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            <State>MT</State>
            <ZIPCode>59447</ZIPCode>
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          <FormAndInfoAndMaterials>COMPLETED APPLICATION WITH ADDITIONAL INFORMATION IF NECESSARY</FormAndInfoAndMaterials>
          <SubmissionDeadlines>SEPTEMBER 30</SubmissionDeadlines>
          <RestrictionsOnAwards>SPECIFIC GEOGRAPHICAL COMMUNITIES - CONTRIBUTIONS ARE RESTRICTED TO ORGANIZATIONS LOCATED WITHIN OR NEARBY THE FOLLOWING CITIES AND TOWNS: RAYNESFORD, FORT BENTON, STANFORD, GEYSER, BELT, GERALDINE AND HIGHWOOD BUT NOT IN OR NEARBY DENTON, COFFEE CREEK, WINDHAM, HOBSON, UTICA, AND GREAT FALLS, MONTANA.</RestrictionsOnAwards>
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            <City>BELT</City>
            <State>MT</State>
            <ZIPCode>59412</ZIPCode>
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            <BusinessNameLine1>BELT COMMUNITY SWIMMING POOL</BusinessNameLine1>
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            <AddressLine1>BELT CREEK ROAD</AddressLine1>
            <City>BELT</City>
            <State>MT</State>
            <ZIPCode>59412</ZIPCode>
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          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>CHARITABLE</PurposeOfGrantOrContribution>
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          <RecipientUSAddress>
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          <RecipientRelationship>NONE</RecipientRelationship>
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        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
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          <RecipientRelationship>NONE</RecipientRelationship>
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          <PurposeOfGrantOrContribution>CHARITABLE</PurposeOfGrantOrContribution>
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        <GrantOrContriPaidDuringYear>
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        <GrantOrContriPaidDuringYear>
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        <GrantOrContriPaidDuringYear>
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          <RecipientRelationship>NONE</RecipientRelationship>
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          <PurposeOfGrantOrContribution>CHARITABLE</PurposeOfGrantOrContribution>
          <Amount>1000</Amount>
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        <GrantOrContriPaidDuringYear>
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          <RecipientRelationship>NONE</RecipientRelationship>
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          <PurposeOfGrantOrContribution>CHARITABLE</PurposeOfGrantOrContribution>
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        <GrantOrContriPaidDuringYear>
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