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      <InvestmentIncome>
        <TotalRevenueColumn>5008</TotalRevenueColumn>
        <ExclusionAmount>5008</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
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      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>473037</Securities>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
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      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>2962</TotalRevenueColumn>
        <ExclusionAmount>2962</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>MISCELLANEOUS INCOME</Description>
        <TotalRevenueColumn>100002</TotalRevenueColumn>
        <ExclusionAmount>100002</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>100002</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>17861371</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>14602357</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>107972</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>670214</Total>
        <ProgramServices>549575</ProgramServices>
        <ManagementAndGeneral>120639</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>11942877</Total>
        <ProgramServices>9818908</ProgramServices>
        <ManagementAndGeneral>2123969</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>0</Total>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>2006623</Total>
        <ProgramServices>1646463</ProgramServices>
        <ManagementAndGeneral>360160</ManagementAndGeneral>
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      <PayrollTaxes>
        <Total>0</Total>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>0</Total>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>0</Total>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
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      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
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        <ProgramServices>134211</ProgramServices>
        <ManagementAndGeneral>432032</ManagementAndGeneral>
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      <Advertising>
        <Total>225234</Total>
        <ProgramServices>41037</ProgramServices>
        <ManagementAndGeneral>184197</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>0</Total>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>0</Total>
      </Occupancy>
      <Travel>
        <Total>93198</Total>
        <ProgramServices>50964</ProgramServices>
        <ManagementAndGeneral>42234</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>724608</Total>
        <ProgramServices>595658</ProgramServices>
        <ManagementAndGeneral>128950</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>0</Total>
      </Insurance>
      <OtherExpenses>
        <Description>TELEPHONE</Description>
        <Total>262145</Total>
        <ProgramServices>207778</ProgramServices>
        <ManagementAndGeneral>54367</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>UTILITIES &amp; INSURANCE</Description>
        <Total>279267</Total>
        <ProgramServices>207059</ProgramServices>
        <ManagementAndGeneral>72208</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>CONTRACT SERVICES</Description>
        <Total>969208</Total>
        <ProgramServices>759232</ProgramServices>
        <ManagementAndGeneral>209976</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>SUPPLIES</Description>
        <Total>2548517</Total>
        <ProgramServices>2403097</ProgramServices>
        <ManagementAndGeneral>145420</ManagementAndGeneral>
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      <AllOtherExpenses>
        <Total>353390</Total>
        <ProgramServices>190874</ProgramServices>
        <ManagementAndGeneral>162516</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
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        <ProgramServices>16604856</ProgramServices>
        <ManagementAndGeneral>4036668</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>1468088</BOY>
        <EOY>940111</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <EOY>0</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
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      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>2734177</BOY>
        <EOY>1140042</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>174260</BOY>
        <EOY>171514</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>102828</BOY>
        <EOY>100705</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>11203937</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>8740634</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>3175909</BOY>
        <EOY>2463303</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <EOY>0</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>341597</BOY>
        <EOY>372037</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>7996859</BOY>
        <EOY>5187712</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1470362</BOY>
        <EOY>1520115</EOY>
      </AccountsPayableAccruedExpenses>
      <OtherLiabilities>
        <BOY>47998</BOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>1518360</BOY>
        <EOY>1520115</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>6478499</BOY>
        <EOY>3667597</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>6478499</BOY>
        <EOY>3667597</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>7996859</BOY>
        <EOY>5187712</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-2780153</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>40302</ReconciliationUnrealizedInvest>
      <ReconcilationOtherChanges>-71051</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="12000229" softwareVersion="2012v2.0">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>3918443</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>4093718</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>3429228</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3264878</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3151042</CurrentTaxYear>
        <Total>17857309</Total>
      </GiftsGrantsContribReceived170>
      <TaxRevLeviedForOrgBenefit170>
        <Total>0</Total>
      </TaxRevLeviedForOrgBenefit170>
      <ValueSrvcFcltsFurnishedByGovt>
        <Total>0</Total>
      </ValueSrvcFcltsFurnishedByGovt>
      <Total170>
        <CurrentTaxYearMinus4Years>3918443</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>4093718</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>3429228</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3264878</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3151042</CurrentTaxYear>
