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        <CityNm>Leesburg</CityNm>
        <StateAbbreviationCd>VA</StateAbbreviationCd>
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        <AddressLine1Txt>P0 Box 26</AddressLine1Txt>
        <CityNm>Grand River</CityNm>
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      <ProgramServiceRevenueAmt>128670</ProgramServiceRevenueAmt>
      <MembershipDuesAmt>13286</MembershipDuesAmt>
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      <OtherExpensesTotalAmt>108716</OtherExpensesTotalAmt>
      <TotalExpensesAmt>151921</TotalExpensesAmt>
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        <EOYAmt>0</EOYAmt>
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        <PersonNm>Kristen Heston</PersonNm>
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          <CityNm>Grand River</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
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        <FormAndLineReferenceDesc>Description of other revenue Part I line 8</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Description of other expenses Part I line 16</FormAndLineReferenceDesc>
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