﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2018v3.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2019-08-13T09:29:59-05:00</ReturnTs>
    <TaxPeriodEndDt>2018-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmName>
        <BusinessNameLine1Txt>Kundinger Corder &amp; Engle PC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>475 Lincoln Street Suite 200</AddressLine1Txt>
        <CityNm>Denver</CityNm>
        <StateAbbreviationCd>CO</StateAbbreviationCd>
        <ZIPCd>80203</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2018-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>264431001</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>Global Down Syndrome Foundation</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>GLOB</BusinessNameControlTxt>
      <PhoneNum>7205485618</PhoneNum>
      <USAddress>
        <AddressLine1Txt>3239 E 2nd Avenue</AddressLine1Txt>
        <CityNm>Denver</CityNm>
        <StateAbbreviationCd>CO</StateAbbreviationCd>
        <ZIPCd>80206</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>Michelle Sie Whitten</PersonNm>
      <PersonTitleTxt>President &amp; CEO</PersonTitleTxt>
      <PhoneNum>7205485618</PhoneNum>
      <SignatureDt>2019-08-05</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>Laurie Anderson</PreparerPersonNm>
      <PTIN>P01416697</PTIN>
      <PhoneNum>3035345953</PhoneNum>
      <PreparationDt>2019-08-13</PreparationDt>
    </PreparerPersonGrp>
    <FilingSecurityInformation>
      <IPAddress>
        <IPv4AddressTxt>72.164.244.82</IPv4AddressTxt>
      </IPAddress>
      <IPDt>2019-08-13</IPDt>
      <IPTm>08:29:41</IPTm>
      <IPTimezoneCd>MD</IPTimezoneCd>
      <FilingLicenseTypeCd>P</FilingLicenseTypeCd>
      <AtSubmissionCreationDeviceId>4C6F90D5B18D9A11C6848E517D2975E4AD7741AE</AtSubmissionCreationDeviceId>
      <AtSubmissionFilingDeviceId>4C6F90D5B18D9A11C6848E517D2975E4AD7741AE</AtSubmissionFilingDeviceId>
    </FilingSecurityInformation>
    <TaxYr>2018</TaxYr>
    <BuildTS>2019-02-21 02:37:17Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="12">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <AddressChangeInd>X</AddressChangeInd>
      <PrincipalOfficerNm>Michelle Sie Whitten</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>3239 E 2nd Avenue</AddressLine1Txt>
        <CityNm>Denver</CityNm>
        <StateAbbreviationCd>CO</StateAbbreviationCd>
        <ZIPCd>80206</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>5651937</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>www.globaldownsyndrome.org</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>2009</FormationYr>
      <LegalDomicileStateCd>CO</LegalDomicileStateCd>
      <ActivityOrMissionDesc>To improve the lives of people with Down Syndrome.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>8</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>4</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>30</TotalEmployeeCnt>
      <TotalVolunteersCnt>707</TotalVolunteersCnt>
      <TotalGrossUBIAmt>6150</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>5044441</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>4701935</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>33460</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>37419</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>12893</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>15806</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>2773</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>13932</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>5093567</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>4769092</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>890650</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>694681</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>995585</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>1277584</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>771412</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>1740055</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>2075871</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>3626290</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>4048136</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>1467277</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>720956</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>6298263</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>7089904</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>988156</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>1058841</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>5310107</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>6031063</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>To significantly improve the lives of people with Down syndrome through Research, Medical care, Education and Advocacy. An important part of this mission is to support the Linda Crnic Institute for Down syndrome to eradicate the medical and cognitive ill effects associated with Down syndrome and to ensure people with the condition can reach their true potential.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>1507532</ExpenseAmt>
      <GrantAmt>599348</GrantAmt>
      <Desc>Research and clinical care: Down syndrome is a known quantity - it is when a person is born with three copies of chromosome 21 instead of the usual two, called triplication. Therefore, scientists can develop better methods to understand how the triplication leads to a higher incidence of certain diseases and protects those same individuals from other diseases. They do so in the following ways:- Updating medical guidelines by conducting research on how many people with Down syndrome have certain conditions or diseases and what interventions or medications work for people with Down syndrome.- Conducting medical or clinical research to improve the health and lifespan of people with Down syndrome.- Conducting basic or laboratory research in conjunction with medical or clinical research.- Expanding awareness through education outreach, government advocacy, and public relations work in coordination with and for the Crnic Institute and the Sie Center.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>910024</ExpenseAmt>
