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        <BusinessNameLine1>The Lucille and Edward Roybal Foundation</BusinessNameLine1>
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        <ZIPCode>90022</ZIPCode>
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          <BusinessNameLine1>Manuel Gonez</BusinessNameLine1>
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        <OfcrDirTrusteesOrKeyEmployee>
          <PersonName>Loushana Roybal-Rose</PersonName>
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          <PersonName>Maria Contreras-Sweet</PersonName>
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          <PersonName>Mr Frank X Villalobos</PersonName>
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      <SupplementaryInformation>
        <AppicationSubmissionInfo>
          <RecipientName>The Lucille and Edward R Roybal Fou</RecipientName>
          <RecipientUSAddress>
            <AddressLine1>5253 E Beverly Boulevard</AddressLine1>
            <City>Los Angeles</City>
            <State>CA</State>
            <ZIPCode>900222020</ZIPCode>
          </RecipientUSAddress>
          <RecipientPhoneNumber>3237253960</RecipientPhoneNumber>
          <FormAndInfoAndMaterials>There was no uniform application packet or procedure. The internship program places students from USC, UCLA, Cal State L.A, East Los Angeles College and Cal State Dominguez Hills in paid internships at health care facilities in and around East Los Angeles. Each school and each placement site developed its own outreach materials, with input from the Foundation. Deadlines were different for each school and were flexible. UCLA simply forwarded all applications to the Foundation and placement sites. The other two schools did some preliminary screening of applicants. Applicants were usually interviewed by representatives from the placement site and the Foundation, but with the nursing students from Cal State representatives from the school, as well as the Foundation and placement site, participated in the interviews.</FormAndInfoAndMaterials>
          <SubmissionDeadlines>The deadline for academic year fall 2012 was flexible.</SubmissionDeadlines>
          <RestrictionsOnAwards>Requirements: Students in their Junior or Senior year or in a Graduate Program of an accredited College or University in Health related fields; A minimum grade-point-average of 2.5; A commitment to serve the interests of low-income Latino communities in the United States; and, Financial need.</RestrictionsOnAwards>
        </AppicationSubmissionInfo>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>NELLY DI PAOLO</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>22793 Brenford Street</AddressLine1>
            <City>Woodland Hills</City>
            <State>CA</State>
            <ZIPCode>91364</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>None</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Internship</PurposeOfGrantOrContribution>
          <Amount>3400</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>JULIA A VILLALOBOS</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>8411 Cavel Street</AddressLine1>
            <City>Downey</City>
            <State>CA</State>
            <ZIPCode>90242</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>None</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Internship</PurposeOfGrantOrContribution>
          <Amount>1700</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>JACKSON TEA</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>123 N Elizabeth Ave</AddressLine1>
            <City>Monterey Park</City>
            <State>CA</State>
            <ZIPCode>91755</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>None</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Internship</PurposeOfGrantOrContribution>
          <Amount>3400</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>JUAN D HERNANDEZ</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>7507 Serapis Ave</AddressLine1>
            <City>Pico Rivera</City>
            <State>CA</State>
            <ZIPCode>90660</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>None</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Internship</PurposeOfGrantOrContribution>
          <Amount>3400</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>IRENE V AVILES</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>1027 Sandy Hook Ave</AddressLine1>
            <City>La Puente</City>
            <State>CA</State>
            <ZIPCode>91744</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>None</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Internship</PurposeOfGrantOrContribution>
          <Amount>1700</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>ERIC J CID-LOPEZ</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>938 W Huntington Dr 14</AddressLine1>
            <City>Arcadia</City>
            <State>CA</State>
            <ZIPCode>91007</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>None</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Internship</PurposeOfGrantOrContribution>
          <Amount>3400</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>ELLIANA IXTA-MADERA</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>2603 W 132nd Street</AddressLine1>
            <City>Los Angeles</City>
            <State>CA</State>
            <ZIPCode>90059</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>None</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Internship</PurposeOfGrantOrContribution>
          <Amount>1000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>DULCE LOPEZ</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>2226 Parkside Ave Apt 204</AddressLine1>
            <City>Los Angeles</City>
            <State>CA</State>
            <ZIPCode>90031</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>None</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Internship</PurposeOfGrantOrContribution>
          <Amount>1700</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>DAVID ROCHMAN</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>1146 W 37th St Apt D</AddressLine1>
            <City>Los Angeles</City>
            <State>CA</State>
            <ZIPCode>90007</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>None</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Internship</PurposeOfGrantOrContribution>
          <Amount>3400</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>ANABELL GALINDO</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>16555 Sugargrove Drive</AddressLine1>
            <City>Whittier</City>
            <State>CA</State>
