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      <PersonTitleTxt>EXECUTIVE DIR</PersonTitleTxt>
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    <PreparerPersonGrp>
      <PreparerPersonNm>MARY ANN ADAMS</PreparerPersonNm>
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      <SelfEmployedInd>X</SelfEmployedInd>
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      <PrintingPublicationsPostageAmt>377</PrintingPublicationsPostageAmt>
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        <EOYAmt>0</EOYAmt>
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        <BOYAmt>94628</BOYAmt>
        <EOYAmt>81844</EOYAmt>
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      <PrimaryExemptPurposeTxt>PROVIDE HIGH QUALITY LONG TERM CARE</PrimaryExemptPurposeTxt>
      <ProgramSrvcAccomplishmentGrp>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>DANIEL L WOLFE</PersonNm>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>TAHPENES S DRAKE</PersonNm>
        <TitleTxt>EMPLOYEE</TitleTxt>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>TATYANA S DRAKE</PersonNm>
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      <ChgMadeToOrgnzngDocNotRptInd>false</ChgMadeToOrgnzngDocNotRptInd>
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      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
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      <MadeLoansToFromOfficersInd>false</MadeLoansToFromOfficersInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
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      <ForeignOfficeInd>false</ForeignOfficeInd>
      <DonorAdvisedFndsInd>false</DonorAdvisedFndsInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <TanningServicesProvidedInd>false</TanningServicesProvidedInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd>false</TransactionWithControlEntInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <PartVIOfCompOfHghstPdEmplTxt>NONE</PartVIOfCompOfHghstPdEmplTxt>
      <PartVIHghstPdCntrctProfSrvcTxt>NONE</PartVIHghstPdCntrctProfSrvcTxt>
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        <FormAndLineReferenceDesc>Description of other expenses Part I line 16</FormAndLineReferenceDesc>
        <ExplanationTxt>Description AmountDepreciation from 4562 17,966GROUP HOME FURNITURE 4,357</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other changes in net assets or fund balances Part I line 20</FormAndLineReferenceDesc>
        <ExplanationTxt>Description AmountINCREASE IN SALARY 900INCREASE IN REPAIRS TO HOME HEATING 8,636</ExplanationTxt>
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        <PersonNm>TRACEY R WOLFE</PersonNm>
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