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        <City>Roanoke</City>
        <State>VA</State>
        <ZIPCode>24015</ZIPCode>
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        <BusinessNameLine1>Birmingham Green Foundation</BusinessNameLine1>
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        <AddressLine1>8605 Centerville Road</AddressLine1>
        <City>Manassas</City>
        <State>VA</State>
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      <DateSigned>2013-03-07</DateSigned>
      <AuthorizeThirdParty>true</AuthorizeThirdParty>
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    <Preparer>
      <Name>Russell T Shores</Name>
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    <TaxYear>2011</TaxYear>
    <BuildTS>2016-02-25 16:41:14Z</BuildTS>
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        <EOY>36665</EOY>
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        <Title>Chairman</Title>
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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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