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      <Desc>PATIENT ASSISTANCE:IN 2021, WE HELPED MORE THAN 81,000 LOW-INCOME KIDNEY FAILURE PATIENTS IN ALL 50 STATES GAIN ACCESS TO LIFESAVING HEALTHCARE, INCLUDING DIALYSIS AND TRANSPLANT, BY PROVIDING NEED-BASED GRANTS TO PAY FOR HEALTH INSURANCE PREMIUMS, TRANSPORTATION TO TREATMENT, PRESCRIPTION MEDICATIONS AND NUTRITIONAL PRODUCTS, AND EMERGENCY ASSISTANCE IN THE WAKE OF NATURAL DISASTERS. WITH AKF'S SUPPORT FOR HEALTH COVERAGE THEY OTHERWISE COULD NOT AFFORD, NEARLY 1,900 DIALYSIS PATIENTS HAD LIFESAVING KIDNEY TRANSPLANTS AND POST-TRANSPLANT CARE, REPRESENTING 7% OF ALL U.S. KIDNEY TRANSPLANTS PERFORMED IN 2021. WE PROVIDED NEARLY 2,500 DIALYSIS PATIENTS DISASTER RELIEF ASSISTANCE IN THE WAKE OF HURRICANES, FLOODS, AND WILDFIRES. PATIENTS SEEKING HELP FROM AKF MUST DEMONSTRATE FINANCIAL NEED THROUGH COMPLETION OF A GRANT APPLICATION. ON AVERAGE, OUR GRANT RECIPIENTS HAVE TOTAL HOUSEHOLD INCOMES LESS THAN $25,000 PER YEAR.</Desc>
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        <Desc>PUBLIC EDUCATION, AWARENESS AND PREVENTION ACTIVITIES:AWARENESS AND PREVENTION37 MILLION AMERICANS HAVE CHRONIC KIDNEY DISEASE (CKD), AND MOST DON'T REALIZE THEY HAVE IT. AKF'S EDUCATION PROGRAMS HELP INDIVIDUALS IDENTIFY THEIR RISKS FOR CKD AND MANAGE CKD, KIDNEY FAILURE AND CO-MORBIDITIES. WE REACHED MILLIONS OF PEOPLE IN 2021 WITH AWARENESS AND PREVENTION INFORMATION ON OUR WEBSITE. A HALLMARK OF THIS WORK WAS OUR SECOND ANNUAL KIDNEY ACTION WEEK, HELD FROM SEPTEMBER 13-17, 2021. THE VIRTUAL EDUCATIONAL EVENT WAS STREAMED THROUGH A DIGITAL CONFERENCE PLATFORM AND SIMULCASTED THROUGH AKF'S FACEBOOK AND YOUTUBE SOCIAL CHANNELS. MORE THAN 2,500 PEOPLE PREREGISTERED FOR THE EVENT, WITH MORE THAN 7,700 VIEWING THE LIVE SESSIONS THROUGH ALL CHANNELS. THE ARCHIVED VIEWS OF THE KIDNEY ACTION WEEK SESSIONS HAVE BEEN VIEWED MORE THAN 14,000 TIMES. PUBLIC EDUCATIONWE CONTINUALLY ENHANCE OUR EDUCATION CONTENT AND OFFERINGS. OUR WEBSITE, KIDNEYFUND.ORG, HAD MORE THAN 19 MILLION PAGEVIEWS IN 2021 AS WE CONTINUED TO ADD NEW CONTENT, INCLUDING EDUCATIONAL INFORMATION ABOUT COPING WITH THE PANDEMIC; OUR KIDNEY KITCHEN RESOURCE FEATURING IN-DEPTH DIET AND NUTRITION INFORMATION; AND EXPANDED INFORMATION ON ANEMIA, GOUT, LUPUS, RARE DISEASES AND MANY OTHER TOPICS. WE ALSO PUBLISHED MANY ADDITIONAL PAGES FOR OUR SPANISH-LANGUAGE WEBSITE. WE CONTINUED TO RUN AWARENESS CAMPAIGNS WHICH FOCUS ON MANAGING VARIOUS ASPECTS OF KIDNEY DISEASE AND ITS CO-MORBIDITIES. WE ALSO CONTINUED TO PROVIDE OUR KIDNEY HEALTH COACH PEER-TO-PEER COMMUNITY OUTREACH PROGRAM. WE OFFERED FREE, MONTHLY WEBINARS FOR PATIENTS, FAMILIES AND CAREGIVERS. OUR LIVE WEBINARS ARE LED BY KIDNEY DISEASE EXPERTS AS WELL AS PATIENTS AND FEATURE A DISCUSSION ABOUT A DIFFERENT TOPIC EACH MONTH. ALL WEBINARS ARE RECORDED AND POSTED TO AKF'S WEBSITE. 2021 WEBINARS FOCUSED ON A VARIETY OF TOPICS INCLUDING KIDNEY-FRIENDLY COOKING, COVID-19, NEPHROTIC SYNDROME AND DIABETIC KIDNEY DISEASE.FOR CHILDREN, LIVING WITH KIDNEY DISEASE IS EXTREMELY CHALLENGING. WE PROVIDE A NATIONWIDE ART CONTEST FOR PEDIATRIC KIDNEY PATIENTS, GIVING THEM AN OPPORTUNITY TO BE RECOGNIZED FOR THEIR ARTISTIC TALENTS. THIRTEEN DRAWINGS WERE CHOSEN FOR THE CALENDAR, AND WE RECOGNIZED THE WINNING COVER ARTIST AT OUR VIRTUAL GALA, THE HOPE AFFAIR. ENGAGING PATIENTS AND CAREGIVERS AROUND ADVOCACY ISSUES IS ANOTHER IMPORTANT INITIATIVE. WE HELD A VIRTUAL FLY-IN AS WELL AS A CONGRESSIONAL BRIEFING ON HEALTH DISPARITIES. AKF IS A STRONG AND INDEPENDENT VOICE ADVOCATING FOR POLICIES THAT IMPROVE ACCESS TO HEALTH CARE AND STRENGTHEN THE QUALITY OF CARE FOR INDIVIDUALS WITH KIDNEY DISEASE. WE WORK WITH CONGRESS, THE ADMINISTRATION, FEDERAL AGENCIES, AND STATE GOVERNMENTS TO ADVANCE LEGISLATION AND REGULATORY POLICIES IMPORTANT TO KIDNEY PATIENTS AND THEIR FAMILIES. WE PUBLISHED OUR FIRST ANNUAL "STATE OF THE STATES: LIVING DONOR PROTECTION REPORT CARD," WHICH GRADES EACH STATE FOR THE MEASURES IT HAS IN PLACE TO MAKE IT EASIER FOR PEOPLE TO BE LIVING KIDNEY DONORS.PROFESSIONAL EDUCATIONAKF DEVELOPS COURSES THAT ARE PROVIDED ONLINE AND MEET THE CONTINUING EDUCATION REQUIREMENTS FOR PROFESSIONALS WHO TREAT KIDNEY PATIENTS. IN 2021, WE REGISTERED MORE THAN 11,000 COURSES COMPLETED BY SOCIAL WORKERS, DIALYSIS TECHNICIANS, DIETITIANS, HEALTH EDUCATORS AND OTHER RENAL CARE PROFESSIONALS. THE GROWTH IN THIS AREA WAS DUE TO THE CREATION OF TWO NEW ACCREDITED COURSES ON PRURITUS AND DEPRESSION AND KIDNEY PATIENTS, AS WELL AS THE LAUNCH OF A NEW NON-ACCREDITED PROFESSIONAL WEBINAR SERIES.</Desc>
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        <Desc>RESEARCH:ESTABLISHED IN 1988, AKF'S CLINICAL SCIENTIST IN NEPHROLOGY PROGRAM HAS PROVIDED RESEARCH FUNDING TO MANY OF NEPHROLOGY'S BRIGHTEST SCHOLARS. MANY FORMER CSN FELLOWS HAVE GONE ON TO DISTINGUISHED CAREERS IN THE FIELD, CONDUCTING GROUNDBREAKING RESEARCH THAT ADVANCES KNOWLEDGE AND TREATMENT OF KIDNEY DISEASE. IN 2021, AKF SELECTED TWO NEW FELLOWS: DR. CHRISTINE LIMONTE FROM THE UNIVERSITY OF WASHINGTON AND DR. ELIZABETH KERMGARD FROM CHILDREN'S HOSPITAL LOS ANGELES (CHLA) JOINT NEPHROLOGY PROGRAM. DR. LIMONTE'S RESEARCH IS UTILIZING NOVEL ANALYTICS TECHNIQUES TO DETERMINE IF BLOOD VESSEL DISEASE IN THE BACK OF THE EYE, OR RETINOPATHY, CAN REVEAL INFORMATION ABOUT KIDNEY FUNCTION AND KIDNEY DISEASE. DR. KERMGARD IS STUDYING THE RELATIONSHIP BETWEEN GUT MICROBIOME AND CKD, AND HOW THE INTERACTIONS OF BACTERIA IN OUR BODY MAY IMPACT NORMAL BONE GROWTH AND TURNOVERTHE PROCESS OF RESORPTION FOLLOWED BY REPLACEMENT OF NEW BONE WITH LITTLE CHANGE IN SHAPE THAT OCCURS THROUGHOUT A PERSON'S LIFE.AKF TOOK MAJOR STEPS IN ADDRESSING THE PROBLEM OF UNKNOWN CAUSES OF KIDNEY DISEASE (UCKD) BY RELEASING A CONSENSUS ROADMAP IN JULY. THE ROADMAP LAYS OUT STEPS THAT AKF AND OTHERS CAN TAKE TO ADDRESS THE FUNDAMENTAL CHALLENGE THAT MANY PEOPLE WHO ARE DIAGNOSED WITH KIDNEY DISEASE, AND EVEN KIDNEY FAILURE, OFTEN DO NOT UNDERSTAND WHAT CAUSED IT. THE ANSWER TO THE QUESTION MAY WELL LEAD TO BETTER TREATMENT AND OUTCOMES FOR PATIENTS. IN DECEMBER, AKF HELD ITS SECOND UCKD SUMMIT. THE SUMMIT ALLOWED AKF'S PARTNERS IN THIS EFFORT TO MEET TO DISCUSS THE PROGRESS BEING MADE IN FULFILLING THE GOALS OF THE UCKD ROADMAP.</Desc>
