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        <Explanation>The Foundation, an Illinois nonprofit corporation, is exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code and applicable state law, except for taxes pertaining to unrelated business income, if any. The Foundation follows the accounting standard on accounting for uncertainty in income taxes, which addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under the guidance, the Foundation may recognize the tax benefits from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities, based on the technical merits of the position. Examples of tax positions include the tax-exempt status of the Foundation and various positions related to potential sources of unrelated business taxable income. As of December 31, 2012, there were no unrecognized tax benefits identified or recorded as liabilities. The Foundation files Form 990 in the U.S. federal jurisdiction and the State of Illinois. The Foundation is no longer subject to examination by the Internal Revenue Service for years before 2009.</Explanation>
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        <IRCSection>501(c)3</IRCSection>
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        <PurposeOfGrant>2012 Residency Enhancement Grant</PurposeOfGrant>
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          <AddressLine1>512 Liberty Lane</AddressLine1>
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          <State>RI</State>
          <ZIPCode>02892</ZIPCode>
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          <BusinessNameLine1>Hospital for Special Surgery Cornell University Medical College</BusinessNameLine1>
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          <AddressLine1>535 East 70th Street</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10021</ZIPCode>
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        <EINOfRecipient>131624135</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>The Effect of Diabetes on Bone Quality and Collagen Cross-Links</PurposeOfGrant>
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          <BusinessNameLine1>Hospital for Special Surgery Cornell University Medical College</BusinessNameLine1>
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          <AddressLine1>535 East 70th Street</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10021</ZIPCode>
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        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>The Role of Pro-Inflammatory Cytokines in Fluid Pressure Induced Osteolysis</PurposeOfGrant>
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          <BusinessNameLine1>Hospital for Special Surgery Cornell University Medical College</BusinessNameLine1>
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          <AddressLine1>535 East 70th Street</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10021</ZIPCode>
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        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>26923</AmountOfCashGrant>
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          <BusinessNameLine1>Hospital for Special Surgery Cornell University Medical College</BusinessNameLine1>
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          <AddressLine1>535 East 70th Street</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10021</ZIPCode>
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        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>34324</AmountOfCashGrant>
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          <BusinessNameLine1>Hospital for Special Surgery Cornell University Medical College</BusinessNameLine1>
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          <AddressLine1>535 East 70th Street</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10021</ZIPCode>
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        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>46240</AmountOfCashGrant>
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          <BusinessNameLine1>Hospital for Special Surgery Cornell University Medical College</BusinessNameLine1>
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          <AddressLine1>535 East 70th Street</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10021</ZIPCode>
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        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <PurposeOfGrant>The Effect of Anterior Cruciate Ligament Graft Tension on Graft Healing and Joint Biology</PurposeOfGrant>
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          <BusinessNameLine1>Indiana University</BusinessNameLine1>
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          <AddressLine1>541 Clinical Drive Suite 600</AddressLine1>
          <City>Indianapolis</City>
          <State>IN</State>
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        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>46240</AmountOfCashGrant>
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          <BusinessNameLine1>Institute for Foot and Ankle Reconstruction at Mercy</BusinessNameLine1>
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          <AddressLine1>301 St Paul Place</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
          <ZIPCode>21202</ZIPCode>
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        <EINOfRecipient>524955113</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
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          <BusinessNameLine1>Johns Hopkins University</BusinessNameLine1>
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          <AddressLine1>733 North Broadway Suite 117</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
          <ZIPCode>21205</ZIPCode>
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        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>Distal Clavicle Autograft for Reconstruction of Anterior Glenoid Deficiency due to Recurrent Glenohumeral Instability - A Biomechanical Analysis</PurposeOfGrant>
