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        <FormAndLineReferenceDesc>Pt II Ln 10</FormAndLineReferenceDesc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt X, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Nantahala Health Foundation is exempt from federal income taxes under 501(c)(3) of the Internal Revenue Code. Under the Code, however, income from certain activities not related to the organization's tax-exempt purpose may be subject to taxation as unrelated business income. The organization had no income from unrelated business activities in 2022 and was, therefore, not required to file Federal Form 990-T (Exempt Organization Business Income Tax Return). The organization believes that it has appropriate support for all tax positions taken, and as such, does not have any uncertain tax positions that are material to the financial statements.</ExplanationTxt>
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        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>345 Courthouse Drive</AddressLine1Txt>
          <CityNm>Hayesville</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28904</ZIPCd>
        </USAddress>
        <RecipientEIN>111111111</RecipientEIN>
        <IRCSectionDesc>Gov't Entity</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>Health</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Eastern Band of Cherokee Indians</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 455</AddressLine1Txt>
          <CityNm>Cherokee</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28719</ZIPCd>
        </USAddress>
        <RecipientEIN>111111111</RecipientEIN>
        <IRCSectionDesc>Gov't Entity</IRCSectionDesc>
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        <PurposeOfGrantTxt>Health</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Four Square Community Action</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>61 Milton Mashburn Drive</AddressLine1Txt>
          <CityNm>Andrews</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28901</ZIPCd>
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        <PurposeOfGrantTxt>Health</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Hinton Rural Life Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2300 Hinton Center Rd</AddressLine1Txt>
          <CityNm>Hayesville</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28904</ZIPCd>
        </USAddress>
        <RecipientEIN>560842073</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>28750</CashGrantAmt>
        <PurposeOfGrantTxt>Health</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>International Friendship Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>348 S 5th St Ste 205</AddressLine1Txt>
          <CityNm>Highlands</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28741</ZIPCd>
        </USAddress>
        <RecipientEIN>562303345</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>16875</CashGrantAmt>
        <PurposeOfGrantTxt>Health</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Macon County Housing Department</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>23 Macon Avenue Room 101</AddressLine1Txt>
          <CityNm>Franklin</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28734</ZIPCd>
        </USAddress>
        <RecipientEIN>566000930</RecipientEIN>
        <IRCSectionDesc>Gov't Entity</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <PurposeOfGrantTxt>Health</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Mountain Projects Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2251 Old Balsam Rd</AddressLine1Txt>
          <CityNm>Waynesville</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28786</ZIPCd>
        </USAddress>
        <RecipientEIN>560849092</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>Health</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Restoration House - WNC</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>81 Academy Street</AddressLine1Txt>
          <CityNm>Bryson City</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28713</ZIPCd>
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          <BusinessNameLine1Txt>Rolling Start NC Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>83 Meadow View Drive</AddressLine1Txt>
          <CityNm>Sylva</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28779</ZIPCd>
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        <PurposeOfGrantTxt>Health</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Vecinos Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>4121 Little Savannah Rd</AddressLine1Txt>
          <CityNm>Cullowhee</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
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          <BusinessNameLine1Txt>Western Carolina Pacesetters Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <CityNm>Brasstown</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Nantahala Health Foundation requires potential grant recipients to complete an application and/or provide information in an approved alternative format that details how funds will be used. This information is used to ensure the planned use of funds is in accordance with the Foundation's exempt purpose. When a grant is awarded, the Grant Award Agreement specifies any grant restrictions and that the grant funds must be used for the purpose specified in the grant application/proposal. During the grant period, we require regular reporting as appropriate to the grant purpose (usually every six months). This report includes a narrative summary of progress on the grant funded project and a budget report outlining other related revenue devoted to the project and all related expenditures. If the project is ahead or behind schedule in achievement of outcomes, they are asked to provide an explanation and a plan for getting back on track. The reports are reviewed by Foundation staff with summary information provided to the Board of Directors. The Foundation communicates regularly with grantees to assess progress and process formal requests to change grant restrictions or timelines as approved or denied by the Board of Directors. During the application process or throughout the grant award timeline, Foundation staff and/or board members may meet with management of the organization, talk with collaborative partners or other community members, tour facilities, etc. to gain a more thorough understanding of their operations and to assess organizational capacity, alignment with Foundation priorities, and/or appropriate use of funds.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is prepared by a CPA firm, reviewed by management, presented to the board for review, proposed revisions and final approval.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Enforced as necessary. Any board member with a conflict of interest on any specific issue informs the board and abstains from voting on the issue.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Board of Directors used a search firm during 2019 when hiring the ED. The search firm provided this review and comparison for the Board decision-making. Only minimal salary increases for the ED since that time. In Nov 2022 the board adopted a salary range for the ED using comparability data but it did not change the actual salary of the ED at that time.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>Forms 990 are available through the websites of many charity watch organizations and upon request. The Form 1023 is available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents and reviewed financials statements are available upon request.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other</FormAndLineReferenceDesc>
        <ExplanationTxt>Some board members are in positions of leadership influence related to organizations that received grants. In all situations with these circumstances where grants were considered, we followed our conflict of interest policy and the individual did not participate in the decision making process.</ExplanationTxt>
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  </ReturnData>
</Return>