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        <State>NE</State>
        <ZIPCode>69336</ZIPCode>
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      <AuthorizeThirdParty>true</AuthorizeThirdParty>
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    <Preparer>
      <Name>DENNIS HADDEN</Name>
      <Phone>3086324400</Phone>
      <SelfEmployed>X</SelfEmployed>
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    <TaxYear>2011</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
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        <PersonName>HELEN PLUMMER</PersonName>
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        <Title>Secretary</Title>
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      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ForeignOffice>false</ForeignOffice>
      <MaintainAnyDonorAdvisedFunds>false</MaintainAnyDonorAdvisedFunds>
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      <Form720Filed>false</Form720Filed>
      <RelatedOrgControlledEntity>false</RelatedOrgControlledEntity>
      <TransactionWithControlEntity>false</TransactionWithControlEntity>
      <EngagePoliticalCmpgnActivities>false</EngagePoliticalCmpgnActivities>
      <EngageInLobbyingActivities>false</EngageInLobbyingActivities>
      <OperatingSchool>false</OperatingSchool>
      <TrnsfrsExemptNonCharRelatedOrg>false</TrnsfrsExemptNonCharRelatedOrg>
      <RelatedOrgSection527Org>false</RelatedOrgSection527Org>
      <PartVIOfCompOfHighestPaidEmpl>NONE</PartVIOfCompOfHighestPaidEmpl>
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      <GeneralExplanation>
        <Identifier>Form 990-EZ, Part I, Line 10.1</Identifier>
        <ReturnReference>Grants and Similar Amounts Paid In Excess of $5,000.1</ReturnReference>
        <Explanation>Class of Activity: Cash donation | Donee's Name: MORRILL COUNTY COMMUNITY HOSP | Donee's Address: 1309 R STREET BRIDGEPORT, NE 69336 | Relationship of Donee: SUPPORTED ORGANIZATION | Cash Amount Given: $37073</Explanation>
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