Civic Intelligence

Willamette Valley Association of Health Underwriters

EIN 93-0999701 • 501(c)6 • Salem, OR

Profile

PROFESSIONAL DEVELOPMENT

PO Box 493Salem, OR 97308-0493

www.wvahu.org

Siviq Scores

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

Liabilities / Assets

49th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)6 • <$500k nonprofits • Source year 2019

Liabilities / Revenue

51st percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)6 • <$500k nonprofits • Source year 2019

Net Margin

82nd percentile

21%

Higher net margin than 82% of similar nonprofits.

501(c)6 • <$500k nonprofits • Source year 2019

Top Officer Pay

77th percentile

$0

Higher top officer pay than 77% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)6 • <$500k nonprofits • Source year 2019

Asset Growth

86th percentile

32%

Faster asset growth than 86% of similar nonprofits.

501(c)6 • <$500k nonprofits • Annualized from 2018 to 2019

Revenue Growth

93rd percentile

71%

Faster revenue growth than 93% of similar nonprofits.

501(c)6 • <$500k nonprofits • Annualized from 2018 to 2019

Balance Sheet
Liabilities / Assets49th percentile

Assets

Up

$34,303

Up $8,238 (+32%) from 2018

Liabilities

Flat

$0

Flat from 2018

Net Assets

Up

$34,303

Up $8,238 (+32%) from 2018

Operations
Liabilities / Revenue51st percentileNet Margin82nd percentile

Revenue

Up

$39,037

Up $16,262 (+71%) from 2018

Expenses

Up

$30,799

Up $1,687 (+5.8%) from 2018

Net Income

Up

$8,238

Up $14,575 (+230%) from 2018

Trend Graphs

Balance Sheet Trend

Asset Growth86th percentile

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

$40K$30K$20K$10K$0Assets 2010: $28,696Liabilities 2010: $0Net Assets 2010: $28,6962010Assets 2011: $29,187Liabilities 2011: $0Net Assets 2011: $29,1872011Assets 2015: $34,851Liabilities 2015: $0Net Assets 2015: $34,8512015Assets 2016: $35,582Liabilities 2016: $02016Assets 2017: $33,502Liabilities 2017: $1,100Net Assets 2017: $32,4022017Assets 2018: $26,065Liabilities 2018: $0Net Assets 2018: $26,0652018Assets 2019: $34,303Liabilities 2019: $0Net Assets 2019: $34,3032019

Highlighted filing

2019

Assets$34,303
Liabilities$0
Net Assets$34,303
Open 2019 Filing

Operations Trend

Revenue Growth93rd percentile

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

$40K$20K$0-$20KRevenue 2010: $23,395Expenses 2010: $27,386Net Income 2010: -$3,9912010Revenue 2011: $24,522Expenses 2011: $24,031Net Income 2011: $4912011Revenue 2015: $36,773Expenses 2015: $28,456Net Income 2015: $8,3172015Revenue 2016: $26,396Expenses 2016: $25,665Net Income 2016: $7312016Revenue 2017: $19,029Expenses 2017: $22,209Net Income 2017: -$3,1802017Revenue 2018: $22,775Expenses 2018: $29,112Net Income 2018: -$6,3372018Revenue 2019: $39,037Expenses 2019: $30,799Net Income 2019: $8,2382019

Highlighted filing

2019

Revenue$39,037
Expenses$30,799
Net Income$8,238
Open 2019 Filing

Filings

Most recent year

2019 • Form 990EZXML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$34,303
Liabilities
$0
Net assets
$34,303
Revenue
$39,037
Expenses
$30,799
Net income
$8,238
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$34.3$0.00$34.3$39.0$30.8$8.24
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$26.1$0.00$26.1$22.8$29.1$6.34
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$33.5$1.10$32.4$19.0$22.2$3.18
2016Summary only. Only limited summary data is available for this year.$35.6$0.00$26.4$25.7$0.73
2015Detailed filing. Detailed filing data is available for this year.$34.9$0.00$34.9$36.8$28.5$8.32
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$29.2$0.00$29.2$24.5$24.0$0.49
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$28.7$0.00$28.7$23.4$27.4$3.99
Latest Detailed Filing

The latest 2019 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2015 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Oct 31, 2016
Return Version
2015v2.1
Gross Receipts
$52,932
Mission and Program Overview

