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        <ExplanationTxt>THE RETURN IS DISTRIBUTED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING. THE RETURN IS REVIEWED AND ANY QUESTIONS/CHANGES ARE BROUGHT TO THE ATTENTION OF MANAGEMENT. APPROPRIATE CHANGES, IF NECESSARY, ARE MADE PRIOR TO FILING THE RETURN.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ON ENTRY TO THE BOARD OF DIRECTORS AND ANNUALLY THEREAFTER, EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS ANNUALLY REVIEWS THE BYLAWS INCLUDING THE CONFLICT OF INTEREST STATEMENT; AND THEN EACH MEMBER IS REQUIRED TO SIGN AND SUBMIT A CONFLICT OF INTEREST STATEMENT ANNUALLY; UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES; AND DISCLOSES ANY POTENTIAL CONFLICTS OF INTEREST IN WRITING. ON AN ANNUAL BASIS, ALL TRANSACTIONS DISCUSSED AND IDENTIFIED AS CONFLICTS OF INTEREST WILL BE EVALUATED BY THE DISINTERESTED PERSONS AS TO WHETHER THE TRANSACTION MEETS THE REQUIREMENTS OF A FAIR AND REASONABLE TRANSACTION IN ACCORDANCE WITH THE NYS ATTORNEY GENERAL GUIDANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS REVIEWS THE CHIEF EXECUTIVE OFFICER'S PERFORMANCE ANNUALLY. SALARY INCREASES ARE BASED ON THE RESULTS OF THAT REVIEW, ORGANIZATIONAL PERFORMANCE, AND COMPARATIVE ANALYSIS OF EXECUTIVE DIRECTOR COMPENSATION. THE ORGANIZATION PARTICIPATES IN AN ANNUAL COMPENSATION SURVEY FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND OBTAINS COMPENSATION DATA FOR DIRECTORS, MANAGERS, AND PROVIDERS THAT IS CATEGORIZED BY NATIONAL, REGIONAL, STATE, AND REVENUE VOLUME. THIS INFORMATION IS USED IN DETERMINING SALARY AND COMPENSATION RANGES FOR DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER MAINTAINS ELECTRONIC COPIES AND DISTRIBUTES THEM UPON REQUEST. ADDITIONALLY, THE FORM 990 IS A PUBLIC DOCUMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCESS HAS NOT CHANGED FROM THE PRIOR</ExplanationTxt>
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          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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