CHANGING LIVES AT HOME INC: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: CHANGING LIVES AT HOME INC (EIN 75-3070321)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-14
IRS object ID: 201901349349101685
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
Form 990-PF
Schedule B
Accounting Fees Schedule
Accounting Fees Schedule
Other Assets Schedule
Other Expenses Schedule
Other Expenses Schedule
Other Expenses Schedule
Other Expenses Schedule
Other Expenses Schedule
Other Expenses Schedule
Other Expenses Schedule
Other Expenses Schedule
Other Expenses Schedule
Other Expenses Schedule
Other Expenses Schedule
Other Expenses Schedule
Other Expenses Schedule
Other Expenses Schedule
Other Expenses Schedule
Other Expenses Schedule
Other Expenses Schedule
Other Expenses Schedule
Other Expenses Schedule
Other Expenses Schedule
Other Expenses Schedule
Other Expenses Schedule
Other Expenses Schedule
Other Expenses Schedule
Other Expenses Schedule
Other Expenses Schedule
Other Expenses Schedule
Other Income Schedule2
Other Income Schedule2
Other Liabilities Schedule
Other Professional Fees Schedule
Other Professional Fees Schedule
Taxes Schedule
Taxes Schedule
Taxes Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-14T11:39:44-04:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	JOAN M PRATT CPA & ASSOCIATES	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1900 E NORTHERN PARKWAY SUITE T-10	AddressLine1Txt
City	BALTIMORE	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21239	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990PF	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	753070321	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHANGING LIVES AT HOME INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CHAN	BusinessNameControlTxt
Phone	4434639523	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3606 BELLE AVENUE	AddressLine1Txt
City	BALTIMORE	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21215	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LATRILL BRYANT-BASS	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Signature	2019-05-08	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DEVIN T WILLIAMS	PreparerPersonNm
PTIN	P01345433	PTIN
Phone	4102431200	PhoneNum
Preparation	2019-05-08	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	151.196.61.239	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	5247582019134h002879	FederalOriginalSubmissionId
Federal Original Submission Id	2019-05-14	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	E59638E6333E1D8D13411DF6A6776ADB748DDB20	AtSubmissionCreationDeviceId
At Submission Filing Device Id	FF86500347A0F8A8ED9562C25D466401C769E992	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990-PF IRS990PF

Field	Value	IRS element (for citing)
Organization501c3 Exempt PF	Yes (X)	Organization501c3ExemptPFInd
FMV Assets EOY	$84,246	FMVAssetsEOYAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Field	Value	IRS element (for citing)
Other Income Rev And Expnss	$951,792	OtherIncomeRevAndExpnssAmt
Total Rev And Expnss	$951,792	TotalRevAndExpnssAmt
Total Net Invst Incm	$0	TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss	$79,000	CompOfcrDirTrstRevAndExpnssAmt
Oth Empl Slrs Wgs Rev And Expnss	$357,302	OthEmplSlrsWgsRevAndExpnssAmt
Accounting Fees Rev And Expnss	$9,250	AccountingFeesRevAndExpnssAmt
Other Prof Fees Rev And Expnss	$30,675	OtherProfFeesRevAndExpnssAmt
Interest Rev And Expnss	$2,458	InterestRevAndExpnssAmt
Taxes Rev And Expnss	$37,693	TaxesRevAndExpnssAmt
Trav Conf Meeting Rev And Expnss	$3,176	TravConfMeetingRevAndExpnssAmt
Printing And Pub Rev And Expnss	$337	PrintingAndPubRevAndExpnssAmt
Other Expenses Rev And Expnss	$390,397	OtherExpensesRevAndExpnssAmt
Tot Opr Expenses Rev And Expnss	$910,288	TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm	$0	TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl	$0	TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss	$0	ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl	$0	ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss	$910,288	TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm	$0	TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl	$0	TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses	$41,504	ExcessRevenueOverExpensesAmt
Net Investment Income	$0	NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

Field	Value	IRS element (for citing)
Cash BOY	$26,753	CashBOYAmt
Cash EOY	$51,540	CashEOYAmt
Cash EOYFMV	$51,540	CashEOYFMVAmt
Acct Rcvbl	$31,706	AcctRcvblAmt
Acct Rcvbl BOY	$26,580	AcctRcvblBOYAmt
Acct Rcvbl EOY	$31,706	AcctRcvblEOYAmt
Acct Rcvbl EOYFMV	$31,706	AcctRcvblEOYFMVAmt
Other Assets BOY	$8,000	OtherAssetsBOYAmt
Other Assets EOY	$1,000	OtherAssetsEOYAmt
Other Assets EOYFMV	$1,000	OtherAssetsEOYFMVAmt
Total Assets BOY	$61,333	TotalAssetsBOYAmt
Total Assets EOY	$84,246	TotalAssetsEOYAmt
Total Assets EOYFMV	$84,246	TotalAssetsEOYFMVAmt
Accounts Payable BOY	$58,278	AccountsPayableBOYAmt
Accounts Payable EOY	$76,030	AccountsPayableEOYAmt
Other Liabilities BOY	$71,184	OtherLiabilitiesBOYAmt
Other Liabilities EOY	$31,816	OtherLiabilitiesEOYAmt
Total Liabilities BOY	$129,462	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$107,846	TotalLiabilitiesEOYAmt
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind
Unrestricted BOY	-$68,129	UnrestrictedBOYAmt
Unrestricted EOY	-$23,600	UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY	-$68,129	TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY	-$23,600	TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY	$61,333	TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY	$84,246	TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

