TINY TREASURES CHRISTIAN CHILDCARE CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
TINY TREASURES CHRISTIAN CHILDCARE CENTER (EIN 81-0559149)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-12
IRS object ID
201903169349304815
Schema version
2018v3.1
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)
Return2019-11-12T15:37:48-05:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN391834564PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1TIM LEGOIS CPA LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1101 COMMERCE DRIVE PO BOX 309AddressLine1Txt
CityLUXEMBURGCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54217ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN810559149EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TINY TREASURES CHRISTIAN CHILD CAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTINYBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11029 THIRTY THIRD STREETAddressLine1Txt
CityTWO RIVERSCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54241ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRENDA ROETHLEPersonNm
Person TitleDIRECTORPersonTitleTxt
Phone9207948543PhoneNum
Signature2019-11-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTIM LEGOIS CPAPreparerPersonNm
PTINP00711579PTIN
Phone9208452347PhoneNum
Preparation2019-11-12PreparationDt
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address184.100.71.148IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-12IPDt
IP Tm15:38:24IPTm
Federal Original Submission Id3952632019316tuuvaq0FederalOriginalSubmissionId
Federal Original Submission Id2019-11-12FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdA46591FB5E14E13092ECFB436AC9B882C92052EFAtSubmissionCreationDeviceId
At Submission Filing Device IdA46591FB5E14E13092ECFB436AC9B882C92052EFAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-04-17 16:48:07ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$406,703GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionCHRISTIAN CHILD DAY CARE SERVICE CENTERActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee20TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$260PYContributionsGrantsAmt
CY Contributions Grants$115CYContributionsGrantsAmt
PY Program Service Revenue$420,049PYProgramServiceRevenueAmt
CY Program Service Revenue$406,570CYProgramServiceRevenueAmt
PY Investment Income$21PYInvestmentIncomeAmt
CY Investment Income$18CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$420,330PYTotalRevenueAmt
CY Total Revenue$406,703CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$227,749PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$253,291CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$173,920PYOtherExpensesAmt
CY Other Expenses$163,431CYOtherExpensesAmt
PY Total Expenses$401,669PYTotalExpensesAmt
CY Total Expenses$416,722CYTotalExpensesAmt
PY Revenues Less Expenses$18,661PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$10,019CYRevenuesLessExpensesAmt
Total Assets BOY$38,081TotalAssetsBOYAmt
Total Assets EOY$27,521TotalAssetsEOYAmt
Total Liabilities BOY$4,712TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,171TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$33,369NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$23,350NetAssetsOrFundBalancesEOYAmt
MissionCHRISTIAN CHILD DAY CARE SERVICE CENTERMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$416,722ExpenseAmt
DescTO PROVIDE CHRISTIAN CHILD CAREDesc
Total Program Service Expenses$416,722TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee20EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBRENDA ROETHLEPersonNm
Phone9207948543PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11029 THIRTY THIRD STREETAddressLine1Txt
CityTWO RIVERSCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54241ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
BRENDA ROETHLE
DIRECTOR32.000.00Yes (X)$0$0$0
KRISTINE FORSBERT
OFFICER1.000.00$0$0$0Yes (X)
PASTOR RANDY LASSILA
OFFICER5.000.00$0$0$0Yes (X)
SCOTT JENSEN
OFFICER1.000.00$0$0$0Yes (X)
RAMSEY MEYER
OFFICER1.000.00$0$0$0Yes (X)
BILL TACKETT
OFFICER1.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Fundraising$115FundraisingAmt
Total Contributions$115TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
DAY CARE REVENUE624410$330,156$330,156
FOOD PRGRM REIMBURSEMNT624410$18,981$18,981
TWO RVRS SCHOOL REVENUE624410$57,433$57,433
FieldValueIRS element (for citing)
Total Program Service Revenue$406,570TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$18TotalRevenueColumnAmt
Related Or Exempt Func Income$18RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Contri Rpt Fundraising Event$115ContriRptFundraisingEventAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$406,703TotalRevenueColumnAmt
Related Or Exempt Func Income$406,588RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$235,291TotalAmt
Program Services$235,291ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$18,000TotalAmt
Program Services$18,000ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$220TotalAmt
Program Services$220ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$909TotalAmt
Program Services$909ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$590TotalAmt
Program Services$590ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$116,450TotalAmt
Program Services$116,450ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,562TotalAmt
Program Services$2,562ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,161TotalAmt
Program Services$5,161ProgramServicesAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$37,539TotalAmt
Program Services$37,539ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$416,722TotalAmt
Program Services$416,722ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,429BOYAmt
EOY$9,420EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$31,652BOYAmt
EOY$18,101EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$38,081BOYAmt
EOY$27,521EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,712BOYAmt
EOY$4,171EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,712BOYAmt
EOY$4,171EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$33,369BOYAmt
EOY$23,350EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$33,369BOYAmt
EOY$23,350EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$38,081BOYAmt
EOY$27,521EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$10,019ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedfalseFSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,303CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,443CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,181CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$260CurrentTaxYearMinus1YearAmt
Current Tax Year$115CurrentTaxYearAmt
Total$4,302TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,303CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,443CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,181CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$260CurrentTaxYearMinus1YearAmt
Current Tax Year$115CurrentTaxYearAmt
Total$4,302TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$4,302PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21CurrentTaxYearMinus1YearAmt
Current Tax Year$18CurrentTaxYearAmt
Total$71TotalAmt
FieldValueIRS element (for citing)
Total Support$4,373TotalSupportAmt
Public Support CY1700.98380PublicSupportCY170Pct
Public Support PY1700.98770PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPAYROLL TAX WITHHOLDINGSDesc
Amt$4,171Amt
FieldValueIRS element (for citing)
Total Liability$4,171TotalLiabilityAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Member election for additional members Part VI line 7aTHE BOARD IS ALLOWED THE RIGHT TO ELECT ADDITIONAL MEMBERS
Form 990 governing body review Part VI line 11NO REVIEW WAS CONDUCTED OR WILL BE CONDUCTED
Conflict of interest policy compliance Part VI line 12cTHE ENTITY IS IN COMPLIANCE WITH ITS CONFLICTS OF INTEREST POLICY
CEO executive director top management comp Part VI line 15aTHERE IS NO COMPENSATION FOR DIRECTORS OR MANAGEMENT
Other officer or key employee compensation Part VI line 15bTHERE IS NO COMPENSATION FOR OFFICERS
Governing documents etc available to public Part VI line 19DOCUMENTS ARE AVAILABLE TO THE PUBLIC BY REQUEST
Explanation of other changes in net assets or fund balances Part XI line 9ROUNDING

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1LIGHTHOUSE ASSEMBLY OF GOD CHURCHBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11029 THIRTY THIRD STREETAddressLine1Txt
CityTWO RIVERSCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54241ZIPCd
FieldValueIRS element (for citing)
Primary ActivitiesRELIGIONPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd

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