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        <CityNm>Baltimore</CityNm>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>-45384</NetUnrealizedGainsInvstAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The Internal Revenue Service has not examined (audited) any income tax returns of the Organization thus the previous three (3) years are subject to examination. The Organization has not taken any questionable tax positions with respect to unrelated business income tax or anything that would jeopardize its 501(c)(3) status.</ExplanationTxt>
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        <PersonNm>Barabara Forsha MSN RN ET</PersonNm>
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        <PersonNm>Brian Nimmo MS</PersonNm>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Caroline Zink PhD</PersonNm>
        <TitleTxt>Executive Dir.</TitleTxt>
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        <TotalCompensationFilingOrgAmt>239066</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jonathan Eckman PE</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>156949</CompensationBasedOnRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>47085</NontaxableBenefitsRltdOrgsAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kousick Biswas PhD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Leslie Katzel MD PhD</PersonNm>
        <TitleTxt>Treasurer/Sec.</TitleTxt>
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        <NontaxableBenefitsRltdOrgsAmt>80484</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>348797</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Qiang Qian</PersonNm>
        <TitleTxt>Statistician</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>25975</NontaxableBenefitsFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ryan Scilla MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sandra Marshall MD</PersonNm>
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        <TotalCompensationRltdOrgsAmt>439960</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Taquisa Simmons PhD</PersonNm>
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        <NontaxableBenefitsRltdOrgsAmt>37401</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>162072</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Thomas Hornyak MD PhD</PersonNm>
        <TitleTxt>President</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>276490</CompensationBasedOnRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>82947</NontaxableBenefitsRltdOrgsAmt>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="20011551" softwareVersionNum="2020v4.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board Audit Committee reviews the 990, then presents it to the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>An interested party is under a continuing obligation to disclose any potential conflict of interest as soon as it is known or reasonably should be known. An interested party shall complete a conflict of interest disclosure questionnaire upon his/her association with the Organization, and shall be updated annually thereafter. An additional discourse statement shall be filed whenever a potential conflict arises.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>Executive Director salary is reviewed and determined by the BREF Board of Directors and is signed off on by the BREF President annually. Salary was based on an extensive (and documented) review of similar positions (and similar organization scope, size, and location) from resources like GuideStar and 990s from other VA Non-Profit Corporations (NPCs). Executive Director receives an annual cost of living increase as implemented for federal employees in Baltimore, MD per BREF policy for all employees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>Available on site upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Amended Explanation</FormAndLineReferenceDesc>
        <ExplanationTxt>Additional information was provided relevant to donor designated net assets.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII</FormAndLineReferenceDesc>
        <ExplanationTxt>Sandra Marshall, M.D., is compensated as an employee through the VA Maryland Health Care System.Thomas Hornyak, M.D., is compensated as an employee through the VA Maryland Health Care System.Leslie Katzel, M.D., Ph.D., is compensated as an employee through the VA Maryland Health Care System.Kousick Biwas, M.D., is compensated as an employee through the VA Maryland Health Care System.Brian Nimmo, M.S., is compensated as an employee through the VA Maryland Health Care System.Jonathan Eckman, P.E., is compensated as an employee through the VA Maryland Health Care System.Ryan Scilla, M.D., is compensated as an employee through the VA Maryland Health Care System.Taquisa Simmons, Ph.D., is compensated as an employee through the VA Maryland Health Care System.Barbara Forsha, M.S.N., R.N., E.T., is compensated as an employee through the VA Maryland Health Care System.Adam Robinson's compensation could not be obtained. Joseph Liberto's compensation could not be obtained.David Collin's compensation could not be obtained.Glen Snider, Jr.'s compensation could not be obtained.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
