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        <BusinessHoldingsInd>false</BusinessHoldingsInd>
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          <PersonNm>JEFFREY C BROWN</PersonNm>
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            <CityNm>CAMARILLO</CityNm>
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            <ZIPCd>93012</ZIPCd>
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        <CompOfHghstPdEmplOrNONETxt>NONE</CompOfHghstPdEmplOrNONETxt>
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            <CityNm>CAMARILLO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93012</ZIPCd>
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          <FormAndInfoAndMaterialsTxt>PLEASE SUBMIT A LETTER CONTAINING THE NAME, ADDRESS AND CONTACT PERSON OF THE GRANTEE ORGANIZATION AND A STATEMENT OF ITS PURPOSE. INCLUDE A STATEMENT DESCRIBING THE PURPOSE FOR THE REQUESTED GRANT AND THE AMOUNT. ALSO, INCLUDE WITH THE LETTER A COPY OF YOUR IRS 501(c)3 DETERMINATION LETTER.</FormAndInfoAndMaterialsTxt>
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            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46278</ZIPCd>
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      <LandEtcGrp>
        <CategoryOrItemTxt>Land</CategoryOrItemTxt>
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        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
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    <OtherExpensesSchedule documentId="OtherExpensesSchedule" softwareId="23017517" softwareVersionNum="2023v5.0">
      <OtherExpensesScheduleGrp>
        <Desc>BROKERAGE FEES &amp; CHARGES</Desc>
        <RevenueAndExpensesPerBooksAmt>12415</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>12415</NetInvestmentIncomeAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>EXCISE TAX</Desc>
        <RevenueAndExpensesPerBooksAmt>27408</RevenueAndExpensesPerBooksAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>MISCELLANEOUS</Desc>
        <RevenueAndExpensesPerBooksAmt>1257</RevenueAndExpensesPerBooksAmt>
      </OtherExpensesScheduleGrp>
    </OtherExpensesSchedule>
    <TaxesSchedule documentId="TaxesSchedule" softwareId="23017517" softwareVersionNum="2023v5.0">
      <TaxesDetail>
        <CategoryTxt>EXCISE TAX</CategoryTxt>
        <Amt>200</Amt>
        <DisbursementsCharitablePrpsAmt>200</DisbursementsCharitablePrpsAmt>
      </TaxesDetail>
    </TaxesSchedule>
  </ReturnData>
</Return>
