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        <State>IA</State>
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      <Name>CHRISTINE FENECH</Name>
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      <DatePrepared>2013-10-04</DatePrepared>
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          <City>CEDAR FALLS</City>
          <State>IA</State>
          <ZIPCode>50613</ZIPCode>
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      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ForeignOffice>false</ForeignOffice>
      <MaintainAnyDonorAdvisedFunds>false</MaintainAnyDonorAdvisedFunds>
      <DoesOrgHaveHospital>false</DoesOrgHaveHospital>
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      <RelatedOrgControlledEntity>false</RelatedOrgControlledEntity>
      <TransactionWithControlEntity>false</TransactionWithControlEntity>
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