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        <ContributorNum>RESTRICTED</ContributorNum>
        <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>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>LITTLE BLACK DRESS PARTY</Event1Nm>
        <GrossReceiptsEvent1Amt>112098</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>632</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>111466</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>77927</OtherDirectExpensesEvent1Amt>
        <Event2Nm>RUN FOR THE HEALTH OF IT</Event2Nm>
        <GrossReceiptsEvent2Amt>14702</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>8987</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>5715</GrossRevenueEvent2Amt>
        <OtherDirectExpensesEvent2Amt>1929</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>2</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>13299</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>2957</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>10342</GrossRevenueOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>3002</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>140099</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>12576</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>127523</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>82858</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>82858</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>44665</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>0</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MENTAL HEALTH ASSOCIATION OF OKALOOSA-WALTON COUNTIES INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>571 MOONEY ROAD NE</AddressLine1Txt>
          <CityNm>FORT WALTON BEACH</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32547</ZIPCd>
        </USAddress>
        <RecipientEIN>593282067</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>4910</CashGrantAmt>
        <PurposeOfGrantTxt>TO HELP IMPROVE COMMUNITY'S HEALTH AND WELLNESS.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FLORIDA DEPARTMENT OF HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4052 BALD CYPRESS WAY</AddressLine1Txt>
          <CityNm>TALLAHASSEE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32399</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>TO HELP IMPROVE COMMUNITY'S HEALTH AND WELLNESS.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SHELTER HOUSE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>102 BUCK DRIVE</AddressLine1Txt>
          <CityNm>FORT WALTON BEACH</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32548</ZIPCd>
        </USAddress>
        <RecipientEIN>592634092</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>TO HELP IMPROVE COMMUNITY'S HEALTH AND WELLNESS.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EMERALD COAST AUTISM CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>315 EDGE AVE</AddressLine1Txt>
          <CityNm>VALPARAISO</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32580</ZIPCd>
        </USAddress>
        <RecipientEIN>270263926</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7410</CashGrantAmt>
        <PurposeOfGrantTxt>TO HELP IMPROVE COMMUNITY'S HEALTH AND WELLNESS.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FAMILY LIFE MINISTRIES OF NW FL INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1007 GOSPEL ROAD</AddressLine1Txt>
          <CityNm>FORT WALTON BEACH</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32547</ZIPCd>
        </USAddress>
        <RecipientEIN>592693086</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7000</CashGrantAmt>
        <PurposeOfGrantTxt>TO HELP IMPROVE COMMUNITY'S HEALTH AND WELLNESS.</PurposeOfGrantTxt>
      </RecipientTable>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS DELEGATED MANAGEMENT AND ADMINISTRATION FUNCTIONS TO LESLIE MOLAND AND ANDI MAHONEY, WHO ARE EMPLOYEES OF WHITE WILSON MEDICAL CENTER P.A.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION SENDS A DRAFT OF THE FORM 990 TO THE FINANCE COMMITTEE FOR REVIEW BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATIONS GOVERNING AND ORGANIZATIONAL DOCUMENTS ARE AVAILABLE UPON REQUEST FROM THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>ROUNDING -2.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>