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        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990</FormAndLineReferenceDesc>
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      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
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        <NonCashAssistanceDesc>TOYS &amp; GAMES</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Capital AND Research operations</PurposeOfGrantTxt>
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        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant Funds</FormAndLineReferenceDesc>
        <ExplanationTxt>The Foundation generates donations based on the strategic needs of the hospital service lines. Once donations are received a formal request is made by the hospital for the funds. THE FOUNDATION STAFF RECEIVES MONTHLY INVOICES TO DOCUMENT THE EXPENDITURES OF THE HOSPITAL AGAINST THE GRANTS. THE FOUNDATION'S PROGRAM STAFF THEN MEETS THE APPROPRIATE HOSPITAL STAFF TO DISCUSS THE PROGRESS OF ALL GRANT FUNDED PROJECTS THROUGHOUT THE YEAR.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.</FormAndLineReferenceDesc>
        <ExplanationTxt>The Foundation generates donations based on the strategic needs of the hospital service lines. Once donations are received a formal request is made by the hospital for the funds. THE FOUNDATION STAFF RECEIVES MONTHLY INVOICES TO DOCUMENT THE EXPENDITURES OF THE HOSPITAL AGAINST THE GRANTS. THE FOUNDATION'S PROGRAM STAFF THEN MEETS THE APPROPRIATE HOSPITAL STAFF TO DISCUSS THE PROGRESS OF ALL GRANT FUNDED PROJECTS THROUGHOUT THE YEAR.</ExplanationTxt>
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          <BusinessNameLine1Txt>Lucy Morillo-Agnetti</BusinessNameLine1Txt>
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        <TitleTxt>Director &amp; President/CEO</TitleTxt>
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          <BusinessNameLine1Txt>Nancy Castellon-Dion</BusinessNameLine1Txt>
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        <TitleTxt>VP Principal Gifts &amp; Campaigns</TitleTxt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>The following contribution was made to a Section 457(f) plan during the year - Narendra Kini - $150,737</ExplanationTxt>
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        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>98865</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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        <Desc>Toys &amp; Games</Desc>
        <ContributionCnt>60</ContributionCnt>
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        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Miscellaneous</Desc>
        <ContributionCnt>53</ContributionCnt>
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        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I Explanations of reporting method for number of contributions</FormAndLineReferenceDesc>
        <ExplanationTxt>Art - Works of art: Number of contributions Other: Number of contributions Other: Number of contributions Other: Number of contributions</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I, Line 1 Number of contributions or items contributed</FormAndLineReferenceDesc>
        <ExplanationTxt>Number of contributions</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I Number of contributions or items contributed</FormAndLineReferenceDesc>
        <ExplanationTxt>Number of contributions</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I Number of contributions or items contributed</FormAndLineReferenceDesc>
        <ExplanationTxt>Number of contributions</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I Number of contributions or items contributed</FormAndLineReferenceDesc>
        <ExplanationTxt>Number of contributions</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CoreFormPartIII_PartIIILine4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 1,048,803 including grants of $ 476,562)(Revenue $ 202,025) Other Program Services</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a Delegate broad authority to a committee</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee is composed of at least three (3) Directors elected by the Board of Directors. A majority of the members present and voting constitutes a quorum for the transaction of business, The Executive Committee has and exercise the authority of the Board of Directors in the management of the Foundation, except that it shall not take any action with respect to (a) election of officers; (b) the filling of vacancies on the Board of Directors and (c) the adoption, amendment or repeal of any By-laws. The Executive Committee shall report to the Board of Directors any action taken by the Executive Committee at the next meeting of the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S