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      <Form990PartVIISectionAGrp>
        <PersonNm>LARRY WRIGHT JR</PersonNm>
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      <Form990PartVIISectionAGrp>
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        <PersonNm>SUNNY COLOMBE</PersonNm>
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      <RecipientTable>
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      <RecipientTable>
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      <RecipientTable>
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      <RecipientTable>
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      <RecipientTable>
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          <AddressLine1Txt>PO BOX 3829</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>00241</ZIPCd>
        </USAddress>
        <RecipientEIN>042697983</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>12084</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEBRASKA INDIAN MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2331 FAIRFIELD ST STE 1</AddressLine1Txt>
          <CityNm>LINCOLN</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68521</ZIPCd>
        </USAddress>
        <RecipientEIN>470697260</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>8500</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PONCA TRIBE OF NEBRASKA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2602 J STREET</AddressLine1Txt>
          <CityNm>OMAHA</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68107</ZIPCd>
        </USAddress>
        <RecipientEIN>470744117</RecipientEIN>
        <CashGrantAmt>35880</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ROSEBUD SIOUX TRIBE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 430</AddressLine1Txt>
          <CityNm>ROSEBUD</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57570</ZIPCd>
        </USAddress>
        <RecipientEIN>460248724</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>176853</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SAC AND FOX TRIBE OF THE MISSISSIPPI IN IOWA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1646 305TH STREET</AddressLine1Txt>
          <CityNm>TAMA</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52339</ZIPCd>
        </USAddress>
        <RecipientEIN>416053373</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>8500</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SANTEE SIOUX NATION HEALTH AND WELLNESS CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>110 S VISITING EAGLE</AddressLine1Txt>
          <CityNm>NIOBRARA</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68760</ZIPCd>
        </USAddress>
        <RecipientEIN>470533471</RecipientEIN>
        <CashGrantAmt>148969</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SISSETON WAHPETON OYATE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 509</AddressLine1Txt>
          <CityNm>SISSETON</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57262</ZIPCd>
        </USAddress>
        <RecipientEIN>460308226</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>61517</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SPIRIT LAKE TRIBAL HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 480</AddressLine1Txt>
          <CityNm>FT TOTTEN</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>58335</ZIPCd>
        </USAddress>
        <RecipientEIN>450314494</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>182500</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STANDING ROCK TRIBAL HEALTH ADMISTRATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX D</AddressLine1Txt>
          <CityNm>FT YATES</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>58538</ZIPCd>
        </USAddress>
        <RecipientEIN>450220519</RecipientEIN>
        <CashGrantAmt>63500</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TIWAHE GLU KINI PI</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 105</AddressLine1Txt>
          <CityNm>MISSION</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57555</ZIPCd>
        </USAddress>
        <RecipientEIN>460312209</RecipientEIN>
        <CashGrantAmt>28389</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TRENTON INDIAN SERVICE AREA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 210</AddressLine1Txt>
          <CityNm>TRENTON</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>58853</ZIPCd>
        </USAddress>
        <RecipientEIN>450324907</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>25602</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TURTLE MOUNTAIN BAND OF CHIPPEWA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 900</AddressLine1Txt>
          <CityNm>BELCOURT</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>58316</ZIPCd>
        </USAddress>
        <RecipientEIN>450223071</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>8500</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WINNEBAGO TRIBE OF NEBRASKA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>225 S BLUFF STREET</AddressLine1Txt>
          <CityNm>WINNEBAGO</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68071</ZIPCd>
        </USAddress>
        <RecipientEIN>470489118</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>132573</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>YANKTON SIOUX TRIBE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1153</AddressLine1Txt>