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          <BusinessNameLine1>Johns Hopkins University</BusinessNameLine1>
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          <AddressLine1>733 North Broadway Suite 117</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
          <ZIPCode>21205</ZIPCode>
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        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>34324</AmountOfCashGrant>
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          <BusinessNameLine1>Johns Hopkins University</BusinessNameLine1>
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          <AddressLine1>733 North Broadway Suite 117</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
          <ZIPCode>21205</ZIPCode>
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        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>34324</AmountOfCashGrant>
        <PurposeOfGrant>2012 GME Fellowship Grant in Spine (Pediatric Spine)</PurposeOfGrant>
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          <BusinessNameLine1>Kerlan Jobe Orthopaedic Foundation</BusinessNameLine1>
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          <AddressLine1>6801 Park Terrace</AddressLine1>
          <City>Los Angeles</City>
          <State>CA</State>
          <ZIPCode>90045</ZIPCode>
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        <EINOfRecipient>954707606</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>2012 GME Fellowship Grant in Sports Medicine</PurposeOfGrant>
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          <BusinessNameLine1>Loyola University of Chicago Stritch School of Medicine</BusinessNameLine1>
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          <AddressLine2>Suite 1700</AddressLine2>
          <City>Maywood</City>
          <State>IL</State>
          <ZIPCode>60154</ZIPCode>
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        <EINOfRecipient>361408475</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>The Effects of Nonsteroidal Anti-Inflammatory Drugs on Fracture Healing in a Juvenile Rat Model</PurposeOfGrant>
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          <BusinessNameLine1>Loyola University of Chicago Stritch School of Medicine</BusinessNameLine1>
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          <AddressLine1>2160 South First Avenue Maguire</AddressLine1>
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          <City>Maywood</City>
          <State>IL</State>
          <ZIPCode>60154</ZIPCode>
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        <EINOfRecipient>361408475</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>Effects of Alcohol Induced Oxidative Stress on Mesenchymal Stem Cell Recruitment for Fracture Healing</PurposeOfGrant>
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          <BusinessNameLine1>Massachusetts General Hospital</BusinessNameLine1>
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          <AddressLine1>32 Fruit Street</AddressLine1>
          <City>Boston</City>
          <State>MA</State>
          <ZIPCode>02114</ZIPCode>
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        <EINOfRecipient>042697983</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>2012 GME Fellowship Grant in Hand</PurposeOfGrant>
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          <BusinessNameLine1>Massachusetts General Hospital</BusinessNameLine1>
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          <AddressLine1>32 Fruit Street</AddressLine1>
          <City>Boston</City>
          <State>MA</State>
          <ZIPCode>02114</ZIPCode>
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        <EINOfRecipient>042697983</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>2012 GME Fellowship Grant in Oncology</PurposeOfGrant>
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          <BusinessNameLine1>Massachusetts General Hospital</BusinessNameLine1>
        </RecipientNameBusiness>
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          <AddressLine1>32 Fruit Street</AddressLine1>
          <City>Boston</City>
          <State>MA</State>
          <ZIPCode>02114</ZIPCode>
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        <EINOfRecipient>042697983</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>46240</AmountOfCashGrant>
        <PurposeOfGrant>2012 GME Fellowship Grant in Adult Reconstruction</PurposeOfGrant>
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          <BusinessNameLine1>Massachusetts General Hospital</BusinessNameLine1>
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          <AddressLine1>32 Fruit Street</AddressLine1>
          <City>Boston</City>
          <State>MA</State>
          <ZIPCode>02114</ZIPCode>
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        <EINOfRecipient>042697983</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
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          <BusinessNameLine1>Mayo Clinic Medical School</BusinessNameLine1>
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          <AddressLine1>200 First Street SW</AddressLine1>
          <City>Rochester</City>
          <State>MN</State>
          <ZIPCode>55905</ZIPCode>
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        <EINOfRecipient>416011702</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>Differentiating Musculoskeletal Tumors Using MicroRNA Expression Profiling</PurposeOfGrant>
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          <BusinessNameLine1>Mayo Clinic Medical School</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>200 First Street SW</AddressLine1>
          <City>Rochester</City>
          <State>MN</State>
          <ZIPCode>55905</ZIPCode>
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        <EINOfRecipient>416011702</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>2012 GME Fellowship Grant in Hand</PurposeOfGrant>