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          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20852</ZIPCd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAVARNE A BURTON EX-OFFICIO</PersonNm>
        <TitleTxt>PRESIDENT &amp; CHIEF EXECUTIVE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>933776</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>56686</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DONALD ROY JR</PersonNm>
        <TitleTxt>EVP, AND COO - RET 11/2021</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>424620</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>45310</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE PUZZO</PersonNm>
        <TitleTxt>CHIEF DEVELOPMENT OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>376799</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>34546</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARSHALL STRISIK</PersonNm>
        <TitleTxt>VP AND GENERAL COUNSEL</TitleTxt>
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        <ReportableCompFromOrgAmt>344211</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>47094</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HOLLY BODE</PersonNm>
        <TitleTxt>VP OF GOVERNMENT AFFAIRS</TitleTxt>
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        <ReportableCompFromOrgAmt>349291</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TAMARA RUGGIERO</PersonNm>
        <TitleTxt>VP OF COMMUNICATIONS AND MARKETING</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>316311</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL SPIGLER</PersonNm>
        <TitleTxt>VP OF PATIENT SVCS/KIDNEY</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TARA BUNCH</PersonNm>
        <TitleTxt>EVP, AND COO - STARTING 10/2021</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MAUREEN NUGENT FRANCO</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SILAS P NORMAN MD MPH</PersonNm>
        <TitleTxt>CHAIR-ELECT</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <PersonNm>JERRY D KLEPNER</PersonNm>
        <TitleTxt>IMMEDIATE PAST CHAIR</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE A WRIGHT-NUNES MD MPH</PersonNm>
        <TitleTxt>CHAIR, MEDICAL AFFAIRS</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN F HANLEY CFA</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM J SCHUYLER</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FRANCES E ASHE-GOINS RN BSN MPH</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DONNA M CHRISTENSEN MD</PersonNm>
        <TitleTxt>MEMBER-AT-LARGE</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL W FLOOD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARIA A GRASSO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN KREX ESQ</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GREGORY P MADISON</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAMELA W MCNAMARA</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ELAINE MILEM</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN B MORIARTY JR ESQ</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN D RING CPA CGMA</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LISA A ROBIN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SEAN P RODDY CPA CMA CGMA MBA</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SUE ROTTURA</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW M SHORE JD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MELANIE J TURIEO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HEIDI L WAGNER JD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LARRY H WARREN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ARTHUR H METCALF II CPA ABV CFF</PersonNm>
        <TitleTxt>TRUSTEE - UNTIL 3/11/21</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>INTERACTIVE STRATEGIES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>133 CONNECTICUT AVENUE SUITE</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20036</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ROBBINSKERSTEN DIRECT</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>201 SUMMER STREET</AddressLine1Txt>
            <CityNm>HOLLISTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01746</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DIRECT MAIL SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>VENDORIN</BusinessNameLine1Txt>
          </BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>POBOX 1937</AddressLine1Txt>
            <CityNm>HATTIESBURG</CityNm>
            <StateAbbreviationCd>MS</StateAbbreviationCd>
            <ZIPCd>39403</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ORASES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5728 INDUSTRY LANE</AddressLine1Txt>
