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<br />MAY-20-SS 13.52 PROM.COCA-COLA ENTERPRISES TAX 10.770 SSS 3S34
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<br />Fonn 8283 W. 1
<br />Name(e) tbOWn on your incoMe t8lC I*aII(yIng IaIIIIber
<br />Coca-Cola Bnte rises ~c. 58-0503352
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<br />Section B -Appraisal SUmmary _. list in 1hfs ~ only ir8IrB (or groups of sIrriW......) fOr WhIoh you oI8mecIa d8duc:d0n of ~
<br />UuIn $6.000 per IIem or IJOUP, EIIaIpIIon. Repon conll'l~ of oenaIn puDlloly hcIed secmIIe8 only In S8cIIon A.
<br />Ir you doDllBd art,. ~ mav haw 1D atIaCh the compIel8 epP'*aL see the "* In Part I below, .
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<br />~~ .imadon on Donated property -.To ~ eo~ bY1he__ atrJ/ot 1IPPI1IIser.
<br />4 Cheak _ of pnJp8ItJ:
<br />'B AlIA (contrIbU1Ion of $20,000 or mole) IXI R8III ~ B GsmttI~
<br />Nt!' (oontrtbUIIOn 0'I1ee811u1n ~ D CaIn CaII8cIIDns SooIe
<br />""'....c1.._tinsIlr. -..... watanolota"... dtawfal(jlIr. -....~~ _.llII..".... tad.. C11J18l&._.ratfI~
<br />"dOtll_~""obJ'" "
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<br />or-inote; yoU must &dIaOh Ii'oo ., . of1h8 . ried .
<br />(II) If f8nSIbIe prop&\' was donarsd. give a bIIef tlUJmWy of
<br />1118 CMIlIII con<lllion lit U1etmB of 1118
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<br />See 1nIInI0II0na.
<br />(0) Appraised fair
<br />marIc8t value
<br />45 000
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<br />B
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<br />Taxpayer (Dono., Slalement .;..:. U8tGach..-n.~ In Part . ~'1h8l1h8:-.p~:i~..
<br />~;_ ',,: ,I' , ,havingaVlllue.of$500,orIBss.SeeinBUuollo",1 ';'.: ,.~:~:~:. ,.'~:I
<br />I declare 1h8I1h8 foJkMIng III/Im(e) IncIucIec:( In Plitt I above h8s 1D . b8St ~ mY IcnowIedge anCI tieIier tin eppralsed vakJe of not mom U.
<br />S500 (per iII!In). Enter idenIIIying leltet.fRmi Pm I 8Dd ~ 1118 speciIlo Item. See inetnlctione.. ,.., I ,... I" .,
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<br />parWlO n.fperfonned"'~~~niY___duiii;gmytaX~ O1netpenKins:-'.18gUI8IIy"'6' . ' .-':
<br />Also, I cfecIar& 1ha! I hold nweeIf out..a:e PUblio~1II1 or ~ EiIt on ilreaulllr ~ aild 1h8t hacal_ ofmv auaIIblIIons as
<br />CIe8Oa1bed in 1he ~pnIisII! r 8in qu tit make OTth8tv1:le of ~ beIna valutoiL:ilE IlthIIt the ~~ fees W8te not~ on
<br />a~IOf!iiE.p I'.CIP~vatue.. I~dtfiata. torfi'audulenl Of1hePl'OlMldYvalueasdsscribeCI
<br />~1he qualili8d .or1ftil ~ ~ rnay-sU~'...~ 1he peneI\y under secIIo&.:$ ~I~ tfie uncler8l8nl8lltof
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<br />ThI8 ChamatIIe ~n &eIcnowIed,gee \NIt it i8 a qUaIiIIed organIzaIion under eeoIiOn 17O(o)ancUh8l1t I'8Cl8IvecI the dorwled propen, as
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<br />Furthermore. thI$ organizBIfon 811rm81M11n 1he eventltSllllls. ~ or o1heMise disposes oflll8~ cIeBcrIbed In S8cIm'I B. Pwt I
<br />~~~C?::'~~==-~~~rc;..a;:==::=r,,~~~~lU1dglve1hedOnor
<br />Does 1118 0 n InfBnd to use1he' for M'urnIad8d iIII8? . '. : '. ". .. ,..',' , '~ ~', ,..... .' .... __.... .,...,~" . Yes X No
<br />Naai. 0IlIMIZatI0Il (dOlI") ~ kfenIIIIadIan IIIIIIIber
<br />Cit of La Porte dao'. ......0..:. _",' . . ..' 'I" 74-6001552. 'I':~".,. ~'~ID
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