2015-06-15T15:49:41-05:00 2014-11-30 205520612 L M HENDERSON & COMPANY LLP 450 E 96TH ST STE 200 INDIANAPOLIS IN 46240 990 2013-12-01 350923209 INDIANA LABORERS WELFARE FUND INDI 8122382551 PO BOX 1587 TERRE HAUTE IN 47808 DAVID A FRYE SEC-TREASURER 8122382551 2015-06-02 true MICHELLE L ZIMMERMAN P00266120 3175661000 2015-06-05 2013 2016-02-25 16:41:14Z DAVID A FRYE PO BOX 1587 TERRE HAUTE IN 47808 351460547 false X NOT APPLICABLE X 1953 IN PROVIDE HEALTH & WELFARE BENEFITS TO MEMBERS 14 14 203 14 0 0 81713656 75830044 13220148 9921128 21045 2213 94954849 85753385 0 67299870 68138031 2116912 2312947 0 0 5502300 6084978 74919082 76535956 20035767 9217429 251648280 262096832 11052608 10747156 240595672 251349676 PROVIDE HEALTH & WELFARE BENEFITS TO MEMBERS false false PROVIDE UNDER COLLECTIVE BARGAINING FINANCIAL SUPPORT FOR PROGRAMS OF LIFE INSURANCE, HEALTH, ACCIDENT, AND OTHER RELATED BENEFITS TO APPROXIMATELY 9,034 PARTICIPANTS. false false false false false false false false false true false false true true true true false false false false false false false false false false false false false false false false false false false false false false false false true false false true 916 0 203 true false false false false false false X 14 14 false false false false false false false true true false false true true true true false true true true false IN X JANETTA ENGLAND 8122382551 413 SWAN STREET TERRE HAUTE IN 47807 X BRIAN SHORT TRUSTEE 0.00 X 0 0 0 JACK BAKER TRUSTEE 0.00 X 0 0 0 DOUGLAS S BANNING JR TRUSTEE 0.00 X 0 0 0 TOM FLEENOR TRUSTEE 0.00 X 0 0 0 MURRAY MILLER TRUSTEE 0.00 X 0 0 0 EDWARD T HAZLEDINE CHAIRMAN 0.00 X X 0 0 0 WILLIAM A HASSE III TRUSTEE 0.00 X 0 0 0 MARK J STERN TRUSTEE 0.00 X 0 0 0 WILLIAM K ROACH TRUSTEE 0.00 X 0 0 0 DAVID FRYE SEC-TREASURE 0.00 X X 0 0 0 FRANCIS GANTNER TRUSTEE 0.00 X 0 0 0 JIM TERRY TRUSTEE 0.00 X 0 0 0 MIKE MCCANN TRUSTEE 0.00 X 0 0 0 JAMES W DANIELS TRUSTEE 0.00 X 0 0 0 false false false ANTHEM INC 220 VIRGINIA AVENUE INDIANAPOLIS IN 46204 MED CLAIMS PROC 2960695 SMITH GRAHAM & CO 140 BROADWAY 45TH FLOOR NEW YORK NY 10005 INVESTMENT MGR 380498 MED-CARE MANAGEMENT PO BOX 20564 WEST PALM BEACH FL 334160564 MED CLAIM REVIE 288777 DELTA DENTAL PO BOX 30416 LANSING MI 489097916 DEN CLAIMS PROC 233020 E-PLAN 22601 N 19TH AVE 202 PHOENIX AZ 85027 MED CLAIMS PROC 189703 6 EMPLOYER CONTRIBUTIONS 525100 65924564 65924564 PARTICIPANT CONTRIBUTIONS 525100 9228377 9228377 ADMINISTRATIVE FEES 525100 653302 653302 INTEREST ON CONTRIBUTIONS 525100 23801 23801 75830044 6337003 6337003 269291287 265707162 3584125 3584125 3584125 MISCELLANEOUS INCOME 900099 2213 2213 2213 85753385 85753385 68138031 1440129 340605 347496 184717 140152 106169 40234 730230 82973 403966 60506 127657 38582 69462 24016 ANTHEM ACCESS FEES 2995854 