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        <State>AR</State>
        <ZIPCode>72703</ZIPCode>
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      <Title>Chairman</Title>
      <DateSigned>2013-11-15</DateSigned>
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    <Preparer>
      <Name>Daniel R McCormick</Name>
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    <TaxYear>2012</TaxYear>
    <BuildTS>2016-02-25 16:41:14Z</BuildTS>
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      <WebSite>restorehumanity.org</WebSite>
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          <State>AR</State>
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