﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2017v2.2" xsi:schemaLocation="http://www.irs.gov/efile">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2018-05-21T06:56:48-07:00</ReturnTs>
    <TaxPeriodEndDt>2017-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>760269860</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>Blazek &amp; Vetterling</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>2900 Weslayan Suite 200</AddressLine1Txt>
        <CityNm>Houston</CityNm>
        <StateAbbreviationCd>TX</StateAbbreviationCd>
        <ZIPCd>770275132</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990PF</ReturnTypeCd>
    <TaxPeriodBeginDt>2017-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>205787382</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>Simon Bolivar Foundation Inc</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>SIMO</BusinessNameControlTxt>
      <PhoneNum>8324865562</PhoneNum>
      <USAddress>
        <AddressLine1Txt>1293 Eldridge Parkway</AddressLine1Txt>
        <CityNm>Houston</CityNm>
        <StateAbbreviationCd>TX</StateAbbreviationCd>
        <ZIPCd>77077</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>Alejandro Escarra</PersonNm>
      <PersonTitleTxt>President</PersonTitleTxt>
      <SignatureDt>2018-05-21</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>Jody Blazek</PreparerPersonNm>
      <PTIN>P00072674</PTIN>
      <PhoneNum>7134395739</PhoneNum>
      <SelfEmployedInd>X</SelfEmployedInd>
    </PreparerPersonGrp>
    <TaxYr>2017</TaxYr>
    <BuildTS>2022-09-23 18:48:47Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="8">
    <IRS990PF documentId="IRS990PF" referenceDocumentId="GeneralExplanation 990PFBinaryAttachments.1 990PFBinaryAttachments.2" softwareId="17005038" softwareVersionNum="2017v2.2">
      <Organization501c3ExemptPFInd>X</Organization501c3ExemptPFInd>
      <FMVAssetsEOYAmt>4305844</FMVAssetsEOYAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AnalysisOfRevenueAndExpenses>
        <ContriRcvdRevAndExpnssAmt>9009044</ContriRcvdRevAndExpnssAmt>
        <InterestOnSavRevAndExpnssAmt>2278</InterestOnSavRevAndExpnssAmt>
        <InterestOnSavNetInvstIncmAmt>2278</InterestOnSavNetInvstIncmAmt>
        <TotalRevAndExpnssAmt>9011322</TotalRevAndExpnssAmt>
        <TotalNetInvstIncmAmt>2278</TotalNetInvstIncmAmt>
        <LegalFeesRevAndExpnssAmt referenceDocumentId="LegalFeesSchedule">27986</LegalFeesRevAndExpnssAmt>
        <LegalFeesDsbrsChrtblAmt>27769</LegalFeesDsbrsChrtblAmt>
        <AccountingFeesRevAndExpnssAmt referenceDocumentId="AccountingFeesSchedule">25888</AccountingFeesRevAndExpnssAmt>
        <AccountingFeesChrtblPrpsAmt>25888</AccountingFeesChrtblPrpsAmt>
        <OtherProfFeesRevAndExpnssAmt referenceDocumentId="OtherProfessionalFeesSchedule">26210</OtherProfFeesRevAndExpnssAmt>
        <OtherProfFeesDsbrsChrtblAmt>26332</OtherProfFeesDsbrsChrtblAmt>
        <OccupancyRevAndExpnssAmt>599</OccupancyRevAndExpnssAmt>
        <OccupancyDsbrsChrtblAmt>599</OccupancyDsbrsChrtblAmt>
        <TravConfMeetingRevAndExpnssAmt>973</TravConfMeetingRevAndExpnssAmt>
        <TravConfMeetingDsbrsChrtblAmt>973</TravConfMeetingDsbrsChrtblAmt>
        <OtherExpensesRevAndExpnssAmt referenceDocumentId="OtherExpensesSchedule AmortizationSchedule">97611</OtherExpensesRevAndExpnssAmt>
        <OtherExpensesNetInvstIncmAmt>14287</OtherExpensesNetInvstIncmAmt>
        <OtherExpensesDsbrsChrtblAmt>81645</OtherExpensesDsbrsChrtblAmt>
        <TotOprExpensesRevAndExpnssAmt>179267</TotOprExpensesRevAndExpnssAmt>
        <TotOprExpensesNetInvstIncmAmt>14287</TotOprExpensesNetInvstIncmAmt>
        <TotOprExpensesDsbrsChrtblAmt>163206</TotOprExpensesDsbrsChrtblAmt>
        <ContriPaidRevAndExpnssAmt>9997574</ContriPaidRevAndExpnssAmt>
        <ContriPaidDsbrsChrtblAmt>11345597</ContriPaidDsbrsChrtblAmt>
        <TotalExpensesRevAndExpnssAmt>10176841</TotalExpensesRevAndExpnssAmt>
        <TotalExpensesNetInvstIncmAmt>14287</TotalExpensesNetInvstIncmAmt>
        <TotalExpensesDsbrsChrtblAmt>11508803</TotalExpensesDsbrsChrtblAmt>
        <ExcessRevenueOverExpensesAmt>-1165519</ExcessRevenueOverExpensesAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
      </AnalysisOfRevenueAndExpenses>
      <Form990PFBalanceSheetsGrp>
        <CashBOYAmt>42617</CashBOYAmt>
        <CashEOYAmt>3187839</CashEOYAmt>
        <CashEOYFMVAmt>3187839</CashEOYFMVAmt>
