EVEREST EDWIN FOUNDATION: Form 990PF, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- EVEREST EDWIN FOUNDATION (EIN 45-1274059)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-11
- IRS object ID
- 202113159349103841
- Schema version
- 2020v4.0
- 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
- Form 990-PF
- Accounting Fees Schedule
- Legal Fees Schedule
- Other Expenses Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-11T17:46:41-08:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 954634057 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Khan CPA Corporation | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10100 Santa Monica Blvd Ste 300 | AddressLine1Txt |
| City | Los Angeles | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90067 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 451274059 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Everest Edwin Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | EVER | BusinessNameControlTxt |
| Phone | 3104777800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11766 Wilshire Blvd 405 | AddressLine1Txt |
| City | Los Angeles | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90025 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Agata Everest | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Signature | 2021-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Agata | PersonFirstNm |
| Person Last | Everest | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Ehsan Khan CPA | PreparerPersonNm |
| PTIN | P00169210 | PTIN |
| Phone | 3102862727 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $468,544 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $2,520,520 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Total Rev And Expnss | $2,520,520 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $0 | TotalNetInvstIncmAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $142,019 | OthEmplSlrsWgsRevAndExpnssAmt |
| Legal Fees Rev And Expnss | $19,958 | LegalFeesRevAndExpnssAmt |
| Accounting Fees Rev And Expnss | $9,650 | AccountingFeesRevAndExpnssAmt |
| Interest Rev And Expnss | $3,730 | InterestRevAndExpnssAmt |
| Taxes Rev And Expnss | $11,828 | TaxesRevAndExpnssAmt |
| Occupancy Rev And Expnss | $16,570 | OccupancyRevAndExpnssAmt |
| Trav Conf Meeting Rev And Expnss | $16,355 | TravConfMeetingRevAndExpnssAmt |
| Other Expenses Rev And Expnss | $290,281 | OtherExpensesRevAndExpnssAmt |
| Tot Opr Expenses Rev And Expnss | $510,391 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $1,424,532 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $1,424,532 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $1,934,923 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $1,424,532 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $585,597 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $1,530 | CashBOYAmt |
| Cash EOY | $409,638 | CashEOYAmt |
| Cash EOYFMV | $409,638 | CashEOYFMVAmt |
| Prepaid Expenses EOY | $58,906 | PrepaidExpensesEOYAmt |
| Prepaid Expenses EOYFMV | $58,906 | PrepaidExpensesEOYFMVAmt |
| Total Assets BOY | $1,530 | TotalAssetsBOYAmt |
| Total Assets EOY | $468,544 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $468,544 | TotalAssetsEOYFMVAmt |
| Other Liabilities BOY | $118,583 | OtherLiabilitiesBOYAmt |
| Total Liabilities BOY | $118,583 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
| No Donor Rstr Net Assests BOY | -$117,053 | NoDonorRstrNetAssestsBOYAmt |
| Tot Net Ast Or Fund Balances BOY | -$117,053 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $468,544 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,530 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $468,544 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | -$117,053 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $585,597 | ExcessRevenueOverExpensesAmt |
| Subtotal | $468,544 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $468,544 | TotNetAstOrFundBalancesEOYAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $0 | InvestmentIncomeExciseTaxAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | false | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | CA | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Everest Edwin Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3104777800 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11766 Wilshire Blvd 405 | AddressLine1Txt |
| City | Los Angeles | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90025 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| Agata Everest | ||||||
| 11766 Wilshire Blvd 405 | Los Angeles | CA | 90025 | CEO | 15.00 | $0 |
| Dominika Kwasny | ||||||
| 11766 Wilshire Blvd 405 | Los Angeles | CA | 90025 | Secretary | 15.00 | $0 |
| Agata Everest | ||||||
