BIBI FOUNDATION: Form 990PF, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
BIBI FOUNDATION (EIN 45-4056072)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-15
IRS object ID
201643209349104224
Schema version
2015v2.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-15T17:35:51-08:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Tahim and Associates APCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12331 W Lincoln Ave Ste 300AddressLine1Txt
CityAnaheimCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92801ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN454056072EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RIAZ & RUBINA CHAUDHARY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRIAZBusinessNameControlTxt
Phone5624580709PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11514 N RAYMOND AVENUEAddressLine1Txt
CityFULLERTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92831ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonM RIAZ CHAUDHARYPersonNm
Person TitlePresidentPersonTitleTxt
Signature2016-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAnne TahimPreparerPersonNm
PTINP00236983PTIN
Phone7147724744PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$2,144,744FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$995,000ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$401InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$401InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$8,795DividendsRevAndExpnssAmt
Dividends Net Invst Incm$8,795DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$7,303NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$123,470GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$7,303CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$123,156OtherIncomeRevAndExpnssAmt
Total Rev And Expnss$1,134,655TotalRevAndExpnssAmt
Total Net Invst Incm$16,499TotalNetInvstIncmAmt
Accounting Fees Rev And Expnss$1,275AccountingFeesRevAndExpnssAmt
Trav Conf Meeting Rev And Expnss$1,308TravConfMeetingRevAndExpnssAmt
Other Expenses Rev And Expnss$3,631OtherExpensesRevAndExpnssAmt
Tot Opr Expenses Rev And Expnss$6,214TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$0TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$66,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$66,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$72,214TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$0TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$66,000TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$1,062,441ExcessRevenueOverExpensesAmt
Net Investment Income$16,499NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$826,006SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$1,468,542SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$1,468,542SavAndTempCashInvstEOYFMVAmt
Other Investments BOY$268,901OtherInvestmentsBOYAmt
Other Investments EOY$690,511OtherInvestmentsEOYAmt
Other Investments EOYFMV$676,202OtherInvestmentsEOYFMVAmt
Total Assets BOY$1,094,907TotalAssetsBOYAmt
Total Assets EOY$2,159,053TotalAssetsEOYAmt
Total Assets EOYFMV$2,144,744TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$1,094,907UnrestrictedBOYAmt
Unrestricted EOY$2,159,053UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$1,094,907TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$2,159,053TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,094,907TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$2,159,053TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,094,907TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$1,062,441ExcessRevenueOverExpensesAmt
Other Increases$1,705OtherIncreasesAmt
Subtotal$2,159,053SubtotalAmt
Tot Net Ast Or Fund Balances EOY$2,159,053TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
5000 SH SP500 ARN ISSUER CSP2014-04-242015-06-26$55,355$50,000$5,355$5,355
2500 SH SP500 ARN ISSUER CSP2014-09-252015-11-25$27,640$25,000$2,640$2,640
MERRILL LYNCHP2015-01-012015-12-31$12,305$12,668-$363-$363
MERRILL LYNCHP2014-07-012015-12-31$28,170$28,499-$329-$329
FieldValueIRS element (for citing)
Capital Gain Net Income$7,303CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss-$363NetShortTermCapitalGainLossAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$330InvestmentIncomeExciseTaxAmt
Subtotal$330SubtotalAmt
Tax Based On Investment Income$330TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$330EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$330TotalPaymentsAndCreditsAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedfalseSection508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsYes (true)NewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1RUBINA CHAUDHARYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5629722786PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line11514 N RAYMOND AVENUEAddressLine1Txt
CityFULLERTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92831ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Undistr Incm Sect4942a2 Not AppfalseUndistrIncmSect4942a2NotAppInd
Business HoldingsYes (true)BusinessHoldingsInd
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Transactions Fail To Qlfy As ExcfalseTransactionsFailToQlfyAsExcInd
Maintained Expenditure RspnsfalseMaintainedExpenditureRspnsInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Proceeds Or Net IncomefalseProceedsOrNetIncomeInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
