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        <BusinessNameLine1Txt>Southern Loss Association Inc</BusinessNameLine1Txt>
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        <PersonNm>John Southall</PersonNm>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>Gwendalina Schulte</PersonNm>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>Jessica Petrey</PersonNm>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>Brooke Hill</PersonNm>
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        <PersonNm>Adrian Medley</PersonNm>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>Stephen Phillips</PersonNm>
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        <PersonNm>Shawn McHugh</PersonNm>
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        <PersonNm>Gail Graves</PersonNm>
        <TitleTxt>Asst. Sec./Treas.</TitleTxt>
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      <OrganizationHadUBIInd>0</OrganizationHadUBIInd>
      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
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          <CityNm>Atlanta</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>303428564</ZIPCd>
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        <PhoneNum>4048765220</PhoneNum>
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      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <DonorAdvisedFndsInd>0</DonorAdvisedFndsInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <TanningServicesProvidedInd>0</TanningServicesProvidedInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
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      <EmailSolicitationsInd>X</EmailSolicitationsInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990-EZ, Part I, Line 4 - Other Investment Income</FormAndLineReferenceDesc>
        <ExplanationTxt>Description: Interest Income. Amount: 4,977.</ExplanationTxt>
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      <SupplementalInformationDetail>
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