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      <Phone>8286694485</Phone>
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        <ForeignBank>false</ForeignBank>
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        <BusinessHoldings>false</BusinessHoldings>
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        <InfluenceLegislation>false</InfluenceLegislation>
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        <GrantsToOrganizations>false</GrantsToOrganizations>
        <NoncharitablePurpose>false</NoncharitablePurpose>
        <RcvFundsToPayPrsnlBnftContract>false</RcvFundsToPayPrsnlBnftContract>
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          <PersonName referenceDocumentId="RetDoc3">RICHARD THIEMKEY</PersonName>
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            <ZIPCode>28711</ZIPCode>
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          <Title>PRESIDENT</Title>
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        <OfcrDirTrusteesOrKeyEmployee>
          <PersonName referenceDocumentId="RetDoc3">PETER MUTCH</PersonName>
          <USAddress>
            <AddressLine1>381 N SAGINAW ST</AddressLine1>
            <City>LAPEER</City>
            <State>MI</State>
            <ZIPCode>48446</ZIPCode>
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          <Title>SCHLR CHAIR</Title>
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          <ContriToEmplBenefitPlansEtc>0</ContriToEmplBenefitPlansEtc>
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          <PersonName referenceDocumentId="RetDoc3">WILLIAM THIEMKEY</PersonName>
          <USAddress>
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          <Title>SEC/TREAS</Title>
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        <CompOfHighestPaidEmplNONE>NONE</CompOfHighestPaidEmplNONE>
        <CompOfHghstPaidCntrctNONE>NONE</CompOfHghstPaidCntrctNONE>
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      <SumOfProgramRelatedInvestments>
        <Description1>N/A</Description1>
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        <FMVAllOtherNoncharitableAssets>0</FMVAllOtherNoncharitableAssets>
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        <MinimumInvestmentReturn>4282</MinimumInvestmentReturn>
        <TaxBasedOnInvestmentIncome>50</TaxBasedOnInvestmentIncome>
        <TotalTax>50</TotalTax>
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        <DistributableAmountBeforeDed>4232</DistributableAmountBeforeDed>
        <DistributableAmountAsAdjusted>4232</DistributableAmountAsAdjusted>
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      <QualifyingDistributions>
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        <QualifyingDistributions>3000</QualifyingDistributions>
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        <ContributingManager>WILLIAM AND ROBERTA THIEMKEY</ContributingManager>
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          <RecipientName>WILLIAM THIEMKEY</RecipientName>
          <RecipientUSAddress>
            <AddressLine1>44 HUNTING LODGE</AddressLine1>
            <City>BLACK MOUNTAIN</City>
            <State>NC</State>
            <ZIPCode>28711</ZIPCode>
          </RecipientUSAddress>
          <RecipientPhoneNumber>8286694485</RecipientPhoneNumber>
          <FormAndInfoAndMaterials>NO STANDARD FORMAT HAD BEEN ESTABLISHED.</FormAndInfoAndMaterials>
          <SubmissionDeadlines>NO DEADLINES HAVE BEEN ESTABLISHED.</SubmissionDeadlines>
          <RestrictionsOnAwards>AWARDS ARE GIVEN TO SENIOR STUDENTS AT LAPEER WEST SCHOOL WITH A STRONG INTEREST IN PURSUING TEACHING AS A CAREER. A STRONG PREFERENCE WILL BE GIVEN TO STUDENTS WHO ARE ACCEPTED TO EASTERN MICHIGAN UNIVERSITY, THE UNIVERSITY OF MICHIGAN OR ALMA COLLEGE. A 3.0 GPA AND A 22 OR BETTER ACT (OR ITS EQUIVALENT) SHALL BE USED FOR ACADEMIC STANDARDS.</RestrictionsOnAwards>
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        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>SCHOLARSHIPS</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>LAPEER MICHIGAN</AddressLine1>
            <City>LAPEER</City>
            <State>MI</State>
            <ZIPCode>48446</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PAID</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>SCHOLARSHIPS</PurposeOfGrantOrContribution>
          <Amount>3000</Amount>
        </GrantOrContriPaidDuringYear>
        <TotGrantOrContriPaidDuringYear>3000</TotGrantOrContriPaidDuringYear>
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          <ExclusionCode>14</ExclusionCode>
          <ExclusionAmount>2</ExclusionAmount>
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          <RelationshipStatement>INTEREST INCOME HELPS INCREASE ASSET VALUE WHICH IS USED TO PROVIDE SCHOLARSHIPS, WHICH IS THE PURPOSE OF THIS PRIVATE FOUNDATION</RelationshipStatement>
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          <RelationshipStatement>DIVIDEND INCOME HELPS INCREASE ASSET VALUE WHICH IS USED TO PROVIDE SHCOLARSHIPS, WHICH IS THE PURPOSE OF THIS PRIVATE FOUNDATION</RelationshipStatement>
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