        <SavAndTempCashInvstBOYAmt>1736911</SavAndTempCashInvstBOYAmt>
        <SavAndTempCashInvstEOYAmt>247604</SavAndTempCashInvstEOYAmt>
        <SavAndTempCashInvstEOYFMVAmt>247604</SavAndTempCashInvstEOYFMVAmt>
        <AcctRcvblAmt>148233</AcctRcvblAmt>
        <AcctRcvblBOYAmt>299132</AcctRcvblBOYAmt>
        <AcctRcvblEOYAmt>148233</AcctRcvblEOYAmt>
        <AcctRcvblEOYFMVAmt>148233</AcctRcvblEOYFMVAmt>
        <PledgesRcvblAmt>30000</PledgesRcvblAmt>
        <PledgesRcvblBOYAmt>3955000</PledgesRcvblBOYAmt>
        <PledgesRcvblEOYAmt>30000</PledgesRcvblEOYAmt>
        <PledgesRcvblEOYFMVAmt>30000</PledgesRcvblEOYFMVAmt>
        <PrepaidExpensesBOYAmt>2801248</PrepaidExpensesBOYAmt>
        <PrepaidExpensesEOYAmt>624283</PrepaidExpensesEOYAmt>
        <PrepaidExpensesEOYFMVAmt>624283</PrepaidExpensesEOYFMVAmt>
        <OtherAssetsBOYAmt referenceDocumentId="OtherAssetsSchedule">67885</OtherAssetsBOYAmt>
        <OtherAssetsEOYAmt referenceDocumentId="OtherAssetsSchedule">67885</OtherAssetsEOYAmt>
        <OtherAssetsEOYFMVAmt referenceDocumentId="OtherAssetsSchedule">67885</OtherAssetsEOYFMVAmt>
        <TotalAssetsBOYAmt>8902793</TotalAssetsBOYAmt>
        <TotalAssetsEOYAmt>4305844</TotalAssetsEOYAmt>
        <TotalAssetsEOYFMVAmt>4305844</TotalAssetsEOYFMVAmt>
        <AccountsPayableBOYAmt>3024</AccountsPayableBOYAmt>
        <AccountsPayableEOYAmt>6275</AccountsPayableEOYAmt>
        <GrantsPayableBOYAmt>5699874</GrantsPayableBOYAmt>
        <GrantsPayableEOYAmt>2265193</GrantsPayableEOYAmt>
        <TotalLiabilitiesBOYAmt>5702898</TotalLiabilitiesBOYAmt>
        <TotalLiabilitiesEOYAmt>2271468</TotalLiabilitiesEOYAmt>
        <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
        <UnrestrictedBOYAmt>3199895</UnrestrictedBOYAmt>
        <UnrestrictedEOYAmt>2034376</UnrestrictedEOYAmt>
        <TotNetAstOrFundBalancesBOYAmt>3199895</TotNetAstOrFundBalancesBOYAmt>
        <TotNetAstOrFundBalancesEOYAmt>2034376</TotNetAstOrFundBalancesEOYAmt>
        <TotalLiabilitiesNetAstBOYAmt>8902793</TotalLiabilitiesNetAstBOYAmt>
        <TotalLiabilitiesNetAstEOYAmt>4305844</TotalLiabilitiesNetAstEOYAmt>
      </Form990PFBalanceSheetsGrp>
      <ChgInNetAssetsFundBalancesGrp>
        <TotNetAstOrFundBalancesBOYAmt>3199895</TotNetAstOrFundBalancesBOYAmt>
        <ExcessRevenueOverExpensesAmt>-1165519</ExcessRevenueOverExpensesAmt>
        <SubtotalAmt>2034376</SubtotalAmt>
        <TotNetAstOrFundBalancesEOYAmt>2034376</TotNetAstOrFundBalancesEOYAmt>
      </ChgInNetAssetsFundBalancesGrp>
      <QlfyUndSect4940eReducedTaxGrp>
        <LiableSection4942TaxInd>false</LiableSection4942TaxInd>
        <AdjustedQlfyDistriYr1Amt>15248231</AdjustedQlfyDistriYr1Amt>
        <NetVlNoncharitableAssetsYr1Amt>2734412</NetVlNoncharitableAssetsYr1Amt>
        <DistributionYr1Rt>5.57642</DistributionYr1Rt>
        <AdjustedQlfyDistriYr2Amt>13581522</AdjustedQlfyDistriYr2Amt>
        <NetVlNoncharitableAssetsYr2Amt>7221654</NetVlNoncharitableAssetsYr2Amt>
        <DistributionYr2Rt>1.88067</DistributionYr2Rt>
        <AdjustedQlfyDistriYr3Amt>9098002</AdjustedQlfyDistriYr3Amt>
        <NetVlNoncharitableAssetsYr3Amt>6513481</NetVlNoncharitableAssetsYr3Amt>
        <DistributionYr3Rt>1.39680</DistributionYr3Rt>
        <AdjustedQlfyDistriYr4Amt>12593738</AdjustedQlfyDistriYr4Amt>
        <NetVlNoncharitableAssetsYr4Amt>3551500</NetVlNoncharitableAssetsYr4Amt>
        <DistributionYr4Rt>3.54603</DistributionYr4Rt>
        <AdjustedQlfyDistriYr5Amt>8354459</AdjustedQlfyDistriYr5Amt>
        <NetVlNoncharitableAssetsYr5Amt>8406136</NetVlNoncharitableAssetsYr5Amt>
        <DistributionYr5Rt>0.99385</DistributionYr5Rt>
        <TotalDistributionRt>13.393768</TotalDistributionRt>
        <AverageDistributionRt>2.678754</AverageDistributionRt>
        <NetVlNoncharitableAssetsAmt>2293676</NetVlNoncharitableAssetsAmt>
        <AdjNetVlNoncharitableAssetsAmt>6144194</AdjNetVlNoncharitableAssetsAmt>
        <AdjNonchrtblNetInvstIncmPctAmt>6144194</AdjNonchrtblNetInvstIncmPctAmt>
        <QualifyingDistributionsAmt>11508803</QualifyingDistributionsAmt>
      </QlfyUndSect4940eReducedTaxGrp>
      <ExciseTaxBasedOnInvstIncmGrp>
        <DomesticOrgMeetingSect4940eInd>X</DomesticOrgMeetingSect4940eInd>
        <InvestmentIncomeExciseTaxAmt>0</InvestmentIncomeExciseTaxAmt>
        <EstimatedPlusOvpmtIncmTxAmt>94</EstimatedPlusOvpmtIncmTxAmt>
        <TotalPaymentsAndCreditsAmt>94</TotalPaymentsAndCreditsAmt>
