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Community Initiatives
Annual Reporting Form
Name of cause/service/program:
Date prepared:
Contribution Amount $:
How specifically were these funds used to support your cause/service/program?
Name of representative:
Organization:
E-Mail Address:
Mailing address:
City, State, Zip:
Day Phone:
Evening Phone:
Fax number:
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1900 Pine St. • Abilene, Texas 79601 • 325.670.2000
