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      <DateSigned>2013-05-14</DateSigned>
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      <Name>LISA MCWHORTER</Name>
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      <DatePrepared>2013-05-14</DatePrepared>
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    <BuildTS>2016-02-25 16:41:14Z</BuildTS>
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        <PersonName>DR MATT MUMBER</PersonName>
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      <DirectIndirectPoliticalExpend>0</DirectIndirectPoliticalExpend>
      <MadeLoansToFromOfficers>0</MadeLoansToFromOfficers>
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          <State>GA</State>
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      <ForeignOffice>0</ForeignOffice>
      <MaintainAnyDonorAdvisedFunds>0</MaintainAnyDonorAdvisedFunds>
      <DoesOrgHaveHospital>0</DoesOrgHaveHospital>
      <TanningServicesProvided>0</TanningServicesProvided>
      <RelatedOrgControlledEntity>0</RelatedOrgControlledEntity>
      <EngagePoliticalCmpgnActivities>0</EngagePoliticalCmpgnActivities>
      <EngageInLobbyingActivities>0</EngageInLobbyingActivities>
      <OperatingSchool>0</OperatingSchool>
      <TrnsfrsExemptNonCharRelatedOrg>0</TrnsfrsExemptNonCharRelatedOrg>
      <PartVIOfCompOfHighestPaidEmpl>NONE</PartVIOfCompOfHighestPaidEmpl>
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        <ContributorAddressUS>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
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        <Identifier>OTHER INVESTMENT INCOME</Identifier>
        <ReturnReference>FORM 990-EZ, PART I, LINE 4</ReturnReference>
        <Explanation>INTEREST 72..</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PAYMENTS TO AFFILIATES</Identifier>
        <ReturnReference>FORM 990-EZ, PART I, LINE 10</ReturnReference>
        <Explanation>AFFILIATE NAME: NORTHWEST GEORGIA CANCER COALITION, INC.. AFFILIATE ADDRESS: 96 EAST CALLAHAN ST ROME, GA 30161-5473. PURPOSE OF PAYMENT: PROVIDED FINANCIAL AND ADMINISTRATIVE SUPPORT TO NORTHWEST GEORGIA REGIONAL. AMOUNT OF PAYMENT: 10000.</Explanation>
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      <GeneralExplanation>
        <Identifier>OTHER EXPENSES</Identifier>
        <ReturnReference>FORM 990-EZ, PART I, LINE 16</ReturnReference>
        <Explanation>DESCRIPTION: LICENSES AND PERMITS. AMOUNT: 163. DESCRIPTION: MAGNOLIA FOUNDATION. AMOUNT: 250. DESCRIPTION: BANK CHARGES. AMOUNT: 35. DESCRIPTION: MAGNOLIA COLORECTAL SCREENING. AMOUNT: 3750. DESCRIPTION: PROGRAM EXPENSE - OTHER. AMOUNT: 1104. TOTAL TO FORM 990-EZ, LINE 16: 5302.</Explanation>
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      <GeneralExplanation>
        <Identifier>OTHER LIABILITIES</Identifier>
        <ReturnReference>FORM 990-EZ, PART II, LINE 26</ReturnReference>
        <Explanation>DESCRIPTION: DEFFERED REVENUE. BEG. OF YEAR AMOUNT: 1750. END OF YEAR AMOUNT: 0.</Explanation>
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