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          <BusinessNameLine1>Mayo Clinic Medical School</BusinessNameLine1>
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          <AddressLine1>200 First Street SW</AddressLine1>
          <City>Rochester</City>
          <State>MN</State>
          <ZIPCode>55905</ZIPCode>
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        <EINOfRecipient>416011702</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
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          <BusinessNameLine1>Mayo Clinic Medical School</BusinessNameLine1>
        </RecipientNameBusiness>
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          <City>Rochester</City>
          <State>MN</State>
          <ZIPCode>55905</ZIPCode>
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        <EINOfRecipient>416011702</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
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          <BusinessNameLine1>Mayo Clinic Medical School</BusinessNameLine1>
        </RecipientNameBusiness>
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          <AddressLine1>200 First Street SW</AddressLine1>
          <City>Rochester</City>
          <State>MN</State>
          <ZIPCode>55905</ZIPCode>
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        <EINOfRecipient>416011702</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>34324</AmountOfCashGrant>
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          <BusinessNameLine1>Mayo Clinic Medical School</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>200 First Street SW</AddressLine1>
          <City>Rochester</City>
          <State>MN</State>
          <ZIPCode>55905</ZIPCode>
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        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>46240</AmountOfCashGrant>
        <PurposeOfGrant>2012 GME Fellowship Grant in Adult Reconstruction</PurposeOfGrant>
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          <BusinessNameLine1>Mississippi Sports Medicine and Orthopaedic Center</BusinessNameLine1>
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          <AddressLine1>1325 East Fortification Street</AddressLine1>
          <City>Jackson</City>
          <State>MS</State>
          <ZIPCode>39202</ZIPCode>
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        <EINOfRecipient>640869099</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>2012 GME Fellowship Grant in Sports Medicine</PurposeOfGrant>
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          <BusinessNameLine1>Mount Sinai School of Medicine</BusinessNameLine1>
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          <AddressLine1>Dept of Orthopaedics Box 1188 1</AddressLine1>
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          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10029</ZIPCode>
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        <EINOfRecipient>136171197</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>2012 GME Fellowship Grant in Shoulder and Elbow</PurposeOfGrant>
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          <BusinessNameLine1>Naval Medical Center San Diego</BusinessNameLine1>
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          <AddressLine1>34800 Bob Wilson Drive Suite 112</AddressLine1>
          <City>San Diego</City>
          <State>CA</State>
          <ZIPCode>92134</ZIPCode>
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        <EINOfRecipient>911593913</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>6334</AmountOfCashGrant>
        <PurposeOfGrant>2012 Residency Enhancement Grant</PurposeOfGrant>
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          <AddressLine1>125 Parker Hill Avenue</AddressLine1>
          <City>Boston</City>
          <State>MA</State>
          <ZIPCode>02120</ZIPCode>
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        <EINOfRecipient>042103612</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>34324</AmountOfCashGrant>
        <PurposeOfGrant>2012 GME Fellowship Grant in Spine</PurposeOfGrant>
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          <AddressLine1>125 Parker Hill Avenue</AddressLine1>
          <City>Boston</City>
          <State>MA</State>
          <ZIPCode>02120</ZIPCode>
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        <EINOfRecipient>042103612</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>46240</AmountOfCashGrant>
        <PurposeOfGrant>2012 GME Fellowship Grant in Adult Reconstruction</PurposeOfGrant>
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          <BusinessNameLine1>New York University - Hospital of Joint Diseases</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>301 E 17th Street</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10003</ZIPCode>
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        <EINOfRecipient>135562308</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>6334</AmountOfCashGrant>
        <PurposeOfGrant>2012 Residency Enhancement Grant</PurposeOfGrant>
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          <BusinessNameLine1>New York University - Hospital of Joint Diseases</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>301 E 17th Street</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10003</ZIPCode>
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        <EINOfRecipient>135562308</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>2012 GME Fellowship Grant in Shoulder and Elbow</PurposeOfGrant>
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          <BusinessNameLine1>New York University - Hospital of Joint Diseases</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>301 E 17th Street</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10003</ZIPCode>
