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        <AddressLine1>9377 W 75TH ST</AddressLine1>
        <City>OVERLAND PARK</City>
        <State>KS</State>
        <ZIPCode>66204</ZIPCode>
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        <BusinessNameLine1>CLJ FOUNDATION</BusinessNameLine1>
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      <PreparerPersonNm>SHARON ADAMS</PreparerPersonNm>
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      <SpecialEventsNetIncomeLossAmt>0</SpecialEventsNetIncomeLossAmt>
      <GrossProfitLossSlsOfInvntryAmt>0</GrossProfitLossSlsOfInvntryAmt>
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      <InfoInScheduleOPartIIInd>X</InfoInScheduleOPartIIInd>
      <CashSavingsAndInvestmentsGrp>
        <BOYAmt>30663</BOYAmt>
        <EOYAmt>38125</EOYAmt>
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      <LandAndBuildingsGrp>
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          <ZIPCode>661094113</ZIPCode>
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      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
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        <FormAndLineReferenceDesc>Part I, line 8</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Part I, line 8</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Part I, line 8</FormAndLineReferenceDesc>
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        <ExplanationTxt>Description: CLIENT ACTIVITIES Amount: 267</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part I, line 16</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Part I, line 16</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
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        <FormAndLineReferenceDesc>Part I, line 16</FormAndLineReferenceDesc>
        <ExplanationTxt>Description: VEHICLE MAINTENANCE &amp; REPAIR Amount: 5679</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part I, line 16</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Part I, line 16</FormAndLineReferenceDesc>
        <ExplanationTxt>Description: CPR TRAINING Amount: 560</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, line 16</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Part I, line 16</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Part I, line 24</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Part I, line 24</FormAndLineReferenceDesc>
        <ExplanationTxt>Description: 12 PASSENGER VAN BOY Amount: 19102 EOY Amount: 19102</ExplanationTxt>
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