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      <PreparerPersonNm>ROBERT C JILEK CPA PFS CHFC</PreparerPersonNm>
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    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
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      <PrimaryExemptPurposeTxt>MONIES GIVEN TO CHARITABLE ORGANIZATIONS</PrimaryExemptPurposeTxt>
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        <TitleTxt>PAST REGENT</TitleTxt>
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        <TitleTxt>REGENT</TitleTxt>
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        <CompensationAmt>0</CompensationAmt>
        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
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        <PersonNm>CINDY PULSFORD</PersonNm>
        <TitleTxt>VICE REGENT</TitleTxt>
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        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
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        <PersonNm>MARY EISENHAUER</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
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      <ForeignOfficeInd>false</ForeignOfficeInd>
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      <OperateHospitalInd>false</OperateHospitalInd>
      <TanningServicesProvidedInd>false</TanningServicesProvidedInd>
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      <LicensedInd>true</LicensedInd>
      <LicenseSuspendedEtcInd>false</LicenseSuspendedEtcInd>
      <GamingWithNonmembersInd>true</GamingWithNonmembersInd>
      <MemberOfOtherEntityInd>false</MemberOfOtherEntityInd>
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      <IndividualWithBooksNm>SHELLEY STONE</IndividualWithBooksNm>
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        <CityNm>Herrin</CityNm>
        <StateAbbreviationCd>IL</StateAbbreviationCd>
        <ZIPCd>62948</ZIPCd>
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      <CharitableDistributionRqrInd>false</CharitableDistributionRqrInd>
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        <FormAndLineReferenceDesc>List of grants and similar amounts paid Part I line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Activity EDUCATION AND ASSISTANCE Grantee DONATIONS LESS THAN $5000 Street 316 W MONROE City, State, Zip Herrin, IL 62948Relationship VARIOUS ORGANIZATIONS &amp; INDIVIDUALS Amount 28,656Activity EDUCATION Grantee OUR LADY OF MT CARMEL Street 400 W MONROE City, State, Zip Herrin, IL 62948Relationship PAROCHIAL SCHOOL Amount 22,010Activity EDUCATION Grantee ST JOHNS SCHOOL Street 703 E Main St City, State, Zip West Frankfort, IL 62896Relationship PAROCHIAL SCHOOL Amount 12,770</ExplanationTxt>
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        <FormAndLineReferenceDesc>Description of other expenses Part I line 16</FormAndLineReferenceDesc>
        <ExplanationTxt>Description AmountCONVENTION AND MEETING EXPENSES 1,255INSURANCE 654OFFICE AND GENERAL SUPPLIES 1,436LICENSES FEES AND PERMITS 700RETURNED CHECKS 200</ExplanationTxt>
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