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      <SelfEmployedInd>X</SelfEmployedInd>
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      <PublicSupportPY509Pct>0.00000</PublicSupportPY509Pct>
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      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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        <FormAndLineReferenceDesc>List of grants and similar amounts paid Part I line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Activity HUNGER GRANTS Grantee LOAVES AND FISHES Street 1351 NORTH C STREET City, State, Zip Sacramento, CA 95811Relationship NONE - ONLY RECIPIENT FOR HOMELESS Activity MIGRANT WORKERS PROJECT Grantee MIGRANT WORKERS ORGANIZATION Street 7290 RADIO CENTER ROAD City, State, Zip Dixon, CA 95620Relationship NONE-ONLY RECIPIENT MIGRANT WORKERS Activity WOMENS SHELTER Grantee MY SISTERS HOUSE Street 3053 FREEPORT BOULEVARD City, State, Zip Sacramento, CA 95818Relationship NONE-ONLY RECIPIENT FOR SHELTER Activity CHILDRENS HOME Grantee SACRAMENTO CHILDRENS RECEIVING HOMStreet 3555 AUBURN BOULEVARD City, State, Zip Sacramento, CA 95821Relationship NONE-ONLY RECIPIENT AT RISK CHILDRE</ExplanationTxt>
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        <FormAndLineReferenceDesc>Description of other expenses Part I line 16</FormAndLineReferenceDesc>
        <ExplanationTxt>Description AmountANTELOPE FRIENDS OF VETERANS LIONS 100ADMIN/GENERAL FUND EXPENSES 1,540BIKE &amp; SHINE PROJECT 240CITY OF HOPE 50DAVAO ORPHANAGE 25JUEVENILE DETENTION PROJECT 118LIONS CLUB INTERNATIONAL FOUNDATION 1,000LIONS EDUCATION FUND 550LOAVES &amp; FISHES 200MEDICAL MISSIONS 38,129VETERANS PROJECT EXPENSES 856SCHOOL FOR THE BLIND EXPENSE 625SPCA EXPENSES 25WILDERNESS CAMP EXPENSE 50SALVATION ARMY 113MIGRANT WORKERS PROJECT 500MUSTARD SEED PROJECT 1,500MY SISTERS HOUSE 2,550NCLSA 250PAMPANGA ORPHANAGE 912RONALD McDONALD HOUSE 100</ExplanationTxt>
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        <PersonNm>LESTER DULDULAO</PersonNm>
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        <PersonNm>PETER LUMBANG</PersonNm>
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        <PersonNm>MYRNA AGBUNAG</PersonNm>
        <ShortExplanationTxt>VOLUNTEER - NO COMPENSATION RECEIVED</ShortExplanationTxt>
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        <PersonNm>LLEWELLYN VENTURA</PersonNm>
        <ShortExplanationTxt>VOLUNTEER - NO COMPENSATION RECEIVED</ShortExplanationTxt>
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        <PersonNm>BOBBY FELIX</PersonNm>
        <ShortExplanationTxt>VOLUNTEER - NO COMPENSATION RECEIVED</ShortExplanationTxt>
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        <PersonNm>MARK BAMBA</PersonNm>
        <ShortExplanationTxt>VOLUNTEER - NO COMPENSATION</ShortExplanationTxt>
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        <PersonNm>ANTONIO BUSH</PersonNm>
        <ShortExplanationTxt>VOLUNTEER - NO COMPENSATION</ShortExplanationTxt>
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