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          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>117327</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>Cincinnati Childrens Hospital Medical Center</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>3333 Burnet Avenue ML</AddressLine1>
            <City>Cincinatti</City>
            <State>OH</State>
            <ZIPCode>45229</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>138692</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>Helen DeVos Childrens Coagulation</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>100 Michigan St NE</AddressLine1>
            <City>Grand Rapids</City>
            <State>MI</State>
            <ZIPCode>49503</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>86969</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>Henry Ford Hospital</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>2799 West Grand Boulevard</AddressLine1>
            <City>Detroit</City>
            <State>MI</State>
            <ZIPCode>48202</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>77135</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>Hurley Medical Center</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>1 Hurley Plaza 6W</AddressLine1>
            <City>Flint</City>
            <State>MI</State>
            <ZIPCode>48503</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>95000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>Michigan State University</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>2900 Hannah Blvd</AddressLine1>
            <City>East Lansing</City>
            <State>MI</State>
            <ZIPCode>48823</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>100431</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>Nationwide Childrens Hospital</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>700 Childrens Drive</AddressLine1>
            <City>Columbus</City>
            <State>OH</State>
            <ZIPCode>43205</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>77606</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>Northern Regional Bleeding Disorder</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>1105 Sixth Street</AddressLine1>
            <City>Traverse City</City>
            <State>MI</State>
            <ZIPCode>49684</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>130063</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>Toledo Children's Hospital Northwest Ohio Hemophilia Treatment Center</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>2150 West Central Avenue</AddressLine1>
            <City>Toledo</City>
            <State>OH</State>
            <ZIPCode>43606</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>70042</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>Ohio State University Hemophilia Center</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>320 West 10th St</AddressLine1>
            <City>Columbus</City>
            <State>OH</State>
            <ZIPCode>43210</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>109177</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>University of Cincinatti</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>231 Albert Sabin Way ML 5</AddressLine1>
            <City>Cincinatti</City>
            <State>OH</State>
            <ZIPCode>45267</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>44492</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>University Hospitals of Cleveland</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>11100 Euclid Avenue</AddressLine1>
            <City>Cleveland</City>
            <State>OH</State>
            <ZIPCode>44106</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>79795</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>University of Michigan Hemophilia</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>1500 East Medical Center Dr</AddressLine1>
            <City>Ann Arbor</City>
            <State>MI</State>
            <ZIPCode>48109</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>87000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>University Pediatricians</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>3901 Beaubien Blvd</AddressLine1>
            <City>Detroit</City>
            <State>MI</State>
            <ZIPCode>48201</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>151506</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>West Central Ohio Hemophilia Center</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>1 Childrens Plaza</AddressLine1>
            <City>Dayton</City>
            <State>OH</State>
            <ZIPCode>45404</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>90038</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>West MIchigan Cancer Center</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>200 North Park Street</AddressLine1>
            <City>Kalamazoo</City>
            <State>MI</State>
