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        <BusinessNameLine1Txt>MEADVILLE LODGE 2505</BusinessNameLine1Txt>
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      <PersonsWithBooksUSAddress>
        <AddressLine1Txt>PO BOX 1345</AddressLine1Txt>
        <CityNm>MEADVILLE</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>16335</ZIPCd>
      </PersonsWithBooksUSAddress>
      <CntrctWith3rdPrtyForGameRevInd>false</CntrctWith3rdPrtyForGameRevInd>
      <GamingManagerBusinessName>
        <BusinessNameLine1Txt>MEADVILLE LODGE 2505</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>LOYAL ORDER OF MOOSE</BusinessNameLine2Txt>
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      <GamingManagerServicesProvTxt>MANAGER</GamingManagerServicesProvTxt>
      <GamingManagerIsEmployeeInd>X</GamingManagerIsEmployeeInd>
      <CharitableDistributionRqrInd>false</CharitableDistributionRqrInd>
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    <IRS990ScheduleO documentId="RetDoc4">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>BRUCE KARNS RHONDA KARNS PRESIDENT CHAPLAIN HUSBAND AND WIFE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS OVER 600 MEMBERS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE NOMINATED AND ELECTED ON A YEARLY BASIS BY THE FULL MEMBERSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DECISIONS OF THE GOVERNING BOARD ARE SUBJECT TO THE APPROVAL BY A MAJORITY OF MEMBERS. ALL BUSINESS AT A BIMONTHLY MEETING HELD ON THE 1ST AND 3RD TUESDAY OF EACH MONTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>COPY PROVIDED TO ADMINISTRATOR FOR REVIEW AND SIGNOFF, THEN PROVIDED TO ENTIRE BOARD FOR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST</ExplanationTxt>
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</Return>