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      <TotLiabNetAssetsFundBalanceGrp>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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        <CurrentTaxYearMinus2YearsAmt>1000</CurrentTaxYearMinus2YearsAmt>
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      <PublicSupportPY509Pct>0.83700</PublicSupportPY509Pct>
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      <InvestmentIncomePYPct>0.15530</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleB documentId="IRS990ScheduleB-01">
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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        <OtherCostOrOtherBasisAmt>3168</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3168</DepreciationAmt>
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    <IRS990ScheduleJ documentId="IRS990ScheduleJ-01">
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
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        <ExplanationTxt>PART II LINE 1 THE EXECUTIVE DIRECTOR IS A PAID EMPLOYEE OF ATRIUM HEALTH STANLY</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MAINTAINED AT ITS OFFICES ON 303 YADKIN STREET IN ALBEMARLE, NC AND ARE AVAILABLE FOR PUBLIC INSPECTION ON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO'S SALARY IS PAID BY THE LOCAL HOSPITAL - ATRIUM HEALTH STANLY AND AS SUCH IS A VOLUNTEER POSITION WITHIN THE ORGANIZATION. SALARIES AT THE HOSPITAL ARE DETERMINED BY REVIEW WITHIN THE SYSTEM AND WITH THE USE OF COMPARABILITY DATA AVAILABLE WITHIN THE HEALTHCARE SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL OFFICER AND NURSES FEES ARE BASED UPON PERFORMANCE APPRAISALS AS WELL AS REVIEWS OF AMOUNTS PAID BY LIKE ORGANIZATIONS FOR SIMILAR SERVICES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other</FormAndLineReferenceDesc>
        <ExplanationTxt>ATRIUM HEALTH STANLY PROVIDED SUPPORT FOR THE ORGANIZATION AS FOLLOWS: SALARIES AND PAYROLL TAXES $228,953, OFFICE AND CLERICAL SPACE $41,956, CLINICAL SUPPORT AND MAINTENANCE $24,113</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>COPIES OF THE 990 WERE DELIVERED TO BOARD MEMBERS PRIOR TO THEIR SCHEDULED BOARD MEETING. MEMBERS WERE GIVEN THE OPPORTUNITY TO REVIEW THE 990 AND ASK QUESTIONS BOTH BEFORE AND DURING THE BOARD MEETING. AFTER REVIEW AND APPROVAL THE COMPLETED 990 WAS FILED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS SIGN A DISCLOSURE FORM AT THE FIRST BOARD MEETING OF THE CALENDAR YEAR STATING ANY POTENTIAL CONFLICTS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL FEES - NURSES 23574. 23574. 0. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL SUPPLIES 9354. 9354. 0. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>LICENSES 102. 0. 0. 102.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>BOD MEETING EXPENSE 470. 0. 470. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
