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      <PhoneNum>6202514769</PhoneNum>
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        <State>KS</State>
        <ZIPCode>67337</ZIPCode>
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      <DisclosedForCharitablePrpsInd>1</DisclosedForCharitablePrpsInd>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part V, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>To improve the quality of life for the citizens of the Coffeyville Area</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Funds held for others</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Funds held for others</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XII, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Funds held for others, rounding and credit card fee of $7.50</ExplanationTxt>
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      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
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          <BusinessNameLine1>Coffeyville Community College</BusinessNameLine1>
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        <USAddress>
          <AddressLine1>400 West 11th</AddressLine1>
          <City>Coffeyville</City>
          <State>KS</State>
          <ZIPCode>67337</ZIPCode>
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        <RecipientEIN>480698570</RecipientEIN>
        <IRCSectionDesc>501 c 3</IRCSectionDesc>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Scholarships, theater production and other program items.</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>Coffeyville Friends of Animals</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>P O Box 1854</AddressLine1>
          <City>Coffeyville</City>
          <State>KS</State>
          <ZIPCode>67337</ZIPCode>
        </USAddress>
        <RecipientEIN>261804726</RecipientEIN>
        <IRCSectionDesc>5010c 3</IRCSectionDesc>
        <CashGrantAmt>19594</CashGrantAmt>
        <PurposeOfGrantTxt>Expenses for the operation a a community animal shelter</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>Safehouse Crisis Center</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>1317 West 8th</AddressLine1>
          <City>Coffeyville</City>
          <State>KS</State>
          <ZIPCode>67337</ZIPCode>
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        <RecipientEIN>480887160</RecipientEIN>
        <IRCSectionDesc>501 c 3</IRCSectionDesc>
        <CashGrantAmt>9818</CashGrantAmt>
        <PurposeOfGrantTxt>Repairs and operations of an area crisis center in southeast Kansas</PurposeOfGrantTxt>
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          <BusinessNameLine1>Dalton Defenders Day</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>P O Box 655</AddressLine1>
          <City>Coffeyville</City>
          <State>KS</State>
          <ZIPCode>67337</ZIPCode>
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        <RecipientEIN>311765700</RecipientEIN>
        <IRCSectionDesc>501 c 3</IRCSectionDesc>
        <CashGrantAmt>11505</CashGrantAmt>
        <PurposeOfGrantTxt>To assist in the promotion of the Dalton Defenders day honoring the event that local citizens defended the community against the Dalton. gang's attempt to rob two Coffeyville banks.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>Montgomery County Fair Board Association</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>P O Box 457</AddressLine1>
          <City>Coffeyville</City>
          <State>KS</State>
          <ZIPCode>67337</ZIPCode>
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        <PurposeOfGrantTxt>To assist in the promotion of the Montgomery County fair and the improvements of the fair grounds located in Coffeyville</PurposeOfGrantTxt>
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          <BusinessNameLine1>Mr Michael DeRosa</BusinessNameLine1>
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        <USAddress>
          <AddressLine1>601 Norwood</AddressLine1>
          <City>Coffeyville</City>
          <State>KS</State>
          <ZIPCode>67337</ZIPCode>
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        <CashGrantAmt>6774</CashGrantAmt>
        <PurposeOfGrantTxt>To assist in the rehabilition of community signs on community bulidings reflecting the history of the community and programs reflecting the history and development of various areas of interest over the life of Coffeyville.</PurposeOfGrantTxt>
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        <USAddress>
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          <City>Coffeyville</City>
          <State>KS</State>
          <ZIPCode>67337</ZIPCode>
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        <IRCSectionDesc>501 c 3</IRCSectionDesc>
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        <PurposeOfGrantTxt>Assist in Fit For Kids programs at the Jerry Hamm Learning Center in Coffeyville.</PurposeOfGrantTxt>
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        <ExplanationTxt>A grant expenditure report is given to each recipent(other than scholarships) to be completed and returned to the Foundation Office.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part IV, Line 38</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 was prepared by the foundation treasurer and reviewed by the foundation staff prior to mailing. Due to filing by the due date the Board of Trustee and the Finance Committee will have a copy to review at the first meeting after the filing of the return by the due date.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 was prepared by the foundation treasurer and reviewed by the foundation staff prior to filing of the return. Due to time limits on the filing of the return by the due date without an extension, a copy will be made available to the Finance Committee and the Board of Trustee's at the next scheduled meeting.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The executive director periodically will review the policies for compliance.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The executive director's salary is recommended by the individual preparing the annual budget and the Board of Trustee's take final action at the time of approval of the Foundation budget for the year.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents, conflict of interest policy, and financial statements are made available at the foundation office upon a request from the party seeking the information. The request may be written or oral.</ExplanationTxt>
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