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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TIM JOHNSTON PHD</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LORI WALSH</PersonNm>
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      <Form990PartVIISectionAGrp>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CRISTINA FLORES</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SARAH SLOCUM</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LORI SMETANKA</PersonNm>
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        <ReportableCompFromOrgAmt>107371</ReportableCompFromOrgAmt>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>623990</BusinessCd>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
        <Desc>MATERIALS,BOOKS &amp; NEWS</Desc>
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      <TotalRevenueGrp>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>25000</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>41755</ProgramServicesAmt>
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        <FundraisingAmt>1151</FundraisingAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>20610</ProgramServicesAmt>
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      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>154048</ProgramServicesAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>85118</ProgramServicesAmt>
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        <FundraisingAmt>5782</FundraisingAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>10740</TotalAmt>
        <ProgramServicesAmt>8864</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1876</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>5285</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2846</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>26680</TotalAmt>
        <ProgramServicesAmt>27632</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-952</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>179572</TotalAmt>
        <ProgramServicesAmt>171002</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>1324</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>4742</TotalAmt>
        <ProgramServicesAmt>2279</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2463</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
        <TotalAmt>19922</TotalAmt>
        <ProgramServicesAmt>19032</ProgramServicesAmt>
        <ManagementAndGeneralAmt>780</ManagementAndGeneralAmt>
        <FundraisingAmt>110</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>BANK FEES</Desc>
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        <ProgramServicesAmt>10587</ProgramServicesAmt>
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        <FundraisingAmt>2318</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>CFC EXPENSES</Desc>
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        <FundraisingAmt>3647</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>1210580</TotalAmt>
        <ProgramServicesAmt>1136970</ProgramServicesAmt>
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        <EOYAmt>42338</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>325</EOYAmt>
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        <EOYAmt>116901</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>1083168</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>29845</ReconcilationRevenueExpnssAmt>
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        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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        <CurrentTaxYearMinus3YearsAmt>1447250</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>850392</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>977553</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>820896</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>1447250</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>850392</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>977553</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>820896</CurrentTaxYearAmt>
        <TotalAmt>4964943</TotalAmt>
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      <SubstantialContributorsTotAmt>261998</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>4702945</PublicSupportTotal170Amt>
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        <CurrentTaxYearMinus4YearsAmt>237</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>557</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>450</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>220</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>314</CurrentTaxYearAmt>
        <TotalAmt>1778</TotalAmt>
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      <TotalSupportAmt>4966721</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>1938687</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.94690</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.92770</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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        <FilingOrganizationsTotalAmt>3603</FilingOrganizationsTotalAmt>
      </TotalGrassrootsLobbyingGrp>
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>2490</FilingOrganizationsTotalAmt>
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      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>6093</FilingOrganizationsTotalAmt>
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      <TotalExemptPurposeExpendGrp>
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        <FilingOrganizationsTotalAmt>193558</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>48390</FilingOrganizationsTotalAmt>
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        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
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      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
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      <AvgLobbyingNontaxableAmountGrp>
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        <CurrentYearMinus2Amt>184997</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>194095</CurrentYearMinus1Amt>
        <CurrentYearAmt>193558</CurrentYearAmt>