M RIAZ CHAUDHARY
1514 N RAYMOND AVENUEFULLERTONCA92831President5.00$0
RUBINA K R CHAUDHARY
1514 N RAYMOND AVENUEFULLERTONCA92831CFO2.00$0
MILIAMA MOEONE
340 E COMMONWEALTH AVEFULLERTONCA92832Secretary2.00$0
ANNE TAHIM
2331 W LINCOLN AVE 300ANAHEIMCA92801Treasurer2.00$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$405,767AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$940,227AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,345,994TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Adjusted Total FMV Of Unused Ast$1,345,994AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$20,190CashDeemedCharitableAmt
Net Vl Noncharitable Assets$1,325,804NetVlNoncharitableAssetsAmt
Minimum Investment Return$66,290MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$66,290MinimumInvestmentReturnAmt
Tax Based On Investment Income$330TaxBasedOnInvestmentIncomeAmt
Total Tax$330TotalTaxAmt
Distributable Before Adj$65,960DistributableBeforeAdjAmt
Distributable Before Ded$65,960DistributableBeforeDedAmt
Distributable As Adjusted$65,960DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$66,000ExpensesAndContributionsAmt
Qualifying Distributions$66,000QualifyingDistributionsAmt
Adjusted Qualifying Distri$66,000AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$65,960DistributableAsAdjustedAmt
Excess Distribution Cyov Yr1$20,336ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$20,336TotalExcessDistributionCyovAmt
Qualifying Distributions$66,000QualifyingDistributionsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$65,960AppliedToCurrentYearAmt
Remaining Distri From Corpus$40RemainingDistriFromCorpusAmt
Total Corpus$20,376TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov To Next Yr$20,376ExcessDistriCyovToNextYrAmt
Excess From Year1$20,336ExcessFromYear1Amt
Excess From Current Year$40ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerM RIAZ CHAUDHARYContributingManagerNm
Contributing ManagerRUBINA K R CHAUDHARYContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (11 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line1RecipientForeignAddress/AddressLine1TxtCityRecipientForeignAddress/CityNmProvince Or StateRecipientForeignAddress/ProvinceOrStateNmCountryRecipientForeignAddress/CountryCdForeign PostalRecipientForeignAddress/ForeignPostalCd
AMERICAN RED CROSS
1144 ROSECRANS AVENUEFULLERTONCA92833NONEPCGENERAL SUPPORT GRANT$2,500
UMMA COMMUNITY CLINIC
711 W FLORENCE AVELOS ANGELESCA90044NONEPCGENERAL SUPPORT GRANT$1,000
ISLAMIC RELIEF USA
3655 WHEELER AVEALEXANDRIAVA22304NONEPCGENERAL SUPPORT GRANT$15,000
ISLAMIC SHURA COUNCIL OF SOUTH
7231 Garden Grove Blvd Ste HGARDEN GROVECA92841NONEPCGENERAL SUPPORT GRANT$1,000
ISLAMIC SOCIETY OF ORANGE COUNTY
1 Al-Rahman PlazaGARDEN GROVECA92844NONEPCGENERAL SUPPORT GRANT$13,500
CAIR CALIFORNIA
2180 W CRESCENT AVE SUITE FANAHEIMCA92801NONEPCGENERAL SUPPORT GRANT$20,000
UPLIFT CHARITY
PO BOX 6197ANAHEIMCA92816NONEPCGENERAL SUPPORT GRANT$5,000
NISWA ASSN
25830 S WESTERN AVEHARBOR CITYCA90717NONEPCGENERAL SUPPORT GRANT$1,000
KIND HEARTED COMPASSION IN ACT
2331 W LINCOLN AVE 300ANAHEIMCA92801NONEPCGENERAL SUPPORT GRANT$1,000
PICS CHARITABLE FOUNDATION
NONEGOVGENERAL SUPPORT GRANT$1,000205-12725 80TH AVENUESURREYBCCAV3W3A6
AL-RAHMAN FOUNDATION WAQF
ONE AL-RAHMAN PLAZAGARDEN GROVECA92844NONEPCGENERAL SUPPORT GRANT$5,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$66,000TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$401ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$8,795ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$7,303ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescK-1 FROM MARRS SERVICESDesc
Unrelated Business Taxbl Incm$123,156UnrelatedBusinessTaxblIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$123,156UnrelatedBusinessTaxblIncmAmt
Exclusion$16,499ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$139,655TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Contributor PersonRIAZ CHAUDHARYContributorPersonNm

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line11514 N RAYMOND AVENUEAddressLine1Txt
CityFULLERTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92831ZIPCd
FieldValueIRS element (for citing)
Total Contributions$890,000TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryPROFESSIONAL FEESCategoryTxt
Amt$1,275Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (3 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
SP500 ARN ISSUER BARCFMV$30,000$29,010
SP500 ARN ISSUER BARCFMV$100,000$95,800
MUT FUNDS/CEF/UITFMV$437,355$428,236

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (6 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt
ATTORNEY GENERAL FEES$85
BANK CHARGES$500
FILING FEES - FTB$20
IRS - EXCISE TAX$234
OTHER CONTRIBUTION FROM K-1$199
PIA ADVISORY FEES$2,593

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescK-1 FROM MARRS SERVICESDesc
Revenue And Expenses Per Books$123,156RevenueAndExpensesPerBooksAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescPRIOR YEAR ADJUSTMENTDesc
Amt$1,705Amt

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor Detail SubstantialContributorDetail

FieldValueIRS element (for citing)
PersonM RIAZ CHAUDHARYPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11514 N RAYMOND AVENUEAddressLine1Txt
CityFULLERTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92831ZIPCd

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