        <GrantAmt>95333</GrantAmt>
        <RevenueAmt>45201</RevenueAmt>
        <Desc>Health and wellness: Global offers a variety of health and wellness programs, designed to support and improve the lives of Global's self-advocates. In addition to skill building, these programs help build self-esteem and foster independence.</Desc>
      </ProgSrvcAccomActy2Grp>
      <TotalProgramServiceExpensesAmt>2417556</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc1039600001">0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc1039600001">1</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc1039600001">0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="RetDoc1040000001">0</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">0</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">0</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd referenceDocumentId="RetDoc1040500001">0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd referenceDocumentId="RetDoc1040500001">1</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd referenceDocumentId="RetDoc1040500001">0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc1041300001">0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc1041300001">1</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc1041300001">0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc1041900001">1</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc1041900001">0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd>0</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="RetDoc1042900001">1</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd referenceDocumentId="RetDoc1042900001">0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc1043400001">0</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">1</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc1043400001">0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>53</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>30</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>1</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>1</Form990TFiledInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>1</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>1</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>8</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>4</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>1</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>0</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>Stacy Hutchcraft</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>7205485618</PhoneNum>
        <USAddress>
          <AddressLine1Txt>3239 E 2nd Avenue</AddressLine1Txt>
          <CityNm>Denver</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80206</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>John J Sie</PersonNm>
        <TitleTxt>Chair</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>6572</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18438</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Anna M Sie</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michelle Sie Whitten</PersonNm>
        <TitleTxt>Director and President</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>20.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>112313</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>112313</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21407</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mary Beth Wallingford</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John C McGinley</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jay Mills</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ricki Rest</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Tomago Collins</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>112313</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>118885</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>39845</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ECRI Institute</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5200 Butler Pike</AddressLine1Txt>
            <CityNm>Plymouth Meeting</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19462</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Medical guidelines</ServicesDesc>
        <CompensationAmt>200000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Faegre Baker Daniels LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>75 Remittance Drive Dept 6952</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60675</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Advocacy services</ServicesDesc>
        <CompensationAmt>159318</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Nevadamatic Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1299 Ocean Avenue Suite 333</AddressLine1Txt>
            <CityNm>Santa Monica</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>90401</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Gala entertainment</ServicesDesc>
        <CompensationAmt>150000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>True North Custom Publishing LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 116575</AddressLine1Txt>
            <CityNm>Atlanta</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30368</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Publication services</ServicesDesc>
        <CompensationAmt>129577</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CliftonLarsonAllen LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>8390 E Crescent Parkway Suite 300</AddressLine1Txt>
            <CityNm>Greenwood Village</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>80111</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Accounting services</ServicesDesc>
        <CompensationAmt>125807</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <InfoInScheduleOPartVIIIInd>X</InfoInScheduleOPartVIIIInd>
