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        <BusinessNameLine1>SCOTLAND FAMILY COUNSELING CENTER INC</BusinessNameLine1>
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        <AddressLine1>P O BOX 166</AddressLine1>
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    <Preparer>
      <Name>DAVID P BREEDEN</Name>
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    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
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      <PrintingPublicationsPostage>1611</PrintingPublicationsPostage>
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        <PersonName>GEORGE ELLIS</PersonName>
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          <State>SC</State>
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          <State>NC</State>
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          <State>NC</State>
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        <NamePerson>Charles Wentz Jr</NamePerson>
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      <ForeignFinancialAccount>false</ForeignFinancialAccount>
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      <DoesOrgHaveHospital>false</DoesOrgHaveHospital>
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        <ReturnReference>Other Expenses.12</ReturnReference>
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      <GeneralExplanation>
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      <GeneralExplanation>
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        <ReturnReference>Other Expenses.5</ReturnReference>
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        <Explanation>Silent Samaritan Expense $1538</Explanation>
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      <GeneralExplanation>
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      <GeneralExplanation>
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        <Explanation>Contractual Expense - St Andre $3675</Explanation>
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      <GeneralExplanation>
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        <ReturnReference>Payments to Affiliates.1</ReturnReference>
        <Explanation>Name: Robeson Family Counceling Cent | Address: 202 West 15th Street Lumberton, NC 28358 | Purpose of payment: Adminstrative Reimbursement | Amount: $8071</Explanation>
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