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        <RelatedOrExemptFuncIncomeAmt>43625</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Foreign Exchange Income</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>826</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>826</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>44451</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2083704</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>44590</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>356499</TotalAmt>
        <ProgramServicesAmt>290377</ProgramServicesAmt>
        <ManagementAndGeneralAmt>49199</ManagementAndGeneralAmt>
        <FundraisingAmt>16923</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>8561</TotalAmt>
        <ManagementAndGeneralAmt>8561</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>323639</TotalAmt>
        <ProgramServicesAmt>263935</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59704</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>25157</TotalAmt>
        <ManagementAndGeneralAmt>25157</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>1192</TotalAmt>
        <ProgramServicesAmt>80</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1112</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>25914</TotalAmt>
        <ProgramServicesAmt>25914</ProgramServicesAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>64234</TotalAmt>
        <ProgramServicesAmt>64234</ProgramServicesAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>656925</TotalAmt>
        <ProgramServicesAmt>629013</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16848</ManagementAndGeneralAmt>
        <FundraisingAmt>11064</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>59798</TotalAmt>
        <ManagementAndGeneralAmt>17798</ManagementAndGeneralAmt>
        <FundraisingAmt>42000</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>10042</TotalAmt>
        <ProgramServicesAmt>9572</ProgramServicesAmt>
        <ManagementAndGeneralAmt>470</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>5283</TotalAmt>
        <ProgramServicesAmt>244</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2693</ManagementAndGeneralAmt>
        <FundraisingAmt>2346</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>14662</TotalAmt>
        <ProgramServicesAmt>13052</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1610</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>181307</TotalAmt>
        <ProgramServicesAmt>171171</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10136</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>1084</TotalAmt>
        <ProgramServicesAmt>831</ProgramServicesAmt>
        <ManagementAndGeneralAmt>253</ManagementAndGeneralAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>1900</TotalAmt>
        <ProgramServicesAmt>600</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1300</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>4379</TotalAmt>
        <ManagementAndGeneralAmt>4379</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>57156</TotalAmt>
        <ProgramServicesAmt>57156</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>94975</TotalAmt>
        <ProgramServicesAmt>-375</ProgramServicesAmt>
        <ManagementAndGeneralAmt>95350</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Program Costs</Desc>
        <TotalAmt>103699</TotalAmt>
        <ProgramServicesAmt>83407</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20292</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Uncategorized</Desc>
        <TotalAmt>17243</TotalAmt>
        <ManagementAndGeneralAmt>17243</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Bank and Merchant Fees</Desc>
        <TotalAmt>13563</TotalAmt>
        <ProgramServicesAmt>2508</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11055</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Fundraising</Desc>
        <TotalAmt>9600</TotalAmt>
        <ProgramServicesAmt>6000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3600</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>11962</TotalAmt>
        <ProgramServicesAmt>7669</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4293</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>2048774</TotalAmt>
        <ProgramServicesAmt>1625388</ProgramServicesAmt>
        <ManagementAndGeneralAmt>351053</ManagementAndGeneralAmt>
        <FundraisingAmt>72333</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>27640</BOYAmt>
        <EOYAmt>80274</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>39001</BOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <EOYAmt>84061</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <EOYAmt>58360</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>280915</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>203308</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>127674</BOYAmt>
        <EOYAmt>77607</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <TotalAssetsGrp>
        <BOYAmt>194315</BOYAmt>
        <EOYAmt>300302</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <EOYAmt>87327</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <LoansFromOfficersDirectorsGrp>
        <BOYAmt>10000</BOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>193827</BOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <EOYAmt>99673</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>203827</BOYAmt>
        <EOYAmt>187000</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>-402587</BOYAmt>
        <EOYAmt>-667372</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>393075</BOYAmt>
        <EOYAmt>780674</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>-9512</BOYAmt>
        <EOYAmt>113302</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>194315</BOYAmt>
        <EOYAmt>300302</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>34930</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>87884</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>338762</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2727155</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2563976</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2866981</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2039114</CurrentTaxYearAmt>
        <TotalAmt>10535988</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>338762</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2727155</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2563976</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2866981</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2039114</CurrentTaxYearAmt>
        <TotalAmt>10535988</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>83673</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>10452315</PublicSupportTotal170Amt>
      <TotalSupportAmt>10535988</TotalSupportAmt>
      <PublicSupportCY170Pct>0.99210</PublicSupportCY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="990D">
