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        <BusinessNameLine1Txt>H AND R BLOCK</BusinessNameLine1Txt>
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        <AddressLine1Txt>1804 E INNES</AddressLine1Txt>
        <CityNm>SALISBURY</CityNm>
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        <ZIPCd>28146</ZIPCd>
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        <BusinessNameLine1Txt>AMVETS POST 565</BusinessNameLine1Txt>
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        <AddressLine1Txt>PO BOX 953</AddressLine1Txt>
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      <PersonNm>HAROLD W ANDREWS</PersonNm>
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      <PreparerPersonNm>BETTY AUTEN</PreparerPersonNm>
      <PTIN>P00039610</PTIN>
      <PhoneNum>7046362065</PhoneNum>
      <PreparationDt>2022-09-07</PreparationDt>
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    <TaxYr>2021</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
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      <MethodOfAccountingCashInd>X</MethodOfAccountingCashInd>
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      <WebsiteAddressTxt>N/A</WebsiteAddressTxt>
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      <TypeOfOrganizationOtherInd>X</TypeOfOrganizationOtherInd>
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      <InfoInScheduleOPartIInd>X</InfoInScheduleOPartIInd>
      <ContributionsGiftsGrantsEtcAmt>3600</ContributionsGiftsGrantsEtcAmt>
      <MembershipDuesAmt>1200</MembershipDuesAmt>
      <GamingGrossIncomeAmt>176730</GamingGrossIncomeAmt>
      <FundraisingGrossIncomeAmt referenceDocumentId="1">0</FundraisingGrossIncomeAmt>
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      <SpecialEventsNetIncomeLossAmt>25846</SpecialEventsNetIncomeLossAmt>
      <TotalRevenueAmt>30646</TotalRevenueAmt>
      <FeesAndOtherPymtToIndCntrctAmt>175</FeesAndOtherPymtToIndCntrctAmt>
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      <TotalExpensesAmt>16390</TotalExpensesAmt>
      <ExcessOrDeficitForYearAmt>14256</ExcessOrDeficitForYearAmt>
      <NetAssetsOrFundBalancesBOYAmt>24314</NetAssetsOrFundBalancesBOYAmt>
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      <InfoInScheduleOPartIIInd>X</InfoInScheduleOPartIIInd>
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        <BOYAmt>24314</BOYAmt>
        <EOYAmt>38570</EOYAmt>
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        <EOYAmt>38570</EOYAmt>
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        <BOYAmt>24314</BOYAmt>
        <EOYAmt>38570</EOYAmt>
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      <PrimaryExemptPurposeTxt>TO HELP FELLOW VETERANS AND TO MAINTAIN OUR RESPONSIBILITY AS VETERANS TO COMMUNITY STATE AND NATION. WE PARTICIPATED IN VA VOLUNTEEER SERVICES COMMUNITY EVENTS PARADES U.S. ARMY ROTC DONATIONS TO LOCAL CHARITIES PROVIDED ASSISTANCE TO NEEDY VETERANS VETERANS DAY WREATH LAYING AND ASSISTED WITH VETERANS PREOGRAMS AND VETERANS DAY BARBEQUE.</PrimaryExemptPurposeTxt>
      <ProgramSrvcAccomplishmentGrp>
        <DescriptionProgramSrvcAccomTxt>TO HELP FELLOW VETERANS AND TO MAINTAIN OUR RESPONSIBILITY AS VETERANS TO OUR COMMUNITY STATE AND NATION. PARTICIPATED IN VA VOLUNTEER SERVICES COMMUNITY EVENTS I.E. PARADES AND U.S. ARMY ROTC. DONATIONS TO LOCAL CHARITIES. PROVIDED ASSISTANCE TO NEEDY VETERANS VETERANS DAY WREATH LAYING AND ASSISTED WITH VE TERANS PROGRAMS AND VETERANS DAY BARBEQUE.</DescriptionProgramSrvcAccomTxt>
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      <ProgramSrvcAccomplishmentGrp>
        <DescriptionProgramSrvcAccomTxt>None</DescriptionProgramSrvcAccomTxt>
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      <ProgramSrvcAccomplishmentGrp>
        <DescriptionProgramSrvcAccomTxt>None</DescriptionProgramSrvcAccomTxt>
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      <InfoInScheduleOPartIVInd>X</InfoInScheduleOPartIVInd>
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        <PersonNm>HAROLD ANDREWS</PersonNm>
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        <CompensationAmt>0</CompensationAmt>
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        <PersonNm>HERCULES SHANNON</PersonNm>
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        <CompensationAmt>0</CompensationAmt>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>ZANE ALEXANDER</PersonNm>
        <TitleTxt>1ST VICE COMMANDER</TitleTxt>
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        <CompensationAmt>0</CompensationAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>WILLIE NEAL</PersonNm>
        <TitleTxt>3RD VICE COMMANDER</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>1.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>DAVID H SMITH</PersonNm>
        <TitleTxt>COMMANDER</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>1.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>AL ROSERO</PersonNm>
