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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HOLLAND &amp; KNIGHT LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>800 17TH ST NW STE 1100</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20006</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL AND ADVOCACY SERVICES</ServicesDesc>
        <CompensationAmt>132000</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>19668</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>94950</AllOtherContributionsAmt>
      <TotalContributionsAmt>114618</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CONFERENCES &amp; WORKSHOP</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>1064586</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1064586</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP DUES</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>475714</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>475714</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PUBLICATIONS</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>82910</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>82910</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>FELLOWSHIP - PHYSIO-CO</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>80000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>80000</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CRC SUBSPECIALTY REVIE</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>68125</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>68125</RelatedOrExemptFuncIncomeAmt>
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      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>5000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5000</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>1776335</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>56549</TotalRevenueColumnAmt>
        <ExclusionAmt>56549</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>101973</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
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      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>32538</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>32538</TotalRevenueColumnAmt>
        <ExclusionAmt>32538</ExclusionAmt>
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      <GrossSalesOfInventoryAmt>3421</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>3421</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3421</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>ADVERTISING</Desc>
        <BusinessCd>541800</BusinessCd>
        <TotalRevenueColumnAmt>6310</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>6310</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>5331</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5331</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MAILING LABELS</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>300</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>300</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>11941</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>1995402</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1785087</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>6610</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>89087</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>25331</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>27500</TotalAmt>
      </CompCurrentOfcrDirectorsGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>455559</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>2400</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>5575</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>132000</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>84000</TotalAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1701</TotalAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>2048</TotalAmt>
      </InformationTechnologyGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>753114</TotalAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>23779</TotalAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>7212</TotalAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PRINTING AND PUBLICATIO</Desc>
        <TotalAmt>103356</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FELLOWSHIP - PHYSIO-CON</Desc>
        <TotalAmt>80000</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CRC SUBSPECIALTY REVIEW</Desc>
        <TotalAmt>48966</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER MEETINGS &amp; TRAVEL</Desc>
        <TotalAmt>39630</TotalAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>104028</TotalAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>1896199</TotalAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>61896</BOYAmt>
        <EOYAmt>284073</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>233973</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>0</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>25056</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>13193</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>17542</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
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      <LandBldgEquipAccumDeprecAmt>11646</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>863</EOYAmt>
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        <EOYAmt>73929</EOYAmt>
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        <EOYAmt>2036113</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>47641</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
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        <EOYAmt>301973</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>349614</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>1584706</BOYAmt>
        <EOYAmt>1686499</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1584706</BOYAmt>
        <EOYAmt>1686499</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1965487</BOYAmt>
        <EOYAmt>2036113</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>99203</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-9150</NetUnrlzdGainsLossesInvstAmt>
      <PriorPeriodAdjustmentsAmt>11740</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <SubstantiallyAllDuesNondedInd>0</SubstantiallyAllDuesNondedInd>
      <OnlyInHouseLobbyingInd>0</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>1</AgreeCarryoverPriorYearInd>
      <DuesAssessmentsAmt>475714</DuesAssessmentsAmt>
      <NonDeductibleLbbyngPltclCYAmt>132000</NonDeductibleLbbyngPltclCYAmt>
      <NonDeductibleLbbyngPltclTotAmt>132000</NonDeductibleLbbyngPltclTotAmt>
      <AggregateReportedDuesNtcAmt>133200</AggregateReportedDuesNtcAmt>
      <TaxableAmt>-1200</TaxableAmt>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>11646</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>CHARLES SCHWAB BOND AND EQUITY FUNDS AND STOCK EQUITIES</Desc>
        <BookValueAmt>1387484</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>1387484</TotalBookValueSecuritiesAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>1986252</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-9150</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-9150</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>1995402</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>1995402</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>1896199</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>1896199</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>1896199</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION HAS NO MATERIAL UNCERTAIN TAX POSITIONS TO BE ACCOUNTED FOR IN THE FINANCIAL STATEMENTS UNDER ASC TOPIC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE RESEARCH FOUNDATION FOR SUNY CO UPSTATE MEDICAL UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>750 E ADAMS STREET</AddressLine1Txt>
          <CityNm>SYRACUSE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13210</ZIPCd>
        </USAddress>
        <RecipientEIN>141368361</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>25331</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>CORPORATE RESEARCH AGREEMENT TO PERFORM ACADEMIC RESEARCH</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SCOPE OF WORK IS AGREED UPON BETWEEN THE ASSOCIATION AND THE GRANTEE PER A SIGNED RESEARCH AGREEMENT. THE GRANTEE PERFORMS THE AGREED UPON SCOPE OF WORK WITHIN CERTAIN STATED TIME PERIODS AND PROVIDES THE ASSOCIATION WITH THE AGREED UPON DOCUMENTS AND REPORTS THAT DESCRIBE THE SCOPE OF WORK PERFORMED AND THE RELATED RESULTS AND FINDINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>NAEMSP HAS CONTRACTED WITH KELLEN COMPANY TO PERFORM THEIR DAILY OPERATIONS. ALL MAJOR DECISIONS REGARDING THE ORGANIZATION'S MISSION, GOALS AND ACTIVITIES ARE DETERMINED BY THE BOARD OF DIRECTORS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>NAEMSP HAS APPROXIMATELY 1,600 MEMBERS, OF WHICH THE AMOUNT TYPICALLY VARIES THROUGHOUT THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>NAEMSP SENDS OUT A CALL FOR NOMINATIONS. THE NOMINATION COMMITTEE COMPILES A NOMINATION SLATE FOR MEMBERS TO VOTE ON THROUGH AN ONLINE ELECTRONIC VOTING PROCESS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS PREPARED BY AN INDEPENDENT ACCOUNTANT. A DRAFT IS SUBMITTED TO THE MANAGEMENT COMPANY AND BOARD PERSONNEL FOR REVIEW. THEY CONSULT WITH THE EXECUTIVE COMMITTEE AS NEEDED. PRIOR TO SENDING A FINAL VERSION TO THE IRS, A COPY IS POSTED ON THE BOARD SHAREPOINT SITE FOR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON APPOINTMENT, EACH OFFICER OR DIRECTOR COMPLETES THE CONFLICT OF INTEREST FORM. THE FORMS ARE REVIEWED BY THE NOMINATION COMMITTEE AND KEPT ON FILE AT THE EXECUTIVE OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS APPROVES ALL OFFICER/DIRECTOR STIPEND COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NAEMSP'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE TREASURER PROVIDES THE FINANCIAL STATEMENTS TO THE MEMBERS ANNUALLY IN THE ASSOCIATION'S ANNUAL REPORT AND AT THE ANNUAL BUSINESS MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNICATION PROJECT 84000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>BANK/CREDIT CARD CHARGES 34060. HOSTING/LICENSING FEES 15248. GRANT EXPENSES 14510. COMMITTEES 11418. DUES AND SPONSORSHIPS 11101. NAEMSP PAC 7535. BAD DEBT EXPENSE 2706. PGC 2422. MISCELLANEOUS 2348. AMS FEES 1680. ACEP 50TH ANNIVERSARY SUPPORT 1000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGES HAVE BEEN MADE TO THE BOARD'S REVEIW/OVERSIGHT PROCEDURES FOR FINANCIAL STATEMENTS AND SELECTION OF INDEPENDENT AUDITOR THAT WERE IN PLACE IN THE PREVIOUS YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>