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        <FormAndLineReferenceDesc>Pt II Ln 10</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS AND DIRECTORS ARE REQUIRED TO SIGN A NON CONFLICT OF INTREST FORM</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE AVAILABLE UPON REQUEST</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>SALARY IS REVIEWED BY BOARD OF DIRECTORS</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM IS PRESENTED TO BOARD WHO REVIEWS IT</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>LICENSE/PERMIT 0. 0. 0. 0.</ExplanationTxt>
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        <ExplanationTxt>Resident Program 0. 0. 0. 0.</ExplanationTxt>
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      <SupplementalInformationDetail>
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