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        <AddressLine1Txt>907 Central Avenue</AddressLine1Txt>
        <CityNm>Auburn</CityNm>
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        <ZIPCd>68305</ZIPCd>
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      <PTIN>P02054570</PTIN>
      <PhoneNum>4024147041</PhoneNum>
      <SelfEmployedInd>X</SelfEmployedInd>
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    <BuildTS>2024-10-15 13:58:12Z</BuildTS>
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      <MembershipDuesAmt>2674</MembershipDuesAmt>
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      <SpecialEventsDirectExpensesAmt>10765</SpecialEventsDirectExpensesAmt>
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        <PersonNm>JOE NOVOTNY</PersonNm>
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      <MadeLoansToFromOfficersInd>false</MadeLoansToFromOfficersInd>
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      <TaxImposedUnderIRC4955Amt>0</TaxImposedUnderIRC4955Amt>
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      <ForeignOfficeInd>false</ForeignOfficeInd>
      <DonorAdvisedFndsInd>false</DonorAdvisedFndsInd>
      <OperateHospitalInd>false</OperateHospitalInd>
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