        <TotalAmt>755238</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>1132857</LobbyingCeilingAmt>
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        <CurrentYearMinus3Amt>3165</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>5390</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>5498</CurrentYearMinus1Amt>
        <CurrentYearAmt>6093</CurrentYearAmt>
        <TotalAmt>20146</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>45647</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>46249</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>48524</CurrentYearMinus1Amt>
        <CurrentYearAmt>48390</CurrentYearAmt>
        <TotalAmt>188810</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>283215</GrassrootsCeilingAmt>
      <AvgGrassrootsLobbyingExpendGrp>
        <CurrentYearMinus2Amt>4626</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>4718</CurrentYearMinus1Amt>
        <CurrentYearAmt>3603</CurrentYearAmt>
        <TotalAmt>12947</TotalAmt>
      </AvgGrassrootsLobbyingExpendGrp>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1621</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1296</DepreciationAmt>
        <BookValueAmt>325</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>45018</DepreciationAmt>
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      </OtherLandBuildingsGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED VACATION</Desc>
        <Amt>16815</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>PAYROLL LIABILITIES</Desc>
        <Amt>2435</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CONTRACTS PAYABLE</Desc>
        <Amt>17903</Amt>
      </OtherLiabilitiesOrgGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <DonatedServicesAndUseFcltsAmt>234514</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>234514</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>1240425</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>1240425</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>1445094</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>234514</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>234514</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>1210580</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>1210580</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FASB RELEASED FASB ASC 740-10, INCOME TAXES, THAT PROVIDES GUIDANCE FOR REPORTING UNCERTAINTY IN INCOME TAXES. FOR THE YEAR ENDED DECEMBER 31, 2022, NCCNHR HAS DOCUMENTED ITS CONSIDERATION OF FASB ASC 740-10 AND DETERMINED THAT NO MATERIAL UNCERTAIN TAX POSITIONS QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE FEDERAL FORM 990 IS SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE GENERALLY FOR THREE YEARS AFTER IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF STATES UNITED FOR AGING AND DISABILITIES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1201 15TH STREET NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20005</ZIPCd>
        </USAddress>
        <RecipientEIN>396095459</RecipientEIN>
        <IRCSectionDesc>501 C 3</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>BOOK</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>IS TO PROVIDE ESSENTIAL SUPPORT FOR THE OMBUDSMAN NETWORK IN ITS EFFORT TO PROVIDE ASSISTANCE TO AND EMPOWER THE RESIDENTS OF LONG-TERM CARE FACILITIES AND THEIR FAMILIES AND OTHER REPRESENTATIVES.</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>NCCNHR HAS A CONTRACTUAL AGREEMENT WITH THE RECIPIENT. THE RECIPIENT PROVIDES QUARTERLY FINANCIAL AND TECHNICAL REPORTS. PAYMENTS ARE MADE UPON APPROVAL OF SUBMITTED REPORTS</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>NCCNHR IS MADE UP OF INDIVIDUAL AND GROUP MEMBERS OF CONSUMERS AND PEOPLE WHO ARE RELATED TO LONG TERM CARE ISSUES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS SERVING ON THE GOVERNING BOARD AND LEADERSHIP COUNCIL ELECT MEMBERS TO THE BOARD OF DIRECTORS FOR A THREE-YEAR TERM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS SERVING ON THE LEADERSHIP COUNCIL APPROVE THE ELECTION OF A PORTION OF THE GOVERNING BODY MEMBERS, AND APPROVE THE PUBLIC POLICY AGENDA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S COMMITTEES DO NOT DOCUMENT THEIR MEETING BECAUSE THEY DO NOT HAVE THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BOARD. HOWEVER, AS OF 2009, THE COMMITTEES ARE KEEPING TRACK OF THEIR MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WAS PREPARED BY THE ORGANIZATION'S OUTSIDE ACCOUNTANT AND REVIEWED BY THE SENIOR MANAGEMENT. AFTER BEING REVIEWED BY THE SENIOR MANAGEMENT, A COPY OF THE 990 WAS PROVIDED TO EACH BOARD MEMBER FOR REVIEW BEFORE IT WAS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>A BOARD MEMBER MUST NOTIFY THE BOARD IN WRITING OF ANY POSSIBLE CONFLICT OF INTEREST. THIS INCLUDES BUT IS NOT LIMITED TO ANY CONTRACT OR TRANSACTION WHICH COULD BE PERCEIVED AS IMPROPER. BOARD MEMBERS MUST BE FORTHCOMING WITH POSSIBLE CONFLICTS EVERY TIME THEY ARISE. AFTER THE BOARD HAS RECEIVED NOTICE OF POTENTIAL CONFLICT OF INTEREST, IT WILL BE DISCUSSED BY THE BOARD, AND A VOTE TAKEN TO DETERMINE THE APPROPRIATE ACTION TO BE TAKEN. IF A CONFLICT DOES EXIT AS DETERMINED BY THE BOARD VOTE, THE BOARD MEMBER WITH THE CONFLICT CANNOT PARTICIPATE IN ANY VOTE OR DECISION THAT PERTAINS TO THAT "CONTRACT OR TRANSACTION."</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING BOARD HAS FULL AUTHORITY OVER THE EXECUTIVE DIRECTOR'S COMPENSATION. SALARY IS BASED ON INDIVIDUAL QUALIFICATIONS AND EXPERIENCE, YEARS OF SERVICE WITH THE ORGANIZATION, COMBINED WITH REVIEWING COMPARABILITY DATA ACCROSS THE NONPROFIT SECTOR. THE GOVERNING BOARD HAS NOT APPROVED COMPENSATION CHANGE FOR SEVERAL YEARS. COMPENSATION WAS REVIEWED FOR THE EXECUTIVE DIRECTOR DURING THE EVALUATION PROCESS. THE MOST RECENT EVALUATION COMPLETED BY EXECUTIVE COMMITTEE WAS IN JANUARY 2019. HOWEVER, THERE HAS BEEN MODEST INCREMENT IN COMPENSATION IN LINE WITH INFLATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 135,414. MANAGEMENT AND GENERAL EXPENSES 700. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 136,114. COMPUTER SERVICES: PROGRAM SERVICE EXPENSES 18,634. MANAGEMENT AND GENERAL EXPENSES 2,802. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,436.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
