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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>232768</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAMELA MCGILL</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>126202</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15741</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHLEEN WHITLEY</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21928</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT OWENS</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>157061</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32609</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY GLENNEY</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>168741</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15396</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1733879</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>230946</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>15</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>DANIELLE PYEVICH</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4707 N 12TH ST</AddressLine1Txt>
            <CityNm>PHOENIX</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85014</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLIENT SERVICES</ServicesDesc>
        <CompensationAmt>132485</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ALLIED UNIVERSAL SECURITY SERVICES</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 31001-2374</AddressLine1Txt>
            <CityNm>PASADENA</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>911102374</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BUILDING SECURITY</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ROCHE CONSTRUCTORS INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>361 71ST AVENUE</AddressLine1Txt>
            <CityNm>GREELEY</CityNm>
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            <ZIPCd>80634</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BUILDING CONTRACTOR</ServicesDesc>
        <CompensationAmt>4673562</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>DR JOHN L SCHAEFFER INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>101 CALIFORNIA STREET SUITE 2710</AddressLine1Txt>
            <CityNm>SAN FRANCISCO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94111</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLIENT SERVICES</ServicesDesc>
        <CompensationAmt>465060</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>TOTAL FACILITY CARE</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>453 DENVER AVE</AddressLine1Txt>
            <CityNm>LOVELAND</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>80537</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BUILDING CLEANING</ServicesDesc>
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      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>17</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>2625</FederatedCampaignsAmt>
      <FundraisingAmt>28389</FundraisingAmt>
      <GovernmentGrantsAmt>6919066</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>342269</AllOtherContributionsAmt>
      <TotalContributionsAmt>7292349</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>16513452</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16513452</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Other Fees &amp; Contracts</Desc>
        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1155523</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Medical Injectables</Desc>
        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>923236</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>3501529</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>OTHER PROGRAM REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>153135</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>22246875</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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        <ExclusionAmt>143308</ExclusionAmt>
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      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
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      <NetIncmFromFundraisingEvtGrp>
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      <NetIncomeFromGamingGrp>
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      <GrantsToDomesticOrgsGrp>
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      <BenefitsToMembersGrp>
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      <PymtTravelEntrtnmntPubOfclGrp>
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        <ProgramServicesAmt>104781</ProgramServicesAmt>
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      <PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>58978</ProgramServicesAmt>
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        <ProgramServicesAmt>1209584</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <FSAuditedInd>true</FSAuditedInd>
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        <CurrentTaxYearMinus2YearsAmt>6295320</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6139113</CurrentTaxYearMinus1YearAmt>
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      </TaxRevLeviedOrgnztnlBnft170Grp>
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      </GovtFurnSrvcFcltsVl170Grp>
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        <CurrentTaxYearAmt>7292349</CurrentTaxYearAmt>
        <TotalAmt>27705074</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>0</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>27705074</PublicSupportTotal170Amt>
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        <CurrentTaxYearMinus2YearsAmt>42685</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>68409</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>143308</CurrentTaxYearAmt>
        <TotalAmt>325178</TotalAmt>
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      <PublicSupportPY170Pct>0.94805</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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        </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>
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      <AgentTrusteeEtcInd>false</AgentTrusteeEtcInd>
      <InclEscrowCustodialAcctLiabInd>true</InclEscrowCustodialAcctLiabInd>
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        <InvestmentEarningsOrLossesAmt>34019</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>6837</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>676327</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
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        <InvestmentEarningsOrLossesAmt>46299</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>6645</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>649145</EndYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>58727</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>6136</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>609491</EndYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>9701</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>20000</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>5871</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>556900</EndYearBalanceAmt>
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        <EndYearBalanceAmt>569383</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.28920</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.62330</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.08750</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>true</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
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        <BookValueAmt>661909</BookValueAmt>
      </LandGrp>
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        <DepreciationAmt>562275</DepreciationAmt>
        <BookValueAmt>2100654</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>952874</DepreciationAmt>
        <BookValueAmt>6226299</BookValueAmt>
      </LeaseholdImprovementsGrp>
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        <BookValueAmt>1600878</BookValueAmt>
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      <ExpensesNotReportedAmt>263445</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>29026187</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>29026187</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART IV, LINE 2B</FormAndLineReferenceDesc>
        <ExplanationTxt>ESCROW LIABILITY ARRANGEMENT EXPLANATION: SUMMITSTONE RECEIVES AND HOLDS PERSONAL FUNDS OF SOME RESIDENTIAL CLIENTS. THESE FUNDS ARE REPORTED AS RESTRICTED CASH AND AN OFFSETTING LIABILITY IN THE ACCOMPANYING BALANCE SHEET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Intended uses for endowment funds: TEMPORARILY RESTRICTRED NET ASSETS ARE THOSE WHOSE USE BY SUMMITSTONE HAS BEEN LIMITED BY DONORS TO A SPECIFIC TIME PERIOD OR PURPOSE. PERMANENTLY RESTRICTED NET ASSETS HAVE BEEN RESTRICTED BY DONORS TO BE MAINTAINED BY SUMMITSTONE IN PERPETUITY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XI, LINE 2D</FormAndLineReferenceDesc>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XII, LINE 2D</FormAndLineReferenceDesc>
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    </IRS990ScheduleD>
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        <GrossRevenueEvent1Amt>54400</GrossRevenueEvent1Amt>
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    </IRS990ScheduleG>
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
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      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
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      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <DeferredCompensationFlngOrgAmt>8609</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <PersonNm>GERALD BREW</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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        <PersonNm>ROBERT OWENS</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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        <PersonNm>MARY GLENNEY</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <IssuerName>
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        <PurposeDesc>PURCHASE &amp; IMPROVE CRESTRIDGE PROP</PurposeDesc>
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        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
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        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
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        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
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        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
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        <RemedialActionTakenInd>false</RemedialActionTakenInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
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        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
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        <HedgeProviderName>
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        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
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          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
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      </TaxExemptBondsArbitrageGrp>
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        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization's process to review form 990: a draft of form 990 is reviewed by the chief financial officer and the chief executive officer prior to the 990 being filed. a copy of form 990 is provided to the board members prior to it being filed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>enforcement of conflicts policy: all officers, directors, and employees are required to sign a conflict of interest statement annually in connection with any actual or possible conflict of interest that an individual may have with a proposed transaction. the individual is given an opportunity to disclose all material facts at a board meeting and is recused from voting on the matter. compliance with the conflict of interest policy is monitored by the board of directors at each board meeting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 15A and 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>compensation process for officers and key employees: compensation for the CEO is determined based on regional compensation surveys and a review of the organization's business needs and financial resources. CEO compensation is set by contract and is approved by the independent board members. Compensation for the other officers and key employees is established by the CEO using regional comparability data and is subject to approval by the independent board members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>governing documents disclosure explanation: the governing documents, conflict of interest policy, copies of policies, tax returns, and financial statements are available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CHANGES IN NET ASSETS EXPLANATION: $15,515 CHANGE IN INTEREST RATE SWAP FAIR VALUE</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>