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        <FormAndLineReferenceDesc>PART 1 LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>IN THE PAST, MEDISEND INTERNATIONAL INC.'S PUBLIC CHARITY STATUS WAS OF AN ORGANIZATION THAT NORMALLY RECEIVES A SUBSTANTIAL PART OF ITS SUPPORT FROM A GOVERNEMNTAL UNIT OR FROM THE GENERAL PUBLIC DESCRIBED IN SECTION 170(B)(1)(A)(IV). DURING 2017, MEDISEND TRANSITIONED TO A SCHOOL DESCRIBED IN SECTION 170(B)(1)(A)(II). SEE A DESCRIPTION OF EVENTS BELOW. EFFECTIVE MARCH 31, 2014, THE ORGANIZATION RECEIVED ITS CERTIFICATE OF APPROVAL FROM THE TEXAS WORKFORCE COMMISSION AS A RECOGNIZED CAREER SCHOOL AND COLLEGE FOR ITS BIOMEDICAL ENGINEERING TECHNOLOGY PROGRAM. IN SEPT 2016, THE ORGANIZATION APPLIED TO THE TEXAS HIGHER EDUCATIONAL COORDINATING BOARD (THECB) FOR CERTIFICATE OF AUTHORITY TO BE AN INSTITUTE OF HIGHER LEARNING (COLLEGE) AND TO AWARD AN ASSOCIATE OF APPLIED SCIENCE DEGREE IN BIOMEDICAL ENGINEERING TECHNOLOGY. IN OCTOBER 2016, THE ORGANIZATION FORMED A WHOLLY OWNED SUBSIDIARY, MEDISEND BIOMEDICAL EQUIPMENT TECHNOLOGY SCHOOL, LLC, NOW KNOWN AS THE COLLEGE, AND IN APRIL 2017, THE COLLEGE RECEIVED UNANIMOUS APPROVAL AND RECOMMENDATION FOR THE DESIGNATION AND DEGREE BY THE THECB ADVISORY COUNCIL. IN AUGUST 2017, THE COLLEGE RECEIVED APPROVAL FROM THE US VETERANS ADMINISTRATION FOR POST 9/11 EDUCATION FUNDING AND FOR THE YELLOW RIBBON MATCHING GRANT PROGRAM. THE TWO GOVERNMENT FUNDING PROGRAMS ASSURE THE COLLEGE'S 70% FINANCIAL SUPPORT FOR ITS BMET AND ASSOCIATED DEGREE PROGRAMS FOR US MILITARY VETERANS ENROLLED IN THE COLLEGE. IN 2019, MEDISEND COLLEGE, LLC, A WHOLLY OWNED SUBSIDIARY OF MEDISEND INTERNATIONAL MERGED INTO MEDISEND INTERNATIONAL LEAVING IT AS THE SOLE SURVIVOR. AS A RESULT, MEDISEND INTERNATIONAL CHANGED ITS NAME TO "MEDISEND COLLEGE OF BIOMEDICAL ENGINEERING TECHNOLOGY". MEDISEND COLLEGE OF BIOMEDICAL ENGINEERING TECHNOLOGY IS PROVIDING EDUCATION AND TRAINING TO VETERANS AND SELECT INDIVIDUALS FOR PROFESSIONAL CAREERS AS FIELD SERVICE ENGINEERS AND BIOMEDICAL EQUIPMENT TECHNICIANS. MEDISEND TRANSITIONED TO ONLY ONE PROGRAM. THE GENERAL RICHARD B. MYERS VETERANS PROGRAM PROVIDES HIGH-QUALITY, INTENSIVE EDUCATION AND TRAINING AND OPPORTUNITIES FOR US VETERANS TO ELEVATE THEIR LIVES AND ACHIEVE FINANCIAL SECURITY AS WELL AS MEANINGFUL SERVICE. IN ADDITION, MEDISEND COLLEGE OFFERS COMPREHENSIVE BIOMEDICAL ENGINEERING TECHNOLOGY PROGRAMS TO SELECT INDIVIDUALS FROM DEVELOPING COUNTRIES. THEY RETURN TO THEIR HOMES TO TRAIN OTHERS IN THEIR SPECIALTY AND TO IMPROVE THE OVERALL HEALTH CARE IN THEIR COMMUNITIES.</ExplanationTxt>
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        <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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        <BookValueAmt>1266125</BookValueAmt>
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        <BookValueAmt>922850</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>1787304</DepreciationAmt>
        <BookValueAmt>880151</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>3069126</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>1830086</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>1620550</TotExpnsEtcAuditedFinclStmtAmt>