OTHER ADMINISTRATIVE FEES 1042824 BAD DEBTS 149369 RESEARCH FEES 35048 37936 76535956 0 0 0 20536877 14915025 7299405 6338678 37121 92247 1766816 1297447 525823 469369 172272759 153432935 50976295 86848578 251648280 262096832 3936161 3625234 7116447 7121922 11052608 10747156 X 240595672 251349676 240595672 251349676 251648280 262096832 9217429 1536575 X false true X true false 52103 52103 1477892 1086962 390930 236821 210485 26336 469369 LIMITED PARTNERSHIPS 58290835 GROUP ANNUITY INS. CONTRACT 15528475 COLLECTIVE FUND 12010468 ACCRUED INTEREST & DIVIDENDS 714369 MEDICARE PART D REIMBURSEMENT 266696 ACCRUED INTEREST ON CONTRIBUTIONS 19748 OTHER RECEIVABLES 17987 86848578 CLAIMS INCURRED BUT NOT REPORTED 6694635 DUE TO OTHER FUNDS 214922 MEDICAL CLAIMS PAYABLE 212365 7121922 X 85906428 1536575 1536575 84369853 730230 653302 1383532 85753385 75152424 75152424 730230 653302 1383532 76535956 SCHEDULE D, PAGE 3, PART X THE FUND IS TAX EXEMPT UNDER INTERNAL REVENUE CODE PARAGRAPH 501(C)(9). THE EXEMPTION RULING WAS OBTAINED MAY 10, 1957. THE FUND OBTAINED ITS LATEST DETERMINATION LETTER ON JANUARY 11, 1983 IN WHICH THE INTERNAL REVENUE SERVICE STATED THAT THE PLAN, AS THEN DESIGNED, WAS IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. THE PLAN HAS BEEN RESTATED AND AMENDED SINCE RECEIVING THE DETERMINATION LETTER. HOWEVER, THE PLAN'S ADMINISTRATOR, LEGAL COUNSEL, AND CONSULTANT, BELIEVE THAT THE PLAN IS CURRENTLY DESIGNED AND BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. THEREFORE, THEY BELIEVE THAT THE PLAN WAS QUALIFIED AND THE RELATED TRUST WAS TAX-EXEMPT AS OF THE FINANCIAL STATEMENT DATE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE FUND, AND HAS CONCLUDED THAT AS OF NOVEMBER 30, 2014 AND NOVEMBER 30, 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE FUND IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE FUND ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR FISCAL YEARS PRIOR TO NOVEMBER 30, 2011. SCHEDULE D, PAGE 4, PART XI, LINE 4B ADMINISTRATIVE FEES RECEIVED 653,302 SCHEDULE D, PAGE 4, PART XII, LINE 4B ADMINISTRATIVE FEES RECEIVED 653,302 FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 IS REVIEWED BY THE SECRETARY-TREASURER PRIOR TO SIGNING AND FILING THE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C THE TRUST FUND CONFORMS WITH ERISA RULES AND REGULATIONS WITH REGARD TO DISCLOSURE AND REVIEW OF POTENTIAL CONFLICTS OF INTEREST. FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION FOR ALL EMPLOYEES IS REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. FORM 990, PAGE 6, PART VI, LINE 15B COMPENSATION FOR ALL EMPLOYEES IS REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE FUND PROVIDES A SUMMARY ANNUAL REPORT TO ALL PARTICIPANTS CONTAINING INSTRUCTIONS FOR OBTAINING A COPY