            <ZIPCode>49007</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>44854</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>Northern Ohio Hemophilia Foundation Inc</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>4807 Rockside Road Suite 380</AddressLine1>
            <City>Independence</City>
            <State>OH</State>
            <ZIPCode>44131</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Support for dental program and educational newsletter printing, mailing, and postage costs</PurposeOfGrantOrContribution>
          <Amount>34304</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>FAMOHIO Inc</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>2425 Roscoe Court</AddressLine1>
            <City>Dublin</City>
            <State>OH</State>
            <ZIPCode>43016</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Lodging and meal support for FAMOHIO</PurposeOfGrantOrContribution>
          <Amount>11000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>Hemophilia Foundation of Michigan</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>1921 W Michigan Avenue</AddressLine1>
            <City>Ypsilanti</City>
            <State>MI</State>
            <ZIPCode>48197</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Support for SpringFest, Camp Bold Eagle</PurposeOfGrantOrContribution>
          <Amount>622134</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>Hemophilia of Indiana</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>5170 E 65th St</AddressLine1>
            <City>Indianapolis</City>
            <State>IN</State>
            <ZIPCode>46220</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Support for annual meeting, Camp</PurposeOfGrantOrContribution>
          <Amount>57000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>Southwestern Ohio Hemophilia Foundation</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>82 Elva Court Suite B</AddressLine1>
            <City>Vandalia</City>
            <State>OH</State>
            <ZIPCode>45377</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Camperships to Bold Eagle and transportation</PurposeOfGrantOrContribution>
          <Amount>8000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>Tri-State Bleeding Disorder Foundation</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>635 W Seventh Street</AddressLine1>
            <City>Cincinatti</City>
            <State>OH</State>
            <ZIPCode>45203</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Camperships, assistance to attend NH</PurposeOfGrantOrContribution>
          <Amount>5007</Amount>
        </GrantOrContriPaidDuringYear>
        <TotGrantOrContriPaidDuringYear>2383972</TotGrantOrContriPaidDuringYear>
        <GrantOrContriApprovedForFuture>
          <RecipientBusinessName>
            <BusinessNameLine1>Akron Childrens Hospital</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>1 Perkins Square 5th F</AddressLine1>
            <City>Perkins Square th F</City>
            <State>OH</State>
            <ZIPCode>44308</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>174000</Amount>
        </GrantOrContriApprovedForFuture>
        <GrantOrContriApprovedForFuture>
          <RecipientBusinessName>
            <BusinessNameLine1>Barbara Ann Karmanos Cancer Institute</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>4100 John R</AddressLine1>
            <City>Detroit</City>
            <State>MI</State>
            <ZIPCode>48201</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>200000</Amount>
        </GrantOrContriApprovedForFuture>
        <GrantOrContriApprovedForFuture>
          <RecipientBusinessName>
            <BusinessNameLine1>Cincinnati Childrens Hospital Medical Center</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>3333 Burnet Avenue ML</AddressLine1>
            <City>Cincinatti</City>
            <State>OH</State>
            <ZIPCode>45229</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>110000</Amount>
        </GrantOrContriApprovedForFuture>
        <GrantOrContriApprovedForFuture>
          <RecipientBusinessName>
            <BusinessNameLine1>Helen DeVos Childrens Coagulation</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>100 Michigan St NE</AddressLine1>
            <City>Grand Rapids</City>
            <State>MI</State>
            <ZIPCode>49503</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>3948</Amount>
        </GrantOrContriApprovedForFuture>
        <GrantOrContriApprovedForFuture>
          <RecipientBusinessName>
            <BusinessNameLine1>Henry Ford Hospital</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>2799 West Grand Boulevard</AddressLine1>
            <City>Detroit</City>
            <State>MI</State>
            <ZIPCode>48202</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>119000</Amount>
        </GrantOrContriApprovedForFuture>
        <GrantOrContriApprovedForFuture>
          <RecipientBusinessName>
