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      <GrossReceiptsRltdActivitiesAmt>39158</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.35150</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.36940</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part VI, List of Unusual Grants:</FormAndLineReferenceDesc>
        <ExplanationTxt>Description: Estate distribution Date: 12/22/15 Amount: 900000.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>Dinner/Auction</Event1Nm>
        <GrossReceiptsEvent1Amt>31635</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>27532</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>4103</GrossRevenueEvent1Amt>
        <NonCashPrizesEvent1Amt>359</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>2064</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>4103</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>450</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>2591</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>31635</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>27532</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>4103</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>359</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>2064</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>4103</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>450</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>2591</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>9567</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-5464</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization does not have committees with authority to act on behalf of the governing body.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is presented and reviewed by all board members before it is filed. The 990 is also reviewed by the Associate Administrator - CFO of Buchanan County Health Center.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All board members are required to annually complete a conflict of interest form and disclose to the board any interest in a contract or other transactions that could cause a conflict of interest. The board then determines by majority vote whether the disclosure shows that a conflict of interest exists or can reasonably be construed to exist. If a conflict exists, the board member is not allowed to vote on or use personal influence or participate in the discussion or deliberations with respect to the contract or transaction. The board member may be asked to leave the meeting and the discussion and determination is documented in the minutes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization's governing documents, conflict of interest policy, and financial statements are available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>