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        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
        <ExplanationTxt>LIST OF OFFICERS AND DIRECTORS-NO COMPENSATION OR HEALTH BENEFITS</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
        <ExplanationTxt>EXCEPT FOR EXECUTIVE DIRECTORS-SEE BELOW</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
        <ExplanationTxt>PRESIDENT ELECT-ALLAN SAWYER, MD-1 HOUR PER WEEK</ExplanationTxt>
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        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE DIRECTOR-DONNA HARRISON, MD-40 HOURS PER WEEK</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
        <ExplanationTxt>4221 N. WOODBURNE ST., SHOREWOOD, WI 53211</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
        <ExplanationTxt>SECRETARY-LORNA CVETKOVICH, MD-1 HOUR PER WEEK</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECTORS:</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
        <ExplanationTxt>1.WILLIAM STALTER, MD 468 LIGHTHOUSE TRAIL, DAYTON, OH 45458</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>OFFICE EQIPMENT 2418. 1943.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
        <ExplanationTxt>5.LEONARD MAROTTA, MD 5800 HERITAGE LANDING DR, STE C, E.SYRACUSE,NY 13057</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
        <ExplanationTxt>7.CAMILLA HERSH,MD 851 CANAL DR, MCLEAN, VA 22102</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
        <ExplanationTxt>12.KATHY RAVIELE,MD 2167 NORTHLAKE PKW,STE 105, TUCKER, GA 30084</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
        <ExplanationTxt>13.J.PAUL GRAY,MD 244 COATESLAND DR, JACKSON, TN 38301</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
        <ExplanationTxt>14.MONIQUE CHIREAU,MD 240 BAKER HSE, BOX 3084,</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
        <ExplanationTxt>DUKE UNIV. MEDICAL CENTER, DURHAM, NC 27710</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt IV</FormAndLineReferenceDesc>
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        <ExplanationTxt>ON THE WOMEN INVOLVED. ADDITIONALLY, WE ACKNOWLEDGE</ExplanationTxt>
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        <ExplanationTxt>THE VALUE OF HUMAN LIFE FROM IT'S INCEPTION. FURTHER,</ExplanationTxt>
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        <ExplanationTxt>WE STAND FOR THE RIGHTS OF PHYSICIANS TO BE ABLE TO</ExplanationTxt>
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        <FormAndLineReferenceDesc>PG 2,PART III</FormAndLineReferenceDesc>
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