Civic Intelligence

Oakland Elizabeth House

EIN 94-3225949 • 501(c)3 • Oakland, CA

Profile

Elizabeth House provides housing and supportive services to women and children.

6423 Colby StreetOakland, CA 94618

n/A

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 2024

Liabilities / Revenue

35th percentile

0.00x

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

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

Net Margin

17th percentile

-18%

Higher net margin than 17% of similar nonprofits.

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

Top Officer Pay

81st percentile

$84,766

Higher top officer pay than 81% of similar nonprofits.

Top officer pay equals 15.5% of source-year revenue.

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

Asset Growth

12th percentile

-23%

Faster asset growth than 12% of similar nonprofits.

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

Revenue Growth

25th percentile

-11%

Faster revenue growth than 25% of similar nonprofits.

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

Balance Sheet
Liabilities / Assets33rd percentile

Assets

Down

$255,408

Down $78,111 (-23%) from 2023

Liabilities

Flat

$0

Flat from 2023

Net Assets

Down

$255,408

Down $78,111 (-23%) from 2023

Operations
Liabilities / Revenue35th percentileNet Margin17th percentile

Revenue

Down

$546,997

Down $69,173 (-11%) from 2023

Expenses

Down

$645,426

Down $69,685 (-9.7%) from 2023

Net Income

Up

-$98,429

Up $512 (+0.5%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth12th percentile

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

$600K$400K$200K$0-$200KAssets 2011: $42,324Liabilities 2011: $5,128Net Assets 2011: $37,1962011Assets 2012: $72,212Liabilities 2012: $7,761Net Assets 2012: $64,4512012Assets 2013: $68,468Liabilities 2013: $0Net Assets 2013: $68,4682013Assets 2014: $50,906Liabilities 2014: $0Net Assets 2014: $50,9062014Assets 2015: $110,664Liabilities 2015: $10,421Net Assets 2015: $100,2432015Assets 2016: $88,774Liabilities 2016: -$98Net Assets 2016: $88,8722016Assets 2017: $103,045Liabilities 2017: $9,462Net Assets 2017: $93,5832017Assets 2018: $157,817Liabilities 2018: $2,650Net Assets 2018: $155,1672018Assets 2019: $158,095Liabilities 2019: $0Net Assets 2019: $158,0952019Assets 2020: $195,855Liabilities 2020: $0Net Assets 2020: $195,8552020Assets 2021: $399,170Liabilities 2021: $0Net Assets 2021: $399,1702021Assets 2022: $470,061Liabilities 2022: $0Net Assets 2022: $470,0612022Assets 2023: $333,519Liabilities 2023: $0Net Assets 2023: $333,5192023Assets 2024: $255,408Liabilities 2024: $0Net Assets 2024: $255,4082024

Highlighted filing

2024

Assets$255,408
Liabilities$0
Net Assets$255,408
Open 2024 Filing

Operations Trend

Revenue Growth25th percentile

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

$1.0M$500K$0-$500KRevenue 2011: $218,709Expenses 2011: $249,533Net Income 2011: -$30,8242011Revenue 2012: $253,026Expenses 2012: $225,771Net Income 2012: $27,2552012Revenue 2013: $257,386Expenses 2013: $253,369Net Income 2013: $4,0172013Revenue 2014: $246,131Expenses 2014: $263,693Net Income 2014: -$17,5622014Revenue 2015: $310,359Expenses 2015: $261,022Net Income 2015: $49,3372015Revenue 2016: $257,206Expenses 2016: $268,577Net Income 2016: -$11,3712016Revenue 2017: $273,780Expenses 2017: $269,069Net Income 2017: $4,7112017Revenue 2018: $387,740Expenses 2018: $350,572Net Income 2018: $37,1682018Revenue 2019: $343,271Expenses 2019: $340,343Net Income 2019: $2,9282019Revenue 2020: $402,244Expenses 2020: $364,484Net Income 2020: $37,7602020Revenue 2021: $524,812Expenses 2021: $321,497Net Income 2021: $203,3152021Revenue 2022: $478,825Expenses 2022: $407,934Net Income 2022: $70,8912022Revenue 2023: $616,170Expenses 2023: $715,111Net Income 2023: -$98,9412023Revenue 2024: $546,997Expenses 2024: $645,426Net Income 2024: -$98,4292024

