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    <Timestamp>2011-11-11T08:35:21-08:00</Timestamp>
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        <City>Lake Zurich</City>
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        <BusinessNameLine1>Lake Zurich Bears Hockey Club Inc</BusinessNameLine1>
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    <Officer>
      <Name>Debra Vander Weit</Name>
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      <DateSigned>2011-11-08</DateSigned>
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      <Name>Diane L Patriarca CPA</Name>
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        <Title>Secretary</Title>
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