DODGE COUNTY HUMANE SOCIETY: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
DODGE COUNTY HUMANE SOCIETY (EIN 47-0720431)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-11
IRS object ID
201603169349302590
Schema version
2015v2.1
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)
Return2016-11-11T10:54:21-08:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FREEMAN & RIGGS CPA'SBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12711 SOUTH 88TH STREETAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68124ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN470720431EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DODGE COUNTY HUMANE SOCIETYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDODGBusinessNameControlTxt
Phone4027213282PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1787 S LUTHER ROADAddressLine1Txt
CityFREMONTCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68025ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKELLI STUEHMERPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone4027213282PhoneNum
Signature2016-10-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRONALD V FREEMANPreparerPersonNm
Phone4023915336PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJON ROHLFSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1787 S LUTHER ROADAddressLine1Txt
CityFREMONTCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68025ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$166,712GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1988FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionHUMANE TREATMENT OF ANIMALSActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee3TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$37,555PYContributionsGrantsAmt
CY Contributions Grants$75,322CYContributionsGrantsAmt
PY Program Service Revenue$126,428PYProgramServiceRevenueAmt
CY Program Service Revenue$89,303CYProgramServiceRevenueAmt
PY Investment Income$14,138PYInvestmentIncomeAmt
CY Investment Income$2,087CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$178,121PYTotalRevenueAmt
CY Total Revenue$166,712CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$72,293PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$112,005CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$100,293PYOtherExpensesAmt
CY Other Expenses$78,965CYOtherExpensesAmt
PY Total Expenses$172,586PYTotalExpensesAmt
CY Total Expenses$190,970CYTotalExpensesAmt
PY Revenues Less Expenses$5,535PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$24,258CYRevenuesLessExpensesAmt
Total Assets BOY$801,520TotalAssetsBOYAmt
Total Assets EOY$777,262TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$801,520NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$777,262NetAssetsOrFundBalancesEOYAmt
MissionHUMANE TREATMENT OF ANIMALSMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$190,970ExpenseAmt
Revenue$166,713RevenueAmt
DescTHE CARE OF ABANDONED AND NEGLECTED ANIMALS AND PROMOTION OF EDUCATION ABOUT THE PROPER AND HUMANE TREATMENT OF ANIMALSDesc
Total Program Service Expenses$190,970TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
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 InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
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 EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredfalseScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee3EmployeeCnt
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
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKELLI STUEHMERPersonNm
Phone4027213282PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1787 S LUTHER ROADAddressLine1Txt
CityFREMONTCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68025ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmt
KATIE GLASS
PRESIDENTYes (X)Yes (X)
JON ROHLFS
VICE PRESIDENTYes (X)Yes (X)
BILL DUGAN
TREASURERYes (X)Yes (X)
DONNA MEISMER
SECRETARYYes (X)Yes (X)
SHARON
HINDSYes (X)
CAROLYN
HEUERMANYes (X)
JOY
HANSENYes (X)
ROBERT
WISEYes (X)
RON
SPAHNIYes (X)
BRIDGET
HUNTERYes (X)
BOB
ELLIOTTYes (X)
JARED
BOHNENKAMPYes (X)
NANCY
KRUSEYes (X)
KELLI
STUEHMERYes (X)Yes (X)$45,000
FieldValueIRS element (for citing)
Total Reportable Comp From Org$45,000TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$75,322AllOtherContributionsAmt
Total Contributions$75,322TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSHELTER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$89,303TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$89,303TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,087TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$166,712TotalRevenueColumnAmt
Related Or Exempt Func Income$91,390RelatedOrExemptFuncIncomeAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$45,000TotalAmt
Program Services$45,000ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$41,765TotalAmt
Program Services$41,765ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$25,240TotalAmt
Program Services$25,240ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$9,785TotalAmt
Program Services$9,785ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$2,195TotalAmt
Program Services$2,195ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$7,059TotalAmt
Program Services$7,059ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,242TotalAmt
Program Services$2,242ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,365TotalAmt
Program Services$3,365ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,720TotalAmt
Program Services$4,720ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,437TotalAmt
Program Services$6,437ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
VAN EXPENSES$1,303$1,303$0$0
EDUCATION$3,285$3,285$0$0
LICENSES$1,934$1,934$0$0
ANIMAL CARE$36,640$36,640$0$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$190,970TotalAmt
Program Services$190,970ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$30,580BOYAmt
EOY$50,280EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$683,945BOYAmt
EOY$639,987EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$86,995BOYAmt
EOY$86,995EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$801,520BOYAmt
EOY$777,262EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$801,520BOYAmt
EOY$777,262EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$801,520BOYAmt
EOY$777,262EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$801,520BOYAmt
EOY$777,262EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$24,258ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind
Public Support Total170$0PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support CY1700PublicSupportCY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$60,108CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$70,723CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$43,597CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$37,555CurrentTaxYearMinus1YearAmt
Current Tax Year$75,322CurrentTaxYearAmt
Total$287,305TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$127,013CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$126,771CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$113,062CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$126,428CurrentTaxYearMinus1YearAmt
Current Tax Year$89,303CurrentTaxYearAmt
Total$582,577TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$187,121CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$197,494CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$156,659CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$163,983CurrentTaxYearMinus1YearAmt
Current Tax Year$164,625CurrentTaxYearAmt
Total$869,882TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$869,882PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,148CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,479CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,283CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,138CurrentTaxYearMinus1YearAmt
Current Tax Year$2,087CurrentTaxYearAmt
Total$57,135TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,148CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,479CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,283CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,138CurrentTaxYearMinus1YearAmt
Current Tax Year$2,087CurrentTaxYearAmt
Total$57,135TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Total$927,017TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.93840PublicSupportCY509Pct
Public Support PY5090.92180PublicSupportPY509Pct
Investment Income CY0.06160InvestmentIncomeCYPct
Investment Income PY0.07820InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
CERTIFICATES OF DEPOSIT$539,987C
ANNUITY$100,000C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$639,987TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
KENNELING, COMPUTER$46,451
CREMATORY$40,544
FieldValueIRS element (for citing)
Total Book Value Other Assets$86,995TotalBookValueOtherAssetsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePt VI, Line 11bFormAndLineReferenceDesc
ExplanationREVIEWED AT A MONTHLY MEETINGExplanationTxt

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