      <MembershipDuesAmt>39296</MembershipDuesAmt>
      <FundraisingAmt>1618701</FundraisingAmt>
      <RelatedOrganizationsAmt>2035166</RelatedOrganizationsAmt>
      <AllOtherContributionsAmt>1008772</AllOtherContributionsAmt>
      <NoncashContributionsAmt>645400</NoncashContributionsAmt>
      <TotalContributionsAmt>4701935</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Registration fees</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>37419</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>37419</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>37419</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>16615</TotalRevenueColumnAmt>
        <ExclusionAmt>16615</ExclusionAmt>
      </InvestmentIncomeGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>809</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-809</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-809</TotalRevenueColumnAmt>
        <ExclusionAmt>-809</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>882036</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>1618701</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>882036</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>Miscellaneous</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>6972</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6972</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Pub. advertising</Desc>
        <BusinessCd>511190</BusinessCd>
        <TotalRevenueColumnAmt>6150</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>6150</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Premium Sales</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>810</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>810</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>13932</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>4769092</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>45201</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>6150</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>15806</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>684681</TotalAmt>
        <ProgramServicesAmt>684681</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>10000</TotalAmt>
        <ProgramServicesAmt>10000</ProgramServicesAmt>
      </ForeignGrantsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>110084</TotalAmt>
        <ProgramServicesAmt>55042</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27521</ManagementAndGeneralAmt>
        <FundraisingAmt>27521</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>999524</TotalAmt>
        <ProgramServicesAmt>537308</ProgramServicesAmt>
        <ManagementAndGeneralAmt>187888</ManagementAndGeneralAmt>
        <FundraisingAmt>274328</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>87402</TotalAmt>
        <ProgramServicesAmt>41442</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27319</ManagementAndGeneralAmt>
        <FundraisingAmt>18641</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>80574</TotalAmt>
        <ProgramServicesAmt>41841</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15799</ManagementAndGeneralAmt>
        <FundraisingAmt>22934</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>55338</TotalAmt>
        <ManagementAndGeneralAmt>55338</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>98257</TotalAmt>
        <ManagementAndGeneralAmt>98257</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>163278</TotalAmt>
        <ProgramServicesAmt>163278</ProgramServicesAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>652425</TotalAmt>
        <ProgramServicesAmt>386490</ProgramServicesAmt>
        <ManagementAndGeneralAmt>152947</ManagementAndGeneralAmt>
        <FundraisingAmt>112988</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>345337</TotalAmt>
        <ProgramServicesAmt>150836</ProgramServicesAmt>
        <ManagementAndGeneralAmt>91192</ManagementAndGeneralAmt>
        <FundraisingAmt>103309</FundraisingAmt>
      </OfficeExpensesGrp>
      <TravelGrp>
        <TotalAmt>151474</TotalAmt>
        <ProgramServicesAmt>77348</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15820</ManagementAndGeneralAmt>
        <FundraisingAmt>58306</FundraisingAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>24360</TotalAmt>
        <ManagementAndGeneralAmt>24360</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <OtherExpensesGrp>
        <Desc>Other</Desc>
        <TotalAmt>177294</TotalAmt>
        <ProgramServicesAmt>25586</ProgramServicesAmt>
        <ManagementAndGeneralAmt>151708</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Advocacy</Desc>
        <TotalAmt>128926</TotalAmt>
        <ProgramServicesAmt>128926</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Event expense</Desc>
        <TotalAmt>115324</TotalAmt>
        <FundraisingAmt>115324</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Program expenses</Desc>
        <TotalAmt>99035</TotalAmt>
        <ProgramServicesAmt>99035</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>64823</TotalAmt>
        <ProgramServicesAmt>15743</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11019</ManagementAndGeneralAmt>
        <FundraisingAmt>38061</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>4048136</TotalAmt>
        <ProgramServicesAmt>2417556</ProgramServicesAmt>
        <ManagementAndGeneralAmt>859168</ManagementAndGeneralAmt>
        <FundraisingAmt>771412</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1263569</BOYAmt>
        <EOYAmt>2280480</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>4414737</BOYAmt>
        <EOYAmt>3131330</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>565118</BOYAmt>
        <EOYAmt>663030</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>4054</BOYAmt>
        <EOYAmt>1664</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>42713</BOYAmt>
        <EOYAmt>29688</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>1095583</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>111871</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>8072</BOYAmt>