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      <ExpensesSubtotalAmt>1592581</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A NON-PROFIT ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION MUST RECOGNIZE THE TAX IMPACT OF A TAX POSITION TAKEN ON A TAX RETURN WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL NOT BE SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE ORGANIZATION DOES NOT BELIEVE THERE ARE ANY MATERIAL UNCERTAIN TAX POSITIONS AND ACCORDINGLY, HAS NOT RECOGNIZED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE ORGANIZATION'S FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, FOR THE YEARS ENDED DECEMBER 31, 2020, 2021, AND 2022 ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED.</ExplanationTxt>
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      <PolicyStmtInBrochuresEtcInd>1</PolicyStmtInBrochuresEtcInd>
      <PlcyPblczdViaBroadcastMediaInd>1</PlcyPblczdViaBroadcastMediaInd>
      <MaintainRacialCompRecsInd>1</MaintainRacialCompRecsInd>
      <MaintainScholarshipsRecsInd>1</MaintainScholarshipsRecsInd>
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      <DiscriminateRaceEmplmFcultyInd>0</DiscriminateRaceEmplmFcultyInd>
      <DiscriminateRaceSchsInd>0</DiscriminateRaceSchsInd>
      <DiscriminateRaceEducPlcyInd>0</DiscriminateRaceEducPlcyInd>
      <DiscriminateRaceUseOfFcltsInd>0</DiscriminateRaceUseOfFcltsInd>
      <DiscriminateRaceAthltProgInd>0</DiscriminateRaceAthltProgInd>
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        <ExplanationTxt>THIS INFORMATION CAN BE FOUND ON THE GOVERNANCE SECTION OF OUR WEBSITE: HTTPS://MEDISEND.ORG/GOVERNANCE/ AND ON PAGE 4 OF THE COLLEGE CATALOG: HTTPS://MEDISEND.ORG/WP-CONTENT/UPLOADS/2021/08/MEDISEND-COLLE GE-CATALOG-2021-V2.PDF</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>SOME PROGRAM PARTICIPANTS RECEIVE VA EDUCATION BENEFITS</ExplanationTxt>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>30000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14483</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>250000</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <ExplanationTxt>REVIEW OF OFFICER COMPENSATION IS PERFORMED BY AN INDEPENDENT CONSULTANT</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>AS OF DECEMBER 31, 2023, THE ORGANIZATION OWES THE PRESIDENT NICK HALLACK $749,247 OF ACCRUED COMPENSATION EARNED BUT NOT PAID.</ExplanationTxt>
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        <Desc>SIRECON 33 ISX-C</Desc>
        <ContributionCnt>1</ContributionCnt>
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        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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        <NoncashContributionsRptF990Amt>1800</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>VICTORIA PELLEGRINI AND RON PELLEGRINI HAD A FAMILY RELATIONSHIP.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TREASURER REVIEWS THE FORM 990 PRIOR TO FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICTS OF INTEREST ARE RAISED AT BOARD MEETINGS AND ARE HANDLED BY THE BOARD. (ANNUAL COMPLIANCE RECORD)</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES A CONSULTING FIRM, KORN FERRY, TO REVIEW COMPENSATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE PERIOD AS SET FORTH IN IRC SECTION 6104(D).</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATIONS PROCESS FOR AUDIT OVERSIGHT AND REVIEW OF AUDITED FINANCIAL STATEMENTS HAS NOT CHANGED FROM PRIOR YEARS.</ExplanationTxt>
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</Return>