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        <BusinessNameLine1>PORT JERVIS FIRE DEPARTMENT</BusinessNameLine1>
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      <DateSigned>2013-08-15</DateSigned>
      <AuthorizeThirdParty>true</AuthorizeThirdParty>
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    <Preparer>
      <Name>SUSAN M KRAYCER CPA</Name>
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      <DatePrepared>2013-08-12</DatePrepared>
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      <InvestmentIncome>619</InvestmentIncome>
      <FundraisingGrossIncome>5667</FundraisingGrossIncome>
      <SpecialEventsNetIncomeLoss>5667</SpecialEventsNetIncomeLoss>
      <TotalRevenue>48888</TotalRevenue>
      <GrantsAndSimilarAmountsPaid>1200</GrantsAndSimilarAmountsPaid>
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      <ProgramServiceAccomplishment>
        <DescriptionProgramServiceAccom>TO SUPPORT THE LOCAL COMMUNITY BY PROVIDING EDUCATIONAL ASSISTANCE TO LOCAL STUDENTS</DescriptionProgramServiceAccom>
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          <AddressLine1>9 PAINTED APRONS TERRACE</AddressLine1>
          <City>PORT JERVIS</City>
          <State>NY</State>
          <ZIPCode>12771</ZIPCode>
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      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ForeignOffice>false</ForeignOffice>
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      <DoesOrgHaveHospital>false</DoesOrgHaveHospital>
      <TanningServicesProvided>false</TanningServicesProvided>
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      <TransactionWithControlEntity>false</TransactionWithControlEntity>
      <EngagePoliticalCmpgnActivities>false</EngagePoliticalCmpgnActivities>
      <EngageInLobbyingActivities>false</EngageInLobbyingActivities>
      <OperatingSchool>false</OperatingSchool>
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        <CurrentTaxYearMinus2Years>42544</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>51907</CurrentTaxYearMinus1Year>
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        <CurrentTaxYearMinus2Years>569</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>516</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>619</CurrentTaxYear>
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      <PublicSupportPertcentage170>0.97970</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.97520</PublicSupportPertcentPriorYear>
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      <GeneralExplanation>
        <Identifier>OTHER EXPENSES</Identifier>
        <ReturnReference>FORM 990-EZ, PART I, LINE 16</ReturnReference>
        <Explanation>EXPENSES MEMBER EVENTS 44,976 BANK FEES 59 OFFICE SUPPLIES 4,365 TOTAL 49,400</Explanation>
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      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS OR FUND BALANCES</Identifier>
        <ReturnReference>FORM 990-EZ, PART I, LINE 20</ReturnReference>
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        <PersonName>DOMINIC CICALESE</PersonName>
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