        <EOYAmt>983712</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <TotalAssetsGrp>
        <BOYAmt>6298263</BOYAmt>
        <EOYAmt>7089904</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>221084</BOYAmt>
        <EOYAmt>494748</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <BOYAmt>750000</BOYAmt>
        <EOYAmt>535000</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
        <BOYAmt>17072</BOYAmt>
        <EOYAmt>29093</EOYAmt>
      </DeferredRevenueGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>988156</BOYAmt>
        <EOYAmt>1058841</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>3505490</BOYAmt>
        <EOYAmt>4190644</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>1804617</BOYAmt>
        <EOYAmt>1840419</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>5310107</BOYAmt>
        <EOYAmt>6031063</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>6298263</BOYAmt>
        <EOYAmt>7089904</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>720956</ReconcilationRevenueExpnssAmt>
      <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>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>3320099</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3728784</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5488966</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5044441</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4701935</CurrentTaxYearAmt>
        <TotalAmt>22284225</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>3320099</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3728784</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5488966</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5044441</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4701935</CurrentTaxYearAmt>
        <TotalAmt>22284225</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>8259690</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>14024535</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>2198</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2683</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9633</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12353</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16615</CurrentTaxYearAmt>
        <TotalAmt>43482</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearMinus4YearsAmt>2900</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1600</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1200</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>-2528</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1925</CurrentTaxYearAmt>
        <TotalAmt>5097</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>3738</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11646</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6264</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>223</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7782</CurrentTaxYearAmt>
        <TotalAmt>29653</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>22362457</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>171567</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.62710</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.59350</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001" />
    <IRS990ScheduleC documentId="RetDoc1039600001">
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>163278</FilingOrganizationsTotalAmt>
      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>163278</FilingOrganizationsTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>3771936</FilingOrganizationsTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>3935214</FilingOrganizationsTotalAmt>
      </TotalExemptPurposeExpendGrp>
      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>346761</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>86690</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <TotLbbyngGrassrootMnsNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyngGrassrootMnsNonTxGrp>
      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyExpendMnsLbbyngNonTxGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus3Amt>328172</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>318657</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>331315</CurrentYearMinus1Amt>
        <CurrentYearAmt>346761</CurrentYearAmt>
        <TotalAmt>1324905</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>1987358</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearMinus3Amt>25402</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>33163</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>38596</CurrentYearMinus1Amt>
        <CurrentYearAmt>163278</CurrentYearAmt>
        <TotalAmt>260439</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>82043</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>79664</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>82829</CurrentYearMinus1Amt>
        <CurrentYearAmt>86690</CurrentYearAmt>
        <TotalAmt>331226</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>496839</GrassrootsCeilingAmt>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1000000</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>19608</DepreciationAmt>
        <BookValueAmt>980392</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>95583</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>92263</DepreciationAmt>
        <BookValueAmt>3320</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>983712</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>5598354</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>829262</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>829262</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>4769092</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>4769092</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>4877398</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>829262</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>829262</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>4048136</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>4048136</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="RetDoc1040500001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <SubtotalOfficesCnt>0</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>0</SubtotalEmployeesCnt>
