748
Net assets
$8,530
Revenue
$190,160
Expenses
$248,491
Net income
-$58,331
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$7.58$7.50$0.09$1.90$2.48$0.58
2024Detailed filing. Detailed filing data is available for this year.$1.51$0.84$0.67$1.77$1.30$0.47
2023Detailed filing. Detailed filing data is available for this year.$1.47$1.27$0.20$1.65$1.32$0.33
2022Detailed filing. Detailed filing data is available for this year.$1.54$1.67$0.13$1.60$1.31$0.28
2021Detailed filing. Detailed filing data is available for this year.$1.66$2.08$0.41$1.59$1.28$0.31
2020Summary only. Only limited summary data is available for this year.$1.67$2.39$0.72$1.43$1.43$0.00
2019Summary only. Only limited summary data is available for this year.$1.83$2.55$0.72$1.59$1.37$0.22
2018Summary only. Only limited summary data is available for this year.$1.85$2.79$0.94$1.67$1.43$0.24
2017Summary only. Only limited summary data is available for this year.$2.04$3.21$1.18$1.74$1.64$0.10
2016Summary only. Only limited summary data is available for this year.$2.52$3.80$1.27$1.59$1.33$0.26
2014Summary only. Only limited summary data is available for this year.$2.33$4.07$1.75$1.52$1.34$0.17
2013Summary only. Only limited summary data is available for this year.$2.34$4.25$1.92$1.27$1.29$0.02
2012Summary only. Only limited summary data is available for this year.$2.36$4.19$1.83$1.50$1.32$0.19
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2024 to Jun 30, 2025
Signed
Feb 26, 2026
Return Version
2024v5.0
Gross Receipts
$190,160
Mission and Program Overview

Mission

To provide housing for low income elderly individuals.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$98,081$486,079▲ $387,998
Cash and Non-Interest-Bearing Accounts$12,071$24,536▲ $12,465
Accounts Receivable$5,203$5,461▲ $258
Prepaid Expenses and Deferred Charges$2,641$526▼ $2,115
Total Assets$151,346$758,278▲ $606,932
Other Assets Total$33,350$241,676▲ $208,326
Liabilities
Mortgage Notes Payable Secured by Investment Property$65,281$719,592▲ $654,311
Accounts Payable and Accrued Expenses$15,379$25,684▲ $10,305
Other Liabilities$3,821$4,352▲ $531
Deferred Revenue$3$120▲ $117
Total Liabilities$84,484$749,748▲ $665,264
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$66,862$8,530▼ $58,332
Total Net Assets Fund Balance$66,862$8,530▼ $58,332
Total Liabilities and Net Assets / Fund Balance$151,346$758,278▲ $606,932

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$472,163$598,109$1,070,272
Equipment$13,916$33,193$47,109
Other Assets Org$4,342--
Compensation and Service Providers
Top Officer PayScore unavailable

Board Members and Trustees

NameTitle
Glen ChobanPresident/di
Ricardo DiazV.president/
John YentzDirector
Marianne RaymondsDirector
Rev Timothy KitzkeDirector
Jerome NearySecretary/di
Russell McminnTreasurer/di
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$185,225
Investment Income
$1,193
Other Revenue
$3,742
Change in Net Assets
$-58,331

Audited Revenue Reconciliation

Revenue per Audited Statements
$190,160
Total Revenue per Audited Statements
$190,160
Total Revenue per Form 990
$190,160
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$248,491
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
Depreciation Depletion$30,543--$30,543
Fees for Services Other$15,161$11,203-$26,364
Interest$20,650--$20,650
Fees for Services Legal-$15,151-$15,151
Fees for Services Management-$9,556-$9,556
All Other Expenses$6,381$2,676-$9,057
Other Expenses$13,855$8,358-$8,358
Insurance$6,392--$6,392
Fees for Services Accounting-$6,245-$6,245
Office Expenses-$4,713-$4,713
Advertising-$991-$991
Total Functional Expenses$189,598$58,893$0$248,491

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$248,491
Total Expenses per Audited Statements$248,491
Total Expenses per Form 990$248,491
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
Tenant Deposits Held in Trust$4,352
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Page 6, Part VI, Line 3

“Management company: capri senior communities 20875 crossroads circle, suite 400 waukesha, wi 53186-4026”

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

“Form 990 is reviewed by management of the governing body.”

Form 990, Page 6, Part VI, Line 19

“Documents are available upon request.”

Filing and Contact Details

Filer

Filer Name
Hedwig House Inc
EIN
93-0838324
Phone
2627981224
Address
1716 NORTH HUMBOLDT AVENUE, MILWAUKEE, WI 53202

Signing Officer

Name
Glen Choban
Title
President/director
Phone
2627981224
Signed
2026-02-26
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Glen Choban
Formed
1983
Legal Domicile
Wi
Voting Board Members
6
Independent Board Members
6
Employees
0

Preparer

Firm
Jankins Jablonski LLC
Address
6220A S 108TH ST, HALES CORNERS, WI 53130-2527
Preparer
Joseph J Jablonski CPA
Phone
4148582282
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Subcontractor labor - mgmt. 0 10,993 0 subcontractor labor - maint. 7,086 0 0 subcontr. Labor - serv coord. 8,075 0 0 subcontr. Labor - office 0 210 0 total 15,161 11,203 0”

Form 990, Part XI, Line 9

“ROUNDING -1”

Financial Statement Notes

Schedule D, Page 3, Part X

“The corporation is an organization exempt from income tax under the provisions of section 501(c)(3) of the internal revenu code. No provision or benefit for income taxes has been included in these financial statements due to the exempt status of the corporation. The corporation is subject to routine examinations by tax authorities; however, there are currently no examinations in progress for any tax periods. The corporation believes it is no longer subject to income tax examinations for the years prior to the year ended june 30, 2022.”

