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Return of Organization Exempt From Income Tax 2012

Form 990 Return of Organization Exempt From Income Tax OMB No. 1545-0047. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung 2012. benefit trust or private foundation) Open to Public Department of the Treasury Internal Revenue Service The Organization may have to use a copy of this Return to satisfy state reporting requirements. Inspection A For the 2012 calendar year, or tax year beginning , 2012, and ending , 20. B Check if applicable: C Name of Organization D Employer identification number Address change Doing Business As Name change Number and street (or box if mail is not delivered to street address) Room/suite E Telephone number Initial Return Terminated City, town or post office, state, and ZIP code Amended Return G Gross receipts $. Application pending F Name and address of principal officer: H(a) Is this a group Return for affiliates?

Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) The organization may have to use a copy of this return to satisfy state reporting requirements. OMB No. 1545-0047. 2012. Open to Public Inspection. A

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Transcription of Return of Organization Exempt From Income Tax 2012