            <CityNm>FREDERICK</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21704</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>XXVI HOLDINGS INC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1600 AMPHITHEATRE WAY</AddressLine1Txt>
            <CityNm>MOUNTAIN VIEW</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94043</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ADVERTISING</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>19</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>205500</FederatedCampaignsAmt>
      <FundraisingAmt>899946</FundraisingAmt>
      <AllOtherContributionsAmt>348576235</AllOtherContributionsAmt>
      <NoncashContributionsAmt>408160</NoncashContributionsAmt>
      <TotalContributionsAmt>349681681</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>BROCHURE REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>280</TotalRevenueColumnAmt>
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      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>280</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>360758</TotalRevenueColumnAmt>
        <ExclusionAmt>360758</ExclusionAmt>
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      <RoyaltiesRevenueGrp>
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        <ExclusionAmt>67497</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>6662403</SecuritiesAmt>
        <OtherAmt>627049</OtherAmt>
      </GrossAmountSalesAssetsGrp>
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        <SecuritiesAmt>6462543</SecuritiesAmt>
        <OtherAmt>685654</OtherAmt>
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      <GainOrLossGrp>
        <SecuritiesAmt>199860</SecuritiesAmt>
        <OtherAmt>-58605</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>141255</TotalRevenueColumnAmt>
        <ExclusionAmt>141255</ExclusionAmt>
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      <ContriRptFundraisingEventAmt>899946</ContriRptFundraisingEventAmt>
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      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>ADVERTISING IN NEWSLET</Desc>
        <BusinessCd>541800</BusinessCd>
        <TotalRevenueColumnAmt>53400</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>53400</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>53400</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>350304871</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>280</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>53400</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>569510</ExclusionAmt>
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      <GrantsToDomesticIndividualsGrp>
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        <ProgramServicesAmt>318632117</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1561620</TotalAmt>
        <ProgramServicesAmt>791787</ProgramServicesAmt>
        <ManagementAndGeneralAmt>769833</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>8555354</TotalAmt>
        <ProgramServicesAmt>5724207</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1372466</ManagementAndGeneralAmt>
        <FundraisingAmt>1458681</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>525531</TotalAmt>
        <ProgramServicesAmt>338442</ProgramServicesAmt>
        <ManagementAndGeneralAmt>111307</ManagementAndGeneralAmt>
        <FundraisingAmt>75782</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1301564</TotalAmt>
        <ProgramServicesAmt>838368</ProgramServicesAmt>
        <ManagementAndGeneralAmt>275555</ManagementAndGeneralAmt>
        <FundraisingAmt>187641</FundraisingAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>653418</TotalAmt>
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        <ManagementAndGeneralAmt>138394</ManagementAndGeneralAmt>
        <FundraisingAmt>94223</FundraisingAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>338702</TotalAmt>
        <ProgramServicesAmt>235669</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47655</ManagementAndGeneralAmt>
        <FundraisingAmt>55378</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>60855</TotalAmt>
        <ProgramServicesAmt>42343</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8562</ManagementAndGeneralAmt>
        <FundraisingAmt>9950</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>444094</TotalAmt>
        <ProgramServicesAmt>444094</ProgramServicesAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>629695</TotalAmt>
        <FundraisingAmt>629695</FundraisingAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>73070</TotalAmt>
        <ManagementAndGeneralAmt>73070</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1956010</ProgramServicesAmt>
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        <FundraisingAmt>177168</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>1189192</TotalAmt>
        <ProgramServicesAmt>1148182</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1302</ManagementAndGeneralAmt>
        <FundraisingAmt>39708</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>3576788</TotalAmt>
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        <ManagementAndGeneralAmt>20076</ManagementAndGeneralAmt>
        <FundraisingAmt>1773425</FundraisingAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>1305168</TotalAmt>
        <ProgramServicesAmt>961095</ProgramServicesAmt>
        <ManagementAndGeneralAmt>135592</ManagementAndGeneralAmt>
