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            <CityNm>Americus</CityNm>
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            <BusinessNameLine1Txt>ESL in Home</BusinessNameLine1Txt>
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            <CityNm>Carson City</CityNm>
            <StateAbbreviationCd>NV</StateAbbreviationCd>
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            <AddressLine1Txt>555 Capitol Mall 510</AddressLine1Txt>
            <CityNm>Sacramento</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95814</ZIPCd>
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        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Spokanimal</BusinessNameLine1Txt>
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            <AddressLine1Txt>710 Napa Street</AddressLine1Txt>
            <CityNm>Spokane</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>99202</ZIPCd>
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          <RecipientBusinessName>
            <BusinessNameLine1Txt>Second Harvest Food Bank</BusinessNameLine1Txt>
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        <TrnsfrOtherAssetNonchrtblEOInd>false</TrnsfrOtherAssetNonchrtblEOInd>
        <SalesOrExchangesOfAssetsInd>false</SalesOrExchangesOfAssetsInd>
        <PurchaseOfAssetsNonchrtblEOInd>false</PurchaseOfAssetsNonchrtblEOInd>
        <RentalOfFacilitiesOthAssetsInd>false</RentalOfFacilitiesOthAssetsInd>
        <ReimbursementArrangementsInd>false</ReimbursementArrangementsInd>
        <LoansOrLoanGuaranteesInd>false</LoansOrLoanGuaranteesInd>
        <PerformanceOfServicesEtcInd>false</PerformanceOfServicesEtcInd>
        <SharingOfFacilitiesEtcInd>false</SharingOfFacilitiesEtcInd>
        <RelationshipsNonchrtblEOInd>false</RelationshipsNonchrtblEOInd>
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        <NetInvestmentIncomeAmt>597</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>597</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>598</DisbursementsCharitablePrpsAmt>
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        <NetInvestmentIncomeAmt>92</NetInvestmentIncomeAmt>
      </TaxesDetail>
      <TaxesDetail>
        <CategoryTxt>Foreign Taxes</CategoryTxt>
        <Amt>160</Amt>
        <NetInvestmentIncomeAmt>160</NetInvestmentIncomeAmt>
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    </TaxesSchedule>
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</Return>