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        <EINOfRecipient>135562308</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>34324</AmountOfCashGrant>
        <PurposeOfGrant>2012 GME Fellowship Grant in Spine</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>New York University - Hospital of Joint Diseases</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>301 E 17th Street</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10003</ZIPCode>
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        <EINOfRecipient>135562308</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>46240</AmountOfCashGrant>
        <PurposeOfGrant>2012 GME Fellowship Grant in Adult Reconstruction</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>Northwestern University Medical School</BusinessNameLine1>
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          <AddressLine1>676 North St Clair Suite 1350</AddressLine1>
          <City>Chicago</City>
          <State>IL</State>
          <ZIPCode>60611</ZIPCode>
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        <EINOfRecipient>362167817</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>6084</AmountOfCashGrant>
        <PurposeOfGrant>2012 Residency Enhancement Grant</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>Northwestern University Medical School</BusinessNameLine1>
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          <AddressLine1>676 North St Clair Suite 1350</AddressLine1>
          <City>Chicago</City>
          <State>IL</State>
          <ZIPCode>60611</ZIPCode>
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        <EINOfRecipient>362167817</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>34324</AmountOfCashGrant>
        <PurposeOfGrant>2012 GME Fellowship Grant in Spine</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>Oregon Health &amp; Science University</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>3181 SW Sam Jackson Park Road</AddressLine1>
          <AddressLine2>Mailcode OP31</AddressLine2>
          <City>Portland</City>
          <State>OR</State>
          <ZIPCode>97239</ZIPCode>
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        <EINOfRecipient>237083114</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>34324</AmountOfCashGrant>
        <PurposeOfGrant>2012 GME Fellowship Grant in Spine</PurposeOfGrant>
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          <BusinessNameLine1>OrthoCarolina Research Institute Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1915 Randolph Road</AddressLine1>
          <City>Charlotte</City>
          <State>NC</State>
          <ZIPCode>28207</ZIPCode>
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        <EINOfRecipient>010648145</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>2012 GME Fellowship Grant in Shoulder and Elbow</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>OrthoCarolina Research Institute Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1915 Randolph Road</AddressLine1>
          <City>Charlotte</City>
          <State>NC</State>
          <ZIPCode>28207</ZIPCode>
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        <EINOfRecipient>010648145</EINOfRecipient>
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          <State>IL</State>
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          <BusinessNameLine1>Rush University Medical Center</BusinessNameLine1>
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          <State>IL</State>
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        <IRCSection>501(c)3</IRCSection>
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        <IRCSection>501(c)3</IRCSection>
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          <City>Little Rock</City>
          <State>AR</State>
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        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>6334</AmountOfCashGrant>
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          <AddressLine1>4860 Y Street Suite 3800</AddressLine1>
          <City>Sacramento</City>
          <State>CA</State>
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        <IRCSection>501(c)3</IRCSection>
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        <IRCSection>501(c)3</IRCSection>
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          <State>CA</State>
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        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>34324</AmountOfCashGrant>
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          <City>San Francisco</City>
          <State>CA</State>
          <ZIPCode>94143</ZIPCode>
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        <IRCSection>501(c)3</IRCSection>
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          <City>San Francisco</City>
          <State>CA</State>
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        <IRCSection>501(c)3</IRCSection>
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          <State>CA</State>
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        <IRCSection>501(c)3</IRCSection>
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          <City>San Francisco</City>
          <State>CA</State>
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        <IRCSection>501(c)3</IRCSection>
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          <City>San Francisco</City>
          <State>CA</State>
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        <IRCSection>501(c)3</IRCSection>
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          <AddressLine1>500 Parnassus Avenue</AddressLine1>
          <City>San Francisco</City>
          <State>CA</State>
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        <IRCSection>501(c)3</IRCSection>
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          <BusinessNameLine1>University of California San Francisco School of Medicine</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>500 Parnassus Avenue</AddressLine1>
