FURP.ORG / PUBLIC DATA EXPLORER

ADVENTUS FOUNDATION INC: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
ADVENTUS FOUNDATION INC (EIN 83-2812614)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202243199349104954
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-15T12:50:36-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN201941244PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HORNE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line126 SECURITY DRAddressLine1Txt
CityJACKSONCityNm
State AbbreviationTNStateAbbreviationCd
ZIP38305ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN832812614EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ADVENTUS FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlADVEBusinessNameControlTxt
Phone6623714110PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1402 ENTERPRISE DRIVEAddressLine1Txt
CityOXFORDCityNm
State AbbreviationMSStateAbbreviationCd
ZIP38655ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDICKSON PERRYPersonNm
Person TitlePRESIDENT & DIRECTORPersonTitleTxt
Phone6623714110PhoneNum
Signature2022-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDICKSONPersonFirstNm
Person LastPERRYPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonREBECCA MILLER CPAPreparerPersonNm
PTINP01976670PTIN
Phone7316687070PhoneNum
Preparation2022-11-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$1,824,700FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$15,731DividendsRevAndExpnssAmt
Dividends Net Invst Incm$15,731DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$99,691NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$573,498GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$99,691CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$115,422TotalRevAndExpnssAmt
Total Net Invst Incm$115,422TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Interest Rev And Expnss$2,902InterestRevAndExpnssAmt
Interest Net Invst Incm$0InterestNetInvstIncmAmt
Interest Dsbrs Chrtbl$2,902InterestDsbrsChrtblAmt
Other Expenses Rev And Expnss$11,830OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$5,816OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$5,817OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$14,732TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$5,816TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$8,719TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$322,500ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$322,500ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$337,232TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$5,816TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$331,219TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$221,810ExcessRevenueOverExpensesAmt
Net Investment Income$109,606NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$240,010CashBOYAmt
Cash EOY$24,096CashEOYAmt
Cash EOYFMV$24,096CashEOYFMVAmt
Sav And Temp Cash Invst BOY$1,267,218SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$1,400,604SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$1,400,604SavAndTempCashInvstEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$400,000LandBldgEquipCostOrOtherBssAmt
Land BOY$0LandBOYAmt
Land EOY$400,000LandEOYAmt
Land EOYFMV$400,000LandEOYFMVAmt
Total Assets BOY$1,507,228TotalAssetsBOYAmt
Total Assets EOY$1,824,700TotalAssetsEOYAmt
Total Assets EOYFMV$1,824,700TotalAssetsEOYFMVAmt
Other Liabilities BOY$0OtherLiabilitiesBOYAmt
Other Liabilities EOY$425,277OtherLiabilitiesEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$425,277TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$1,507,228RetainedEarningBOYAmt
Retained Earning EOY$1,399,423RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$1,507,228TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,399,423TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,507,228TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,824,700TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,507,228TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$221,810ExcessRevenueOverExpensesAmt
Other Increases$114,005OtherIncreasesAmt
Subtotal$1,399,423SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,399,423TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
BANKPLUS BANK ACCOUNT 291RP2020-01-012021-12-31$486,120$412,693$73,427$73,427
BANKPLUS BANK ACCOUNT 292RP2020-01-012021-12-31$86,298$61,114$25,184$25,184
CLASS ACTION LAWSUIT BROKERAGE PROCEEDSP2020-01-012021-12-31$1,080$1,080$1,080
FieldValueIRS element (for citing)
Capital Gain Net Income$99,691CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1,524InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,524SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,524TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$0EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Es Penalty$5EsPenaltyAmt
Tax Due$1,529TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateFLOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial ContributorsYes (1)NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksCHARLES J ALLENIndividualWithBooksNm
Phone6623714110PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1402 ENTERPRISE DRIVEAddressLine1Txt
CityOXFORDCityNm
State AbbreviationMSStateAbbreviationCd
ZIP38655ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
DICKSON PERRY
241 NEEDLERUSH DRIVESANTA ROSA BEACHFL32459PRESIDENT & DIRECTOR10.00$0$0$0
CHARLES J ALLEN
402 ENTERPRISE DRIVEOXFORDMS38655DIRECTOR5.00$0$0$0
STEVE STRICKLAND
402 ENTERPRISE DRIVEOXFORDMS38655DIRECTOR5.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$1,474,961AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$6,268AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,481,229TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$1,481,229AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$22,218CashDeemedCharitableAmt
Net Vl Noncharitable Assets$1,459,011NetVlNoncharitableAssetsAmt
Minimum Investment Return$72,951MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$72,951MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,524TaxBasedOnInvestmentIncomeAmt
Total Tax$1,524TotalTaxAmt
Distributable Before Adj$71,427DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$71,427DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$71,427DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$331,219ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$331,219QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$71,427DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr2$57,933ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$138,024ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$195,957TotalExcessDistributionCyovAmt
Qualifying Distributions$331,219QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$71,427AppliedToCurrentYearAmt
Remaining Distri From Corpus$259,792RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$455,749TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$455,749ExcessDistriCyovToNextYrAmt
Excess From Year2$57,933ExcessFromYear2Amt
Excess From Year1$138,024ExcessFromYear1Amt
Excess From Current Year$259,792ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerDICKSON PERRYContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (4 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ALL THINGS NEW INC
PO BOX 40694RALEIGHNC27629N/APCDONATION$60,000
MISSISSIPPI OFFENDER REENTRY EXPERIENCE (MORE)
PO BOX 4152BRADONMS39047N/APCDONATION$132,500
TAG KIDS CLUB
PO BOX 578BELZONIMS39038N/APCDONATION$30,000
OLE MISS ATHLETICS FOUNDATION
100 COLISEUM LOOP SUITE BUNIVERSITYMS38677N/APCDONATION$100,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$322,500TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$15,731ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$99,691ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$115,422ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$115,422TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

FieldValueIRS element (for citing)
Line Number4LineNumberTxt
Relationship StatementTHE EARNINGS FROM INVESTING HELP FUND GIFTS TO VARIOUS NON-PROFITS.RelationshipStatementTxt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
BANK FEES$11,633$5,816$5,817
FOREIGN TAXES WITHHELD ON INVESTMENT INCOME$11$0$0
INCOME TAX EXPENSE$186$0$0

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail (2 entries)

DescDescAmtAmt
UNREALIZED GAIN$108,105
PRIOR PERIOD ADJUSTMENT$5,900

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescLINE OF CREDITDesc
BOY Book Value$0BOYBookValueAmt
EOY Book Value$425,277EOYBookValueAmt

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor Detail SubstantialContributorDetail

FieldValueIRS element (for citing)
PersonDICKSON PERRYPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1241 NEEDLERUSH DRIVEAddressLine1Txt
CitySANTA ROSA BEACHCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32459ZIPCd