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            <BusinessNameLine1>FIRST CONNGREGATIONAL CHURCH - WEST BROOKFIELD</BusinessNameLine1>
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            <ZIPCode>01535</ZIPCode>
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          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>CHURCH</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>COMMUNITY</PurposeOfGrantOrContribution>
          <Amount>250</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>NORTH BROOKFIELD SENIOR CENTER</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC CHARITY</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>COMMUNITY</PurposeOfGrantOrContribution>
          <Amount>150</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>NORTH BROOKFIELD POLICE ASSOCIATION</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>GOVERNMENT</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>COMMUNITY</PurposeOfGrantOrContribution>
          <Amount>500</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>SACRED HEART OF W BROOKFIELD</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>CHURCH</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>COMMUNITY</PurposeOfGrantOrContribution>
          <Amount>250</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>SPENCER FIRE DEPT</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>GOVERNMENT</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>COMMUNITY</PurposeOfGrantOrContribution>
          <Amount>250</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>ST JOSEPHS CHURCH</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>CHURCH</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>COMMUNITY</PurposeOfGrantOrContribution>
          <Amount>500</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>WEST BROOKFIELD FIRE DEPT</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>GOVERNMENT</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>COMMUNITY</PurposeOfGrantOrContribution>
          <Amount>250</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>GAZETTE SANTA</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC CHARITY</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>COMMUNITY</PurposeOfGrantOrContribution>
          <Amount>100</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>HOLLAND CONGREGATIONAL CHURCH</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>CHURCH</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>COMMUNITY</PurposeOfGrantOrContribution>
          <Amount>500</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>EAST BROOKFIELD FIRE DEPT</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>GOVERNMENT</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>COMMUNITY</PurposeOfGrantOrContribution>
          <Amount>150</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>FIRST UNITED METHODIST CHURCH</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>CHURCH</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>COMMUNITY</PurposeOfGrantOrContribution>
          <Amount>50</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>QUABOG ATHLETIC BOOSTER CLUB</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC CHARITY</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>CULTURAL</PurposeOfGrantOrContribution>
          <Amount>300</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>OLD STURBRIDGE VILLAGE</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC CHARITY</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>CULTURAL</PurposeOfGrantOrContribution>
          <Amount>250</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>FRIENDS OF BANDSTAND</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC CHARITY</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>CULTURAL</PurposeOfGrantOrContribution>
          <Amount>100</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>NORTH BROOKFIELD BABE RUTH BASEBALL</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC CHARITY</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>CULTURAL</PurposeOfGrantOrContribution>
          <Amount>500</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>NORTH BROOKFIELD HISTORICAL SOCIETY</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC CHARITY</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>CULTURAL</PurposeOfGrantOrContribution>
          <Amount>50</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>SAINT RALPHS ACADEMY</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC CHARITY</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>EDUCATION</PurposeOfGrantOrContribution>
          <Amount>500</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>NICHOLS COLLEGE</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC CHARITY</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>EDUCATION</PurposeOfGrantOrContribution>
          <Amount>250</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>AMERICAN INTERNATIONAL COLLEGE</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC CHARITY</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>EDUCATION</PurposeOfGrantOrContribution>
          <Amount>500</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>CEDARVILLE COLLEGE</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC CHARITY</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>EDUCATION</PurposeOfGrantOrContribution>
          <Amount>500</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>SCHOLARSHIP AMERICA</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC CHARITY</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>EDUCATION</PurposeOfGrantOrContribution>
          <Amount>1700</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>DREW UNIVERSITY</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC CHARITY</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>EDUCATION</PurposeOfGrantOrContribution>
          <Amount>2000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>WESTFIELD STATE COLLEGE</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC CHARITY</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>EDUCATION</PurposeOfGrantOrContribution>
          <Amount>4000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>BRIDGEWATER STATE COLLEGE</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC CHARITY</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>EDUCATION</PurposeOfGrantOrContribution>
          <Amount>2000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>SPRINGFIELD COLLEGE</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC CHARITY</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>EDUCATION</PurposeOfGrantOrContribution>
          <Amount>2000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>WORCESTER STATE COLLEGE</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
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          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC CHARITY</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>EDUCATION</PurposeOfGrantOrContribution>
          <Amount>2000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>UNIVERSITY OF CONNECTICUT</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC CHARITY</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>EDUCATION</PurposeOfGrantOrContribution>
          <Amount>2000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>NORTH BROOKFIELD AMBULANCE SQUAD</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>GOVERNMENT</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>HEALTH &amp; WELFARE</PurposeOfGrantOrContribution>
          <Amount>500</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>WEST BROOKFIELD SENIOR CENTER</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
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          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC CHARITY</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>HEALTH &amp; WELFARE</PurposeOfGrantOrContribution>
          <Amount>50</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>CHILDREN'S FRIEND SOCIETY</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC CHARITY</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>HEALTH &amp; WELFARE</PurposeOfGrantOrContribution>
          <Amount>1000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>MASSACHUSETTS CITIZENS FOR CHILDREN</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
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            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
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          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>GOVERNMENT</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>HEALTH &amp; WELFARE</PurposeOfGrantOrContribution>
          <Amount>100</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>NATIONAL MS SOCIETY</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
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            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
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          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC CHARITY</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>HEALTH &amp; WELFARE</PurposeOfGrantOrContribution>
          <Amount>100</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>NORTH BROOKFIELD YOUTH CENTER</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
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          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC CHARITY</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>SPECIAL</PurposeOfGrantOrContribution>
          <Amount>1000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>PAUL AHERN - VALEDICTORIAN</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>INFORMATION PROVIDED UPON REQUEST</AddressLine1>
            <AddressLine2>18 SCHOOL STREET</AddressLine2>
            <City>NORTH BROOKFIELD</City>
            <State>MA</State>
            <ZIPCode>01535</ZIPCode>
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          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>SCHOLARSHIP</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>SPECIAL</PurposeOfGrantOrContribution>
          <Amount>2000</Amount>
        </GrantOrContriPaidDuringYear>
        <TotGrantOrContriPaidDuringYear>28900</TotGrantOrContriPaidDuringYear>
        <TotGrantOrContriApprovedFuture>0</TotGrantOrContriApprovedFuture>
      </SupplementaryInformation>
      <AnalysisIncomeProducingActy>
        <IntOnSavingsAndTempCashInvst>
          <ExclusionCode>14</ExclusionCode>
          <ExclusionAmount>1918</ExclusionAmount>
        </IntOnSavingsAndTempCashInvst>
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          <ExclusionCode>14</ExclusionCode>
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        <OtherInvestmentIncomePartVII>
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          <ExclusionAmount>34</ExclusionAmount>
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        <GainSalesAssetsOthThanInvntry>
          <ExclusionCode>18</ExclusionCode>
          <ExclusionAmount>-64199</ExclusionAmount>
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