          <City>San Francisco</City>
          <State>CA</State>
          <ZIPCode>94143</ZIPCode>
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        <IRCSection>501(c)3</IRCSection>
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          <City>San Francisco</City>
          <State>CA</State>
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        <PurposeOfGrant>Intramedullary Nailing Versus Plates for Femoral Shaft Fractures in Dar es Salaam, Tanzania with Minimum 1-year Follow-up</PurposeOfGrant>
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          <AddressLine1>500 Parnassus Avenue</AddressLine1>
          <City>San Francisco</City>
          <State>CA</State>
          <ZIPCode>94143</ZIPCode>
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        <IRCSection>501(c)3</IRCSection>
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          <State>CO</State>
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        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>34324</AmountOfCashGrant>
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          <AddressLine1>4701 East 9th Avenue Box E203</AddressLine1>
          <City>Denver</City>
          <State>CO</State>
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        <EINOfRecipient>846000555</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>46240</AmountOfCashGrant>
        <PurposeOfGrant>2012 GME Fellowship Grant in Adult Reconstruction</PurposeOfGrant>
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          <City>Gainesville</City>
          <State>FL</State>
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        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>6184</AmountOfCashGrant>
        <PurposeOfGrant>2012 Residency Enhancement Grant</PurposeOfGrant>
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      <RecipientTable>
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          <AddressLine1>Department of Orthopaedic Surgery</AddressLine1>
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        <IRCSection>501(c)3</IRCSection>
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        <IRCSection>501(c)3</IRCSection>
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        <EINOfRecipient>620476822</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>26923</AmountOfCashGrant>
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      <RecipientTable>
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        <IRCSection>501(c)3</IRCSection>
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      <RecipientTable>
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          <AddressLine1>Vanderbilt Orthopaedic Institute</AddressLine1>
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          <City>Nashville</City>
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          <ZIPCode>37232</ZIPCode>
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        <EINOfRecipient>620476822</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>207288</AmountOfCashGrant>
        <PurposeOfGrant>The Balance of Coagulation is Essential for Postnatal Skeletal Development</PurposeOfGrant>
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          <BusinessNameLine1>Virginia Commonwealth University Medical College</BusinessNameLine1>
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          <AddressLine1>1200 East Broad Street</AddressLine1>
          <City>Richmond</City>
          <State>VA</State>
          <ZIPCode>23298</ZIPCode>
        </AddressUS>
        <EINOfRecipient>541581185</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>46240</AmountOfCashGrant>
        <PurposeOfGrant>2012 GME Fellowship Grant in Adult Reconstruction</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>Wake Forest University Health Sciences</BusinessNameLine1>
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          <AddressLine1>Medical Center Boulevard Box 1070</AddressLine1>
          <City>WinstonSalem</City>
          <State>NC</State>
          <ZIPCode>27157</ZIPCode>
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        <EINOfRecipient>223849199</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>Gait Kinematics, Balance, and Functional Outcomes Following Total Knee Arthroplasty: A Prospective, Randomized Study of Cruciate Retaining versus Posterior Stabilized Implants</PurposeOfGrant>
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          <BusinessNameLine1>Wake Forest University Health Sciences</BusinessNameLine1>
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          <AddressLine1>Medical Center Boulevard Box 1070</AddressLine1>
          <City>WinstonSalem</City>
          <State>NC</State>
          <ZIPCode>27157</ZIPCode>
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        <EINOfRecipient>223849199</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>26923</AmountOfCashGrant>
        <PurposeOfGrant>2012 GME Fellowship Grant in Trauma</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Wake Forest University Health Sciences</BusinessNameLine1>
        </RecipientNameBusiness>
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          <AddressLine1>Medical Center Boulevard Box 1070</AddressLine1>
          <City>WinstonSalem</City>
          <State>NC</State>
          <ZIPCode>27157</ZIPCode>
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        <EINOfRecipient>223849199</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>46240</AmountOfCashGrant>
        <PurposeOfGrant>2012 GME Fellowship Grant in Adult Reconstruction</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Wake Forest University Health Sciences</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>Medical Center Boulevard Box 1070</AddressLine1>
          <City>WinstonSalem</City>
          <State>NC</State>
          <ZIPCode>27157</ZIPCode>
        </AddressUS>
