Civic Intelligence

Tri-County Independent Living Inc

EIN 94-2495540 • 501(c)3 • Eureka, CA

Profile

Provide programs, services, and information for people with disabilities in a effort to allow choices for individuals to optimize independence.

139 5th StreetEureka, CA 95501

www.tili.org

Siviq Scores

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

Liabilities / Assets

65th percentile

0.08x

Higher debt load relative to assets than 65% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Liabilities / Revenue

57th percentile

0.03x

Higher debt load relative to revenue than 57% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Net Margin

41st percentile

0.2%

Higher net margin than 41% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

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 2024

Asset Growth

27th percentile

-5.9%

Faster asset growth than 27% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Revenue Growth

47th percentile

4.8%

Faster revenue growth than 47% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Assets

Down

$356,319

Down $22,347 (-5.9%) from 2023

Liabilities

Down

$28,192

Down $28,798 (-51%) from 2023

Net Assets

Up

$328,127

Up $6,451 (+2.0%) from 2023

Revenue

Up

$935,883

Up $42,541 (+4.8%) from 2023

Expenses

Up

$934,142

Up $35,568 (+4.0%) from 2023

Net Income

Up

$1,741

Up $6,973 (+133%) from 2023

Trend Graphs

Balance Sheet Trend

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

$600K$400K$200K$0Assets 2010: $68,496Liabilities 2010: $49,172Net Assets 2010: $19,3242010Assets 2011: $118,939Liabilities 2011: $56,963Net Assets 2011: $61,9762011Assets 2012: $93,388Liabilities 2012: $41,052Net Assets 2012: $52,3362012Assets 2013: $428,898Liabilities 2013: $26,425Net Assets 2013: $402,4732013Assets 2014: $372,864Liabilities 2014: $33,691Net Assets 2014: $339,1732014Assets 2015: $307,122Liabilities 2015: $34,827Net Assets 2015: $272,2952015Assets 2016: $316,619Liabilities 2016: $24,612Net Assets 2016: $292,0072016Assets 2017: $324,022Liabilities 2017: $26,628Net Assets 2017: $297,3942017Assets 2018: $326,525Liabilities 2018: $27,426Net Assets 2018: $299,0992018Assets 2019: $342,016Liabilities 2019: $35,178Net Assets 2019: $306,8382019Assets 2020: $347,214Liabilities 2020: $31,044Net Assets 2020: $316,1702020Assets 2021: $354,095Liabilities 2021: $19,395Net Assets 2021: $334,7002021Assets 2022: $341,555Liabilities 2022: $15,659Net Assets 2022: $325,8962022Assets 2023: $378,666Liabilities 2023: $56,990Net Assets 2023: $321,6762023Assets 2024: $356,319Liabilities 2024: $28,192Net Assets 2024: $328,1272024

Highlighted filing

2024

Assets$356,319
Liabilities$28,192
Net Assets$328,127

Operations Trend

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

$1.0M$500K$0-$500KExpenses 2010: $459,5152010Expenses 2011: $515,2072011Revenue 2012: $542,664Expenses 2012: $552,306Net Income 2012: -$9,6422012Revenue 2013: $914,178Expenses 2013: $560,482Net Income 2013: $353,6962013Revenue 2014: $456,234Expenses 2014: $518,863Net Income 2014: -$62,6292014Revenue 2015: $430,364Expenses 2015: $493,342Net Income 2015: -$62,9782015Revenue 2016: $504,481Expenses 2016: $483,898Net Income 2016: $20,5832016Revenue 2017: $469,162Expenses 2017: $463,325Net Income 2017: $5,8372017Revenue 2018: $538,115Expenses 2018: $528,066Net Income 2018: $10,0492018Revenue 2019: $623,221Expenses 2019: $610,882Net Income 2019: $12,3392019Revenue 2020: $770,663Expenses 2020: $760,778Net Income 2020: $9,8852020Revenue 2021: $751,301Expenses 2021: $733,750Net Income 2021: $17,5512021Revenue 2022: $728,976Expenses 2022: $737,754Net Income 2022: -$8,7782022Revenue 2023: $893,342Expenses 2023: $898,574Net Income 2023: -$5,2322023Revenue 2024: $935,883Expenses 2024: $934,142Net Income 2024: $1,7412024

