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HAYES & ASSOCIATES, LLC 1015 NORTH 98TH STREET; OMAHA, NE 68114 SUITE 200 UNITED WAY OF THE MIDLANDS 1805 HARVEY STREET OMAHA, NE 68102 !681023! 126340 050111 Caution: Forms printed from within Adobe

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681023 - united way is a tax form used by organizations to report information about their contributions to United Way.

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