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>280915</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>203308</DepreciationAmt>
        <BookValueAmt>77607</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>77607</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Insurance Loan Payable</Desc>
        <Amt>56226</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued Expenses</Desc>
        <Amt>43447</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>99673</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Footnote for uncertain tax position under FIN 48 (Part X)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER BOTH FEDERAL (INTERNAL REVENUE CODE SECTION 501(C)(3)) AND FLORIDA INCOME TAX LAWS, AND IS CLASSIFIED AS OTHER THAN A PRIVATE FOUNDATION UNDER INTERNAL REVENUE CODE SECTION 509(A)(1). INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE ORGANIZATIONS TAX-EXEMPT PURPOSE, HOWEVER, MAY BE SUBJECT TO TAXATION AS UNRELATED BUSINESS TAXABLE INCOME (UBTI).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>General Explanation Attachment</FormAndLineReferenceDesc>
        <ExplanationTxt>Interest assessed by various taxing authorities, are classified as management and general expenses, if they occur.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="990F">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Middle East and North Africa</RegionTxt>
        <EmployeeCnt>4</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Provide medical care</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>147789</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Russia and Neighboring States</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Provide medical care</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>1061408</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>North America Not the United States</RegionTxt>
        <TypeOfActivitiesConductedTxt>Program services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Provide medical care</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>147849</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalEmployeesCnt>4</SubtotalEmployeesCnt>
      <TotalEmployeeCnt>4</TotalEmployeeCnt>
      <SubtotalSpentAmt>1357046</SubtotalSpentAmt>
      <TotalSpentAmt>1357046</TotalSpentAmt>
      <TransferToForeignCorpInd>false</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>false</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>false</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>General Explanation Attachment</FormAndLineReferenceDesc>
        <ExplanationTxt>Part I, Line 3 - Activities per RegionMiddle East and North Africa: Expenditures $147,789 / Investments $0Russia and Neighboring States: Expenditures $1,061,408 / Investments $0North America: Expenditures $147,849 / Investments $0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Amended return information</FormAndLineReferenceDesc>
        <ExplanationTxt>Upon further review it has been discovered that a number of inaccurate responses were supplied with the original filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The board of directors reviews Form 990 in detail before it is filed with the IRS to ensure accuracy and transparency in reporting the organizations financials, governance, and activities.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization maintains a comprehensive Conflict of Interest Policy that applies to its officers, directors, and key employees. All covered individuals are provided with training on the Conflict of Interest Policy and are required to acknowledge their understanding and compliance with the policy. All officers, directors, and key employees are required annually to disclose any potential conflicts of interest in writing, including relationships, financial interests, or other situations that may give rise to conflicts. Disclosures are reviewed by the board of directors. If a potential conflict of interest is identified, the board determines the appropriate course of action.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization follows a comprehensive and independent process for determining the compensation of its top management officials, which include the executive director/CEO, and other key officers. A Committee, composed of independent members, obtains and reviews comparable compensation data from similarly sized organizations. The data reviewed includes Form 990s, compensation surveys, and industry reports, which ensure that compensation is reasonable and competitive. Additionally, compensation decisions reflect individual performance evaluations, the achievement of organizational goals, and the financial health of the organization.The entire process is documented in the meeting minutes of the Committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization follows a comprehensive and independent process for determining the compensation of its top management officials, which include the executive director/CEO, and other key officers. A Committee, composed of independent members, obtains and reviews comparable compensation data from similarly sized organizations. The data reviewed includes Form 990s, compensation surveys, and industry reports, which ensure that compensation is reasonable and competitive. Additionally, compensation decisions reflect individual performance evaluations, the achievement of organizational goals, and the financial health of the organization.The entire process is documented in the meeting minutes of the Committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing doucments are available for review at the organizations office during business hours upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of other fees for services expenses Part IX line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>In 2023 the organization had other fees for services of $656,925 as follows:Total Program Services:Outside contractors $629,013Management (General): $16,848Fundraising: $11,064</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III response or note to any other line in Part III</FormAndLineReferenceDesc>
        <ExplanationTxt>Part III, Line 4A - Program Service Accomplishments:Global Response Management (GRM) is a veteran-founded, women-led, U.S.-based international 501(c)3 nonprofit with a mission to deliver emergency medical care and humanitarian relief to vulnerable populations affected by conflict or disaster. We go where others wont to do what others cant. We believe that everyone has the right to the best possible care on the worst day of their life. By combining principles from military, academic, and civilian spheres, we define evidence-based response for high-risk, low resource environments with an emphasis on direct patient care, capacity building, and innovative partnerships.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>