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          <PersonNm>KELLY BYRD</PersonNm>
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          <PersonNm>SHARON DENHAM</PersonNm>
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            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46818</ZIPCd>
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          <RecipientPhoneNum>2606371551</RecipientPhoneNum>
          <FormAndInfoAndMaterialsTxt>THE APPLICANT MUST SUBMIT THE MOST CURRENT YEAR'S TAX RETURN. THEY MUST PROVIDE A PLAN ON HOW THEY WILL CONTINUE PAYING TOWARDS THEIR CLUB FEES. THE APPLICANT MUST PROVIDE A PURPOSE FOR NEED LETTER.</FormAndInfoAndMaterialsTxt>
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            <BusinessNameLine1Txt>EMPOWERED SPORTS MANAGEMENT</BusinessNameLine1Txt>
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            <CityNm>FORT WAYNE</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46818</ZIPCd>
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