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        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
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        <TotalRevenueColumn>5551543</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>5127601</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>423942</ExclusionAmount>
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      <GrantsToDomesticOrgs>
        <Total>232273</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>1564135</Total>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>0</Total>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>49276</Total>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>11405</Total>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>0</Total>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>263999</Total>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>147670</Total>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>64146</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>388490</Total>
      </FeesForServicesOther>
      <Advertising>
        <Total>178227</Total>
      </Advertising>
      <OfficeExpenses>
        <Total>246221</Total>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>250680</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>155407</Total>
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      <Travel>
        <Total>0</Total>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>385450</Total>
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      <Interest>
        <Total>373</Total>
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      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>118064</Total>
      </DepreciationDepletion>
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        <Total>17135</Total>
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      <OtherExpenses>
        <Description>PRINTING</Description>
        <Total>66990</Total>
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      <OtherExpenses>
        <Description>DUES AND SUBSCRIPTIONS</Description>
        <Total>11698</Total>
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      <OtherExpenses>
        <Description>TESTING EXPENSES</Description>
        <Total>558598</Total>
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      <AllOtherExpenses>
        <Total>67945</Total>
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      <TotalFunctionalExpenses>
        <Total>4778182</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <CashNonInterestBearing>
        <BOY>163978</BOY>
        <EOY>142560</EOY>
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        <EOY>0</EOY>
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      <ReceivablesFromOfficersEtc>
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      <ReceivablesFromDisqualPersons>
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        <EOY>168136</EOY>
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      <LandBuildingsEquipmentBasis>626306</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>159902</LandBldgEquipmentAccumDeprec>
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      <InvestmentsPubTradedSecurities>
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      <InvestmentsProgramRelated>
        <BOY>0</BOY>
        <EOY>0</EOY>
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      <OtherAssetsTotal>
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        <EOY>34794</EOY>
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        <EOY>14728008</EOY>
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      <AccountsPayableAccruedExpenses>
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        <EOY>416504</EOY>
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      <DeferredRevenue>
        <BOY>384850</BOY>
        <EOY>311075</EOY>
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      <LoansFromOfficersDirectors>
        <EOY>0</EOY>
      </LoansFromOfficersDirectors>
      <OtherLiabilities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>1737210</BOY>
        <EOY>727579</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>12999471</BOY>
        <EOY>14000429</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>12999471</BOY>
        <EOY>14000429</EOY>
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      <TotalLiabNetAssetsFundBalances>
        <BOY>14736681</BOY>
        <EOY>14728008</EOY>
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      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>773361</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>146373</ReconciliationUnrealizedInvest>
      <ReconcilationOtherChanges>81224</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="12000266" softwareVersion="v2012.1.0">
      <Land>
        <BookValue>0</BookValue>
      </Land>
      <Buildings>
        <BookValue>0</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <BookValue>0</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>626306</OtherCostOrOtherBasis>
        <Depreciation>159902</Depreciation>