      <ContinuationTotalOfficeCnt>0</ContinuationTotalOfficeCnt>
      <ContinuationTotalEmployeeCnt>0</ContinuationTotalEmployeeCnt>
      <TotalOfficeCnt>0</TotalOfficeCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <SubtotalSpentAmt>0</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>0</TotalSpentAmt>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Albania</RegionTxt>
        <PurposeOfGrantTxt>Educational Grant</PurposeOfGrantTxt>
        <CashGrantAmt>10000</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Check</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TransferToForeignCorpInd>0</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>0</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>0</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>For the educational and self advocate employment grants, members of the Global Down Syndrome Foundation conduct a grant review process to determine who is selected from a pool of applicants, and the amount of the grant is determined by reviewing financial reports including a budget for the educational and self advocate employment programs. At the end of the grant period, each grant recipient must send their final report with program documentation.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>Fashion Show/Gala</Event1Nm>
        <GrossReceiptsEvent1Amt>2313567</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>1618045</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>695522</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>50567</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>138796</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>281251</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>224908</OtherDirectExpensesEvent1Amt>
        <Event2Nm>AcceptAbility Gala</Event2Nm>
        <GrossReceiptsEvent2Amt>187170</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>656</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>186514</GrossRevenueEvent2Amt>
        <RentFacilityCostsEvent2Amt>27976</RentFacilityCostsEvent2Amt>
        <FoodAndBeverageEvent2Amt>79507</FoodAndBeverageEvent2Amt>
        <EntertainmentEvent2Amt>65000</EntertainmentEvent2Amt>
        <OtherDirectExpensesEvent2Amt>14031</OtherDirectExpensesEvent2Amt>
        <GrossReceiptsTotalAmt>2500737</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>1618701</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>882036</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>78543</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>218303</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>346251</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>238939</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>882036</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>0</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>University of Colorado Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1800 Grant Street Suite 725</AddressLine1Txt>
          <CityNm>Denver</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80203</ZIPCd>
        </USAddress>
        <RecipientEIN>846049811</RecipientEIN>
        <IRCSectionDesc>501 (c) 3</IRCSectionDesc>
        <CashGrantAmt>585000</CashGrantAmt>
        <PurposeOfGrantTxt>Operating Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Childrens Hospital Colorado Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>13123 E 16th Avenue Box 045</AddressLine1Txt>
          <CityNm>Aurora</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80045</ZIPCd>
        </USAddress>
        <RecipientEIN>840813462</RecipientEIN>
        <IRCSectionDesc>501 (c) 3</IRCSectionDesc>
        <CashGrantAmt>14348</CashGrantAmt>
        <PurposeOfGrantTxt>Operating Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Down Syndrome Association of Greater St Louis</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>8531 Page Avenue Suite 120</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63114</ZIPCd>
        </USAddress>
        <RecipientEIN>431108830</RecipientEIN>
        <IRCSectionDesc>501 (c) 3</IRCSectionDesc>
        <CashGrantAmt>12000</CashGrantAmt>
        <PurposeOfGrantTxt>Educational grant &amp; Self Advocate Employment Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Down Syndrome Partnership of North Texas</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1200 Summit Avenue Suite 508</AddressLine1Txt>
          <CityNm>Fort Worth</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76102</ZIPCd>
        </USAddress>
        <RecipientEIN>752628940</RecipientEIN>
        <IRCSectionDesc>501 (c) 3</IRCSectionDesc>
        <CashGrantAmt>10500</CashGrantAmt>
        <PurposeOfGrantTxt>Educational Grant &amp; Self Advocate Employment Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Down Syndrome Network of Montgomery County</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 10416</AddressLine1Txt>
          <CityNm>Rockville</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20849</ZIPCd>
        </USAddress>
        <RecipientEIN>453139194</RecipientEIN>
        <IRCSectionDesc>501 (c) 3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>Educational grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GraceSigns</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>249 Trinidad Drive</AddressLine1Txt>
          <CityNm>Tiburon</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94920</ZIPCd>
        </USAddress>
        <RecipientEIN>473032197</RecipientEIN>
        <IRCSectionDesc>501 (c) 3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>Educational grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Cedars of Marin</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 947</AddressLine1Txt>
