SOUTHWEST GENERAL MEDICAL STAFF ORGANIZATION: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- SOUTHWEST GENERAL MEDICAL STAFF ORGANIZATION (EIN 47-2486060)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-15
- IRS object ID
- 201703199349303890
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-15T10:00:35-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 202326032 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASPEN FINANCIAL GROUP LTD | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11351 PEARL RD | AddressLine1Txt |
| City | STRONGSVILLE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 441363331 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 472486060 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHWEST GENERAL MEDICAL STAFF | BusinessNameLine1Txt |
| Business Name Line2 | ORGANIZATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SOUT | BusinessNameControlTxt |
| Phone | 4408168735 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18697 BAGLEY ROAD | AddressLine1Txt |
| City | MIDDLEBURG HTS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44130 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK PANIGUTTI MD | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 4408168735 | PhoneNum |
| Signature | 2017-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ROBERT W FRICKER CPA | PreparerPersonNm |
| PTIN | P00283707 | PTIN |
| Phone | 4402387033 | PhoneNum |
| Preparation | 2017-11-15 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | 3FCED47C5B91F8FBFC134A57030DFB9F29B184B7 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 3FCED47C5B91F8FBFC134A57030DFB9F29B184B7 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARK PANIGUTTI MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7255 OLD OAK BLVD C405 | AddressLine1Txt |
| City | MIDDLEBURG HTS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44130 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $187,276 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2015 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | PRIMARILY: (I) TO PLAN , ORGANIZE AND MANAGE CONTINUING MEDICAL EDUCATION (CME) AND OTHER ACTIVITIES FOR THE BENEFIT OF MEMBERS OF THE MEDICAL STAFF AT SOUTHWEST GENERAL HEALTH CENTER AND THE PUBLIC; (2) TO PLAN, FUND, ORGANIZE AND MANAGE SOCIAL EVENTS AND OUTINGS FOR PROPERLY CREDENTIALED MEMBERS OF THE SOUTHWEST MEDICAL STAFF, SUCH AS THE ANNUAL GOLF OUTING; AND (3) TO MAKE OCCASIONAL CHARITABLE CONTRIBUTIONS TO ORGANIZATIONS THAT THE MEDICAL STAFF SUPPORTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 154 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 154 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $181,236 | PYContributionsGrantsAmt |
| CY Contributions Grants | $141,201 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $130,125 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $46,075 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $311,363 | PYTotalRevenueAmt |
| CY Total Revenue | $187,276 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $18,988 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $50,495 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $86,012 | PYOtherExpensesAmt |
| CY Other Expenses | $71,895 | CYOtherExpensesAmt |
| PY Total Expenses | $105,000 | PYTotalExpensesAmt |
| CY Total Expenses | $122,390 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $206,363 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $64,886 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $206,363 | TotalAssetsBOYAmt |
| Total Assets EOY | $271,249 | TotalAssetsEOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $206,363 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $271,249 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ORGANIZED FOR THE PURPOSE OF PLANNING, FUNDING, ORGANIZING, AND MANAGING SOCIAL EVENTS AND OUTINGS FOR PROPERLY CREDENTIALED MEMBERS OF THE MEDICAL STAFF AT SOUTHWEST GENERAL HEALTH CENTER, AND FOR THE PURPOSE OF PLANNING, ORGANIZING AND MANAGI NG CONTINUING MEDICAL EDUCATION AND OTHER ACTIVITIES FOR THE BENEFIT OF SOUTHWEST MEDICAL STAFF MEMBERS, AND FOR MAKING CHARITABLE CONTRIBUTIONS TO ORGANIZATIONS THE MEDICAL STAFF SUPPORTS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $122,390 | ExpenseAmt |
| Revenue | $46,075 | RevenueAmt |