        <BookValue>466404</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <BookValue>0</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>466404</TotalOfBookValueLandBuildings>
      <FinancialDerivatives>
        <BookValue>0</BookValue>
      </FinancialDerivatives>
      <CloselyHeldEquityInterests>
        <BookValue>0</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </CloselyHeldEquityInterests>
      <OtherSecurities>
        <Description>LIMITED PARTNERSHIP</Description>
        <BookValue>968734</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>968734</TotalOfBookValueSecurities>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <TotalOfAmounts>0</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <TotRevenueEtcAuditedFinclStmt>5771280</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>146373</NetUnrealizedGainsInvestments>
      <OtherRevenues>137510</OtherRevenues>
      <RevenueNotRptdF990>283883</RevenueNotRptdF990>
      <RevenueSubtotal>5487397</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>64146</InvestmentExpensesNotIncluded>
      <OtherRevenuesNotIncluded>0</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>64146</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>5551543</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>4770322</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>137510</OtherExpensesIncluded>
      <ExpensesNotRptdF990>137510</ExpensesNotRptdF990>
      <ExpensesSubtotal>4632812</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>64146</InvestmentExpensesNotIncluded2>
      <OtherExpensesNotIncluded>81224</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>145370</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>4778182</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>FIN 48 (ASC 740) footnote</Identifier>
        <ReturnReference>Schedule D, Part X, Line 2</ReturnReference>
        <Explanation>THE NBCRNA HAS RECEIVED A DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE INDICATING THAT THE NBCRNA HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(6) OF THE INTERNAL REVENUE CODE AND, EXCEPT FOR TAXES PERTAINING TO UNRELATED BUSINESS INCOME, IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. NO PROVISION HAS BEEN MADE FOR INCOME TAXES IN THE ACCOMPANYING FINANCIAL STATEMENTS, AS THE NBCRNA HAS HAD NO SIGNIFICANT UNRELATED BUSINESS INCOME. THE NBCRNA FOLLOWS GUIDANCE ISSUED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) WITH RESPECT TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. THE NBCRNA RECOGNIZES INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST AND INCOME TAX EXPENSE, RESPECTIVELY. THE NBCRNA HAS NO AMOUNTS ACCRUED FOR INTEREST OR PENALTIES AS OF AUGUST 31, 2013 AND 2012. DUE TO ITS TAX-EXEMPT STATUS, THE NBCRNA IS NOT SUBJECT TO U.S. FEDERAL INCOME TAX OR STATE INCOME TAX. THE NBCRNA IS NO LONGER SUBJECT TO EXAMINATION BY U.S. FEDERAL OR STATE TAXING AUTHORITIES FOR YEARS BEFORE AUGUST 31, 2010. THE NBCRNA DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Other revenues in audited financial statements not in form 990</Identifier>
        <ReturnReference>Schedule D, Part XI, Line 2d</ReturnReference>
        <Explanation>LOSS ON DISPOSAL OF ASSET - 137510;</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Other expenses in audited financial statements not in form 990</Identifier>
        <ReturnReference>Schedule D, Part XII, Line 2d</ReturnReference>
        <Explanation>LOSS ON DISPOSAL OF ASSET - 137510;</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Other expenses in form 990 not in audited financial statements</Identifier>
        <ReturnReference>Schedule D, Part XII, Line 4b</ReturnReference>
        <Explanation>CHANGE IN PENSION OBLIGATION - 33031; AANA ADMIN FEE - 48193;</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="IRS990ScheduleI" softwareId="12000266" softwareVersion="v2012.1.0">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>AMERICAN ASSOCIATION OF NURSE ANESTHETISTS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>222 S PROSPECT</AddressLine1>
          <City>PARK RIDGE</City>
          <State>IL</State>
          <ZIPCode>60068</ZIPCode>
        </AddressUS>
        <EINOfRecipient>362113743</EINOfRecipient>
        <IRCSection>501C6</IRCSection>
        <AmountOfCashGrant>64000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSOR VARIOUS ANNUAL MEETING EVENTS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>COUNCIL ON ACCREDITATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>222 S PROSPECT</AddressLine1>
          <City>PARK RIDGE</City>
          <State>IL</State>
          <ZIPCode>60068</ZIPCode>
        </AddressUS>
        <EINOfRecipient>271433694</EINOfRecipient>
        <IRCSection>501C3</IRCSection>
        <AmountOfCashGrant>91773</AmountOfCashGrant>
        <PurposeOfGrant>SPONSOR STANDARDS REVIEW TASK FORCE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>AANA FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>222 S PROSPECT</AddressLine1>
          <City>PARK RIDGE</City>
          <State>IL</State>
          <ZIPCode>60068</ZIPCode>
        </AddressUS>
        <EINOfRecipient>363145692</EINOfRecipient>
