Civic Intelligence

Providence Tarzana Medical Staff

EIN 95-4678361 • 501(c)6 • Tarzana, CA

Profile

To promote quality medical services through appropriate educational programs, adherence to credentialing standards for physicians and recognition of the contribution of staff and volunteers to the well-being of the patient population.

18321 Clark StreetTarzana, CA 91356

www.providence.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 2025

Liabilities / Revenue

51st percentile

0.00x

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

501(c)6 • <$500k nonprofits • Source year 2025

Net Margin

27th percentile

-14%

Higher net margin than 27% of similar nonprofits.

501(c)6 • <$500k nonprofits • Source year 2025

Top Officer Pay

90th percentile

$54,000

Higher top officer pay than 90% of similar nonprofits.

Top officer pay equals 12.6% of source-year revenue.

501(c)6 • <$500k nonprofits • Source year 2025

Asset Growth

21st percentile

-29%

Faster asset growth than 21% of similar nonprofits.

501(c)6 • <$500k nonprofits • Annualized from 2024 to 2025

Revenue Growth

29th percentile

-16%

Faster revenue growth than 29% of similar nonprofits.

501(c)6 • <$500k nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets49th percentile

Assets

Down

$149,637

Down $61,929 (-29%) from 2024

Liabilities

Flat

$0

Flat from 2024

Net Assets

Down

$149,637

Down $61,929 (-29%) from 2024

Operations
Liabilities / Revenue51st percentileNet Margin27th percentile

Revenue

Down

$427,359

Down $79,148 (-16%) from 2024

Expenses

Up

$489,288

Up $4,082 (+0.8%) from 2024

Net Income

Down

-$61,929

Down $83,230 (-391%) from 2024

Trend Graphs

Balance Sheet Trend

Asset Growth21st percentile

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

$400K$200K$0-$200KAssets 2011: $51,274Liabilities 2011: $83,250Net Assets 2011: -$31,9762011Assets 2012: $169,267Liabilities 2012: $218,700Net Assets 2012: -$49,4332012Assets 2013: $46,296Liabilities 2013: $133,500Net Assets 2013: -$87,2042013Assets 2014: $111,347Liabilities 2014: $130,428Net Assets 2014: -$19,0812014Assets 2015: $103,991Liabilities 2015: $151,725Net Assets 2015: -$47,7342015Assets 2016: $125,722Liabilities 2016: $144,862Net Assets 2016: -$19,1402016Assets 2017: $68,431Liabilities 2017: $126,903Net Assets 2017: -$58,4722017Assets 2018: $288,846Liabilities 2018: $129,990Net Assets 2018: $158,8562018Assets 2019: $316,909Liabilities 2019: $129,990Net Assets 2019: $186,9192019Assets 2020: $157,579Liabilities 2020: $0Net Assets 2020: $157,5792020Assets 2021: $217,678Liabilities 2021: $0Net Assets 2021: $217,6782021Assets 2022: $32,212Liabilities 2022: $0Net Assets 2022: $32,2122022Assets 2023: $190,265Liabilities 2023: $0Net Assets 2023: $190,2652023Assets 2024: $211,566Liabilities 2024: $0Net Assets 2024: $211,5662024Assets 2025: $149,637Liabilities 2025: $0Net Assets 2025: $149,6372025

Highlighted filing

2025

Assets$149,637
Liabilities$0
Net Assets$149,637
Open 2025 Filing

Operations Trend

Revenue Growth29th percentile

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

$1.0M$500K$0-$500KRevenue 2011: $582,015Expenses 2011: $662,970Net Income 2011: -$80,9552011Revenue 2012: $492,380Expenses 2012: $509,837Net Income 2012: -$17,4572012Expenses 2013: $517,8032013Revenue 2014: $457,731Expenses 2014: $389,608Net Income 2014: $68,1232014Revenue 2015: $455,357Expenses 2015: $484,010Net Income 2015: -$28,6532015Revenue 2016: $456,909Expenses 2016: $428,315Net Income 2016: $28,5942016Revenue 2017: $366,397Expenses 2017: $405,729Net Income 2017: -$39,3322017Revenue 2018: $537,384Expenses 2018: $320,056Net Income 2018: $217,3282018Revenue 2019: $400,286Expenses 2019: $372,223Net Income 2019: $28,0632019Revenue 2020: $441,462Expenses 2020: $470,802Net Income 2020: -$29,3402020Revenue 2021: $433,980Expenses 2021: $373,881Net Income 2021: $60,0992021Revenue 2022: $317,148Expenses 2022: $502,614Net Income 2022: -$185,4662022Revenue 2023: $707,932Expenses 2023: $549,879Net Income 2023: $158,0532023Revenue 2024: $506,507Expenses 2024: $485,206Net Income 2024: $21,3012024Revenue 2025: $427,359Expenses 2025: $489,288Net Income 2025: -$61,9292025

