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          <ZIPCode>81036</ZIPCode>
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        <EINOfRecipient>840537008</EINOfRecipient>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>OTERO COUNTY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 511</AddressLine1>
          <City>LA JUNTA</City>
          <State>CO</State>
          <ZIPCode>81050</ZIPCode>
        </AddressUS>
        <EINOfRecipient>846000789</EINOfRecipient>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>PROWERS COUNTY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>301 SOUTH MAIN</AddressLine1>
          <AddressLine2>SUITE 215</AddressLine2>
          <City>LARMAR</City>
          <State>CO</State>
          <ZIPCode>81052</ZIPCode>
        </AddressUS>
        <EINOfRecipient>846000796</EINOfRecipient>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>6</TotalNbrOf501C3AndGovtGrants>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc7">
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S MISSION</Identifier>
        <ReturnReference>FORM 990 - ORGANIZATION'S MISSION</ReturnReference>
        <Explanation>THE OBJECTIVES OF THIS COUNCIL ARE TO PROMOTE, FOSTER, AND SUPPORT COOPERATIVE ORGANIZATION AND IMPROVEMENTS OF EMERGENCY MEDICAL AND TRAUMA SERVICES IN THE SIX COUNTIES THAT ARE REPRESENTED BY THIS COUNCIL AND TO PROVIDE DIRECTION AND CONTINUING EDUCATION TO FACILITIES, AGENCIES AND COMMUNITIES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11B</ReturnReference>
        <Explanation>BOARD MEMBERS REVIEW FORM 990 AT MEETING BEFORE FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>ALL DOCUMENTS ARE AVALIABLE THROUGH THE COUNTIES INVOLVED IN THE ORGANIZATION</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>