        <TitleTxt>2ND VICE COMMANDER</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>1.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <ActivitiesNotPreviouslyRptInd>false</ActivitiesNotPreviouslyRptInd>
      <ChgMadeToOrgnzngDocNotRptInd>false</ChgMadeToOrgnzngDocNotRptInd>
      <OrganizationHadUBIInd>false</OrganizationHadUBIInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <OrganizationDissolvedEtcInd>false</OrganizationDissolvedEtcInd>
      <MadeLoansToFromOfficersInd>false</MadeLoansToFromOfficersInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <BooksInCareOfDetail>
        <PersonNm>HAROLD W ANDREWS</PersonNm>
        <ForeignAddress>
          <AddressLine1Txt>514 GARLAND DRIVE</AddressLine1Txt>
          <CountryCd>AF</CountryCd>
        </ForeignAddress>
        <PhoneNum>7042797427</PhoneNum>
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      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <DonorAdvisedFndsInd>false</DonorAdvisedFndsInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <TanningServicesProvidedInd>false</TanningServicesProvidedInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd>false</TransactionWithControlEntInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <PartVIOfCompOfHghstPdEmplTxt>NONE</PartVIOfCompOfHghstPdEmplTxt>
      <PartVIHghstPdCntrctProfSrvcTxt>NONE</PartVIHghstPdCntrctProfSrvcTxt>
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        <CashPrizesBingoAmt>122500</CashPrizesBingoAmt>
        <RentFacilityCostsBingoAmt>24784</RentFacilityCostsBingoAmt>
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        <VolunteerLaborBingoInd>false</VolunteerLaborBingoInd>
        <VolunteerLaborPullTabsInd>false</VolunteerLaborPullTabsInd>
        <VolunteerLaborOtherGamingInd>false</VolunteerLaborOtherGamingInd>
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        <CashPrizesTotalGamingAmt>122500</CashPrizesTotalGamingAmt>
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        <DirectExpenseSummaryGamingAmt>150884</DirectExpenseSummaryGamingAmt>
        <NetGamingIncomeSummaryAmt>25846</NetGamingIncomeSummaryAmt>
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      <LicenseSuspendedEtcInd>false</LicenseSuspendedEtcInd>
      <GamingWithNonmembersInd>false</GamingWithNonmembersInd>
      <MemberOfOtherEntityInd>false</MemberOfOtherEntityInd>
      <CntrctWith3rdPrtyForGameRevInd>false</CntrctWith3rdPrtyForGameRevInd>
      <CharitableDistributionRqrInd>false</CharitableDistributionRqrInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1 LINE 16</FormAndLineReferenceDesc>
        <ExplanationTxt>CHARGE AND CHECKS $665</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PRT 1 LINE 16</FormAndLineReferenceDesc>
        <ExplanationTxt>MAIDEN AMUSEMENTS SUPPLIES $10218</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1 LINE 16</FormAndLineReferenceDesc>
        <ExplanationTxt>LICENSE $200</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1 LINE 16</FormAndLineReferenceDesc>
        <ExplanationTxt>QUARTER TAX $104</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1 LINE 16</FormAndLineReferenceDesc>
        <ExplanationTxt>POST OFFICE BOX RENT AND MAILING $111</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1 LINE 16</FormAndLineReferenceDesc>
        <ExplanationTxt>INSURANCE $332</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1 LINE 16</FormAndLineReferenceDesc>
        <ExplanationTxt>STATE CONVENTION $149</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART1 LINE 16</FormAndLineReferenceDesc>
        <ExplanationTxt>SAMS CLUB MEMBERSHIP $100</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART1 LINE 16</FormAndLineReferenceDesc>
        <ExplanationTxt>GIFT CARDS FOR THANKSGIVING $250</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1 LINE 16</FormAndLineReferenceDesc>
        <ExplanationTxt>AMVETS SERVICE FOR KENTUCKY RELIEF FUND $200</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1 LINE 16</FormAndLineReferenceDesc>
        <ExplanationTxt>PIEDMONT DISTRICT DUES $50</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1 LINE 16</FormAndLineReferenceDesc>
        <ExplanationTxt>STATE AND NATIONAL RENEWALS $852</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1 LINE 16</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICE STAMPS $12</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1 LINE 16</FormAndLineReferenceDesc>
        <ExplanationTxt>VARIOUS DONATIONS MADE BY AMVETS $1375</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1 LINE 16</FormAndLineReferenceDesc>
        <ExplanationTxt>PHONE $54</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1 LINE 16</FormAndLineReferenceDesc>
        <ExplanationTxt>MISC EXPENSES $1543</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1 LINE 16</FormAndLineReferenceDesc>
        <ExplanationTxt>TOTAL EXPENSE TO LINE 16 $16215</ExplanationTxt>
      </SupplementalInformationDetail>
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