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        <PersonNm>YASMIN HASSAN MD</PersonNm>
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        <PersonNm>ERIC WAHL MD</PersonNm>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <USAddress>
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      <ContractorCompensationGrp>
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            <StateAbbreviationCd>NY</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMMUNITY EYECARE ASSOCIATES</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>229 EAST 79TH STREET</AddressLine1Txt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>A1 WORKS IN PROGRESS ASSOCIATES LLC</BusinessNameLine1Txt>
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          <USAddress>
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      <ProgramServiceRevenueGrp>
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        <TotalAmt>8300</TotalAmt>
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      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>1271</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1291</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5738</CurrentTaxYearAmt>
        <TotalAmt>8300</TotalAmt>
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      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>306435</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12393</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>66081</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>19703</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4327</CurrentTaxYearAmt>
        <TotalAmt>408939</TotalAmt>
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      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>13047731</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13605911</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16430547</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>20797760</CurrentTaxYearAmt>
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      <PublicSupportPY509Pct>0.99060</PublicSupportPY509Pct>
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      <InvestmentIncomePYPct>0.00010</InvestmentIncomePYPct>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME - 2016 AMOUNT: $ 303,909. 2017 AMOUNT: $ 10,514. 2018 AMOUNT: $ 64,173. 2019 AMOUNT: $ 18,975. 2020 AMOUNT: $ 3,397. MEDICAL RECORDS - 2016 AMOUNT: $ 2,526. 2017 AMOUNT: $ 1,879. 2018 AMOUNT: $ 1,908. 2019 AMOUNT: $ 728. 2020 AMOUNT: $ 930.</ExplanationTxt>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>1964266</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1964266</BookValueAmt>
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      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>9593273</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4703137</DepreciationAmt>
        <BookValueAmt>4890136</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>3790530</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3408208</DepreciationAmt>
        <BookValueAmt>382322</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1465364</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1465364</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>8702088</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC.</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>SUBVENTION CERTIFICATE PAYABLE</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>PAYCHECK PROTECTION PROGRAM LOAN</Desc>
        <Amt>1442445</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFIA FOUNDATION</Desc>
        <Amt>651293</Amt>
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      <TotalLiabilityAmt>5909766</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>20766823</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>20766823</RevenueSubtotalAmt>
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      <RevenueNotReportedFinclStmtAmt>30937</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>20797760</TotalRevenuePerForm990Amt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>16794078</ExpensesSubtotalAmt>
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      <ExpensesNotRptFinclStmtAmt>30937</ExpensesNotRptFinclStmtAmt>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE CENTER HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE CENTER IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2017.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVISION FOR BAD DEBT NETTED AGAINST REVENUES 30,937.</ExplanationTxt>
