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        <ManagementAndGeneralAmt>135</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS EXPENSE</Desc>
        <TotalAmt>100</TotalAmt>
        <ManagementAndGeneralAmt>100</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>190099</TotalAmt>
        <ProgramServicesAmt>147069</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37952</ManagementAndGeneralAmt>
        <FundraisingAmt>5078</FundraisingAmt>
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        <EOYAmt>112877</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
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      </AccountsReceivableGrp>
      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>4202556</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>3974826</BOYAmt>
        <EOYAmt>4329433</EOYAmt>
      </TotalAssetsGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>2405</BOYAmt>
        <EOYAmt>1860</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>2405</BOYAmt>
        <EOYAmt>1860</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>1502121</BOYAmt>
        <EOYAmt>1589487</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>2470300</BOYAmt>
        <EOYAmt>2738086</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>4327573</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>3974826</BOYAmt>
        <EOYAmt>4329433</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>65914</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>289238</NetUnrlzdGainsLossesInvstAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc6">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>87740</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>10065</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>25094</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>687</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>23418</CurrentTaxYearAmt>
        <TotalAmt>147004</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>87740</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>10065</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>25094</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>687</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>23418</CurrentTaxYearAmt>
        <TotalAmt>147004</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>147004</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>1143</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>116010</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>106443</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>94043</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>93518</CurrentTaxYearAmt>
        <TotalAmt>411157</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>558161</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>155700</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.26340</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.59300</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsPY170Ind>X</ThirtyThrPctSuprtTestsPY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc2">
      <OtherLiabilitiesOrgGrp>
        <Desc>FICA &amp; FWT PAYABLE</Desc>
        <Amt>1577</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>SWT PAYABLE</Desc>
        <Amt>255</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LOCAL - WHEELING SERVICE FEE</Desc>
        <Amt>28</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1860</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc3">
      <FundraisingEventInformationGrp>
        <Event1Nm>AN EVENING WITH</Event1Nm>
        <GrossReceiptsEvent1Amt>21635</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>21635</CharitableContriEvent1Amt>
        <RentFacilityCostsEvent1Amt>2838</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>3000</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>1232</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>21635</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>21635</CharitableContributionsTotAmt>
        <RentFcltyCostsTotalEventsAmt>2838</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>3000</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>1232</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>7070</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-7070</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc4">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>YWCA WHEELING WV</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1100 CHAPLINE ST</AddressLine1Txt>
          <CityNm>WHEELING</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26003</ZIPCd>
        </USAddress>
        <RecipientEIN>550357063</RecipientEIN>
        <CashGrantAmt>6500</CashGrantAmt>
        <PurposeOfGrantTxt>HEALTH &amp; WELLNESS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>YOUTH SERVICE SYSTEMS INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>87 15TH ST</AddressLine1Txt>
          <CityNm>WHEELING</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26003</ZIPCd>
        </USAddress>
        <RecipientEIN>550583675</RecipientEIN>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>HOUSING GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BROOKE COUNTY HEALTH DEPT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>632 MAIN ST</AddressLine1Txt>
          <CityNm>WELLSBURG</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26070</ZIPCd>
        </USAddress>
        <RecipientEIN>556011135</RecipientEIN>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>COVID VACCINE ASSIST</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>JEFFERSON COUNTY HEALTH DEPT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>500 MARKET ST 7</AddressLine1Txt>
          <CityNm>STEUBENVILLE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43952</ZIPCd>
        </USAddress>
        <RecipientEIN>346001501</RecipientEIN>
        <CashGrantAmt>9915</CashGrantAmt>
        <PurposeOfGrantTxt>COVID VACCINE ASSIST</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MARSHALL COUNTY HEALTH DEPT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>513 6TH ST</AddressLine1Txt>
          <CityNm>MOUNDSVILLE</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26041</ZIPCd>
        </USAddress>
        <RecipientEIN>556012327</RecipientEIN>
