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        <BusinessNameLine1Txt>HARE TAYLOR LLC IN ASSOC W H &amp; R BLOCK</BusinessNameLine1Txt>
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        <AddressLine1Txt>2589 JENKS AVE</AddressLine1Txt>
        <CityNm>PANAMA CITY</CityNm>
        <StateAbbreviationCd>FL</StateAbbreviationCd>
        <ZIPCd>32405</ZIPCd>
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        <AddressLine1Txt>1695 MAIN STREET</AddressLine1Txt>
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        <StateAbbreviationCd>FL</StateAbbreviationCd>
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      <SignatureDt>2020-11-13</SignatureDt>
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      <PreparerPersonNm>G CHUCK TAYLOR CPA</PreparerPersonNm>
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      <PreparationDt>2020-11-17</PreparationDt>
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        <ContriPaidRevAndExpnssAmt>25</ContriPaidRevAndExpnssAmt>
        <ContriPaidDsbrsChrtblAmt>25</ContriPaidDsbrsChrtblAmt>
        <TotalExpensesRevAndExpnssAmt>25</TotalExpensesRevAndExpnssAmt>
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        <ExcessRevenueOverExpensesAmt>9021</ExcessRevenueOverExpensesAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
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        <TotalAssetsBOYAmt>457</TotalAssetsBOYAmt>
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        <TotalAssetsEOYFMVAmt>0</TotalAssetsEOYFMVAmt>
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        <TotNetAstOrFundBalancesBOYAmt>457</TotNetAstOrFundBalancesBOYAmt>
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      <QlfyUndSect4940eReducedTaxGrp>
        <LiableSection4942TaxInd>false</LiableSection4942TaxInd>
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        <AdjNonchrtblNetInvstIncmPctAmt>10240</AdjNonchrtblNetInvstIncmPctAmt>
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        <RulingLetterDt>2016-05-23</RulingLetterDt>
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        <ChangesToArticlesOrBylawsInd>false</ChangesToArticlesOrBylawsInd>
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        <OrganizationDissolvedEtcInd>false</OrganizationDissolvedEtcInd>
        <Section508eRqrSatisfiedInd>true</Section508eRqrSatisfiedInd>
        <AtLeast5000InAssetsInd>true</AtLeast5000InAssetsInd>
        <Form990PFFiledWithAttyGenInd>true</Form990PFFiledWithAttyGenInd>
        <PrivateOperatingFoundationInd>false</PrivateOperatingFoundationInd>
        <NewSubstantialContributorsInd>false</NewSubstantialContributorsInd>
        <OwnControlledEntityInd>false</OwnControlledEntityInd>
        <DonorAdvisedFundInd>false</DonorAdvisedFundInd>
        <ComplyWithPublicInspRqrInd>true</ComplyWithPublicInspRqrInd>
        <WebsiteAddressTxt>N/A</WebsiteAddressTxt>
        <IndividualWithBooksNm>RUBEN A LAUREL</IndividualWithBooksNm>
        <PhoneNum>8506383387</PhoneNum>
        <LocationOfBooksUSAddress>
          <AddressLine1Txt>1695 MAIN STREET</AddressLine1Txt>
          <CityNm>CHIPLEY</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32428</ZIPCd>
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        <ForeignAccountsQuestionInd>false</ForeignAccountsQuestionInd>
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        <SaleOrExchDisqualifiedPrsnInd>false</SaleOrExchDisqualifiedPrsnInd>
        <BrrwOrLendDisqualifiedPrsnInd>false</BrrwOrLendDisqualifiedPrsnInd>
        <FurnGoodsDisqualifiedPrsnInd>false</FurnGoodsDisqualifiedPrsnInd>
        <PayCompDisqualifiedPrsnInd>false</PayCompDisqualifiedPrsnInd>
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        <BusinessHoldingsInd>false</BusinessHoldingsInd>
        <JeopardyInvestmentsInd>false</JeopardyInvestmentsInd>
        <UncorrectedPYJeopardyInvstInd>false</UncorrectedPYJeopardyInvstInd>
        <InfluenceLegislationInd>false</InfluenceLegislationInd>
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        <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
        <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
        <NoncharitablePurposeInd>false</NoncharitablePurposeInd>
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        <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
        <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
        <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
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          <PersonNm>LORRIE LAUREL</PersonNm>
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            <CityNm>CHIPLEY</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32428</ZIPCd>
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          <TitleTxt>D,P</TitleTxt>
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          <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
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        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>MELISSA COOK</PersonNm>
