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      <BusinessName>
        <BusinessNameLine1Txt>ASSISTED HOME HOSPICE FOUNDATION</BusinessNameLine1Txt>
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      <InCareOfNm>% Michael Donley</InCareOfNm>
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        <AddressLine1Txt>72 MOODY COURT SUITE 100</AddressLine1Txt>
        <CityNm>THOUSAND OAKS</CityNm>
        <StateAbbreviationCd>CA</StateAbbreviationCd>
        <ZIPCd>91360</ZIPCd>
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      <PersonTitleTxt>CFO</PersonTitleTxt>
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    <TaxYr>2021</TaxYr>
    <BuildTS>2022-09-23 18:48:47Z</BuildTS>
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      <PrimaryExemptPurposeTxt>To provide nursing services respite services and cremation services to the underserved</PrimaryExemptPurposeTxt>
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        <DescriptionProgramSrvcAccomTxt>Nursing Services for Hospice Patients</DescriptionProgramSrvcAccomTxt>
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      <ProgramSrvcAccomplishmentGrp>
        <DescriptionProgramSrvcAccomTxt>Respite for Homebound patients</DescriptionProgramSrvcAccomTxt>
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        <PersonNm referenceDocumentName="CompensationExplanation">Michael donley</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
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        <PersonNm referenceDocumentName="CompensationExplanation">Heather Donley</PersonNm>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm referenceDocumentName="CompensationExplanation">Elaine Donley</PersonNm>
        <TitleTxt>President</TitleTxt>
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      <StatesWhereCopyOfReturnIsFldCd>CA</StatesWhereCopyOfReturnIsFldCd>
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          <AddressLine1Txt>72 Moody Ct</AddressLine1Txt>
          <AddressLine2Txt>Ste 100</AddressLine2Txt>
          <CityNm>THOUSAND OAKS</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
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        <FormAndLineReferenceDesc>Part III, line 12</FormAndLineReferenceDesc>
        <ExplanationTxt>| S.No:, Amount:, Description:| 1, $600, Flu Shots| 2, $39585, Donations| 3, $1105, Plant Drive|</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part I, line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>| Other Revenues:, Amount:| Flu Shots, $600| Donations, $39585| Plant Drive, $1105|</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, line 16</FormAndLineReferenceDesc>
        <ExplanationTxt>| Other Expenses:, Amount:| ALLOCATIONS FOR CARE, $38216.00| IMPROVING YOU PROGRAM EXPENSES, $415.00| CREDIT CARD FEES, $82.00| MARKETING MATERIALS, $1715.00| SUPPLIES, $4460.00| VET CARE, $7164.00|</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II, line 26</FormAndLineReferenceDesc>
        <ExplanationTxt>| Liabilities Name:, BOY Amount:, EOY Amount:| Accounts Payable, $590, $764|</ExplanationTxt>
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