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Nonprofiteer
← NORTHERN DUTCHESS RESIDENTIAL HEALTH CARE FACILITY

Form 990 for tax year 2022

Filed by NORTHERN DUTCHESS RESIDENTIAL HEALTH CARE FACILITY.

Totals

Total revenue
$2,503,684
Total expenses
$10,966,412
Contributions and grants received
$110,270
Grants paid
$0
Program service revenue
$2,292,219
Investment income
$87,246
Other revenue
$13,949
Total assets, end of year
$3,518,913
Total liabilities, end of year
$11,466,094
Net assets or fund balances, end of year
-$7,947,181
Program services expenses (Part IX)
$9,345,590
Management and general expenses
$1,620,822
Fundraising expenses
$0
Program service expenses (Part III)
$9,345,590

Program services were 85.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $110,270

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $2,169,312 · related or exempt $2,169,312

  • 2b · Program service revenue: COVID STIMULUS

    total $122,907 · related or exempt $122,907

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $87,246 · excluded $87,246

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11a · Other revenue: EMPLOYEE RETENTION CREDIT

    total $13,694 · related or exempt $13,694

  • 11b · Other revenue: GUEST TRAYS

    total $189 · related or exempt $189

  • 11c · Other revenue: PURCHASE DISCOUNTS

    total $66 · related or exempt $66

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $13,949

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 7 · Other salaries and wages

    total $6,980,598 · program services $5,943,548 · management and general $1,037,050

  • 8 · Pension plan contributions

    total $187,139 · program services $159,337 · management and general $27,802

  • 9 · Other employee benefits

    total $853,787 · program services $726,947 · management and general $126,840

  • 10 · Payroll taxes

    total $447,581 · program services $381,088 · management and general $66,493

  • 11b · Fees: legal

    total $8,549 · management and general $8,549

  • 11c · Fees: accounting

    total $20,911 · management and general $20,911

  • 11d · Fees: lobbying

    total $577 · program services $491 · management and general $86

  • 11f · Fees: investment management

    total $20,383 · management and general $20,383

  • 11g · Fees: other

    total $964,722 · program services $821,401 · management and general $143,321 · fundraising $0

  • 12 · Advertising and promotion

    total $10,297 · program services $8,767 · management and general $1,530

  • 13 · Office expenses

    total $117,492 · program services $100,037 · management and general $17,455

  • 14 · Information technology

    total $190,454 · program services $162,160 · management and general $28,294

  • 16 · Occupancy

    total $201,052 · program services $171,183 · management and general $29,869

  • 17 · Travel

    total $2,311 · program services $1,968 · management and general $343

  • 22 · Depreciation, depletion and amortization

    total $229,091 · program services $195,057 · management and general $34,034

  • 23 · Insurance

    total $10,927 · management and general $10,927

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $298,256 · program services $298,256

  • 24b · Other expenses: EQUIPMENT RENTAL AND MAINTENANCE

    total $111,157 · program services $94,643 · management and general $16,514

  • 24c · Other expenses: STATE TAX

    total $106,360 · program services $106,360

  • 24d · Other expenses: PROFESSIONAL MEMBERSHIP

    total $70,335 · program services $59,886 · management and general $10,449

  • 24e · All other expenses

    total $134,433 · program services $114,461 · management and general $19,972 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $6,052,257 · end of year $718,343

  • 4 · Accounts receivable

    beginning of year $5,194,758 · end of year $121,525

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $134

  • 9 · Prepaid expenses and deferred charges

    beginning of year $13,337

  • 10a · Land, buildings and equipment: cost or other basis

    $0

  • 10b · Land, buildings and equipment: accumulated depreciation

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $1,615,166 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $8,077,712 · end of year $2,679,045

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,492,441 · end of year $259,336

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $18,945,001 · end of year $11,206,758

  • 27 · Net assets without donor restrictions

    beginning of year $314,464 · end of year -$7,947,181

  • 28 · Net assets with donor restrictions

    beginning of year $201,458

Mission and programs · 2022

Mission

IMPROVE THE HEALTH OF EVERY PERSON IN OUR COMMUNITY THROUGH THE EFFICIENT DELIVERY OF EXCELLENT, INNOVATIVE AND COMPASSIONATE CARE.

