COMMUNITY HEALTH CENTER OF PAROLE: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH CENTER OF PAROLE (EIN 52-1969140)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-03-15
IRS object ID
201710749349301216
Schema version
2015v3.0
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

FieldValueIRS element (for citing)
Return2017-03-15T17:33:13-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN521197902PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MULLEN SONDBERG WIMBISH & STONE PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12553 HOUSLEY ROAD SUITE 200AddressLine1Txt
CityANNAPOLISCityNm
State AbbreviationMDStateAbbreviationCd
ZIP214016751ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN521969140EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE COMMUNITY HEALTH CENTER AT PAROLEBusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone4102671496PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 6817AddressLine1Txt
CityANNAPOLISCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21401ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALICE K WRIGHTPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone4102671496PhoneNum
Signature2017-03-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPATRICK M HANTSKE CPAPreparerPersonNm
PTINP00440640PTIN
Phone4102244920PhoneNum
Preparation2017-03-03PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerALICE K WRIGHTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 6817AddressLine1Txt
CityANNAPOLISCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$19,536GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1945FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH CARE SERVICES TO LOW TO MODERATE INCOME FAMILIES.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,950PYContributionsGrantsAmt
CY Contributions Grants$2,525CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$5PYInvestmentIncomeAmt
CY Investment Income$6CYInvestmentIncomeAmt
PY Other Revenue$16,100PYOtherRevenueAmt
CY Other Revenue$17,005CYOtherRevenueAmt
PY Total Revenue$23,055PYTotalRevenueAmt
CY Total Revenue$19,536CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$31,534PYOtherExpensesAmt
CY Other Expenses$32,289CYOtherExpensesAmt
PY Total Expenses$31,534PYTotalExpensesAmt
CY Total Expenses$32,289CYTotalExpensesAmt
PY Revenues Less Expenses-$8,479PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$12,753CYRevenuesLessExpensesAmt
Total Assets BOY$522,104TotalAssetsBOYAmt
Total Assets EOY$500,482TotalAssetsEOYAmt
Total Liabilities BOY$14,368TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,499TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$507,736NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$494,983NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO SHARE AND ENGAGE THE COMMUNITY IN OUR VISION OF NEW GROWTH AND DEVELOPMENT. TO PROVIDE A HEALTH CARE FACILITY THAT MEETS THE NEEDS OF OUR COMMUNITY. TO PROVIDE A SERVICE THAT MAINTAINS THE PRIVACY, DIGNITY AND RESPECT OF ALL OUR CITIZENS. TO MAINTAIN OUR RICH HERITAGE AND HISTORIC LANDMARK SUPPORTED BY OUR LOVE AND DEDICATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$27,006ExpenseAmt
DescTO PROVIDE DISEASE PREVENTION, HEALTH PROMOTION, AND HEALTH CARE SERVICES TO LOW TO MODERATE INCOME FAMILIES.Desc
Total Program Service Expenses$27,006TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4102671496PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11950 DREW STREETAddressLine1Txt
CityANNAPOLISCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21401ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
LAWRENCE HARRIS JR
CHAIRMAN OF THE BOARD2.00Yes (X)Yes (X)$0$0$0
ALICE WRIGHT
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
HELEN CHAMBERS
SECRETARY2.00Yes (X)Yes (X)$0$0$0
CHARLOTTE E BROWN
TREASURER2.00Yes (X)Yes (X)$0$0$0
THOMAS DUVALL
MEMBER2.00Yes (X)$0$0$0
PEARL SWANN
MEMBER2.00Yes (X)$0$0$0
IDA MAE SIMS
MEMBER2.00Yes (X)$0$0$0
CHARLES C HARRIS
MEMBER2.00Yes (X)$0$0$0
TERRANCE L WRIGHT
MEMBER2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Membership Dues$425MembershipDuesAmt
All Other Contributions$2,100AllOtherContributionsAmt
Total Contributions$2,525TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6TotalRevenueColumnAmt
Exclusion$6ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$17,005RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$17,005RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,005TotalRevenueColumnAmt
Related Or Exempt Func Income$17,005RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,536TotalRevenueColumnAmt
Related Or Exempt Func Income$17,005RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$6ExclusionAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,395TotalAmt
Management And General$1,395ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$270TotalAmt
Program Services$270ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$175TotalAmt
Management And General$175ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$411TotalAmt
Management And General$411ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,716TotalAmt
Program Services$3,344ProgramServicesAmt
Management And General$372ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$500TotalAmt
Program Services$500ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$432TotalAmt
Management And General$432ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$20,378TotalAmt
Program Services$18,340ProgramServicesAmt
Management And General$2,038ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,451TotalAmt
Program Services$3,106ProgramServicesAmt
Management And General$345ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
REPAIRS & MAINTENANCE$1,146$1,031$115
CONTRIBUTIONS$415$415

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$32,289TotalAmt
Program Services$27,006ProgramServicesAmt
Management And General$5,283ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,861BOYAmt
EOY$2,661EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,747BOYAmt
EOY$4,703EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$727,733LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$234,615LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$513,496BOYAmt
EOY$493,118EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$522,104BOYAmt
EOY$500,482EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$12,768BOYAmt
EOY$3,899EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,600BOYAmt
EOY$1,600EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,368BOYAmt
EOY$5,499EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$507,736BOYAmt
EOY$494,983EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$507,736BOYAmt
EOY$494,983EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$522,104BOYAmt
EOY$500,482EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$12,753ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,116CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$62,374CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,325CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,950CurrentTaxYearMinus1YearAmt
Current Tax Year$2,525CurrentTaxYearAmt
Total$103,290TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,116CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$62,374CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,325CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,950CurrentTaxYearMinus1YearAmt
Current Tax Year$2,525CurrentTaxYearAmt
Total$103,290TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$103,290PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$58CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,503CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,546CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,105CurrentTaxYearMinus1YearAmt
Current Tax Year$17,011CurrentTaxYearAmt
Total$46,223TotalAmt
FieldValueIRS element (for citing)
Total Support$149,513TotalSupportAmt
Gross Receipts Rltd Activities$6,428GrossReceiptsRltdActivitiesAmt
Public Support CY1700.69080PublicSupportCY170Pct
Public Support PY1700.78950PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$726,568OtherCostOrOtherBasisAmt
Depreciation$233,450DepreciationAmt
Book Value$493,118BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,165OtherCostOrOtherBasisAmt
Depreciation$1,165DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$493,118TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescSECURITY DEPOSIT LIABILITYDesc
Amt$1,600Amt
FieldValueIRS element (for citing)
Total Liability$1,600TotalLiabilityAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE PRESIDENT OF THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE 990 BEFORE IT IS FILED.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS FORM 1023 AND 990 AVAILABLE FOR PUBLIC INSPECTION UPON WRITTEN REQUEST.

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