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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
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        <ProgramServicesAmt>546</ProgramServicesAmt>
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        <TotalAmt>24564</TotalAmt>
        <ManagementAndGeneralAmt>24564</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>219790</ProgramServicesAmt>
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        <FundraisingAmt>20642</FundraisingAmt>
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        <ProgramServicesAmt>133294</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>1241</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <EOYAmt>600000</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>1774</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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      <LandBldgEquipCostOrOtherBssAmt>884814</LandBldgEquipCostOrOtherBssAmt>
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        <EOYAmt>110259</EOYAmt>
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        <EOYAmt>5121</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>574156</EOYAmt>
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        <EOYAmt>3405114</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>3718461</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
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      <OtherChangesInNetAssetsAmt>-40169</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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        <CurrentTaxYearMinus3YearsAmt>3721369</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearAmt>6087850</CurrentTaxYearAmt>
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        <CurrentTaxYearAmt>6087850</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>851</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>3932</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8217</CurrentTaxYearAmt>
        <TotalAmt>20532</TotalAmt>
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      <PublicSupportPY170Pct>0.37290</PublicSupportPY170Pct>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <ContributorBusinessName>
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        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <DepreciationAmt>156460</DepreciationAmt>
        <BookValueAmt>94877</BookValueAmt>
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        <BookValueAmt>176861</BookValueAmt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <DonatedServicesAndUseFcltsAmt>37592</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>-40169</OtherRevenueAmt>
      <RevenueNotReportedAmt>-2577</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>6096067</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>6096067</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>5989187</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>37592</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>37592</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>5951595</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>5951595</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON TRADE OR BUSINESS PROFITS GENERATED BY ACTIVITIES RELATED TO THE ORGANIZATION'S EXEMPT FUNCTION. THE ORGANIZATION MAY BE SUBJECT TO FEDERAL AND STATE INCOME TAXES FOR PROFITS GENERATED FROM TRADE OR BUSINESS ACTIVITIES UNRELATED TO THE ORGANIZATION'S EXEMPT FUNCTION. AS OF DECEMBER 31, 2019, MANAGEMENT BELIEVES THAT THE ORGANIZATION HAS NOT GENERATED ANY UNRELATED BUSINESS TAXABLE INCOME. THE ORGANIZATION ASSESSES THE RECORDING OF UNCERTAIN TAX POSITIONS BY EVALUATING THE MINIMUM RECOGNITION THRESHOLD AND MEASUREMENT REQUIREMENTS A TAX POSITION MUST MEET BEFORE BEING RECOGNIZED AS A BENEFIT IN THE FINANCIAL STATEMENTS. THE ORGANIZATION'S POLICY IS TO RECOGNIZE INTEREST AND PENALTIES ACCRUED ON ANY UNCERTAIN TAX POSITIONS AS A COMPONENT OF INCOME TAX EXPENSE, IF ANY, IN ITS STATEMENT OF ACTIVITIES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON FOREIGN CURRENCY EXCHANGE -40,169.</ExplanationTxt>
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      <AccountActivitiesOutsideUSGrp>
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        <OfficesCnt>4</OfficesCnt>
        <EmployeeCnt>180</EmployeeCnt>
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        <SpecificServicesProvidedTxt>HEALTH SYSTEM STRENGTHENING &amp; RESEARCH</SpecificServicesProvidedTxt>
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      <TotalSpentAmt>5293647</TotalSpentAmt>
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        <PurposeOfGrantTxt>RESEARCH STUDY</PurposeOfGrantTxt>
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        <MannerOfCashDisbursementTxt>WIRE TRANSFER</MannerOfCashDisbursementTxt>