        <IRCSection>501C3</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSOR RESEARCH GRANT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>INSTITUTE FOR CREDENTIALING EXCELLENCE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2025 M STREET NW</AddressLine1>
          <AddressLine2>SUITE 800</AddressLine2>
          <City>WASHINGTON</City>
          <State>DC</State>
          <ZIPCode>20036</ZIPCode>
        </AddressUS>
        <EINOfRecipient>521111515</EINOfRecipient>
        <IRCSection>501C3</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>RESEARCH GRANTS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>AMERICAN BOARD OF NURSING SPECIALTIES</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>610 THORNHILL LANE</AddressLine1>
          <City>AURORA</City>
          <State>OH</State>
          <ZIPCode>44202</ZIPCode>
        </AddressUS>
        <EINOfRecipient>521943466</EINOfRecipient>
        <IRCSection>501C3</IRCSection>
        <AmountOfCashGrant>16500</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIPS OF MEETINGS AND SPEAKERS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>NATIONAL CERTIFICATION CORPORATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>142 E ONTARIO STREET</AddressLine1>
          <AddressLine2>SUITE 1700</AddressLine2>
          <City>CHICAGO</City>
          <State>IL</State>
          <ZIPCode>60611</ZIPCode>
        </AddressUS>
        <EINOfRecipient>362906995</EINOfRecipient>
        <IRCSection>501C6</IRCSection>
        <AmountOfCashGrant>30000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSOR EDUCATION CAMPAIGN</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>4</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>2</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>Procedures for monitoring use of grant funds</Identifier>
        <ReturnReference>Schedule I, Part I, Line 2</ReturnReference>
        <Explanation>IN ACCORDANCE WITH THE POLICIES AND PROCEDURES, ALL GRANT REQUESTS BELOW $50,000 ARE APPROVED BY THE FINANCE COMMITTEE AND ALL REQUESTS GREATER THAN $50,000 ARE APPROVED BY THE BOARD OF DIRECTORS. THE NBCRNA REVIEWS EXPENDITURE REQUESTS BEFORE THE GRANT MONEY IS PROVIDED AND VERIFIES THE EXPENSES ARE SPENT IN ACCORDANCE WITH THE APPROVED REQUEST.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="12000266" softwareVersion="v2012.1.0">
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <Form990ScheduleJPartII>
        <NamePerson>KAREN PLAUS</NamePerson>
        <Title>CHIEF EXECUTIVE OFFICER</Title>
        <BaseCompensationFilingOrg>220137</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>1844</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>221981</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="12000266" softwareVersion="v2012.1.0">
      <GeneralExplanation>
        <Identifier>Review of form 990 by governing body</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>THE FULL FORM 990 (AS ULTIMATELY FILED WITH THE IRS) IS SENT ELECTRONICALLY TO THE FINANCE COMMITTEE AND THEN TO THE FULL BOARD FOR REVIEW PRIOR TO FILING THE RETURN WITH THE IRS. THE PAID TAX PREPARER ALSO PRESENTS A SUMMARY REVIEW OF THE SIGNIFICANT CHANGES TO FORM 990 AT THE FINANCE COMMITTEE MEETING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Conflict of interest policy</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>EACH BOARD MEMBER SIGNS A CONFLICT OF INTEREST DISCLOSURE IN THE FALL OF EACH YEAR, NOTING ANY POTENTIAL CONFLICTS THAT MAY EXIST. AT EACH BOARD MEETING, THE DIRECTORS ARE ASKED TO DISCLOSE ANY CONFLICTS THEY MIGHT HAVE. THE REPORTED CONFLICTS OF INTEREST ARE MONITORED BY THE CEO AND APPLICABLE STAFF THROUGHOUT THE YEAR. IF A POTENTIAL CONFLICT EXISTS, THE ORGANIZATION SEEKS LEGAL CLARIFICATION AND THE INDIVIDUAL WILL ABSTAIN FROM VOTING ON ANY ISSUES THAT RELATE TO THE CONFLICT DISCLOSED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Process used to establish compensation of top management official</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15a</ReturnReference>
        <Explanation>THE SALARY FOR THE CEO IS DETERMINED AND APPROVED BY THE BOARD OF DIRECTORS FOLLOWING A PERFORMANCE REVIEW IN MAY. THE DECISION IS CONTEMPORANEOUSLY DOCUMENTED IN THE BOARD MINUTES OF THE MEETING. THE PROCESS WAS LAST UNDERTAKEN IN 2013. THE CEO SIGNS A YEARLY EMPLOYMENT AGREEMENT DETAILING THE COMPENSATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS OF COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 15B</ReturnReference>
        <Explanation>NBCRNA DOES NOT HAVE ANY OTHER OFFICERS OR KEY EMPLOYEES THAT ARE COMPENSATED SO THIS QUESTION HAS BEEN INTENTIONALLY ANSWERED NO.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Governing documents, conflict of interest policy and financial statements available to the public</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other changes in net assets or fund balances</Identifier>
        <ReturnReference>Form 990 , Part XI, Line 9</ReturnReference>
        <Explanation>CHANGE IN PENSION OBLIGATION - 33031; AANA ADMIN FEE - 48193;</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>