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          <FormAndInfoAndMaterials>APPLICANTS SHOULD SUBMIT A LETTER REQUEST THAT STATES THE BACKGROUND OF THE CHARITY, INCLUDING ITS CHARITABLE PURPOSE, AND THE CLIENTS IT SERVES.</FormAndInfoAndMaterials>
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            <BusinessNameLine1>ASSOCIATION FOR RETARDED CITIZENS DODGE COUNTY INC</BusinessNameLine1>
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            <State>WI</State>
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            <State>WI</State>
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      <Taxes>
        <Category>FEDERAL EXCISE TAXES</Category>
        <Amount>450</Amount>
        <NetInvestmentIncome>0</NetInvestmentIncome>
        <DisbursementsCharitablePrps>0</DisbursementsCharitablePrps>
      </Taxes>
    </TaxesSchedule>
  </ReturnData>
</Return>