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        <City>ST LOUIS PARK</City>
        <State>MN</State>
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        <BusinessNameLine1>DB ANDERSON CHARITABLE FOUNDATION</BusinessNameLine1>
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        <City>LANCASTER</City>
        <State>PA</State>
        <ZIPCode>17603</ZIPCode>
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      <Title>DIRECTOR</Title>
      <Phone>9524840899</Phone>
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      <Name>STEVEN WAGNER CPA</Name>
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      <InvestmentsCorpStock>
        <NameOfStock>FIDELITY STOCK FUNDS AT END OF YEAR MARKET VALUE</NameOfStock>
        <EOYBookValue>110971</EOYBookValue>
        <EOYFMV>110971</EOYFMV>
      </InvestmentsCorpStock>
    </InvestmentsCorpStockSchedule>
    <OtherDecreasesSchedule documentId="RetDoc2049800001">
      <OtherDecreases>
        <Description>GAIN ON DONATED STOCK</Description>
        <Amount>121620</Amount>
      </OtherDecreases>
    </OtherDecreasesSchedule>
    <OtherExpensesSchedule documentId="RetDoc2003200001">
      <OtherExpenses>
        <Description>REGISTRATION FEES</Description>
        <RevenueAndExpensesPerBooks>15</RevenueAndExpensesPerBooks>
        <NetInvestmentIncome>0</NetInvestmentIncome>
        <DisbursementsCharitablePrps>0</DisbursementsCharitablePrps>
      </OtherExpenses>
    </OtherExpensesSchedule>
    <OtherIncreasesSchedule documentId="RetDoc2049700001">
      <OtherIncreases>
        <Description>UNREALIZED GAINS</Description>
        <Amount>12617</Amount>
      </OtherIncreases>
    </OtherIncreasesSchedule>
    <SubstantialContributorsSch documentId="RetDoc2089200001">
      <SubstantialContributor>
        <PersonName>DAVID B ANDERSON</PersonName>
        <USAddress>
          <AddressLine1>230 INDIAN HILL ROAD</AddressLine1>
          <City>CONESTOGA</City>
          <State>PA</State>
          <ZIPCode>51520</ZIPCode>
        </USAddress>
      </SubstantialContributor>
    </SubstantialContributorsSch>
    <TaxesSchedule documentId="RetDoc2002500001">
      <Taxes>
        <Amount>1156</Amount>
        <NetInvestmentIncome>0</NetInvestmentIncome>
        <DisbursementsCharitablePrps>0</DisbursementsCharitablePrps>
      </Taxes>
    </TaxesSchedule>
  </ReturnData>
</Return>