SOLE MEMBER IS MIAMI CHILDREN'S HEALTH SYSTEM, INC. THE SOLE MEMBER HAS THE AUTHORITY TO ELECT MEMBERS TO THE BOARD OF DIRECTORS AND APPROVE DECISIONS OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ELECTED MEMBERS OF THE BOARD SHALL BE ELECTED BY MIAMI CHILDREN'S HEALTH SYSTEM (THE SOLE MEMBER), AFTER TAKING INTO CONSIDERATION ANY RECOMMENDATIONS OF THE BOARD. THE NUMBER OF DIRECTORS OF THE FOUNDATION SHALL BE ESTABLISHED BY RESOLUTION OF THE BOARD OF DIRECTORS OF THE SOLE MEMBER; PROVIDED THAT THERE SHALL BE NO FEWER THAN 5 AND NO MORE THAN 21 DIRECTORS. ANY DIRECTOR MAY BE REMOVED FROM OFFICE BY ACTION OF THE SOLE MEMBER OR THE ELECTED MEMBERS OF THE BOARD SO PERMITTED TO VOTE, FOR ANY CAUSE OR REASON DEEMED SUFFICIENT BY THE MEMBER OR THE ELECTED MEMBERS OF THE BOARD SO PERMITTED TO VOTE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board shall not take any action with respect to the following without the approval of Miami Children's Health System (the sole Member): a) Modify the mission, purpose or scope of the foundation, or materially change the location, size or scope of services, programs, operations or educational or medical school affiliations of the foundation or related agreements; b) Create any entity in which the foundation is the sole member or sole shareholder, or any entity in which the foundation has a direct or indirect oversight role, which may include not-for-profit, for profit, limited liability companies, or any other legal entity; c) Sell, lease, purchase, create, dissolve, convey, mortgage, grant a security interest or otherwise dispose of any affiliated, controlled, or joint venture entity, any real or personal property or other assets (or any interest in any of the foregoing), or incur debt for money borrowed or guarantee the debt of another, not in the ordinary course of business; d) Approve annual operating or capital budgets, strategic and long-range plans, major fund-raising programs, physician compensation or other agreements, managed care contracts or other financial commitments or material deviations from such budgets, plans, agreements or commitments; and e) Approve financial, accounting, human resource, employee benefit, compliance policies or procedures, medical staff bylaws (including amendments) or other policies and procedures, or the appointment or engagement of auditors, legal counsel and consultants, which are in any way contrary to the policies and procedures adopted from time to time by the Member.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The following describes Miami Children's Health System Foundation's process for providing its Board of Directors with a copy of the Form 990 and reviewing it: 1. The draft tax Form 990 will be mailed to Finance Committee of MCHSF Board of Directors for review and comments prior to the regularly scheduled meeting. 2. The draft tax Form 990 will be reviewed with the Finance Committee. 3. Questions will be answered and if necessary, tax forms will be adjusted. 4. The final Form 990 will be posted on the MCHSF Board of Director's web portal.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>All Miami Children's Health System Foundation employees are informed upon hire, and on an annual basis thereafter, that they have an affirmative duty to disclose any actual, potential or perceived conflicts of interest. They are required to complete a conflict of interest disclosure form upon hire, annually and whenever a change in circumstances warrants. Conflict of interest disclosure forms are forwarded to the Compliance Department by the Talent Management and Effectiveness Department. These forms are initially reviewed by Compliance Department Staff. When deemed necessary, the Compliance Department collaborates with the Legal Department. Conflicts of interest that necessitate Board awareness and action are presented to the Audit and Compliance Committee of the Board for resolution and imposition of sanctions. If warranted, in addition, on an annual basis, Board Members, Principal Officers and Board-Delegated Committee Members sign a statement which affirms that each individual: (A) Has received a copy of the Conflict of Interest Policy; (B) Has read and understands the Policy; (C) Has agreed to comply with the Policy; and (D) Understands that the Foundation is a charitable organization and that in order to maintain its federal exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. A process is in place for managing situations in which it is discovered that an individual who is covered by the Foundation's Conflict of Interest Policy failed to properly disclose a potential conflict of interest.