Highlighted filing

2024

Revenue$546,997
Expenses$645,426
Net Income-$98,429
Open 2024 Filing

Filings

Most recent year

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

Open filing
Assets
$255,408
Liabilities
$0
Net assets
$255,408
Revenue
$546,997
Expenses
$645,426
Net income
-$98,429
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$2.55$0.00$2.55$5.47$6.45$0.98
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.34$0.00$3.34$6.16$7.15$0.99
2022Detailed filing. Detailed filing data is available for this year.$4.70$0.00$4.70$4.79$4.08$0.71
2021Detailed filing. Detailed filing data is available for this year.$3.99$0.00$3.99$5.25$3.21$2.03
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.96$0.00$1.96$4.02$3.64$0.38
2019Summary only. Only limited summary data is available for this year.$1.58$0.00$1.58$3.43$3.40$0.03
2018Summary only. Only limited summary data is available for this year.$1.58$0.03$1.55$3.88$3.51$0.37
2017Summary only. Only limited summary data is available for this year.$1.03$0.09$0.94$2.74$2.69$0.05
2016Summary only. Only limited summary data is available for this year.$0.89$0.00$0.89$2.57$2.69$0.11
2015Summary only. Only limited summary data is available for this year.$1.11$0.10$1.00$3.10$2.61$0.49
2014Summary only. Only limited summary data is available for this year.$0.51$0.00$0.51$2.46$2.64$0.18
2013Summary only. Only limited summary data is available for this year.$0.68$0.00$0.68$2.57$2.53$0.04
2012Summary only. Only limited summary data is available for this year.$0.72$0.08$0.64$2.53$2.26$0.27
2011Summary only. Only limited summary data is available for this year.$0.42$0.05$0.37$2.19$2.50$0.31
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Jun 24, 2025
Return Version
2024v5.1
Gross Receipts
$569,084
Mission and Program Overview

Mission

Elizabeth House provides housing and supportive services to women and children.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$333,519$255,408▼ $78,111
Cash and Non-Interest-Bearing Accounts$315,856$237,745▼ $78,111
Savings and Temporary Cash Investments$17,383$17,383→ $0
Land, Buildings, and Equipment, Net$280$280→ $0
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$333,519$255,408▼ $78,111
Other Assets Total-$0-
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$333,519$255,408▼ $78,111
Total Liabilities and Net Assets / Fund Balance$333,519$255,408▼ $78,111

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$280-$280
Compensation and Service Providers
Top Officer Pay81st percentile

Employees

NameTitleFull / Part TimeBaseTotal
Jackie YancyExecutive DirectorFT$84,766$84,766

Board Members and Trustees

NameTitle
Maria BrucePresident
Bridget MendezBoard Member
Regina ParkerBoard Member
Marianne LandisSecretary
Cecilia WrightTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$517,901
Program Service Revenue
$51,183
Investment Income
$0
Other Revenue
$-22,087
All Other Contributions
$294,466
Change in Net Assets
$-98,429
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$326,163
Other Expenses$319,263
Total Fundraising Expense$58,215
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees-$118,251$39,417$157,668
Other Salaries and Wages$142,633--$142,633
Payroll Taxes$13,212$9,635$3,015$25,862
Fees for Services Management-$24,792-$24,792
All Other Expenses$6,461$5,761$4,431$16,653
Fees for Services Other$9,620$1,972$657$12,249
Office Expenses$4,060$3,695-$7,755
Fees for Services Accounting-$7,200-$7,200
Other Expenses$6,476$1,151$10,695$6,476
Information Technology$2,000$2,000-$4,000
Travel$1,033--$1,033
Total Functional Expenses$412,754$174,457$58,215$645,426
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$22,087
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Gala$14,176-$2,312-
Total Events$14,176-$19,974$-19,974
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
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 B, Line 11B

“No review was or will be conducted.”

Form 990, Part VI, Section C, Line 19

“No documents available to the public.”

Form 990, Part VI, Line 11B - Form 990 Review Process

“990 reviewed by executive director”

Form 990, Part VI, Line 19 - Other Organization Documents Publicly Ava

“No there documents available to the public”

Filing and Contact Details

Filer

Filer Name
Oakland Elizabeth House
EIN
94-3225949
Phone
9259420819
Address
6423 Colby Street, Oakland, CA 94618

Signing Officer

Name
Jackie Yancy
Title
Executive Director
Signed
2025-06-24
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jackie Yancy
Formed
1995
Legal Domicile
CA
Voting Board Members
6
Independent Board Members
0
Employees
10

Preparer

Firm
Gouveia Tax Service
Address
852 E 14th Street, San Leandro, CA 94577
Preparer
Anne Chavez CRTP AFSP
Phone
5106356500
Raw XML AppendixShowing 400 of 406 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.

