Civic Intelligence

Blue Circle Health Clinical Inc

EIN 99-3250536 • 501(c)3 • Boston, MA

Profile

To empower and improve the health of people living with type 1 diabetes by providing health care and related clinical and support services to people living with type 1 diabetes.

68 Harrison Ave 605 Pmb 62564Boston, MA 02111

www.bluecirclehealth.org

Siviq Scores

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

Liabilities / Assets

81st percentile

0.14x

Higher debt load relative to assets than 81% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Liabilities / Revenue

85th percentile

0.14x

Higher debt load relative to revenue than 85% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Net Margin

96th percentile

86%

Higher net margin than 96% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Top Officer Pay

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

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

501(c)3 • <$500k nonprofits • Source year 2024

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2024

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2024

Assets

$200,000

No earlier filing loaded for comparison.

Liabilities

$28,727

No earlier filing loaded for comparison.

Net Assets

$171,273

No earlier filing loaded for comparison.

Revenue

$200,000

No earlier filing loaded for comparison.

Expenses

$28,727

No earlier filing loaded for comparison.

Net Income

$171,273

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

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

$200K$150K$100K$50K$0Assets 2024: $200,000Liabilities 2024: $28,727Net Assets 2024: $171,2732024

Highlighted filing

2024

Assets$200,000
Liabilities$28,727
Net Assets$171,273

Operations Trend

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

$200K$150K$100K$50K$0Revenue 2024: $200,000Expenses 2024: $28,727Net Income 2024: $171,2732024

Highlighted filing

2024

Revenue$200,000
Expenses$28,727
Net Income$171,273

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$2.00$0.29$1.71$2.00$0.29$1.71
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
May 6, 2024 to Sep 30, 2024
Signed
Jul 1, 2025
Return Version
2024v5.2
Gross Receipts
$200,000
Mission and Program Overview

Mission

To empower and improve the health of people living with type 1 diabetes by providing health care and related clinical and support services to people living with type 1 diabetes.

To improve the lives of those living with type 1 diabetes (t1d) by providing health care and related clinical and support services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$0$200,000▲ $200,000
Total Assets$0$200,000▲ $200,000
Liabilities
Accounts Payable and Accrued Expenses$0$28,727▲ $28,727
Total Liabilities$0$28,727▲ $28,727
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$0$171,273▲ $171,273
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$0$171,273▲ $171,273
Total Liabilities and Net Assets / Fund Balance$0$200,000▲ $200,000
Compensation and Service Providers

Board Members and Trustees

NameTitle
Dr Scott KahnDirector, Chairman
Dr Sean OserDirector (from 09/2024)
Dr Leonard DavolioDirector, Chief Executive Officer
Bruce BraughtonDirector, Chief Financial Officer
Dr Georgia AgiostratidouDirector, Secretary
Linda Pilla EsqChief Compliance and Privacy Officer
Benjamin ThomasChief Information Security Officer
Robin JensenChief Operating Officer
Revenue and Support

Revenue Composition

Contributions and Grants
$200,000
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$171,273
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$28,727
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Legal$27,666--$27,666
Fees for Services Accounting-$1,061-$1,061
Total Functional Expenses$27,666$1,061$0$28,727
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
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
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 8B

There is no active committee with authority to act on behalf of the governing body of the organization.

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

The form 990 and supplemental schedules are prepared and reviewed by an external accounting firm. It is then reviewed internally by management. A complete copy of the form is provided to all directors and they are requested to review and submit any questions or comments they may have.

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

Directors, officers, and key employees are required to complete an annual conflict of interest questionnaire. The board annually reviews the surveys to monitor for any potential conflicts. Additionally, employee policies address outside employment arrangements and employment of relatives to aid in identifying potential related party transactions.

Form 990, Part VI, Section B, Line 15

Blue circle clinical has a shared services arrangement with its supported organization to reimburse the supported organization for certain expenses, including services provided by the supported organization's management and staff to blue circle clinical. All compensation is determined by the supported organization, which utilizes comparably data which was reviewed by an independent compensation consultant. The supported organization's board reviewed and relied on this data and approved compensation in accordance with the rebuttable presumption procedures of treas. Reg. Sec. 1.4958-6.

Form 990, Part VI, Section C, Line 19

As required by the irs, the organization makes its forms 990 and 1023 available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Blue Circle Health Clinical Inc
EIN
99-3250536
Phone
8884044813
Address
68 HARRISON AVE 605 PMB 62564, BOSTON, MA 02111

Signing Officer

Name
Robin Jensen
Title
Chief Operating Officer
Phone
8884044813
Signed
2025-07-01
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Robin Jensen
Formed
2024
Legal Domicile
De
Voting Board Members
5
Independent Board Members
4
Employees
0
Volunteers
4

Preparer

Firm
Crowe Llp
Address
5810 TENNYSON PARKWAY SUITE 450, PLANO, TX 75024-4112
Preparer
Lori a Mclaughlin
Phone
2147775200
Supplemental Narrative

Financial Statement Notes

PART X, LINE 2:

Blue circle health clinical is exempt from income taxes on income from related activities under section 501(c)(3) of the u.s. Internal revenue code and corresponding state tax law. A tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely to be realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. Blue circle health clinical does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. Blue circle health clinical recognizes interest and/or penalties related to income tax matters in income tax expense. Blue circle health clinical did not have any amounts accrued for interest and penalties on september 30, 2024.

