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        <State>CA</State>
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          <State>CT</State>
          <ZIPCode>06468</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>5000</AggregateContributions>
        <PersonContributionType>X</PersonContributionType>
      </ContributorInfo>
      <ContributorInfo>
        <ContributorNumber>3</ContributorNumber>
        <ContributorNameIndividual>GERALD AND JOAN DOREN</ContributorNameIndividual>
        <ContributorAddressUS>
          <AddressLine1>2021 SHERMAN WAY 209</AddressLine1>
          <City>CANOGA PARK</City>
          <State>CA</State>
          <ZIPCode>91306</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>5000</AggregateContributions>
        <PersonContributionType>X</PersonContributionType>
      </ContributorInfo>
      <ContributorInfo>
        <ContributorNumber>2</ContributorNumber>
        <ContributorNameIndividual>ARLENE G ROSEN</ContributorNameIndividual>
        <ContributorAddressUS>
          <AddressLine1>PO BOX 10775</AddressLine1>
          <City>BEVERLY HILLS</City>
          <State>CA</State>
          <ZIPCode>90213</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>8000</AggregateContributions>
        <PersonContributionType>X</PersonContributionType>
      </ContributorInfo>
      <ContributorInfo>
        <ContributorNumber>1</ContributorNumber>
        <ContributorNameIndividual>MR ROYCE DIENER</ContributorNameIndividual>
        <ContributorAddressUS>
          <AddressLine1>1038 PALISADES BEACH ROAD</AddressLine1>
          <City>SANTA MONICA</City>
          <State>CA</State>
          <ZIPCode>90403</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>5150</AggregateContributions>
        <PersonContributionType>X</PersonContributionType>
      </ContributorInfo>
    </IRS990ScheduleB>
    <AccountingFeesSchedule documentId="AccountingFeesSchedule" softwareId="12000229" softwareVersion="2012v2.0">
      <AccountingFees>
        <Category>ACCOUNTING FEES</Category>
        <Amount>4325</Amount>
        <NetInvestmentIncome>0</NetInvestmentIncome>
        <AdjustedNetIncome>0</AdjustedNetIncome>
        <DisbursementsCharitablePrps>4325</DisbursementsCharitablePrps>
      </AccountingFees>
    </AccountingFeesSchedule>
    <OtherAssetsSchedule documentId="OtherAssetsSchedule" softwareId="12000229" softwareVersion="2012v2.0">
      <OtherAssets>
        <Description>DUE FROM CVMG</Description>
        <EOYBookValue>600</EOYBookValue>
      </OtherAssets>
    </OtherAssetsSchedule>
    <OtherExpensesSchedule documentId="OtherExpensesSchedule" softwareId="12000229" softwareVersion="2012v2.0">
      <OtherExpenses>
        <Description>TRANSPORTATION</Description>
        <RevenueAndExpensesPerBooks>523</RevenueAndExpensesPerBooks>
        <DisbursementsCharitablePrps>523</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>TELEPHONE</Description>
        <RevenueAndExpensesPerBooks>1381</RevenueAndExpensesPerBooks>
        <DisbursementsCharitablePrps>1381</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>SUPPLIES</Description>
        <RevenueAndExpensesPerBooks>1402</RevenueAndExpensesPerBooks>
        <DisbursementsCharitablePrps>1402</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Special Event Expenses</Description>
        <RevenueAndExpensesPerBooks>10000</RevenueAndExpensesPerBooks>
        <DisbursementsCharitablePrps>10000</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Rental Expenses</Description>
        <RevenueAndExpensesPerBooks>19054</RevenueAndExpensesPerBooks>
        <DisbursementsCharitablePrps>19054</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PROJECT SUPERVISION</Description>
        <RevenueAndExpensesPerBooks>874</RevenueAndExpensesPerBooks>
        <DisbursementsCharitablePrps>874</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>POSTAGE</Description>
        <RevenueAndExpensesPerBooks>534</RevenueAndExpensesPerBooks>
        <DisbursementsCharitablePrps>534</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PATIENT STIPEND</Description>
        <RevenueAndExpensesPerBooks>3215</RevenueAndExpensesPerBooks>
        <DisbursementsCharitablePrps>3215</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PARKING</Description>
        <RevenueAndExpensesPerBooks>4278</RevenueAndExpensesPerBooks>
        <DisbursementsCharitablePrps>4278</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>OUTSIDE SERVICES</Description>
        <RevenueAndExpensesPerBooks>72867</RevenueAndExpensesPerBooks>
        <DisbursementsCharitablePrps>72867</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>OFFICE EXPENSE</Description>
        <RevenueAndExpensesPerBooks>4452</RevenueAndExpensesPerBooks>
        <DisbursementsCharitablePrps>4452</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>INSURANCE</Description>
        <RevenueAndExpensesPerBooks>9247</RevenueAndExpensesPerBooks>
        <DisbursementsCharitablePrps>9247</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>CLINICAL EXPENSES</Description>
        <RevenueAndExpensesPerBooks>5400</RevenueAndExpensesPerBooks>
        <DisbursementsCharitablePrps>5400</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BANK FEES</Description>
        <RevenueAndExpensesPerBooks>510</RevenueAndExpensesPerBooks>
        <NetInvestmentIncome>100</NetInvestmentIncome>
        <DisbursementsCharitablePrps>510</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>ADVERTISING AND PROMOTION</Description>
        <RevenueAndExpensesPerBooks>4872</RevenueAndExpensesPerBooks>
        <DisbursementsCharitablePrps>4872</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>ACCOUNT MANAGEMENT</Description>
        <RevenueAndExpensesPerBooks>29000</RevenueAndExpensesPerBooks>
        <DisbursementsCharitablePrps>29000</DisbursementsCharitablePrps>
      </OtherExpenses>
    </OtherExpensesSchedule>
    <OtherLiabilitiesSchedule documentId="OtherLiabilitiesSchedule" softwareId="12000229" softwareVersion="2012v2.0">
      <OtherLiabilities>
        <Description>Rounding</Description>
        <BOYBookValue>1</BOYBookValue>
        <EOYBookValue>1</EOYBookValue>
      </OtherLiabilities>
    </OtherLiabilitiesSchedule>
    <OtherProfessionalFeesSchedule documentId="OtherProfessionalFeesSchedule" softwareId="12000229" softwareVersion="2012v2.0">
      <OtherProfessionalFees>
        <Category>PROFESSIONAL FUNDRAISING</Category>
        <Amount>4225</Amount>
        <NetInvestmentIncome>0</NetInvestmentIncome>
        <AdjustedNetIncome>0</AdjustedNetIncome>
        <DisbursementsCharitablePrps>4225</DisbursementsCharitablePrps>
      </OtherProfessionalFees>
    </OtherProfessionalFeesSchedule>
    <TaxesSchedule documentId="TaxesSchedule" softwareId="12000229" softwareVersion="2012v2.0">
      <Taxes>
        <Category>PAYROLL TAXES</Category>
        <Amount>4393</Amount>
        <DisbursementsCharitablePrps>4393</DisbursementsCharitablePrps>
      </Taxes>
      <Taxes>
        <Category>FRANCHISE TAX</Category>
        <Amount>10</Amount>
        <DisbursementsCharitablePrps>10</DisbursementsCharitablePrps>
      </Taxes>
    </TaxesSchedule>
  </ReturnData>
</Return>