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        <AmountToBeRefunded>0</AmountToBeRefunded>
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        <LegislativePoliticalActivities>0</LegislativePoliticalActivities>
        <MoreThan100Spent>0</MoreThan100Spent>
        <Form1120POLFiled>0</Form1120POLFiled>
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        <ComplyWithPublicInspectionRqr>1</ComplyWithPublicInspectionRqr>
        <WebsiteAddress>N/A</WebsiteAddress>
        <BooksInCareOfBusinessName>
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        <BooksInCareOfUSAddress>
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          <State>OH</State>
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        <ForeignBank>0</ForeignBank>
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        <OfcrDirTrusteesOrKeyEmployee>
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        <TotNumberOfOthEmplPaidOver50k>0</TotNumberOfOthEmplPaidOver50k>
        <CompOfHghstPaidCntrctNONE>NONE</CompOfHghstPaidCntrctNONE>
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        <AvgMonthlyCashBalances>19943</AvgMonthlyCashBalances>
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          <RecipientPhoneNumber>2165141500</RecipientPhoneNumber>
          <FormAndInfoAndMaterials>IN WRITING, STATING PUBLIC CHARITY AND USE OF FUNDS</FormAndInfoAndMaterials>
          <SubmissionDeadlines>NONE</SubmissionDeadlines>
          <RestrictionsOnAwards>NO RESTRICTIONS APPLY</RestrictionsOnAwards>
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        <GrantOrContriPaidDuringYear>
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        <GrantOrContriPaidDuringYear>
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          </RecipientUSAddress>
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        <GrantOrContriPaidDuringYear>
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          <RecipientRelationship>NONE</RecipientRelationship>
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          <PurposeOfGrantOrContribution>DEPARTMENT OF ORTHOPAEDIC SURGERYEDUCATIONAL</PurposeOfGrantOrContribution>
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        </GrantOrContriPaidDuringYear>
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        <TotGrantOrContriApprovedFuture>0</TotGrantOrContriApprovedFuture>
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      <AnalysisIncomeProducingActy>
        <IntOnSavingsAndTempCashInvst>
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      <Taxes>
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