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    <ReturnTs>2024-01-23T21:26:25Z</ReturnTs>
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      <PreparerFirmEIN>831047402</PreparerFirmEIN>
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        <BusinessNameLine1Txt>H AND R BLOCK</BusinessNameLine1Txt>
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        <AddressLine1Txt>437 STATE RD 70</AddressLine1Txt>
        <CityNm>GRANTSBURG</CityNm>
        <StateAbbreviationCd>WI</StateAbbreviationCd>
        <ZIPCd>54840</ZIPCd>
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        <BusinessNameLine1Txt>BURNETT MEDICAL CENTER FOUNDATION INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>BURN</BusinessNameControlTxt>
      <PhoneNum>7154635353</PhoneNum>
      <USAddress>
        <AddressLine1Txt>257 W ST GEORGE AVENUE</AddressLine1Txt>
        <CityNm>GRANTSBURG</CityNm>
        <StateAbbreviationCd>WI</StateAbbreviationCd>
        <ZIPCd>54840</ZIPCd>
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      <PersonNm>CHARLES FAUGHT</PersonNm>
      <PersonTitleTxt>SECRETARY TREASURER</PersonTitleTxt>
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      <SignatureDt>2024-01-23</SignatureDt>
      <DiscussWithPaidPreparerInd>false</DiscussWithPaidPreparerInd>
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    <PreparerPersonGrp>
      <PreparerPersonNm>Robert Switalla</PreparerPersonNm>
      <PTIN>P00089094</PTIN>
      <PhoneNum>8004725625</PhoneNum>
      <PreparationDt>2024-01-23</PreparationDt>
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    <TaxYr>2022</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
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      <FundraisingGrossIncomeAmt referenceDocumentId="2">18911</FundraisingGrossIncomeAmt>
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      <SpecialEventsNetIncomeLossAmt>12400</SpecialEventsNetIncomeLossAmt>
      <TotalRevenueAmt>21149</TotalRevenueAmt>
      <GrantsAndSimilarAmountsPaidAmt>11353</GrantsAndSimilarAmountsPaidAmt>
      <OtherExpensesTotalAmt>473</OtherExpensesTotalAmt>
      <TotalExpensesAmt>11826</TotalExpensesAmt>
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        <EOYAmt>46001</EOYAmt>
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      <PrimaryExemptPurposeTxt>HELP FACILITATE VARIOUS PROJECTS AT BURNETT MEDICAL CENTER.</PrimaryExemptPurposeTxt>
      <ProgramSrvcAccomplishmentGrp>
        <DescriptionProgramSrvcAccomTxt>GOLF OUTING - FUND RAISING EVENT</DescriptionProgramSrvcAccomTxt>
      </ProgramSrvcAccomplishmentGrp>
      <ProgramSrvcAccomplishmentGrp>
        <DescriptionProgramSrvcAccomTxt>MEMORIAL BRICKS - FUND RAISING EVENT</DescriptionProgramSrvcAccomTxt>
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        <PersonNm>CHRIS ERICKSON</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
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      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>SALLY CRAVEN</PersonNm>
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        <PersonNm>CHARLES FAUGHT</PersonNm>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>JIM OLSON</PersonNm>
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        <CompensationAmt>0</CompensationAmt>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>SUZANNE VITALE</PersonNm>
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        <CompensationAmt>0</CompensationAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <ActivitiesNotPreviouslyRptInd>false</ActivitiesNotPreviouslyRptInd>
      <ChgMadeToOrgnzngDocNotRptInd>false</ChgMadeToOrgnzngDocNotRptInd>
      <OrganizationHadUBIInd>false</OrganizationHadUBIInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <OrganizationDissolvedEtcInd>false</OrganizationDissolvedEtcInd>
      <MadeLoansToFromOfficersInd>false</MadeLoansToFromOfficersInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <BooksInCareOfDetail>
        <PersonNm>CHARLES FAUGHT</PersonNm>
        <USAddress>
          <AddressLine1Txt>7561 NORTH SHORE DR</AddressLine1Txt>
          <CityNm>Grantsburg</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54840</ZIPCd>
        </USAddress>
        <PhoneNum>7153497501</PhoneNum>
      </BooksInCareOfDetail>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <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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        <CurrentTaxYearMinus3YearsAmt>1150</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4550</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6550</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus3YearsAmt>1150</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4550</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6550</CurrentTaxYearMinus1YearAmt>
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      <TotalSupportAmt>21299</TotalSupportAmt>
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      <PublicSupportPY170Pct>1.00000</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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        <Event1Nm>GOLF OUTING</Event1Nm>
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        <GrossRevenueEvent1Amt>5978</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>2520</OtherDirectExpensesEvent1Amt>
        <Event2Nm>VALENTINES DINNER</Event2Nm>
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        <GrossRevenueEvent2Amt>12233</GrossRevenueEvent2Amt>
        <OtherDirectExpensesEvent2Amt>2940</OtherDirectExpensesEvent2Amt>
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        <GrossRevenueOtherEventsAmt>700</GrossRevenueOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>1051</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>18911</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>18911</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>6511</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>6511</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>12400</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
      <GamingInformationGrp>
        <VolunteerLaborBingoInd>false</VolunteerLaborBingoInd>
        <VolunteerLaborPullTabsInd>false</VolunteerLaborPullTabsInd>
        <VolunteerLaborOtherGamingInd>false</VolunteerLaborOtherGamingInd>
      </GamingInformationGrp>
      <LicensedInd>false</LicensedInd>
      <LicenseSuspendedEtcInd>false</LicenseSuspendedEtcInd>
      <GamingWithNonmembersInd>false</GamingWithNonmembersInd>
      <MemberOfOtherEntityInd>false</MemberOfOtherEntityInd>
      <CntrctWith3rdPrtyForGameRevInd>false</CntrctWith3rdPrtyForGameRevInd>
      <CharitableDistributionRqrInd>false</CharitableDistributionRqrInd>
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    <IRS990ScheduleO documentId="3">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1 LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>FACILITY EQUIPMENT FOR BURNETT MEDICAL CENTER</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1 LINE 16</FormAndLineReferenceDesc>
        <ExplanationTxt>BANK CHARGES 26, OFFICE SUPPLIES 200, TAX PREP 160, POSTAGE 8, STATE FILINGS 79</ExplanationTxt>
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