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      <Total501c3OrgCnt>1</Total501c3OrgCnt>
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      <TransferToForeignCorpInd>0</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>0</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>0</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MONITORING THE USE OF GRANT FUNDS IS DONE BY REVIEWING DELIVERABLES THAT ARE OUTLINED IN THE GRANT AGREEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III ACCOUNTING METHOD:</FormAndLineReferenceDesc>
      </SupplementalInformationDetail>
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      <DiscretionarySpendingAcctInd>X</DiscretionarySpendingAcctInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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        <NontaxableBenefitsFilingOrgAmt>9018</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>37199</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MATTHEW BONDS</PersonNm>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14919</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>77605</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>TRAVEL FOR COMPANIONS - PIVOT PROVIDES TICKETS FOR THE EXECUTIVE DIRECTOR'S FAMILY TO ACCOMPANY HER TO MADAGASCAR ONCE A YEAR AS PART OF HER COMPENSATION PACKAGE. APART FROM THIS, PIVOT POLICY INCLUDES A SINGLE ADDITIONAL TICKET TO MADAGASCAR FOR ANY US STAFF WHO HAS STAYED FOR 3 YEARS IN THEIR JOB. DISCRETIONARY SPENDING ACCOUNT - THE EXECUTIVE DIRECTOR MAINTAINS A DISCRETIONARY SPENDING ACCOUNT THROUGH HER WORK WITH PIVOT. THIS IS MEANT TO HELP HER RESPOND FLEXIBLY TO OPPORTUNITIES AND THE DEMANDS ON HER TIME FROM COLLEAGUES AND PARTNER ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, QUESTION 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2019, MATTHEW BONDS WAS AN EMPLOYEE OF HARVARD MEDICAL SCHOOL (HMS). HIS HMS PAYROLL WAS REIMBURSED BY PIVOT WORKS, INC. FOR SERVICES RENDERED IN THE AMOUNT OF $77,605 IN 2019, MICHAEL RICH WAS AN EMPLOYEE OF BRIGHAM AND WOMEN'S HOSPITAL (BWH). HIS BWH PAYROLL WAS REIMBURSED BY PIVOT WORKS, INC. FOR SERVICES RENDERED IN THE AMOUNT OF $37,199 THE REIMBURSEMENT OF THE ABOVE PERSONNEL'S PAYROLL BY PIVOT WORKS, INC. (HMS OR BWH) WAS REFLECTED AS OFFICER OR DIRECTOR COMPENSATION AND INCLUDED ON LINE 5 OF THE STATEMENT OF FUNCTIONAL EXPENSES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>4</ContributionCnt>
        <NoncashContributionsRptF990Amt>162933</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>MEDICAL EQUIPMENT</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>694691</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNTS LISTED IN PART I, COLUMN (B) REPRESENT THE TOTAL NUMBER OF CONTRIBUTIONS RECEIVED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>JAMES HERRNSTEIN (DIRECTOR) AND ROBIN HERRNSTEIN (DIRECTOR) HAVE A FAMILIAL RELATIONSHIP. JAMES HERRNSTEIN AND MAX HERRSTEIN (DIRECTOR) HAVE A FAMILIAL RELATIONSHIP. VINCENT DELLA PIETRA (DIRECTOR) AND STEPHEN DELLA PIETRA (DIRECTOR) HAVE A FAMILIAL RELATIONSHIP. EDWARD NORTON (DIRECTOR) AND MATTHEW BONDS (CO-FOUNDER &amp; SCIENTIFIC DIRECTOR) HAVE A FAMILIAL RELATIONSHIP. JIM HERRNSTEIN, STEPHEN DELLA PIERRE AND VINCENT DELLA PIETRA HAVE A BUSINESS RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY THE ORGANIZATION'S CPA FIRM AND REVIEWED IN DEPTH BY THE DIRECTOR OF FINANCE &amp; ADMINISTRATION, EXECUTIVE DIRECTOR AND FINANCE COMMITTEE. IT IS THEN REVIEWED BY THE GOVERNING BODY PRIOR TO ITS FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE STAFF, BOARD MEMBERS, OFFICERS AND RELATED PERSONNEL OF PIVOT WORKS, INC. ARE REQUIRED TO SELF-DISCLOSE ANY POSSIBLE CONFLICT OF INTEREST WHEN SUCH AN ISSUE ARISES. IT WILL BE BROUGHT UP TO OFFICER'S ATTENTION AND TO A BOARD MEETING FOR DISCUSSION. ANY NECESSARY ACTIONS ILLUSTRATED ON THE CONFLICT OF INTEREST POLICY OF PIVOT WORKS INC. WILL BE TAKEN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>PIVOT WORKS INC. DEVELOPED IT'S COMPENSATION SCALE VIA RESOURCES PROVIDED BY A THIRD PARTY HR SERVICE COMPANY, AS WELL AS DISCUSSION AMONG ITS GOVERNING BOARD MEMBERS. THE CEO, OFFICERS AND EMPLOYEES WERE PAID BASED ON THEIR EXPERIENCE AND EDUCATION QUALIFICATIONS. PIVOT'S POLICIES COMMIT IT TO RE-TAKING AND RE-EVALUATING ITS SALARY SCALE BASED ON A THIRD PARTY SALARY COMPARABILITY STUDY EVERY THREE YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON FOREIGN CURRENCY EXCHANGE -40,169.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT FOR THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED DURING THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 8938, PART V, QUESTION 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CURRENT FOREIGN CURRENCY FOR MADAGASCAR IS MALAGASY ARIARY (MGA), BUT IT IS NOT INCLUDED IN THE DROP DOWN LIST, SO MADAGASCAR FRANC (MGF) WAS ENTERED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>