            <BusinessNameLine1>Hurley Medical Center</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>1 Hurley Plaza 6W</AddressLine1>
            <City>Flint</City>
            <State>MI</State>
            <ZIPCode>48503</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>115379</Amount>
        </GrantOrContriApprovedForFuture>
        <GrantOrContriApprovedForFuture>
          <RecipientBusinessName>
            <BusinessNameLine1>Toledo Children's Hospital Northwest Ohio Hemophilia Treatment Center</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>2150 West Central Avenue</AddressLine1>
            <City>Toledo</City>
            <State>OH</State>
            <ZIPCode>43606</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>119481</Amount>
        </GrantOrContriApprovedForFuture>
        <GrantOrContriApprovedForFuture>
          <RecipientBusinessName>
            <BusinessNameLine1>Michigan State University</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>2900 Hannah Blvd</AddressLine1>
            <City>East Lansing</City>
            <State>MI</State>
            <ZIPCode>48823</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>160000</Amount>
        </GrantOrContriApprovedForFuture>
        <GrantOrContriApprovedForFuture>
          <RecipientBusinessName>
            <BusinessNameLine1>Nationwide Childrens Hospital</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>700 Childrens Drive</AddressLine1>
            <City>Columbus</City>
            <State>OH</State>
            <ZIPCode>43205</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>103872</Amount>
        </GrantOrContriApprovedForFuture>
        <GrantOrContriApprovedForFuture>
          <RecipientBusinessName>
            <BusinessNameLine1>Northern Regional Bleeding Disorder</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>1105 Sixth Street</AddressLine1>
            <City>Traverse City</City>
            <State>MI</State>
            <ZIPCode>49684</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>210000</Amount>
        </GrantOrContriApprovedForFuture>
        <GrantOrContriApprovedForFuture>
          <RecipientBusinessName>
            <BusinessNameLine1>Northern Ohio Hemophilia Foundation Inc</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>4807 Rockside Road Suite 380</AddressLine1>
            <City>Independence</City>
            <State>OH</State>
            <ZIPCode>44131</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>26000</Amount>
        </GrantOrContriApprovedForFuture>
        <GrantOrContriApprovedForFuture>
          <RecipientBusinessName>
            <BusinessNameLine1>Ohio State University Hemophilia Center</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>320 West 10th St</AddressLine1>
            <City>Columbus</City>
            <State>OH</State>
            <ZIPCode>43210</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>194856</Amount>
        </GrantOrContriApprovedForFuture>
        <GrantOrContriApprovedForFuture>
          <RecipientBusinessName>
            <BusinessNameLine1>University of Cincinatti</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>231 Albert Sabin Way ML 5</AddressLine1>
            <City>Cincinatti</City>
            <State>OH</State>
            <ZIPCode>45267</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>55852</Amount>
        </GrantOrContriApprovedForFuture>
        <GrantOrContriApprovedForFuture>
          <RecipientBusinessName>
            <BusinessNameLine1>University Hospitals of Cleveland</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>11100 Euclid Avenue</AddressLine1>
            <City>Cleveland</City>
            <State>OH</State>
            <ZIPCode>44106</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>110000</Amount>
        </GrantOrContriApprovedForFuture>
        <GrantOrContriApprovedForFuture>
          <RecipientBusinessName>
            <BusinessNameLine1>University of Michigan Hemophilia</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>1500 East Medical Center Drive</AddressLine1>
            <City>Ann Arbor</City>
            <State>MI</State>
            <ZIPCode>48109</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>94657</Amount>
        </GrantOrContriApprovedForFuture>
        <GrantOrContriApprovedForFuture>
          <RecipientBusinessName>
            <BusinessNameLine1>University Pediatricians</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>3901 Beaubien Blvd</AddressLine1>
            <City>Detroit</City>
            <State>MI</State>
            <ZIPCode>48201</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>200000</Amount>
        </GrantOrContriApprovedForFuture>
        <GrantOrContriApprovedForFuture>
          <RecipientBusinessName>
            <BusinessNameLine1>West Central Ohio Hemophilia Center</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>1 Childrens Plaza</AddressLine1>
            <City>Dayton</City>
            <State>OH</State>
            <ZIPCode>45404</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>101750</Amount>