  • NORTHERN DUTCHESS RESIDENTIAL HEALTHCARE FACILITY (NDRHCF) IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE PURPOSE OF THE NURSING HOME IS TO ESTABLISH A RESIDENTIAL HEALTHCARE FACILITY FOR THE CARE AND TREATMENT OF INDIVIDUALS WHO REQUIRE MEDICAL AND REHABILITATION RELATED SERVICES. $221,028 - CHARITY CARE IN FISCAL YEAR 2023

    Expenses $9,345,590 · Revenue $2,306,168

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • DENISE GEORGE

    PRESIDENT NDH & SVP CLINICAL SERVICES

    Total calculated
    $829,865
    From this org
    $0
    From related orgs
    $716,575
    Other
    $113,290
    Hours/week
    2 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $460,108 related
    Bonus
    $0 + $150,000 related
    Other
    $0 + $106,467 related
    Deferred
    $0 + $77,580 related
    Nontaxable benefits
    $0 + $35,710 related
    Filer's total
    $0 + $829,865 related

  • FRANCIS P FLYNN

    CHAIRMAN (TO 12/31)

    Total calculated
    $0
    Hours/week
    3 + 3 related

  • JOHN SABIA MD

    VICE CHAIRMAN (FROM 01/01)

    Total calculated
    $0
    Hours/week
    3 + 3 related

  • KAREN GIEK

    VICE CHAIRMAN (TO 12/31); CHAIRMAN (FROM 01/01)

    Total calculated
    $0
    Hours/week
    3 + 3 related

  • ANGELA CAVANNA DO

    DIRECTOR (FROM 01/01)

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • CHRISTY CARIDI PHD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • DOUGLAS HART DVM

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • EVAN MELTZER

    DIRECTOR (TO 12/31)

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • JAMES WING MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • JOHN LEHANE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • KEVIN M SHEEHAN

    DIRECTOR (TO 12/31)

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • LEWIS RUGE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 2.5 related

  • MICHAEL WEINSTOCK MD

    DIRECTOR (FROM 01/01)

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • PATRICK PAUL

    DIRECTOR (FROM 01/01)

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • ROBERT WILD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • BRIAN WYATT

    SECRETARY & CHIEF LEGAL OFFICER (FROM 01/01)

    Total calculated
    $410,879
    From this org
    $0
    From related orgs
    $350,253
    Other
    $60,626
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $297,136 related
    Bonus
    $0 + $51,000 related
    Other
    $0 + $2,117 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $42,326 related
    Filer's total
    $0 + $410,879 related

  • CAROLYN MCKENNA

    SECRETARY & CHIEF LEGAL OFFICER (TO 12/31)

    Total calculated
    $902,383
    From this org
    $0
    From related orgs
    $811,715
    Other
    $90,668
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $575,435 related
    Bonus
    $0 + $155,000 related
    Other
    $0 + $81,280 related
    Deferred
    $0 + $88,260 related
    Nontaxable benefits
    $0 + $2,408 related
    Filer's total
    $0 + $902,383 related

  • DANIEL DEBARBA

    CHIEF FINANCIAL OFFICER; TREASURER (FROM 01/01)

    Total calculated
    $318,307
    From this org
    $0
    From related orgs
    $275,184
    Other
    $43,123
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $267,926 related
    Bonus
    $0
    Other
    $0 + $7,258 related
    Deferred
    $0 + $33,150 related
    Nontaxable benefits
    $0 + $9,973 related
    Filer's total
    $0 + $318,307 related

  • STEVEN H ROSENBERG

    FORMER CFO/TREASURER (TO 12/31)

