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        <USAddress>
          <AddressLine1Txt>16 BRIDGEWOOD AVE</AddressLine1Txt>
          <CityNm>LAKEWOOD</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08701</ZIPCd>
        </USAddress>
        <RecipientEIN>814838703</RecipientEIN>
        <IRCSectionDesc>501 C3</IRCSectionDesc>
        <CashGrantAmt>6612</CashGrantAmt>
      </RecipientTable>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>WE OBTAIN A REQUEST FOR FUNDS, INCLUDING A BUDGET AND A DESCRIPTION OF THE PROGRAM, A LIST OF MANAGEMENT AND A COPY OF THE ORGANIZATION'S LOCAL REGISTRATION AS A NOT-FOR-PROFIT. WE OBTAIN A FOLLOW UP REPORT, CERTIFIED BY MANAGEMENT, AS TO HOW THEY USED OUR FUNDS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc4">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OFFICER WHO SIGNS THE RETURN REVIEWS IT BEFORE SIGNING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>OUR FORM 990 IS AVAILABLE ON NYS CHARITIES WEBSITE. OTHER DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>