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        <BusinessNameLine1Txt>INTERNATIONAL ASSOC OF LIONS CLUBS-WEBSTER WI</BusinessNameLine1Txt>
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      <PrimaryExemptPurposeTxt>SUPPORT LOCAL PROJECTS AND LIONS INTL</PrimaryExemptPurposeTxt>
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      <OfficerDirectorTrusteeEmplGrp>
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        <TitleTxt>TREASURER</TitleTxt>
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      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm referenceDocumentId="CompensationExplanation-003">LARRY DONOVAN</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
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        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
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      <ChgMadeToOrgnzngDocNotRptInd>false</ChgMadeToOrgnzngDocNotRptInd>
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      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
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      <Form1120PolFiledInd>false</Form1120PolFiledInd>
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      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
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        <PersonNm>NORMAN BICKFORD</PersonNm>
        <USAddress>
          <AddressLine1Txt>PO BOX 27</AddressLine1Txt>
          <CityNm>WEBSTER</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54893</ZIPCd>
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        <PhoneNum>7156515656</PhoneNum>
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      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
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      <TanningServicesProvidedInd>false</TanningServicesProvidedInd>
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        <CurrentTaxYearMinus3YearsAmt>3118</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2654</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>799</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>902</CurrentTaxYearAmt>
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        <VolunteerLaborOtherGamingInd>false</VolunteerLaborOtherGamingInd>
        <GrossRevenueTotalGamingAmt>69749</GrossRevenueTotalGamingAmt>
        <CashPrizesTotalGamingAmt>3803</CashPrizesTotalGamingAmt>
        <NonCashPrizesTotalGamingAmt>23193</NonCashPrizesTotalGamingAmt>
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        <CityNm>WEBSTER</CityNm>
        <StateAbbreviationCd>WI</StateAbbreviationCd>
        <ZIPCd>54893</ZIPCd>
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      <GamingManagerPersonNm>NORMAN BICKFORD</GamingManagerPersonNm>
      <GamingManagerServicesProvTxt>BKKG</GamingManagerServicesProvTxt>
      <GamingManagerIsDirectorOfcrInd>X</GamingManagerIsDirectorOfcrInd>
      <CharitableDistributionRqrInd>false</CharitableDistributionRqrInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of grants and similar amounts paid Part I line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Activity WEBSTER COMMUNITY DONATIONS ALL UNDER 5000 EACH Grantee VARIOUS Street HWY 35 City, State, Zip WEBSTER, WI 54893Relationship NONE Amount 36,871Activity SCHOLARSHIPS TO WEBSTER HIGH SCHOOL GRADUATES Grantee VARIOUS Street HWY 35 City, State, Zip WEBSTER, WI 54893Relationship NONE Amount 2,500Activity FURNANCE REPLACEMENT DONATION Grantee FORT FOLLE AVOINE Street 8500 COUNTY RD U City, State, Zip DANBURY, WI 54830Relationship NONE Amount 5,000</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Description of other expenses Part I line 16</FormAndLineReferenceDesc>
        <ExplanationTxt>Description AmountLIONS MEETING EXPENSES AND SUPPLIES 1,780MEAT RAFFLE SUPPLIES 127CANTEEN SUPPLIES 1,129BINGO NON DIRECT EXPENSES 613MISCELLANEOUS EXPENSES 267</ExplanationTxt>
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    <CompensationExplanation documentId="CompensationExplanation-002">
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        <PersonNm>NORMAN BICKFORD</PersonNm>
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