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      <InfoInScheduleOPartIInd>X</InfoInScheduleOPartIInd>
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      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
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      <MadeLoansToFromOfficersInd>false</MadeLoansToFromOfficersInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <StatesWhereCopyOfReturnIsFldCd>NY</StatesWhereCopyOfReturnIsFldCd>
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        <PersonNm>PATRICIA JOHNSON</PersonNm>
        <USAddress>
          <AddressLine1Txt>111 LORELEE DRIVE</AddressLine1Txt>
          <CityNm>TONAWANDA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>141504328</ZIPCd>
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        <PhoneNum>7166931508</PhoneNum>
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      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <DonorAdvisedFndsInd>false</DonorAdvisedFndsInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <TanningServicesProvidedInd>false</TanningServicesProvidedInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd>false</TransactionWithControlEntInd>
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        <ExplanationTxt>DESCRIPTION AMOUNTD&amp;O INSURANCE 275CPE PROVIDER APPLICATION FEE NYS 300PROGRAM COSTS - SPEAKERS,VENUE, ETC 476PAYPAL FEES 14</ExplanationTxt>
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