        <EINOfRecipient>223849199</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <PurposeOfGrant>2012-13 Research Residency Grant</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Washington University School of Medicine</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>Campus Box 8233 660 S Euclid</AddressLine1>
          <City>St Louis</City>
          <State>MO</State>
          <ZIPCode>63110</ZIPCode>
        </AddressUS>
        <EINOfRecipient>430653611</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>The Role of Hedgehog Signaling in Determining the Osteogenic Response to Mechanical Loading of Bone</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Washington University School of Medicine</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>Campus Box 8233 660 S Euclid</AddressLine1>
          <City>St Louis</City>
          <State>MO</State>
          <ZIPCode>63110</ZIPCode>
        </AddressUS>
        <EINOfRecipient>430653611</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>2012 GME Fellowship Grant in Shoulder and Elbow</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Washington University School of Medicine</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>Campus Box 8233 660 S Euclid</AddressLine1>
          <City>St Louis</City>
          <State>MO</State>
          <ZIPCode>63110</ZIPCode>
        </AddressUS>
        <EINOfRecipient>430653611</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>34324</AmountOfCashGrant>
        <PurposeOfGrant>2012 GME Fellowship Grant in Spine</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Washington University School of Medicine</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>Campus Box 8233 660 S Euclid</AddressLine1>
          <City>St Louis</City>
          <State>MO</State>
          <ZIPCode>63110</ZIPCode>
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        <EINOfRecipient>430653611</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>46240</AmountOfCashGrant>
        <PurposeOfGrant>2012 GME Fellowship Grant in Adult Reconstruction</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>Western Michigan University School of Medicine</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1000 Oakland Drive D54G</AddressLine1>
          <City>Kalamazoo</City>
          <State>MI</State>
          <ZIPCode>49008</ZIPCode>
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        <EINOfRecipient>454135256</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>2012 Residency Enhancement Grant</PurposeOfGrant>
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        <RecipientNameBusiness>
          <BusinessNameLine1>Yale University School of Medicine Dept of Orthopaedics &amp; Rehabilitation</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 208071</AddressLine1>
          <City>New Haven</City>
          <State>CT</State>
          <ZIPCode>06520</ZIPCode>
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        <EINOfRecipient>060646973</EINOfRecipient>
        <IRCSection>501(c)3</IRCSection>
        <AmountOfCashGrant>34324</AmountOfCashGrant>
        <PurposeOfGrant>2012 GME Fellowship Grant in Spine</PurposeOfGrant>
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      <Form990ScheduleIPartIV>
        <Identifier>Procedure for Monitoring Grants in the U.S.:</Identifier>
        <ReturnReference>Part I, Line 2:</ReturnReference>
        <Explanation>Schedule I, Part I, Line 2: One-year grants receive 50% of the funds to start, then 40% after a six-month financial report is received. A final scientific and lay report is required within 60 days after the grant ends, and a final financial report. Once OREF has all reports, the final 10% of the funds are released. One-time award/educational grant/lectureship grants receive full payment after they are approved. There is no need for a report. Documentation is in the file for lectureships and educational programs, and awards would need no follow-up. Two- or three year research grants are paid and spread over the term of the grant. Multi-year grant awardees submit annual scientific progress reports. These reports are reviewed by the original peer review committee members and any issues are flagged for discussion with the researcher. The surgeon-Chair of the Research Grants Committee reads and evaluates all reports.</Explanation>
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      <SubstantiationRequired>1</SubstantiationRequired>
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      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
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        <Title>CEO</Title>
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        <Title>CFO/COO</Title>
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      <GeneralExplanation>
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        <Explanation>Trustees have the opportunity to review From 990 electronically.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>All Board Members annual submission of disclosure statements are on file with the OREF Chief Executive Officer (CEO). The CEO reviews meeting agendas prior to the meeting and notifies leadership of any issues that need to be addressed before the discussion can take place. Any individual who gives notice of potential conflict is to abstain from participating in any item of business which comes before the Board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>The Foundation has a formal process to determine the compensation of its CEO. The CEO has ultimate responsibility for implementing the decisions of the Board of Trustees and for supervising the Foundation's management, administration and operations. The process includes the following elements: (1) Review and approval by the Board of Trustees or Compensation Committee; (2) Use comparable compensation data; and (3) Contemporaneous documentation and recordkeeping.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>The Form 990 is available upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 9:</ReturnReference>
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