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        </ContributorBusinessName>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
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        <BookValueAmt>1003118</BookValueAmt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>421189</NetUnrealizedGainsInvstAmt>
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      <RevenueSubtotalAmt>6716698</RevenueSubtotalAmt>
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      <RevenueNotReportedFinclStmtAmt>17960</RevenueNotReportedFinclStmtAmt>
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      <ExpensesSubtotalAmt>7562311</ExpensesSubtotalAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ADOPTED THE ACCOUNTING STANDARD REGARDING "ACCOUNTING FOR UNCERTAIN TAX POSITIONS." THIS STANDARD PROVIDES DETAILED GUIDANCE FOR FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, AND DISCLOSURE OF UNCERTAIN TAX POSITIONS RECOGNIZED IN THE ENTITY'S FINANCIAL STATEMENTS. IT REQUIRES AN ENTITY TO RECOGNIZE THE FINANCIAL STATEMENT BENEFIT OF A TAX POSITION WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. THE ADOPTION OF THIS STANDARD HAD NO MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL POSITION, RESULTS OF OPERATIONS, OR CASH FLOW.</ExplanationTxt>
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        <IssuerName>
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        <BondIssuedDt>2013-12-02</BondIssuedDt>
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        <PurposeDesc>REFINANCE SERIES 2009 AND SERIES 2010 BONDS</PurposeDesc>
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        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
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        <RefundingTaxableBondsInd>1</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsPrivateBusUseGrp>
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        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
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        <NoRebateDueInd>1</NoRebateDueInd>
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        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXOFFICIO (ONE OF THE VOTING MEMBERS) ONLY VOTES WHEN THERE IS A SPLIT VOTE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS HAS CONTRACTED WITH CONTINUUM HEALTHCARE, WHICH HAS PROVIDED DAY TO DAY MANAGEMENT OF THE FACILITY. THE EXECUTIVE DIRECTOR IS AN EMPLOYEE OF CONTINUUM HEALTHCARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS DO NOT HAVE SEPARATE COMMITTEES AND THEREFORE NO CONTEMPORANEOUS DOCUMENTATION OF MEETINGS IS NECESSARY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS HAS THE ULTIMATE FIDUCIARY RESPONSIBILITY FOR APPROVING ALL FINANCIAL DOCUMENTS SUBMITTED ON BEHALF OF THE ORGANIZATION. THE BOARD OF DIRECTORS OF THE ORGANIZATION WILL COMPLETE A THOROUGH REVIEW OF THE FACILITY'S FORM 990 PRIOR TO THE SIGNING AND SUBMISSION OF THE FORM 990 TO THE IRS. ONCE THE DOCUMENT HAS BEEN SIGNED AND SUBMITTED TO THE IRS, THE ORGANIZATION WILL MAKE THE FORM 990 AVAILABLE FOR REVIEW BY THE PUBLIC.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DRAFT 990 IS E-MAILED TO ALL BOARD MEMBERS BEFORE A BOARD MEETING. EACH MEMBER HAS A CHANCE TO LOOK AT AND ASK QUESTIONS REGARDING THE TAX RETURN AT THE APPOINTED BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DIRECTORS AND TRUSTEES WILL BE REQUIRED TO ANNUALLY SIGN AND SUBMIT A CONFLICT OF INTEREST DISCLOSURE STATEMENT WHERE CONDITIONS EXIST WHICH COULD BE CONSIDERED A CONFLICT OF INTEREST. FOR ANY DIRECTOR/TRUSTEE HAVING A POSSIBLE CONFLICT OF INTEREST ON ANY MATTER THEY SHALL NOT VOTE OR USE HIS/HER PERSONAL INFLUENCE ON THE MATTER. THIS REQUIREMENT SHOULD NOT BE CONSTRUED AS PREVENTING THE DIRECTOR/TRUSTEE FROM INFORMING THE DIRECTORS/TRUSTEES OF THE EXISTENCE AND NATURE OF CONFLICT, NOR FROM ANSWERING PERTINENT QUESITONS, SINCE HIS/HER KNOWLEDGE MAY BE OF GREAT ASSISTANCE. THE MINUTES OF THE MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE AND THAT THE INTERESTED MEMBER ABSTAINED FROM VOTING. ANY VIOLATION OF THIS POLICY WILL RESULT IN THE BOARD OF DIRECTORS OR BOARD OR TRUSTEES, AS APPLICABLE, TAKING ANY CORRRECTIVE OR DISCIPLINARY ACTION AND DEEMED NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S OFFICE IN BOONE, IOWA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S OFFICE IN BOONE, IOWA.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER: PROGRAM SERVICE EXPENSES 1,005,993. MANAGEMENT AND GENERAL EXPENSES 50,663. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,056,656.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDIT OVERSIGHT PROCESS HAS NOT CHANGED FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>