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          <AddressLine1Txt>185 Asylum St</AddressLine1Txt>
          <CityNm>Hartford</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>05103</ZIPCd>
        </USAddress>
        <RecipientEIN>264757226</RecipientEIN>
        <NonCashAssistanceAmt>89750</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>cost</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>medical equipment</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>medical support</PurposeOfGrantTxt>
      </RecipientTable>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="IRS990ScheduleO-01" softwareId="24020153">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>PDF copy sent to officers for review</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Equipment Donations 86300. 300. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>