    Total calculated
    $1,407,109
    From this org
    $0
    From related orgs
    $1,257,989
    Other
    $149,120
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $725,696 related
    Bonus
    $0 + $366,729 related
    Other
    $0 + $165,564 related
    Deferred
    $0 + $135,180 related
    Nontaxable benefits
    $0 + $13,940 related
    Filer's total
    $0 + $1,407,109 related

  • IMTIAZ A MALLICK MD

    PHYSICIAN-ADMIN

    Total calculated
    $331,161
    From this org
    $80,600
    From related orgs
    $231,862
    Other
    $18,699
    Hours/week
    11 + 29 related

    Schedule J breakdown matched by us

    Base
    $80,600 + $230,795 related
    Bonus
    $0
    Other
    $0 + $1,067 related
    Deferred
    $4,819 + $13,378 related
    Nontaxable benefits
    $133 + $369 related
    Filer's total
    $85,552 + $245,609 related

  • MARIA C FARRELL

    HOUSE SUPERVISOR

    Total calculated
    $153,736
    From this org
    $128,301
    From related orgs
    $0
    Other
    $25,435
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $123,062
    Bonus
    $4,981
    Other
    $258
    Deferred
    $0
    Nontaxable benefits
    $25,435
    Filer's total
    $153,736

  • REMILYN GONZALEZ-BATES RN

    DIRECTOR OF NURSING

    Total calculated
    $209,935
    From this org
    $164,942
    From related orgs
    $0
    Other
    $44,993
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $128,259
    Bonus
    $33,500
    Other
    $3,183
    Deferred
    $10,191
    Nontaxable benefits
    $34,802
    Filer's total
    $209,935

  • SHAKITTA HOLMES LPN

    LICENSED PRACTICAL NURSE

    Total calculated
    $164,082
    From this org
    $159,402
    From related orgs
    $0
    Other
    $4,680
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $140,269
    Bonus
    $17,219
    Other
    $1,914
    Deferred
    $4,680
    Nontaxable benefits
    $0
    Filer's total
    $164,082

  • SOPHIA A WILLIAMS

    HOUSE SUPERVISOR

    Total calculated
    $164,902
    From this org
    $159,420
    From related orgs
    $0
    Other
    $5,482
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $151,711
    Bonus
    $7,046
    Other
    $663
    Deferred
    $4,730
    Nontaxable benefits
    $752
    Filer's total
    $164,902

