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        <OrganizationChangeSuprtOrgInd>false</OrganizationChangeSuprtOrgInd>
        <SupportNonSupportedOrgInd>false</SupportNonSupportedOrgInd>
        <PaymentSubstantialContribtrInd>false</PaymentSubstantialContribtrInd>
        <LoanDisqualifiedPersonInd>false</LoanDisqualifiedPersonInd>
        <ControlledDisqualifiedPrsnInd>false</ControlledDisqualifiedPrsnInd>
        <DisqualifiedPrsnControllIntInd>false</DisqualifiedPrsnControllIntInd>
        <DisqualifiedPrsnOwnrIntInd>false</DisqualifiedPrsnOwnrIntInd>
        <ExcessBusinessHoldingsRulesInd>false</ExcessBusinessHoldingsRulesInd>
        <ContributionControllerInd>false</ContributionControllerInd>
        <ContributionFamilyInd>false</ContributionFamilyInd>
        <Contribution35ControlledInd>false</Contribution35ControlledInd>
      </Form990SchASupportingOrgGrp>
      <Form990SchAType3SprtOrgAllGrp>
        <TimelyProvidedDocumentsInd>true</TimelyProvidedDocumentsInd>
        <OfficersCloseRelationshipInd>false</OfficersCloseRelationshipInd>
        <SupportedOrgVoiceInvestmentInd>true</SupportedOrgVoiceInvestmentInd>
      </Form990SchAType3SprtOrgAllGrp>
      <AdjustedNetIncomeGrp>
        <NetSTCapitalGainAdjNetIncmGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </NetSTCapitalGainAdjNetIncmGrp>
        <RecoveriesPYDistributionsGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </RecoveriesPYDistributionsGrp>
        <OtherGrossIncomeGrp>
          <PriorYearAmt>163690</PriorYearAmt>
          <CurrentYearAmt>183202</CurrentYearAmt>
        </OtherGrossIncomeGrp>
        <AdjustedGrossIncomeGrp>
          <PriorYearAmt>163690</PriorYearAmt>
          <CurrentYearAmt>183202</CurrentYearAmt>
        </AdjustedGrossIncomeGrp>
        <DepreciationDepletionGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </DepreciationDepletionGrp>
        <ProductionIncomeGrp>
          <PriorYearAmt>83104</PriorYearAmt>
          <CurrentYearAmt>86083</CurrentYearAmt>
        </ProductionIncomeGrp>
        <OtherExpensesGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </OtherExpensesGrp>
        <TotalAdjustedNetIncomeGrp>
          <PriorYearAmt>80586</PriorYearAmt>
          <CurrentYearAmt>97119</CurrentYearAmt>
        </TotalAdjustedNetIncomeGrp>
      </AdjustedNetIncomeGrp>
      <MinimumAssetAmountGrp>
        <AverageMonthlyFMVOfSecGrp>
          <PriorYearAmt>13921052</PriorYearAmt>
          <CurrentYearAmt>14575864</CurrentYearAmt>
        </AverageMonthlyFMVOfSecGrp>
        <AverageMonthlyCashBalancesGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </AverageMonthlyCashBalancesGrp>
        <FMVOtherNonExemptUseAssetGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </FMVOtherNonExemptUseAssetGrp>
        <TotalFMVOfNonExemptUseAssetGrp>
          <PriorYearAmt>13921052</PriorYearAmt>
          <CurrentYearAmt>14575864</CurrentYearAmt>
        </TotalFMVOfNonExemptUseAssetGrp>
        <DiscountClaimedAmt>0</DiscountClaimedAmt>
        <AcquisitionIndebtednessGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </AcquisitionIndebtednessGrp>
        <AdjustedFMVLessIndebtednessGrp>
          <PriorYearAmt>13921052</PriorYearAmt>
          <CurrentYearAmt>14575864</CurrentYearAmt>
        </AdjustedFMVLessIndebtednessGrp>
        <CashDeemedCharitableGrp>
          <PriorYearAmt>208816</PriorYearAmt>
          <CurrentYearAmt>218638</CurrentYearAmt>
        </CashDeemedCharitableGrp>
        <NetVlNonExemptUseAssetsGrp>
          <PriorYearAmt>13712236</PriorYearAmt>
          <CurrentYearAmt>14357226</CurrentYearAmt>
        </NetVlNonExemptUseAssetsGrp>
