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        </IssuerName>
        <IssuerEIN>043431814</IssuerEIN>
        <DateIssued>2005-12-15</DateIssued>
        <IssuePrice>2100000</IssuePrice>
        <DescriptionOfPurpose>To refinance the Center's then outstanding Massachusetts HEFA loan</DescriptionOfPurpose>
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      <GeneralExplanation>
        <Identifier>Form 990, Part III, line 2</Identifier>
        <ReturnReference>New Program Services</ReturnReference>
        <Explanation>the organization added vision and eye care services to its programs during 2010.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>The Center works with its independent certified public accountANT to compile the Form 990 and its related disclosures. The Form 990 is reviewed in detail with the certified public accountant by management and then provided to the Center's board of directors prior to submission.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>The Corporation requires that all employees, and members and officers of the Board of Directors of the Corporation and any member of any committee disclose in writing (and update at least annually) all business and other relationships which might potentially create a conflict of interest and all conflicts of interest as defined by the policy. The written disclosure shall include an itemization of any substantive conflict of interest for such employee, or officer or member of the Board of Directors and any member of a committee by virtue of his or her activities or that of related parties. If an employee, a member or an officer of the Board of Directors or a member of any committee believes that he/she, or a related party, has a conflict of interest, he/she must immediately disclose this in writing to the Executive Director. Disclosures by members and officers of the Board of Directors and a member of any committee must also be made to the President (and if it is the President who has the conflict of interest, he or she must make disclosure to the Vice-President). If, after providing the written disclosure, an actual or potential conflict arises, the employee or member or officer of the Board of Directors and any member of any committee with the conflict shall immediately notify the Corporation in writing. The notification shall be directed to the Executive Director and to the President for conflicts of interest involving members and officers of the Board of Directors and any member of any committee.</Explanation>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>The board of directors annually reviews the executive director's performance and determines compensation based on measures that include the Center's financial, clinical and community activities. The board uses information from comparable community health centers in measuring the propriety of the executive director's compensation in conjunction with an independent review by an outside consultant utilizing salary surveys from trade organizations and realted industries.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>The Center makes its governing documents, conflict of interest policy and financial statements available to the public upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>form 990 part xi, line 2c</Identifier>
        <Explanation>the process has not changed from the prior year</Explanation>
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