OF THE FINANCIAL STATEMENTS AND FORM 5500. FORM 990, PART XI, LINE 9 ADMINISTRATIVE FEES RECEIVED -653,302 ADMINISTRATIVE FEES RECEIVED 653,302 A PLUS JANITORIAL LLC N/A false false ACORN LANDSCAPING LLC N/A false false ALL ACCESS LLC N/A false false ALPINE DEMOLITION SERVICES LLC N/A false false AMEX NOOTER LLC N/A false false ARISTEO INSTALLATION LLC N/A false false ATLANTIC PLANT SERVICES LLC N/A false false BADGETT CONSTRUCTORS LLC N/A false false BLACKMORE AND BUCKNER ROOFING LLC N/A false false BRENEMAN EJ LP N/A false false BUSCH LANDSCAPING LLC N/A false false CAZARES CONCRETE LLC N/A false false CECO CONCRETE CONSTR LLC N/A false false CIRCLE B CONSTRUCTION SYSTEMS LLC N/A false false CONSTRUCTION & TURNAROUND SVC LLC N/A false false CORES FOR LESS LLC N/A false false COUNTRYSIDE ENTERPRISES LLC N/A false false CROWN CONCRETE CUTTING & CORING LLC N/A false false D&K CONSTRUCTION SERVICES LLC N/A false false DALLMAN CONTRACTORS LLC N/A false false DAVIS AND SON EXCAVATION LLC N/A false false DECORATIVE PAVING OF INDIANA LLC N/A false false DLH TRUCKING LLC N/A false false DOUBLE D CONST LLC N/A false false ELLAS CONSTRUCTION LLC N/A false false ENVIRONMENTAL CONSULTANTS LLC N/A false false ENVIRONMENTAL RESTORATION LLC N/A false false FABCON PRECAST LLC N/A false false FOLTZ WELDING LTD N/A false false FREEMAN GRADING & EXCAVATING LLC N/A false false FULKERSON C A LLC N/A false false GIBSON LEWIS LLC N/A false false GIBSON LEWIS OF INDIANAPOLIS LLC N/A false false GRIFFIN DEWATERING MIDWEST LLC N/A false false GROUND SOLUTIONS LLP N/A false false H&G UNDERGROUND UTILITIES LLC N/A false false HAYES MECHANICAL LLC N/A false false HYDRO VAC SERVICE LLC N/A false false INDEPENDENT LIMESTONE CO LLC N/A false false INDIANA LIMESTONE COMPANY LLC N/A false false INDIANA TRAFFIC SERVICES LLC N/A false false INDUSTRIAL INSULATION SUPPLY LTD N/A false false INFRASOURCE CONSTRUCTION LLC N/A false false J M W MASONRY SERVICES LLC N/A false false J R DESIGN & ASSOCIATES LLC N/A false false JMW MASONRY SERVICES LLC N/A false false KATHYS CONCRETE LLC N/A false false KLENCK TIM DEMOLITION LLC N/A false false KOLB GRADING LLC N/A false false LAWSON MP CONSTRUCTION LLC N/A false false LGS RESTORATION LLC N/A false false MAP MASONRY LLC N/A false false MARIETTA SILOS LLC N/A false false MARLIN R H EXCAVATING LLC N/A false false MARTELL ELECTRIC LLC N/A false false MCLAUGHLIN MASONRY LLC N/A false false MID AMERICAN MILLING CO LLC N/A false false MIDSTATES CONCRETE CONSTRUCTION LLC N/A false false MIDWEST PAVING LLC N/A false false MILESTONE CONTRACTORS LP N/A false false MILESTONE FENCE LLC N/A false false MILLER EXCAVATING LLC N/A false false MILLSTONE WEBER LLC N/A false false NEEMA LLC N/A false false OMI REFRACTORIES LLC N/A false false PARCO CONSTRUCTORS