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        <State>NY</State>
        <ZIPCode>12866</ZIPCode>
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    </Filer>
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      <Name>TIMOTHY W PEHL</Name>
      <Title>TREASURER</Title>
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      <DateSigned>2012-11-13</DateSigned>
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        <DescriptionProgramServiceAccom>THE SARATOGA LIONS CLUB FOUNDATION, INC. CONTRIBUTED 5,000 TO THE ALBANY MEDICAL CENTER FOUNDATION TO SUPPORT ITS RESIDENCY PROGRAM. THIS PROGRAM DIRECTLY IMPACTS CERTAIN INDIVIDULS WITH THE GIFT OF SIGHT.</DescriptionProgramServiceAccom>
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        <DescriptionProgramServiceAccom>THE SARATOGA LIONS CLUB FOUNDATION, INC. CONTRIBUTED 7,000 FOR SCHOLARSHIPS TO QUALIFIED COLLEGE STUDENTS TO HELP DEFRAY THEIR EDUCATIONAL COSTS.</DescriptionProgramServiceAccom>
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        <DescriptionProgramServiceAccom>THE FOUNDATION HAS IMPROVED THE LIVES OF EIGHT COLLEGE BOUND STUDENTS DURING THE CURRENT YEAR BY AWARDING SCHOLARSHIP GRANTS. THE FOUNDATION HAS ALSO CONTRIBUTED TO THE ALBANY MEDICAL CENTER FOUNDATION IN ORDER TO PURCHASE CERTIAN MEDICAL DEVICES AND PROVIDE EYE CARE TO THOSE LESS FORTUNATE. THE FOUNDATION ALSO ASSISTED IN THE RECOVERY FROM HURRICANE IRENE BY DONATING FOOD, CLOTHING AND SUPPLIES TO RESIDENTS OF SCHOHARIE COUNTY. TOTAL OF 5,075 WAS CONTRIBUTED TO THIS EFFORT.</DescriptionProgramServiceAccom>
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        <Title>VICE PRESIDE</Title>
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        <PersonName referenceDocumentId="RetDoc1">THOMAS BOGHOSIAN</PersonName>
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          <State>NY</State>
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        <Title>SECRETARY</Title>
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      <OfficerDirectorTrusteeKeyEmpl>
        <PersonName referenceDocumentId="RetDoc1">DAVID CARR JR</PersonName>
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        <PersonName referenceDocumentId="RetDoc1">MATTHEW JONES</PersonName>
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        <PersonName referenceDocumentId="RetDoc1">CLIFFORD VAN WAGNER</PersonName>
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          <AddressLine1>18 ROLLING BROOK DRIVE</AddressLine1>
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          <State>NY</State>
          <ZIPCode>12866</ZIPCode>
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        <Title>PRESIDENT</Title>
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        <NamePerson>TIMOTHY W PEHL CPA</NamePerson>
        <AddressUS>
          <AddressLine1>2715 ROUTE 9 SUITE 101</AddressLine1>
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          <State>NY</State>
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      <ForeignFinancialAccount>false</ForeignFinancialAccount>
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      <DoesOrgHaveHospital>false</DoesOrgHaveHospital>
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      <OperatingSchool>false</OperatingSchool>
      <TrnsfrsExemptNonCharRelatedOrg>false</TrnsfrsExemptNonCharRelatedOrg>
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      <InvestmentIncomeAndUBTI>
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        <Explanation>SOLICIT, COLLECT OR OTHERWISE RAISE MONEY TO BE USED TO AID THE FIGHT AGAINST BLINDNESS, HEARING IMPAIRMENTS AND DIABETES.</Explanation>
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        <Explanation>THE FOUNDATION HAS IMPROVED THE LIVES OF EIGHT COLLEGE BOUND STUDENTS DURING THE CURRENT YEAR BY AWARDING SCHOLARSHIP GRANTS. THE FOUNDATION HAS ALSO CONTRIBUTED TO THE ALBANY MEDICAL CENTER FOUNDATION IN ORDER TO PURCHASE CERTIAN MEDICAL DEVICES AND PROVIDE EYE CARE TO THOSE LESS FORTUNATE. THE FOUNDATION ALSO ASSISTED IN THE RECOVERY FROM HURRICANE IRENE BY DONATING FOOD, CLOTHING AND SUPPLIES TO RESIDENTS OF SCHOHARIE COUNTY. TOTAL OF 5,075 WAS CONTRIBUTED TO THIS EFFORT.</Explanation>
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