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    <Timestamp>2013-11-13T07:52:32-08:00</Timestamp>
    <TaxPeriodEndDate>2012-12-31</TaxPeriodEndDate>
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        <City>New York</City>
        <State>NY</State>
        <ZIPCode>100183308</ZIPCode>
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    <Filer>
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      <Name>
        <BusinessNameLine1>THE JACK SHAMMAH FOUNDATION</BusinessNameLine1>
      </Name>
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      <USAddress>
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        <State>NY</State>
        <ZIPCode>11230</ZIPCode>
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    <Officer>
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      <Title>Trustee</Title>
      <DateSigned>2013-11-13</DateSigned>
      <AuthorizeThirdParty>true</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>Benjamin Berger</Name>
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      <Phone>2122211140</Phone>
    </Preparer>
    <TaxYear>2012</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
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        <ApplicableInsuranceContract>false</ApplicableInsuranceContract>
        <ComplyWithPublicInspectionRqr>true</ComplyWithPublicInspectionRqr>
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          <BusinessNameLine1>JACK SHAMMAH</BusinessNameLine1>
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          <AddressLine1>720 AVENUE I</AddressLine1>
          <City>BROOKLYN</City>
          <State>NY</State>
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        <OfcrDirTrusteesOrKeyEmployee>
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