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Tax indemnification and gross-up payments
  • 1b · Written policy on the line-1a expenses
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 1a Tax indemnification and gross-up payments
FOR THE FOLLOWING, BENEFITS REPORTED IN PART VII INCLUDE GROSS-UP PAYMENTS FOR A TAXABLE EMPLOYEE RECOGNITION PROGRAM AWARD: 4 HIGHEST-COMPENSATED EMPLOYEES
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
NORTHERN DUTCHESS RESIDENTIAL HEALTHCARE FACILITY RELIED ON NUVANCE HEALTH, A RELATED TAX-EXEMPT ORGANIZATION, TO APPROVE AND DETERMINE COMPENSATION FOR THE CEO AND TOP MANAGEMENT, WHICH USED A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO GATHER COMPARABLE DATA ON OTHER KEY EMPLOYEES.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
EFFECTIVE OCTOBER 1, 2020, NUVANCE HEALTH ESTABLISHED AN EXECUTIVE RETIREMENT PLAN IN ORDER TO PROVIDE NONQUALIFIED DEFINED CONTRIBUTION RETIREMENT BENEFITS TO DESIGNATED KEY MEMBERS OF ITS EXECUTIVE MANAGEMENT TEAM, SELECTED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. ONLY EXECUTIVES OCCUPYING DESIGNATED TIER 1 OR TIER 2 EXECUTIVE POSITIONS ARE ELIGIBLE TO PARTICIPATE IN THE PLAN. THE PLAN IS INTENDED TO COMPLY WITH SECTION 457(F) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. IN CALENDAR YEAR 2022, THE AMOUNTS EARNED BY THE PARTICIPANTS ARE REPORTED ON SCHEDULE J, PART II, COLUMN (C) RETIREMENT AND OTHER DEFERRED COMPENSATION. FOR CALENDAR YEAR 2022, AMOUNTS EARNED BY KEY MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM WERE AS FOLLOWS: STEVEN H. ROSENBERG $108,180 CAROLYN MCKENNA $69,960 DENISE GEORGE $59,280 DANIEL DEBARBA $26,320
Schedule J, Part I, Line 7 Non-fixed payments
NUVANCE HEALTH ANNUAL LEADERSHIP INCENTIVE PLAN (EXCERPTS FROM) THE PURPOSE OF THE NUVANCE HEALTH ANNUAL LEADERSHIP INCENTIVE PLAN ("PLAN") IS TO ENGAGE AND MOTIVATE THE ORGANIZATION'S LEADERS TO FURTHER THE CHARITABLE MISSION OF NUVANCE HEALTH, AND ITS AFFILIATES AND SUBSIDIARIES, BY PROMOTING EFFECTIVE MANAGEMENT OF OPERATIONS, DELIVERY OF HIGH-QUALITY CARE AND SERVICE, AND RESPONSIBLE USE OF RESOURCES TO MEET COMMUNITY NEEDS. THE PLAN IS INTENDED TO ASSIST NUVANCE HEALTH, AND ITS AFFILIATES AND SUBSIDIARIES TO ATTRACT AND RETAIN LEADERSHIP WITH THE TALENT AND EXPERIENCE NEEDED TO BE SUCCESSFUL BY PROVIDING MEANINGFUL INCENTIVES AND REWARDS FOR OUTSTANDING PERFORMANCE. INDIVIDUALS MUST BE AN ELIGIBLE EMPLOYEE TO BE CONSIDERED AS A PARTICIPANT IN THIS PLAN. AN ELIGIBLE EMPLOYEE IS AN INDIVIDUAL EMPLOYED BY NUVANCE HEALTH AND HOLDS A POSITION ASSIGNED TO ONE OF THE FOLLOWING TIERS, AS OF APRIL 30TH OF THE PLAN YEAR; - TIER I, PRESIDENT, CEO, SENIOR EXECUTIVE - TIER II, EXECUTIVE - TIER II(b), PHYSICIAN EXECUTIVE - TIER III, SENIOR LEADER (A) - TIER III, SENIOR LEADER (B) - TIER IV, LEADER (A) ORGANIZATIONAL GOALS ARE GENERALLY BASED ON THE FOLLOWING CATEGORIES AND ARE WEIGHTED THROUGH A SPLIT BETWEEN ORGANIZATIONAL AND INDIVIDUAL: - QUALITY AND SERVICE - PEOPLE AND CULTURE - PATIENT EXPERIENCE - FINANCIAL STRENGTH EACH PLAN YEAR, THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD ("THE COMMITTEE"), IN ITS SOLE DISCRETION AND