        <FundraisingAmt>208481</FundraisingAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>499103</ProgramServicesAmt>
        <ManagementAndGeneralAmt>100913</ManagementAndGeneralAmt>
        <FundraisingAmt>117279</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>28705</TotalAmt>
        <ProgramServicesAmt>19597</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2311</ManagementAndGeneralAmt>
        <FundraisingAmt>6797</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>10364</TotalAmt>
        <ProgramServicesAmt>7076</ProgramServicesAmt>
        <ManagementAndGeneralAmt>834</ManagementAndGeneralAmt>
        <FundraisingAmt>2454</FundraisingAmt>
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        <TotalAmt>675552</TotalAmt>
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        <FundraisingAmt>110454</FundraisingAmt>
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      <InsuranceGrp>
        <TotalAmt>151660</TotalAmt>
        <ProgramServicesAmt>105525</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21339</ManagementAndGeneralAmt>
        <FundraisingAmt>24796</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MAILING LIST RENTAL</Desc>
        <TotalAmt>200442</TotalAmt>
        <ProgramServicesAmt>67689</ProgramServicesAmt>
        <FundraisingAmt>132753</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>DATA PROCESSING</Desc>
        <TotalAmt>159853</TotalAmt>
        <ProgramServicesAmt>58710</ProgramServicesAmt>
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        <FundraisingAmt>98392</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>FAIRS AND EXHIBITS</Desc>
        <TotalAmt>113931</TotalAmt>
        <ProgramServicesAmt>113931</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>69624</TotalAmt>
        <ProgramServicesAmt>57205</ProgramServicesAmt>
        <ManagementAndGeneralAmt>934</ManagementAndGeneralAmt>
        <FundraisingAmt>11485</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>343202920</TotalAmt>
        <ProgramServicesAmt>334715296</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3273082</ManagementAndGeneralAmt>
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      <JointCostsInd>X</JointCostsInd>
      <TotalJointCostsGrp>
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        <EOYAmt>658382</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>4034947</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2787640</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>1247307</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>914242</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>54250061</BOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>2482763</EOYAmt>
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        <EOYAmt>1031124</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>3840207</BOYAmt>
        <EOYAmt>3513887</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>47346336</BOYAmt>
        <EOYAmt>55492363</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>3063518</BOYAmt>
        <EOYAmt>3251606</EOYAmt>
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        <BOYAmt>50409854</BOYAmt>
        <EOYAmt>58743969</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>62257856</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>7101951</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1232164</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>52114106</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>54254318</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>47044440</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>49803007</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>47630148</CurrentTaxYearAmt>
        <TotalAmt>250846019</TotalAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>54254318</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>47044440</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>49803007</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>47630148</CurrentTaxYearAmt>
        <TotalAmt>250846019</TotalAmt>
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      <SubstantialContributorsTotAmt>131805415</SubstantialContributorsTotAmt>
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      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>433710</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>419132</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>692024</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>494865</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>428255</CurrentTaxYearAmt>
        <TotalAmt>2467986</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearMinus4YearsAmt>23762</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>66493</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>25670</CurrentTaxYearMinus2YearsAmt>
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      <GrossReceiptsRltdActivitiesAmt>3464</GrossReceiptsRltdActivitiesAmt>
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      <PublicSupportPY170Pct>0.44080</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART VI, LIST OF UNUSUAL GRANTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/17 AMOUNT: 120005000. DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/17 AMOUNT: XXX-XX-XXXX. DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/18 AMOUNT: 133000000. DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/18 AMOUNT: XXX-XX-XXXX. DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/19 AMOUNT: 148500000. DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/19 AMOUNT: 125004183. DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/20 AMOUNT: XXX-XX-XXXX. DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/20 AMOUNT: XXX-XX-XXXX. DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/21 AMOUNT: XXX-XX-XXXX. DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/21 AMOUNT: XXX-XX-XXXX.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039600001">