Field	Value	IRS element (for citing)
Tot Net Ast Or Fund Balances BOY	-$68,129	TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses	$41,504	ExcessRevenueOverExpensesAmt
Subtotal	-$26,625	SubtotalAmt
Tot Net Ast Or Fund Balances EOY	-$26,625	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)
At Least5000 In Assets	Yes (true)	AtLeast5000InAssetsInd
Form990 PF Filed With Atty Gen	Yes (true)	Form990PFFiledWithAttyGenInd
New Substantial Contributors	false	NewSubstantialContributorsInd
Comply With Public Insp Rqr	Yes (true)	ComplyWithPublicInspRqrInd
Individual With Books	LATRILL BRYANT-BASS	IndividualWithBooksNm
Phone	4434639523	PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	3606 BELLE AVENUE	AddressLine1Txt
City	BALTIMORE	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21215	ZIPCd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp

Field	Value	IRS element (for citing)
Person	LATRILL BRYANT-BASS	PersonNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3606 BELLE AVENUE	AddressLine1Txt
City	BALTIMORE	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21215	ZIPCd

Field	Value	IRS element (for citing)
Title	CEO	TitleTxt
Average Hrs Per Wk Devoted To Pos	40	AverageHrsPerWkDevotedToPosRt
Compensation	$79,000	CompensationAmt

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp

Field	Value	IRS element (for citing)
Person	KARA SUE HARRIOTT	PersonNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7936 HEATHER MIST DRIVE	AddressLine1Txt
City	SEVERN	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21144	ZIPCd

Field	Value	IRS element (for citing)
Title	THERAPIST	TitleTxt
Average Hrs Per Wk Devoted To Pos	40	AverageHrsPerWkDevotedToPosRt
Compensation	$61,337	CompensationAmt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DARRYL WHITEHEAD	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4600 BELVIEU AVE	AddressLine1Txt
City	GWYNN OAK	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21207	ZIPCd

Field	Value	IRS element (for citing)
Service Type	THERAPIST	ServiceTypeTxt
Compensation	$51,396	CompensationAmt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

Field	Value	IRS element (for citing)
Description1	NONE	Description1Txt

Distributable Amount DistributableAmountGrp

Field	Value	IRS element (for citing)
Sect4942j3j5 Fndtn And Frgn Org	Yes (X)	Sect4942j3j5FndtnAndFrgnOrgInd

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

Field	Value	IRS element (for citing)
Expenses And Contributions	$0	ExpensesAndContributionsAmt

Undistributed Income UndistributedIncomeGrp

Field	Value	IRS element (for citing)
Undistributed Income CY	$0	UndistributedIncomeCYAmt

Private Operating Foundations PrivateOperatingFoundationsGrp

Field	Value	IRS element (for citing)
Section4942j3	Yes (X)	Section4942j3Ind

Supplementary Information SupplementaryInformationGrp

Field	Value	IRS element (for citing)
Only Contri To Preselected	Yes (X)	OnlyContriToPreselectedInd

Application Submission Info ApplicationSubmissionInfoGrp

Field	Value	IRS element (for citing)
Recipient Person	LATRILL BRYANT-BASS	RecipientPersonNm

Recipient US Address RecipientUSAddress

Field	Value	IRS element (for citing)
Address Line1	3606 BELLE AVE	AddressLine1Txt
City	BALTIMORE	CityNm
State Abbreviation	MD	StateAbbreviationCd
ZIP	21215	ZIPCd

Field	Value	IRS element (for citing)
Recipient Phone	4434639523	RecipientPhoneNum

Schedule B IRS990ScheduleB

Field	Value	IRS element (for citing)
Organization501c3 Exempt PF	Yes (X)	Organization501c3ExemptPFInd
General Rule	Yes (X)	GeneralRuleInd

Contributor Information ContributorInformationGrp (2 entries)

ContributorContributorNum	Address Line1ContributorUSAddress/AddressLine1Txt	CityContributorUSAddress/CityNm	State AbbreviationContributorUSAddress/StateAbbreviationCd	ZIPContributorUSAddress/ZIPCd	Total ContributionsTotalContributionsAmt	Person ContributionPersonContributionInd
DEPARTMENT OF HUMAN RESOURCES
1	311 W SARATOGA STREET	BALTIMORE	MD	21201	$328,328	Yes (X)
DEPARTMENT OF SOCIAL SERVICES
2	201 W PRESTON STREET	BALTIMORE	MD	21201	$623,464	Yes (X)

