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        <Description1Txt>THE MISSION (PURPOSE) OF THE BLUE CROSS AND BLUE SHIELD OF MASSACHUSETTS FOUNDATION INC. IS TO EXPAND ACCESS TO HEALTH CARE THROUGH GRANTS &amp; POLICY INITIATIVES, THE FOUNDATION WORKS WITH PUBLIC AND PRIVATE ORGANIZATIONS TO BROADEN HEALTHCARE THROUGH GRANTS AND POLICY INITIATIVES. THE FOUNDATION WILL FOCUS ON DEVELOPING SOLUTIONS THAT BENEFIT UNINSURED, VULNERABLE AND LOW INCOME INDIVIDUALS AND FAMILIES IN THE COMMONWEALTH. THROUGH CATALYST GRANTS, THE FOUNDATION IS A RESOURCE FOR MINI GRANTS OF UP TO $5,000 TO ORGANIZATIONS SERVING THE HEALTH NEEDS OF LOW INCOME AND UNINSURED RESIDENTS OF MA.</Description1Txt>
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      <SumOfProgramRelatedInvstGrp>
        <TotalAmt>0</TotalAmt>
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      <MinimumInvestmentReturnGrp>
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        <AverageMonthlyCashBalancesAmt>5526020</AverageMonthlyCashBalancesAmt>
        <FMVAllOtherNoncharitableAstAmt>0</FMVAllOtherNoncharitableAstAmt>
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        <ReductionClaimedAmt>0</ReductionClaimedAmt>
        <AcquisitionIndebtednessAmt>0</AcquisitionIndebtednessAmt>
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        <CashDeemedCharitableAmt>1526003</CashDeemedCharitableAmt>
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        <MinimumInvestmentReturnAmt>5010375</MinimumInvestmentReturnAmt>
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        <TaxBasedOnInvestmentIncomeAmt>108119</TaxBasedOnInvestmentIncomeAmt>
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        <DistributableBeforeDedAmt>4902256</DistributableBeforeDedAmt>
        <DistributableAsAdjustedAmt>4902256</DistributableAsAdjustedAmt>
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        <ProgramRelatedInvstTotalAmt>0</ProgramRelatedInvstTotalAmt>
        <SetAsideCashDistriTestAmt>0</SetAsideCashDistriTestAmt>
        <QualifyingDistributionsAmt>5230401</QualifyingDistributionsAmt>
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        <UndistributedIncomePYAmt>0</UndistributedIncomePYAmt>
        <PriorYear3Yr>2019</PriorYear3Yr>
        <TotalForPriorYearsAmt>0</TotalForPriorYearsAmt>
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          <RecipientUSAddress>
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            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>021997611</ZIPCd>
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        <GrantOrContributionPdDurYrGrp>
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            <BusinessNameLine1Txt>SEE STATEMENT 18A</BusinessNameLine1Txt>
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          <GrantOrContributionPurposeTxt>SEE STATEMENT 18A</GrantOrContributionPurposeTxt>
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        <LoansOrLoanGuaranteesInd>false</LoansOrLoanGuaranteesInd>
        <PerformanceOfServicesEtcInd>false</PerformanceOfServicesEtcInd>
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        <RelationshipScheduleDetail>
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        <CategoryTxt>INVESTMENT FEES</CategoryTxt>
        <Amt>302550</Amt>
        <NetInvestmentIncomeAmt>302550</NetInvestmentIncomeAmt>
        <DisbursementsCharitablePrpsAmt>0</DisbursementsCharitablePrpsAmt>
      </OtherProfessionalFeesDetail>
      <OtherProfessionalFeesDetail>
        <CategoryTxt>OTHER PROFESSIONAL FEES</CategoryTxt>
        <Amt>871</Amt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <DisbursementsCharitablePrpsAmt>871</DisbursementsCharitablePrpsAmt>
      </OtherProfessionalFeesDetail>
    </OtherProfessionalFeesSchedule>
    <TaxesSchedule documentId="TaxesSchedule" softwareId="23017437" softwareVersionNum="2023v5.1">
      <TaxesDetail>
        <CategoryTxt>TAX ON INVESTMENT INCOME</CategoryTxt>
        <Amt>179649</Amt>
      </TaxesDetail>
    </TaxesSchedule>
  </ReturnData>
</Return>