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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>JULIA STRZALKA CHRISTOPHER STRZALKA, MD EXEC. DIR. PRESIDENT HUSBAND/WIFE JULIA STRZALKA JONATHAN STRZALKA EXEC. DIR. BOARD MEM. MOTHER/SON CHRISTOPHER STRZALKA, MD JONATHAN STRZALKA PRESIDENT BOARD MEM. FATHER/SON</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD REVIEWS THE 990 BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>A CONFLICT OF INTEREST POLICY IS AVAILABLE &amp; ENFORCED THROUGH THE HONOR SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE PROVIDED TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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</Return>