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        <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>
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    </IRS990ScheduleB>
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      <OnlyInHouseLobbyingInd>0</OnlyInHouseLobbyingInd>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNCERTAIN TAX POSITIONS: THE PARTNERSHIP ACTION HAS REGISTERED ITS INTENT TO OPERATE UNDER SECTION 501(C)(4) OF THE IRC. THIS SELF-DECLARATION ALLOWS THE PARTNERSHIP ACTION TO OPERATE WITHOUT GOING THROUGH THE FORMAL EXEMPTION APPLICATION PROCESS. THE PARTNERSHIP ACTION IS COMMITTED TO COMPLYING WITH THE RULES AND REGULATIONS OF THIS IRC SECTION.</ExplanationTxt>
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          <BusinessNameLine1Txt>COLORADO BUSINESS ROUNDTABLE</BusinessNameLine1Txt>
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        <PurposeOfGrantTxt>CORPORATE CONTRIBUTION</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ROCKY MOUNTAIN POLICY GROUP</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>8547 EAST ARAPAHOE ROAD J269</AddressLine1Txt>
          <CityNm>GREENWOOD VILLAGE</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80112</ZIPCd>
        </USAddress>
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        <PurposeOfGrantTxt>POLICY ANALYSIS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CONNECTICUT BENEFITS BROKERS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>ONE REGENCY DRIVE P O BOX 30</AddressLine1Txt>
          <CityNm>BLOOMFIELD</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>06002</ZIPCd>
        </USAddress>
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        <PurposeOfGrantTxt>CORPORATE CONTRIBUTION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CONNECTICUT RETAIL MERCHANTS ASSOCIATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>129 CHURCH STREET NO 315</AddressLine1Txt>
          <CityNm>NEW HAVEN</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>06510</ZIPCd>
        </USAddress>
        <RecipientEIN>066079119</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
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        <PurposeOfGrantTxt>CORPORATE CONTRIBUTION</PurposeOfGrantTxt>
      </RecipientTable>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR RECEIVES AND REVIEWS GRANTS AT THE RECOMMENDATION OF COALITION MEMBERS, CONSULTANTS AND ALLIES. ALL POTENTIAL GRANTEES MUST SUBMIT A FORMALIZED PLAN, PRICING STRUCTURES AND METRICS FOR REVIEW. THE EXECUTIVE DIRECTOR WILL DEVELOP A REGULAR CHECK-IN MECHANISM TO ENSURE THAT ALL METRICS ARE BEING MET ON THE DESIGNATED SCHEDULE.</ExplanationTxt>
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    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>FORBES TATE PARTNERS, LLC (FTP) FTP MANAGE AND PROVIDE STRATEGIC CONSULTING SERVICES TO PAHCF ACTION WITH LAUREN CRAWFORD SHAVER AS THE DESIGNATED EXECUTIVE DIRECTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR AND LEGAL COUNSEL PRIOR TO FILING AND A COPY IS SENT TO ALL BOARD MEMBERS FOR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH DIRECTOR AND OFFICER SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: (1) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (2) HAS READ AND UNDERSTAND THE POLICY;(3) HAS AGREED TO COMPLY WITH THE POLICY, AND (4) UNDERSTAND THE PAHCF ACTION IS TAX EXEMPT AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OR ITS TAX-EXEMPT PURPOSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>PAHCF ACTION DOES NOT HAVE EMPLOYEES, THEREFORE, THERE IS NO NEED FOR A PROCESS TO DETERMINE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>PAHCF ACTION IS A SELF DECLARING ENTITY AND DID NOT FILE FORM 1024. THE FORM 990 IS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>PAHCF ACTION DOES NOT PROVIDE ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS NO CHANGE IN OVERSIGHT PROCESS FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>PARTNERSHIP FOR AMERICA'S HEALTH CARE FUTURE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>777 6TH STREET NW 8TH FLOOR</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20001</ZIPCd>
        </USAddress>
        <EIN>830939222</EIN>
        <PrimaryActivitiesTxt>PUBLIC INFORMATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(4)</ExemptCodeSectionTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
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      <GiftGrntCapContriFromOthOrgInd>1</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>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PARTNERSHIP FOR AMERICA'S HEALTH CARE FUTURE INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>8000000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL GRANT RECIEVED</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
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</Return>