GROUP LLC N/A false false PRECISION PIPELINE LLC N/A false false PREMIER EROSION CONTROL LLC N/A false false PULLMAN POWER LLC N/A false false RIVER TOWN CONSTRUCTION LLC N/A false false ROCK SOLUTIONS LLC N/A false false ROLLINS CONSTRUCTION COMPANY LLC N/A false false S&H MASONRY LLC N/A false false SAFWAY SERVICES LLC N/A false false SCHARER DON MASONRY LLC N/A false false SCURTO CEMENT CONSTRUCTION LTD N/A false false SHAMBAUGH & SON LP N/A false false SITEWORX LLC N/A false false SOLDIER CONCRETE CONSTRUCTION LLC N/A false false SPECIALTIES CO LLC N/A false false TAPLIN INDUSTRIAL SERVICES LLC N/A false false TJ MATERIALS LLC N/A false false TROTTER DEVELOPMENT GROUP LLC N/A false false WABASH VALLEY ASPHALT CO LLC N/A false false WALSH CONSTRUCTION COMPANY II LLC N/A false false WB KOESTER CONSTRUCTION LLC N/A false false WEDDLE BROS BLDG GROUP LLC N/A false false WEDDLE BROS HWY GROUP LLC N/A false false WOOD J CONTRACTING LLC N/A false false 3D COMPANY INC N/A false A&A SAFETY INC N/A false ABC CUTTING CONTRACTORS N/A false ABEL CONSTRUCTION CO INC N/A false ABLE MASONRY DEVELOPMENT N/A false ABP MASONRY INC N/A false ACMS GROUP INC N/A false ACORN FENCE & CONSTR N/A false ADACO INC N/A false ADAMS MASONRY INC N/A 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N/A false ATLANTIC LINING CO INC N/A false ATLANTIC PLANT MAINTENANCE INC N/A false ATLAS BUILDING GROUP N/A false ATLAS EXCAVATING INC N/A false AUSTGEN EQUIPMENT INC N/A false AZTEC WFR INC N/A false B J B IRON & FENCE N/A false B&D SEWER & BACKHOE N/A false B&T DRAINAGE INC N/A false BABCOCK & WILCOX CONSTR CO INC N/A false BARCUS L G AND SONS INC N/A false BARTLEY & PERIGO MASN CONS N/A false BARTON MALOW COMPANY N/A false BC FENCE INC DBA JUSTICE FENCE CO N/A false BEATY CONSTR INC N/A false BECKER LANDSCAPE CONTRACTORS INC N/A false BERCOT GIBSON CONSTRUCTION CO INC N/A false BERGER INC N/A false BERGLUND CONSTRUCTION CO N/A false BERKEL & CO CONTRS INC N/A false BETTS M K ENGR & CONTRACTING N/A false BEYNON SPORTS N/A false BIESEN EXCAVATING INC N/A false BIG INCH FABRICATOR & CONSTR INC N/A false BLACKHAWK FOUNDATION CO INC N/A false BLACKHAWK MILLWRIGHT & RIGGING INC N/A false BLANKENBERGER BROS INC N/A false BLOOMSDALE EXCAVATING CO INC N/A false BLUE RIVER ENVIRONMENTAL SERVICES N/A false BMI REFACTORY SERVICES N/A false BMW CONSTRUCTORS INC N/A false BOLDT OSCAR J CONSTR CO N/A false BORE-IT CORP N/A false BOWEN ENGINEERING INC N/A false BOWLING M INC N/A false BOWMAN CONSTR CO INC N/A false BOYD ASPHALT INC N/A false BRACY AND JAHR INC N/A false BRAND ENERGY SERVICES N/A false BRAND SCAFFOLD RENTAL & ERECT INC N/A false BRANDENBURG INDUSTRIAL SERVICE N/A false BRANDT CHARLES & CO N/A false BRIESER CONSTRUCTION CO N/A false BROADY CAMPBELL INC N/A false BRONGER