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Name of organization/mission:

Date of creation:

Was it created from another entity (e.g. mission becoming an org)?

Address:

Phone numbers:

Physical size of Org (square feet or meter):

Number of staff:

Executive Director (ED) [Day and Foundation, if applicable], Commanding Officer (CO) or Mission Holder:

Media contact person (or Director of Special Affairs [DSA]):

Other notable public or staff from this org/mission:

Estimated number of active Scientologists:

Estimated weekly average Gross Income (GI):

Estimated weekly average Value of Service Delivered (VSD):

Number of Class IV auditors made last year:

Number of Clears made last year:

Last verified (date):

Impressions by eye witnesses:

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