            <ZIPCode>90604</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>None</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Internship</PurposeOfGrantOrContribution>
          <Amount>1000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Oscar A Velasco</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>1006 E 47th Street</AddressLine1>
            <City>Los Angeles</City>
            <State>CA</State>
            <ZIPCode>90011</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>None</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Internship</PurposeOfGrantOrContribution>
          <Amount>5000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>SERGIO A VALENZUELA</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>541 S Margaret Ave</AddressLine1>
            <City>Los Angeles</City>
            <State>CA</State>
            <ZIPCode>90022</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>None</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Internship</PurposeOfGrantOrContribution>
          <Amount>3400</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>RAFAEL MARRON JR</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>5837 Clara St Apt A</AddressLine1>
            <City>Woodland Hills</City>
            <State>CA</State>
            <ZIPCode>91364</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>None</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Internship</PurposeOfGrantOrContribution>
          <Amount>3400</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>NIDIA STEPHANIE S LOPEZ</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>6688 Lake Springs Street</AddressLine1>
            <City>Los Angeles</City>
            <State>CA</State>
            <ZIPCode>90059</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>None</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Internship</PurposeOfGrantOrContribution>
          <Amount>1700</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Betty Mendoza</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>3313 Via San Delarro</AddressLine1>
            <City>Montebellos</City>
            <State>CA</State>
            <ZIPCode>90640</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>None</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Internship</PurposeOfGrantOrContribution>
          <Amount>1600</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Nubia Melendez</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>425 Fischer Street 7</AddressLine1>
            <City>Glendale</City>
            <State>CA</State>
            <ZIPCode>91205</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>None</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Internship</PurposeOfGrantOrContribution>
          <Amount>5000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Rosa S Larios</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>3024 Livonia Avenue Apt 6</AddressLine1>
            <City>Los Angeles</City>
            <State>CA</State>
            <ZIPCode>90034</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>None</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Internship</PurposeOfGrantOrContribution>
          <Amount>5000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Karen Klos</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>13374 Terra Bella Street</AddressLine1>
            <City>Pacomia</City>
            <State>CA</State>
            <ZIPCode>91331</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>None</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Internship</PurposeOfGrantOrContribution>
          <Amount>5000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Sofia Campos</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>1007 N Ave 49</AddressLine1>
            <City>Los Angeles</City>
            <State>CA</State>
            <ZIPCode>90042</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>None</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Internship</PurposeOfGrantOrContribution>
          <Amount>5000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Gilma Santamaria</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>1075 N St Andrews Place 2</AddressLine1>
            <City>Los Angeles</City>
            <State>CA</State>
            <ZIPCode>90038</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>none</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Internship</PurposeOfGrantOrContribution>
          <Amount>3300</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Jacelyn Phu</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>124 La Paloma Avenue</AddressLine1>
            <City>Alhambra</City>
            <State>CA</State>
            <ZIPCode>90606</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>none</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Internship</PurposeOfGrantOrContribution>
          <Amount>3300</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Gabriela Quirarte</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>10963 Choisser Street</AddressLine1>
            <City>Whittier</City>
            <State>CA</State>
            <ZIPCode>90604</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>none</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Scholarship</PurposeOfGrantOrContribution>
          <Amount>1600</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Alejandra Novoa-Vargas</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>2470 Flower Street</AddressLine1>
            <City>Huntington Park</City>
            <State>CA</State>
            <ZIPCode>90255</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>none</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Internship</PurposeOfGrantOrContribution>
          <Amount>5000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Julia Flores</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>2331 East Rio Verde Drive</AddressLine1>
            <City>West Covina</City>
            <State>CA</State>
            <ZIPCode>91791</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>none</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Internship</PurposeOfGrantOrContribution>
          <Amount>5000</Amount>
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        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Elizabeth Sandozqui Estrada</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>27629 Spencer Ct 104</AddressLine1>
            <City>Santa Clarita</City>
            <State>CA</State>
            <ZIPCode>91387</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>none</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Internship</PurposeOfGrantOrContribution>
