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      <PreparerPersonNm>THOMAS H NORTON</PreparerPersonNm>
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      <GamingGrossIncomeAmt referenceDocumentId="RetDoc2">45660</GamingGrossIncomeAmt>
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        <EOYAmt>480017</EOYAmt>
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        <PersonNm>EDWARD RICHARDSON</PersonNm>
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        <PersonNm>ROBERT KLEIN</PersonNm>
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        <PersonNm>DONALD PAVIC</PersonNm>
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        <PersonNm>EDWARD PHILLIPS</PersonNm>
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      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
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        <PersonNm>DONALD PAVIC</PersonNm>
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          <AddressLine1Txt>4301 COLUMBUS CLUB DRIVE</AddressLine1Txt>
          <CityNm>RALEIGH</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27604</ZIPCd>
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        <PhoneNum>9192313315</PhoneNum>
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      <ForeignOfficeInd>false</ForeignOfficeInd>
      <DonorAdvisedFndsInd>false</DonorAdvisedFndsInd>
      <OperateHospitalInd>false</OperateHospitalInd>
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        <CashPrizesBingoAmt>34058</CashPrizesBingoAmt>
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      <IndividualWithBooksNm>DONALD PAVIC</IndividualWithBooksNm>
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        <CityNm>RALEIGH</CityNm>
        <StateAbbreviationCd>NC</StateAbbreviationCd>
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      <CharitableDistributionRqrInd>false</CharitableDistributionRqrInd>
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        <FormAndLineReferenceDesc>FORM 990-EZ, PART I, LINE 16</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSES MISC EXPESE 746 OFFICE SUPPLIES &amp; SOFTWARE 1,071 OFFICE/GENERAL ADMINISTRATIVE 940 INSURANCE 6,499 BANK SERVICE CHARGES 5 AUTO EXPENSE 1,831 CATERING EXPENSE 3,633 CHARITABLE CONTRIBUTIONS 16,857 CONTRACT LABOR 11,760 REPAIRS &amp; MAINTENANCE 45,276 DUES &amp; SUBSCRIPTIONS 280 TOTAL 88,898</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990-EZ, PART II, LINE 24</FormAndLineReferenceDesc>
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