          <CityNm>WAGNER</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57380</ZIPCd>
        </USAddress>
        <RecipientEIN>460373220</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>54954</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MISSOURI BREAKS INDUSTRIES RESEARCH INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1824</AddressLine1Txt>
          <CityNm>EAGLE BUTTE</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57625</ZIPCd>
        </USAddress>
        <RecipientEIN>460438471</RecipientEIN>
        <CashGrantAmt>75651</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NATIVE WOMENS HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3200 CANYON LAKE DR</AddressLine1Txt>
          <CityNm>RAPID CITY</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57702</ZIPCd>
        </USAddress>
        <RecipientEIN>460217222</RecipientEIN>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OYATE NETWORKING PROJECT INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 316</AddressLine1Txt>
          <CityNm>KYLE</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57752</ZIPCd>
        </USAddress>
        <RecipientEIN>460438929</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>50352</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RAPID CITY POLICE DEPARTMENT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>300 KANSAS CITY STREET</AddressLine1Txt>
          <CityNm>RAPID CITY</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57701</ZIPCd>
        </USAddress>
        <RecipientEIN>466000380</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>40702</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THUNDER VALLEY COMMUNITY DEVELOPMENT CORPORATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 290</AddressLine1Txt>
          <CityNm>PORCUPINE</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57772</ZIPCd>
        </USAddress>
        <RecipientEIN>208090454</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TRIBAL NATIONS RESEARCH GROUP</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1906</AddressLine1Txt>
          <CityNm>BELCOURT</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>58316</ZIPCd>
        </USAddress>
        <RecipientEIN>465453270</RecipientEIN>
        <IRCSectionDesc>501(C)3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>17</Total501c3OrgCnt>
      <TotalOtherOrgCnt>9</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>50</RecipientCnt>
        <CashGrantAmt>79267</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>TRIBAL HEALTH GRANT</GrantTypeTxt>
        <RecipientCnt>1</RecipientCnt>
        <CashGrantAmt>11566</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANTS ARE PROVIDED TO ENTITIES THAT PROVIDE TRIBAL HEALTH PROGRAMS TO NATIVE AMERICANS IN THE GREAT PLAINS REGION. PROGRAM DIRECTORS CONSISTENTLY MONITOR THE SUCCESS OF THE VARIOUS PROGRAMS THROUGH SITE VISITS AND PROGRAM REPORTS. SCHOLARSHIPS ARE PROVIDED TO HELP STUDENTS DEFRAY THE COSTS OF PURSUING A HIGH-DEMAND HEALTHCARE TRAINING PROGRAM OR POST-SECONDARY HEALTHCARE EDUCATION IN A QUALIFIED HEALTHCARE TRAINING PROGRAM. STUDENTS MUST DEMONSTRATE ACADEMIC MERIT AND FINANCIAL NEED. VERIFICATION OF ENROLLMENT IN A QUALIFIED PROGRAM IS REQUIRED PRIOR TO PAYMENT OF THE SCHOLARSHIP. STUDENTS ALSO PARTICIPATE IN MENTORSHIP MEETINGS, CAREER SUCCESS CLASSES, AND SURVEYS AS A FORM OF CONTINUAL MONITORING. HONORARIUMS ARE PROVIDED TO DRUMMERS, DANCERS, OR SPECIAL PRESENTERS AT ORGANIZATION MEETINGS OR CONFERENCES. THE HONARIUM IS DISTRIBUTED AT THE EVENT, SO NO ADDITIONAL MONITORING IS NEEDED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JERILYN CHURCH</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>140000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4200</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6412</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>150612</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>AN INDEPENDENT CONTRACTOR PERFORMS AN INITIAL COMPENSATION EVALUATION AND OTHER COMPENSATION DATA IS GATHERED FROM VARIOUS SOURCES AND ANALYZED. RAISES ARE CONSIDERED ANNUALLY BASED ON COST OF LIVING INCREASES. PERFORMANCE COMPENSATION IS BASED UPON THE EMPLOYEE'S EVALUATION AND APPROVED BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AN EXTERNAL CPA FIRM PREPARES THE 990. THE CFO, SENIOR ACCOUNTANT, AND CEO REVIEW THE RETURN BEFORE FILING</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>AN INDEPENDENT CONTRACTOR PERFORMS AN INITIAL COMPENSATION EVALUATION AND OTHER COMPENSATION DATA IS GATHERED FROM VARIOUS SOURCES AND ANALYZED. RAISES ARE CONSIDERED ANNUALLY BASED ON COST OF LIVING INCREASES. PERFORMANCE COMPENSATION IS BASED UPON EACH INDIVIDUAL EMPLOYEE'S EVALUATION AND APPROVED BY THE APPROPRIATE ADMINISTRATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>STAFFING SERVICES: PROGRAM SERVICE EXPENSES 767,017. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 767,017. CONSULTANTS/CONTRACTUAL: PROGRAM SERVICE EXPENSES 8,883,213. MANAGEMENT AND GENERAL EXPENSES 207,800. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,091,013. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 329,038. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 329,038.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>