        <CashGrantAmt>6926</CashGrantAmt>
        <PurposeOfGrantTxt>COVID VACCINE ASSIST</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OHIO COUNTY HEALTH DEPT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1500 CHAPLINE ST 6</AddressLine1Txt>
          <CityNm>WHEELING</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26003</ZIPCd>
        </USAddress>
        <RecipientEIN>556011252</RecipientEIN>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>COVID VACCINE ASSIST</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CFOV</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1226 CHAPLINE ST</AddressLine1Txt>
          <CityNm>WHEELING</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26003</ZIPCd>
        </USAddress>
        <RecipientEIN>310908698</RecipientEIN>
        <CashGrantAmt>7000</CashGrantAmt>
        <PurposeOfGrantTxt>INTERN PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>INFORMATION HELPLINE - UOV</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1035 CHAPLINE ST</AddressLine1Txt>
          <CityNm>WHEELING</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26003</ZIPCd>
        </USAddress>
        <RecipientEIN>550552045</RecipientEIN>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>POVERTY UTILITY ASST</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NAMI OF GREATER WHEELING INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1035 CHAPLINE ST</AddressLine1Txt>
          <CityNm>WHEELING</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26003</ZIPCd>
        </USAddress>
        <RecipientEIN>272764151</RecipientEIN>
        <CashGrantAmt>7000</CashGrantAmt>
        <PurposeOfGrantTxt>DROP-IN CENTER</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OGLEBAY INSTITUTE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>26 CYPRESS AVE</AddressLine1Txt>
          <CityNm>WHEELING</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26003</ZIPCd>
        </USAddress>
        <RecipientEIN>550359760</RecipientEIN>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>PHYSICAL &amp; MENTAL AC</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>18</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION IS CURRENTLY DEVELOPING A FORMALIZED COMPETITVE GRANT PROCESS WHICH WILL BE ANNOUNCED AND SHARED WITH PUBLIC CHARITIES WITHIN THE COMMUNITIES THE FOUNDATION SERVES. THIS PROCESS WILL INCLUDE MONITORING THE USE OF THE GRANT FUNDS DISTRIBUTED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MISSION OF THIS CORPORATION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE RESIDENTS OF THE OHIO VALLEY. THE CORPORATION PROVIDES FUNDING IN SUPPORT OF HEALTH EDUCATION FOR MEMBERS OF THE COMMUNITY AND HEALTHCARE PROFESSIONALS IN THE COMMUNITIES OF WHEELING, WEST VIRGINIA, MARTINS FERRY, OHIO, ST. CLAIRSVILLE, OHIO, AND THE FOLLOWING COUNTIES: BROOKE, OHIO, MARSHALL AND WETZEL IN WEST VIRGINIA AND BELMONT, JEFFERSON, MONROE, GUERNSEY AND HARRISON IN OHIO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION WAS CREATED AS A RESULT OF THE JUNE 1, 2017 SALE OF OHIO VALLEY MEDICAL CENTER ("OVMC") AND EAST OHIO REGIONAL HOSPITAL ("EORH") TO ALECTO, A FOR-PROFIT HEALTH CARE SYSTEM. THEREFORE, THE FOUNDATION WAS CREATED TO CARRY OUT THE CHARITABLE OUTREACH ACTIVITIES OF THE FORMER NOT- FOR-PROFIT OVMC AND EORH. ON MARCH 19, 2018, THE FOUNDATION WAS DESIGNATED BY THE INTERNAL REVENUE SERVICE AS A TAX-EXEMPT NON-PROFIT 501(C) (3) PUBLIC CHARITY. THEREFORE, MOST OF THE 2017 AND EARLY 2018 CALENDAR YEARS INVOLVED WORKING ON MAKING THE APPROPRIATE STEPS TO RENAME AND RECLASSIFY THE FOUNDATION. THE FOUNDATION IS CURRENTLY WORKING TO AWARD ANNUAL GRANTS IN ORDER TO ASSURE COMMUNITY NEEDS ARE MET AND THUS, THE FOUNDATION IS DEVELOPING A FORMALIZED COMPETITIVE GRANT PROCESS WHICH WILL BE ANNOUNCED AND SHARED WITH PUBLIC CHARITIES WITHIN THE COMMUNITIES THE FOUNDATION SERVES. THE MISSION OF THIS FOUNDATION IS TO IMPROVE THE HEALTH AND WELL- BEING OF THE RESIDENTS OF THE OHIO VALLEY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>ORPHY KLEMPA SERVED AS THE CHAIR OF RIVER VALLEY HEALTH FOUNDATION FOR 2021. PRIOR TO FILING THIS RETURN, MR. KLEMPA PASSED AWAY (OCTOBER 2021). HE IS STILL LISTED AS AN OFFICER ON THIS 990 SINCE HE SERVED IN THAT CAPACITY, BUT HE CANNOT BE REACHED AT THE ORGANIZATION'S ADDRESS. CARLOS JIMENEZ MD SERVED AS A BOARD MEMBER FOR RIVER VALLEY HEALTH FOUNDATION FOR 2021. PRIOR TO FILING THIS RETURN, MR. JIMENEZ PASSED AWAY (DECEMBER 2021). HE IS STILL LISTED AS AN OFFICER ON THIS 990 SINCE HE SERVED IN THAT CAPACITY, BUT HE CANNOT BE REACHED AT THE ORGANIZATION'S ADDRESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>ORPHY KLEMPA 1226 CHAPLINE STREET WHEELING, WV 26003 CARLOS JIMENEZ MD</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR PRIOR TO FILING AND IS AVAILABLE TO ANY OF THE BOARD OF DIRECTORS FOR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS THE CONFLICTS. TRUSTEES WITH CONFLICTS ARE NOT ALLOWED TO VOTE ON MATTERS IN WHICH THEIR CONFLICT PERTAINS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>A PERFORMANCE EVAULATION IS CONDUCTED ANNUALLY FOR THE EXECUTIVE DIRECTOR BY THE BOARD OF DIRECTORS. THIS EVALUATION IS THEN DISCUSSED WITH THE EXECUTIVE DIRECTOR. ANY CHANGES IN COMPENSATION INITIATE FROM THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL REQUIRED DOCUMENTATION IS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>ROUNDING 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII</FormAndLineReferenceDesc>
        <ExplanationTxt>AS OF 12/31/2019, RIVER VALLEY HEALTH FOUNDATION WAS A 50% BENEFICIARY OF THE ETHEL C ELIKAN TRUST. THEIR SHARE OF THE TRUST WAS INCLUDED AS AN ASSET ON THE BALANCE SHEET AS OF 12/31/2019. IN 2020, THE TRUST REMOVED RIVER VALLEY HEALTH FOUNDATION AS A BENEFICIARY DUE TO THE CLOSING OF TWO LOCAL HOSPITALS. (RIVER VALLEY HEALTH FOUNDATION WAS ESTABLISHED AT THESE TWO HOSPITALS BUT STILL SERVES THE RESIDENTS IN THE AREA AND OTHER NON-PROFITS THAT ARE REPLACING THE TWO CLOSED HOSPITALS.) AS A RESULT, WE HAD TO REMOVE THE BALANCE OF THE TRUST FROM THE BALANCE SHEET WHICH RESULTED IN AN EXPENSE ENTITLED "LOSS OF RESTRICTED FUNDS" TOTALING 343,507. THIS IS A ONE-TIME EXPENSE RELATED TO THE LOSS OF BENEFICIARY STATUS WITH THIS TRUST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
