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        <Total>0</Total>
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      <TotalSupport>56663094</TotalSupport>
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        <InvestmentEarningsOrLosses>374335</InvestmentEarningsOrLosses>
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        <EndOfYearBalance>15309415</EndOfYearBalance>
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        <EndOfYearBalance>37706946</EndOfYearBalance>
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      <CurrentYearMinus3Years>
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        <BookValue>10000</BookValue>
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        <Depreciation>1126590</Depreciation>
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      <GeneralExplanation>
        <Identifier>FORM 990, PART III, LINE 4A</Identifier>
        <ReturnReference>PROGRAM SERVICE ACCOMPLISHMENTS:</ReturnReference>
        <Explanation>EDUCATIONAL PROGRAMS: GUNDERSEN LUTHERAN IS ONE OF THE PREMIER COMMUNITY-BASED ACADEMIC HEALTH CENTERS. FULLY ACCREDITED MEDICAL RESIDENCY PROGRAMS ARE OFFERED IN INTERNAL MEDICINE, GENERAL SURGERY, ORAL AND MAXILLOFACIAL SURGERY, PODIATRIC MEDICINE AND SURGERY AND TRANSITIONAL YEAR. THE MEDICAL RESIDENCY PROGRAMS OFFER A BALANCE OF PRIMARY, TERTIARY, INPATIENT AND OUTPATIENT MEDICINE. GUNDERSEN LUTHERAN SERVES AS THE WESTERN ACADEMIC CAMPUS FOR THE UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE AND PUBLIC HEALTH (UW-SMPH). NOT ONLY DO WE TEACH MEDICAL STUDENTS ENROLLED IN THE TRADITIONAL MEDICAL EDUCATION PROGRAM BUT WE SERVE AS A TRAINING SITE FOR MEDICAL STUDENTS ENROLLED IN THE WISCONSIN ACADEMY FOR RURAL MEDICINE (WARM), AN EXCITING NEW PROGRAM SPONSORED BY THE UW-SMPH. AS BOTH A TEACHING AND RESEARCH FACILITY, WE PROVIDE ACCESS TO CUTTING-EDGE MEDICAL KNOWLEDGE AND STATE-OF-THE ART CLINICAL CARE FOR THE TRI-STATE REGION. IN 2012, WE OFFERED 360 PLUS HOURS OF CONTINUING MEDICAL EDUCATION (CME) CREDIT, WHICH INCLUDED 13 REGULARLY SCHEDULED WEEKDAY CONFERENCES AND 15 SEMINARS. THE NUMBER OF PHYSICIAN PARTICIPANTS WAS APPROXIMATELY 5,700 AND THE NUMBER OF NON-PHYSICIAN PARTICIPANTS WAS APPROXIMATELY 2,900.</Explanation>
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      <GeneralExplanation>
        <Identifier>FORM 990, PART III, LINE 4B</Identifier>
        <ReturnReference>PROGRAM SERVICE ACCOMPLISHMENTS:</ReturnReference>
        <Explanation>COMMUNITY HEALTH PROGRAMS: THE COMMUNITY HEALTH PROGRAMS SPONSORED BY GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. PROMOTE COMMUNITY HEALTH, EMPHASIZE DISEASE PREVENTION, WELLNESS AND OTHER PATIENT EDUCATION PROGRAMS. A TOTAL OF 32 GRANTS WERE AWARDED FOR EDUCATION PURPOSES, 41 FOR EQUIPMENT PURCHASES, 141 FOR VARIOUS GUNDERSEN LUTHERAN PROGRAM SERVICES, AND 43 GRANTS WERE AWARDED TO ENHANCE PATIENT AND COMMUNITY HEALTH. IN ADDITION, 7,941 GRANTS WERE AWARDED TO INDIVIDUALS FOR TRANSPORTATION, RESPITE SERVICES, SCHOLARSHIPS, ADAPTIVE EQUIPMENT, MEALS AND OTHER LIVING EXPENSES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART III, LINE 4C</Identifier>
        <ReturnReference>PROGRAM SERVICE ACCOMPLISHMENTS:</ReturnReference>
        <Explanation>RESEARCH PROGRAMS: THE GUNDERSEN LUTHERAN MEDICAL FOUNDATION RESEARCH PROGRAM IS CLINICALLY ORIENTED SCIENCE THAT SEEKS EVIDENCE-BASED, REPRODUCIBLE ANSWERS TO IMPORTANT QUESTIONS THAT PERTAIN TO THE HEALTH OF THE CITIZENS OF THE TRI-STATE REGION. THE RESEARCH HELPS DIRECT MEDICAL STAFF TO PROVIDE PATIENTS WITH THE MOST UP-TO-DATE ADVANCEMENTS IN MEDICAL CARE. THE DEPARTMENT SUPPORTS RESEARCH THROUGHOUT THE ORGANIZATION HIGHLIGHTED BY THE NAMING OF A NATIONAL CANCER INSTITUTE COMMUNITY CANCER CENTER WHICH IS ONE OF THIRTY SUCH SITES IN THE NATION. THE DEPARTMENT OF RESEARCH NOW SUPPORTS THREE FULLY EQUIPPED AND STAFFED RESEARCH LABORATORIES, ONE OF WHICH HAS ALREADY EARNED A SOLID REPUTATION AS A LEADER IN LYME DISEASE RESEARCH. IN 2012, THE RESEARCH DEPARTMENT PUBLISHED 41 JOURNALS AND ARTICLES, 12 BOOK CHAPTERS, AND CONDUCTED 59 PRESENTATIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART III, LINE 4D</Identifier>
