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        <BusinessNameLine1Txt>NICHOLAS MEDEIROS CPA PC</BusinessNameLine1Txt>
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      <PreparerPersonNm>Nicholas Medeiros CPA</PreparerPersonNm>
      <PTIN>P00972307</PTIN>
      <PhoneNum>8054667249</PhoneNum>
      <SelfEmployedInd>X</SelfEmployedInd>
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    <TaxYr>2023</TaxYr>
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        <PersonNm>JITEN PATEL</PersonNm>
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        <PersonNm>ART EVERETT</PersonNm>
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        <PersonNm>KEN WEATHERS</PersonNm>
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        <ExplanationTxt>Class of Activity: EDUCATION FOUNDATION | Donee's Name: ROTARY FOUNDATION OF ATASCADERO | Donee's Address: PO BOX 100 ATASCADERO CA 93422 | Relationship of Donee: RELATED ORGANIZATION | Cash Amount Given: $19415</ExplanationTxt>
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        <ExplanationTxt>SUPPLIES $1711</ExplanationTxt>
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        <ExplanationTxt>CLUB SERVICE $1357</ExplanationTxt>
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