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        <BusinessNameLine1>Margaretville Health Foundation</BusinessNameLine1>
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      <Phone>8455862631</Phone>
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        <AddressLine1>42084 State Highway 28</AddressLine1>
        <City>Margaretville</City>
        <State>NY</State>
        <ZIPCode>12455</ZIPCode>
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    <Officer>
      <Name>David Scarpino</Name>
      <Title>CFO</Title>
      <DateSigned>2011-11-15</DateSigned>
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    <Preparer>
      <Name>Angelo Pirozzi CPA</Name>
      <Phone>2123714446</Phone>
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    <TaxYear>2010</TaxYear>
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        <City>Margaretville</City>
        <State>NY</State>
        <ZIPCode>124552820</ZIPCode>
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          <City>Lake Katrine</City>
          <State>NY</State>
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      <ContribBy35ControlledEntity>false</ContribBy35ControlledEntity>
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        <TypeOfOrganization>3</TypeOfOrganization>
        <ListedInGoverningDoc>false</ListedInGoverningDoc>
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      <ContributorInfo>
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        <ContributorNameBusiness>
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        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <AggregateContributions>RESTRICTED</AggregateContributions>
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      <OtherLiabilities>
        <Description>Due to Related Parties</Description>
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      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
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      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
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      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>Upon request, the organization will make available only those documents required to be disclosed under the public inspection laws.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>Reviewed through internal Compensation Committee along with verification of all external fair market value analysis and data.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>Annual compliance questionnaires are required to be signed by all officers, directors, trustees and key employees. All questionnaires are returned to the Corporate Compliance officer for review and filing. If a conflict is noted, the Officer reports said conflict to the CEO and Board of Directors for discussion and resolution. Once a resolution is met, the Officer instructs the individual who completed the questionnaire of a final outcome and action plan if applicable.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>The finance director and CFO undertake a detailed review of the 990. In addition, select board members undertake a review of the organization's Form 990 and then review with the CFO any commentary, observations, and recommendations, as appropriate.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 6</Identifier>
        <ReturnReference>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</ReturnReference>
        <Explanation>MARGARETVILLE MEMORIAL HOSPITAL IS THE SOLE CORPORATE MEMBER OF MARGARETVILLE HEALTH FOUNDATION.</Explanation>
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          <State>NY</State>
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          <City>Kingston</City>
          <State>NY</State>
          <ZIPCode>12401</ZIPCode>
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        <EIN>141338470</EIN>
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          <State>NY</State>
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</Return>