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        <State>AL</State>
        <ZIPCode>359028622</ZIPCode>
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    </Filer>
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      <DateSigned>2012-02-22</DateSigned>
      <AuthorizeThirdParty>true</AuthorizeThirdParty>
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    <Preparer>
      <Name>AMANDA R HOUSTON</Name>
      <Phone>2565438902</Phone>
      <DatePrepared>2012-03-10</DatePrepared>
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          <State>AL</State>
          <ZIPCode>35901</ZIPCode>
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        <Title>MEDICAL DIRE</Title>
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        <PersonName referenceDocumentId="RetDoc2">EILEEN GRAHAM</PersonName>
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          <City>GADSDEN</City>
          <State>AL</State>
          <ZIPCode>35901</ZIPCode>
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      <TanningServicesProvided>false</TanningServicesProvided>
      <RelatedOrgControlledEntity>false</RelatedOrgControlledEntity>
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      <OperatingSchool>false</OperatingSchool>
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        <CurrentTaxYearMinus2Years>56190</CurrentTaxYearMinus2Years>
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        <CurrentTaxYearMinus2Years>56190</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>68774</CurrentTaxYearMinus1Year>
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      <PriorYearSupportPercentage>1.00000</PriorYearSupportPercentage>
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      <GeneralExplanation>
        <Identifier>OTHER REVENUE</Identifier>
        <ReturnReference>FORM 990-EZ, PART I, LINE 8</ReturnReference>
        <Explanation>OTHER REVENUE 84 TOTAL 84</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER EXPENSES</Identifier>
        <ReturnReference>FORM 990-EZ, PART I, LINE 16</ReturnReference>
        <Explanation>EXPENSES OFFICE 3,925 INSURANCE 4,808 LAB FEES 5,839 MEDICAL SUPPLIES 4,291 MISCELLANEOUS 67 NON-INVESTMENT DEPRECIATION 2,050 TOTAL 20,980</Explanation>
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      <GeneralExplanation>
        <Identifier>OTHER ASSETS</Identifier>
        <ReturnReference>FORM 990-EZ, PART II, LINE 24</ReturnReference>
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      <GeneralExplanation>
        <Identifier>OTHER LIABILITIES</Identifier>
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      <GeneralExplanation>
        <Identifier>PRIMARY EXEMPT PURPOSE</Identifier>
        <ReturnReference>FORM 990-EZ, PART III</ReturnReference>
        <Explanation>PROVIDE FREE MEDICAL SERVICES TO PERSONS UNABLE TO AFFORD TREATMENT IN ETOWAH COUNTY, ALABAMA</Explanation>
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