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        <CityNm>Wellsburg</CityNm>
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      <PersonNm>Larry Derosa</PersonNm>
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        <PersonLastNm>Derosa</PersonLastNm>
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      <PreparerPersonNm>Stephen A Marino</PreparerPersonNm>
      <PTIN>P01382285</PTIN>
      <PhoneNum>3047373690</PhoneNum>
      <PreparationDt>2024-06-21</PreparationDt>
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      <WebsiteAddressTxt>NA</WebsiteAddressTxt>
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      <PrintingPublicationsPostageAmt>1111</PrintingPublicationsPostageAmt>
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      <TotalExpensesAmt>22436</TotalExpensesAmt>
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      <ProgramSrvcAccomplishmentGrp>
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        <DescriptionProgramSrvcAccomTxt>The organization awards scholarships to students to assist them in funding their future educational goals Two invididuals received a contribution</DescriptionProgramSrvcAccomTxt>
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        <TitleTxt>Grank Knight</TitleTxt>
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        <PersonNm>Kevin Davis</PersonNm>
        <TitleTxt>Two Yr Trustee</TitleTxt>
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        <PersonNm>James Kelly</PersonNm>
        <TitleTxt>One Yr Trustee</TitleTxt>
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        <PersonNm>Richard Fiedorczyk</PersonNm>
        <TitleTxt>Three Yr Trustee</TitleTxt>
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          <CityNm>Weirton</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
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      <ForeignOfficeInd>false</ForeignOfficeInd>
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      <OperateHospitalInd>false</OperateHospitalInd>
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      <Form720FiledInd>false</Form720FiledInd>
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      <TransactionWithControlEntInd>false</TransactionWithControlEntInd>
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        <ExplanationTxt>Insurance 627</ExplanationTxt>
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