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        <BusinessNameLine1Txt>The Fillmore Lions Club</BusinessNameLine1Txt>
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      <PersonNm>Gaylynn Brien</PersonNm>
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      <SignatureDt>2025-10-05</SignatureDt>
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        <ExplanationTxt>Provide facility and support for Boys/Cub Scouts. - Grantee Name: Scout Foundation (Boy and Cub Scouts) Address:PO Box 632 PO Box 632, Fillmore, CA 93016 Amount:5000 Relationship:None</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part I Line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Provide Bachelor or Associate college and/or technical school scholarships for senior students. - Grantee Name: Fillmore High School Senior Scholarships Address:555 Central Ave, Fillmore, CA 93015 Amount:2560 Relationship:None</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part I Line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Provide eye exams and glasses for low-income students K - 12th grade - Grantee Name: Student Eye Exams Address:414 Central Ave, Fillmore, CA 93015 Amount:837 Relationship:None</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part I Line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Stimulates student growth and challenges students to higher levels of critical thinking, public speaking, and sharing diversity of thought. - Grantee Name: High School Students - Speaker Contest Address:PO Box 632 PO Box 632, Fillmore, CA 93016 Amount:300 Relationship:None</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Award a community member for their invaluable contribution to the student speaker's contest - Grantee Name: Don Snyder Award Address:PO Box 632, Fillmore, CA 93016 Amount:400 Relationship:None</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part I Line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Provide contribution and support towards mental illness. - Grantee Name: National Alliance Mental Illness (NAMI) Address:Po Box 1613, Camarillo, CA 93011 Amount:250 Relationship:None</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Provide contribution and support towards the treatment and cure of cancer. - Grantee Name: American Cancer Society Address:2186 Knoll Dr. Suite A, Ventura, CA 93003 Amount:250 Relationship:None</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Provide contribution and support towards the cure of children with cancer. - Grantee Name: Teddy Bear Cancer Society Address:2323 De L Vina St., Suite 104, Santa Barbara, CA 93105 Amount:250 Relationship:None</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part I Line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Provide contribution and support towards the research for the treatment of cancer. - Grantee Name: City of Hope Address:1500 East Duarte Rd, Duarte , CA 91010 Amount:1000 Relationship:None</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part I Line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Provide contribution towards the prevention of hearing and vision loss. - Grantee Name: Sight &amp; Hearing Association Address:1430 Concordia Ave, St Paul, MN 55104 Amount:248 Relationship:None</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part I Line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Support the community theatre program. - Grantee Name: Sespe Players Community Theatre Address:PO Box 632, Fillmore, CA 93016 Amount:1000 Relationship:None</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part I Line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Support the scout program for boys K to 5th grade with adventures and enrichment programs. - Grantee Name: Fillmore Cub Scouts Address:PO Box 632, Fillmore, CA 93016 Amount:500 Relationship:None</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part I Line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Provide contribution towards the prevention of hunger. - Grantee Name: Food Share - Ventura Address:3250 S. Rose Ave, Oxnard, CA 93033 Amount:500 Relationship:None</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part I Line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Provide contribution to the City Fire Department. - Grantee Name: Fire Department - City of Fillmore Address:711 Landeros Lane, Fillmore, CA 93015 Amount:500 Relationship:None</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part I Line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Provide contribution to collect, preserve and interpret the heritage of the City of Fillmore. - Grantee Name: Fillmore Historical Museum Address:340 Main Street, Fillmore, CA 93015 Amount:500 Relationship:None</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part I Line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Provide contribution towards providing children with disabilities the ability to attend a summer camp program. - Grantee Name: Teresita Pines Address:22801 Big Pines Hwy, Valyermo, CA 93563 Amount:500 Relationship:None</ExplanationTxt>