        <Total>17857309</Total>
      </Total170>
      <AmountsSubstContributorsTotal>0</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>17857309</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>-281870</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>19881</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>30368</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>20280</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>5008</CurrentTaxYear>
        <Total>-206333</Total>
      </GrossInvestmentIncome170>
      <NetUBI>
        <Total>0</Total>
      </NetUBI>
      <OtherIncome170>
        <CurrentTaxYearMinus4Years>53239</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>63357</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>60891</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>72545</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>100002</CurrentTaxYear>
        <Total>350034</Total>
      </OtherIncome170>
      <TotalSupport>18001010</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>77589836</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.99200</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.99150</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="12000229" softwareVersion="2012v2.0">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="12000229" softwareVersion="2012v2.0">
      <Land>
        <OtherCostOrOtherBasis>159426</OtherCostOrOtherBasis>
        <BookValue>159426</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>5419690</OtherCostOrOtherBasis>
        <Depreciation>4017053</Depreciation>
        <BookValue>1402637</BookValue>
      </Buildings>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>5624821</OtherCostOrOtherBasis>
        <Depreciation>4723581</Depreciation>
        <BookValue>901240</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>2463303</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>PENSION ASSET</Description>
        <BookValue>2977</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>INVESTMENTS</Description>
        <BookValue>369060</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>372037</TotalBookValueOtherAssets>
      <TotRevenueEtcAuditedFinclStmt>19260253</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>40302</NetUnrealizedGainsInvestments>
      <OtherRevenues>1358580</OtherRevenues>
      <RevenueNotRptdF990>1398882</RevenueNotRptdF990>
      <RevenueSubtotal>17861371</RevenueSubtotal>
      <TotalRevenuePerForm990>17861371</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>22071155</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>1429631</OtherExpensesIncluded>
      <ExpensesNotRptdF990>1429631</ExpensesNotRptdF990>
      <ExpensesSubtotal>20641524</ExpensesSubtotal>
      <TotalExpensesPerForm990>20641524</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>Part XII, Line 2d</Identifier>
        <ReturnReference>Part XII, Line 2d: Other expenses and losses per audited F/S</ReturnReference>
        <Explanation>IN-KIND SUPPLIES $1358580 BAD DEBT EXPENSE $71051</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Part XI, Line 2d</Identifier>
        <ReturnReference>Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990</ReturnReference>
        <Explanation>IN-KIND SUPPLIES $1358580</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="12000229" softwareVersion="2012v2.0">
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>ORAMA NWANODI</NamePerson>
        <Title>PHYSICIAN</Title>
        <BaseCompensationFilingOrg>250404</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>6163</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>8770</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>265337</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MANOHARA MUNIMUDDAPPA</NamePerson>
        <Title>PHYSICIAN</Title>
        <BaseCompensationFilingOrg>197458</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>4923</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>4437</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>206818</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KEVIN TURNER</NamePerson>
        <Title>PHYSICIAN</Title>
        <BaseCompensationFilingOrg>203387</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>5137</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>18651</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>227175</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CAROL HORTON-HENLEY</NamePerson>
        <Title>DENTIST</Title>
        <BaseCompensationFilingOrg>171361</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>4058</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>7497</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>182916</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ARCHIE GRIFFIN</NamePerson>
        <Title>CEO</Title>
        <BaseCompensationFilingOrg>536939</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>6384</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>15781</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>559104</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ARAVINDAKSHA MENON</NamePerson>
        <Title>PHYSICIAN</Title>
        <BaseCompensationFilingOrg>185645</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>4578</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>6416</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>196639</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="12000229" softwareVersion="2012v2.0">
      <GeneralExplanation>
        <Identifier>Form 990, Part XI, Line 9</Identifier>
        <ReturnReference>Other Changes In Net Assets Or Fund Balances - Other Decreases</ReturnReference>
        <Explanation>BAD DEBT EXPENSE = -$71051</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>If a member of the public wishes to view the organization's documents and policies they can request to do so at the facility.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>The CEO reviews and decides officers' salaries yearly. The CEO's salary is evaluated annually by the board of directors and the salary is negotiated.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>When a new board member or executive employee is hired, a conflict of interest policy must be completed.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11b: Form 990 Review Process</ReturnReference>
        <Explanation>The Interim Financial CEO and Accounting Manager must review and appprove the 990. After their review, it is submitted to the Board for review and approval.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>