Highlighted filing

2025

Revenue$427,359
Expenses$489,288
Net Income-$61,929
Open 2025 Filing

Filings

Most recent year

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

Open filing
Assets
$149,637
Liabilities
$0
Net assets
$149,637
Revenue
$427,359
Expenses
$489,288
Net income
-$61,929
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$1.50$0.00$1.50$4.27$4.89$0.62
2024Detailed filing. Detailed filing data is available for this year.$2.12$0.00$2.12$5.07$4.85$0.21
2023Detailed filing. Detailed filing data is available for this year.$1.90$0.00$1.90$7.08$5.50$1.58
2022Summary only. Only limited summary data is available for this year.$0.32$0.00$0.32$3.17$5.03$1.85
2021Summary only. Only limited summary data is available for this year.$2.18$0.00$2.18$4.34$3.74$0.60
2020Summary only. Only limited summary data is available for this year.$1.58$0.00$1.58$4.41$4.71$0.29
2019Summary only. Only limited summary data is available for this year.$3.17$1.30$1.87$4.00$3.72$0.28
2018Summary only. Only limited summary data is available for this year.$2.89$1.30$1.59$5.37$3.20$2.17
2017Detailed filing. Detailed filing data is available for this year.$0.68$1.27$0.58$3.66$4.06$0.39
2016Detailed filing. Detailed filing data is available for this year.$1.26$1.45$0.19$4.57$4.28$0.29
2015Summary only. Only limited summary data is available for this year.$1.04$1.52$0.48$4.55$4.84$0.29
2014Summary only. Only limited summary data is available for this year.$1.11$1.30$0.19$4.58$3.90$0.68
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.46$1.34$0.87$5.18
2012Summary only. Only limited summary data is available for this year.$1.69$2.19$0.49$4.92$5.10$0.17
2011Summary only. Only limited summary data is available for this year.$0.51$0.83$0.32$5.82$6.63$0.81
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2024 to Jun 30, 2025
Signed
Sep 24, 2025
Return Version
2024v5.2
Gross Receipts
$427,359
Mission and Program Overview

Mission

To promote quality medical services through appropriate educational programs, adherence to credentialing standards for physicians and recognition of the contribution of staff and volunteers to the well being of the patient population.

To assure that all patients served at providence tarzana medical center receive the highest and best quality of medical care through education, rigorous credentialing and peer review.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$211,566$149,637▼ $61,929
Cash and Non-Interest-Bearing Accounts$208,680$146,750▼ $61,930
Savings and Temporary Cash Investments$2,886$2,887▲ $1
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-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$211,566$149,637▼ $61,929
Other Assets Total-$0-
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$211,566$149,637▼ $61,929
Total Liabilities and Net Assets / Fund Balance$211,566$149,637▼ $61,929
Compensation and Service Providers
Top Officer Pay90th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Arash Nourparvar MdChief of StaffPT$54,000$54,000
Charles Headrick MdIM. PAST CHIEF* CONFIRM *PT$42,000$42,000
Christopher Ho MdVice C.o.staffPT$42,000$42,000
Marc Cohen MdSec. / Treas.PT$42,000$42,000
Azmi Atiya MdChair, SurgeryPT$19,500$19,500
Ira Wardono MdChair, Peds.PT$18,000$18,000
Neetu Sodhi MdChair, ObgynPT$18,000$18,000
Thomas Yadegar MdChair, MedicinePT$18,000$18,000
Marc Ehrich MdCardology Div.PT$13,000$13,000
Roxanne Arcinue MdV/C, PediatricsPT$12,000$12,000
Shahin Delkhah MdV.C., MedicinePT$12,000$12,000
Taaly Silbersein MdV.c., ObgynPT$12,000$12,000
Stephen Cooper MdChair, W/bwel-$7,000$7,000
Diba Daneshrad MdV/c - Anesth-$6,000$6,000
Revenue and Support

Revenue Composition

Contributions and Grants
$427,358
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$1
Change in Net Assets
$-61,929
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$315,500
Other Expenses$173,788
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees---$315,500
Other Expenses$4,004$7,028-$4,004
All Other Expenses-$3,349-$3,349
Total Functional Expenses$163,411$10,377$0$489,288
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
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
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

“Members of the organization are members of the medical staff.”

