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          <BusinessNameLine1Txt>BETHEL HOUSE OF WHITEWATER INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>133 S FRANKLIN ST</AddressLine1Txt>
          <CityNm>WHITEWATER</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53190</ZIPCd>
        </USAddress>
        <RecipientEIN>391814447</RecipientEIN>
        <CashGrantAmt>8050</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ECUMENICAL PROJECT FOR FAMILIES IN NEED</PurposeOfGrantTxt>
      </RecipientTable>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>APPLICATIONS ARE SUBMITTED BY ALL ORGANIZATIONS REQUESTING FUNDING. APPLICATIONS ARE REVIEWED AND APPROVED BY THE COMMUNITY IMPACT COMMITTEE. EACH YEAR APPROXIMATELY ONE-THIRD OF THE AGENCIES BEING FUNDED ARE INTERIVEWED BY THE COMMUNITY IMPACT COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD REVIEWS AND APPROVES FORM 990 PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST FORMS ARE REQUIRED TO BE SIGNED BY BOARD MEMBERS EVERY YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE ESTABLISHES THE COMPENSATION OF THE EXECUTIVE DIRECTOR. THIS COMPENSATION IS THEN APPROVED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS ARE PROVIDED UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
