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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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          <StateAbbreviationCd>TX</StateAbbreviationCd>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Stanford University</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Falk Vardiovascular Research</AddressLine1Txt>
          <CityNm>Stanford</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94305</ZIPCd>
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        <RecipientEIN>941156365</RecipientEIN>
        <CashGrantAmt>40000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Stony Brook Surgical Assoc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>Stony Brook Surgical Assoc</AddressLine1Txt>
          <CityNm>Stony Brook</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11794</ZIPCd>
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        <RecipientEIN>112552333</RecipientEIN>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Summa Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Summa Foundation Fund</AddressLine1Txt>
          <CityNm>Akron</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44304</ZIPCd>
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        <RecipientEIN>341887844</RecipientEIN>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Swedish Foundation</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>747 Broadway 10th Floor</AddressLine1Txt>
          <CityNm>Seatlle</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98122</ZIPCd>
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        <RecipientEIN>910983214</RecipientEIN>
        <CashGrantAmt>60000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>The Brigham &amp; Womans HSPT</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1620 Tremont Street BC-4-020R</AddressLine1Txt>
          <CityNm>Boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02120</ZIPCd>
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        <CashGrantAmt>10000</CashGrantAmt>
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        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Thomas Jefferson Univ Hospita</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>Dept of Surgery</AddressLine1Txt>
          <CityNm>Philadelphia</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19107</ZIPCd>
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        <RecipientEIN>232829095</RecipientEIN>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UC Regents</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>Dept of Surgery</AddressLine1Txt>
          <CityNm>Sacramento</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95817</ZIPCd>
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        <CashGrantAmt>30000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>UNC Department of Surgery</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4012A Burnett-Womack Bldg</AddressLine1Txt>
          <CityNm>Chapel Hill</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27599</ZIPCd>
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        <RecipientEIN>566001393</RecipientEIN>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Univ Hospitals Clevelend Med</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>11100 Euclid Ave</AddressLine1Txt>
          <CityNm>Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44106</ZIPCd>
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        <RecipientEIN>900059117</RecipientEIN>
        <CashGrantAmt>60000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Univ of Alabama at Birmingham</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>Dept of Surgery</AddressLine1Txt>
          <CityNm>Birmingham</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>35294</ZIPCd>
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        <RecipientEIN>636005396</RecipientEIN>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Univ of Arizona</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1501 N Campbell Ave</AddressLine1Txt>
          <CityNm>Tucson</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85724</ZIPCd>
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        <RecipientEIN>742652689</RecipientEIN>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Univ of CA San Diego</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>9444 Medical Center Drive</AddressLine1Txt>
          <CityNm>La Jolla</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92037</ZIPCd>
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        <CashGrantAmt>20000</CashGrantAmt>
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        <ValuationMethodUsedDesc>FMW</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Univ of Maryland Surgical Ass</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>22 South Greene Street</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21201</ZIPCd>
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        <RecipientEIN>521557551</RecipientEIN>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Univ of Massachusetts</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>BURSARS OFFICE S1-802</AddressLine1Txt>
          <CityNm>WORCHESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01655</ZIPCd>
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        <RecipientEIN>956006144</RecipientEIN>
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        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Univ of Miami Miller School</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1120 NW 14 Street</AddressLine1Txt>
          <CityNm>Miami</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33136</ZIPCd>
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        <RecipientEIN>590624458</RecipientEIN>
        <CashGrantAmt>20000</CashGrantAmt>
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        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Univ of Missouri</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>115 Business Loop</AddressLine1Txt>
          <CityNm>Columbia</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65211</ZIPCd>
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        <CashGrantAmt>30000</CashGrantAmt>
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        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Univ of Nebraska Medical Cntr</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>Sponsored Programs Accounting</AddressLine1Txt>
          <CityNm>Omaha</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68198</ZIPCd>
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        <RecipientEIN>470049123</RecipientEIN>
        <CashGrantAmt>10000</CashGrantAmt>
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        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Univ of Pittsburgh Med Center</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3380 Blvd of the Allies</AddressLine1Txt>
          <CityNm>Pittsburgh</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15213</ZIPCd>
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        <RecipientEIN>208295721</RecipientEIN>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Univ of Tennessee</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1924 Alcoa Hwy</AddressLine1Txt>
          <CityNm>Knoxville</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37920</ZIPCd>