        <OverpaymentAmt>94</OverpaymentAmt>
        <AppliedToESTaxAmt>94</AppliedToESTaxAmt>
      </ExciseTaxBasedOnInvstIncmGrp>
      <StatementsRegardingActyGrp>
        <LegislativePoliticalActyInd>false</LegislativePoliticalActyInd>
        <MoreThan100SpentInd>false</MoreThan100SpentInd>
        <Form1120POLFiledInd>false</Form1120POLFiledInd>
        <ActivitiesNotPreviouslyRptInd>false</ActivitiesNotPreviouslyRptInd>
        <ChangesToArticlesOrBylawsInd>false</ChangesToArticlesOrBylawsInd>
        <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
        <Form990TFiledInd>false</Form990TFiledInd>
        <OrganizationDissolvedEtcInd referenceDocumentId="LiquidationExplanation">true</OrganizationDissolvedEtcInd>
        <Section508eRqrSatisfiedInd>true</Section508eRqrSatisfiedInd>
        <AtLeast5000InAssetsInd>true</AtLeast5000InAssetsInd>
        <OrgReportOrRegisterStateCd>DE</OrgReportOrRegisterStateCd>
        <OrgReportOrRegisterStateCd>IL</OrgReportOrRegisterStateCd>
        <OrgReportOrRegisterStateCd>LA</OrgReportOrRegisterStateCd>
        <OrgReportOrRegisterStateCd>TX</OrgReportOrRegisterStateCd>
        <Form990PFFiledWithAttyGenInd>true</Form990PFFiledWithAttyGenInd>
        <PrivateOperatingFoundationInd>false</PrivateOperatingFoundationInd>
        <NewSubstantialContributorsInd>false</NewSubstantialContributorsInd>
        <OwnControlledEntityInd>false</OwnControlledEntityInd>
        <DonorAdvisedFundInd>false</DonorAdvisedFundInd>
        <ComplyWithPublicInspRqrInd>true</ComplyWithPublicInspRqrInd>
        <WebsiteAddressTxt>N/A</WebsiteAddressTxt>
        <PersonsWithBooksName>
          <BusinessNameLine1Txt>Ms Grisell Nouis</BusinessNameLine1Txt>
        </PersonsWithBooksName>
        <PhoneNum>8324864007</PhoneNum>
        <LocationOfBooksUSAddress>
          <AddressLine1Txt>1293 Eldridge Parkway</AddressLine1Txt>
          <CityNm>Houston</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77077</ZIPCd>
        </LocationOfBooksUSAddress>
        <ForeignAccountsQuestionInd>true</ForeignAccountsQuestionInd>
        <ForeignCountryCd>VE</ForeignCountryCd>
      </StatementsRegardingActyGrp>
      <StatementsRegardingActy4720Grp>
        <SaleOrExchDisqualifiedPrsnInd>false</SaleOrExchDisqualifiedPrsnInd>
        <BrrwOrLendDisqualifiedPrsnInd>false</BrrwOrLendDisqualifiedPrsnInd>
        <FurnGoodsDisqualifiedPrsnInd>false</FurnGoodsDisqualifiedPrsnInd>
        <PayCompDisqualifiedPrsnInd>false</PayCompDisqualifiedPrsnInd>
        <TransferAstDisqualifiedPrsnInd>false</TransferAstDisqualifiedPrsnInd>
        <PaymentToGovernmentOfficialInd>false</PaymentToGovernmentOfficialInd>
        <ActsFailToQlfyAsExceptionsInd>false</ActsFailToQlfyAsExceptionsInd>
        <UncorrectedPriorActsInd>false</UncorrectedPriorActsInd>
        <UndistributedIncomePYInd>false</UndistributedIncomePYInd>
        <UndistrIncmSect4942a2NotAppInd>false</UndistrIncmSect4942a2NotAppInd>
        <BusinessHoldingsInd>false</BusinessHoldingsInd>
        <ExcessBusinessHoldingsInd>false</ExcessBusinessHoldingsInd>
        <JeopardyInvestmentsInd>false</JeopardyInvestmentsInd>
        <UncorrectedPYJeopardyInvstInd>false</UncorrectedPYJeopardyInvstInd>
        <InfluenceLegislationInd>false</InfluenceLegislationInd>
        <InfluenceElectionInd>false</InfluenceElectionInd>
        <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
        <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
        <NoncharitablePurposeInd>false</NoncharitablePurposeInd>
        <TransactionsFailToQlfyAsExcInd>false</TransactionsFailToQlfyAsExcInd>
        <MaintainedExpenditureRspnsInd>false</MaintainedExpenditureRspnsInd>
        <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
        <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
        <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
        <ProceedsOrNetIncomeInd>false</ProceedsOrNetIncomeInd>
      </StatementsRegardingActy4720Grp>
      <OfficerDirTrstKeyEmplInfoGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>Alejandro Escarra</PersonNm>
          <USAddress>
            <AddressLine1Txt>PO Box 4689</AddressLine1Txt>
            <CityNm>Houston</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77210</ZIPCd>
          </USAddress>
          <TitleTxt>Pres/Director</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>16.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>Rafael Gomez</PersonNm>
