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        <BusinessNameLine1>Rotary Club of Jackson Foundation</BusinessNameLine1>
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        <State>CA</State>
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      <Title>PRESIDENT</Title>
      <Phone>2092963408</Phone>
      <DateSigned>2013-11-12</DateSigned>
      <AuthorizeThirdParty>true</AuthorizeThirdParty>
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      <Name>Cathy Castillo</Name>
      <PTIN>P00481208</PTIN>
      <Phone>2092675119</Phone>
      <DatePrepared>2013-11-13</DatePrepared>
      <SelfEmployed>X</SelfEmployed>
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      <PrimaryExemptPurpose>CHARITABLE AND PAUL HARRIS FUND SUPPORT</PrimaryExemptPurpose>
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        <PersonName>MARV HAMPTON</PersonName>
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        <PersonName>SHAWNNA MOLINA</PersonName>
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        <Title>FOUNDATION CHAIRMAN</Title>
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        <NamePerson>RICHARD CAMPBELL</NamePerson>
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          <AddressLine1>PO BOX 1117</AddressLine1>
          <City>JACKSON</City>
          <State>CA</State>
          <ZIPCode>95642</ZIPCode>
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        <TelephoneNumber>2092963408</TelephoneNumber>
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      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ForeignOffice>false</ForeignOffice>
      <MaintainAnyDonorAdvisedFunds>false</MaintainAnyDonorAdvisedFunds>
      <DoesOrgHaveHospital>false</DoesOrgHaveHospital>
      <TanningServicesProvided>false</TanningServicesProvided>
      <RelatedOrgControlledEntity>false</RelatedOrgControlledEntity>
      <TransactionWithControlEntity>false</TransactionWithControlEntity>
      <EngagePoliticalCmpgnActivities>false</EngagePoliticalCmpgnActivities>
      <EngageInLobbyingActivities>false</EngageInLobbyingActivities>
      <OperatingSchool>false</OperatingSchool>
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        <CurrentTaxYearMinus3Years>3896</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>1195</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>961</CurrentTaxYear>
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      <PublicSupportPertcentPriorYear>0.64690</PublicSupportPertcentPriorYear>
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        <RentFacilityCostsTotalEvents>2127</RentFacilityCostsTotalEvents>
        <OtherDirectExpensesTotalEvents>28988</OtherDirectExpensesTotalEvents>
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        <ReturnReference>Description of other expenses Part I line 16</ReturnReference>
        <Explanation>Description Amount BANK FEES AND CHARGES 5 COMMUNITY PROJECT COSTS 553 DONATIONS TO OTHER NON PROFITS 18,202 FILING FEES 35 STUDENT SCHOLARSHIPS 7,500 ROTARY YOUTH EXCHANGE EXPENSE 195 INTERACT ROTARY YOUTH 499</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>O02</Identifier>
        <ReturnReference>Other changes in net assets or fund balances Part I line 20</ReturnReference>
        <Explanation>Description Amount UNREALIZED GAIN FMV OF SECURITIES 1,602</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>O03</Identifier>
        <ReturnReference>Description of other assets Part II line 24</ReturnReference>
        <Explanation>Category Beginning of Year End of Year STUDENT LOANS RECEIVABLE 20,005 15,280 INTERFUND RECEIVABLE 2,274 949 GIURLANI INVESTMENT FUND 6,577 7,013 STUDENT LOAN INVESTMENT FUND 12,539 12,800 FOUNDATION INVESTMENT FUND 5,978 8,712</Explanation>
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        <ReturnReference>Description of total liabilities Part II line 26</ReturnReference>
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        <ReturnReference>Other program services Part III line 31</ReturnReference>
        <Explanation>SUPPORT FOR ROTARY YOUTH EXCHANGE AND ROTARY YOUTH PROGRAMS</Explanation>
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