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

“Members in good standing elect the chief of staff, the vice chief of staff and the secretary/treasurer. Members of each department elect the chief and vice chief of the department.”

Form 990, Part VI, Section A, Line 7B

“Changes in the bylaws must be approved by the membership.”

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

“On a monthly basis, the governing board is provided with summary information regarding ongoing revenue and expense items. The form 990 is prepared in draft and sent to the members of the governing body. If there are questions, the member submits these to the medical staff coordinator who forwards the questions to the preparer. The preparer responds back through the medical staff coordinator. If no questions are submitted within two weeks, the return is finalized and sent for signature to the chief of staff.”

Form 990, Part VI, Section C, Line 18

“The documents are available for public inspection through the medical staff coodinator's office.”

Form 990, Part VI, Section C, Line 19

“The documents are held in the office of the director of medical staff services. All documents are available for review upon request.”

Filing and Contact Details

Filer

Filer Name
Providence Tarzana Medical Staff
EIN
95-4678361
Phone
8187085566
Address
18321 CLARK STREET, TARZANA, CA 91356

Signing Officer

Name
Thomas Yadegar Md
Title
Chairman
Signed
2025-09-24
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Thomas Yadegar Md
Formed
1999
Legal Domicile
CA
Voting Board Members
13
Independent Board Members
0
Employees
0

