Civic Intelligence

Optimist Volunteers for Youth

EIN 94-1623628 • 501(c)3 • San Gregorio, CA

Profile

To provide youth with a safe, enjoyable, and educational camping experience while offering charity building opportunities, promoting service, volunteerism, and leadership within the community.

5360 LA Honda RdSan Gregorio, CA 94074

www.ovycamp.org

Siviq Scores

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

Liabilities / Assets

33rd percentile

0.00x

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

501(c)3 • $500k-$1M nonprofits • Source year 2025

Liabilities / Revenue

35th percentile

0.00x

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

501(c)3 • $500k-$1M nonprofits • Source year 2025

Net Margin

9th percentile

-40%

Higher net margin than 9% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2025

Top Officer Pay

55th percentile

$0

Higher top officer pay than 55% of similar nonprofits.

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

501(c)3 • $500k-$1M nonprofits • Source year 2025

Asset Growth

13th percentile

-22%

Faster asset growth than 13% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2024 to 2025

Revenue Growth

39th percentile

0.0%

Faster revenue growth than 39% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2024 to 2025

Assets

Down

$726,116

Down $164,640 (-18%) from 2023

Liabilities

Flat

$0

Flat from 2023

Net Assets

Down

$726,116

Down $164,640 (-18%) from 2023

Revenue

Down

$401,860

Down $71,318 (-15%) from 2023

Expenses

Up

$566,500

Up $25,048 (+4.6%) from 2023

Net Income

Down

-$164,640

Down $96,366 (-141%) from 2023

Trend Graphs

Balance Sheet Trend

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

$1.0M$500K$0Assets 2011: $456,012Liabilities 2011: $117,285Net Assets 2011: $338,7272011Assets 2012: $509,062Liabilities 2012: $65,463Net Assets 2012: $443,5992012Assets 2013: $508,184Liabilities 2013: $14,178Net Assets 2013: $494,0062013Assets 2014: $519,000Liabilities 2014: $8,400Net Assets 2014: $510,6002014Assets 2015: $548,113Liabilities 2015: $11,450Net Assets 2015: $536,6632015Assets 2016: $633,996Liabilities 2016: $10,000Net Assets 2016: $623,9962016Assets 2017: $721,240Liabilities 2017: $16,850Net Assets 2017: $704,3902017Assets 2018: $883,800Liabilities 2018: $31,350Net Assets 2018: $852,4502018Assets 2019: $894,530Liabilities 2019: $30,450Net Assets 2019: $864,0802019Assets 2020: $857,874Liabilities 2020: $30,450Net Assets 2020: $827,4242020Assets 2021: $851,750Liabilities 2021: $16,450Net Assets 2021: $835,3002021Assets 2022: $961,030Liabilities 2022: $2,000Net Assets 2022: $959,0302022Assets 2023: $890,756Liabilities 2023: $0Net Assets 2023: $890,7562023Assets 2024: $726,116Liabilities 2024: $0Net Assets 2024: $726,1162024

Highlighted filing

2024

Assets$726,116
Liabilities$0
Net Assets$726,116

Operations Trend

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

$600K$400K$200K$0-$200KExpenses 2011: $232,8182011Expenses 2012: $170,6212012Expenses 2013: $215,6362013Revenue 2014: $244,872Expenses 2014: $228,278Net Income 2014: $16,5942014Revenue 2015: $266,583Expenses 2015: $240,520Net Income 2015: $26,0632015Revenue 2016: $373,182Expenses 2016: $285,760Net Income 2016: $87,4222016Revenue 2017: $446,492Expenses 2017: $366,159Net Income 2017: $80,3332017Revenue 2018: $500,561Expenses 2018: $352,521Net Income 2018: $148,0402018Revenue 2019: $466,436Expenses 2019: $454,806Net Income 2019: $11,6302019Revenue 2020: $219,173Expenses 2020: $255,831Net Income 2020: -$36,6582020Revenue 2021: $302,958Expenses 2021: $295,078Net Income 2021: $7,8802021Revenue 2022: $599,432Expenses 2022: $475,702Net Income 2022: $123,7302022Revenue 2023: $473,178Expenses 2023: $541,452Net Income 2023: -$68,2742023Revenue 2024: $401,860Expenses 2024: $566,500Net Income 2024: -$164,6402024

