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        <ManagementAndGeneralAmt>825</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1631</ProgramServicesAmt>
        <ManagementAndGeneralAmt>233</ManagementAndGeneralAmt>
        <FundraisingAmt>466</FundraisingAmt>
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        <ProgramServicesAmt>7996</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7995</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>73834</ProgramServicesAmt>
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        <CurrentTaxYearMinus2YearsAmt>1504</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>1062</CurrentTaxYearMinus1YearAmt>
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          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <Desc>PLEDGES RECEIVABLE</Desc>
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        <Desc>SALES TAX</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>SECURITY DEPOSITS</Desc>
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      <StatesWhereGamingConductedCd>WI</StatesWhereGamingConductedCd>
      <LicensedInd>true</LicensedInd>
      <LicenseSuspendedEtcInd>false</LicenseSuspendedEtcInd>
      <GamingWithNonmembersInd>true</GamingWithNonmembersInd>
      <MemberOfOtherEntityInd>false</MemberOfOtherEntityInd>
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        <AddressLine1Txt>W6999 BROOKVIEW DRIVE</AddressLine1Txt>
        <CityNm>FOND DU LAC</CityNm>
        <StateAbbreviationCd>WI</StateAbbreviationCd>
        <ZIPCd>54937</ZIPCd>
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      <CntrctWith3rdPrtyForGameRevInd>false</CntrctWith3rdPrtyForGameRevInd>
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      <GamingManagerIsEmployeeInd>X</GamingManagerIsEmployeeInd>
      <CharitableDistributionRqrInd>true</CharitableDistributionRqrInd>
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          <PersonNm>COUNTRY HILLS PETS-DR M THOMPSON</PersonNm>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RETURN IS PREPARED BY THE ORGANIZATION'S ACCOUNTANT HUBERTY &amp; ASSOCIATES, S.C. AND UPON COMPLETION IS PROVIDED TO THE EXECUTIVE DIRECTOR AND BOARD OF DIRECTORS FOR REVIEW BEFORE FILING. IT IS AVAILABLE TO ALL MEMBERS UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
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