MASONRY INC N/A false BROOKS CONSTR CO INC N/A false BROOKS J R CONSTRUCTION INC N/A false BROWN LEO CONSTR CO INC N/A false BROWN REFRACTORY SERVICE N/A false BRUNS-GUTZWILLER INC N/A false BTB CONSTRUCTION INC N/A false BUILDING SERVICES INC N/A false BUNGE N M INC N/A false BUNN ENTERPRISES INC N/A false BUNN EXCAVATING INC N/A false BURLING BUILDERS INC N/A false BYERS DC DETROIT INC N/A false BYRNE & JONES CONSTRUCTION N/A false C & E CONTRACTOR SERVICES N/A false C R MEYER AND SONS COMPANY N/A false C&S CONCRETE CONSTRUCTION INC N/A false CALCAR PAVING INC N/A false CALUMET CIVIL CONTRACTORS INC N/A false CALUMET MASONRY N/A false CAPITOL DRILLING & SAWING OF KY N/A false CASE J G CONSTR INC N/A false CASTEEL CONSTRUCTION CORP N/A false CC&T CONSTRUCTION INC N/A false CCI COMMERCIAL CONTRACTORS INC N/A false CDI INC N/A false CENTRAL ENGINEERING & CONSTRUCTION N/A false CENTRAL ILLINOIS TILE CO N/A false CENTRAL PAVING INC N/A false CHAMPION STEEL N/A false CHARPS WELDING & FABRICATING N/A false CHEMSTEEL CONSTRUCTION CO N/A false CHESAPEAKE CONTAINMENT SYSTEMS INC N/A false CK UNITED SHEET METAL INC N/A false CLEVELAND R U G TECHNOLOGIES N/A false CLS CONSTRUCTION SERVICES INC N/A false CLS INDUSTRIES INC N/A false COEX INC N/A false COLFAX CORPORATION N/A false COLLINS & HERMANN INC N/A false COLVIN MASONRY CO N/A false COMMERCIAL CONTR CORP N/A false COMMERCIAL INTERIORS INC N/A false COMMONWEALTH CONSTRUCTORS INC N/A false COMPLETE MASONRY SERV INC N/A false CONCRETE CONSTRUCTORS INC N/A false CONCRETE CUTTING & BREAKING INC N/A false CONCRETE SURGEONS INC N/A false CONGLETON-HACKER COMPANY N/A false CONSTRUCTION INDUSTRY LABORERS N/A false CONSTRUCTION LABOR SERVICES N/A false CONTRACTORS RENTAL CORPORATION N/A false COOLSAET R L CONSTR N/A false CORBITT & SONS CONST CO INC N/A false CORESLAB STRUCTURES INC N/A false CORPORATE CONSTRUCTION INC N/A false CORRECT CONSTRUCTION INC N/A false CRACKERS EAST N/A false CRI CONSTRUCTION INC N/A false CRIDER & CRIDER INC N/A false CROSBY ROBERT E INC N/A false CROSSROADS SERVICES INC N/A false CSC INDUSTRIAL INC N/A false C-TECH CORPORATION INC N/A false CULY UTILITIES INC N/A false CUSTOM MECHANICAL CONSTRUCTION N/A false D&M EXCAVATING INC N/A false DANCO CONSTR INC N/A false DASHIELL CONTRACTING INC N/A false DAUGHERTY SERVICES INC N/A false DAVENPORT MASONRY INC N/A false DAVIS & ASSOCIATES INC N/A false DAVIS CONCRETE CONSTRUCTION COMPANY N/A false DAYS CONSTRUCTION N/A false DE BOER EGOLF 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JOINT VENTURE N/A false GABES CONSTRUCTION CO INC N/A false GALLAGHER ASPHALT CORP N/A false GARIUP CONSTR CO INC N/A false GARMONG C H & SON N/A false GATLIN PLUMBING & HEATING INC N/A false GAUNT & SONS ASPHALT INC N/A false GEEDING CONSTRUCTION N/A false