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      <PersonsWithBooksUSAddress>
        <AddressLine1Txt>255 S SIXTH ST</AddressLine1Txt>
        <AddressLine2Txt>255 S SIXTH ST</AddressLine2Txt>
        <CityNm>NEWARK</CityNm>
        <StateAbbreviationCd>OH</StateAbbreviationCd>
        <ZIPCd>43055</ZIPCd>
      </PersonsWithBooksUSAddress>
      <CntrctWith3rdPrtyForGameRevInd>false</CntrctWith3rdPrtyForGameRevInd>
      <GamingManagerPersonNm>DARRIN D LOGAN</GamingManagerPersonNm>
      <GamingManagerServicesProvTxt>GAMING ADMINISTRATION</GamingManagerServicesProvTxt>
      <GamingManagerIsDirectorOfcrInd>X</GamingManagerIsDirectorOfcrInd>
      <CharitableDistributionRqrInd>true</CharitableDistributionRqrInd>
      <DistributedAmt>10755</DistributedAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE G, PAGE 3, PART III, LINE 17B</FormAndLineReferenceDesc>
        <ExplanationTxt>OHIO 10,755</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleG>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>TO PROMOTE A SPIRIT OF FRATERNALISM, SUPPORT AND MUTUAL HELPFULNESS AMONG MEMBERS AND PROVIDE FOR PAYMENT OF LIFE, SICK, AND ACCIDENT OR OTHER BENEFITS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>NO REVIEW WAS OR WILL BE CONDUCTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL GOVERNING DOCUMENTS AND FEDERAL FORM 990 ARE KEPT AT LODGE. SAID FORMS AND DOCUMENTS ARE AVAILABLE TO PUBLIC INSPECTION TO THOSE WHO MAKE AN APPOINTMENT IN ADVANCE AS OFFICERS ARE NOT ALWAYS AVAILABLE. ALL OFFICERS ARE ACTIVE LAW ENFORCEMENT OFFICERS, AND EMPLOYED FULL-TIME BY VARIOUS LOCAL LAW ENFORCEMENT AGENCIES. LOCATION OF LODGE: 255 S. SIXTH ST., NEWARK, OH. 43055 LODGE TELEPHONE: 740-345-4831</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
