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            <State>OH</State>
            <ZIPCode>44114</ZIPCode>
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          <FormAndInfoAndMaterials>ALL APPLICATIONS SHOULD INCLUDE AN IRS DETERMINATION LETTER, PLEASE CONTACT BRYAN DORNSEIF FOR FURTHER INFORMATION ON THE FORM OF THE SUBMISSION.</FormAndInfoAndMaterials>
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            <BusinessNameLine1>DEBENCE ANTIQUE MUSIC WORLD</BusinessNameLine1>
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            <State>PA</State>
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          <RecipientRelationship>NONE</RecipientRelationship>
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            <BusinessNameLine1>KEYSTONE SMILES COMMUNITY LEARNING CENTER INC</BusinessNameLine1>
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            <City>KNOX</City>
            <State>PA</State>
            <ZIPCode>16232</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
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        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>CLARION UNIVERSITY</BusinessNameLine1>
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            <AddressLine1>1801 WEST FIRST STREET</AddressLine1>
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            <State>PA</State>
            <ZIPCode>16301</ZIPCode>
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          <RecipientRelationship>NONE</RecipientRelationship>
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        <GrantOrContriPaidDuringYear>
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            <State>PA</State>
            <ZIPCode>16323</ZIPCode>
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          <RecipientRelationship>NONE</RecipientRelationship>
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        <GrantOrContriPaidDuringYear>
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          <RecipientRelationship>NONE</RecipientRelationship>
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        <GrantOrContriPaidDuringYear>
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            <BusinessNameLine1>UNITED WAY OF VENANGO COUNTY INC</BusinessNameLine1>
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