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        <PersonNm>Shane Avery</PersonNm>
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        <PersonNm>Mark Bascum</PersonNm>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>Giovanni Fresco</PersonNm>
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      <TaxImposedUnderIRC4912Amt>0</TaxImposedUnderIRC4912Amt>
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      <StatesWhereCopyOfReturnIsFldCd>NY</StatesWhereCopyOfReturnIsFldCd>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12866</ZIPCd>
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      <OperateHospitalInd>0</OperateHospitalInd>
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      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990-EZ, Part I, Line 4 - Other Investment Income</FormAndLineReferenceDesc>
        <ExplanationTxt>Description: Interest. Amount: 72.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990-EZ, Part I, Line 7 - Sales of Inventory</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990-EZ, Part I, Line 8 - Other Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Description: Workshare Penalty. Amount: 600. Description: Late Fees. Amount: 490. Description: Parking. Amount: 224. Description: Manage my Market. Amount: 750. Total to Form 990-EZ, line 8: 2,064.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <FormAndLineReferenceDesc>Form 990-EZ, Part II, Line 24 - Other Assets</FormAndLineReferenceDesc>
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