      <TotalGrassrootsLobbyingGrp>
        <FilingOrganizationsTotalAmt>22150</FilingOrganizationsTotalAmt>
      </TotalGrassrootsLobbyingGrp>
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>291686</FilingOrganizationsTotalAmt>
      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>313836</FilingOrganizationsTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>342835684</FilingOrganizationsTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>343149520</FilingOrganizationsTotalAmt>
      </TotalExemptPurposeExpendGrp>
      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>1000000</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>250000</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <TotLbbyngGrassrootMnsNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyngGrassrootMnsNonTxGrp>
      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyExpendMnsLbbyngNonTxGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus3Amt>1000000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>1000000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
        <TotalAmt>4000000</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>6000000</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearMinus3Amt>711745</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>534592</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>325782</CurrentYearMinus1Amt>
        <CurrentYearAmt>313836</CurrentYearAmt>
        <TotalAmt>1885955</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>250000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>250000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
        <TotalAmt>1000000</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>1500000</GrassrootsCeilingAmt>
      <AvgGrassrootsLobbyingExpendGrp>
        <CurrentYearMinus3Amt>81401</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>48991</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>12871</CurrentYearMinus1Amt>
        <CurrentYearAmt>22150</CurrentYearAmt>
        <TotalAmt>165413</TotalAmt>
      </AvgGrassrootsLobbyingExpendGrp>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>187968</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>4007</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>2862</OtherExpendituresAmt>
        <EndYearBalanceAmt>189113</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>187632</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>3362</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>3026</OtherExpendituresAmt>
        <EndYearBalanceAmt>187968</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>186273</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>4757</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>3398</OtherExpendituresAmt>
        <EndYearBalanceAmt>187632</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>185062</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>4235</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>3024</OtherExpendituresAmt>
        <EndYearBalanceAmt>186273</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>184136</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>3241</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>2315</OtherExpendituresAmt>
        <EndYearBalanceAmt>185062</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>0.93000</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.07000</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>213970</DepreciationAmt>
        <BookValueAmt>29597</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>2573670</DepreciationAmt>
        <BookValueAmt>1217710</BookValueAmt>
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      <OtherLiabilitiesOrgGrp>
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        <Amt>188946</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED RENT</Desc>
        <Amt>13712</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>AMOUNTS HELD FOR OTHERS</Desc>
        <Amt>828466</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1031124</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>352042491</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>1232164</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>896536</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>-318010</OtherRevenueAmt>
      <RevenueNotReportedAmt>1810690</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>350231801</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>73070</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>73070</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>350304871</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>343708376</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>896536</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>896536</ExpensesNotReportedAmt>