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION AND COMPENSATION COMMITTEE OF MCHSF BOARD OF DIRECTORS CONTRACTS WITH AN EXTERNAL CONSULTANT TO OBTAIN MARKET SURVEYS FOR THE CEO AND OTHER EXECUTIVES. THE CONSULTANT ASSISTS THE ORGANIZATION AND COMPENSATION COMMITTEE IN ESTABLISHING A COMPENSATION PROGRAM FOR THE CEO AND OTHER EXECUTIVES. SURVEY RESULTS AND COMPENSATION BEST PRACTICES ARE SHARED WITH THE ORGANIZATION AND COMPENSATION COMMITTEE OF THE BOARD AND USED IN ESTABLISHING EXECUTIVE SALARY AND BENEFITS PROGRAMS. THIS PROCESS IS COMPLETED IN THE FIRST QUARTER OF EACH YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION AND COMPENSATION COMMITTEE OF MCHSF BOARD OF DIRECTORS CONTRACTS WITH AN EXTERNAL CONSULTANT TO OBTAIN MARKET SURVEYS FOR THE CEO AND OTHER EXECUTIVES. THE CONSULTANT ASSISTS THE ORGANIZATION AND COMPENSATION COMMITTEE IN ESTABLISHING A COMPENSATION PROGRAM FOR THE CEO AND OTHER EXECUTIVES. SURVEY RESULTS AND COMPENSATION BEST PRACTICES ARE SHARED WITH THE ORGANIZATION AND COMPENSATION COMMITTEE OF THE BOARD AND USED IN ESTABLISHING EXECUTIVE SALARY AND BENEFITS PROGRAMS. THIS PROCESS IS COMPLETED IN THE FIRST QUARTER OF EACH YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>Financial statements, governing documents, and conflict of interest policies are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104. These documents are not available to the public at this time.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Equity transfer - 7522447; Allowance for doubtful pledges - -348798;</ExplanationTxt>
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          <BusinessNameLine1Txt>Miami Children's Hospital Worker's Compensation Trust</BusinessNameLine1Txt>
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        <EIN>597021572</EIN>
        <PrimaryActivitiesTxt>WC Claims</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>4947 (a)(1</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VCH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Miami Children's Health System Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3100 SW 62nd Avenue</AddressLine1Txt>
          <CityNm>Miami</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33155</ZIPCd>
        </USAddress>
        <EIN>453481327</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Pediatric Specialty Group Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3100 SW 62nd Avenue</AddressLine1Txt>
          <CityNm>Miami</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33155</ZIPCd>
        </USAddress>
        <EIN>453756071</EIN>
        <PrimaryActivitiesTxt>Employed Physicians</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MCHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Variety Children's Hospital Professional Liability Trust</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3100 SW 62nd Avenue</AddressLine1Txt>
          <CityNm>Miami</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33155</ZIPCd>
        </USAddress>
        <EIN>592551434</EIN>
        <PrimaryActivitiesTxt>Liab. Claims</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>4947 (a)(1</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VCH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Canavan Partners</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>C/O Cohen</AddressLine1Txt>
          <AddressLine2Txt>PO Box 812170</AddressLine2Txt>
          <CityNm>Boca Raton</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>334812170</ZIPCd>
        </USAddress>
        <EIN>650974245</EIN>
        <PrimaryActivitiesTxt>Med. Intel. Pro</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>vch</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Miami Children's Hospital Ambulatory Surgery Center LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3100 SW 62nd Avenue</AddressLine1Txt>
          <CityNm>Miami</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33155</ZIPCd>
        </USAddress>
        <EIN>463406805</EIN>
        <PrimaryActivitiesTxt>Ambulatory Center</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>vch</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Miami Children's Insurance Co SPC LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>720 West Bay Road</AddressLine1Txt>
          <AddressLine2Txt>PO Box 69GT</AddressLine2Txt>
          <CityNm>Buckingham Square</CityNm>
          <ProvinceOrStateNm>Georgetown</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
        </ForeignAddress>
        <EIN>980442086</EIN>
        <PrimaryActivitiesTxt>Insurance</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>vch</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Children's Health Ventures Inc &amp; Subs</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3100 SW 62nd Avenue</AddressLine1Txt>
          <CityNm>Miami</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33155</ZIPCd>
        </USAddress>
        <EIN>454541147</EIN>
        <PrimaryActivitiesTxt>Merchant Wholesale</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>mchs</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>