        <ReturnReference>OTHER PROGRAM SERVICES:</ReturnReference>
        <Explanation>BEREAVEMENT &amp; ADVANCE CARE PLANNING PROGRAMS: GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. SPONSORS EDUCATIONAL PROGRAMS IN BEREAVEMENT AND ADVANCE CARE PLANNING AND HAS DEVELOPED COURSES AND RESOURCES TO SUPPORT CONTINUED BEREAVEMENT CARE AND EDUCATION. OUR EDUCATION PROGRAMS TRAIN HEALTH CARE PROFESSIONALS ON HOW TO FACILITATE ADVANCE CARE PLANNING (ACP) DISCUSSIONS AND TEACH ORGANIZATIONS ON HOW TO IMPLEMENT EFFECTIVE ACP SYSTEMS. WE CONTINUE TO DEVELOP AND ENHANCE OUR INNOVATIVE APPROACH TO EDUCATION THROUGH ONLINE LEARNING AND BLENDED TRAINING. IN 2012, THE DEPARTMENT PRESENTED 63 DAYS OF NATIONAL EDUCATION AND 20 DAYS OF CONSULTATION. RESPECTING CHOICES IS A DEPARTMENT OF GUNDERSEN LUTHERAN MEDICAL FOUNDATION AND IS AN INTERNATIONALLY RECOGNIZED, EVIDENCE-BASED ADVANCE CARE PLANNING PROGRAM THAT HAS PROVIDED TRAINING, CONSULTATION, AND MATERIALS TO ORGANIZATIONS AND COMMUNITIES AROUND THE WORLD. RESPECTING CHOICES ASSISTS OTHER ORGANIZATIONS IN REPLICATING THE MODELS ESTABLISHED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 2</Identifier>
        <Explanation>C. DANIEL GELATT, BRIAN KOOPMAN, HARRY DAHL, JOHN LYCHE &amp; MARY JO WERNER - BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. IS THE SOLE CORPORATE MEMBER OF THIS ORGANIZATION.</Explanation>
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      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7A</Identifier>
        <Explanation>THE SOLE CORPORATE MEMBER, GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. MAY ELECT THE GOVERNING BODY.</Explanation>
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      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7B</Identifier>
        <Explanation>GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. SHALL HAVE THE RIGHT TO APPROVE THE ELECTION OF ALL DIRECTORS OF THE CORPORATION, CHANGES MADE BY THE CORPORATION OR TO THE MISSION OF THE CORPORATION TO VETO OR APPROVE ANY DISAFFILIATION WITH GUNDERSEN LUTHERAN HEALTH SYSTEM, INC.; TO VOTE UPON ANY PLAN OF LIQUIDATION OR DISSOLUTION ADOPTED BY THE BOARD OF DIRECTORS OF THE CORPORATION AND TO APPROVE ANY MORTGAGE OR PLEDGE OF THE CORPORATION'S ASSETS, OR ANY LEASE, SALE OR OTHER DISPOSITION OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION.</Explanation>
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      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE GUNDERSEN LUTHERAN MEDICAL FOUNDATION BOARD RECEIVES A COpy OF THE FORM 990 AND IT IS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE. ALSO, IT IS REVIEWED FOR COMPLETENESS BY THE CONTROLLER OF GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 12C</Identifier>
        <Explanation>EACH MEMBER OF THE GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. GOVERNING BOARD SIGNS A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS. MEMBERS ARE ASKED TO DISCLOSE CONFLICTS AS APPROPRIATE AND ABSTAIN FROM VOTING WHEN APPLICABLE.</Explanation>
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      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 15</Identifier>