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        <ExplanationTxt>Provide contribution towards meaningful adult mentorship with children. - Grantee Name: Big Brother/Sister Address:555 Central Ave PO Box 632, Fillmore, CA 93015 Amount:500 Relationship:None</ExplanationTxt>
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        <ExplanationTxt>Provide contribution towards providing children in the cummunity with a coat. - Grantee Name: City Fire Department Address:711 Landeros Lane PO Box 632, Fillmore, CA 93015 Amount:250 Relationship:None</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part I Line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Provide a safe environment for children at Holloween to have candy treats. - Grantee Name: Trunk or Treat Address:PO Box 632, Fillmore, CA 93016 Amount:184 Relationship:None</ExplanationTxt>
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        <ExplanationTxt>Provide leadership and support for the community parades. - Grantee Name: Fillmore Parades Address:PO Box 632 PO Box 632, Fillmore, CA 93016 Amount:1226 Relationship:None</ExplanationTxt>
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        <ExplanationTxt>Support Middle School students with creating an art poster and writing a poem. - Grantee Name: Fillmore Middle School - Art Program and Author's Faire Address:PO Box 632, Fillmore, CA 93016 Amount:750 Relationship:None</ExplanationTxt>
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        <ExplanationTxt>Contribute towards the service dog industry so people with disabilities can live with greater independence. - Grantee Name: Lions Project for Canine Companions Address:PO Box 3896, Santa Rosa, CA 95402 Amount:200 Relationship:None</ExplanationTxt>
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        <ExplanationTxt>Provide contribution for the community library. - Grantee Name: Friends of the Community Library Address:502 2nd Street PO Box 632, Fillmore, CA 93015 Amount:500 Relationship:None</ExplanationTxt>
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        <ExplanationTxt>Contribution and support towards the high school graduation party. - Grantee Name: Grad Nite Address:PO Box 632 PO Box 632, Fillmore, CA 93016 Amount:500 Relationship:None</ExplanationTxt>
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        <ExplanationTxt>Contribution to support the community High School drama department. - Grantee Name: Fillmore High School Drama Department Address:PO Box 632 PO Box 632, Fillmore, CA 93016 Amount:500 Relationship:None</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part I Line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Contribution to support the high school students with academic assistance and support for mental health struggles. - Grantee Name: One Step A La Vez Address:421 Sespe Ave PO Box 632, Fillmore, CA 93015 Amount:500 Relationship:None</ExplanationTxt>
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        <ExplanationTxt>Contribution to support the Boys and Girls Club after school and summer enrichment programs. - Grantee Name: Boys &amp; Girls Club Address:561 1st Street PO Box 632, Fillmore, CA 93015 Amount:500 Relationship:None</ExplanationTxt>
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        <ExplanationTxt>Contribution towards the local school Parent Teacher Association. - Grantee Name: Parent Teacher Association - Fillmore Unified School District Address:PO Box 632 PO Box 632, Fillmore, CA 93016 Amount:250 Relationship:None</ExplanationTxt>
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        <ExplanationTxt>Contribution to support the youth and leadership volunteers that provide youth with soccer programs. - Grantee Name: American Youth Soccer Organization (AYSO) Address:PO Box 632 PO Box 632, Fillmore, CA 93016 Amount:500 Relationship:None</ExplanationTxt>
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        <ExplanationTxt>Contribution to support the youth and leadership volunteers that provide youth with track and field programs. - Grantee Name: Fillmore Condors (Blazers Cross Country Track) Address:PO Box 632 PO Box 632, Fillmore, CA 93016 Amount:250 Relationship:None</ExplanationTxt>
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        <ExplanationTxt>Contribution to support the youth and leadership volunteers that help youth build skills for life by working and caring for livestock animals. - Grantee Name: Sespe 4H Club Address:PO Box 632 PO Box 632, Fillmore, CA 93016 Amount:810 Relationship:None</ExplanationTxt>
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        <ExplanationTxt>Contribution to support to youth who live in vulnerable micro-communities. - Grantee Name: Safe Passage Youth Address:PO Box 632 PO Box 632, Fillmore, CA 93016 Amount:200 Relationship:None</ExplanationTxt>
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        <ExplanationTxt>Contribution to recognize individuals for their contributions towards Lions Club International Foundation. - Grantee Name: Lions Club International Foundation - Melvin Jones Award Address:PO Box 632 PO Box 632, Fillmore, CA 93016 Amount:1000 Relationship:None</ExplanationTxt>
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