Highlighted filing

2024

Revenue$935,883
Expenses$934,142
Net Income$1,741

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$3.56$0.28$3.28$9.36$9.34$0.02
2023Detailed filing. Detailed filing data is available for this year.$3.79$0.57$3.22$8.93$8.99$0.05
2022Detailed filing. Detailed filing data is available for this year.$3.42$0.16$3.26$7.29$7.38$0.09
2021Detailed filing. Detailed filing data is available for this year.$3.54$0.19$3.35$7.51$7.34$0.18
2020Detailed filing. Detailed filing data is available for this year.$3.47$0.31$3.16$7.71$7.61$0.10
2019Detailed filing. Detailed filing data is available for this year.$3.42$0.35$3.07$6.23$6.11$0.12
2018Detailed filing. Detailed filing data is available for this year.$3.27$0.27$2.99$5.38$5.28$0.10
2017Detailed filing. Detailed filing data is available for this year.$3.24$0.27$2.97$4.69$4.63$0.06
2016Detailed filing. Detailed filing data is available for this year.$3.17$0.25$2.92$5.04$4.84$0.21
2015Detailed filing. Detailed filing data is available for this year.$3.07$0.35$2.72$4.30$4.93$0.63
2014Detailed filing. Detailed filing data is available for this year.$3.73$0.34$3.39$4.56$5.19$0.63
2013Summary only. Only limited summary data is available for this year.$4.29$0.26$4.02$9.14$5.60$3.54
2012Summary only. Only limited summary data is available for this year.$0.93$0.41$0.52$5.43$5.52$0.10
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.19$0.57$0.62$5.15
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.68$0.49$0.19$4.60
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 15, 2025
Return Version
2023v6.0
Gross Receipts
$935,883
Mission and Program Overview

Mission

Provide programs, services, and information for people with disabilities in a effort to allow choices for individuals to optimize independence.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$134,361$176,111▲ $41,750
Cash and Non-Interest-Bearing Accounts$181,007$118,469▼ $62,538
Land, Buildings, and Equipment, Net$49,121$27,630▼ $21,491
Savings and Temporary Cash Investments$476$20,068▲ $19,592
Prepaid Expenses and Deferred Charges$10,168$10,508▲ $340
Total Assets$378,666$356,319▼ $22,347
Other Assets Total$3,533$3,533→ $0
Liabilities
Accounts Payable and Accrued Expenses$36,990$28,192▼ $8,798
Mortgage Notes Payable Secured by Investment Property$20,000--
Total Liabilities$56,990$28,192▼ $28,798
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$271,320$277,771▲ $6,451
Net Assets With Donor Restrictions$50,356$50,356→ $0
Total Net Assets Fund Balance$321,676$328,127▲ $6,451
Total Liabilities and Net Assets / Fund Balance$378,666$356,319▼ $22,347

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$27,630$216,112$243,742
Other Land Buildings-$97,913$97,913
Compensation and Service Providers

Board Members and Trustees

NameTitle
Kevin O'BrienPresident
Devva KasnitzVice-President
Eddie MorganExecutive Director
Jeffrey SmollerMember
John EnnisMember
Katrina TaylorMember
Scott BakerSecretary
Joannah HarrisTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$924,026
Program Service Revenue
$8,880
Investment Income
$108
Other Revenue
$2,869
All Other Contributions
$114,250
Change in Net Assets
$1,741
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$655,230
Other Expenses$278,912
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$493,421$54,825-$548,246
Fees for Services Management$57,053$7,780-$64,833
Other Employee Benefits$56,174$6,242-$62,416
Payroll Taxes$40,111$4,457-$44,568
Occupancy$35,689$6,189-$41,878
All Other Expenses$26,947$4,034-$30,981
Depreciation Depletion$21,492--$21,492
Fees for Services Accounting$16,470$1,830-$18,300
Fees for Services Other$13,069$1,782-$14,851
Office Expenses$11,727$2,681-$14,408
Insurance$10,546$1,438-$11,984
Travel$9,772$1,398-$11,170
Other Expenses$4,287$3,955-$4,287
Total Functional Expenses$833,429$100,713$0$934,142
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
Federal income taxes-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
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
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

Page 6 - Reviewed by the Board of Directors BOD before filing.

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

Page 6 - Monitored periodically during operations.

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

Page 6 - Executive Director salary reviewed annually during the BOD meeting.

Form 990, Part VI, Section C, Line 19

Page 6 - The organizations governing documents, policies, and financial statements are made available upon request.

Filing and Contact Details

Filer

Filer Name
Tri-County Independent Living Inc
EIN
94-2495540
Phone
7074458404
Address
139 5th Street, Eureka, CA 95501

Signing Officer

Name
Eddie Morgan
Title
Executive Director
Phone
7074458404
Signed
2025-05-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Eddie Morgan
Formed
1978
Legal Domicile
CA
Voting Board Members
8
Independent Board Members
8
Employees
16

Preparer

Firm
JRB Accountancy
Address
534 Olympic Avenue, Hayward, CA 94544
Preparer
John J Buendia CPA
Phone
5102093830
Supplemental Narrative

Financial Statement Notes

X 1

- Pursuant to FASB ASC 740-10, TCIL reviews and assesses all activities annually to identify any changes in the scope of the activities and revenue sources and the tax treatment thereof to identify any uncertain tax positions. At June 30, 2023, management did not identify any uncertain tax positions requiring recognition or disclosure in these financial statements. Tax years reasonably considered open and subject to examination include federal returns for the fiscal years ended June 30, 2021 through 2024 and California state returns for the fiscal years ended June 30, 2020 through 2024.

