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Get Form 6069 (rev

1999) Department of the Treasury Internal Revenue Service For calendar year , or fiscal year beginning OMB No. 1545-0049 NOT Open for Public Inspection , and ending Operator s name Employer identification number Number, street, and room or suite no. (or P. O. box number) If address changed, check here City or town, state and ZIP code Name of related section 501(c)(21) trust Schedule A 1 a b c d Employer identification number of related trust Worksheet for Computing the Section.

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