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Id Y Pr T Sl nat I Il I If I re arer s i eni in num er ee insr 5LZ SF.IIs S e S Q UVM Im 05/05/1o5mII0v 3eLD PD snamemrymus DONC5096 LD. I 3- 144. 1aZe0 I 9 HereTX/1-fd-. Signature ofFHicer ioirc.i-ia.. iA-5 Fax wage-iz I estate-MT I ype or print name and tTfIe P3. Explain in Part IV how the organization meets the facts-andcircumstances test. The organization qualifies as a publicly supported organization A P lj 18 Private foundation. If the orqanization did not check a box on line 13 16a 16b...
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