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          <BusinessNameLine1Txt>Matthew McCauley DO</BusinessNameLine1Txt>
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          <AddressLine1Txt>14 Prospect Street</AddressLine1Txt>
          <CityNm>Milford</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
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            <CityNm>Milford</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01757</ZIPCd>
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          <TitleTxt>President</TitleTxt>
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        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>Theresa Arpin MD</PersonNm>
          <USAddress>
            <AddressLine1Txt>362 SW Main Street</AddressLine1Txt>
            <CityNm>Douglas</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01516</ZIPCd>
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          <TitleTxt>Vice President</TitleTxt>
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        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>Matthew McCauley DO</PersonNm>
          <USAddress>
            <AddressLine1Txt>939 Edmands Road</AddressLine1Txt>
            <CityNm>Framingham</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01701</ZIPCd>
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          <TitleTxt>Treasurer/Clerk</TitleTxt>
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        <CompOfHghstPdEmplOrNONETxt>NONE</CompOfHghstPdEmplOrNONETxt>
        <CompOfHghstPdCntrctOrNONETxt>NONE</CompOfHghstPdCntrctOrNONETxt>
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        <Description1Txt>The foundation provided funds to the Massachusetts Medical Society to support its fundraising efforts for its non-profit purposes.</Description1Txt>
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        <Description2Txt>The foundation provided funds to the Milford Regional Healthcare Foundation to support its fundraising efforts for its non-profit purposes.</Description2Txt>
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        <Description1Txt>The foundation provided stipends to physicians to accomplish its charitable purposes.</Description1Txt>
        <Expenses1Amt>76500</Expenses1Amt>
        <Description2Txt>The foundation contributed to the volunteer &amp; employee appreciation program with awards to accomplish it's charitable purposes.</Description2Txt>
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        <ProgramRelatedInvstTotalAmt>86250</ProgramRelatedInvstTotalAmt>
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        <DistributableAsAdjustedAmt>4341</DistributableAsAdjustedAmt>
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        <QualifyingDistributionsAmt>175500</QualifyingDistributionsAmt>
        <TreatedAsDistriFromCorpusAmt>0</TreatedAsDistriFromCorpusAmt>
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          <RecipientPersonNm>Milford Regional Medical Staff Asso</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>14 Prospect Street</AddressLine1Txt>
            <CityNm>Milford</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01757</ZIPCd>
          </RecipientUSAddress>
          <RecipientPhoneNum>5084222203</RecipientPhoneNum>
          <FormAndInfoAndMaterialsTxt>Request in writing, with purposes, and requested amount.</FormAndInfoAndMaterialsTxt>
          <SubmissionDeadlinesTxt>60 days prior to anticipated distribution.</SubmissionDeadlinesTxt>
          <RestrictionsOnAwardsTxt>To be determined.</RestrictionsOnAwardsTxt>
        </ApplicationSubmissionInfoGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>Milford Regional Medical Center</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>14 Prospect Street</AddressLine1Txt>
            <CityNm>Milford</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01757</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>See Part VIII-B, Line 1</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>N/A</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>Physician stipends.</GrantOrContributionPurposeTxt>
          <Amt>76500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>Debbie Dowd</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>22 Oak Street</AddressLine1Txt>
            <CityNm>Hopedale</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01747</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>See Part VIII-B, Line 2</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>N/A</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>Employee Appreciation Award.</GrantOrContributionPurposeTxt>
          <Amt>3000</Amt>
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        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>Karen Toothaker</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>7 Lloyd Street</AddressLine1Txt>
            <CityNm>Hopedale</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01747</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>See Part VIII-B, Line 2</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>N/A</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>Employee Appreciation Award.</GrantOrContributionPurposeTxt>
          <Amt>1000</Amt>
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        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>Massachusetts Medical Society</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>860 Winter Street</AddressLine1Txt>
            <CityNm>Waltham</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02451</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>See Part IX-A, Line 2</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>N/A</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>Physician Health Services</GrantOrContributionPurposeTxt>
          <Amt>3000</Amt>
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          <RecipientPersonNm>Milford Regional Medical Center</RecipientPersonNm>
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            <CityNm>Milford</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01757</ZIPCd>
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          <RecipientRelationshipTxt>See Part VIII-B, Line 2</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>N/A</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>Annual Volunteer Week Recognition Awards</GrantOrContributionPurposeTxt>
          <Amt>1000</Amt>
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          <RecipientPersonNm>Milford Regional Medical Center</RecipientPersonNm>
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            <AddressLine1Txt>14 Prospect Street</AddressLine1Txt>
            <CityNm>Milford</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01757</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>See Part VIII-B, Line 2</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>N/A</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>Grand Rounds Honoariums Appreciation Awards</GrantOrContributionPurposeTxt>
          <Amt>1750</Amt>
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        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>Lisa Gnerre</RecipientPersonNm>
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            <AddressLine1Txt>608 Victory Highway</AddressLine1Txt>
            <CityNm>Mapleville</CityNm>
            <StateAbbreviationCd>RI</StateAbbreviationCd>
            <ZIPCd>02839</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>See Part VIII-B, Line 2</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>N/A</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>Employee Appreciation Award</GrantOrContributionPurposeTxt>
          <Amt>1000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>Milford Regional Medical Center</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>14 Prospect Street</AddressLine1Txt>
            <CityNm>Milford</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01757</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>See Part VIII-B, Line 2</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>N/A</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>National Nurses' Week Appreciation Awards</GrantOrContributionPurposeTxt>
          <Amt>2000</Amt>
        </GrantOrContributionPdDurYrGrp>
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      <AnalysisIncomeProducingActyGrp>
        <MembershipDuesAndAssmntGrp>
          <RelatedOrExemptFunctionIncmAmt>93600</RelatedOrExemptFunctionIncmAmt>
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        <IntOnSavAndTempCashInvstGrp>
          <RelatedOrExemptFunctionIncmAmt>151</RelatedOrExemptFunctionIncmAmt>
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          <RelatedOrExemptFunctionIncmAmt>93751</RelatedOrExemptFunctionIncmAmt>
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