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      <InvestmentExpensesNotIncld2Amt>73070</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>318010</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>391080</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>343202920</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEREST EARNED FROM ENDOWMENTS ARE TO SUPPORT RESEARCH AND PATIENT SERVICES PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>AKF IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS DESIGNATED A "PUBLICLY SUPPORTED ORGANIZATION UNDER SECTION 509(A)(1) OF THE INTERNAL REVENUE CODE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSES NETTED OUT OF CAR CONTRIBUTION ON FINANCIAL STATEMENTS -181,612. NONDIRECT FUNDRAISING EXPENSES -136,398.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSES NETTED OUT OF CAR CONTRIBUTION ON FINANCIAL STATEMENTS 181,612. NONDIRECT FUNDRAISING EXPENSES 136,398.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041200001">
      <MailSolicitationsInd>X</MailSolicitationsInd>
      <EmailSolicitationsInd>X</EmailSolicitationsInd>
      <PhoneSolicitationsInd>X</PhoneSolicitationsInd>
      <InPersonSolicitationsInd>X</InPersonSolicitationsInd>
      <SolicitationOfNonGovtGrantsInd>X</SolicitationOfNonGovtGrantsInd>
      <SpecialFundraisingEventsInd>X</SpecialFundraisingEventsInd>
      <AgrmtProfFundraisingActyInd>1</AgrmtProfFundraisingActyInd>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>ROBBINSKERSTEN DIRECT</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>201 SUMMER STREET</AddressLine1Txt>
          <CityNm>HOLLISTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01746</ZIPCd>
        </USAddress>
        <ActivityTxt>DIRECT MAIL COUNSEL</ActivityTxt>
        <FundraiserControlOfFundsInd>0</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>3351649</GrossReceiptsAmt>
        <RetainedByContractorAmt>232527</RetainedByContractorAmt>
        <NetToOrganizationAmt>3119122</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>INTERACTIVE STRATEGIES</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>133 CONNECTICUT AVENUE</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20036</ZIPCd>
        </USAddress>
        <ActivityTxt>DIGITAL FUNDRAISING</ActivityTxt>
        <FundraiserControlOfFundsInd>0</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>1405402</GrossReceiptsAmt>
        <RetainedByContractorAmt>284028</RetainedByContractorAmt>
        <NetToOrganizationAmt>1121374</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>CHARITABLE ADULT RIDES &amp; SERVICES INC</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>4669 MURPHY CANYON ROAD SUITE 200</AddressLine1Txt>
          <CityNm>SAN DIEGO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92123</ZIPCd>
        </USAddress>
        <ActivityTxt>VEHICLE ADMINISTER</ActivityTxt>
        <FundraiserControlOfFundsInd>1</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>483085</GrossReceiptsAmt>
        <RetainedByContractorAmt>79423</RetainedByContractorAmt>
        <NetToOrganizationAmt>403662</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>AUTOMOTIVE RECOVERY SERVICES DBA CAR PROGRAM LLC</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>3755 OMEC CIR</AddressLine1Txt>
          <CityNm>RANCHO CORDOVA</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95742</ZIPCd>
        </USAddress>
        <ActivityTxt>VEHICLE ADMINISTER</ActivityTxt>
        <FundraiserControlOfFundsInd>1</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>143964</GrossReceiptsAmt>
        <RetainedByContractorAmt>33717</RetainedByContractorAmt>
        <NetToOrganizationAmt>110247</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <TotalGrossReceiptsAmt>5384100</TotalGrossReceiptsAmt>
      <TotalRetainedByContractorsAmt>629695</TotalRetainedByContractorsAmt>
      <TotalNetToOrganizationAmt>4754405</TotalNetToOrganizationAmt>
      <LicensedStatesCd>AL</LicensedStatesCd>
      <LicensedStatesCd>AK</LicensedStatesCd>
      <LicensedStatesCd>AZ</LicensedStatesCd>
      <LicensedStatesCd>AR</LicensedStatesCd>
      <LicensedStatesCd>CA</LicensedStatesCd>
      <LicensedStatesCd>CO</LicensedStatesCd>
      <LicensedStatesCd>CT</LicensedStatesCd>
      <LicensedStatesCd>DC</LicensedStatesCd>
      <LicensedStatesCd>DE</LicensedStatesCd>
      <LicensedStatesCd>FL</LicensedStatesCd>
      <LicensedStatesCd>GA</LicensedStatesCd>
      <LicensedStatesCd>HI</LicensedStatesCd>
      <LicensedStatesCd>ID</LicensedStatesCd>
      <LicensedStatesCd>IN</LicensedStatesCd>
      <LicensedStatesCd>IA</LicensedStatesCd>
      <LicensedStatesCd>KS</LicensedStatesCd>
      <LicensedStatesCd>KY</LicensedStatesCd>
      <LicensedStatesCd>LA</LicensedStatesCd>
      <LicensedStatesCd>ME</LicensedStatesCd>
      <LicensedStatesCd>MD</LicensedStatesCd>
      <LicensedStatesCd>MA</LicensedStatesCd>
      <LicensedStatesCd>MI</LicensedStatesCd>
      <LicensedStatesCd>MN</LicensedStatesCd>
      <LicensedStatesCd>MS</LicensedStatesCd>
      <LicensedStatesCd>MO</LicensedStatesCd>
      <LicensedStatesCd>MT</LicensedStatesCd>
      <LicensedStatesCd>NE</LicensedStatesCd>
      <LicensedStatesCd>NV</LicensedStatesCd>
      <LicensedStatesCd>NH</LicensedStatesCd>
      <LicensedStatesCd>NJ</LicensedStatesCd>
      <LicensedStatesCd>NM</LicensedStatesCd>
      <LicensedStatesCd>NY</LicensedStatesCd>
      <LicensedStatesCd>NC</LicensedStatesCd>
      <LicensedStatesCd>ND</LicensedStatesCd>
      <LicensedStatesCd>OH</LicensedStatesCd>
      <LicensedStatesCd>OK</LicensedStatesCd>
      <LicensedStatesCd>OR</LicensedStatesCd>
      <LicensedStatesCd>PA</LicensedStatesCd>
      <LicensedStatesCd>RI</LicensedStatesCd>
      <LicensedStatesCd>SC</LicensedStatesCd>
      <LicensedStatesCd>SD</LicensedStatesCd>
