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      <DateSigned>2014-01-22</DateSigned>
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    <Preparer>
      <Name>GILDA D KRYWOSA EA</Name>
      <Phone>3159424357</Phone>
      <DatePrepared>2014-01-30</DatePrepared>
      <SelfEmployed>X</SelfEmployed>
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    <BuildTS>2015-11-30 17:44:51Z</BuildTS>
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        <Title>WILLIE GRENIER</Title>
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      <MadeChangesToOrgnzngEtcDoc>false</MadeChangesToOrgnzngEtcDoc>
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          <City>BOONVILLE</City>
          <State>NY</State>
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      </GamingInformation>
      <GamingWithNonmembers>true</GamingWithNonmembers>
      <MemberOfOtherEntity>false</MemberOfOtherEntity>
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        <City>WOODGATE</City>
        <State>NY</State>
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