        </GrantOrContriApprovedForFuture>
        <GrantOrContriApprovedForFuture>
          <RecipientBusinessName>
            <BusinessNameLine1>West MIchigan Cancer Center</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>200 North Park Street</AddressLine1>
            <City>Kalamazoo</City>
            <State>MI</State>
            <ZIPCode>49007</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Provision for medical services</PurposeOfGrantOrContribution>
          <Amount>72205</Amount>
        </GrantOrContriApprovedForFuture>
        <GrantOrContriApprovedForFuture>
          <RecipientBusinessName>
            <BusinessNameLine1>Central Ohio Chapter of the National</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>P O Box 345</AddressLine1>
            <City>Worthington</City>
            <State>OH</State>
            <ZIPCode>43085</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Camperships to Camp Bold Eagle</PurposeOfGrantOrContribution>
          <Amount>9000</Amount>
        </GrantOrContriApprovedForFuture>
        <GrantOrContriApprovedForFuture>
          <RecipientBusinessName>
            <BusinessNameLine1>FAMOHIO Inc</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>2425 Roscoe Court</AddressLine1>
            <City>Dublin</City>
            <State>OH</State>
            <ZIPCode>43016</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Lodging and meal support for FAMOHIO</PurposeOfGrantOrContribution>
          <Amount>11000</Amount>
        </GrantOrContriApprovedForFuture>
        <GrantOrContriApprovedForFuture>
          <RecipientBusinessName>
            <BusinessNameLine1>Hemophilia Foundation of Michigan</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>1921 W Michigan Avenue</AddressLine1>
            <City>Ypsilianti</City>
            <State>MI</State>
            <ZIPCode>48197</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Support for SpringFest, Camp Bold Eagle</PurposeOfGrantOrContribution>
          <Amount>76500</Amount>
        </GrantOrContriApprovedForFuture>
        <GrantOrContriApprovedForFuture>
          <RecipientBusinessName>
            <BusinessNameLine1>Hemophilia of Indiana</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>5170 E 65th St</AddressLine1>
            <City>Indianapolis</City>
            <State>IN</State>
            <ZIPCode>46220</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Support for annual meeting, Camp Bold Eagle</PurposeOfGrantOrContribution>
          <Amount>58000</Amount>
        </GrantOrContriApprovedForFuture>
        <GrantOrContriApprovedForFuture>
          <RecipientBusinessName>
            <BusinessNameLine1>Northwest Ohio Hemophilia Foundation</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>P O Box 12606</AddressLine1>
            <City>Toledo</City>
            <State>OH</State>
            <ZIPCode>43606</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Support for camp program, outreach</PurposeOfGrantOrContribution>
          <Amount>10000</Amount>
        </GrantOrContriApprovedForFuture>
        <GrantOrContriApprovedForFuture>
          <RecipientBusinessName>
            <BusinessNameLine1>Southwestern Ohio Hemophilia Foundation</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>82 Elva Court Suite B</AddressLine1>
            <City>Vandalia</City>
            <State>OH</State>
            <ZIPCode>45377</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Camperships to Camp Bold Eagle and transportation</PurposeOfGrantOrContribution>
          <Amount>8000</Amount>
        </GrantOrContriApprovedForFuture>
        <GrantOrContriApprovedForFuture>
          <RecipientBusinessName>
            <BusinessNameLine1>Tri-State Bleeding Disorder Foundation</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>635 W Seventh Street</AddressLine1>
            <City>Cincinatti</City>
            <State>OH</State>
            <ZIPCode>45203</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>eligible non-pr</RecipientRelationship>
          <PurposeOfGrantOrContribution>Camperships, assistance to attend NH</PurposeOfGrantOrContribution>
          <Amount>7500</Amount>
        </GrantOrContriApprovedForFuture>
        <TotGrantOrContriApprovedFuture>2351000</TotGrantOrContriApprovedFuture>
      </SupplementaryInformation>
      <AnalysisIncomeProducingActy>
        <IntOnSavingsAndTempCashInvst>
          <ExclusionCode>14</ExclusionCode>
          <ExclusionAmount>16328</ExclusionAmount>
        </IntOnSavingsAndTempCashInvst>
        <GrossProfitLossSalesOfInvntry>
          <RelatedOrExemptFunctionIncome>6995780</RelatedOrExemptFunctionIncome>
        </GrossProfitLossSalesOfInvntry>
        <OtherRevenueDescribed>
          <Description>Other income</Description>
          <BusinessCode>900099</BusinessCode>
          <RelatedOrExemptFunctionIncome>132934</RelatedOrExemptFunctionIncome>
        </OtherRevenueDescribed>
        <SubtotalsPartXVIA>
          <ExclusionAmount>16328</ExclusionAmount>
