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1013 12 04 PM 07175f 9 0 Return of Private Foundation OMB No 15450052 or Section 4947(a)(1) Nonexempt Charitable Trust Treated as a Private Foundation Form Department of the Treasury Internal Revenue
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Fill in the appropriate information. In this case, you would write "1013" in the space provided for the date, "12" for the hour, "04" for the minutes, and "pm" to indicate that it is in the afternoon.
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