GENERAL INTERIORS INC N/A false GIBRALTAR CONSTRUCTION CORP N/A false GILLESPIE & POWERS INC N/A false GLENROY CONSTR CO INC N/A false GLOBAL CONTAINMENT SOLUTIONS N/A false GLS INC N/A false GM PIPELINE N/A false GOEDECKEPETERSON INDUSTRIAL N/A false GOETTLE RICHARD INC N/A false GOHMANN ASPHALT & CONSTR INC N/A false GOUGH INC N/A false GOULD PETE & SONS INC N/A false GRADEX INC N/A false GRADY BROTHERS INC N/A false GRAND RIVER CONSTRUCTION INC N/A false GRAYCOR BLASTING CO N/A false GRAYCOR INDUSTRIAL CONTRACTORS N/A false GREEN A P REFRACTORS INC N/A false GREEN DEMOLITION CONTRACTORS INC N/A false GRIBBINS INSULATION CO INC N/A false GRIDLOCK TRAFFIC SYSTEMS INC N/A false GRIMMER CONSTRUCTION INC N/A false GWINNUPS LANDSCAPING & LAWNCARE INC N/A false GWINNUPS RESTORATION & ENVIRONMENT N/A false HAAN KAREN INC N/A false HAGERMAN CONSTR CORP N/A false HAINES ROBERT CO N/A false HALVERSON CONSTRUCTION CO INC N/A false HAMON CUSTODIS INC N/A false HANNIG CONSTRUCTION INC N/A false HARDCORE CONCRETE SAWING INC N/A false HARMON CONSTRUCTION INC N/A false HARPER COMPANY THE N/A false HARSCO CORPORATION N/A false HASSE CONSTR CO INC N/A false HAYDON BRIDGE COMPANY INC N/A false HAYES BROTHERS INC N/A false HAYES DRILLING INC N/A false HAYES MECHANICAL N/A false HAZEX CONSTR CO N/A false HEIMBROCK INC N/A false HENKELS & MCCOY INC N/A false HENRY ROBERT CORP N/A false HIGHWAY SAFETY SERVICES INC N/A false HILLTOP ENERGY INC N/A false HIS CONSTRUCTORS INC N/A false HOFFMAN JOHN INC N/A false HOLIAN ASBESTOS REMOVAL N/A false HOME ACRES BUILDING SUPPLY N/A false HOOKS CONCRETE N/A false HOOSIER CO INC N/A false HOOSIER CONCRETE CUTTING INC N/A false HOT TECH N/A false HRP CONSTRUCTION INC N/A false HTA ENTERPRISES INC N/A false HUELSMAN-SWEENEY CONSTR INC N/A false HUFF SEALING CORPORATION N/A false HUMMEL ELECTRIC INC N/A false HUNT CONSTRUCTION GROUP N/A false HUNT PAVING CO INC N/A false HYGRADE EXCAVATING INC N/A false ILLIANA REMEDIAL ACTION N/A false ILLINI DRILLED FOUNDATIONS INC N/A false ILLINOIS CONSTRUCTORS CORP N/A false INDEPENDENT CONCRETE PIPE CO N/A false INDEPENDENT MECHANICAL INDUSTRIES N/A false INDIANA CONCRETE CUTTING INC N/A false INDIANA CONCRETE SAWING & DRILLING N/A false INDIANA EARTH N/A false INDIANA LIMESTONE COMPANY INC N/A false INDIANA RELINE INC N/A false INDIANA SIGN & BARRICADE INC N/A false INDIANHEAD PIPELINE SERVICES N/A false INDUSTRIAL & ENVIRONMENTAL SERVICES N/A false INDUSTRIAL CONTRACTORS INC N/A false INDUSTRIAL MECHANICAL CONTRACTORS N/A false INDY CORE INC N/A false INFRASOURCE UNDERGROUND CONSTR N/A false INFRASTRUCTURE SYSTEMS INC N/A false INSITUFORM TECHNOLOGIES USA INC N/A false INTERCON CONSTRUCTION INC N/A false INTERIOR SPECIALTIES INC N/A false 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