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<irdInformationReturn xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
	<informationReturnSummary>
		<informationReturnReporter>
			<tin>0000000000</tin>
			<branch>0</branch>
			<sender>
				<name>Name</name>
				<email>test@domain.com</email>
				<phone>0000000</phone>
				<position>position</position>
			</sender>
			<name>Name</name>
			<address>
				<address1>Address1</address1>
				<address2>Address2</address2>
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		</informationReturnReporter>
		<informationReturnStats>
			<period>201112</period>
			<action>new</action>
			<totalReportees>2</totalReportees>
			<amountReported>1003001.00</amountReported>
		</informationReturnStats>
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	<data xsi:type="donationToCharitiesInfoContainer">

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			<Reportee>
				<tin>0000000000</tin>
				<branch>0</branch>
				<name>Name</name>
				<address>
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			</Reportee>
			<SerialNumber> </SerialNumber>
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			<GrossamountOverMillion>1000000</GrossamountOverMillion>
			<DonorAdvantageOverMillion>0</DonorAdvantageOverMillion>

			<EligibleDonationUnderMillion>1000.00</EligibleDonationUnderMillion>
			<GrossamountUnderMillion>3000.00</GrossamountUnderMillion>
			<DonorAdvantageUnderMillion>2000.00</DonorAdvantageUnderMillion>

			<EligibleDonationExemptCharity>0</EligibleDonationExemptCharity>
			<GrossamountExemptCharity>0.00</GrossamountExemptCharity>
			<DonorAdvantageExemptCharity>0.00</DonorAdvantageExemptCharity>

			<EligibleDonationFairMarketValue>0</EligibleDonationFairMarketValue>
			<GrossamountFairMarketValue>0.00</GrossamountFairMarketValue>
			<DonorAdvantageFairMarketValue>0.00</DonorAdvantageFairMarketValue>
			<TotalEligibleDonation>101000.00</TotalEligibleDonation>
		</donationToCharitiesInfo>



		<donationToCharitiesInfo>
			<Reportee>
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				<branch>0</branch>
				<name>Name</name>
				<address>
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				</address>
			</Reportee>
			<SerialNumber> </SerialNumber>
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			<GrossamountOverMillion>1000001.00</GrossamountOverMillion>
			<DonorAdvantageOverMillion>500000.00</DonorAdvantageOverMillion>

			<EligibleDonationUnderMillion>0.00</EligibleDonationUnderMillion>
			<GrossamountUnderMillion>0.00</GrossamountUnderMillion>
			<DonorAdvantageUnderMillion>0.00</DonorAdvantageUnderMillion>

			<EligibleDonationExemptCharity>0.00</EligibleDonationExemptCharity>
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			<DonorAdvantageExemptCharity>0.00</DonorAdvantageExemptCharity>

			<EligibleDonationFairMarketValue>0</EligibleDonationFairMarketValue>
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			<DonorAdvantageFairMarketValue>0.00</DonorAdvantageFairMarketValue>
			<TotalEligibleDonation>500001.00</TotalEligibleDonation>
		</donationToCharitiesInfo>			
	</data>
</irdInformationReturn>