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        <BusinessNameLine1Txt>FENTCHECK INC</BusinessNameLine1Txt>
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      <BusinessNameControlTxt>FENT</BusinessNameControlTxt>
      <PhoneNum>3104804134</PhoneNum>
      <USAddress>
        <AddressLine1Txt>5530 College Ave 203</AddressLine1Txt>
        <CityNm>Oakland</CityNm>
        <StateAbbreviationCd>CA</StateAbbreviationCd>
        <ZIPCd>94618</ZIPCd>
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    <BusinessOfficerGrp>
      <PersonNm>Dean Shold</PersonNm>
      <PersonTitleTxt>VP, Treasurer and Secretary</PersonTitleTxt>
      <PhoneNum>3104804134</PhoneNum>
      <SignatureDt>2024-02-16</SignatureDt>
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    <TaxYr>2023</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
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        <DescriptionProgramSrvcAccomTxt>Provide fentanyl test strips to other venues through non-specified grants and fundraising.</DescriptionProgramSrvcAccomTxt>
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      <ProgramSrvcAccomplishmentGrp>
        <DescriptionProgramSrvcAccomTxt>Distribute fentanyl test strips to Brooklyn from Brooklyn Community Foundation grant.</DescriptionProgramSrvcAccomTxt>
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          <CityNm>Lake Oswego</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97035</ZIPCd>
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        <CurrentTaxYearMinus1YearAmt>59813</CurrentTaxYearMinus1YearAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1, LINE 16</FormAndLineReferenceDesc>
        <ExplanationTxt>Purchase of Fentanyl Test Strips $25,373 Office Expenses (Bank fees, shipping, software) $2,351 Travel Reimbursement $203</ExplanationTxt>
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