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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>ASSOCIATION MANAGEMENT COMPANY</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>8735 W HIGGINS ROAD SUITE 300</AddressLine1>
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            <State>IL</State>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MANAGEMENT SERVICES</ServicesDesc>
        <CompensationAmt>2518720</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>ELSEVIER</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO BOX 628239</AddressLine1>
            <City>ORLANDO</City>
            <State>FL</State>
            <ZIPCode>32810</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SUBSCRIPTION PROCESSING</ServicesDesc>
        <CompensationAmt>383131</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>ASSOCIATION MANAGEMENT COMPANY</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>8735 W HIGGINS ROAD SUITE 300</AddressLine1>
            <City>CHICAGO</City>
            <State>IL</State>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PUBLISHING</ServicesDesc>
        <CompensationAmt>184168</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>COLORADO PERMANENTE MEDICAL GROUP PC</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
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          <USAddress>
            <AddressLine1>10350 E DAKOTA AVE</AddressLine1>
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            <ZIPCode>80237</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>115149</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>HART HEALTH STRATEGIES</BusinessNameLine1>
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        </ContractorName>
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          <USAddress>
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        <BusinessCd>900099</BusinessCd>
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      <OtherRevenueTotalAmt>11000</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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        <ProgramServicesAmt>415250</ProgramServicesAmt>
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      <GrantsToDomesticIndividualsGrp>
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        <ProgramServicesAmt>9096</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>523230</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>183648</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>139739</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>93895</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>34085</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>3905</ManagementAndGeneralAmt>
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        <Desc>TAX EXPENSE</Desc>
        <TotalAmt>33479</TotalAmt>
        <ProgramServicesAmt>33479</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MEMBERSHIP</Desc>
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        <ProgramServicesAmt>821572</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BOARD AND COMMITTEES</Desc>
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        <ProgramServicesAmt>807065</ProgramServicesAmt>
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        <Desc>EXTERNAL RELATIONS AND</Desc>
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        <TotalAmt>794180</TotalAmt>
        <ProgramServicesAmt>554114</ProgramServicesAmt>
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        <EOYAmt>5352</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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        <EOYAmt>214123</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>4454844</BOYAmt>
        <EOYAmt>4723084</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>6846298</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-321978</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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        <CurrentTaxYearMinus3YearsAmt>1653945</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2057185</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2918172</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2646328</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>2566293</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5162128</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2368768</CurrentTaxYearAmt>
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      <Total509Grp>
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        <CurrentTaxYearAmt>5015096</CurrentTaxYearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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        <TotalAmt>36967</TotalAmt>
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      <SubstAndDsqlfyPrsnsTotGrp>
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        <TotalAmt>36967</TotalAmt>
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      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus2YearsAmt>-79751</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>501304</CurrentTaxYearMinus1YearAmt>
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      <Post1975UBTIGrp>
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      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus2YearsAmt>4571709</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8651925</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5583980</CurrentTaxYearAmt>
        <TotalAmt>28249612</TotalAmt>
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      <PublicSupportCY509Pct>0.95610</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.96850</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.04070</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.02960</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    <IRS990ScheduleC documentId="RetDoc1039600001">
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      </TotalGrassrootsLobbyingGrp>
      <TotalDirectLobbyingGrp>
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      <TotalLobbyingExpendGrp>
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      <OtherExemptPurposeExpendGrp>
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      <TotalExemptPurposeExpendGrp>
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      <LobbyingNontaxableAmountGrp>
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      <GrassrootsNontaxableGrp>
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      <TotLbbyngGrassrootMnsNonTxGrp>
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      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
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      <AvgLobbyingNontaxableAmountGrp>
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        <CurrentYearMinus2Amt>384093</CurrentYearMinus2Amt>
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        <CurrentYearAmt>446617</CurrentYearAmt>
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        <CurrentYearMinus2Amt>71774</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>87532</CurrentYearMinus1Amt>
        <CurrentYearAmt>97720</CurrentYearAmt>
