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            <StateAbbreviationCd>GA</StateAbbreviationCd>
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          <FormAndInfoAndMaterialsTxt>APPLICATIONS TO INCLUDE A COVER LETTER, ORGANIZATION HISTORY/OVERVIEW AND 501(C)(3) CERTIFICATION LETTER, PROGRAM DESCRIPTION AND BUDGET, ORGANIZATION BUDGET AND BOARD OF DIRECTORS LIST, AND ANY OTHER SUPPORTING MATERIAL.</FormAndInfoAndMaterialsTxt>
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            <CityNm>CHAMBLEE</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
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          <GrantOrContributionPurposeTxt>GENERAL SUPPORT</GrantOrContributionPurposeTxt>
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            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30312</ZIPCd>
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          <GrantOrContributionPurposeTxt>GENERAL SUPPORT</GrantOrContributionPurposeTxt>
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            <CityNm>VERO BEACH</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32960</ZIPCd>
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          <GrantOrContributionPurposeTxt>GENERAL SUPPORT</GrantOrContributionPurposeTxt>
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        <GrantOrContributionPdDurYrGrp>
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            <BusinessNameLine1Txt>CHILDRENS MIRACLE NETWORK</BusinessNameLine1Txt>
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            <AddressLine1Txt>1575 NORTHEAST EXPRESSWAY</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30329</ZIPCd>
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          <GrantOrContributionPurposeTxt>GENERAL SUPPORT</GrantOrContributionPurposeTxt>
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        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
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          <RecipientUSAddress>
            <AddressLine1Txt>2210 MARIETTA BLVD NW</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30318</ZIPCd>
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          <GrantOrContributionPurposeTxt>GENERAL SUPPORT</GrantOrContributionPurposeTxt>
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        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>HOPE ATLANTA</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>34 PEACHTREE STREET NW</AddressLine1Txt>
            <AddressLine2Txt>SUITE 700</AddressLine2Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30303</ZIPCd>
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          <GrantOrContributionPurposeTxt>GENERAL SUPPORT</GrantOrContributionPurposeTxt>
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        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>INTOWN COLLABORATIVE MINISTRIES</BusinessNameLine1Txt>
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          <RecipientUSAddress>
            <AddressLine1Txt>PO BOX 8808</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>31106</ZIPCd>
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          <GrantOrContributionPurposeTxt>GENERAL SUPPORT</GrantOrContributionPurposeTxt>
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        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
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          <RecipientUSAddress>
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            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30329</ZIPCd>
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          <GrantOrContributionPurposeTxt>GENERAL SUPPORT</GrantOrContributionPurposeTxt>
          <Amt>30000</Amt>
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        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>NICHOLAS HOUSE</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>PO BOX 15577</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30333</ZIPCd>
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          <GrantOrContributionPurposeTxt>GENERAL SUPPORT</GrantOrContributionPurposeTxt>
          <Amt>15000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>JACK &amp; JILL LATE STAGE CANCER FDN</BusinessNameLine1Txt>
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            <AddressLine1Txt>75 REMITTANCE DRIVE</AddressLine1Txt>
            <AddressLine2Txt>DEPT 92065</AddressLine2Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60675</ZIPCd>
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          <GrantOrContributionPurposeTxt>GENERAL SUPPORT</GrantOrContributionPurposeTxt>
          <Amt>15000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>ATLANTA RONALD MCDONALD HOUSE</BusinessNameLine1Txt>
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          <RecipientUSAddress>
            <AddressLine1Txt>795 GATEWOOD RD NE</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30329</ZIPCd>
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          <GrantOrContributionPurposeTxt>GENERAL SUPPORT</GrantOrContributionPurposeTxt>
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        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>ATLANTA VICTIM ASSISTANCE</BusinessNameLine1Txt>
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          <RecipientUSAddress>
            <AddressLine1Txt>150 GARNETT STREET</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30303</ZIPCd>
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          <GrantOrContributionPurposeTxt>GENERAL SUPPORT</GrantOrContributionPurposeTxt>
          <Amt>20000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>YOUTH GUIDANCE MENTORING ACADEMY</BusinessNameLine1Txt>
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          <RecipientUSAddress>
            <AddressLine1Txt>1028 20TH PLACE</AddressLine1Txt>
            <CityNm>VERO BEACH</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32960</ZIPCd>
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          <GrantOrContributionPurposeTxt>GENERAL SUPPORT</GrantOrContributionPurposeTxt>
          <Amt>45000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>WESTSIDE FUTURE FUND</BusinessNameLine1Txt>
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          <RecipientUSAddress>
            <AddressLine1Txt>PO BOX 92273</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30314</ZIPCd>
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          <GrantOrContributionPurposeTxt>GENERAL SUPPORT</GrantOrContributionPurposeTxt>
          <Amt>10000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>BREVARD ZOO</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1Txt>8225 NORTH WICKHAM ROAD</AddressLine1Txt>
            <CityNm>MELBOURNE</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32940</ZIPCd>
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          <GrantOrContributionPurposeTxt>GENERAL SUPPORT</GrantOrContributionPurposeTxt>
          <Amt>20000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>SHEPHERD CENTER FOUNDATION</BusinessNameLine1Txt>
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          <RecipientUSAddress>
            <AddressLine1Txt>2020 PEACHTREE ROAD</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30309</ZIPCd>
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          <GrantOrContributionPurposeTxt>GENERAL SUPPORT</GrantOrContributionPurposeTxt>
          <Amt>30000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>BILL MANESS GOOD SAMARITAN SCHOLARS</BusinessNameLine1Txt>
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            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30355</ZIPCd>
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          <GrantOrContributionPurposeTxt>GENERAL SUPPORT</GrantOrContributionPurposeTxt>
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        <GrantOrContributionPdDurYrGrp>
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            <StateAbbreviationCd>GA</StateAbbreviationCd>
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          <GrantOrContributionPurposeTxt>GENERAL SUPPORT</GrantOrContributionPurposeTxt>
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        <GrantOrContributionPdDurYrGrp>
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            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30327</ZIPCd>
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          <GrantOrContributionPurposeTxt>GENERAL SUPPORT</GrantOrContributionPurposeTxt>
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        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>HOMELESS CHILDREN FOUNDATION</BusinessNameLine1Txt>
          </RecipientBusinessName>
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            <CityNm>INDIAN RIVER SHORES</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32963</ZIPCd>
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          <GrantOrContributionPurposeTxt>GENERAL SUPPORT</GrantOrContributionPurposeTxt>
          <Amt>20000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>INNOCENCE PROJECT</BusinessNameLine1Txt>
          </RecipientBusinessName>
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            <AddressLine2Txt>SUITE 701</AddressLine2Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10013</ZIPCd>
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          <GrantOrContributionPurposeTxt>GENERAL SUPPORT</GrantOrContributionPurposeTxt>
          <Amt>25000</Amt>
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        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
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          <RecipientUSAddress>
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            <CityNm>NEWARK</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
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          <GrantOrContributionPurposeTxt>GENERAL SUPPORT</GrantOrContributionPurposeTxt>
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            <CityNm>DUNWOODY</CityNm>
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      <GeneralRuleInd>X</GeneralRuleInd>
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          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32963</ZIPCd>
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</Return>
