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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VIRTUA OUR LADY OF LOURDES HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1600 HADDON AVE</AddressLine1Txt>
          <CityNm>CAMDEN</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08103</ZIPCd>
        </USAddress>
        <RecipientEIN>210635001</RecipientEIN>
        <CashGrantAmt>55000</CashGrantAmt>
        <PurposeOfGrantTxt>UNRESTIRCTED</PurposeOfGrantTxt>
      </RecipientTable>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="IRS990ScheduleO-01" softwareId="22015534">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 8a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TRUSTEE FOLLOWS THE TRUST GUIDELINES FOR MAKING ANNUAL DISTRIBUTIONS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TRUSTEE FOLLOWS THE TRUST GUIDELINES FOR MAKING ANNUAL DISTRIBUTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TRUSTEE REVIEWS THE RETURN PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