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        <GrantTypeTxt>MEDICAL ASSISTANCE FOR INDIGENT CHILDREN</GrantTypeTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PARTICIPATES IN THE NEW YORK STATE VACCINES FOR CHILDREN PROGRAM, WHICH IS A FEDERALLY-FUNDED PROGRAM THAT PROVIDES VACCINES AT NO COST TO ELIGIBLE CHILDREN. ELIGIBILITY FOR ALL RECIPIENTS IS REPORTED TO THE STATE OF NEW YORK VIA THE NEW YORK STATE IMMUNIZATION INFORMATION SYSTEM. THIS INFORMATION IS USED BY THE NYS DEPARTMENT OF HEALTH AND IS ALSO REPORTED TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC). THE VACCINES ARE DISTRIBUTED TO RYAN/CHELSEA-CLINTON AS THE ORGANIZATION IS A REGISTERED VFC PROVIDER. THE ORGANIZATION THEN PROVIDES THE VACCINES TO VFC-ELIGIBLE CHILDREN.</ExplanationTxt>
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      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>275910</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <TaxExemptBondsArbitrageGrp>
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        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOND PROCEEDS HAVE BEEN EXPENDED IN LINE WITH THE EXPENDITURE TEST AND IS NOT SUBJECT TO THE REBATE REQUIREMENT PURSUANT TO IRC SECTION 148.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART II, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>INCLUDED IN GROSS PROCEEDS ARE $5,738 OF INVESTMENT EARNINGS, EARNED FROM FUNDS HELD IN DEBT SERVICE RELIEF AND DEBT SERVICE FUNDS.</ExplanationTxt>
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        <MethodOfDeterminingRevenuesTxt>DONOR VALUE</MethodOfDeterminingRevenuesTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC. PROVIDES GENERAL OVERSIGHT AND FINANCIAL MANAGEMENT SERVICES TO THE ORGANIZATION. WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC. WAS PAID $1,080,000 IN 2020 FOR THESE SERVICES. SCOTT MORGAN WAS PAID BY WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC. FOR 2020, HE RECEIVED REPORTABLE COMPENSATION IN THE AMOUNT OF $276,068, DEFERRED COMPENSATION IN THE AMOUNT OF $25,200, AND NONTAXABLE BENEFITS IN THE AMOUNT OF $53,797.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR, CHIEF FINANCIAL OFFICER AND CONTROLLER REVIEW THE FORM 990 BEFORE IT IS PRESENTED AND REVIEWED BY THE BOARD OF DIRECTORS. THE CHAIR OF THE FINANCE COMMITTEE THEN PRESENTS THE FORM 990 FOR FULL BOARD REVIEW AT THE BOARD OF DIRECTORS MEETING, BEFORE IT IS FILED WITH THE IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>RCC REQUIRES THAT ALL BOARD MEMBERS, CANDIDATES FOR BOARD MEMBERSHIP, AND EMPLOYEES DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN WRITING AND UPDATE AT LEAST ANNUALLY. MEMBERS OF THE BOARD AND CANDIDATES FOR MEMBERSHIP ON THE BOARD MAKE DISCLOSURES IN WRITING TO THE CHAIR OF THE BOARD. IF THE CHAIR HAS SUCH AN INTEREST, HE OR SHE MUST MAKE DISCLOSURE IN WRITING TO THE VICE CHAIR, WHO WILL, IN TURN, BE RESPONSIBLE FOR ADVISING THE BOARD. THE EXECUTIVE DIRECTOR WILL MAKE DISCLOSURES IN WRITING TO THE CHAIR OF THE BOARD WHO WILL, IN TURN, BE RESPONSIBLE FOR ADVISING THE BOARD OF SUCH DISCLOSURE. EMPLOYEES WILL MAKE DISCLOSURES IN WRITING TO THE EXECUTIVE DIRECTOR. IN THE CASE OF A POTENTIALLY CONFLICTED PERSON WHO IS A BOARD MEMBER, THAT PERSON MAY MAKE A PRESENTATION TO THE BOARD REGARDING WHETHER HE OR SHE HAS A CONFLICT, AND MAY RESPOND TO RELATED QUESTIONS FROM THE BOARD. HOWEVER, AFTER SUCH PRESENTATION, HE OR SHE WILL LEAVE THE MEETING DURING ANY DISCUSSION OF, OR VOTE ON, WHETHER A CONFLICT OF INTEREST EXISTS. IF SUCH CONFLICT IS DETERMINED BY THE BOARD TO EXIST, HE OR SHE WILL LEAVE THE MEETING DURING ANY DISCUSSION OF, AND VOTING ON, THE TRANSACTION OR ARRANGEMENT THAT INVOLVES THE CONFLICT OF INTEREST. IN THE CASE OF AN EMPLOYEE, THE EXECUTIVE DIRECTOR WILL DECIDE WHETHER A CONFLICT EXISTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>WHEN DETERMINING COMPENSATION FOR THE EXECUTIVE DIRECTOR, THE ORGANIZATION UTILIZES THE SERVICES OF COMPENSATION CONSULTANTS AND RESEARCHES THE SALARIES AND OTHER FRINGE BENEFITS PROVIDED TO THOSE IN SIMILAR POSITIONS AT OTHER COMMUNITY HEALTH CENTERS AND HEALTHCARE-RELATED ORGANIZATIONS, BOTH LOCALLY AND REGIONALLY. THIS PROCESS WAS LAST PERFORMED IN 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FORM 990 AND FORM 1023 ARE AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPE OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, ARTICLES OF INCORPORATION, AND BY-LAWS ARE ALSO AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S AUDIT/FINANCE COMMITTEE ISRESPONSIBLE FOR OVERSEEING THE ACCOUNTING AND FINANCIAL REPORTING PROCESSES OF THE CORPORATION AND THE AUDIT OF THE CORPORATION'S FINANCIAL STATEMENTS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>AFIA FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PARKWEST FIN STATION PO BOX 20997</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10025</ZIPCd>
        </USAddress>
        <EIN>203957960</EIN>
        <PrimaryActivitiesTxt>TO SUPPORT INITIATIVES THAT PROVIDE HEALTH CARE TO UNDERSERVED POPULATIONS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
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</Return>
