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        <AddressLine1Txt>29 Center Street</AddressLine1Txt>
        <CityNm>Southington</CityNm>
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      <PersonNm>Christina Harvey</PersonNm>
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      <SignatureDt>2023-12-13</SignatureDt>
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      <PreparerPersonNm>Thomas Langdon</PreparerPersonNm>
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    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
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      <GrantsAndSimilarAmountsPaidAmt>9676</GrantsAndSimilarAmountsPaidAmt>
      <OccupancyRentUtltsAndMaintAmt>38148</OccupancyRentUtltsAndMaintAmt>
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        <PersonNm>Christina Harvey</PersonNm>
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          <CityNm>Plainville</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>06062</ZIPCd>
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        <PhoneNum>8609825156</PhoneNum>
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      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <DonorAdvisedFndsInd>false</DonorAdvisedFndsInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <TanningServicesProvidedInd>false</TanningServicesProvidedInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
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      <IndividualWithBooksNm>Donald Bilaeleau Paul Laskowski</IndividualWithBooksNm>
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        <AddressLine1Txt>350 Brook Street</AddressLine1Txt>
        <CityNm>Bristol</CityNm>
        <StateAbbreviationCd>CT</StateAbbreviationCd>
        <ZIPCd>06010</ZIPCd>
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      <CntrctWith3rdPrtyForGameRevInd>false</CntrctWith3rdPrtyForGameRevInd>
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        <FormAndLineReferenceDesc>List of grants and similar amounts paid Part I line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Activity Grants to Members, Contributions &amp; Scholarships Grantee Various Amount 9,676</ExplanationTxt>
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