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2003-253B
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2003-253B
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Last modified
11/22/2016 11:37:28 AM
Creation date
9/30/2015 6:49:08 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
09/23/2003
Control Number
2003-253B
Agenda Item Number
7.D.
Entity Name
Hibiscus Children's Center
Subject
Crisis Nursery Program
Children's Services Advisory Contract
Archived Roll/Disk#
3207
Supplemental fields
SmeadsoftID
3411
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Schedule B (Form 990, 990-EZ, or 990-PF) (2001 ) Page 1 to 1 of Part I <br /> Name of organization Employer identification number <br /> HIBISCUS CHILDREN ' S CENTER 59 - 2632361 <br /> Contributors (See Specific Instructions.) <br /> (a) (b) (c) (CQ <br /> No. Name, address and ZIP + 4 Aggregate contributions Type of contribution <br /> 1 HIBISCUS HOUSE CHILDRENS FOUNDATION Person QX <br /> Q <br /> P . O . BOX 305 Payroll <br /> $ 5 9 4 r 8 5 0 e Noncash <br /> JENSEN BEACH r FLORIDA 34957 (Complete Part there <br /> is a noncash conn tribution .) <br /> (a) (b) (c) (d) <br /> No. Name, address and ZIP + 4 Aggregate contributions Type of contribution <br /> 2 AGENCY FOR HEALTH CARE ADMINISTRATION Person FX <br /> Payroll Q <br /> 2312 LILLEARN CENTER BLVD $ 67 r 771 e Noncash 0 <br /> TALLAHAS S EE r FLORIDA 32309 (Complete Part II if there <br /> is a noncash contribution .) <br /> (a) (b) (c) (CO <br /> No. Name, address and ZIP + 4 Aggregate contributions Type of contribution <br /> 3 STATE OF FLORIDA Person QX <br /> Payroll 0 <br /> $ 1 , 4 2 9 r 214 a Noncash <br /> (Complete Part 11 if there <br /> TALLAHASSEE , FLORIDA 32 309 is a noncash contribution .) <br /> (a) (b) (c) (dl <br /> No. Name, address and ZIP + 4 Aggregate contributions Type of contribution <br /> Person Q <br /> Payroll 0 <br /> $ Noncash Q <br /> (Complete Part If if there <br /> is a noncash contribution .) <br /> (a) (b) (c) (CO <br /> No. Name, address and ZIP + 4 Aggregate contributions Type of contribution <br /> Person <br /> Payroll Q <br /> $ Noncash Q <br /> (Complete Part II if there <br /> is a noncash contribution .) <br /> (a) (b) (c) (dI <br /> No. Name, address and ZIP + 4 Aggregate contributions Type of contribution <br /> Person 0 <br /> Payroll Q <br /> $ Noncash Q <br /> (Complete Part 11 if there <br /> is a noncash contribution .) <br /> 123452 12-29-01 14 Schedule B ( Form 990 , 990-EZ, or 990 -13F) (2001 ) <br /> 13550208 781536 18252A 2001 . 08000 HIBISCUS CHILDREN ' S CENTER 18252A 1 <br />
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