Mission

PROFESSIONAL DEVELOPMENT

Program Services

DescriptionGrantsExpenses
PROVIDES LOCAL EDUCATIONAL OPPORTUNITIES FOR MEMBERS TO KEEP ABREAST OF CURRENT TRENDS IN THE INDUSTRY, TO NETWORK WITH OTHER MEMBERS IN THEIR AREA AND TO EXAMINE THE LATEST PRODUCTS AVAILABLE FROM LOCAL SUPPLIERS.$0$0
Compensation and Service Providers
Top Officer Pay77th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
MICHAEL BEYROUTYPast President-$0--
HEATHER TOLLERTreasurer-$0--
KAREN GAYLORDAwards-$0--
TERRI OLSONPresident-$0--
TAMERA CASSELLBoard Member-$0--
DOUGLAS SHEFFERLegislative Co-Chair-$0--
MARCI GILDAYPrograms-$0--
TJ SULLIVANLegislative Co-Chair-$0--
JAMIE SEWELLPrograms-$0--
BERNIE SIMSMembership-$0--
ERIK STEINKECommunications-$0--
Fundraising, Events, and Gaming

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf Tournament$19,414$19,414-$19,414
Total Events$19,414$19,414$16,159$3,255
Political and Lobbying Activity
In-house lobbying only
No
Filing and Contact Details

Filer

Filer Name
Mid-valley Association of Health
EIN
93-0999701
Phone
8774126248
Address
PO BOX 493, SALEM, OR 97308-0493

Signing Officer

Name
G Harvey Gail
Title
Executive Director
Phone
5035858254
Signed
2016-10-31

Preparer

Firm
Hainley Lavey & Brown Pc
Address
1400 SW FIFTH AVE STE 670, PORTLAND, OR 97201
Preparer
Marilyn Brown
Phone
5032262441
Supplemental Narrative

Additional Explanations

Form 990-ez, Part I, Line 4 - Other Investment Income

“Description: interest income. Amount: 6.”

Form 990-ez, Part I, Line 10 - Grants and Similar Amounts Paid

“Activity classification: charitable contribution. Grantee name: junior achievement. Grantee address: 7830 se foster rd portland, or 97206. Grantee relationship: none. Property description: cash. Date of gift: 06/11/15. Amount given: 250.”

Form 990-ez, Part I, Line 10 - Grants and Similar Amounts Paid

“Activity classification: political contribution. Grantee name: hupac administrative fund. Grantee address: po box 20865 indianapolis, in 46220-0865. Grantee relationship: none. Property description: cash. Date of gift: 09/23/15. Amount given: 350. Total included on form 990-ez, line 10: 600.”

Form 990-ez, Part I, Line 16 - Other Expenses

“Description: conferences, conventions, and meetings. Amount: 10,080. Description: travel. Amount: 6,176. Description: administration. Amount: 2,210. Total to form 990-ez, line 16: 18,466.”