          <USAddress>
            <AddressLine1Txt>PO Box 4689</AddressLine1Txt>
            <CityNm>Houston</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77210</ZIPCd>
          </USAddress>
          <TitleTxt>Pres/Dir to May</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>5.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>Melissa Martinez</PersonNm>
          <USAddress>
            <AddressLine1Txt>PO Box 4689</AddressLine1Txt>
            <CityNm>Houston</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77210</ZIPCd>
          </USAddress>
          <TitleTxt>Vice President</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>40.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>Holly Chastain Nini</PersonNm>
          <USAddress>
            <AddressLine1Txt>PO Box 4689</AddressLine1Txt>
            <CityNm>Houston</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77210</ZIPCd>
          </USAddress>
          <TitleTxt>Secretary</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>8.50</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>Julie Okwara</PersonNm>
          <USAddress>
            <AddressLine1Txt>PO Box 4689</AddressLine1Txt>
            <CityNm>Houston</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77210</ZIPCd>
          </USAddress>
          <TitleTxt>Asst Secretary</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>0.50</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>Gina Coon</PersonNm>
          <USAddress>
            <AddressLine1Txt>PO Box 4689</AddressLine1Txt>
            <CityNm>Houston</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77210</ZIPCd>
          </USAddress>
          <TitleTxt>Treasurer</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>1.50</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>Curtis A Rowe</PersonNm>
          <USAddress>
            <AddressLine1Txt>PO Box 4689</AddressLine1Txt>
            <CityNm>Houston</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77210</ZIPCd>
          </USAddress>
          <TitleTxt>Asst Treasurer</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>0.10</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>John Butts</PersonNm>
          <USAddress>
            <AddressLine1Txt>PO Box 4689</AddressLine1Txt>
            <CityNm>Houston</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77210</ZIPCd>
          </USAddress>
          <TitleTxt>Asst Treas/Ctrl</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>0.25</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>Daniel Addison</PersonNm>
          <USAddress>
            <AddressLine1Txt>PO Box 4689</AddressLine1Txt>
            <CityNm>Houston</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77210</ZIPCd>
          </USAddress>
          <TitleTxt>Director</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>0.75</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>Gustavo Cardenas</PersonNm>
          <USAddress>
            <AddressLine1Txt>PO Box 4689</AddressLine1Txt>
            <CityNm>Houston</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77210</ZIPCd>
          </USAddress>
          <TitleTxt>Director</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>0.25</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>Glenn Hilman</PersonNm>
          <USAddress>
            <AddressLine1Txt>PO Box 4689</AddressLine1Txt>
            <CityNm>Houston</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77210</ZIPCd>
          </USAddress>
          <TitleTxt>Director</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>0.10</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>Richard Lopez</PersonNm>
          <USAddress>
            <AddressLine1Txt>PO Box 4689</AddressLine1Txt>
            <CityNm>Houston</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77210</ZIPCd>
          </USAddress>
          <TitleTxt>Director</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>0.25</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>Maria Del Carmen Martinez</PersonNm>
          <USAddress>
            <AddressLine1Txt>PO Box 4689</AddressLine1Txt>
            <CityNm>Houston</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77210</ZIPCd>
          </USAddress>