        <Explanation>ALL PERSONNEL SERVICES FOR GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. ARE PERFORMED BY EMPLOYEES OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. THE COMPENSATION OF THE CEO IS DETERMINED ANNUALLY BY A COMMITTEE MADE UP OF THE COMMUNITY MEMBERS OF THE BOARD OF TRUSTEES. THEIR DETERMINATION IS MADE AFTER A REVIEW OF MARKET DATA OBTAINED FROM SEVERAL ORGANIZATIONS AND CEO PERFORMANCE. MEETING MINUTES ARE TAKEN AND KEPT AT THE MEETINGS WHERE SUCH DISCUSSIONS TAKE PLACE. RECOMMENDATIONS FOR COMPENSATION FOR THE ORGANIZATIONS' KEY MANAGEMENT EMPLOYEES ARE DEVELOPED ANNUALLY BY THE CEO, AFTER A REVIEW OF PERFORMANCE AND COMPARABLE MARKET DATA. THE COMPENSATION RECOMMENDATIONS, ALONG WITH THE MARKET DATA, ARE PRESENTED TO A COMMITTEE MADE UP OF THE COMMUNITY MEMBERS OF THE BOARD OF TRUSTEES. THE COMPENSATION AMOUNTS ARE NOT EFFECTIVE UNTIL THE BOARD COMMITTEE APPROVED THEM. MEETING MINUTES ARE TAKEN AND KEPT AT THE MEETINGS WHERE THE BOARD REVIEWS THEM AND APPROVES THE COMPENSATION OF THE KEY EMPLOYEES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION C, LINE 19</Identifier>
        <Explanation>REQUESTS FOR FORMS 990 AND CERTAIN OTHER TAX INFORMATION IS AVAILABLE FOR PUBLIC INSPECTION AND COPYING THROUGH THE GUNDERSEN LUTHERAN LEGAL DEPARTMENT. A COPY OF THE GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. FORM 990 CAN ALSO BE FOUND ELECTRONICALLY ON GUIDESTAR.ORG.</Explanation>
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      <GeneralExplanation>
        <Identifier>FORM 990, PART XII, LINE 2C</Identifier>
        <ReturnReference>AUDIT PROCESS</ReturnReference>
        <Explanation>THE PROCESS ALLOWS THE AUDIT COMMITTEE OF GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. TO INDEPENDENTLY COMMUNICATE WITH THE EXTERNAL AUDIT FIRM THROUGHOUT THE YEAR, BUT FORMAL COMMUNICATION OCCURS BEFORE THE ENGAGEMENT CONCLUSION. THE AUDIT COMMITTEE MEETS WITH THE AUDIT FIRM FOR PRESENTATION OF THE STATEMENTS. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART XII, LINE 3A</Identifier>
        <Explanation>GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. OPERATES IN CONJUNCTION WITH A GROUP OF OTHER AFFILIATED CORPORATIONS GOVERNED BY GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. AS SUCH, ANY FEDERAL AWARDS TO GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART IV, LINE 24A</Identifier>
        <ReturnReference>TAX EXEMPT BOND ISSUE</ReturnReference>
        <Explanation>GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC. IS A PART OF GUNDERSEN LUTHERAN'S OBLIGATED GROUP (GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC., GUNDERSEN LUTHERAN MEDICAL CENTER, INC., GUNDERSEN CLINIC, LTD., AND GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC.) AND TAX-EXEMPT DEBT RESIDES ON GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, FEIN 39-1606449.</Explanation>
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        <LegalDomicileState>WI</LegalDomicileState>
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          <City>WHITEHALL</City>
          <State>WI</State>
          <ZIPCode>54773</ZIPCode>
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        <LegalDomicileState>WI</LegalDomicileState>
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          <ZIPCode>55939</ZIPCode>
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        <EIN>410711606</EIN>
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          <City>SPRING GROVE</City>
          <State>MN</State>
          <ZIPCode>55974</ZIPCode>
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        <EIN>411565003</EIN>
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        <LegalDomicileState>MN</LegalDomicileState>
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          <BusinessNameLine1>GLHS</BusinessNameLine1>
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          <City>LA CROSSE</City>
          <State>WI</State>
          <ZIPCode>54603</ZIPCode>
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        <PrimaryActivities>MDCL TRNSPORA</PrimaryActivities>
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          <City>LA CROSSE</City>
          <State>WI</State>
          <ZIPCode>54603</ZIPCode>
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        <EIN>391962965</EIN>