| Desc | ORGANIZED FOR THE PURPOSE OF PLANNING, FUNDING, ORGANIZING, AND MANAGING SOCIAL EVENTS AND OUTINGS FOR PROPERLY CREDENTIALED MEMBERS OF THE MEDICAL STAFF AT SOUTHWEST GENERAL HEALTH CENTER, AND FOR THE PURPOSE OF PLANNING, ORGANIZING AND MANAGING CONTINUING MEDICAL EDUCATION AND OTHER ACTIVITIES FOR THE BENEFIT OF SOUTHWEST MEDICAL STAFF MEMBERS, AND FOR MAKING CHARITABLE CONTRIBUTIONS TO ORGANIZATIONS THE MEDICAL STAFF SUPPORTS . | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ORGANIZED SOLELY FOR THE PURPOSE OF PLANNING, FUNDING, ORGANIZING, AND MANAGING SOCIAL EVENTS AND OUTINGS FOR PROPERLY CREDENTIALED MEMBERS OF THE MEDICAL STAFF AT SOUTHWEST GENERAL HEALTH CENTER, AND FOR THE PURPOSE OF PLANNING, ORGANIZING AND MANAGI NG CONTINUING MEDICAL EDUCATION AND OTHER ACTIVITIES FOR THE BENEFIT OF SOUTHWEST MEDICAL STAFF MEMBERS, AND FOR MAKING CHARITABLE CONTRIBUTIONS . | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $122,390 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | false | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 154 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 154 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicyInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DEBRA A GINLEY | PersonNm |
| Phone | 4408168735 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18697 BAGLEY ROAD | AddressLine1Txt |
| City | MIDDLEBURG HTS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44130 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (3 entries)
| TitleTitleTxt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|
| MARK PANIGUTTI MD | ||||
| PRESIDENT | Yes (X) | $0 | $0 | $0 |
| MICHAEL DEUCHER MD | ||||
| VICE PRESIDE | Yes (X) | $0 | $0 | $0 |
| ANTHONY GINGO MD | ||||
| SECRETARY/TR | Yes (X) | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Membership Dues | $141,201 | MembershipDuesAmt |
| Total Contributions | $141,201 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAL STAFF EVENT INCOME | 900099 | $27,270 | $27,270 |
| CME VENDOR INCOME | 900099 | $18,805 | $18,805 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $46,075 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $187,276 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $46,075 | RelatedOrExemptFuncIncomeAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,495 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,210 | TotalAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt |
|---|---|
| SOC. EVENT:HOLIDAY PARTY | $26,126 |
| SOCIAL EVENTS:BASEBALL | $21,250 |
| SOCIAL EVENTS:GOLF OUTING | $9,120 |
| DONATIONS | $4,600 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,589 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,390 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $156,361 | BOYAmt |
| EOY | $221,247 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,002 | BOYAmt |
| EOY | $50,002 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $206,363 | BOYAmt |
| EOY | $271,249 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $206,363 | BOYAmt |
| EOY | $271,249 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $206,363 | BOYAmt |
| EOY | $271,249 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $206,363 | BOYAmt |
| EOY | $271,249 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $64,886 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | ORGANIZED FOR THE PURPOSE OF PLANNING, FUNDING, ORGANIZING, AND MANAGING SOCIAL EVENTS AND OUTINGS FOR PROPERLY CREDENTIALED MEMBERS OF THE MEDICAL STAFF AT SOUTHWEST GENERAL HEALTH CENTER, AND FOR THE PURPOSE OF PLANNING, ORGANIZING AND MANAGI NG CONTINUING MEDICAL EDUCATION AND OTHER ACTIVITIES FOR THE BENEFIT OF SOUTHWEST MEDICAL STAFF MEMBERS, AND FOR MAKING CHARITABLE CONTRIBUTIONS TO ORGANIZATIONS THE MEDICAL STAFF SUPPORTS. |
| FORM 990, PAGE 2, PART III, LINE 4D | ORGANIZED SOLELY FOR THE PURPOSE OF PLANNING, FUNDING, ORGANIZING, AND MANAGING SOCIAL EVENTS AND OUTINGS FOR PROPERLY CREDENTIALED MEMBERS OF THE MEDICAL STAFF AT SOUTHWEST GENERAL HEALTH CENTER, AND FOR THE PURPOSE OF PLANNING, ORGANIZING AND MANAGI NG CONTINUING MEDICAL EDUCATION AND OTHER ACTIVITIES FOR THE BENEFIT OF SOUTHWEST MEDICAL STAFF MEMBERS, AND FOR MAKING CHARITABLE CONTRIBUTIONS . |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS AVAILABLE FOR REVIEW BY ALL MEMBERS IN THE MEDICAL STAFF OFFICE. |
| FORM 990, PAGE 6, PART VI, LINE 19 | UPON REQUEST IN THE MEDICAL STAFF OFFICE |
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