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FormDepartment of the Treasury Internal Revenue Service(and proxy tax under section 6033(e))For calendar year 2012 or other tax year beginningCheck box if address changed Exempt under section X 501(c)(3) 220(e) 408(e) 408A 529(a)OMB

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Winston-Salem, NC 27101-2506 is a specific zip code in Winston-Salem, North Carolina.

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