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Enter this info. once. Use duplicate copies of Part III if additional space is needed. b Purpose of gift c Use of gift e Transfer of gift Transferee s name address and ZIP 4 Form 990 Part IV line 6 7 8 9 10 11a 11b 11c 11d 11e 11f 12a or 12b. See section 509 a 3. Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e 11f and 11g. See instructions. 10 Line 8 amount divided by Line 9 amount i Excess Distributions h j ii...

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312 north 2nd avenue is a physical address located on the north side of 2nd Avenue.

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