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

Field	Value	IRS element (for citing)
Category	Accounting, Bookkeeping, & Taxes	CategoryTxt
Amt	$3,750	Amt

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

Field	Value	IRS element (for citing)
Category	Auditing	CategoryTxt
Amt	$5,500	Amt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (3 entries)

DescDesc	BOY Book ValueBOYBookValueAmt	EOY Book ValueEOYBookValueAmt	EOYFMVEOYFMVAmt
LOAN TO AFFILIATE	$6,000
LOAN TO OFFICER	$2,000
SECURITY DEPOSIT		$1,000	$1,000

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	Advertising	Desc
Revenue And Expenses Per Books	$200	RevenueAndExpensesPerBooksAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	Automobile Expense	Desc
Revenue And Expenses Per Books	$6,256	RevenueAndExpensesPerBooksAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	Background Checks	Desc
Revenue And Expenses Per Books	$108	RevenueAndExpensesPerBooksAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	Bank Services Charges	Desc
Revenue And Expenses Per Books	$2,093	RevenueAndExpensesPerBooksAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	Clothing	Desc
Revenue And Expenses Per Books	$8,514	RevenueAndExpensesPerBooksAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	Contract Labor	Desc
Revenue And Expenses Per Books	$250,128	RevenueAndExpensesPerBooksAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	Dues & Subscriptions	Desc
Revenue And Expenses Per Books	$2,676	RevenueAndExpensesPerBooksAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	Events & Special Occasions	Desc
Revenue And Expenses Per Books	$1,150	RevenueAndExpensesPerBooksAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	Food	Desc
Revenue And Expenses Per Books	$13,094	RevenueAndExpensesPerBooksAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	Inspection	Desc
Revenue And Expenses Per Books	$176	RevenueAndExpensesPerBooksAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	Insurance	Desc
Revenue And Expenses Per Books	$6,227	RevenueAndExpensesPerBooksAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	License & Permit	Desc
Revenue And Expenses Per Books	$1,047	RevenueAndExpensesPerBooksAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	Meals & Entertainment	Desc
Revenue And Expenses Per Books	$464	RevenueAndExpensesPerBooksAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	Office Expense	Desc
Revenue And Expenses Per Books	$5,241	RevenueAndExpensesPerBooksAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	Office Supplies	Desc
Revenue And Expenses Per Books	$3,639	RevenueAndExpensesPerBooksAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	Parking & Tolls	Desc
Revenue And Expenses Per Books	$29	RevenueAndExpensesPerBooksAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	Personal Needs Allowance	Desc
Revenue And Expenses Per Books	$2,686	RevenueAndExpensesPerBooksAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	Payroll Services	Desc
Revenue And Expenses Per Books	$552	RevenueAndExpensesPerBooksAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	Postage & Mailings	Desc
Revenue And Expenses Per Books	$7	RevenueAndExpensesPerBooksAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	Rent	Desc
Revenue And Expenses Per Books	$31,521	RevenueAndExpensesPerBooksAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	Repairs & Maintenance	Desc
Revenue And Expenses Per Books	$5,740	RevenueAndExpensesPerBooksAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	Security	Desc
Revenue And Expenses Per Books	$4,227	RevenueAndExpensesPerBooksAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	Supplies	Desc
Revenue And Expenses Per Books	$26,334	RevenueAndExpensesPerBooksAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	Telephone	Desc
Revenue And Expenses Per Books	$2,624	RevenueAndExpensesPerBooksAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	Training	Desc
Revenue And Expenses Per Books	$2,145	RevenueAndExpensesPerBooksAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	Transportation	Desc
Revenue And Expenses Per Books	$380	RevenueAndExpensesPerBooksAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

Field	Value	IRS element (for citing)
Desc	Utilities	Desc
Revenue And Expenses Per Books	$13,139	RevenueAndExpensesPerBooksAmt

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

Field	Value	IRS element (for citing)
Desc	Department of Human Resources	Desc
Revenue And Expenses Per Books	$328,328	RevenueAndExpensesPerBooksAmt

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

Field	Value	IRS element (for citing)
Desc	Department of Social Services	Desc
Revenue And Expenses Per Books	$623,464	RevenueAndExpensesPerBooksAmt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

Field	Value	IRS element (for citing)
Desc	OFFICER LOAN PAYABLE	Desc
BOY Book Value	$71,184	BOYBookValueAmt
EOY Book Value	$31,816	EOYBookValueAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

Field	Value	IRS element (for citing)
Category	Consulting	CategoryTxt
Amt	$25,892	Amt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

Field	Value	IRS element (for citing)
Category	Legal	CategoryTxt
Amt	$4,783	Amt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

Field	Value	IRS element (for citing)
Category	FICA	CategoryTxt
Amt	$33,296	Amt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

Field	Value	IRS element (for citing)
Category	FUTA	CategoryTxt
Amt	$1,151	Amt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

Field	Value	IRS element (for citing)
Category	MDSUI	CategoryTxt
Amt	$3,246	Amt