        <PctOfNetVlNonExemptUseAstGrp>
          <PriorYearAmt>479928</PriorYearAmt>
          <CurrentYearAmt>502503</CurrentYearAmt>
        </PctOfNetVlNonExemptUseAstGrp>
        <RecoveriesPYDistriMinAssetGrp>
          <PriorYearAmt>0</PriorYearAmt>
        </RecoveriesPYDistriMinAssetGrp>
        <TotalMinimumAssetGrp>
          <PriorYearAmt>479928</PriorYearAmt>
          <CurrentYearAmt>502503</CurrentYearAmt>
        </TotalMinimumAssetGrp>
      </MinimumAssetAmountGrp>
      <DistributableAmountGrp>
        <CYAdjNetIncomeDistributableAmt>80586</CYAdjNetIncomeDistributableAmt>
        <CYPct85AdjustedNetIncomeAmt>68498</CYPct85AdjustedNetIncomeAmt>
        <CYTotalMinAstDistributableAmt>479928</CYTotalMinAstDistributableAmt>
        <CYGreaterAdjustedMinimumAmt>479928</CYGreaterAdjustedMinimumAmt>
        <CYIncomeTaxImposedPYAmt>0</CYIncomeTaxImposedPYAmt>
        <CYDistributableAsAdjustedAmt>479928</CYDistributableAsAdjustedAmt>
      </DistributableAmountGrp>
      <DistributionsGrp>
        <CYPaidAccomplishExemptPrpsAmt>626647</CYPaidAccomplishExemptPrpsAmt>
        <CYPdInExcessIncomeActivityAmt>0</CYPdInExcessIncomeActivityAmt>
        <CYAdministrativeExpensePaidAmt>0</CYAdministrativeExpensePaidAmt>
        <ExemptUseAssetsAcquisPaidAmt>0</ExemptUseAssetsAcquisPaidAmt>
        <QualifiedSetAsideAmt>0</QualifiedSetAsideAmt>
        <CYOtherDistributionsAmt>0</CYOtherDistributionsAmt>
        <CYTotalAnnualDistributionsAmt>626647</CYTotalAnnualDistributionsAmt>
        <CYDistriAttentiveSuprtOrgAmt>626647</CYDistriAttentiveSuprtOrgAmt>
        <CYDistributableAsAdjustedAmt>479928</CYDistributableAsAdjustedAmt>
        <CYDistributionYrRt>1.0</CYDistributionYrRt>
      </DistributionsGrp>
      <DistributionAllocationsGrp>
        <CYDistributableAsAdjustedAmt>479928</CYDistributableAsAdjustedAmt>
        <UnderdistributionsAmt>0</UnderdistributionsAmt>
        <ExcessDistributionCyovYr5Amt>0</ExcessDistributionCyovYr5Amt>
        <ExcessDistributionCyovYr4Amt>0</ExcessDistributionCyovYr4Amt>
        <ExcessDistributionCyovYr3Amt>394096</ExcessDistributionCyovYr3Amt>
        <ExcessDistributionCyovYr2Amt>701688</ExcessDistributionCyovYr2Amt>
        <ExcessDistributionCyovYr1Amt>729400</ExcessDistributionCyovYr1Amt>
        <TotalExcessDistributionCyovAmt>1825184</TotalExcessDistributionCyovAmt>
        <CyovAppliedUnderdistriPYAmt>0</CyovAppliedUnderdistriPYAmt>
        <CyovAppliedUnderdistrCPYAmt>479928</CyovAppliedUnderdistrCPYAmt>
        <CarryoverPYNotAppliedAmt>0</CarryoverPYNotAppliedAmt>
        <ExcessDistributionCyovAmt>1345256</ExcessDistributionCyovAmt>
        <CYTotalAnnualDistributionsAmt>626647</CYTotalAnnualDistributionsAmt>
        <CYDistribAppUnderdistriPYAmt>0</CYDistribAppUnderdistriPYAmt>
        <ExcessDistributionAmt>626647</ExcessDistributionAmt>
        <RemainingUnderdistriPYAmt>0</RemainingUnderdistriPYAmt>
        <RemainingUnderdistriCYAmt>0</RemainingUnderdistriCYAmt>
        <ExcessDistriCyovToNextYrAmt>1971903</ExcessDistriCyovToNextYrAmt>
        <ExcessFromYear5Amt>0</ExcessFromYear5Amt>
        <ExcessFromYear4Amt>0</ExcessFromYear4Amt>
        <ExcessFromYear3Amt>615856</ExcessFromYear3Amt>
        <ExcessFromYear2Amt>729400</ExcessFromYear2Amt>
        <ExcessFromYear1Amt>626647</ExcessFromYear1Amt>