          <TitleTxt>VP/Dir to May</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>11.50</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>Teresa Mitchell</PersonNm>
          <USAddress>
            <AddressLine1Txt>PO Box 4689</AddressLine1Txt>
            <CityNm>Houston</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77210</ZIPCd>
          </USAddress>
          <TitleTxt>Director</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>0.25</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>Jose Pereira</PersonNm>
          <USAddress>
            <AddressLine1Txt>PO Box 4689</AddressLine1Txt>
            <CityNm>Houston</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77210</ZIPCd>
          </USAddress>
          <TitleTxt>Dir to December</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>0.25</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
        </OfficerDirTrstKeyEmplGrp>
        <CompOfHghstPdEmplOrNONETxt>NONE</CompOfHghstPdEmplOrNONETxt>
        <CompOfHghstPdCntrctOrNONETxt>NONE</CompOfHghstPdCntrctOrNONETxt>
      </OfficerDirTrstKeyEmplInfoGrp>
      <MinimumInvestmentReturnGrp>
        <AverageMonthlyFMVOfSecAmt>0</AverageMonthlyFMVOfSecAmt>
        <AverageMonthlyCashBalancesAmt>2328605</AverageMonthlyCashBalancesAmt>
        <FMVAllOtherNoncharitableAstAmt>0</FMVAllOtherNoncharitableAstAmt>
        <TotalFMVOfUnusedAssetsAmt>2328605</TotalFMVOfUnusedAssetsAmt>
        <ReductionClaimedAmt>0</ReductionClaimedAmt>
        <AdjustedTotalFMVOfUnusedAstAmt>2328605</AdjustedTotalFMVOfUnusedAstAmt>
        <CashDeemedCharitableAmt>34929</CashDeemedCharitableAmt>
        <NetVlNoncharitableAssetsAmt>2293676</NetVlNoncharitableAssetsAmt>
        <MinimumInvestmentReturnAmt>114684</MinimumInvestmentReturnAmt>
      </MinimumInvestmentReturnGrp>
      <DistributableAmountGrp>
        <MinimumInvestmentReturnAmt>114684</MinimumInvestmentReturnAmt>
        <DistributableBeforeAdjAmt>114684</DistributableBeforeAdjAmt>
        <RecoveriesQualfiedDistriAmt>235883</RecoveriesQualfiedDistriAmt>
        <DistributableBeforeDedAmt>350567</DistributableBeforeDedAmt>
        <DistributableAsAdjustedAmt>350567</DistributableAsAdjustedAmt>
      </DistributableAmountGrp>
      <QualifyingDistriPartXIIGrp>
        <ExpensesAndContributionsAmt>11508803</ExpensesAndContributionsAmt>
        <QualifyingDistributionsAmt>11508803</QualifyingDistributionsAmt>
        <AdjustedQualifyingDistriAmt>11508803</AdjustedQualifyingDistriAmt>
      </QualifyingDistriPartXIIGrp>
      <UndistributedIncomeGrp>
        <DistributableAsAdjustedAmt>350567</DistributableAsAdjustedAmt>
        <ExcessDistributionCyovYr5Amt>7934336</ExcessDistributionCyovYr5Amt>
        <ExcessDistributionCyovYr4Amt>12416163</ExcessDistributionCyovYr4Amt>
        <ExcessDistributionCyovYr3Amt>8715562</ExcessDistributionCyovYr3Amt>
        <ExcessDistributionCyovYr2Amt>13163255</ExcessDistributionCyovYr2Amt>
        <ExcessDistributionCyovYr1Amt>14756862</ExcessDistributionCyovYr1Amt>
        <TotalExcessDistributionCyovAmt>56986178</TotalExcessDistributionCyovAmt>
        <QualifyingDistributionsAmt>11508803</QualifyingDistributionsAmt>
        <TreatedAsDistriFromCorpusAmt>0</TreatedAsDistriFromCorpusAmt>
        <AppliedToCurrentYearAmt>350567</AppliedToCurrentYearAmt>
        <RemainingDistriFromCorpusAmt>11158236</RemainingDistriFromCorpusAmt>
        <TotalCorpusAmt>68144414</TotalCorpusAmt>
        <UndistributedIncomeCYAmt>0</UndistributedIncomeCYAmt>
        <ExcessDistriCyovFromYr5Amt>7934336</ExcessDistriCyovFromYr5Amt>
        <ExcessDistriCyovToNextYrAmt>60210078</ExcessDistriCyovToNextYrAmt>
        <ExcessFromYear4Amt>12416163</ExcessFromYear4Amt>
        <ExcessFromYear3Amt>8715562</ExcessFromYear3Amt>
        <ExcessFromYear2Amt>13163255</ExcessFromYear2Amt>
        <ExcessFromYear1Amt>14756862</ExcessFromYear1Amt>
        <ExcessFromCurrentYearAmt>11158236</ExcessFromCurrentYearAmt>
      </UndistributedIncomeGrp>
      <SupplementaryInformationGrp>
        <ApplicationSubmissionInfoGrp>
          <RecipientPersonNm>Alejandro Escarra</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>1293 Eldridge Parkway N5108</AddressLine1Txt>
            <CityNm>Houston</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77077</ZIPCd>
          </RecipientUSAddress>
          <RecipientPhoneNum>8324861925</RecipientPhoneNum>
          <RecipientEmailAddressTxt>aescarr@citgo.com, mgimene@citgo.com, mgonza6@citgo.com</RecipientEmailAddressTxt>
