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Get Form 990-bl (rev. October 1999), (fill-in Version)

0049 Under section 501(c)(21) of the Internal Revenue Code. See separate instructions. For calendar year , or fiscal year beginning , , and ending , Name of trust Employer identification number of trust Name of other person filing return Social security or E.I. no. of other filer Number, street, and room or suite no. (If a P.O. box, see instructions) If application pending, check here City or town, state and ZIP code If address changed, check here FMV of assets at beginning.

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