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        <City>SAN MARINO</City>
        <State>CA</State>
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        <BusinessNameLine1>Southern LA County USBC</BusinessNameLine1>
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        <AddressLine1>17057 Bellflower Blvd</AddressLine1>
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        <ZIPCode>90706</ZIPCode>
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      <DateSigned>2012-09-12</DateSigned>
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    <Preparer>
      <Name>Wendy Kohno</Name>
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    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
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      <EngagedInExcessBenefitTrans>false</EngagedInExcessBenefitTrans>
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      <StatesWhereCopyOfReturnIsFiled>CA</StatesWhereCopyOfReturnIsFiled>
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        <NamePerson>Larry Worrall</NamePerson>
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          <City>Bellflower</City>
          <State>CA</State>
          <ZIPCode>90706</ZIPCode>
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      <ForeignFinancialAccount>false</ForeignFinancialAccount>
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      <MaintainAnyDonorAdvisedFunds>false</MaintainAnyDonorAdvisedFunds>
      <DoesOrgHaveHospital>false</DoesOrgHaveHospital>
      <TanningServicesProvided>false</TanningServicesProvided>
      <Form720Filed>false</Form720Filed>
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      <TransactionWithControlEntity>false</TransactionWithControlEntity>
      <EngagePoliticalCmpgnActivities>false</EngagePoliticalCmpgnActivities>
      <EngageInLobbyingActivities>false</EngageInLobbyingActivities>
      <OperatingSchool>false</OperatingSchool>
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        <Explanation>Accounts Payable and Accrued Expenses - Beginning $0 Accounts Payable and Accrued Expenses - Ending $2126</Explanation>
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      <GeneralExplanation>
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      <GeneralExplanation>
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      <GeneralExplanation>
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