          <FormAndInfoAndMaterialsTxt>Apply by email to one of the above addresses.</FormAndInfoAndMaterialsTxt>
          <SubmissionDeadlinesTxt>None</SubmissionDeadlinesTxt>
          <RestrictionsOnAwardsTxt>None</RestrictionsOnAwardsTxt>
        </ApplicationSubmissionInfoGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>Medical grants - see attachment</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>State and zip code for e-filing</AddressLine1Txt>
            <CityNm>purposes</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77077</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>None</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>I</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>Support medical treatment of critically ill persons unable to afford necessary specialized care</GrantOrContributionPurposeTxt>
          <Amt>10724380</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>Fundacion Instituto Carabobeno p la</RecipientPersonNm>
          <RecipientForeignAddress>
            <AddressLine1Txt>Av Lisandro Alvarado Local Ciudad</AddressLine1Txt>
            <CityNm>Valencia</CityNm>
            <ProvinceOrStateNm>Carabobo</ProvinceOrStateNm>
            <CountryCd>VE</CountryCd>
            <ForeignPostalCd>2003</ForeignPostalCd>
          </RecipientForeignAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>GOV</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>Medical supplies</GrantOrContributionPurposeTxt>
          <Amt>249713</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>Hospital de Ninos Jose Manuel de Lo</RecipientPersonNm>
          <RecipientForeignAddress>
            <AddressLine1Txt>Avenida Vollmer Urbanizacion</AddressLine1Txt>
            <CityNm>San Bernardino</CityNm>
            <ProvinceOrStateNm>Caracas</ProvinceOrStateNm>
            <CountryCd>VE</CountryCd>
            <ForeignPostalCd>1050</ForeignPostalCd>
          </RecipientForeignAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>Medical supplies</GrantOrContributionPurposeTxt>
          <Amt>133043</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>Ronald McDonald House Charities</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>3402 Fort Worth Stree</AddressLine1Txt>
            <CityNm>Corpus Christi</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78411</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>Medical supplies</GrantOrContributionPurposeTxt>
          <Amt>50000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>Driscoll Children's Hospital</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>3533 South Alameda Street</AddressLine1Txt>
            <CityNm>Corpus Christi</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78374</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>Medical supplies</GrantOrContributionPurposeTxt>
          <Amt>50000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>Hospital Materno Infantil</RecipientPersonNm>
          <RecipientForeignAddress>
            <AddressLine1Txt>Av La Playa Calle San Bartolome</AddressLine1Txt>
            <CityNm>Macuto</CityNm>
            <ProvinceOrStateNm>Estado Vargas</ProvinceOrStateNm>
            <CountryCd>VE</CountryCd>
          </RecipientForeignAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>Medical supplies</GrantOrContributionPurposeTxt>
          <Amt>57038</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>Hospital Dr Rafael Medina Jimenez</RecipientPersonNm>
          <RecipientForeignAddress>
            <AddressLine1Txt>Calle Real de Pariata con Calle Mir</AddressLine1Txt>
            <CityNm>Carlos Soublette</CityNm>
            <ProvinceOrStateNm>Estado Vargas</ProvinceOrStateNm>
            <CountryCd>VE</CountryCd>
          </RecipientForeignAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>Medical supplies</GrantOrContributionPurposeTxt>
          <Amt>61423</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientPersonNm>Foundation Bambino Gesu' Onlus</RecipientPersonNm>
          <RecipientForeignAddress>
            <AddressLine1Txt>Passeggiata del Gianicolo</AddressLine1Txt>
            <CityNm>Villino Sion</CityNm>
            <ProvinceOrStateNm>Rome</ProvinceOrStateNm>
            <CountryCd>IT</CountryCd>
            <ForeignPostalCd>00165</ForeignPostalCd>
          </RecipientForeignAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>Medical supplies</GrantOrContributionPurposeTxt>
