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      <Name>E KENT SMOLL CPAPFS</Name>
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        <LegislativePoliticalActivities>0</LegislativePoliticalActivities>
        <MoreThan100Spent>0</MoreThan100Spent>
        <Form1120POLFiled>0</Form1120POLFiled>
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        <BooksInCareOfPersonName>TOM CORNS</BooksInCareOfPersonName>
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          <PersonName>ROGER STAATS</PersonName>
          <USAddress>
            <AddressLine1>418 S POPLAR</AddressLine1>
            <City>GREENSBURG</City>
            <State>KS</State>
            <ZIPCode>67054</ZIPCode>
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        <OfcrDirTrusteesOrKeyEmployee>
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          <USAddress>
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            <City>GREENSBURG</City>
            <State>KS</State>
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        <OfcrDirTrusteesOrKeyEmployee>
          <PersonName>ELMER DAVIS</PersonName>
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            <City>HAVILAND</City>
            <State>KS</State>
            <ZIPCode>67059</ZIPCode>
          </USAddress>
          <Title>DIRECTOR</Title>
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        <OfcrDirTrusteesOrKeyEmployee>
          <PersonName>VERA CUTRIGHT</PersonName>
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            <City>HAVILAND</City>
            <State>KS</State>
            <ZIPCode>67059</ZIPCode>
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          <Title>VICE-PRESIDENT</Title>
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          <ContriToEmplBenefitPlansEtc>0</ContriToEmplBenefitPlansEtc>
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        <OfcrDirTrusteesOrKeyEmployee>
          <PersonName>KENNETH UNRUH</PersonName>
          <USAddress>
            <AddressLine1>RR 2 BOX 32</AddressLine1>
            <City>LEWIS</City>
            <State>KS</State>
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          <Title>DIRECTOR</Title>
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          <PersonName>PAUL KENDALL</PersonName>
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            <City>MULLINVILLE</City>
            <State>KS</State>
            <ZIPCode>67109</ZIPCode>
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          <Title>DIRECTOR</Title>
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          <PersonName>MARY SWEET</PersonName>
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            <City>GREENSBURG</City>
            <State>KS</State>
            <ZIPCode>67054</ZIPCode>
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          <Title>DIRECTOR</Title>
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          <PersonName>DORIS HEADRICK</PersonName>
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            <City>MULLINVILLE</City>
            <State>KS</State>
            <ZIPCode>67109</ZIPCode>
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          <Title>DIRECTOR</Title>
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        <AppicationSubmissionInfo>
          <RecipientName>TOM CORNS</RecipientName>
          <RecipientUSAddress>
            <AddressLine1>304 S SPRUCE</AddressLine1>
            <City>GREENSBURG</City>
            <State>KS</State>
            <ZIPCode>67054</ZIPCode>
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          <RecipientPhoneNumber>6207232131</RecipientPhoneNumber>
          <FormAndInfoAndMaterials>SCHOLARSHIPS APPLICATIONS REQUIRE BASIC PERSONAL INFORMATION AND THE APPLICANT'S GRADE POINT AVERAGE.</FormAndInfoAndMaterials>
          <SubmissionDeadlines>THE SCHOLARSHIP DEADLINE IS SET ANNUALLY BY THE SCHOLARSHIP ADMINISTRATOR.</SubmissionDeadlines>
          <RestrictionsOnAwards>SCHOLARHIP RECIPIENTS MUST BE IN THE MEDICAL FIELD WITH THE POSSIBILITY OF BEING KIOWA COUNTY MEMORIAL HOSPITAL EMPLOYEES. SCHOLARSHIPS ARE LIMITED TO $1,000 PER RECIPIENT PER YEAR.</RestrictionsOnAwards>
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        <AppicationSubmissionInfo>
          <RecipientName>TOM CORNS</RecipientName>
          <RecipientUSAddress>
            <AddressLine1>304 S SPRUCE</AddressLine1>
            <City>GREENSBURG</City>
            <State>KS</State>
            <ZIPCode>67054</ZIPCode>
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          <RecipientPhoneNumber>6207232131</RecipientPhoneNumber>
          <FormAndInfoAndMaterials>LETTERS ARE SUBMITTED BY THOSE REQUESTING GRANT AWARDS.</FormAndInfoAndMaterials>
          <SubmissionDeadlines>GRANT LETTERS ARE DUE PRIOR TO THE ANNUAL MEETING HELD IN JANUARY.</SubmissionDeadlines>
          <RestrictionsOnAwards>GRANT AWARDEES MUST PROVIDE SERVICES TO KIOWA COUNTY RESIDENTS.</RestrictionsOnAwards>
        </AppicationSubmissionInfo>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>DELICIA TORRES</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>410 S SYCAMORE</AddressLine1>
            <City>GREENSBURG</City>
            <State>KS</State>
            <ZIPCode>67054</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <PurposeOfGrantOrContribution>SCHOLARSHIP</PurposeOfGrantOrContribution>
          <Amount>500</Amount>
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        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>JOSHUA KIMBLE</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>PO BOX 62</AddressLine1>
            <City>MULLINVILLE</City>
            <State>KS</State>
            <ZIPCode>67109</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <PurposeOfGrantOrContribution>SCHOLARSHIP</PurposeOfGrantOrContribution>
          <Amount>500</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>BROOKE MAIER</BusinessNameLine1>
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