      <LicensedStatesCd>TN</LicensedStatesCd>
      <LicensedStatesCd>TX</LicensedStatesCd>
      <LicensedStatesCd>UT</LicensedStatesCd>
      <LicensedStatesCd>VT</LicensedStatesCd>
      <LicensedStatesCd>VA</LicensedStatesCd>
      <LicensedStatesCd>WA</LicensedStatesCd>
      <LicensedStatesCd>WY</LicensedStatesCd>
      <FundraisingEventInformationGrp>
        <Event1Nm>THE HOPE AFFAIR</Event1Nm>
        <GrossReceiptsEvent1Amt>653156</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>653156</CharitableContriEvent1Amt>
        <Event2Nm>NY GOLF EVENT</Event2Nm>
        <GrossReceiptsEvent2Amt>132083</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>132083</CharitableContriEvent2Amt>
        <OtherEventsTotalCnt>1</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>114707</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>114707</CharitableContriOtherEventsAmt>
        <GrossReceiptsTotalAmt>899946</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>899946</CharitableContributionsTotAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>KIDNEY PATIENT ASSISTANCE GRANTS</GrantTypeTxt>
        <RecipientCnt>81286</RecipientCnt>
        <CashGrantAmt>318392117</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>EDUCATIONAL STIPENDS</GrantTypeTxt>
        <RecipientCnt>4</RecipientCnt>
        <CashGrantAmt>240000</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>1)AMERICAN KIDNEY FUND, INC. (AKF) PROVIDES GRANTS THAT HELP KIDNEY PATIENTS WHO DEMONSTRATE FINANCIAL NEED. PATIENTS AND CAREGIVERS APPLY ONLINE. PATIENTS DEMONSTRATE NEED BY WORKING WITH THEIR SOCIAL WORKER AND RENAL PROFESSIONALS TO COMPLETE AN APPLICATION FOR FINANCIAL AID. GRANTS FROM AKF ARE USED FOR TRANSPORTATION, MEDICATION, HEALTH INSURANCE OR NUTRITIONAL PRODUCTS RELATED TO PATIENTS' KIDNEY DISEASE. AKF REQUIRES PROOF THE PATIENT HAS A CURRENT HEALTH INSURANCE PLAN IN PLACE; INVOICES FOR REIMBURSED TRANSPORTATION REPAIRS, AND DOCTOR PRESCRIPTIONS FOR MEDICATION. THE PATIENT'S TEAM OF SOCIAL WORKERS AND DOCTORS ENSURE THE MEDICATION. THE PATIENT'S TEAM OF SOCIAL WORKERS AND DOCTORS ENSURE THE PREMIUMS. 2) AKF GRANTS THE CLINICAL SCIENTIST IN NEPHROLOGY FELLOWSHIP YEARLY. THE MAXIMUM DURATION OF EACH FELLOWSHIP IS TWO YEARS. THE LEVEL OF FUNDING IS UP TO $80,000 PER YEAR AND SHALL BE USED PRINCIPALLY TO SUPPORT THE CANDIDATE AND HIS/HER CAREER DEVELOPMENT. THIS SUM IS EXPECTED TO COVER THE INDIVIDUAL FELLOW'S SALARY (WHICH WILL FOLLOW NIH GUIDELINES ACCORDING TO THE POST-GRADUATE YEAR PLUS COMPARABLE FRINGE BENEFITS AT THE INSTITUTION, NOT TO EXCEED $50,000) AS WELL AS TRAINING-RELATED EXPENSES. AKF MAKES PAYMENTS TO THE EDUCATIONAL INSTITUTIONS WHERE THE CANDIDATE IS COMPLETING HIS/HER STUDIES AND AKF RECEIVES REPORTS ON THE CANDIDATE'S STUDIES DURING HIS/HER SUPPORTED PERIOD.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAVARNE A BURTON EX-OFFICIO</PersonNm>
        <TitleTxt>PRESIDENT &amp; CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>795023</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>138150</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>603</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>39800</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16886</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>990462</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DONALD ROY JR</PersonNm>
        <TitleTxt>EVP, AND COO - RET 11/2021</TitleTxt>
        <BaseCompensationFilingOrgAmt>356579</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>66750</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1291</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25010</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>469930</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JULIE PUZZO</PersonNm>
        <TitleTxt>CHIEF DEVELOPMENT OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>317008</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>59000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>791</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14246</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>411345</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARSHALL STRISIK</PersonNm>
        <TitleTxt>VP AND GENERAL COUNSEL</TitleTxt>
        <BaseCompensationFilingOrgAmt>295081</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>48375</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>755</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26794</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>391305</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HOLLY BODE</PersonNm>
        <TitleTxt>VP OF GOVERNMENT AFFAIRS</TitleTxt>
        <BaseCompensationFilingOrgAmt>302667</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>45900</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>724</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15884</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>385475</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TAMARA RUGGIERO</PersonNm>
        <TitleTxt>VP OF COMMUNICATIONS AND MARKETING</TitleTxt>
        <BaseCompensationFilingOrgAmt>271834</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>43650</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>827</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20806</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>357417</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL SPIGLER</PersonNm>
        <TitleTxt>VP OF PATIENT SVCS/KIDNEY</TitleTxt>