          <Amount>3300</Amount>
        </GrantOrContriPaidDuringYear>
        <TotGrantOrContriPaidDuringYear>80700</TotGrantOrContriPaidDuringYear>
      </SupplementaryInformation>
      <AnalysisIncomeProducingActy>
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          <ExclusionCode>14</ExclusionCode>
          <ExclusionAmount>46288</ExclusionAmount>
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        <SubtotalsPartXVIA>
          <ExclusionAmount>78414</ExclusionAmount>
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      <TrnsfrTrRlnWithNoncharitableEO>
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        <TrnsfrOthAssetsNoncharitableEO>false</TrnsfrOthAssetsNoncharitableEO>
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        <ReimbursementArrangements>false</ReimbursementArrangements>
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        <PerformanceOfServicesEtc>false</PerformanceOfServicesEtc>
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        <ContributorNameIndividual>Diane Guilford Glazer Foundation</ContributorNameIndividual>
        <ContributorAddressUS>
          <AddressLine1>9440 Santa Monica Blvd 610</AddressLine1>
          <City>Beverly Hills</City>
          <State>CA</State>
          <ZIPCode>90210</ZIPCode>
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        <AggregateContributions>10000</AggregateContributions>
        <PersonContributionType>X</PersonContributionType>
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      <ContributorInfo>
        <ContributorNumber>1</ContributorNumber>
        <ContributorNameIndividual>Erika J Glazer Foundation</ContributorNameIndividual>
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          <City>Beverly Hills</City>
          <State>CA</State>
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      <AccountingFees>
        <Category>Payroll fees</Category>
        <Amount>2288</Amount>
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        <RevenueAndExpensesPerBooks>2556</RevenueAndExpensesPerBooks>
        <DisbursementsCharitablePrps>1278</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Special Event Expenses</Description>
        <RevenueAndExpensesPerBooks>14803</RevenueAndExpensesPerBooks>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Repairs and maintenance</Description>
        <RevenueAndExpensesPerBooks>15439</RevenueAndExpensesPerBooks>
        <DisbursementsCharitablePrps>7719</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Rental Expenses</Description>
        <RevenueAndExpensesPerBooks>1161</RevenueAndExpensesPerBooks>
        <NetInvestmentIncome>1161</NetInvestmentIncome>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Postage</Description>
        <RevenueAndExpensesPerBooks>393</RevenueAndExpensesPerBooks>
        <DisbursementsCharitablePrps>197</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Office supplies</Description>
        <RevenueAndExpensesPerBooks>10644</RevenueAndExpensesPerBooks>
        <DisbursementsCharitablePrps>5372</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Miscellaneous</Description>
        <RevenueAndExpensesPerBooks>690</RevenueAndExpensesPerBooks>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Insurance</Description>
        <RevenueAndExpensesPerBooks>3131</RevenueAndExpensesPerBooks>
        <DisbursementsCharitablePrps>1478</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Equipment rental</Description>
        <RevenueAndExpensesPerBooks>861</RevenueAndExpensesPerBooks>
        <DisbursementsCharitablePrps>430</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Bank fees</Description>
        <RevenueAndExpensesPerBooks>918</RevenueAndExpensesPerBooks>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Advertising and marketing</Description>
        <RevenueAndExpensesPerBooks>678</RevenueAndExpensesPerBooks>
      </OtherExpenses>
    </OtherExpensesSchedule>
    <OtherIncomeSchedule2 documentId="OtherIncomeSchedule2" softwareId="12000229" softwareVersion="2012v2.0">
      <OtherIncome>
        <Description>Miscellaneous</Description>
        <RevenueAndExpensesPerBooks>296</RevenueAndExpensesPerBooks>
      </OtherIncome>
      <OtherIncome>
        <Description>Income From Special Events</Description>
        <RevenueAndExpensesPerBooks>11605</RevenueAndExpensesPerBooks>
      </OtherIncome>
    </OtherIncomeSchedule2>
    <OtherLiabilitiesSchedule documentId="OtherLiabilitiesSchedule" softwareId="12000229" softwareVersion="2012v2.0">
      <OtherLiabilities>
        <Description>Payroll witholdings payable</Description>
        <BOYBookValue>269</BOYBookValue>
        <EOYBookValue>88</EOYBookValue>
      </OtherLiabilities>
    </OtherLiabilitiesSchedule>
    <OtherProfessionalFeesSchedule documentId="OtherProfessionalFeesSchedule" softwareId="12000229" softwareVersion="2012v2.0">
      <OtherProfessionalFees>
        <Category>IT services</Category>
        <Amount>2319</Amount>
        <NetInvestmentIncome>0</NetInvestmentIncome>
        <AdjustedNetIncome>0</AdjustedNetIncome>
        <DisbursementsCharitablePrps>1160</DisbursementsCharitablePrps>
      </OtherProfessionalFees>
      <OtherProfessionalFees>
        <Category>Investment services</Category>
        <Amount>7317</Amount>
        <NetInvestmentIncome>7317</NetInvestmentIncome>
        <AdjustedNetIncome>0</AdjustedNetIncome>
        <DisbursementsCharitablePrps>0</DisbursementsCharitablePrps>
      </OtherProfessionalFees>
      <OtherProfessionalFees>
        <Category>Grants underwriting</Category>
        <Amount>18000</Amount>
        <NetInvestmentIncome>0</NetInvestmentIncome>
        <AdjustedNetIncome>0</AdjustedNetIncome>
        <DisbursementsCharitablePrps>0</DisbursementsCharitablePrps>
      </OtherProfessionalFees>
      <OtherProfessionalFees>
        <Category>Fundraiser planning</Category>
        <Amount>5354</Amount>
        <NetInvestmentIncome>0</NetInvestmentIncome>
        <AdjustedNetIncome>0</AdjustedNetIncome>
        <DisbursementsCharitablePrps>0</DisbursementsCharitablePrps>
      </OtherProfessionalFees>
    </OtherProfessionalFeesSchedule>
    <TaxesSchedule documentId="TaxesSchedule" softwareId="12000229" softwareVersion="2012v2.0">
      <Taxes>
        <Category>State tax</Category>
        <Amount>10</Amount>
      </Taxes>
      <Taxes>
        <Category>IRS user fee</Category>
        <Amount>1000</Amount>
      </Taxes>
      <Taxes>
        <Category>Attorney General registration fee</Category>
        <Amount>50</Amount>
      </Taxes>
    </TaxesSchedule>
  </ReturnData>
</Return>