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        <BusinessNameLine2Txt>(KENTUCKY CHAPTER)</BusinessNameLine2Txt>
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        <PersonNm>CRYSTAL SHEPARD</PersonNm>
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          <AddressLine1Txt>101 S 5TH ST Ste 2300</AddressLine1Txt>
          <CityNm>LOUISVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
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        <FormAndLineReferenceDesc>Part I Line 16</FormAndLineReferenceDesc>
        <ExplanationTxt>Advertising and promotion $551.00</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 16</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Part I Line 16</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Part I Line 16</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 16</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Part I Line 16</FormAndLineReferenceDesc>
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