      </DistributionAllocationsGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A PART IV, SECTION D LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Keybank representatives have completed an extensive internal review of supporting organization accounts. This was done in concert with in house counsel and individual determinations were made with respect to the relationship. The beneficiary's Cleveland Clinic - ST Jones Health Center, University Hospitals, St. Alexis Hospital, St. Vincent Charity Hospital, Centers for Families and Children</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A PART IV, SECTION D LINE 2 CONTINUED</FormAndLineReferenceDesc>
        <ExplanationTxt>and the Cleveland Foundation have the authority to remove/appoint trustee, direct or approve investments, appoint Co-Trustees or Committe Members, and withdraw principal.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A PART V, SECTION D LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>Keybank as Trustee maintains a close and continuous working relationship with Cleveland Clinic S T Jones Health Center, University Hospitals, St. Alexis Hospital, St. Vincent Charity Hospital, Centers for Families and Children and the Cleveland Foundation. All six supported organizations maintain a significant voice as they have the right to remove the Trustee and replace with</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A PART V, SECTION D LINE 8 CONTINUED</FormAndLineReferenceDesc>
        <ExplanationTxt>another corporate Trustee. The supported organizations receive periodic statements reflecting all activity in the trust regarding income, expenses and investments.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A PART IV SECTION D LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Keybank, as Trustee, welcomes the input of the charitable beneficiaries as to the investments.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <OtherSecuritiesGrp>
        <Desc>Charitable Multi Asset Fund</Desc>
        <BookValueAmt>10953686</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Glasfunds LTD CL A SER E Hedge Fund</Desc>
        <BookValueAmt>830854</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Private Advisors Coinvestment Fund</Desc>
        <BookValueAmt>57175</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Carlyle Priv Eqty Access Blocker FD</Desc>
        <BookValueAmt>106711</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Proteus SPC-1825 CAP Enhanced INC S</Desc>
        <BookValueAmt>1401172</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>13349598</TotalBookValueSecuritiesAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CLEV CLINIC - S T JONES HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>9500 EUCLID AVENUE H-18</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44195</ZIPCd>
        </USAddress>
        <RecipientEIN>340714585</RecipientEIN>
        <IRCSectionDesc>170(b)(1)(a)</IRCSectionDesc>
        <CashGrantAmt>104441</CashGrantAmt>
        <PurposeOfGrantTxt>INCOME PAID TO CLEV CLINIC - S T JONES HEALTH CENTER FOR GENERAL PURPOSES AS DEEMED APPROPRIATE BY THE BOARD OF TRUSTEES.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY HOSPITAL OF CLEVELAND</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1100 EUCLID AVE</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>441062602</ZIPCd>
        </USAddress>
        <RecipientEIN>340714775</RecipientEIN>
        <IRCSectionDesc>170(b)(1)(a)</IRCSectionDesc>
        <CashGrantAmt>104441</CashGrantAmt>
        <PurposeOfGrantTxt>INCOME PAID TO UNIVERSITY HOSPITAL OF CLEVELAND FOR GENERAL PURPOSES AS DEEMED APPROPRIATE BY THE BOARD OF TRUSTEES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ST ALEXIS HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5163 BROADWAY AVE</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>441271532</ZIPCd>
        </USAddress>
