Schedule N-1 (Form 990 Or 990-Ez) - Continuation Sheet For Schedule N (Form 990 Or 990-Ez) - 2009

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SCHEDULE N-1
OMB No. 1545-0047
Continuation Sheet for Schedule N (Form 990 or 990-EZ)
(Form 990
2009
or 990-EZ)
Attach to Form 990 or 990-EZ to list additional information for
Schedule N (Form 990 or 990-EZ) Part I, line 1; or Part II, line 1.
Open to Public
Department of the Treasury
See instructions for Schedule N (Form 990 or 990-EZ).
Inspection
Internal Revenue Service
Name of the organization
Employer identification number
Continuation of Liquidation, Termination, or Dissolution (Schedule N (Form 990 or 990-EZ), Part I, line 1.)
Part I
(a) Description of asset(s)
(b) Date of
(c) Fair market value of
(d) Method of
(e) EIN of recipient
(f) Name and address of recipient
(g) IRC section of
distributed or transaction
distribution
asset(s) distributed or
determining FMV for
recipient(s) (if
expenses paid
amount of transaction
asset(s) distributed or
tax-exempt) or type
expenses
transaction expenses
of entity
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Schedule N-1 (Form 990 or 990-EZ) 2009
Cat. No. 51028S

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