        <BaseCompensationFilingOrgAmt>260049</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>40500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>482</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25055</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>346386</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>LAVARNE A. BURTON, PRESIDENT &amp; CEO, RECEIVED $178,875.50 IN 2021 WHICH WAS THE PAYOUT FROM A 457(F) PLAN AND WHICH WAS INCLUDED IN HER W-2. AKF IS NO LONGER CONTRIBUTING TO A 457(F) PLAN.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <CarsAndOtherVehiclesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>471</ContributionCnt>
        <NoncashContributionsRptF990Amt>249610</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COST &amp; SELLING PRICE</MethodOfDeterminingRevenuesTxt>
      </CarsAndOtherVehiclesGrp>
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>14</ContributionCnt>
        <NoncashContributionsRptF990Amt>158550</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>1</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>REPRESENTS NUMBER OF ITEMS CONTRIBUTED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 32B:</FormAndLineReferenceDesc>
        <ExplanationTxt>AKF HAS A CONTRACT WITH AUTOMOTIVE RECOVERY SERVICES (THE CAR PROGRAM, LLC AND CHARITABLE ADULT RIDES &amp; SERVICES (CARS, INC.). CARS, INC. PROVIDES THE ADMINISTRATIVE SERVICES ASSOCIATED WITH VEHICLE PICK UP REQUESTS, COORDINATES TOWING AND DISPOSAL OF VEHICLES. THE PROGRAM IS RUN THROUGHOUT THE YEAR. CARS, INC. MAINTAINS A WEBSITE THAT LISTS AKF AS ONE OF MANY CHARITIES ELIGIBLE FOR CONTRIBUTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE CONSISTS OF AKF BOARD OF TRUSTEE MEMBERS. THE COMPOSITION INCLUDES CHAIR, CHAIR-ELECT, IMMEDIATE PAST CHAIR, SECRETARY, TREASURER, CHAIR OF MEDICAL AFFAIRS AND TWO AT-LARGE AKF BOARD OF TRUSTEE MEMBERS. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE ALL POWERS AND DUTIES OF THE BOARD EXCEPT AS SPECIFICALLY RESERVED BY LAW OR BY THE BOARD THROUGH A CONTINUING RESOLUTION. THE EXECUTIVE COMMITTEE MEETING MINUTES ARE PROVIDED TO THE FULL BOARD FOR REVIEW AND APPROVAL AT EACH BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AMERICAN KIDNEY FUND'S MANAGEMENT PREPARES THE INFORMATION FOR THE 990, ENSURING ALL COMMUNICATIONS AND PROGRAMMATIC STAFF ARE INCLUDED IN THE PREPARATION AND THE REVIEW OF THE 990. THE AKF TRUSTEES HAVE TASKED THE AKF AUDIT AND COMPLIANCE COMMITTEE WITH THE DETAILED REVIEW OF THE FORM 990 PRIOR TO ITS FILING. THE AUDIT AND COMPLIANCE COMMITTEE REVIEWED 990 IS THEN PROVIDED TO THE FULL BOARD FOR FINAL REVIEW BEFORE IT IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMERICAN KIDNEY FUND, INC. (AKF) TRUSTEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY AT THE AKF SPRING BOARD MEETING. THE CONFLICT OF INTEREST FORM REQUIRES THE TRUSTEE TO ACKNOWLEDGE READING AND UNDERSTANDING AKF'S CONFLICT OF INTEREST STATEMENT AND MUST AFFIRMATIVELY NOTE ON FOUR SPECIFIC QUESTIONS REGARDING POTENTIAL CONFLICTS OF INTEREST. IF NONE EXIST, THE FORM MUST STILL BE COMPLETED AND NOTES MADE THAT NO CONFLICTS OF INTEREST EXIST. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO) COUNTER-SIGN THE FORM AND THE DIRECTOR OF STRATEGIC OPERATIONS TABULATES THE FORMS AND IF ANY CONFLICTS OF INTEREST ARE NOTED ON THE FORMS, FURTHER ACTIONS WOULD BE TAKEN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AKF TRUSTEES HAVE A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT TRUSTEES THAT ARE TASKED WITH REVIEW OF PERFORMANCE, EXECUTIVE COMPENSATION, AND INCENTIVE PLANS OF THE PRESIDENT AND CEO. ON A BI-ANNUAL BASIS, AKF HIRES AN INDEPENDENT SALARY CONSULTING FIRM TO CONDUCT A SURVEY OF THE NON-PROFIT COMMUNITY TO ENSURE AKF'S COMPENSATION AND BENEFITS FOR THE EXECUTIVE LEVEL (PRESIDENT AND CEO ALONG WITH THE VICE PRESIDENTS) ARE WITHIN INDUSTRY NORMS AND BEST PRACTICES. AKF COMPLETED ITS LATEST INDEPENDENT REVIEW OF EXECUTIVE COMPENSATION AND BENEFITS WITH A REPORT DATED JANUARY, 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS LAST THREE 990 FORMS AVAILABLE ON ITS OWN WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AKF MAKES AVAILABLE ITS AUDITED FINANCIAL STATEMENTS, FORM 990, FINANCIAL INTEREST DISCLOSURE FORM AND ANNUAL REPORTS ON ITS WEBSITE UNDER THE "ABOUT US" TAB.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE B, DESCRIPTION OF CONTRIBUTIONS:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMERICAN KIDNEY FUND IS A PUBLICLY SUPPORTED ORGANIZATION WITH DIVERSE BASE OF CONTRIBUTORS, WHICH INCLUDES INDIVIDUALS, CORPORATIONS, FOUNDATIONS, AND OTHER ORGANIZATIONS. IN 2021, THE AMERICAN KIDNEY FUND HAD JUST OVER 80,000 ACTIVE CONTRIBUTORS AND OF THOSE 195 CONTRIBUTORS INDIVIDUALLY CONTRIBUTED MORE THAN $5,000 A PIECE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>AMERICAN KIDNEY FUND SERVICE ORGANIZATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>11921 ROCKVILLE PIKE SUITE 300</AddressLine1Txt>
          <CityNm>ROCKVILLE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20852</ZIPCd>
        </USAddress>
        <EIN>300013495</EIN>
        <PrimaryActivitiesTxt>SUPPORT AMERICAN KIDNEY FUND, INC.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AMERICAN KIDNEY FUND INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART II, RELATED TAX-EXEMPT ORGANIZATION:</FormAndLineReferenceDesc>
        <ExplanationTxt>AMERICAN KIDNEY FUND SERVICE ORGANIZATION IS CURRENTLY DORMANT AND DID NOT HAVE ANY ACTIVITY IN 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
