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1II 1-v v *eff N OMB No 1545-0047 Return of Organization Exempt From Income Tax Fm 990 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private

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Write your name as the "Officer" in the designated space.

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The hereq signatu officer date is typically required by individuals who are authorized to fill out official forms or documents. This may include employees, managers, supervisors, or any other designated personnel who have the authority to sign and date a document on behalf of an organization or institution.

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