Highlighted filing

2024

Revenue$401,860
Expenses$566,500
Net Income-$164,640

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.26$0.00$7.26$4.02$5.67$1.65
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8.91$0.00$8.91$4.73$5.41$0.68
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.61$0.02$9.59$5.99$4.76$1.24
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.52$0.16$8.35$3.03$2.95$0.08
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8.58$0.30$8.27$2.19$2.56$0.37
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.95$0.30$8.64$4.66$4.55$0.12
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8.84$0.31$8.52$5.01$3.53$1.48
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$7.21$0.17$7.04$4.46$3.66$0.80
2016Detailed filing. Detailed filing data is available for this year.$6.34$0.10$6.24$3.73$2.86$0.87
2015Detailed filing. Detailed filing data is available for this year.$5.48$0.11$5.37$2.67$2.41$0.26
2014Detailed filing. Detailed filing data is available for this year.$5.19$0.08$5.11$2.45$2.28$0.17
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.08$0.14$4.94$2.16
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.09$0.65$4.44$1.71
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.56$1.17$3.39$2.33
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Dec 1, 2023 to Nov 30, 2024
Signed
Oct 13, 2025
Return Version
2023v6.0
Gross Receipts
$401,922
Mission and Program Overview

Mission

To provide youth with a safe, enjoyable, and educational camping experience while offering charity building opportunities, promoting service, volunteerism, and leadership within the community.

This organization provides mentoring and camping experiences for youth.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$544,930$517,238▼ $27,692
Rtn Earn Endowment Incm Other Fnds$552,029$387,389▼ $164,640
Cap Stk Tr Prin Current Funds$338,727$338,727→ $0
Savings and Temporary Cash Investments$216,028$163,041▼ $52,987
Cash and Non-Interest-Bearing Accounts$129,798$45,837▼ $83,961
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Total Assets$890,756$726,116▼ $164,640
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$890,756$726,116▼ $164,640
Total Liabilities and Net Assets / Fund Balance$890,756$726,116▼ $164,640

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$463,279$532,782$996,061
Equipment$53,959$91,231$145,190
Other Land Buildings$0$12,411$12,411
Compensation and Service Providers

Board Members and Trustees

NameTitle
T BoylePresident
S TimpanoVice President
J ButterfieldBoard Member
R Schivo JrBoard Member
S ContrerasBoard Member
T DressBoard Member
T GrindallBoard Member
J CrockerTreasurer/secretary
Revenue and Support

Revenue Composition

Contributions and Grants
$10,460
Program Service Revenue
$382,202
Investment Income
$8,135
Other Revenue
$1,063
All Other Contributions
$7,460
Change in Net Assets
$-164,640
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$300,768
Other Expenses$265,732
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$239,743$34,298-$274,041
Depreciation Depletion$42,188--$42,188
Payroll Taxes$20,121$2,878-$22,999
All Other Expenses$7,832$8,884-$16,716
Insurance$12,306--$12,306
Other Expenses$35,453$5,402-$5,402
Conferences and Meetings$4,531--$4,531
Other Employee Benefits$1,864$1,864-$3,728
Office Expenses-$1,674-$1,674
Fees for Services Accounting-$1,600-$1,600
Advertising-$20-$20
Total Functional Expenses$499,355$67,145$0$566,500
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$1,125
Fundraising Direct Expenses$62
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
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
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 6

The organization is owned by member optimist clubs.

Form 990, Part VI, Section A, line 7A

The organization has members who may elect one or more members of the governing body.

Form 990, Part VI, Section B, line 11B

A copy of the 990 is provided to the organization for a final review.

Form 990, Part VI, Section C, line 18

Form 990 is available for inspection upon request.

Form 990, Part VI, Section C, line 19

All documents are available for inspection upon request.

Filing and Contact Details

Filer

Filer Name
Optimist Volunteers for Youth
EIN
94-1623628
Phone
5105897205
Address
5360 LA HONDA RD, SAN GREGORIO, CA 94074

Signing Officer

Name
J Crocker
Title
Treasurer
Phone
5105897205
Signed
2025-10-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
J Crocker
Formed
1953
Legal Domicile
CA
Voting Board Members
8
Independent Board Members
8
Employees
24
Volunteers
40

