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      <BusinessNameControlTxt>CHIN</BusinessNameControlTxt>
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        <CityNm>Ridgecrest</CityNm>
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        <ZIPCd>93555</ZIPCd>
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      <PersonNm>LESLIE BROAKER</PersonNm>
      <PersonTitleTxt>ADMINISTRATOR</PersonTitleTxt>
      <PhoneNum>7604465996</PhoneNum>
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      <ActivityOrMissionDesc>LODGE UNITES MEMBERS IN BONDS OF FRATERNITY, BENEVOLENCE AND CHARITY. ACCOMPLISHED THROUGH YEAR ROUND SCHEDULE OF SOCIAL AND RECREATIONAL ACTIVITIES FOR MEMBERS/GUESTS EST AT 232</ActivityOrMissionDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Member election for additional members Part VI line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>A new governing Board of Officers is elected annually by the members in accordance with procedures set forth in the general laws of the Loyal Order of Moose</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing body decisions Part VI line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>Daily business decisions are made the governing board. Changes in the board or policies are brought to the general membership for approval by majority vote. The governing board is required to report to the membership the state of business, expenditures and other information regarding the operations of the lodge.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Lodge officer, house committee and general membership meetings are held twice per month. The Form 990 is reviewed during these meeting prior to submission to the Internal Revenue Service</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Conflict of Interest policy provided by Moose International, Inc</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>After submission of the Form 990 and attached schedules copies are retained in the Lodge office and are available upon request by any member or by the public. This is also true of the financial statements for our Moose Lodge</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="990R">
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MOOSE INTERNATIONAL INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>155 INTERNATIONAL DRIVE</AddressLine1Txt>
          <CityNm>Mooseheart</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60539</ZIPCd>
        </USAddress>
        <EIN>361408120</EIN>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SOLE MEMBER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>