UNLESS OTHERWISE APPROPRIATELY DELEGATED, SELECTS PARTICIPANTS FROM A LIST OF ELIGIBLE EMPLOYEES NOMINATED BY THE CEO. THE CEO, EX OFFICIO, IS AN ELIGIBLE EMPLOYEE FOR PURPOSES OF SELECTION TO PARTICIPATE IN THE PLAN. EACH PLAN YEAR, THE COMMITTEE, BASED ON INPUT FROM THE CEO, MAY ESTABLISH A THRESHOLD AWARD, A TARGET AWARD AND/OR A MAXIMUM AWARD FOR EACH PARTICIPANT. AWARD OPPORTUNITIES ARE ESTABLISHED BASED ON COMPETITIVE MARKET PRACTICES AND ON NUVANCE HEALTH'S COMPENSATION PHILOSOPHY. AWARD OPPORTUNITIES MAY BE BASED ON ADDITIONAL FACTORS, INCLUDING NUVANCE HEALTH'S FINANCIAL AND OPERATIONAL PERFORMANCE, REFLECTING MARKET PAY PRACTICES AND BENCHMARKING FOR COMPARABLE POSITIONS, AND ANY OTHER FACTORS DEEMED RELEVANT BY THE COMMITTEE. EACH PLAN YEAR, THE COMMITTEE, AND UNLESS OTHERWISE APPROPRIATELY DELEGATED FOR ANY PLAN YEAR, SHALL ESTABLISH PERFORMANCE GOALS TO EVALUATE THE PERFORMANCE OF EACH PARTICIPANT. AFTER COMPLETION OF EACH PLAN YEAR, THE COMMITTEE MAY EVALUATE WHETHER THE PERFORMANCE OF NUVANCE HEALTH AND PARTICIPANT MEETS OR EXCEEDS THE PERFORMANCE GOALS ESTABLISHED FOR THE PLAN YEAR. IF PERFORMANCE WARRANTS, THE COMMITTEE MAY APPROVE A FINAL AWARD AMOUNT FOR EACH PARTICIPANT AND APPROVE ANY ADDITIONAL CONDITION ON PAYMENT OF THE AWARD. NUVANCE HEALTH EXECUTIVE LONG TERM INCENTIVE PLAN (EXCERPTS FROM) ONLY EXECUTIVES OCCUPYING DESIGNATED TIER 1 EXECUTIVE POSITIONS SHALL BE ELIGIBLE EMPLOYEES TO PARTICIPATE IN THE PLAN. UNDER THE PLAN, PARTICIPANTS WILL BE ELIGIBLE TO RECEIVE INCENTIVE AWARD PAYMENTS BASED UPON THE ACHIEVEMENT OF SELECTED AND STRATEGICALLY IMPORTANT PERFORMANCE GOALS IDENTIFIED FOR EACH PERFORMANCE PERIOD. THE AWARD OPPORTUNITIES FOR AN ELIGIBLE EMPLOYEE WITH RESPECT TO A PERFORMANCE PERIOD SHALL BE EXPRESSED AS A PERCENTAGE OF HIS OR HER AVERAGE BASE SALARY IN EFFECT DURING THE APPLICABLE PERFORMANCE PERIOD. PRIOR TO THE BEGINNING OF EACH PERFORMANCE PERIOD, THE COMMITTEE MAY ESTABLISH A MINIMUM PERFORMANCE REQUIREMENT FOR NUVANCE HEALTH. NO FINAL AWARDS MAY BE GRANTED TO ANY PARTICIPANT FOR A PERFORMANCE PERIOD IN WHICH MINIMUM PERFORMANCE REQUIRMENTS, IN ANY, WERE NOT MET. THE FINAL AWARD PAYABLE TO EACH PARTICIPANT WILL BE DETERMINED WITHIN 60 DAYS FOLLOWING THE END OF THE PERFORMANCE PERIOD. AWARDS FOR A GIVEN PERFORMANCE PERIOD WILL BE PAID IN A SINGLE LUMP-SUM ON THE PAYMENT DATE PROVIDED HOWEVER, THAT NO PAYMENT WILL BE MADE UNTIL THE RESULTS ARE VERIFIED AND AUDITED.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Assets distributed on this return

Schedule N, as filed: what the organization did with its assets when it liquidated or dissolved, or disposed of more than a quarter of them, and who received them. A recipient with an EIN is usually a successor organization; filers also list expenses such as legal fees here.

4 distributions to recipients named as people, $1,434,629 in total. Counted where the filer named the recipient as a person, as filed. Who received them, and what, are not published.

Provenance

Return type
form_990
Tax year
2022
Filed
8 August 2024
IRS schema version
2022v5.0
Source object
202412219349301621

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