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      <PrimaryExemptPurposeTxt>AS AN AFFILIATE OF COMMONSPIRIT HEALTH, WE MAKE THE HEALING PRESENCE OF GOD KNOWN IN OUR WORLD BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL.</PrimaryExemptPurposeTxt>
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        <PersonNm>CHARLES SIMS</PersonNm>
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        <PersonNm>PETER BIGLER</PersonNm>
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        <PersonNm>ANGELA NUNNERY</PersonNm>
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        <FormAndLineReferenceDesc>SCHEDULE A, PART IV, SECTION A, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>EAST TEXAS CLINICAL SERVICES, INC'S ARTICLES OF INCORPORATION SPECIFICALLY DESIGNATE CATHOLIC HEALTH CARE FEDERATION AS ITS PUBLICLY SUPPORTED ORGANIZATION AND DESIGNATE, BY PURPOSE, SUCH OTHER CHARITABLE ORGANIZATIONS, THE PURPOSES OF WHICH ARE TO EMBODY THE MISSION OF THE HEALING MINISTRY OF JESUS IN THE CHURCH THROUGH OWNERSHIP, MANAGEMENT, OR GOVERNANCE OF HEALTH MINISTRIES, OR THE OFFERING OF OR SUPPORTING OF CHARITABLE AND RELIGIOUS PROGRAMS OR SERVICES CONSISTENT WITH SUCH PURPOSES, IN KEEPING WITH THE GOSPEL IMPERATIVE.</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE A, PART IV, SECTION A, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>EAST TEXAS CLINICAL SERVICES, INC IS ORGANIZED AND OPERATED, WITHIN THE MEANING OF SECTION 509(A)(3)(A) OF THE INTERNAL REVENUE CODE OF 1986, AS NOW IN EFFECT OR AS SUBSEQUENTLY AMENDED ("IRC"), EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND/OR TO CARRY OUT THE RELIGIOUS, CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE IRC, OF CATHOLIC HEALTH CARE FEDERATION ("CHCF"), A PUBLIC JURIDIC PERSON WITHIN THE MEANING OF THE CODE OF CANON LAW FOR THE ROMAN CATHOLIC CHURCH ("CANON LAW"), INCLUDING BY SUPPORTING SUCH OTHER CHARITABLE ORGANIZATIONS, THE PURPOSES OF WHICH ARE TO EMBODY THE MISSION OF THE HEALING MINISTRY OF JESUS IN THE CHURCH THROUGH OWNERSHIP, MANAGEMENT, OR GOVERNANCE OF HEALTH MINISTRIES, OR THE OFFERING OF OR SUPPORTING OF CHARITABLE AND RELIGIOUS PROGRAMS OR SERVICES CONSISTENT WITH SUCH PURPOSES, IN KEEPING WITH THE GOSPEL IMPERATIVE. BECAUSE CHCF IS PART OF THE ROMAN CATHOLIC CHURCH, IT IS NOT REQUIRED TO APPLY FOR RECOGNITION OF EXEMPT STATUS PURSUANT TO IRC 508(C). BY VIRTUE OF ITS DECREE OF CANONICAL ERECTION BY THE CONGREGATION FOR INSTITUTES OF CONSECRATED LIFE AND SOCIETIES OF APOSTOLIC LIFE, CHCF IS A PUBLIC JURIDIC PERSON OF PONTIFICAL RIGHT, SUBJECT TO THE DIRECT OVERSIGHT AND JURISDICTION OF THE APOSTOLIC SEE IN THE VATICAN. AS A PUBLIC JURIDIC PERSON IN THE CHURCH, CHCF IS THE JURIDICAL EQUIVALENT OF A DIOCESE OR PARISH OR RELIGIOUS ORDER IN THE CATHOLIC CHURCH. AS A PUBLIC JURIDIC PERSON, CHCF IS NOT MERELY AFFILIATED WITH THE CATHOLIC CHURCH; IT IS THE CATHOLIC CHURCH, AN OFFICIAL PART OF THE CHURCH ITSELF, WITH A MUNUS OR DUTY ASSIGNED TO IT BY THE CHURCH, AND ABLE TO ACT PUBLICLY IN THE NAME OF THE CHURCH. THE CONGREGATION FOR INSTITUTES OF CONSECRATED LIFE AND SOCIETIES OF APOSTOLIC LIFE BY DECREE DATED JUNE 8, 1991, CONFERRED PUBLIC JURIDIC PERSONALITY IN THE CHURCH ON CHCF, STATING THAT CHCF WAS "TO BE GOVERNED IN ACCORDANCE WITH CANON LAW AND ITS OWN APPROVED STATUTES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE A, PART IV, SECTION B, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION OPERATES EXCLUSIVELY TO SUPPORT OR BENEFIT ITS PUBLICLY SUPPORTED ORGANIZATION BY SUPPORTING ORGANIZATIONS, OTHER THAN A PRIVATE FOUNDATION, WHICH ARE DESCRIBED IN SECTION 501(C)(3) AND ARE OPERATED, SUPERVISED, OR CONTROLLED DIRECTLY BY OR IN CONNECTION WITH SUCH PUBLICLY SUPPORTED ORGANIZATIONS, OR WHICH IS DESCRIBED IN SECTION 511(A)(2)(B). NO PART OF THE ORGANIZATION'S ACTIVITIES IS IN FURTHERANCE OF A PURPOSE OTHER THAN SUPPORTING OR BENEFITING ONE OR MORE SPECIFIED PUBLICLY SUPPORTED ORGANIZATIONS.</ExplanationTxt>
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          <DistributionDt>2022-12-31</DistributionDt>
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          <MethodOfFMVDeterminationTxt>BOOK VALUE</MethodOfFMVDeterminationTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 2E:</FormAndLineReferenceDesc>
        <ExplanationTxt>PERSON(S) INVOLVED: T. DOUGLAS LAWSON, PHD</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 2E:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPLANATION OF INVOLVEMENT: DR. LAWSON WAS AN OFFICER OF EAST TEXAS CLINICAL SERICES. DR. LAWSON WAS ALSO SERVING AS AN OFFCIER AND DIRECTOR OF ST. LUKE'S HEALTH SYSTEM CORPORATION. HE REMAINED IN HIS ROLE AS OFFICER AND DIRECTOR OF THE TRANSFEREE ORGANIZATION, ST. LUKE'S HEALTH SYSTEM CORPORATION.</ExplanationTxt>
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        <ExplanationTxt>ON 12/31/2022, THE ASSETS AND BUSINESS OPERATIONS OF EAST TEXAS CLINICAL SERVICES, INC. (45-4736213) WERE TRANSFERRED TO ST. LUKE'S HEALTH SYSTEM CORPORATION (76-0536232), A SECTION 501(C)(3) ORGANIZATION. ALL AMOUNTS TRANSFERRED ARE USED BY ST. LUKE'S HEALTH SYSTEM CORPORATION IN SUPPORT OF THEIR TAX EXEMPT PURPOSE.</ExplanationTxt>
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