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KLIMKIEWICZ FAM FOUNDATION TR: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
KLIMKIEWICZ FAM FOUNDATION TR (EIN 54-6658079)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-03-10
IRS object ID
201820699349100002
Schema version
2017v2.2
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)
Return2018-03-10T09:27:05-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN521711839PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1COUNCILOR BUCHANAN & MITCHELL PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line17910 WOODMONT AVE STE 500AddressLine1Txt
CityBETHESDACityNm
State AbbreviationMDStateAbbreviationCd
ZIP20814ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN546658079EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KLIMKIEWICZ FAMILY FOUNDATIONBusinessNameLine1Txt
Business Name Line2C/O B JUNE KLIMKIEWICZ TRUSTOR/TRUSTEEBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlKLIMBusinessNameControlTxt
Phone7579619926PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11501 DUKE OF WINDSOR ROADAddressLine1Txt
CityVIRGINIA BEACHCityNm
State AbbreviationVAStateAbbreviationCd
ZIP234542503ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDONALD F KLIMKIEWICZPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone7579619926PhoneNum
Signature2018-02-27SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN R COMUNALEPreparerPersonNm
PTINP00365040PTIN
Phone3019860600PhoneNum
Preparation2018-02-27PreparationDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$150,667FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$50,000ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$50,000TotalRevAndExpnssAmt
Total Net Invst Incm$0TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Other Expenses Rev And Expnss$8OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$8TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$0TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$94,850ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$94,850ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$94,858TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$0TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$94,850TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$44,858ExcessRevenueOverExpensesAmt
Net Investment Income$0NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$195,525CashBOYAmt
Cash EOY$150,667CashEOYAmt
Cash EOYFMV$150,667CashEOYFMVAmt
Total Assets BOY$195,525TotalAssetsBOYAmt
Total Assets EOY$150,667TotalAssetsEOYAmt
Total Assets EOYFMV$150,667TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$195,525UnrestrictedBOYAmt
Unrestricted EOY$150,667UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$195,525TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$150,667TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$195,525TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$150,667TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$195,525TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$44,858ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$150,667SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$150,667TotNetAstOrFundBalancesEOYAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$72,700AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$191,398NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.379837DistributionYr1Rt
Adjusted Qlfy Distri Yr2$55,500AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$186,243NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.297998DistributionYr2Rt
Adjusted Qlfy Distri Yr3$53,100AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$163,411NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.324948DistributionYr3Rt
Adjusted Qlfy Distri Yr4$105,650AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$200,741NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.526300DistributionYr4Rt
Adjusted Qlfy Distri Yr5$18,910AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$73,808NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.256205DistributionYr5Rt
Total Distribution1.785288TotalDistributionRt
Average Distribution0.357058AverageDistributionRt
Net Vl Noncharitable Assets$168,631NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$60,211AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$0NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$60,211AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$94,850QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$0InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$0SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$0TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$0EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$0TaxDueAmt

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 Satisfied0Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
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

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1KLIMKIEWICZ FAMILY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7579619926PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line11501 DUKE OF WINDSOR ROADAddressLine1Txt
CityVIRGINIA BEACHCityNm
State AbbreviationVAStateAbbreviationCd
ZIP234542503ZIPCd
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

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
B JUNE KLIMKIEWICZ
1501 DUKE OF WINDSOR ROADVIRGINIA BEACHVA234542503TRUSTOR/TRUSTEE0.00$0$0$0
D KEITH KLIMKIEWICZ
1501 DUKE OF WINDSOR ROADVIRGINIA BEACHVA234542503TRUSTEE0.00$0$0$0
ELIZABETH CIOLFI
1501 DUKE OF WINDSOR ROADVIRGINIA BEACHVA234542503TRUSTEE0.00$0$0$0
STEPHEN DEWITT KLIMKIEWICZ
1501 DUKE OF WINDSOR ROADVIRGINIA BEACHVA234542503TRUSTEE0.00$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

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1THE PURPOSE OF THE FOUNDATION IS TO PROMOTE EDUCATIONAL AND CHARITABLE ORGANIZATIONS WHOSE NEEDS CORRESPOND TO THE PHILANTHROPIC GOALS OF ITS TRUSTORS AND COME WITHIN THE CHARITABLE PURPOSES OUTLINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.Description1Txt
Expenses1$8Expenses1Amt

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$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$171,199AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$171,199TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$171,199AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$2,568CashDeemedCharitableAmt
Net Vl Noncharitable Assets$168,631NetVlNoncharitableAssetsAmt
Minimum Investment Return$8,432MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$8,432MinimumInvestmentReturnAmt
Total Tax$0TotalTaxAmt
Distributable Before Adj$8,432DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$8,432DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$8,432DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$94,850ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$94,850QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$94,850AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$8,432DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$15,220ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$95,613ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$44,929ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$46,188ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$63,130ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$265,080TotalExcessDistributionCyovAmt
Qualifying Distributions$94,850QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$8,432AppliedToCurrentYearAmt
Remaining Distri From Corpus$86,418RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$351,498TotalCorpusAmt
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$15,220ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$336,278ExcessDistriCyovToNextYrAmt
Excess From Year4$95,613ExcessFromYear4Amt
Excess From Year3$44,929ExcessFromYear3Amt
Excess From Year2$46,188ExcessFromYear2Amt
Excess From Year1$63,130ExcessFromYear1Amt
Excess From Current Year$86,418ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerB JUNE KLIMKIEWICZContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (8 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
DOLPHIN SCHOLARSHIP FOUNDATION
4966 EUCLID ROAD SUITE 109VIRGINIA BEACHVA23462NONEPUBLIC CHARITYGENERAL SUPPORT$100
FANCONI ANEMIA RESEARCH FUND INC
1801 WILLAMETTE STREET SUITE 200EUGENEOR97401NONEPUBLIC CHARITYGENERAL SUPPORT$10,000
MAKE-A-WISH GREATER VIRGINIA
P O BOX 97104WASHINGTONDC200907104NONEPUBLIC CHARITYGENERAL SUPPORT$1,000
SMILE
101 WEST MAIN STREET SUITE 7000NORFOLKVA23510NONEPUBLIC CHARITYGENERAL SUPPORT$500
THE CAPE HENRY FUND
1320 MILL DAM ROADVIRGINIA BEACHVA234542306NONEPUBLIC CHARITYGENERAL SUPPORT AND SUPPORTING THE ARTS FAMILY OF FUNDS.$33,000
CHESAPEAKE BAY FOUNDATION
6 HERNDON AVENUEANNAPOLISMD21403NONEPUBLIC CHARITYGENERAL SUPPORT$150
MARINE TOYS FOR TOTS FOUNDATION
18251 QUANTICO GATEWAY DRIVETRIANGLEVA22172NONEPUBLIC CHARITYGENERAL SUPPORT$100
KIDZ1ST FUND
1400 VILLAGE SQUARE BLVD SUITETALLAHASSEEFL32312NONEPUBLIC CHARITYGENERAL SUPPORT$50,0003-229
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$94,850TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

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

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

FieldValueIRS element (for citing)
DescNEW CHECKSDesc
Revenue And Expenses Per Books$8RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor Detail SubstantialContributorDetail

FieldValueIRS element (for citing)
PersonB JUNE KLIMKIEWICZPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11501 DUKE OF WINDSOR ROADAddressLine1Txt
CityVIRGINIA BEACHCityNm
State AbbreviationVAStateAbbreviationCd
ZIP234542503ZIPCd

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