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        <StateAbbreviationCd>CA</StateAbbreviationCd>
        <ZIPCd>95502</ZIPCd>
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      <PersonNm>REBECCA CISZEWSKI</PersonNm>
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      <SignatureDt>2026-07-16</SignatureDt>
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      <PreparerPersonNm>Anthony D Stubbs</PreparerPersonNm>
      <PTIN>P01062472</PTIN>
      <PhoneNum>7074448242</PhoneNum>
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    <TaxYr>2025</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
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      <ContributionsGiftsGrantsEtcAmt>10834</ContributionsGiftsGrantsEtcAmt>
      <MembershipDuesAmt>97099</MembershipDuesAmt>
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      <SaleOfAssetsGrossAmt>44000</SaleOfAssetsGrossAmt>
      <CostOrOtherBasisExpenseSaleAmt>40730</CostOrOtherBasisExpenseSaleAmt>
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      <FundraisingGrossIncomeAmt fndrsngEventContriPrevRptAmt="7654">0</FundraisingGrossIncomeAmt>
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      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
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      <BenefitsPaidToOrForMembersAmt>14326</BenefitsPaidToOrForMembersAmt>
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      <PrimaryExemptPurposeTxt>TO SERVE AS AN AGENT FOR LABOR NEGOTIATIONS FOR EUREKA FIREFIGHTERS</PrimaryExemptPurposeTxt>
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      <TaxImposedUnderIRC4955Amt>0</TaxImposedUnderIRC4955Amt>
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      <ForeignOfficeInd>false</ForeignOfficeInd>
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      <OperateHospitalInd>false</OperateHospitalInd>
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        <ExplanationTxt>Class of Activity: DONATION | Donee's Name: CALIFORNIA CANCER CRUSHER | Donee's Address: PO BOX 3654 EUREKA CA 95502 | Relationship of Donee: NONE | Cash Amount Given: $5070</ExplanationTxt>
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        <ExplanationTxt>BANK CHARGES $15</ExplanationTxt>
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