Preparer

Firm
Burian Accountancy Corporation
Address
PO BOX 6600, SAN JOSE, CA 95150-6600
Preparer
Heath R Burian
Phone
4085530204
Raw XML AppendixShowing 400 of 407 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
IRS990/AccountantCompileOrReviewInd00
IRS990/ActivitiesConductedPrtshpInd00
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IRS990/AllOtherContributionsAmt07460
IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt08884
IRS990/AllOtherExpensesGrp/ProgramServicesAmt07832
IRS990/AllOtherExpensesGrp/TotalAmt016716
IRS990/BackupWthldComplianceInd01
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
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IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt0387389
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0216028
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0163041
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/FactsAndCircumstancesTestTxt0THE ORGANIZATION MAINTAINS A CONTINUOUS AND BONA FIDE PROGRAM FOR SOLICITATION OF FUNDS FROM THE GENERAL PUBLIC, COMMUNITY, MEMBERSHIP GROUP INVOLVED, GOVERNMENTAL UNITS, AND/OR OTHER PUBLIC CHARITIES BY PROVIDING A YOUTH CAMPING EXPERIENCE.
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt010460
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt013518
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt022714
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt025312
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt021964
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt093968
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt09260
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt010282
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt07410
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt041362
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt0136100
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt0204414
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt0382202
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt0449378
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt0569308
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt0234779
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt0106691
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt01742358
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt09260
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt010282
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt07410
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt041362
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt0136100
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt0204414
IRS990ScheduleA/InvestmentIncomeCYPct00.10020
IRS990ScheduleA/InvestmentIncomePYPct00.21340
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.89980
IRS990ScheduleA/PublicSupportPY509Pct00.78660
IRS990ScheduleA/PublicSupportTotal509Amt01836326
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
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IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0462896
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0592022
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0260091
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0128655
IRS990ScheduleA/Total509Grp/TotalAmt01836326
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0401922
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0473178
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0599432
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0301453
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0264755
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt02040740
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/BuildingsGrp/BookValueAmt0463279
IRS990ScheduleD/BuildingsGrp/DepreciationAmt0532782
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt0996061
IRS990ScheduleD/EquipmentGrp/BookValueAmt053959
IRS990ScheduleD/EquipmentGrp/DepreciationAmt091231
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0145190
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt00
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt012411
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt012411
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0517238
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION IS OWNED BY MEMBER OPTIMIST CLUBS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION HAS MEMBERS WHO MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2A COPY OF THE 990 IS PROVIDED TO THE ORGANIZATION FOR A FINAL REVIEW.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3FORM 990 IS AVAILABLE FOR INSPECTION UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4ALL DOCUMENTS ARE AVAILABLE FOR INSPECTION UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section A, line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section A, line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section B, line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section C, line 18
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Section C, line 19
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IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0CA
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0890756
IRS990/TotalAssetsEOYAmt0726116
IRS990/TotalAssetsGrp/BOYAmt0890756
IRS990/TotalAssetsGrp/EOYAmt0726116
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt010460
IRS990/TotalEmployeeCnt024
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt067145
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0499355
IRS990/TotalFunctionalExpensesGrp/TotalAmt0566500
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0890756
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0726116
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0499355
IRS990/TotalProgramServiceRevenueAmt0382202
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt09198
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0382202
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0401860
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt040
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0890756
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0726116
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt05360 LA HONDA RD
IRS990/USAddress/CityNm0SAN GREGORIO
IRS990/USAddress/StateAbbreviationCd0CA
IRS990/USAddress/ZIPCd094074
IRS990/VotingMembersGoverningBodyCnt08
IRS990/VotingMembersIndependentCnt08
IRS990/WebsiteAddressTxt0www.ovycamp.org
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0J CROCKER
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum05105897205
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-10-13
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0OPTIMIST VOLUNTEERS FOR YOUTH
ReturnHeader/Filer/BusinessNameControlTxt0OPTI
ReturnHeader/Filer/EIN0941623628
ReturnHeader/Filer/PhoneNum05105897205
ReturnHeader/Filer/USAddress/AddressLine1Txt05360 LA HONDA RD
ReturnHeader/Filer/USAddress/CityNm0SAN GREGORIO
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CA
ReturnHeader/Filer/USAddress/ZIPCd094074
ReturnHeader/IRSResponsiblePrtyInfoCurrInd00
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0770128823
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0BURIAN ACCOUNTANCY CORPORATION
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0PO BOX 6600
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0SAN JOSE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0951506600
ReturnHeader/PreparerPersonGrp/PhoneNum04085530204

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