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        <RecipientEIN>626001636</RecipientEIN>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Univ of Texas HSC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>6431 Fannin Street</AddressLine1Txt>
          <CityNm>Houston</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77030</ZIPCd>
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        <RecipientEIN>741761309</RecipientEIN>
        <CashGrantAmt>10000</CashGrantAmt>
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        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Univ of Texas HSC Houston</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>6431 Fannin Street</AddressLine1Txt>
          <CityNm>Houston</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77030</ZIPCd>
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        <CashGrantAmt>20000</CashGrantAmt>
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        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Univ of Texas Medical School</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>6560 Fannin Street 1404</AddressLine1Txt>
          <CityNm>Houston</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77030</ZIPCd>
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        <RecipientEIN>741761309</RecipientEIN>
        <CashGrantAmt>20000</CashGrantAmt>
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        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Univ of Washington</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>University of Washington Gran</AddressLine1Txt>
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          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60693</ZIPCd>
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        <RecipientEIN>916001537</RecipientEIN>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>University of Ca Irvine</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>Contracts and Grants</AddressLine1Txt>
          <CityNm>Irvine</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92697</ZIPCd>
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        <RecipientEIN>946036494</RecipientEIN>
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        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>University of Iowa</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>200 Hawkins Drive</AddressLine1Txt>
          <CityNm>Iowa City</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52242</ZIPCd>
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        <RecipientEIN>426004813</RecipientEIN>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>University of Surgical Assoc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>75 Newman Ave 2nd Floor</AddressLine1Txt>
          <CityNm>Rumford</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02916</ZIPCd>
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        <RecipientEIN>050389803</RecipientEIN>
        <CashGrantAmt>10000</CashGrantAmt>
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        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UT Health Science Houston</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>6431 Fannin St MSB6 284B</AddressLine1Txt>
          <CityNm>Houston</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77030</ZIPCd>
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        <CashGrantAmt>30000</CashGrantAmt>
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        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UT Southwestern Medical Cntr</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>5323 Hary Hines Blvd 5010</AddressLine1Txt>
          <CityNm>Dallas</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75390</ZIPCd>
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        <RecipientEIN>756002868</RecipientEIN>
        <CashGrantAmt>10000</CashGrantAmt>
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        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Vanderbilt Univ School of Med</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1501 N Plano Rd Suite 100</AddressLine1Txt>
          <CityNm>Richardson</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75081</ZIPCd>
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        <RecipientEIN>620476822</RecipientEIN>
        <CashGrantAmt>10000</CashGrantAmt>
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        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Virginia Commonwealth Univ</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1200 E Broad St 16th Floor</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23298</ZIPCd>
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        <RecipientEIN>546001758</RecipientEIN>
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        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Virginia Mason Foundation</BusinessNameLine1Txt>
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          <AddressLine1Txt>1218 Terry Ave</AddressLine1Txt>
          <CityNm>Seattle</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98101</ZIPCd>
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        <RecipientEIN>911351110</RecipientEIN>
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        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Wake Forest Baptist Medical</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>Medical Center Blvd</AddressLine1Txt>
          <CityNm>Winstonsalem</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27157</ZIPCd>
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        <RecipientEIN>510190238</RecipientEIN>
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        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Washingont University</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>700 Rosedale Ave</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63112</ZIPCd>
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        <RecipientEIN>430653611</RecipientEIN>
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        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Weill Cornell Medical College</BusinessNameLine1Txt>
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          <AddressLine1Txt>Office of External Affairs</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10065</ZIPCd>
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        <RecipientEIN>131623978</RecipientEIN>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Westchester Medical Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 Woods Rd</AddressLine1Txt>
          <CityNm>Valhalla</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10595</ZIPCd>
        </USAddress>
        <RecipientEIN>133964321</RecipientEIN>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Winthrop Univ Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Finance Dept</AddressLine1Txt>
          <CityNm>Bethpage</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11714</ZIPCd>
        </USAddress>
        <RecipientEIN>111633486</RecipientEIN>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>73</Total501c3OrgCnt>
      <TotalOtherOrgCnt>22</TotalOtherOrgCnt>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="21013475" softwareVersionNum="2021v4.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>No review was or will be conducted.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>No documents available to the public.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
