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      <OnlyInHouseLobbyingInd>false</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>true</AgreeCarryoverPriorYearInd>
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      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>1087500</TotalRevenuePerForm990Amt>
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        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
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          <AddressLine1Txt>243 N LINDBERGH BLVD</AddressLine1Txt>
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        <RecipientEIN>237292391</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
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      <RecipientTable>
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          <BusinessNameLine1Txt>THE AMERICAN OPTOMETRIC ASSOCIATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>243 N LINDBERGH BLVD</AddressLine1Txt>
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        <RecipientEIN>430684708</RecipientEIN>
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        <PurposeOfGrantTxt>GENERAL OPERATIONS</PurposeOfGrantTxt>
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      <RecipientTable>
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          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
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        <RecipientEIN>530242038</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL OPERATIONS</PurposeOfGrantTxt>
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      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
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        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANTS WERE ISSUED TO ORGANIZATIONS FOR THE STATED PURPOSE WHO REPORTED BACK ON THEUSE OF THE FUNDS.</ExplanationTxt>
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      <SeverancePaymentInd>false</SeverancePaymentInd>
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        <PersonNm>RALPH KOHL</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
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        <OtherCompensationFilingOrgAmt>298</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>52</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10363</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1829</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>3225</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>37811</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Tax indemnification and gross-up payments</FormAndLineReferenceDesc>
        <ExplanationTxt>CELL PHONE REIMBURSEMENT WAS PROVIDED TO RALPH KOHL. THE REIMBURSEMENT INCLUDED A TAX-GROSS UP AND WAS INCLUDED IN THE INDIVIDUAL'S TAXABLE INCOME.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED BY AMERICAN OPTOMETRIC ASSOCIATION, A RELATED ORGANIZATION. AMERICAN OPTOMETRIC ASSOCIATION USES THE FOLLOWING TO DETERMINE THE EXECUTIVE DIRECTOR'S COMPENSATION: 1. COMPENSATION COMMITTEE, 2. INDEPENDENT COMPENSATION CONSULTANT, 3. COMPENSATION SURVEY OR STUDY, 4. APPROVAL BY BOARD OR COMPENSATION COMMITTEE</ExplanationTxt>
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        <ExplanationTxt>THE ORGANIZATION HAS A CONTRACT WITH A MANAGEMENT COMPANY TO PROVIDE ALL DAY-TO-DAY MANAGEMENT SERVICES. THE MANAGEMENT COMPANY HAS WHISTLEBLOWER AND DOCUMENT RETENTION POLICIES APPLICABLE TO ITS EMPLOYEES AND OPERATIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE THREE CLASSES OF MEMBERS: EXECUTIVE COUNCIL MEMBERS, ASSOCIATE MEMBERS AND BASIC MEMBERS. EXECUTIVE COUNCIL INCLUDES TWO APPOINTMENTS TO EXECUTIVE COUNCIL AS CO-CHAIRS AND ONE APPOINTMENT TO THE POLICY COMMITTEE. ASSOCIATE MEMBERS INCLUDE ONE APPOINTMENT TO EXECUTIVE COUNCIL. BASIC MEMBERS INCLUDE NO APPOINTMENTS. EACH CLASS INCLUDES SPECIFIC RECOGNITIONS, PARTICIPATION IN EVENTS, AND BRIEFINGS, THE NUMBER OF WHICH IS DETERMINED BY THE MEMBER CLASS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COUNCIL MEMBERS INCLUDES TWO APPOINTMENTS TO EXECUTIVE COUNCIL AS CO-CHAIRS AND ONE APPOINTMENT TO THE POLICY COMMITTEE. ASSOCIATE MEMBERS INCLUDE ONE APPOINTMENT TO EXECUTIVE COUNCIL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN EXTERNAL ACCOUNTING FIRM. THE PREPARED FORM IS THEN REVIEWED BY THE EXECUTIVE DIRECTOR AND THE BOARD OF DIRECTORS PRIOR TO FINAL SUBMISSION TO THE IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS MUST SIGN A CONFLICT OF INTEREST STATEMENT AFFIRMING RECEIPT AND COMPLIANCE WITH POLICY. PERIODIC REVIEWS ARE DONE TO ENSURE THE ALLIANCE IS CONDUCTING ACTIVITIES CONSISTENT WITH ITS PURPOSE AND TAX-EXEMPT STATUS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR THE EXECUTIVE DIRECTOR IS INDEPENDENTLY REVIEWED BY THE MANAGEMENT COMPANY. IT IS DETERMINED USING COMPARATIVE 990 DATA AND AN INDEPENDENT COMPENSATION SURVEY ANALYSIS FOR SIMILAR ORGANIZATIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROFESSIONAL FEES - Total Expense: 138215, Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;</ExplanationTxt>
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          <CityNm>ALEXANDRIA</CityNm>
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          <StateAbbreviationCd>MO</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>MEMBERSHIP SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
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      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
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      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
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</Return>