          <CityNm>Ross</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94957</ZIPCd>
        </USAddress>
        <RecipientEIN>941606518</RecipientEIN>
        <IRCSectionDesc>501 (c) 3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>Educational grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Association for Children with Down Syndrome (ACDS)</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4 Fern Place</AddressLine1Txt>
          <CityNm>Plainview</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11803</ZIPCd>
        </USAddress>
        <RecipientEIN>237175975</RecipientEIN>
        <IRCSectionDesc>501 (c) 3</IRCSectionDesc>
        <CashGrantAmt>7000</CashGrantAmt>
        <PurposeOfGrantTxt>Educational Grant &amp; Self Advocate Employment Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Down Syndrome Association of Greater Richmond</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1504 Santa Rosa Road Suite 124</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23229</ZIPCd>
        </USAddress>
        <RecipientEIN>541252305</RecipientEIN>
        <IRCSectionDesc>501 (c) 3</IRCSectionDesc>
        <CashGrantAmt>6433</CashGrantAmt>
        <PurposeOfGrantTxt>Educational grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Down Syndrome Guild of Dallas</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1702 N Collins Blvd Suite 170</AddressLine1Txt>
          <CityNm>Richardson</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75080</ZIPCd>
        </USAddress>
        <RecipientEIN>751508091</RecipientEIN>
        <IRCSectionDesc>501 (c) 3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>Educational Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Down Syndrome Association of Houston</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7115 W Tidwell Bldg K Suite 106</AddressLine1Txt>
          <CityNm>Houston</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77092</ZIPCd>
        </USAddress>
        <RecipientEIN>237203655</RecipientEIN>
        <IRCSectionDesc>501 (c) 3</IRCSectionDesc>
        <CashGrantAmt>3000</CashGrantAmt>
        <PurposeOfGrantTxt>Other Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Down Syndrome Alliance of the Midlands</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6001 Dodge Street CEC 117B</AddressLine1Txt>
          <CityNm>Omaha</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68182</ZIPCd>
        </USAddress>
        <RecipientEIN>020593286</RecipientEIN>
        <IRCSectionDesc>501 (c) 3</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <PurposeOfGrantTxt>Self Advocate Employment Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Down Syndrome Association of Brazos Valley</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1802 Wilde Oak Circle</AddressLine1Txt>
          <CityNm>Bryan</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77802</ZIPCd>
        </USAddress>
        <RecipientEIN>300344421</RecipientEIN>
        <IRCSectionDesc>501 (c) 3</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <PurposeOfGrantTxt>Self Advocate Employment Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Down Syndrome Association of Jacksonville</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>630 May Street</AddressLine1Txt>
          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32204</ZIPCd>
        </USAddress>
        <RecipientEIN>592978073</RecipientEIN>
        <IRCSectionDesc>501 (c) 3</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <PurposeOfGrantTxt>Self Advocate Employment Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Down Syndrome of Louisville</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5001 S Hurstbourne Parkway</AddressLine1Txt>
          <CityNm>Louisville</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40291</ZIPCd>
        </USAddress>
        <RecipientEIN>611214126</RecipientEIN>
        <IRCSectionDesc>501 (c) 3</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <PurposeOfGrantTxt>nprice - 07/19/19 02:45PM Worksheet Schedule I</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Down Syndrome Network Arizona</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 12495</AddressLine1Txt>
          <CityNm>Tempe</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85284</ZIPCd>
        </USAddress>
        <RecipientEIN>611409048</RecipientEIN>
        <IRCSectionDesc>501 (c) 3</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <PurposeOfGrantTxt>Self Advocate Employment Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Down Syndrome Family Connection</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2600 S Henderson St</AddressLine1Txt>
          <CityNm>Bloomington</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47401</ZIPCd>
        </USAddress>
        <RecipientEIN>263317787</RecipientEIN>
        <IRCSectionDesc>501 (c) 3</IRCSectionDesc>
        <CashGrantAmt>900</CashGrantAmt>
        <PurposeOfGrantTxt>Self Advocate Employment Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Melanie Rufien</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>9818 South Clairton Lane</AddressLine1Txt>
          <CityNm>Highlands Ranch</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80126</ZIPCd>
        </USAddress>
        <RecipientEIN>523934762</RecipientEIN>
        <IRCSectionDesc>501 (c) 3</IRCSectionDesc>
        <CashGrantAmt>500</CashGrantAmt>
