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          <RecipientPersonNm>PIH HEALTH FOUNDATION</RecipientPersonNm>
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        <CategoryTxt>ACCOUNTING AND TAX RETURN PREPARATION FE</CategoryTxt>
        <Amt>2490</Amt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>2490</DisbursementsCharitablePrpsAmt>
      </AccountingFeesDetail>
    </AccountingFeesSchedule>
    <LegalFeesSchedule documentId="LegalFeesSchedule" softwareId="13000170" softwareVersion="2013v4.0">
      <LegalFeesGrp>
        <CategoryTxt>LEGAL FEES</CategoryTxt>
        <LegalFeesAmt>40</LegalFeesAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>40</DisbursementsCharitablePrpsAmt>
      </LegalFeesGrp>
    </LegalFeesSchedule>
    <OtherExpensesSchedule documentId="OtherExpensesSchedule" softwareId="13000170" softwareVersion="2013v4.0">
      <OtherExpensesScheduleGrp>
        <Desc>FILING FEES</Desc>
        <RevenueAndExpensesPerBooksAmt>75</RevenueAndExpensesPerBooksAmt>
        <DisbursementsCharitablePrpsAmt>75</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>SERVICE FEES</Desc>
        <RevenueAndExpensesPerBooksAmt>174</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>174</NetInvestmentIncomeAmt>
      </OtherExpensesScheduleGrp>
    </OtherExpensesSchedule>
    <SubstantialContributorsSch documentId="SubstantialContributorsSchedul" softwareId="13000170" softwareVersion="2013v4.0">
      <SubstantialContributorDetail>
        <PersonNm>JAMES HICKS</PersonNm>
        <USAddress>
          <AddressLine1>3013 PIETRO DR</AddressLine1>
          <City>HACIENDA HEIGHTS</City>
          <State>CA</State>
          <ZIPCode>91745</ZIPCode>
        </USAddress>
      </SubstantialContributorDetail>
      <SubstantialContributorDetail>
        <PersonNm>JIM HICKS AND COMPANY</PersonNm>
        <USAddress>
          <AddressLine1>565 MERCURY LANE</AddressLine1>
          <City>BREA</City>
          <State>CA</State>
          <ZIPCode>92821</ZIPCode>
        </USAddress>
      </SubstantialContributorDetail>
    </SubstantialContributorsSch>
    <TaxesSchedule documentId="TaxesSchedule" softwareId="13000170" softwareVersion="2013v4.0">
      <TaxesDetail>
        <CategoryTxt>FRANCHISE TAX BOARD</CategoryTxt>
        <Amt>10</Amt>
        <DisbursementsCharitablePrpsAmt>10</DisbursementsCharitablePrpsAmt>
      </TaxesDetail>
      <TaxesDetail>
        <CategoryTxt>UNITED STATES TREASURY</CategoryTxt>
        <Amt>9213</Amt>
        <DisbursementsCharitablePrpsAmt>9213</DisbursementsCharitablePrpsAmt>
      </TaxesDetail>
    </TaxesSchedule>
  </ReturnData>
</Return>