          <Amt>20000</Amt>
        </GrantOrContributionPdDurYrGrp>
        <TotalGrantOrContriPdDurYrAmt>11345597</TotalGrantOrContriPdDurYrAmt>
        <GrantOrContriApprvForFutGrp>
          <RecipientPersonNm>Medical grants - see attachment</RecipientPersonNm>
          <RecipientUSAddress>
            <AddressLine1Txt>State and zip code for e-filing</AddressLine1Txt>
            <CityNm>purposes</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77077</ZIPCd>
          </RecipientUSAddress>
          <RecipientRelationshipTxt>None</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>I</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>Support medical treatment of critically ill persons unable to afford necessary specialized care</GrantOrContributionPurposeTxt>
          <Amt>2146416</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientPersonNm>Hosp Card Dr Gilberto Rodriguez Och</RecipientPersonNm>
          <RecipientForeignAddress>
            <AddressLine1Txt>Final Avenida Tehern Urbanizacin</AddressLine1Txt>
            <CityNm>Juan Pablo II</CityNm>
            <ProvinceOrStateNm>Montalban</ProvinceOrStateNm>
            <CountryCd>VE</CountryCd>
            <ForeignPostalCd>Caracas</ForeignPostalCd>
          </RecipientForeignAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>Medical supplies</GrantOrContributionPurposeTxt>
          <Amt>3767</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientPersonNm>Hospital Materno Infantil</RecipientPersonNm>
          <RecipientForeignAddress>
            <AddressLine1Txt>Av La Playa Calle San Bartolome</AddressLine1Txt>
            <CityNm>Macuto</CityNm>
            <ProvinceOrStateNm>Estado Vargas</ProvinceOrStateNm>
            <CountryCd>VE</CountryCd>
          </RecipientForeignAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>Medical supplies</GrantOrContributionPurposeTxt>
          <Amt>57518</Amt>
        </GrantOrContriApprvForFutGrp>
        <GrantOrContriApprvForFutGrp>
          <RecipientPersonNm>Hospital Dr Rafael Medina Jimenez</RecipientPersonNm>
          <RecipientForeignAddress>
            <AddressLine1Txt>Calle Real de Pariata con Calle Mir</AddressLine1Txt>
            <CityNm>Carlos Soublette</CityNm>
            <ProvinceOrStateNm>Estado Vargas</ProvinceOrStateNm>
            <CountryCd>VE</CountryCd>
          </RecipientForeignAddress>
          <RecipientRelationshipTxt>N/A</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>PC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>Medical supplies</GrantOrContributionPurposeTxt>
          <Amt>57492</Amt>
        </GrantOrContriApprvForFutGrp>
        <TotalGrantOrContriApprvFutAmt>2265193</TotalGrantOrContriApprvFutAmt>
      </SupplementaryInformationGrp>
      <AnalysisIncomeProducingActyGrp>
        <IntOnSavAndTempCashInvstGrp>
          <ExclusionCd>14</ExclusionCd>
          <ExclusionAmt>2278</ExclusionAmt>
        </IntOnSavAndTempCashInvstGrp>
        <SubtotalsIncmProducingActyGrp>
          <ExclusionAmt>2278</ExclusionAmt>
        </SubtotalsIncmProducingActyGrp>
        <TotalIncomeProducingActyAmt>2278</TotalIncomeProducingActyAmt>
      </AnalysisIncomeProducingActyGrp>
      <TrnsfrTransRlnNonchrtblEOGrp>
        <TrnsfrOfCashToNonchrtblEOInd>false</TrnsfrOfCashToNonchrtblEOInd>
        <TrnsfrOtherAssetNonchrtblEOInd>false</TrnsfrOtherAssetNonchrtblEOInd>
        <SalesOrExchangesOfAssetsInd>false</SalesOrExchangesOfAssetsInd>
        <PurchaseOfAssetsNonchrtblEOInd>false</PurchaseOfAssetsNonchrtblEOInd>
        <RentalOfFacilitiesOthAssetsInd>false</RentalOfFacilitiesOthAssetsInd>
        <ReimbursementArrangementsInd>false</ReimbursementArrangementsInd>
        <LoansOrLoanGuaranteesInd>false</LoansOrLoanGuaranteesInd>
        <PerformanceOfServicesEtcInd>false</PerformanceOfServicesEtcInd>
        <SharingOfFacilitiesEtcInd>false</SharingOfFacilitiesEtcInd>
        <RelationshipsNonchrtblEOInd>false</RelationshipsNonchrtblEOInd>
      </TrnsfrTransRlnNonchrtblEOGrp>
    </IRS990PF>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="17005038" softwareVersionNum="2017v2.2">
      <Organization501c3ExemptPFInd>X</Organization501c3ExemptPFInd>
      <GeneralRuleInd>X</GeneralRuleInd>
      <ContributorInformationGrp>
        <ContributorNum>1</ContributorNum>
        <ContributorPersonNm>CITGO Petroleum Corporation</ContributorPersonNm>