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        <CurrentYearMinus1Amt>123787</CurrentYearMinus1Amt>
        <CurrentYearAmt>111654</CurrentYearAmt>
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      <AvgGrassrootsLobbyingExpendGrp>
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        <CurrentYearMinus1Amt>28714</CurrentYearMinus1Amt>
        <CurrentYearAmt>30625</CurrentYearAmt>
        <TotalAmt>96451</TotalAmt>
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      <ExpensesNotReportedAmt>137345</ExpensesNotReportedAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>COST OF SALES REPORTED AS A REDUCTION OF REVENUE ON THE FORM 990 137,345.</ExplanationTxt>
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    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
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      <RecipientTable>
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          <BusinessNameLine1>JOHN HOPKINS UNIVERSITY</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>1650 ORLEANS STREET CRB I RM 147</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21287</ZIPCode>
        </USAddress>
        <CashGrantAmt>37750</CashGrantAmt>
        <PurposeOfGrantTxt>HEARST FOUNDATION FELLOWSHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>MEDICAL CENTER OF CENTRAL GA</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>777 HEMLOCK STREET MSC 160</AddressLine1>
          <City>MACON</City>
          <State>GA</State>
          <ZIPCode>31201</ZIPCode>
        </USAddress>
        <CashGrantAmt>37750</CashGrantAmt>
        <PurposeOfGrantTxt>HEARST FOUNDATION FELLOWSHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>MONTEFIORE MEDICAL CENTER</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>111 EAST 210TH STREET</AddressLine1>
          <City>BRONX</City>
          <State>NY</State>
          <ZIPCode>10467</ZIPCode>
        </USAddress>
        <CashGrantAmt>37750</CashGrantAmt>
        <PurposeOfGrantTxt>HEARST FOUNDATION FELLOWSHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>NORTH SHORE LONG ISLAND JEWISH HEALTH SYSTEMS INC</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>350 COMMUNITY DRIVE ROOM 4135</AddressLine1>
          <City>MANHASSSET</City>
          <State>NY</State>
          <ZIPCode>11030</ZIPCode>
        </USAddress>
        <CashGrantAmt>37750</CashGrantAmt>
        <PurposeOfGrantTxt>HEARST FOUNDATION FELLOWSHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>THE RECTORS AND VISITORS OF THE UNIVERSITY OF VIRGINIA</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>PO BOX 400195</AddressLine1>
          <City>CHARLOTTESVILLE</City>
          <State>VA</State>
          <ZIPCode>22904</ZIPCode>
        </USAddress>
        <CashGrantAmt>37750</CashGrantAmt>
        <PurposeOfGrantTxt>HEARST FOUNDATION FELLOWSHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>UNIVERSITY OF PITTSBURGH</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>BOX 371220</AddressLine1>
          <City>PITTSBURGH</City>
          <State>PA</State>
          <ZIPCode>15251</ZIPCode>
        </USAddress>
        <CashGrantAmt>37750</CashGrantAmt>
        <PurposeOfGrantTxt>HEARST FOUNDATION FELLOWSHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>JAMAICA HOSPITAL MEDICAL CENTER</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>8900 VAN WYCK EXPRESSWAY</AddressLine1>
          <City>JAMAICA</City>
          <State>NY</State>
          <ZIPCode>11418</ZIPCode>
        </USAddress>
        <CashGrantAmt>37750</CashGrantAmt>
        <PurposeOfGrantTxt>HEARST FOUNDATION FELLOWSHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>MEDSTAR WASHINGTON HOSPITAL CENTER</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>110 IRVING STREET NW</AddressLine1>
          <City>WASHINGTON</City>
          <State>DC</State>
          <ZIPCode>20010</ZIPCode>
        </USAddress>
        <CashGrantAmt>37750</CashGrantAmt>
        <PurposeOfGrantTxt>HEARST FOUNDATION FELLOWSHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>UNIVERSITY OF ALABAMA AT BIRMINGHAM</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>1720 2ND AVENUE SOUTH CH 19 SUITE</AddressLine1>
          <AddressLine2>219</AddressLine2>
          <City>BIRMINGHAM</City>
          <State>AL</State>
          <ZIPCode>35294</ZIPCode>
        </USAddress>
        <CashGrantAmt>37750</CashGrantAmt>
        <PurposeOfGrantTxt>HEARST FOUNDATION FELLOWSHIP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>0</Total501c3OrgCnt>
      <TotalOtherOrgCnt>11</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>SCHOLARSHIP TO ATTEND ANNUAL CONFERENCE</GrantTypeTxt>
        <RecipientCnt>15</RecipientCnt>
        <CashGrantAmt>9096</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REQUIRES A SIGNED GRANT AGREEMENT FROM AWARDEES AND A FINAL REPORT FOLLOWING THE ACADEMIC YEAR IN WHICH THE FUNDS ARE USED CONFIRMING HOW THE FUNDS WERE SPENT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION CONTRACTS WITH A MANAGEMENT COMPANY, ASSOCIATION MANAGEMENT CENTER (AMC), TO PROVIDE OFFICE FACILITIES, MANAGEMENT, ACCOUNTING, STAFFING AND SUPPORT SERVICES. THE ORGANIZATION'S MANAGEMENT FEE IS COMPARED TO DATA FROM THE AMERICAN SOCIETY OF ASSOCIATION EXECUTIVES (ASAE) BENCHMARKING SERIES PUBLICATION - OPERTAING RATIO REPORT. THE FEES ARE APPROVED DURING THE ANNUAL BUDGETING PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERSHIP IS AVAILABLE WITH SPECIFIED MEMBER BENEFITS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS ELECT GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING BODY DECISIONS SUBJECT TO MEMBER APPROVAL AS STATED IN BYLAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 MADE AVAILABLE TO FINANCE COMMITTEE AND BOARD OF DIRECTORS PRIOR TO FILING AS DIRECTED BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>UPDATES REQUESTED PRIOR TO EVERY BOARD MEETING. AGENDA OF EVERY MEETING INCLUDES PRESENTATION OF DISCLOSURE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS NO EMPLOYEES. IT OUTSOURCES STAFF FUNCTIONS TO AN ASSOCIATION MANAGEMENT COMPANY. THE MANAGEMENT COMPANY COMPETITIVELY COMPENSATES THE STAFF THAT PROVIDES THE SERVICE. THE MANAGEMENT COMPANY EVALUATES COMPENSATION BASED UPON SURVEYS AND REVIEWS OF INDUSTRY BENCHMARK DATA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. THE FORM 990 IS ALSO AVAILABLE ON GUIDESTAR.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 24E</FormAndLineReferenceDesc>
        <ExplanationTxt>EDUCATIONAL: PROGRAM SERVICE EXPENSES 459,281. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 459,281. CREDIT CARD PROCESSING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 114,010. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 114,010. PUBLICATIONS: PROGRAM SERVICE EXPENSES 94,833. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 94,833. COMMISSIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 75,252. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 75,252. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 50,804. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,804.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>