ASSOCIATION OF CRITICAL CARE TRANSPORT: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
ASSOCIATION OF CRITICAL CARE TRANSPORT (EIN 30-0595636)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-07-02
IRS object ID
202111839349300316
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-07-02T11:40:35-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN813053687PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BERGANKDV LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13550 NE RALPH POWELL RDAddressLine1Txt
CityLEES SUMMITCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64064ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN300595636EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ASSOCIATION OF CRITICAL CARE TRANSPORTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlASSOBusinessNameControlTxt
Phone2079736706PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12901 WILLIAMSBURG TERR NO GAddressLine1Txt
CityPLATTE CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64079ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDENNIS MACKPersonNm
Person TitleCHAIRPersonTitleTxt
Phone2079736706PhoneNum
Signature2021-06-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDENNISPersonFirstNm
Person LastMACKPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonISAAC SWICK CPAPreparerPersonNm
PTINP01318651PTIN
Phone8165259699PhoneNum
Preparation2021-06-29PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line12901 WILLIAMSBURG TERR NO GAddressLine1Txt
CityPLATTE CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64079ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$232,116GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.ACCTFORPATIENTS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2009FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionTRANSFORM CRITICAL CARE TRANSPORT TO ACHIEVE BEST INTEREST/NEEDS OF CRITICAL CARE MEDICAL PATIENTS.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,655PYContributionsGrantsAmt
CY Contributions Grants$2,340CYContributionsGrantsAmt
PY Program Service Revenue$264,495PYProgramServiceRevenueAmt
CY Program Service Revenue$229,776CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$267,150PYTotalRevenueAmt
CY Total Revenue$232,116CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$264,709PYOtherExpensesAmt
CY Other Expenses$229,491CYOtherExpensesAmt
PY Total Expenses$264,709PYTotalExpensesAmt
CY Total Expenses$229,491CYTotalExpensesAmt
PY Revenues Less Expenses$2,441PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,625CYRevenuesLessExpensesAmt
Total Assets BOY$85,048TotalAssetsBOYAmt
Total Assets EOY$82,247TotalAssetsEOYAmt
Total Liabilities BOY$140,502TotalLiabilitiesBOYAmt
Total Liabilities EOY$135,076TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$55,454NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$52,829NetAssetsOrFundBalancesEOYAmt
MissionTRANSFORM CRITICAL CARE TRANSPORT TO ACHIEVE BEST INTEREST/NEEDS OF CRITICAL CARE MEDICAL PATIENTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$171,860ExpenseAmt
Revenue$229,776RevenueAmt
DescTRANSFORM CRITICAL CARE TRANSPORT TO ACHIEVE BEST INTEREST/NEEDS OF CRITICAL CARE MEDICAL PATIENTS.Desc
Total Program Service Expenses$171,860TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy TaxYes (1)SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MEDSERV MANAGEMENT SERVICES LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8164315791PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12901 WILLIAMSBURG TERRACE SUITE GAddressLine1Txt
CityPLATTE CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64079ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
MARY AHLERS
DIRECTOR2.00Yes (X)$0$0$0
JOEY ARAIZA
DIRECTOR2.00Yes (X)$0$0$0
MIKE CHRISTIANSON
TREASURER2.00Yes (X)$0$0$0Yes (X)
NATHAN MORREALE
DIRECTOR2.00Yes (X)$0$0$0
CHUCK HOGAN
DIRECTOR2.00Yes (X)$0$0$0
JEFFREY STEARNS
DIRECTOR2.00Yes (X)$0$0$0
JASON COHEN
DIRECTOR2.00Yes (X)$0$0$0
ROBBIE TESTER
DIRECTOR2.00Yes (X)$0$0$0
KYLE MADIGAN
DIRECTOR2.00Yes (X)$0$0$0
JENNIFER LAKEBERG
SECRETARY2.00Yes (X)$0$0$0Yes (X)
KEVIN REYNOLDS
IMMEDIATE PAST PRESIDENT2.00Yes (X)$0$0$0Yes (X)
DENNIS MACK
CHAIR2.00Yes (X)$0$0$0Yes (X)
DAMON DARSEY
DIRECTOR2.00Yes (X)$0$0$0
CHERIE PEPPING
