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          <AddressLine1Txt>344 BROADWAY ST</AddressLine1Txt>
          <CityNm>BERLIN</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54923</ZIPCd>
        </USAddress>
        <RecipientEIN>820721270</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>20967</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>SUPPORT THE DEVELOPMENT AND BASIC NEEDS OF THE YOUTH RESIDENTS OF GREEN LAKE COUNTY</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DIRECTORS HAVE THE POWER TO APPOINT AND/OR REMOVE DIRECTORS PER THE ORGANIZATION'S BYLAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DIRECTORS ARE ALL PROVIDED WITH A COPY OF FORM 990 BEFORE IT IS FILED. THEY ALL REVIEW IT AND ENSURE ITS ACCURACY PRIOR TO FILING. THE DIRECTORS THEN VOTE TO APPROVE THAT FORM 990 MAY BE SIGNED AND FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DIRECTORS REVIEW THE CONFLICT OF INTEREST POLICY AND ENSURE ITS ENFORCEMENT EACH YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>YES, THE ORGANIZATION MAKES SUCH DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>BANK FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 119. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 119. ADVISORY FEES AND OTHER FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,725. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,725.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>