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IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/PrincipalOfficerNm0Jackie Yancy
IRS990/PriorPeriodAdjustmentsAmt020318
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/BusinessCd0624200
IRS990/ProgramServiceRevenueGrp/Desc0Housing Fees/Rent etc
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt051183
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt051183
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt0557015
IRS990/PYExcessBenefitTransInd0false
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt0431803
IRS990/PYOtherRevenueAmt029476
IRS990/PYProgramServiceRevenueAmt029679
IRS990/PYRevenuesLessExpensesAmt0-98941
IRS990/PYSalariesCompEmpBnftPaidAmt0283308
IRS990/PYTotalExpensesAmt0715111
IRS990/PYTotalRevenueAmt0616170
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-98429
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt051183
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt0333519
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt0255408
IRS990/SavingsAndTempCashInvstGrp/BOYAmt017383
IRS990/SavingsAndTempCashInvstGrp/EOYAmt017383
IRS990ScheduleA/CommunityTrustInd0X
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0501233
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0532216
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0440814
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0417574
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0327638
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt02219475
IRS990ScheduleA/GovtFurnSrvcFcltsVl170Grp/TotalAmt00
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt00
IRS990ScheduleA/OtherIncome170Grp/TotalAmt00
IRS990ScheduleA/PublicSupportCY170Pct01.00000
IRS990ScheduleA/PublicSupportPY170Pct01.00000
IRS990ScheduleA/PublicSupportTotal170Amt02219475
IRS990ScheduleA/SubstantialContributorsTotAmt00
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft170Grp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0501233
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0532216
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0440814
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0417574
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0327638
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt02219475
IRS990ScheduleA/TotalSupportAmt02219475
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/TotalAmt00
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt0280
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt0280
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0280
IRS990ScheduleG/AgrmtProfFundraisingActyInd0false
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt014176
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt014176
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt019974
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentEvent1Amt01500
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentTotalEventsAmt01500
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0Gala
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent1Amt014662
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageTotalEventsAmt014662
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt014176
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt014176
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt0-19974
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt02312
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt02312
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent1Amt01500
IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsTotalEventsAmt01500
IRS990ScheduleG/SpecialFundraisingEventsInd0X
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0No review was or will be conducted.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1No documents available to the public.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2990 reviewed by executive director
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3No there documents available to the public
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section B, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section C, Line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Line 11b - Form 990 Review Process
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Line 19 - Other Organization Documents Publicly Ava
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IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0333519
IRS990/TotalAssetsEOYAmt0255408
IRS990/TotalAssetsGrp/BOYAmt0333519
IRS990/TotalAssetsGrp/EOYAmt0255408
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0517901
IRS990/TotalEmployeeCnt010
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt058215
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0174457
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0412754
IRS990/TotalFunctionalExpensesGrp/TotalAmt0645426
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0333519
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0255408
IRS990/TotalProgramServiceExpensesAmt0412754
IRS990/TotalProgramServiceRevenueAmt051183
IRS990/TotalReportableCompFromOrgAmt084766
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt051183
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0546997
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0333519
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0255408
IRS990/TravelGrp/ProgramServicesAmt01033
IRS990/TravelGrp/TotalAmt01033
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/USAddress/AddressLine1Txt06423 Colby Street
IRS990/USAddress/CityNm0Oakland
IRS990/USAddress/StateAbbreviationCd0CA
IRS990/USAddress/ZIPCd094618
IRS990/VotingMembersGoverningBodyCnt06
IRS990/VotingMembersIndependentCnt00
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0Jackie Yancy
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Executive Dir.
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-06-24
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Oakland Elizabeth House
ReturnHeader/Filer/BusinessNameControlTxt0OAKL
ReturnHeader/Filer/EIN0943225949
ReturnHeader/Filer/PhoneNum09259420819
ReturnHeader/Filer/USAddress/AddressLine1Txt06423 Colby Street
ReturnHeader/Filer/USAddress/CityNm0Oakland
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CA
ReturnHeader/Filer/USAddress/ZIPCd094618
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0943080718
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Gouveia Tax Service
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0852 E 14th Street
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0San Leandro
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd094577
ReturnHeader/PreparerPersonGrp/PhoneNum05106356500

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