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          <City>LA CROSSE</City>
          <State>WI</State>
          <ZIPCode>54601</ZIPCode>
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          <BusinessNameLine1>LUTHERAN HOUSING OF LA CROSSE INC</BusinessNameLine1>
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          <City>LA CROSSE</City>
          <State>WI</State>
          <ZIPCode>54601</ZIPCode>
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        <EIN>391751934</EIN>
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        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
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        <DirectControllingEntityName>
          <BusinessNameLine1>LREHC</BusinessNameLine1>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COMMUNITY HOUSING OF LA CROSSE INC</BusinessNameLine1>
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          <AddressLine1>1900 SOUTH AVENUE</AddressLine1>
          <City>LA CROSSE</City>
          <State>WI</State>
          <ZIPCode>54601</ZIPCode>
        </AddressUS>
        <EIN>391586700</EIN>
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          <BusinessNameLine1>LREHC</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>OPTIONS IN REPRODUCTIVE CARE INC</BusinessNameLine1>
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          <AddressLine1>1201 CALEDONIA STREET</AddressLine1>
          <City>LA CROSSE</City>
          <State>WI</State>
          <ZIPCode>54603</ZIPCode>
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        <EIN>391166634</EIN>
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          <BusinessNameLine1>GLHS</BusinessNameLine1>
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          <BusinessNameLine1>ST JOSEPH'S HEALTH SERVICES INC</BusinessNameLine1>
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          <State>WI</State>
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          <BusinessNameLine1>GUNDERSEN LUTHERAN HEALTH PLAN MINNESOTA</BusinessNameLine1>
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          <AddressLine1>1900 SOUTH AVE</AddressLine1>
          <City>LA CROSSE</City>
          <State>WI</State>
          <ZIPCode>54601</ZIPCode>
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        <PublicCharityStatus>SEE STMT</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GLHP</BusinessNameLine1>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>ST JOSEPH'S MEMORIAL FOUNDATION INC</BusinessNameLine1>
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          <State>WI</State>
          <ZIPCode>54634</ZIPCode>
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        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
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        <DirectControllingEntityName>
          <BusinessNameLine1>S Joseph HS</BusinessNameLine1>
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          <ZIPCode>54773</ZIPCode>
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          <BusinessNameLine1>GUNDERSEN LUTHERAN EXPRESS CARE INC</BusinessNameLine1>
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          <State>WI</State>
          <ZIPCode>54601</ZIPCode>
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          <BusinessNameLine1>GLHS</BusinessNameLine1>
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      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>false</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
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      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <Form990ScheduleRPartVII>
        <Identifier>PART II, PAGE 3, LINE 3</Identifier>
        <Explanation>THE APPLICATION FOR 501(C)(4) IS PENDING.</Explanation>
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  </ReturnData>
</Return>