Preparer

Firm
Montgomery Glick & Company
Address
23801 Calabasas Rd Ste 103, Calabasas, CA 91302
Preparer
Peter Montgomery
Phone
8189996967
Raw XML Appendix398 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/Form990PartVIISectionAGrp/TitleTxt0CHIEF OF STAFF
IRS990/Form990PartVIISectionAGrp/TitleTxt1IM. PAST CHIEF* CONFIRM *
IRS990/Form990PartVIISectionAGrp/TitleTxt2VICE C.O.STAFF
IRS990/Form990PartVIISectionAGrp/TitleTxt3SEC. / TREAS.
IRS990/Form990PartVIISectionAGrp/TitleTxt4CHAIR, SURGERY
IRS990/Form990PartVIISectionAGrp/TitleTxt5CHAIR, MEDICINE
IRS990/Form990PartVIISectionAGrp/TitleTxt6CHAIR, PEDS.
IRS990/Form990PartVIISectionAGrp/TitleTxt7CHAIR, OBGYN
IRS990/Form990PartVIISectionAGrp/TitleTxt8CARDOLOGY DIV.
IRS990/Form990PartVIISectionAGrp/TitleTxt9V.C., Medicine
IRS990/Form990PartVIISectionAGrp/TitleTxt10V/C, Pediatrics
IRS990/Form990PartVIISectionAGrp/TitleTxt11V.C., OBGYN
IRS990/Form990PartVIISectionAGrp/TitleTxt12CHAIR, W/BWEL
IRS990/Form990PartVIISectionAGrp/TitleTxt13V/C - ANESTH
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IRS990/GrantsToOrganizationsInd0false
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IRS990/GrossReceiptsAmt0427359
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IRS990/MembershipDuesAmt0427358
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IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0TO PROMOTE QUALITY MEDICAL SERVICES THROUGH APPROPRIATE EDUCATIONAL PROGRAMS, ADHERENCE TO CREDENTIALING STANDARDS FOR PHYSICIANS AND RECOGNITION OF THE CONTRIBUTION OF STAFF AND VOLUNTEERS TO THE WELL-BEING OF THE PATIENT POPULATION.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt0211566
IRS990/NetAssetsOrFundBalancesEOYAmt0149637
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IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt00
IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt00
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IRS990/OperateHospitalInd0false
IRS990/Organization501cInd0X
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IRS990/OtherAssetsTotalGrp/EOYAmt00
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IRS990/OtherExpensesGrp/Desc0HOSPITAL EVENTS
IRS990/OtherExpensesGrp/Desc1CREDENTIALLING
IRS990/OtherExpensesGrp/Desc2ACCOUNTING
IRS990/OtherExpensesGrp/Desc3MERCHANT FEES
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IRS990/OtherExpensesGrp/ProgramServicesAmt19460
IRS990/OtherExpensesGrp/ProgramServicesAmt24004
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IRS990/OtherExpensesGrp/TotalAmt34004
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IRS990/OtherRevenueMiscGrp/Desc0INTEREST INCOME
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IRS990/PrincipalOfficerNm0THOMAS YADEGAR MD
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgSrvcAccomActy2Grp/Desc0ACCESS TO TECHNICAL MATERIALS THROUGH ONLINE MATERIALS AND OTHER PRINTED MATERIALS AS WELL AS ACCESS TO OUTSIDE PROGRAMS TO DEVELOP LEADERSHIP AND OTHER SKILLS NECESSARY TO INTERFACE WITH THE COMMUNITY.
IRS990/ProgSrvcAccomActy3Grp/Desc0IN ORDER TO MAINTAIN HIGH STANDARDS IN THE DELIVERY OF MEDICAL CARE, THE MEDICAL STAFF HAS A PROGRAM OF ACCREDITATION, CREDENTIALING AND PEER REVIEW.
IRS990/ProhibitedTaxShelterTransInd0false
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IRS990/PYOtherRevenueAmt01
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IRS990/PYSalariesCompEmpBnftPaidAmt0309600
IRS990/PYTotalExpensesAmt0485206
IRS990/PYTotalRevenueAmt0506507
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0MEMBERS OF THE ORGANIZATION ARE MEMBERS OF THE MEDICAL STAFF.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1MEMBERS IN GOOD STANDING ELECT THE CHIEF OF STAFF, THE VICE CHIEF OF STAFF AND THE SECRETARY/TREASURER. MEMBERS OF EACH DEPARTMENT ELECT THE CHIEF AND VICE CHIEF OF THE DEPARTMENT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2CHANGES IN THE BYLAWS MUST BE APPROVED BY THE MEMBERSHIP.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ON A MONTHLY BASIS, THE GOVERNING BOARD IS PROVIDED WITH SUMMARY INFORMATION REGARDING ONGOING REVENUE AND EXPENSE ITEMS. THE FORM 990 IS PREPARED IN DRAFT AND SENT TO THE MEMBERS OF THE GOVERNING BODY. IF THERE ARE QUESTIONS, THE MEMBER SUBMITS THESE TO THE MEDICAL STAFF COORDINATOR WHO FORWARDS THE QUESTIONS TO THE PREPARER. THE PREPARER RESPONDS BACK THROUGH THE MEDICAL STAFF COORDINATOR. IF NO QUESTIONS ARE SUBMITTED WITHIN TWO WEEKS, THE RETURN IS FINALIZED AND SENT FOR SIGNATURE TO THE CHIEF OF STAFF.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION THROUGH THE MEDICAL STAFF COODINATOR'S OFFICE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE DOCUMENTS ARE HELD IN THE OFFICE OF THE DIRECTOR OF MEDICAL STAFF SERVICES. ALL DOCUMENTS ARE AVAILABLE FOR REVIEW 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 A, Line 7b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section B, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Section C, Line 18
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990, Part VI, Section C, Line 19
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IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt018321 CLARK STREET
IRS990/USAddress/CityNm0TARZANA
IRS990/USAddress/StateAbbreviationCd0CA
IRS990/USAddress/ZIPCd091356
IRS990/VotingMembersGoverningBodyCnt013
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IRS990/WebsiteAddressTxt0WWW.PROVIDENCE.ORG
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0THOMAS YADEGAR MD
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Chairman
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-09-24
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0PROVIDENCE TARZANA MEDICAL STAFF
ReturnHeader/Filer/BusinessNameControlTxt0PROV
ReturnHeader/Filer/EIN0954678361
ReturnHeader/Filer/PhoneNum08187085566
ReturnHeader/Filer/USAddress/AddressLine1Txt018321 CLARK STREET
ReturnHeader/Filer/USAddress/CityNm0TARZANA
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CA
ReturnHeader/Filer/USAddress/ZIPCd091356
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0954489850
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Montgomery Glick & Company
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt023801 Calabasas Rd Ste 103
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Calabasas
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd091302
ReturnHeader/PreparerPersonGrp/PhoneNum08189996967
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0PETER MONTGOMERY
ReturnHeader/ReturnTs02025-09-24T07:29:48-07:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02024-07-01
ReturnHeader/TaxPeriodEndDt02025-06-30
ReturnHeader/TaxYr02024

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