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        <GrossReceiptsEvent1Amt>36112</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>22554</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>13558</GrossRevenueEvent1Amt>
        <Event2Nm>GOLF TOURNAMENT</Event2Nm>
        <GrossReceiptsEvent2Amt>23483</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>10728</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>12755</GrossRevenueEvent2Amt>
        <OtherEventsTotalCnt>1</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>8911</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>3365</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>5546</GrossRevenueOtherEventsAmt>
        <GrossReceiptsTotalAmt>68506</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>36647</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>31859</GrossRevenueTotalEventsAmt>
        <NetIncomeSummaryAmt>31859</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="IRS990ScheduleI-01" softwareId="23017509">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SIOUXLAND COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1021 NEBRASKA ST</AddressLine1Txt>
          <CityNm>SIOUX CITY</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>51105</ZIPCd>
        </USAddress>
        <RecipientEIN>421374894</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>55784</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="IRS990ScheduleO-01" softwareId="23017509">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD PRESIDENT REVIEWS THE RETURN BEFORE SIGNING. .</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>GUIDESTAR WEBSITE PROVIDES THE IRS COPY OF THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE WERE NO REQUESTS FOR THIS INFORMATION DURING THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ACCOUNTANT REVIEWS INFORMATION ON THE RETURN FOR ACCURACY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>