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    <Timestamp>2011-10-12T13:15:05-05:00</Timestamp>
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        <City>COLUMBUS</City>
        <State>OH</State>
        <ZIPCode>43240</ZIPCode>
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      <DateSigned>2011-10-05</DateSigned>
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    <Preparer>
      <Name>STEPHEN A SHERIDAN</Name>
      <Phone>6148852583</Phone>
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    <BuildTS>2016-03-07 17:11:31Z</BuildTS>
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      <StatesWhereCopyOfReturnIsFiled>OH</StatesWhereCopyOfReturnIsFiled>
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      <ForeignOffice>0</ForeignOffice>
      <MaintainAnyDonorAdvisedFunds>0</MaintainAnyDonorAdvisedFunds>
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        <CurrentTaxYearMinus2Years>15514</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>28088</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>9133</CurrentTaxYear>
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      <GeneralExplanation>
        <Identifier>OTHER REVENUE</Identifier>
        <ReturnReference>FORM 990-EZ, PART I, LINE 8</ReturnReference>
        <Explanation>DESCRIPTION: MISCELLANEOUS. AMOUNT: 10.</Explanation>
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      <GeneralExplanation>
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        <ReturnReference>FORM 990-EZ, PART I, LINE 10</ReturnReference>
        <Explanation>ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: VARIOUS EACH UNDER $5,000. GRANTEE ADDRESS: 425 HOME STREET GEORGETOWN, OH 45121. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 22,000.</Explanation>
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        <Explanation>DESCRIPTION: AED. AMOUNT: 6,467. DESCRIPTION: HOSPITAL ACTIVITIES. AMOUNT: 1,051. DESCRIPTION: NURSING ENHANCEMENT. AMOUNT: 1,657. DESCRIPTION: PAIN MANAGEMENT &amp; OTHER. AMOUNT: 1,000. DESCRIPTION: SPECIFIC REQUESTS. AMOUNT: 17,320. TOTAL TO FORM 990-EZ, LINE 16: 27,495.</Explanation>
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      <GeneralExplanation>
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        <ReturnReference>FORM 990-EZ, PART II, LINE 24</ReturnReference>
        <Explanation>DESCRIPTION: OHAIS CLASS A COMMON STOCK. BEG. OF YEAR AMOUNT: 162,149. END OF YEAR AMOUNT: 0. DESCRIPTION: DUE TO FOUNDATION FROM BCGH. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 150,000.</Explanation>
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