        <RecipientEIN>340714485</RecipientEIN>
        <IRCSectionDesc>170(b)(1)(a)</IRCSectionDesc>
        <CashGrantAmt>104441</CashGrantAmt>
        <PurposeOfGrantTxt>INCOME PAID TO ST. ALEXIS HOSPITAL ASSOCIATION FOR GENERAL PURPOSES AS DEEMED APPROPRIATE BY THE BOARD OF TRUSTEES.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ST VINCENT CHARITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6935 TREELINE DR STE J</AddressLine1Txt>
          <CityNm>BRECKSVILLE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44141</ZIPCd>
        </USAddress>
        <RecipientEIN>340714756</RecipientEIN>
        <IRCSectionDesc>170(b)(1)(a)</IRCSectionDesc>
        <CashGrantAmt>104441</CashGrantAmt>
        <PurposeOfGrantTxt>INCOME PAID TO ST. VINCENT CHARITY HOSPITAL FOR GENERAL PURPOSES AS DEEMED APPROPRIATE BY THE BOARD OF TRUSTEES.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CENTER FOR FAMILIES AND CHILDREN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4500 EUCLID AVE</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44103</ZIPCd>
        </USAddress>
        <RecipientEIN>237084455</RecipientEIN>
        <IRCSectionDesc>170(b)(1)(a)</IRCSectionDesc>
        <CashGrantAmt>104441</CashGrantAmt>
        <PurposeOfGrantTxt>INCOME PAID TO CENTER FOR FAMILIES AND CHILDREN FOR GENERAL PURPOSES AS DEEMED APPROPRIATE BY THE BOARD OF TRUSTEEES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CLEVELAND CLINIC FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1422 EUCLID AVE STE 1300</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44115</ZIPCd>
        </USAddress>
        <RecipientEIN>340714585</RecipientEIN>
        <IRCSectionDesc>170(b)(1)(a)</IRCSectionDesc>
        <CashGrantAmt>104441</CashGrantAmt>
        <PurposeOfGrantTxt>INCOME PAID TO THE CLEVELAND FOUNDATION FOR GENERAL PURPOSES AS DEEMED APPROPRIATE BY THE BOARD OF DIRECTORS</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>6</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>EXPLANATION FOR FORM 990, SCHEDULE I, PART 1, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANTS ARE MADE TO 501(C)3 ORGANIZATIONS THAT ARE NAMED IN THE TRUST DOCUMENT. OUR ADMINISTRATIVE REPRESENTATIVES ARE IN PERIODIC CONTACT WITH REPRESENTATIVES OF THE CHARITIES IN ORDER TO BE IN COMPLIANCEWITH THE TRUST PROVISIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>EXPLANATION FOR FORM 990, PAGE 2, PART III, LINE 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANTS PAID TO ST ALEXIS HOSPITAL ASSOC, CSAHS, AND CLEVELAND FOUNDATION FOR SUPPORT OF EXEMPT PURPOSE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>EXPLANATION FOR FORM 990, PAGE 5, PART V, LINE 3b</FormAndLineReferenceDesc>
        <ExplanationTxt>UBTI REPORTED AND PAID WITH FORM 1041 FILING</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>EXPLANATION FOR FORM 990, PAGE 6, PART VI, LINE 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>KEYBANK IS SOLE TRUSTEE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11-DESCRIPTION OF PROCESS FOR REVIEW</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL RETURNS ARE PREPARED AND THOROUGHLY REVIEWED BY OUR TAX VENDOR AND/OR INTERNALPROFESSIONAL TAX DEPARTMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE AVAILABLE UPON REQUEST BY MAIL OR BY PHONE AND DELIVERED WTHIN 2 WEEKS OF THE REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>EXPLANATION FOR FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>COST BASIS ADJUSTMENT DUE TO PRIVATE ADVISORS COINVESTMENT FUND III LP REPORTING ON CALENDAR YEAR END WHILE THIS TRUST REPORTS ON FYE 6</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>