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    <IRS990ScheduleD documentId="RetDoc1040000001">
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>615 SH NICOLET BANKSHARES</Desc>
        <BookValueAmt>49495</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>49495</TotalBookValueSecuritiesAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="RetDoc1040500001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>MEDICAL SUPPLIES AND EDUCATION</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>14600</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalOfficesCnt>0</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>0</SubtotalEmployeesCnt>
      <ContinuationTotalOfficeCnt>0</ContinuationTotalOfficeCnt>
      <ContinuationTotalEmployeeCnt>0</ContinuationTotalEmployeeCnt>
      <TotalOfficeCnt>0</TotalOfficeCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <SubtotalSpentAmt>14600</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>14600</TotalSpentAmt>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>SUB-SAHARAN AFRICA</RegionTxt>
        <PurposeOfGrantTxt>SUPPLIES TO HOSPITALS WHO NEED THEM FOR BASIC MEDICAL CARE; EDUCATION</PurposeOfGrantTxt>
        <CashGrantAmt>10000</CashGrantAmt>
        <MannerOfCashDisbursementTxt>CHECK/WIRE</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>4600</NonCashAssistanceAmt>
        <DescriptionOfNonCashAsstTxt>MEDICAL SUPPLIES</DescriptionOfNonCashAsstTxt>
        <ValuationMethodUsedDesc>PURCHASE PRICE</ValuationMethodUsedDesc>
      </GrantsToOrgOutsideUSGrp>
      <Total501c3OrgCnt>0</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <TransferToForeignCorpInd>0</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>0</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>0</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROGRAM SERVICE ACTIVITY CONSISTS OF DONATION OF MEDICAL SUPPLIES. VERIFICATION OF THE FUNDS UTILIZED BY THE RECIPIENTS ARE CONFIRMED BY ON-SITE PERSONNEL IN CONCERT WITH REPRESENTATIVES OF THE ORGANIZATION WHICH INCLUDES ON-SITE VISITS, PHONE CORRESPONDENCE, AND COMPUTERIZED CORRESPONDENCE. DOCUMENTATION OF THE FUNDS USED INCLUDES ARCHITECTURAL PLANS, PHOTOS, AND PERSONAL DISCUSSIONS WITH ON-SITE PERSONNEL.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ONE ANOTHER INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>700 COMMERCIAL AVE</AddressLine1Txt>
          <CityNm>WATERLOO</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53594</ZIPCd>
        </USAddress>
        <RecipientEIN>871796945</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>185000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CARING FOR THE ILL, NEEDY, &amp; INFANTS</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION VERIFIES THE USE OF FUNDS FOR THE INTENDED USE THROUGH CORRESPONDENCE AND ON-SITE VISITS</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT HAVE A COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD WILL REVIEW RETURN BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD ANNUALLY REVIEWS EACH MEMBER'S QUESTIONNAIRE AND ANY OTHER DISCLOSURES INVOLVING FINANCIALS INTERESTS OF ITS MEMBERS. BOARD VOTES ON WHETHER A CONFLICT EXISTS OR NOT. IF THERE ARE ANY CONFLICTS, THE BOARD WILL TRY TO DETERMINE WHETHER THE ORGANIZATION CAN OBTAIN AN ARRANGEMENT WITH A DIFFERENT PERSON OR ENTITY THAT WOULD NOT CREATE A CONFLICT. IF AN ALTERNATIVE TRANSACTION IS NOT POSSIBLE, THE BOARD WILL VOTE ON IF THE TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION, FAIR AND REASONABLE. IF THE BOARD HAS REASON TO BELIEVE AN INDIVIDUAL HAS FAILED TO DISCLOSE A CONFLICT OR POTENTIAL CONFLICT OF INTEREST, IT WILL INFORM THE MEMBER AND ALLOW HIM/HER TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF THE BOARD STILL HAS REASON TO BELIEVE A CONFLICT EXISTS AFTER THE ALLEGED CONFLICT IS EXPLAINED, IT WILL TAKE CORRECTIVE ACTIONS. IF THE BOARD REVIEWS THE CONFLICT, IT WILL BE NOTED IN THE MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL RECORDS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>