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      <ElectionOfBoardMembersInd>true</ElectionOfBoardMembersInd>
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      <WhistleblowerPolicyInd>false</WhistleblowerPolicyInd>
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        <PersonNm>DONALD FRANA</PersonNm>
        <PhoneNum>6505933701</PhoneNum>
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          <CityNm>Belmont</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>WILL BE PRESENTED TO THE B/D FOR APPROVAL</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V LINE 10A AND B</FormAndLineReferenceDesc>
        <ExplanationTxt>NEW MEMBERS ARE ASSESSED A LIFETIME INITIATION FEE. NO INCOME FROM PUBLIC USE OF CLUB FACILITIES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS MEMBERS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBER ELECTED BOARD HAVE NOT DELEGATED THEIR AUTHORITY TO ANY COMMITTE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS AND ASSESSMENTS FEES AND EXPENSES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS AND ASSESSMENTS FEES AND EXPENSES</ExplanationTxt>
      </SupplementalInformationDetail>
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