CHAIR-ELECT2.00Yes (X)$0$0$0Yes (X)
MICHAEL BAULCH
DIRECTOR2.00Yes (X)$0$0$0
MAURA HUGHES
DIRECTOR2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOLLAND & KNIGHT LLPBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 864084AddressLine1Txt
CityORLANDOCityNm
State AbbreviationFLStateAbbreviationCd
ZIP328864084ZIPCd
FieldValueIRS element (for citing)
ServicesADVOCACY SERVICESServicesDesc
Compensation$113,000CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$2,340AllOtherContributionsAmt
Total Contributions$2,340TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEMBERSHIP DUES561499$218,776$218,776
SPRING MEETING561499$11,000$11,000
FieldValueIRS element (for citing)
Total Program Service Revenue$229,776TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$232,116TotalRevenueColumnAmt
Related Or Exempt Func Income$229,776RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$96,252TotalAmt
Program Services$72,189ProgramServicesAmt
Management And General$24,063ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,600TotalAmt
Management And General$2,600ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$113,000TotalAmt
Program Services$84,750ProgramServicesAmt
Management And General$28,250ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,757TotalAmt
Program Services$2,757ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,521TotalAmt
Program Services$2,521ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,936TotalAmt
Program Services$8,936ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,238TotalAmt
Management And General$1,238ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
BANK & CREDIT CARD FEES$1,480$1,480
CAMTS EXPENSES$500$500
REGISTRATION & LICENSE$124$124
MISCELLANEOUS$83$83

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$229,491TotalAmt
Program Services$171,860ProgramServicesAmt
Management And General$57,631ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$24,004BOYAmt
EOY$22,035EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$2,400EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$60,435BOYAmt
EOY$55,182EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$609BOYAmt
EOY$2,630EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$85,048BOYAmt
EOY$82,247EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$140,502BOYAmt
EOY$135,076EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$140,502BOYAmt
EOY$135,076EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$55,454BOYAmt
EOY-$52,829EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$55,454BOYAmt
EOY-$52,829EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$85,048BOYAmt
EOY$82,247EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,625ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Substantially All Dues Nonded0SubstantiallyAllDuesNondedInd
Only In House Lobbying0OnlyInHouseLobbyingInd
Agree Carryover Prior Year0AgreeCarryoverPriorYearInd
Dues Assessments$218,776DuesAssessmentsAmt
Non Deductible Lbbyng Pltcl CY$113,000NonDeductibleLbbyngPltclCYAmt
Non Deductible Lbbyng Pltcl Tot$113,000NonDeductibleLbbyngPltclTotAmt
Aggregate Reported Dues Ntc$113,000AggregateReportedDuesNtcAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION DELEGATES ADMINISTRATIVE, MEMBERSHIP, AND FINANCIAL DUTIES TO MEDSERV MANAGEMENT SERVICES, LLC.
FORM 990, PART VI, SECTION A, LINE 6EACH REGULAR MEMBER HAS ONE VOTE IN ELECTING THE BOARD OF DIRECTORS AND MAKING CHANGES TO THE BYLAWS OR IN ANY OTHER MATTER THE BOARD DEEMS SO SIGNIFICANT AS TO REQUIRE A MEMBERSHIP VOTE.
FORM 990, PART VI, SECTION A, LINE 7AEACH REGULAR MEMBER HAS ONE VOTE IN ELECTING THE BOARD OF DIRECTORS AND MAKING CHANGES TO THE BYLAWS OR IN ANY OTHER MATTER THE BOARD DEEMS SO SIGNIFICANT AS TO REQUIRE A MEMBERSHIP VOTE.
FORM 990, PART VI, SECTION A, LINE 7BTHE GOVERNING BODY MUST GET MEMBERSHIP APPROVAL WHEN MAKING CHANGES TO THE BYLAWS OR IN ANY OTHER MATTER THE BOARD DEEMS SO SIGNIFICANT AS TO REQUIRE A MEMBERSHIP VOTE.
FORM 990, PART VI, SECTION B, LINE 11BTHE BOARD OF DIRECTORS REVIEWS THE 990 BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF DIRECTORS REQUIRES ALL BOARD MEMBERS TO DISCLOSE CONFLICTS ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.

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