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        <ManagementAndGeneralAmt>70741</ManagementAndGeneralAmt>
        <FundraisingAmt>10666</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>37374</TotalAmt>
        <ProgramServicesAmt>440</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36934</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25000</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <AdvertisingGrp>
        <TotalAmt>912</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>912</FundraisingAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>13413</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18293</ManagementAndGeneralAmt>
        <FundraisingAmt>3323</FundraisingAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>85008</TotalAmt>
        <ProgramServicesAmt>74765</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9943</ManagementAndGeneralAmt>
        <FundraisingAmt>300</FundraisingAmt>
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        <ProgramServicesAmt>112707</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9548</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>79357</TotalAmt>
        <ProgramServicesAmt>78346</ProgramServicesAmt>
        <ManagementAndGeneralAmt>418</ManagementAndGeneralAmt>
        <FundraisingAmt>593</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>5322</TotalAmt>
        <ProgramServicesAmt>4732</ProgramServicesAmt>
        <ManagementAndGeneralAmt>555</ManagementAndGeneralAmt>
        <FundraisingAmt>35</FundraisingAmt>
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      <InterestGrp>
        <TotalAmt>12340</TotalAmt>
        <ProgramServicesAmt>9992</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2348</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>33212</TotalAmt>
        <ProgramServicesAmt>24642</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8570</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>25128</TotalAmt>
        <ProgramServicesAmt>14072</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11056</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Subcontracted Direct Care</Desc>
        <TotalAmt>828304</TotalAmt>
        <ProgramServicesAmt>828304</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Special Event</Desc>
        <TotalAmt>37742</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>37742</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Staff Training &amp; Meals</Desc>
        <TotalAmt>32755</TotalAmt>
        <ProgramServicesAmt>24309</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2815</ManagementAndGeneralAmt>
        <FundraisingAmt>5631</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Program Supplies</Desc>
        <TotalAmt>112906</TotalAmt>
        <ProgramServicesAmt>112906</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>199257</ProgramServicesAmt>
        <ManagementAndGeneralAmt>130957</ManagementAndGeneralAmt>
        <FundraisingAmt>20046</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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        <ManagementAndGeneralAmt>1201309</ManagementAndGeneralAmt>
        <FundraisingAmt>211127</FundraisingAmt>
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        <EOYAmt>4600261</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>748875</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>7749</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>3328</EOYAmt>
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        <EOYAmt>81938</EOYAmt>
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      <OtherLiabilitiesGrp>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>982537</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>5406324</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>372894</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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        <CurrentTaxYearMinus2YearsAmt>17019</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>52401</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus1YearAmt>6730688</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus1YearAmt>6783089</CurrentTaxYearMinus1YearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus2YearsAmt>7059</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>28070</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>35354</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>28070</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>35354</CurrentTaxYearAmt>
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      <PublicSupportPY509Pct>0.99820</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00260</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00180</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleD documentId="IRS990ScheduleD-01" softwareId="24020153">
      <LandGrp>
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        <OtherCostOrOtherBasisAmt>78600</OtherCostOrOtherBasisAmt>
        <BookValueAmt>78600</BookValueAmt>
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      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>522355</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>417129</DepreciationAmt>
        <BookValueAmt>105226</BookValueAmt>
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      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>643161</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>292000</DepreciationAmt>
        <BookValueAmt>351161</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>93954</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>93954</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>197076</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>171564</DepreciationAmt>
        <BookValueAmt>25512</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>560499</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Current Portion Lease Liability</Desc>
        <Amt>29067</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Long Term Portion Lease Liability</Desc>
        <Amt>50458</Amt>
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      <TotalLiabilityAmt>79525</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>7419461</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>7419461</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>7419461</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>7046567</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>7046567</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>7046567</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ-01">
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>MatthewPellegrino</PersonNm>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>June Sauvageau</PersonNm>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>6000</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lisa DiGiuseppe</PersonNm>
        <BaseCompensationFilingOrgAmt>157462</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26058</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>183520</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lisa Visone</PersonNm>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kevin Hatch</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>David Ellingson</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO-01" softwareId="24020153">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>A Copy of the Form 990 is provided to the Board Treasurer.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Each member of the Board of Directors annually signs a conflict of interest policy , and is required to disclose if any conflict of interest arises or exists.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board President and Board Development Committee conduct an annual performance review, including results of goals to determine CEO compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board approves an overall merit/cola increase for all staff. The CEO and management determine eligibity and percentage of increase based on performance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization avails the Forms 1023 and 990 to the Public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization avails its governing documents and financial statements to the Public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>