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The following section is provided for your convenience. If you prefer, you may file the same information as a separate attachment. Organization Name Federal EIN Year-Ending: SCHEDULE OF CONTRIBUTIONS RECEIVED 1a. Direct Public Support: b. Indirect Public Support c. Government Grants: 1a. b. c. d. Total (add lines 1a, b & c) 1d. (A) Total STATEMENT OF FUNCTIONAL EXPENSES 22. Grants an.

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