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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
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      <InvestmentIncomePYPct>0.02420</InvestmentIncomePYPct>
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        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
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        <Desc>Prepaid rent</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization has determined that it has no uncertain income tax positions as of September 30, 2016 and 2015. Also, the Organization does not anticipate any increase or decrease in unrecognized tax benefits during the next twelve months that would result in a material change in its financial position. The Organization's income tax returns for years ended after September 30, 2013 remain open for examination.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Unrealized loss on interest rate swap -141,184. Change in value of gift annuity 33,592.</ExplanationTxt>
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    </IRS990ScheduleD>
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      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <IssuerName>
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        <BondIssuerEIN>521309402</BondIssuerEIN>
        <CUSIPNum>657902M41</CUSIPNum>
        <BondIssuedDt>2011-11-01</BondIssuedDt>
        <IssuePriceAmt>37745000</IssuePriceAmt>
        <PurposeDesc>Refunding prior bond issue dated 10/16/03</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>5955000</RetiredAmt>
        <TotalProceedsAmt>37745000</TotalProceedsAmt>
        <CurrentRefundingInd>1</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>1</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>Branch Bank &amp; Trust</BusinessNameLine1Txt>
        </HedgeProviderName>
        <TermOfHedgePct>7.000000000000</TermOfHedgePct>
        <SuperintegratedHedgeInd>0</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>0</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is reviewed by the Chief Executive Officer, the Controller and Chairman of the board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The policy is signed each time a member joins the board. The organization relies on the integrity of the board members to monitor their independence.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO's compensation is set by the compensation committee of the board who are independent.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization is regulated by the Insurance Commission and the financial statements are part of the Disclosure required by them.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Contract Medical Services: Program service expenses 734,091. Management and general expenses 0. Fundraising expenses 0. Total expenses 734,091. Supplies: Program service expenses 569,589. Management and general expenses 0. Fundraising expenses 0. Total expenses 569,589. Contractual dietary: Program service expenses 482,520. Management and general expenses 0. Fundraising expenses 0. Total expenses 482,520. Miscellaneous: Program service expenses 279,697. Management and general expenses 198,066. Fundraising expenses 0. Total expenses 477,763. Insurance: Program service expenses 293,784. Management and general expenses 129,923. Fundraising expenses 0. Total expenses 423,707. Management fees: Program service expenses 197,898. Management and general expenses 197,898. Fundraising expenses 0. Total expenses 395,796. Prescription drugs, etc.: Program service expenses 372,802. Management and general expenses 0. Fundraising expenses 0. Total expenses 372,802. Office expenses: Program service expenses 76,176. Management and general expenses 142,548. Fundraising expenses 0. Total expenses 218,724. Property Taxes: Program service expenses 37,710. Management and general expenses 0. Fundraising expenses 0. Total expenses 37,710. Dues and Subscriptions: Program service expenses 3,985. Management and general expenses 23,450. Fundraising expenses 0. Total expenses 27,435. Amortization of bond issue costs: Program service expenses 16,448. Management and general expenses 0. Fundraising expenses 0. Total expenses 16,448.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Unrealized gain/loss on interest rate swap -141,184. Change in value of gift annuity 33,592.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>