          <RelatedOrExemptFunctionIncome>7128714</RelatedOrExemptFunctionIncome>
        </SubtotalsPartXVIA>
        <TotalPartXVIA>7145042</TotalPartXVIA>
      </AnalysisIncomeProducingActy>
      <RlnOfActyToAccomOfExemptPrps>
        <RlnOfActyToAccomOfExemptPrps>
          <LineNumber>10</LineNumber>
          <RelationshipStatement>Sale of blood products, HIV and Hepatitis C related therapies and other medications, at reduced prices. Cascades exempt purpose is to enhance the system of care for hemophilia patients by providing these products.</RelationshipStatement>
        </RlnOfActyToAccomOfExemptPrps>
        <RlnOfActyToAccomOfExemptPrps>
          <LineNumber>11b</LineNumber>
          <RelationshipStatement>Other related income.</RelationshipStatement>
        </RlnOfActyToAccomOfExemptPrps>
      </RlnOfActyToAccomOfExemptPrps>
      <TrnsfrTrRlnWithNoncharitableEO>
        <TrnsfrOfCashToNoncharitableEO>false</TrnsfrOfCashToNoncharitableEO>
        <TrnsfrOthAssetsNoncharitableEO>false</TrnsfrOthAssetsNoncharitableEO>
        <SalesOrExchangesOfAssets>false</SalesOrExchangesOfAssets>
        <PurchaseAssetsNoncharitableEO>false</PurchaseAssetsNoncharitableEO>
        <RentalOfFacilitiesEtc>false</RentalOfFacilitiesEtc>
        <ReimbursementArrangements>false</ReimbursementArrangements>
        <LoansOrLoanGuarantees>false</LoansOrLoanGuarantees>
        <PerformanceOfServicesEtc>false</PerformanceOfServicesEtc>
        <SharingOfFacilitiesEtc>false</SharingOfFacilitiesEtc>
        <RelationshipsNoncharitableEOs>false</RelationshipsNoncharitableEOs>
      </TrnsfrTrRlnWithNoncharitableEO>
    </IRS990PF>
    <AccountingFeesSchedule documentId="990PF:73" softwareId="12000057" softwareVersion="12.15.422.1">
      <AccountingFees>
        <Category>Accounting fees</Category>
        <Amount>15093</Amount>
        <DisbursementsCharitablePrps>15093</DisbursementsCharitablePrps>
      </AccountingFees>
    </AccountingFeesSchedule>
    <CashDeemedCharitableExplnStmt documentId="990PF:177" softwareId="12000057" softwareVersion="12.15.422.1">
      <Explanation>Because of the immediate need of clotting factor and other medical supplies, it is necessary for Cascade to retain a sufficient amount of cash to purchase these supplies when they become available. Payment must be made immediately.</Explanation>
    </CashDeemedCharitableExplnStmt>
    <GeneralExplanationAttachment documentId="990PF:123" softwareId="12000057" softwareVersion="12.15.422.1"></GeneralExplanationAttachment>
    <LandEtcSchedule2 documentId="990PF:130" softwareId="12000057" softwareVersion="12.15.422.1">
      <LandEtc>
        <CategoryOrItem>Equipment</CategoryOrItem>
        <CostOrOtherBasis>80104</CostOrOtherBasis>
        <AccumulatedDepreciation>43548</AccumulatedDepreciation>
        <BookValue>36556</BookValue>
        <EOYFMV>36556</EOYFMV>
      </LandEtc>
    </LandEtcSchedule2>
    <LegalFeesSchedule documentId="990PF:72" softwareId="12000057" softwareVersion="12.15.422.1">
      <LegalFees>
        <Category>Legal fees</Category>
        <Amount>13430</Amount>
        <DisbursementsCharitablePrps>13430</DisbursementsCharitablePrps>
      </LegalFees>
    </LegalFeesSchedule>
    <OtherExpensesSchedule documentId="990PF:76" softwareId="12000057" softwareVersion="12.15.422.1">
      <OtherExpenses>
        <Description>Insurance</Description>
        <RevenueAndExpensesPerBooks>66134</RevenueAndExpensesPerBooks>
        <DisbursementsCharitablePrps>66134</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Office expenses</Description>
        <RevenueAndExpensesPerBooks>354682</RevenueAndExpensesPerBooks>
        <DisbursementsCharitablePrps>354682</DisbursementsCharitablePrps>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Other</Description>
        <RevenueAndExpensesPerBooks>365537</RevenueAndExpensesPerBooks>
        <DisbursementsCharitablePrps>365537</DisbursementsCharitablePrps>
      </OtherExpenses>
    </OtherExpensesSchedule>
    <OtherIncomeSchedule2 documentId="990PF:71" softwareId="12000057" softwareVersion="12.15.422.1">
      <OtherIncome>
        <Description>Other income</Description>
        <RevenueAndExpensesPerBooks>132934</RevenueAndExpensesPerBooks>
        <AdjustedNetIncome>132934</AdjustedNetIncome>
      </OtherIncome>
    </OtherIncomeSchedule2>
    <OtherProfessionalFeesSchedule documentId="990PF:74" softwareId="12000057" softwareVersion="12.15.422.1">
      <OtherProfessionalFees>
        <Category>Other professional fees</Category>
        <Amount>64560</Amount>
      </OtherProfessionalFees>
    </OtherProfessionalFeesSchedule>
    <SalesOfInventoryList documentId="990PF:70" softwareId="12000057" softwareVersion="12.15.422.1">
      <SaleOfInventory>
        <Category>Reduced price factor sales</Category>
        <GrossSales>38534180</GrossSales>
        <CostOfGoodsSold>31538400</CostOfGoodsSold>
        <Net>6995780</Net>
      </SaleOfInventory>
    </SalesOfInventoryList>
  </ReturnData>
</Return>