Raw XML Appendix175 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990EZ/ActivitiesNotPreviouslyRptInd00
IRS990EZ/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0WILLAMETTE VALLEY ASSOCIATION OF HE
IRS990EZ/BooksInCareOfDetail/PhoneNum08774126248
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt0PO BOX 493
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0SALEM
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0OR
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd0973080493
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt026534
IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt034851
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd00
IRS990EZ/DirectIndirectPltclExpendAmt00
IRS990EZ/DonorAdvisedFndsInd00
IRS990EZ/ExcessOrDeficitForYearAmt08317
IRS990EZ/FeesAndOtherPymtToIndCntrctAmt09350
IRS990EZ/ForeignFinancialAccountInd00
IRS990EZ/ForeignOfficeInd00
IRS990EZ/Form990TotalAssetsGrp/BOYAmt026534
IRS990EZ/Form990TotalAssetsGrp/EOYAmt034851
IRS990EZ/FundraisingGrossIncomeAmt019414
IRS990EZ/GrantsAndSimilarAmountsPaidAmt0600
IRS990EZ/GrossReceiptsAmt052932
IRS990EZ/InfoInScheduleOPartIIIInd0X
IRS990EZ/InfoInScheduleOPartIInd0X
IRS990EZ/InfoInScheduleOPartVInd0X
IRS990EZ/InvestmentIncomeAmt06
IRS990EZ/MadeLoansToFromOfficersInd00
IRS990EZ/MembershipDuesAmt03051
IRS990EZ/MethodOfAccountingCashInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt026534
IRS990EZ/NetAssetsOrFundBalancesEOYAmt034851
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt026534
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt034851
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt00.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt10.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt20.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt30.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt40.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt50.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt60.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt70.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt80.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt90.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt100.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt90
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt100
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt90
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt100
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt90
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt100
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0MICHAEL BEYROUTY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1HEATHER TOLLER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2KAREN GAYLORD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3TERRI OLSON
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4TAMERA CASSELL
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm5DOUGLAS SHEFFER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm6MARCI GILDAY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm7TJ SULLIVAN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm8JAMIE SEWELL
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm9BERNIE SIMS
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm10ERIK STEINKE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0PAST PRESIDENT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1TREASURER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2AWARDS
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3PRESIDENT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4BOARD MEMBER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt5LEGISLATIVE CO-CHAIR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt6PROGRAMS
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt7LEGISLATIVE CO-CHAIR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt8PROGRAMS
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt9MEMBERSHIP
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt10COMMUNICATIONS
IRS990EZ/OperateHospitalInd00
IRS990EZ/Organization501cInd0X
IRS990EZ/OrganizationDissolvedEtcInd00
IRS990EZ/OrganizationHadUBIInd00
IRS990EZ/OtherChangesInNetAssetsAmt00
IRS990EZ/OtherExpensesTotalAmt018466
IRS990EZ/PoliticalCampaignActyInd00
IRS990EZ/PrimaryExemptPurposeTxt0PROFESSIONAL DEVELOPMENT
IRS990EZ/PrintingPublicationsPostageAmt040
IRS990EZ/ProgramServiceRevenueAmt030461
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0PROVIDES LOCAL EDUCATIONAL OPPORTUNITIES FOR MEMBERS TO KEEP ABREAST OF CURRENT TRENDS IN THE INDUSTRY, TO NETWORK WITH OTHER MEMBERS IN THEIR AREA AND TO EXAMINE THE LATEST PRODUCTS AVAILABLE FROM LOCAL SUPPLIERS.
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt00
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt00
IRS990EZ/ProhibitedTaxShelterTransInd00
IRS990EZ/RelatedOrganizationCtrlEntInd00
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SpecialEventsDirectExpensesAmt016159
IRS990EZ/SpecialEventsNetIncomeLossAmt03255
IRS990EZ/SubjectToProxyTaxInd01
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt00
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt00
IRS990EZ/TanningServicesProvidedInd00
IRS990EZ/TotalExpensesAmt028456
IRS990EZ/TotalRevenueAmt036773
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0WWW.WVAHU.ORG
IRS990ScheduleC/AgreeCarryoverPriorYearInd00
IRS990ScheduleC/OnlyInHouseLobbyingInd00
IRS990ScheduleC/SubstantiallyAllDuesNondedInd01
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt016159
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0GOLF TOURNAMENT
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt019414
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt019414
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt019414
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt019414
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt03255
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesEvent1Amt01974
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesTotalEventsAmt01974
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent1Amt014185
IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsTotalEventsAmt014185
IRS990ScheduleG/SpecialFundraisingEventsInd0X
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0DESCRIPTION: INTEREST INCOME. AMOUNT: 6.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1ACTIVITY CLASSIFICATION: CHARITABLE CONTRIBUTION. GRANTEE NAME: JUNIOR ACHIEVEMENT. GRANTEE ADDRESS: 7830 SE FOSTER RD PORTLAND, OR 97206. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 06/11/15. AMOUNT GIVEN: 250.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ACTIVITY CLASSIFICATION: POLITICAL CONTRIBUTION. GRANTEE NAME: HUPAC ADMINISTRATIVE FUND. GRANTEE ADDRESS: PO BOX 20865 INDIANAPOLIS, IN 46220-0865. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 09/23/15. AMOUNT GIVEN: 350. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 600.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3DESCRIPTION: CONFERENCES, CONVENTIONS, AND MEETINGS. AMOUNT: 10,080. DESCRIPTION: TRAVEL. AMOUNT: 6,176. DESCRIPTION: ADMINISTRATION. AMOUNT: 2,210. TOTAL TO FORM 990-EZ, LINE 16: 18,466.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES
TransferPrsnlBnftContractsDecl/DeclarationDesc0THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/PersonNm0G HARVEY GAIL
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0EXECUTIVE DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum05035858254
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-10-31
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0MID-VALLEY ASSOCIATION OF HEALTH
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0UNDERWRITERS
ReturnHeader/Filer/BusinessNameControlTxt0MID-
ReturnHeader/Filer/EIN0930999701
ReturnHeader/Filer/PhoneNum08774126248
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 493
ReturnHeader/Filer/USAddress/CityNm0SALEM
ReturnHeader/Filer/USAddress/StateAbbreviationCd0OR
ReturnHeader/Filer/USAddress/ZIPCd0973080493
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0931154091
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0HAINLEY LAVEY & BROWN PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01400 SW FIFTH AVE STE 670
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0PORTLAND
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0OR
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd097201
ReturnHeader/PreparerPersonGrp/PhoneNum05032262441
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0MARILYN BROWN
ReturnHeader/ReturnTs02016-11-08T16:43:49-06:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02015-01-01
ReturnHeader/TaxPeriodEndDt02015-12-31
ReturnHeader/TaxYr02015

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