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IRS990/OtherRevenueMiscGrp/Desc0At Expo
IRS990/OtherRevenueMiscGrp/Desc1Others
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt01490
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt11379
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt01490
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt11379
IRS990/OtherRevenueTotalAmt02869
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt054825
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt0493421
IRS990/OtherSalariesAndWagesGrp/TotalAmt0548246
IRS990/PartialLiquidationInd0false
IRS990/PaymentsToAffiliatesGrp/TotalAmt00
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt04457
IRS990/PayrollTaxesGrp/ProgramServicesAmt040111
IRS990/PayrollTaxesGrp/TotalAmt044568
IRS990/PensionPlanContributionsGrp/TotalAmt00
IRS990/PoliciesReferenceChaptersInd0true
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt010168
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt010508
IRS990/PrincipalOfficerNm0Eddie Morgan
IRS990/PriorPeriodAdjustmentsAmt04710
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/Desc0Program income
IRS990/ProgramServiceRevenueGrp/Desc1Fees for services
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt01160
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt17720
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt01160
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt17720
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt0891155
IRS990/PYExcessBenefitTransInd0false
IRS990/PYInvestmentIncomeAmt039
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt0225767
IRS990/PYOtherRevenueAmt0988
IRS990/PYProgramServiceRevenueAmt01160
IRS990/PYRevenuesLessExpensesAmt0-5232
IRS990/PYSalariesCompEmpBnftPaidAmt0672807
IRS990/PYTotalExpensesAmt0898574
IRS990/PYTotalRevenueAmt0893342
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt01741
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0true
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0476
IRS990/SavingsAndTempCashInvstGrp/EOYAmt020068
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0932906
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0892315
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0725252
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0751262
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0770289
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt04072024
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt042
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt039
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt0374
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt0455
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IRS990ScheduleA/PublicSupportCY170Pct00.99990
IRS990ScheduleA/PublicSupportPY170Pct00.99970
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IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0932906
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0892315
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0725252
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0751262
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0770289
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt04072024
IRS990ScheduleA/TotalSupportAmt04072479
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/EquipmentGrp/BookValueAmt027630
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0216112
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0243742
IRS990ScheduleD/InclEscrowCustodialAcctLiabInd0false
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt097913
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt097913
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Federal income taxes
IRS990ScheduleD/OtherSecuritiesGrp/Desc0Financial derivatives and other financial products
IRS990ScheduleD/OtherSecuritiesGrp/Desc1Closely-held equity interests
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0- Pursuant to FASB ASC 740-10, TCIL reviews and assesses all activities annually to identify any changes in the scope of the activities and revenue sources and the tax treatment thereof to identify any uncertain tax positions. At June 30, 2023, management did not identify any uncertain tax positions requiring recognition or disclosure in these financial statements. Tax years reasonably considered open and subject to examination include federal returns for the fiscal years ended June 30, 2021 through 2024 and California state returns for the fiscal years ended June 30, 2020 through 2024.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0X 1
IRS990ScheduleD/TotalBookValueLandBuildingsAmt027630
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Page 6 - Reviewed by the Board of Directors BOD before filing.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Page 6 - Monitored periodically during operations.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Page 6 - Executive Director salary reviewed annually during the BOD meeting.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Page 6 - The organizations governing documents, policies, and financial statements are made available upon request.
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
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0CA
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0378666
IRS990/TotalAssetsEOYAmt0356319
IRS990/TotalAssetsGrp/BOYAmt0378666
IRS990/TotalAssetsGrp/EOYAmt0356319
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0924026
IRS990/TotalEmployeeCnt016
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0100713
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0833429
IRS990/TotalFunctionalExpensesGrp/TotalAmt0934142
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt056990
IRS990/TotalLiabilitiesEOYAmt028192
IRS990/TotalLiabilitiesGrp/BOYAmt056990
IRS990/TotalLiabilitiesGrp/EOYAmt028192
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0321676
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0328127
IRS990/TotalProgramServiceExpensesAmt0833429
IRS990/TotalProgramServiceRevenueAmt08880
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt011857
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0935883
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0378666
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0356319
IRS990/TravelGrp/ManagementAndGeneralAmt01398
IRS990/TravelGrp/ProgramServicesAmt09772
IRS990/TravelGrp/TotalAmt011170
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0139 5th Street
IRS990/USAddress/CityNm0Eureka
IRS990/USAddress/StateAbbreviationCd0CA
IRS990/USAddress/ZIPCd095501
IRS990/VotingMembersGoverningBodyCnt08
IRS990/VotingMembersIndependentCnt08
IRS990/WebsiteAddressTxt0www.tili.org
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0Eddie Morgan
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Executive Director
ReturnHeader/BusinessOfficerGrp/PhoneNum07074458404
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-05-15
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Tri-County Independent Living Inc
ReturnHeader/Filer/BusinessNameControlTxt0TRI-
ReturnHeader/Filer/EIN0942495540
ReturnHeader/Filer/PhoneNum07074458404
ReturnHeader/Filer/USAddress/AddressLine1Txt0139 5th Street
ReturnHeader/Filer/USAddress/CityNm0Eureka
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CA
ReturnHeader/Filer/USAddress/ZIPCd095501

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