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Form** PUBLIC DISCLOSURE COPY **990A For the 2011 calendar year, or tax year beginning DEC 1, 2011and ending Name of organizationCheck if applicable: Address change Name change Initial return Terminated

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F name and address refers to the information regarding the full name and physical address of an individual or entity.

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The information that must be reported on f name and address includes the full legal name and complete physical address of the individual or entity.

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