| 11766 Wilshire Blvd 405 | Los Angeles | CA | 90025 | CFO | 10.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $0 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $0 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $0 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Adjusted Total FMV Of Unused Ast | $0 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $0 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $0 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $0 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $0 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $1,424,532 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $1,424,532 | QualifyingDistributionsAmt |
| Adjusted Qualifying Distri | $1,424,532 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $0 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr5 | $619,792 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $418,261 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $741,158 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $1,071,086 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $1,293,843 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $4,144,140 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $1,424,532 | QualifyingDistributionsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Remaining Distri From Corpus | $1,424,532 | RemainingDistriFromCorpusAmt |
| Total Corpus | $5,568,672 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $619,792 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $4,948,880 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $418,261 | ExcessFromYear4Amt |
| Excess From Year3 | $741,158 | ExcessFromYear3Amt |
| Excess From Year2 | $1,071,086 | ExcessFromYear2Amt |
| Excess From Year1 | $1,293,843 | ExcessFromYear1Amt |
| Excess From Current Year | $1,424,532 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (18 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| Various | |||||||
| Various | Various | CA | 90025 | None | EOF | Donation | $78,965 |
| Mt Sinai Chicago | |||||||
| 1500 S California Ave | Chicago | IL | 60608 | None | EOF | Research | $75,000 |
| Georgetown University Hospital | |||||||
| 3800 Reservoir Road Northwest | Washington | DC | 20007 | None | EOF | Research | $47,500 |
| Harvard Medical School | |||||||
| 25 Shattuck Street | Boston | MA | 02115 | None | EOF | Research | $1,000 |
| Montefiore Medical Center | |||||||
| 150 East 210th Street 2nd Floor | Bronx | NY | 10467 | None | EOF | Research | $80,185 |
| University Physicians and Surgeons Inc | |||||||
| 1600 Medical Center Dr | Huntington | WV | 25701 | None | EOF | Research | $245,000 |
| Hackensack UMC Mountainside | |||||||
| 1 Bay Ave | Montclair | NJ | 07042 | None | EOF | Research | $65,000 |
| Larkin Community Hospital | |||||||
| 5996 SW 70th St 5th Floor | South Miami | FL | 33143 | None | EOF | Research | $110,640 |
| St Vincent Charity Medical Center | |||||||
| 2351 East 22nd St | Cleveland | OH | 44115 | None | EOF | Research | $94,180 |
| Medstar Union Memorial Hospital | |||||||
| 201 E University Pkwy | Baltimore | MD | 21218 | None | EOF | Research | $224,250 |
| Arnot Health Graduate Medical Education | |||||||
| 1001 Hoffman St | Elmira | NY | 14905 | None | EOF | Research | $227,500 |
| Donald Guthrie Foundation | |||||||
| 1 Guthrie Square | Sayre | PA | 18840 | None | EOF | Research | $115,312 |
| Jersey Shore University Medical Center | |||||||
| 1945 NJ-33 | Neptune City | NJ | 07753 | None | EOF | Research | $10,000 |
| Kedren Community Health Center | |||||||
| 4211 S avalon Blvd | Los Angeles | CA | 90011 | None | EOF | Research | $2,500 |
| Lake Erie College of Osteophatic Medicin | |||||||
| 1858 W Grandview Blvd | Erie | PA | 16509 | None | EOF | Research | $10,000 |
| Northwestern U Feinberg School of Med | |||||||
| 420 E Superior St | Chicago | IL | 60611 | None | EOF | Research | $10,000 |
| Roger Williams Medical Center | |||||||
| 825 Chalkstone Ave | Providence | RI | 02908 | None | EOF | Research | $21,250 |
| Western Reserve Hospital | |||||||
| 1900 23rd St | Cuyahoga Falls | OH | 44223 | None | EOF | Research | $6,250 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $1,424,532 | TotalGrantOrContriPdDurYrAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Accounting Fees | CategoryTxt |
| Amt | $9,650 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Legal Fees | CategoryTxt |
| Legal Fees | $19,958 | LegalFeesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (16 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt |
|---|---|
| Advertising | $38,024 |
| Bank Charges | $232 |
| Dues | $1,664 |
| Insurance | $4,896 |
| IT Costs | $5,981 |
| Meals & Entertainment | $28,895 |
| Merchant Fees | $1,240 |
| Office Expense | $19,005 |
| Outside Services | $146,035 |
| Parking | $2,269 |
| Payroll Fees | $6,105 |
| Postage | $168 |
| Promotions | $5,499 |
| Repairs & Maintenance | $4,892 |
| Supplies | $15,608 |
| Telephone | $9,768 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Payroll Taxes | CategoryTxt |
| Amt | $11,828 | Amt |