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Get IA Aviva Form 17935 2012-2024

helpful in reviewing your application. ATTACHMENTS Please attach the following documents to this application: IRS 501(c)(3) determination letter. Annotated board of directors list. Submit completed Application and Attachments to: Karen Lynn, Aviva Charitable Foundation Mailing Address: 7700 Mills Civic Parkway West Des Moines, IA 50266-3862 Email: AvivaFoundation@avivausa.com 17935 ver. 8/12 Page 4 of 4 .

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