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    <Preparer>
      <Name>Jay Austria</Name>
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            <ZIPCode>92307</ZIPCode>
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        <CompOfHighestPaidEmplNONE>NONE</CompOfHighestPaidEmplNONE>
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            <ZIPCode>03062</ZIPCode>
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          <RecipientPersonName>American Cancer Society</RecipientPersonName>
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            <City>Oklahoma City</City>
            <State>OK</State>
            <ZIPCode>73123</ZIPCode>
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          <RecipientRelationship>None</RecipientRelationship>
          <RecipientFoundationStatus>501c3</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Humanitarian</PurposeOfGrantOrContribution>
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        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>World Children's Initiative</RecipientPersonName>
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            <AddressLine1>1328 American Way</AddressLine1>
            <City>Menlo Park</City>
            <State>CA</State>
            <ZIPCode>94025</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>None</RecipientRelationship>
          <RecipientFoundationStatus>501c3</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Humanitarian</PurposeOfGrantOrContribution>
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            <City>Plainville</City>
            <State>CT</State>
            <ZIPCode>06062</ZIPCode>
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          <RecipientRelationship>None</RecipientRelationship>
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            <ZIPCode>91205</ZIPCode>
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            <ZIPCode>93150</ZIPCode>
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