          <USAddress>
            <AddressLine1Txt>1695 MAIN STREET</AddressLine1Txt>
            <CityNm>CHIPLEY</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32428</ZIPCd>
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          <TitleTxt>D,VP</TitleTxt>
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            <CityNm>CHIPLEY</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32428</ZIPCd>
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          <TitleTxt>D,S,T</TitleTxt>
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          <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
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        <CompOfHghstPdEmplOrNONETxt>NONE</CompOfHghstPdEmplOrNONETxt>
        <CompOfHghstPdCntrctOrNONETxt>NONE</CompOfHghstPdCntrctOrNONETxt>
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      <SumOfProgramRelatedInvstGrp>
        <Description1Txt>N/A</Description1Txt>
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        <AverageMonthlyCashBalancesAmt>9046</AverageMonthlyCashBalancesAmt>
        <FMVAllOtherNoncharitableAstAmt>0</FMVAllOtherNoncharitableAstAmt>
        <TotalFMVOfUnusedAssetsAmt>9046</TotalFMVOfUnusedAssetsAmt>
        <AdjustedTotalFMVOfUnusedAstAmt>9046</AdjustedTotalFMVOfUnusedAstAmt>
        <CashDeemedCharitableAmt>136</CashDeemedCharitableAmt>
        <NetVlNoncharitableAssetsAmt>8910</NetVlNoncharitableAssetsAmt>
        <MinimumInvestmentReturnAmt>446</MinimumInvestmentReturnAmt>
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        <MinimumInvestmentReturnAmt>446</MinimumInvestmentReturnAmt>
        <DistributableBeforeAdjAmt>446</DistributableBeforeAdjAmt>
        <DistributableBeforeDedAmt>446</DistributableBeforeDedAmt>
        <DistributableAsAdjustedAmt>446</DistributableAsAdjustedAmt>
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        <ExpensesAndContributionsAmt>25</ExpensesAndContributionsAmt>
        <QualifyingDistributionsAmt>25</QualifyingDistributionsAmt>
        <AdjustedQualifyingDistriAmt>25</AdjustedQualifyingDistriAmt>
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        <DistributableAsAdjustedAmt>446</DistributableAsAdjustedAmt>
        <ExcessDistributionCyovYr3Amt>4929</ExcessDistributionCyovYr3Amt>
        <TotalExcessDistributionCyovAmt>4929</TotalExcessDistributionCyovAmt>
        <QualifyingDistributionsAmt>25</QualifyingDistributionsAmt>
        <AppliedToCurrentYearAmt>25</AppliedToCurrentYearAmt>
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        <ExcessDistributionCyovAppCYAmt>421</ExcessDistributionCyovAppCYAmt>
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        <UndistributedIncomeCYAmt>0</UndistributedIncomeCYAmt>
        <ExcessDistriCyovToNextYrAmt>4508</ExcessDistriCyovToNextYrAmt>
        <ExcessFromYear3Amt>4508</ExcessFromYear3Amt>
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          <RecipientPersonNm>RUBEN LAUREL</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>1695 MAIN STREET</AddressLine1Txt>
            <AddressLine2Txt>1695 MAIN STREET</AddressLine2Txt>
            <CityNm>CHIPLEY</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32428</ZIPCd>
          </RecipientUSAddress>
          <RecipientPhoneNum>8505960218</RecipientPhoneNum>
          <RecipientEmailAddressTxt>RUBEN.LAUREL12@GMAIL.COM</RecipientEmailAddressTxt>
          <FormAndInfoAndMaterialsTxt>INDIVIDUALS UPON BEING REFERRED BY A PHYSICIAN TO THE FOUNDATION FOR ASSISTANCE WITH PHYSICAL THERAPY SERVICES BY AN ATTENDING PHYSICIAN. APPLICANTS WILL SUBMIT AN APPLICATION TO THE PRESIDENT AND/OR COMPLETE A PERSONAL INTERVIEW TO DETERMINE SUITABILITY FOR THE PROGRAM AND LACK OF FINANCIAL MEANS. GRANTS SMALL GRANTS BY OTHER NONPROFITS MAY BE SOLICITED BY LETTER OR VERBALLY AT THE LAUREL PROOF FOUNDATION, INC. BOARD MEETINGS.</FormAndInfoAndMaterialsTxt>
          <SubmissionDeadlinesTxt>THERE ARE NO HARD DEADLINES SET. ALL APPLICATIONS RECEIVED WILL BE REVIEWED BY THE BOARD OF DIRECTOR</SubmissionDeadlinesTxt>
          <RestrictionsOnAwardsTxt>THE INDIVIDUAL OR ORGANIZATION APPLYING FOR THE FUNDS MUST BE EITHER IN FINANCIAL NEED OF THE FUNDS FOR PHYSICAL THERAPY OR THEY MUST DESIRE TO FURTHER STUDY AND DEVELOP MECHANISMS TO AID THOSE WHO ARE PHSYICALLY CHALLENGED.</RestrictionsOnAwardsTxt>
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            <AddressLine1Txt>1567 MAIN STREET</AddressLine1Txt>
            <AddressLine2Txt>1567 MAIN STREET</AddressLine2Txt>
            <CityNm>CHIPLEY</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32428</ZIPCd>
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        <LoansOrLoanGuaranteesInd>false</LoansOrLoanGuaranteesInd>
        <PerformanceOfServicesEtcInd>false</PerformanceOfServicesEtcInd>
        <SharingOfFacilitiesEtcInd>false</SharingOfFacilitiesEtcInd>
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          <StateAbbreviationCd>FL</StateAbbreviationCd>
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