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        <City>Fort Lauderdale</City>
        <State>FL</State>
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        <BusinessNameLine1>BROWARD COUNTY OPTOMETRIC ASSOC INC</BusinessNameLine1>
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      <DiscussWithPaidPreparerInd>false</DiscussWithPaidPreparerInd>
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      <PreparerPersonNm>Sander Villagomez</PreparerPersonNm>
      <PTIN>P00072286</PTIN>
      <PhoneNum>9543512722</PhoneNum>
      <PreparationDt>2014-06-03</PreparationDt>
      <SelfEmployedInd>X</SelfEmployedInd>
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    <BuildTS>2015-11-30 17:44:51Z</BuildTS>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>DR SMITH BLANC</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>0.00</AverageHrsPerWkDevotedToPosRt>
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        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
        <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>DR CRAIG FIDLER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>DR STEVE ANHAZT</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>DR KATHERINE JENSEN</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>BRIANNA RHUE</PersonNm>
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      <ChgMadeToOrgnzngDocNotRptInd>false</ChgMadeToOrgnzngDocNotRptInd>
      <OrganizationHadUBIInd>false</OrganizationHadUBIInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <OrganizationDissolvedEtcInd>false</OrganizationDissolvedEtcInd>
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      <Form1120PolFiledInd>true</Form1120PolFiledInd>
      <MadeLoansToFromOfficersInd>false</MadeLoansToFromOfficersInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <BooksInCareOfDetail>
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      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <DonorAdvisedFndsInd>false</DonorAdvisedFndsInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <TanningServicesProvidedInd>false</TanningServicesProvidedInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd>false</TransactionWithControlEntInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
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      <Section527PoliticalOrgGrp>
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          <City>Venice</City>
          <State>FL</State>
          <ZIPCode>34292</ZIPCode>
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      <Section527PoliticalOrgGrp>
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          <BusinessNameLine1>SEN THAN ALTMAN CAMPAIGN</BusinessNameLine1>
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      <Section527PoliticalOrgGrp>
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          <State>FL</State>
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        <ContributionsRcvdDlvrAmt>500</ContributionsRcvdDlvrAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
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        </OrganizationBusinessName>
        <USAddress>
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          <State>FL</State>
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      <Section527PoliticalOrgGrp>
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        <ContributionsRcvdDlvrAmt>500</ContributionsRcvdDlvrAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1>REP MATT GAETZ CAMPAIGN</BusinessNameLine1>
        </OrganizationBusinessName>
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          <AddressLine1>1188 EGLIN PARKWAY</AddressLine1>
          <City>Shalimar</City>
          <State>FL</State>
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      <Section527PoliticalOrgGrp>
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      <Section527PoliticalOrgGrp>
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          <State>FL</State>
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          <State>FL</State>
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      <AgreeCarryoverPriorYearInd>false</AgreeCarryoverPriorYearInd>
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        <ExplanationTxt>Description AmountOPT SOCIETY MEETINGS INCOME 540</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of grants and similar amounts paid Part I line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Activity SCHOOL Grantee STUDENT VOLUNTEER OPTOMETRIC SERVICStreet 3301 COLLEGE AVE City, State, Zip Fort Lauderdale, FL 33314Amount 1,000</ExplanationTxt>
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        <ExplanationTxt>Description AmountSOFTWARE 134WEB SITE 157FOA CONVENTION 2,486AUDIO VISUAL EXP 3,376GOLD COAST EXP 71,909COMPANY LOGO EXP 326HOLIDAY PARTY 250BANK CHARGES 70PRINTING 369POLITICAL EXPENDITURES 29,000ADVERTISING 3,552CONFERENCE CALLS 20TAXES 41FLORIDA ANNUAL REPORT 61LEGISLATIVE DAY 1,106SUPPLIES 2,268RBD MEETINGS 2,653MAILBOX 254PLAQUES AND TROPHIES 382LIABILITY INSURANCE 1,706REGISTRATION REFUNDS 1,360BOARD MEETINGS 2,361LOCAL CONTRIBUTION 800POLITICAL DINNER 500ADMINISTRATIVE ASSISTANT 833</ExplanationTxt>
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