        <PurposeOfGrantTxt>Special Project Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>17</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>University of Colorado Foundation- Quarterly reports are provided to the Global Down Syndrome Foundation from the University of Colorado Foundation to ensure that the funds are used appropriately. Prior to the release of funds from the University of Colorado Foundation to the Linda Crnic Institute, the Board of Directors for the Linda Crnic Institute must provide a 12 month operating budget outlining the specific use of the grant funds. The Linda Crnic Institute for Down Syndrome must provide periodic financial statements to the Global Down Syndrome Foundation that show use of the funds granted and any variances from the budget. For the educational and self advocate employment grants, members of the Global Down Syndrome Foundation conduct a grant review process to determine who is selected from a pool of applicants, and the amount of the grant is determined by reviewing financial reports including a budget for the educational and self advocate employment programs. At the end of the grant period, each grant recipient must send their final report with program documentation.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <FirstClassOrCharterTravelInd>X</FirstClassOrCharterTravelInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <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>Michelle Sie Whitten</PersonNm>
        <TitleTxt>Director and President</TitleTxt>
        <BaseCompensationFilingOrgAmt>96872</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>96872</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15441</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>15441</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10704</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>10703</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>123017</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>123016</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>First-class travel is provided as a courtesy for a certain board member who has celebrity status.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The board of directors reviews compensation levels for all employees using comparability studies to determine appropriate salary ranges.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>7</ContributionCnt>
        <NoncashContributionsRptF990Amt>87150</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Selling price</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Auction Items</Desc>
        <ContributionCnt>485</ContributionCnt>
        <NoncashContributionsRptF990Amt>479251</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Selling Price</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Event Goods</Desc>
        <ContributionCnt>4</ContributionCnt>
        <NoncashContributionsRptF990Amt>67412</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Comparable Sales</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Program Goods</Desc>
        <ContributionCnt>6</ContributionCnt>
        <NoncashContributionsRptF990Amt>6139</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Comparable Sales</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Food/Beverage</Desc>
        <ContributionCnt>14</ContributionCnt>
        <NoncashContributionsRptF990Amt>5448</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Comparable Sales</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Three of the members of the board of directors have a family relationship.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is reviewed by senior management and distributed by email to the board prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The board discloses conflicts of interest on an annual basis.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>In determining the compensation of the CEO, the treasurer of Global provides annual comparability data to the Board Chair and one other board member. These individuals review the comparability data, and determine the appropriate compensation amount. Approval for compensation of all other staff is delegated to the CEO. The CEO bases the compensation on comparability studies for similar positions in similar sized non-profit organizations. Total compensation is included in the annual budget and reviewed by the board at the annual board meeting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents, conflict of interest policy, and financial statements are made available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII</FormAndLineReferenceDesc>
        <ExplanationTxt>Global, pursuant to its articles of incorporation and bylaws, engages in fundraising activities for its affiliates (e.g. the Linda Crnic Institute for Down Syndrome, Anna and John J. Sie Center for Down Syndrome). On occasion, Global generates donations that are gifted directly to such affiliates. These donations are not reported as contribution revenue on the Form 990, Part VIII. While these amounts are not reflected in the Form 990, it is important to note these amounts are captured in the Global annual report and footnoted in the audited financial statements. Consideration of the contributions to affiliates is important to accurately reflect the efficacy and scope of Global's efforts. The amount donated directly to affiliates in 2018 was $1,643,713.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Professional services: Program service expenses 386,490. Management and general expenses 152,947. Fundraising expenses 112,988. Total expenses 652,425.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board Treasurer, the President &amp; CEO and certain members of management meet with the external auditors on an annual basis to review the financial statements in detail.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Anna and John J Sie Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3239 E 2nd Ave</AddressLine1Txt>
          <CityNm>Denver</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80206</ZIPCd>
        </USAddress>
        <EIN>836058353</EIN>
        <PrimaryActivitiesTxt>Grant making foundation</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>PF</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>East 2nd Avenue Investors LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3239 E 2nd Ave</AddressLine1Txt>
          <CityNm>Denver</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80206</ZIPCd>
        </USAddress>
        <EIN>464097063</EIN>
        <PrimaryActivitiesTxt>Real estate holding</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CO</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>