        <ContributorUSAddress>
          <AddressLine1Txt>PO Box 4689</AddressLine1Txt>
          <CityNm>Houston</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77210</ZIPCd>
        </ContributorUSAddress>
        <TotalContributionsAmt>9000000</TotalContributionsAmt>
        <PersonContributionInd>X</PersonContributionInd>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <AccountingFeesSchedule documentId="AccountingFeesSchedule" softwareId="17005038" softwareVersionNum="2017v2.2">
      <AccountingFeesDetail>
        <CategoryTxt>Audit, tax planning &amp; compliance</CategoryTxt>
        <Amt>25888</Amt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>25888</DisbursementsCharitablePrpsAmt>
      </AccountingFeesDetail>
    </AccountingFeesSchedule>
    <LiquidationExplanationStmt documentId="LiquidationExplanation" softwareId="17005038" softwareVersionNum="2017v2.2">
      <ExplanationTxt>The following information is submitted in accordance with Treasury RegulationSection 1.6043-3(a)(1) and the Form 990-PF instructions:The Foundation made distributions of cash to the grantees listed in the attachmentto Part XV, Line 3a; each such grant was made solely for the charitable purposelisted on the schedule. During this tax year, the Foundation paid grants in anamount representing more than 25% of the Foundation's net assets of $8,902,793 (as measured by fair market value) at the beginning of the Foundation's taxable year ending December 31, 2017. Although the Foundation technically experienced a"substantial contraction," it will continue in existence and has no plans fordissolution.</ExplanationTxt>
    </LiquidationExplanationStmt>
    <LegalFeesSchedule documentId="LegalFeesSchedule" softwareId="17005038" softwareVersionNum="2017v2.2">
      <LegalFeesGrp>
        <CategoryTxt>General governance &amp; counsel</CategoryTxt>
        <LegalFeesAmt>27986</LegalFeesAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>27769</DisbursementsCharitablePrpsAmt>
      </LegalFeesGrp>
    </LegalFeesSchedule>
    <OtherAssetsSchedule documentId="OtherAssetsSchedule" softwareId="17005038" softwareVersionNum="2017v2.2">
      <OtherAssetsScheduleGrp>
        <Desc>Fossil replicas/orocual, estado monagas</Desc>
        <BOYBookValueAmt>67885</BOYBookValueAmt>
        <EOYBookValueAmt>67885</EOYBookValueAmt>
        <EOYFMVAmt>67885</EOYFMVAmt>
      </OtherAssetsScheduleGrp>
    </OtherAssetsSchedule>
    <OtherExpensesSchedule documentId="OtherExpensesSchedule" softwareId="17005038" softwareVersionNum="2017v2.2">
      <OtherExpensesScheduleGrp>
        <Desc>Bank charges</Desc>
        <RevenueAndExpensesPerBooksAmt>14287</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>14287</NetInvestmentIncomeAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Custom fees</Desc>
        <RevenueAndExpensesPerBooksAmt>240</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>240</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Hospitality</Desc>
        <RevenueAndExpensesPerBooksAmt>410</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>1108</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Insurance</Desc>
        <RevenueAndExpensesPerBooksAmt>12235</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>12235</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Other patient expenses</Desc>
        <RevenueAndExpensesPerBooksAmt>2593</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>216</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>Postage &amp; freight</Desc>
        <RevenueAndExpensesPerBooksAmt>67846</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>67846</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
    </OtherExpensesSchedule>
    <OtherProfessionalFeesSchedule documentId="OtherProfessionalFeesSchedule" softwareId="17005038" softwareVersionNum="2017v2.2">
      <OtherProfessionalFeesDetail>
        <CategoryTxt>Administrative services</CategoryTxt>
        <Amt>24532</Amt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>24654</DisbursementsCharitablePrpsAmt>
      </OtherProfessionalFeesDetail>
      <OtherProfessionalFeesDetail>
        <CategoryTxt>Immigration services</CategoryTxt>
        <Amt>1678</Amt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>1678</DisbursementsCharitablePrpsAmt>
      </OtherProfessionalFeesDetail>
    </OtherProfessionalFeesSchedule>
  </ReturnData>
</Return>