Raw XML Appendix387 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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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0BLUE CIRCLE HEALTH CLINICAL IS EXEMPT FROM INCOME TAXES ON INCOME FROM RELATED ACTIVITIES UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX LAW. A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY TO BE REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. BLUE CIRCLE HEALTH CLINICAL DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. BLUE CIRCLE HEALTH CLINICAL RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. BLUE CIRCLE HEALTH CLINICAL DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES ON SEPTEMBER 30, 2024.
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THERE IS NO ACTIVE COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY OF THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE FORM 990 AND SUPPLEMENTAL SCHEDULES ARE PREPARED AND REVIEWED BY AN EXTERNAL ACCOUNTING FIRM. IT IS THEN REVIEWED INTERNALLY BY MANAGEMENT. A COMPLETE COPY OF THE FORM IS PROVIDED TO ALL DIRECTORS AND THEY ARE REQUESTED TO REVIEW AND SUBMIT ANY QUESTIONS OR COMMENTS THEY MAY HAVE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. THE BOARD ANNUALLY REVIEWS THE SURVEYS TO MONITOR FOR ANY POTENTIAL CONFLICTS. ADDITIONALLY, EMPLOYEE POLICIES ADDRESS OUTSIDE EMPLOYMENT ARRANGEMENTS AND EMPLOYMENT OF RELATIVES TO AID IN IDENTIFYING POTENTIAL RELATED PARTY TRANSACTIONS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3BLUE CIRCLE CLINICAL HAS A SHARED SERVICES ARRANGEMENT WITH ITS SUPPORTED ORGANIZATION TO REIMBURSE THE SUPPORTED ORGANIZATION FOR CERTAIN EXPENSES, INCLUDING SERVICES PROVIDED BY THE SUPPORTED ORGANIZATION'S MANAGEMENT AND STAFF TO BLUE CIRCLE CLINICAL. ALL COMPENSATION IS DETERMINED BY THE SUPPORTED ORGANIZATION, WHICH UTILIZES COMPARABLY DATA WHICH WAS REVIEWED BY AN INDEPENDENT COMPENSATION CONSULTANT. THE SUPPORTED ORGANIZATION'S BOARD REVIEWED AND RELIED ON THIS DATA AND APPROVED COMPENSATION IN ACCORDANCE WITH THE REBUTTABLE PRESUMPTION PROCEDURES OF TREAS. REG. SEC. 1.4958-6.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4AS REQUIRED BY THE IRS, THE ORGANIZATION MAKES ITS FORMS 990 AND 1023 AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd01
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingEntityName/BusinessNameLine1Txt0BLUE CIRCLE HEALTH INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN0473547678
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt0C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd0MA
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0HEALTHCARE/TECHNOLOGY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0CYFT INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt032 STONEYBROOK CIRCLE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm0ANDOVER
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd0MA
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCd001810
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd10
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt0BLUE CIRCLE HEALTH INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0BLUE CIRCLE HEALTH INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1BLUE CIRCLE CHARITABLE FOUNDATION INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0873874220
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN1993225683
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt1501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0MA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd1DE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HEALTHCARE/TECHNOLOGY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1HEALTHCARE/TECHNOLOGY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 7
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt1LINE 12A, I
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt068 HARRISON AVE 605 PMB 62564
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt168 HARRISON AVE 605 PMB 62564
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0BOSTON
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm1BOSTON
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0MA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd1MA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd002111
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd102111
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd01
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd01
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd01
IRS990ScheduleR/TransferFromOtherOrgInd01
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0DE
IRS990/StatesWhereCopyOfReturnIsFldCd1MS
IRS990/StatesWhereCopyOfReturnIsFldCd2MO
IRS990/StatesWhereCopyOfReturnIsFldCd3NH
IRS990/StatesWhereCopyOfReturnIsFldCd4VT
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsEOYAmt0200000
IRS990/TotalAssetsGrp/BOYAmt00
IRS990/TotalAssetsGrp/EOYAmt0200000
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt0200000
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt01061
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt027666
IRS990/TotalFunctionalExpensesGrp/TotalAmt028727
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt028727
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt028727
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0171273
IRS990/TotalProgramServiceExpensesAmt027666
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0200000
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt04
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt00
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0200000
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt068 HARRISON AVE 605 PMB 62564
IRS990/USAddress/CityNm0BOSTON
IRS990/USAddress/StateAbbreviationCd0MA
IRS990/USAddress/ZIPCd002111
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt04
IRS990/WebsiteAddressTxt0WWW.BLUECIRCLEHEALTH.ORG
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0ROBIN JENSEN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CHIEF OPERATING OFFICER
ReturnHeader/BusinessOfficerGrp/PhoneNum08884044813
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-07-01
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0BLUE CIRCLE HEALTH CLINICAL INC
ReturnHeader/Filer/BusinessNameControlTxt0BLUE
ReturnHeader/Filer/EIN0993250536
ReturnHeader/Filer/PhoneNum08884044813
ReturnHeader/Filer/USAddress/AddressLine1Txt068 HARRISON AVE 605 PMB 62564
ReturnHeader/Filer/USAddress/CityNm0BOSTON
ReturnHeader/Filer/USAddress/StateAbbreviationCd0MA
ReturnHeader/Filer/USAddress/ZIPCd002111
ReturnHeader/IRSResponsiblePrtyInfoCurrInd01
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0350921680
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CROWE LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt05810 TENNYSON PARKWAY SUITE 450
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0PLANO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0TX
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0750244112
ReturnHeader/PreparerPersonGrp/PhoneNum02147775200
ReturnHeader/PreparerPersonGrp/PreparationDt02025-06-23
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0LORI A MCLAUGHLIN
ReturnHeader/ReturnTs02025-07-02T10:42:59-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02024-05-06
ReturnHeader/TaxPeriodEndDt02024-09-30
ReturnHeader/TaxYr02024

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