| CIVITAN INTERNATIONAL
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PO BOX 454
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| HALEYVILLE, AL, 35565 |
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| Employee Identification Number: 020154003
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| Asset Amount: $0
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| Income Amount: $0
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| Form 990 Revenue Amount: $0
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| Tax Year: , 2009
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| Revenue Under $25,000: Yes
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| Terminated Required: No
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| Tax Period Begin Date: October 1, 2009
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| Tax Period End Date: September 3, 2010
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| Officer Name: Bill Lakeman
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| Officer Address: 2825 Littleville Rd
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| Officer City, State Zip : Haleyville, AL 35565
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| Doing Business As Name 1: HALEYVILLE CIVITAN CLUB
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