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IRS990/PYOtherRevenueAmt0785
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IRS990/PYTotalExpensesAmt0129762
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0LAUNDRY & VENDING REVENUE 4,258 TENANT CHARGES 2,470 MISCELLANEOUS REVENUE 720
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART III, LINE 12
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IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt0545
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt0264
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt025
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt019
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt02046
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt0185225
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt0175413
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt0163973
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt0158430
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt0157909
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt0840950
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearAmt0782
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt0782
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt01193
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt0545
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt0264
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt025
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt019
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt02046
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IRS990ScheduleA/InvestmentIncomePYPct00.00000
IRS990ScheduleA/NetIncomeFromOtherUBIGrp/CurrentTaxYearAmt01960
IRS990ScheduleA/NetIncomeFromOtherUBIGrp/TotalAmt01960
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IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt0785
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt0800
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt01254
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt0867
IRS990ScheduleA/OtherIncome509Grp/TotalAmt07448
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.98660
IRS990ScheduleA/PublicSupportPY509Pct00.99310
IRS990ScheduleA/PublicSupportTotal509Amt0841732
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0186007
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0175413
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0163973
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0158430
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0157909
IRS990ScheduleA/Total509Grp/TotalAmt0841732
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0192902
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0176743
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0165037
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0159709
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0158795
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0853186
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IRS990ScheduleD/BuildingsGrp/DepreciationAmt0598109
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt01070272
IRS990ScheduleD/EquipmentGrp/BookValueAmt013916
IRS990ScheduleD/EquipmentGrp/DepreciationAmt033193
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt047109
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IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt128910
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt28171
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt34342
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0OTHER RESERVES
IRS990ScheduleD/OtherAssetsOrgGrp/Desc1REPLACEMENT RESERVE
IRS990ScheduleD/OtherAssetsOrgGrp/Desc2MISCELLANEOUS ASSET
IRS990ScheduleD/OtherAssetsOrgGrp/Desc3TENANT SECURITY DEPOSIT
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IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0TENANT DEPOSITS HELD IN TRUST
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE CORPORATION IS AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENU CODE. NO PROVISION OR BENEFIT FOR INCOME TAXES HAS BEEN INCLUDED IN THESE FINANCIAL STATEMENTS DUE TO THE EXEMPT STATUS OF THE CORPORATION. THE CORPORATION IS SUBJECT TO ROUTINE EXAMINATIONS BY TAX AUTHORITIES; HOWEVER, THERE ARE CURRENTLY NO EXAMINATIONS IN PROGRESS FOR ANY TAX PERIODS. THE CORPORATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE YEARS PRIOR TO THE YEAR ENDED JUNE 30, 2022.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 3, PART X
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IRS990ScheduleD/TotalBookValueOtherAssetsAmt0241676
IRS990ScheduleD/TotalExpensesPerForm990Amt0248491
IRS990ScheduleD/TotalLiabilityAmt04352
IRS990ScheduleD/TotalRevenuePerForm990Amt0190160
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0MANAGEMENT COMPANY: CAPRI SENIOR COMMUNITIES 20875 CROSSROADS CIRCLE, SUITE 400 WAUKESHA, WI 53186-4026
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1FORM 990 IS REVIEWED BY MANAGEMENT OF THE GOVERNING BODY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2DOCUMENTS ARE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3SUBCONTRACTOR LABOR - MGMT. 0 10,993 0 SUBCONTRACTOR LABOR - MAINT. 7,086 0 0 SUBCONTR. LABOR - SERV COORD. 8,075 0 0 SUBCONTR. LABOR - OFFICE 0 210 0 TOTAL 15,161 11,203 0
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4ROUNDING -1
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART IX, LINE 11G
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART XI, LINE 9
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IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0189598
IRS990/TotalFunctionalExpensesGrp/TotalAmt0248491
IRS990/TotalGrossUBIAmt00
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IRS990/TotalLiabilitiesEOYAmt0749748
IRS990/TotalLiabilitiesGrp/BOYAmt084484
IRS990/TotalLiabilitiesGrp/EOYAmt0749748
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt066862
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IRS990/TotalProgramServiceRevenueAmt0185225
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IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt02318 KAYLA DRIVE
IRS990/USAddress/CityNm0WAUKESHA
IRS990/USAddress/StateAbbreviationCd0WI
IRS990/USAddress/ZIPCd0531888018
IRS990/VotingMembersGoverningBodyCnt06
IRS990/VotingMembersIndependentCnt06
IRS990/WebsiteAddressTxt0WWW.CAPRICOMMUNITIES.COM
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0GLEN CHOBAN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT/DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum02627981224
ReturnHeader/BusinessOfficerGrp/SignatureDt02026-02-26
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0HEDWIG HOUSE INC
ReturnHeader/Filer/BusinessNameControlTxt0HEDW
ReturnHeader/Filer/EIN0930838324
ReturnHeader/Filer/PhoneNum02627981224
ReturnHeader/Filer/USAddress/AddressLine1Txt01716 NORTH HUMBOLDT AVENUE
ReturnHeader/Filer/USAddress/CityNm0MILWAUKEE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0WI
ReturnHeader/Filer/USAddress/ZIPCd053202
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0464382120
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0JANKINS JABLONSKI LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt06220A S 108TH ST
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0HALES CORNERS
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0WI
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0531302527
ReturnHeader/PreparerPersonGrp/PhoneNum04148582282

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