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      <TotalProgramServiceRevenueAmt>1072368</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>35612</TotalRevenueColumnAmt>
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        <SecuritiesAmt>1323944</SecuritiesAmt>
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      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1154634</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>169310</TotalRevenueColumnAmt>
        <ExclusionAmt>169310</ExclusionAmt>
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        <Desc>ADVERTISING</Desc>
        <BusinessCd>541800</BusinessCd>
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        <UnrelatedBusinessRevenueAmt>7800</UnrelatedBusinessRevenueAmt>
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        <ExclusionAmt>1675</ExclusionAmt>
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        <UnrelatedBusinessRevenueAmt>7800</UnrelatedBusinessRevenueAmt>
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        <TotalAmt>16303</TotalAmt>
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        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>7727</TotalAmt>
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      <TotalFunctionalExpensesGrp>
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        <EOYAmt>1777075</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>2093847</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>122127</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-439884</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleC documentId="RetDoc1039700001">
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      <OnlyInHouseLobbyingInd>0</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>0</AgreeCarryoverPriorYearInd>
      <DuesAssessmentsAmt>752536</DuesAssessmentsAmt>
      <NonDeductibleLbbyngPltclCYAmt>36000</NonDeductibleLbbyngPltclCYAmt>
      <NonDeductibleLbbyngPltclTotAmt>36000</NonDeductibleLbbyngPltclTotAmt>
      <AggregateReportedDuesNtcAmt>225761</AggregateReportedDuesNtcAmt>
      <TaxableAmt>-189761</TaxableAmt>
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      <OtherSecuritiesGrp>
        <Desc>CASH AND CASH EQUIVALENTS</Desc>
        <BookValueAmt>261746</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>261746</TotalBookValueSecuritiesAmt>
      <TotalRevEtcAuditedFinclStmtAmt>966132</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-439884</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>-13507</OtherRevenueAmt>
      <RevenueNotReportedAmt>-453391</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>1419523</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>1419523</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>1283889</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>1283889</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>13507</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>13507</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>1297396</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT FEES REPORTED ON FROM 990, PART IX, LINE 11F -13,507.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KANSAS ACADEMY OF ANESTHESIOLOGIST ASSISTANTS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>12904 SHERWOOD DRIVE</AddressLine1Txt>
          <CityNm>LEAWOOD</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66209</ZIPCd>
        </USAddress>
        <RecipientEIN>832754706</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>27500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>LEGISLATIVE SERVICES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ARIZONA ACADEMY OF ANESTHESIOLOGIST ASSISTANTS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6113 S CHERRYWOOD CIRCLE</AddressLine1Txt>
          <CityNm>CENTENNIAL</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80128</ZIPCd>
        </USAddress>
        <RecipientEIN>843689269</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>43000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>LEGISLATIVE SERVICES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PENNSYLVANIA ACADEMY OF ANESTHESIOLOGIST ASSISTANTS INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1150 FIRST AVE STE 511</AddressLine1Txt>
          <CityNm>KING OF PRUSSIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19406</ZIPCd>
        </USAddress>
        <RecipientEIN>861769156</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>35000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>LEGISLATIVE SERVICES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOUTH CAROLINA ACADEMY OF ANESTHESIOLOGIST ASSISTANTS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4020 ATALAYA PLACE</AddressLine1Txt>
          <CityNm>MYRTLE BEACH</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29579</ZIPCd>
        </USAddress>
        <RecipientEIN>464985802</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>35000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>LEGISLATIVE SERVICES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ANESTHESIA PATIENT SAFETY FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 6668</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55903</ZIPCd>
        </USAddress>
        <RecipientEIN>510287258</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>5500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CONTRIBUTION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ILLINOIS ACADEMY OF ANESTHESIOLOGIST ASSISTANTS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>353 W DICKENS AVE APT 3W</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60614</ZIPCd>
        </USAddress>
        <RecipientEIN>862281012</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>22500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>LEGISLATIVE SERVICES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEW MEXICO ACADEMY OF ANESTHESIOLOGIST ASSISTANTS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 80514</AddressLine1Txt>
          <CityNm>ALBUQUERQUE</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>87198</ZIPCd>
        </USAddress>
        <RecipientEIN>460974285</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>LEGISLATIVE SERVICES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEVADA ACADEMY OF ANESTHESIOLOGIST ASSISTANTS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4660 SOMMERVILLE WAY</AddressLine1Txt>
          <CityNm>RENO</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89519</ZIPCd>
        </USAddress>
        <RecipientEIN>872233778</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>17500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>LEGISLATIVE SERVICES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WASHINGTON ACADEMY OF ANESTHESIOLOGIST ASSISTANTS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>227 W 40TH AVE</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99203</ZIPCd>
        </USAddress>
        <RecipientEIN>871894069</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>32500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>LEGISLATIVE SERVICES</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>8</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE LEGISLATIVE FUND SUBCOMMITTEE CHAIR SUBMITS A WRITTEN REPORT AT EACH BOARD MEETING. THE LEGISLATIVE COMMITTEE CHAIR MUST ALSO SUBMIT A REPORT OF ALLOCATED FUNDS TWICE EACH YEAR IN THE ASSOCIATION NEWSLETTER AS WELL AS A REPORT GIVEN DURING THE ANNUAL MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AAAA EMPLOYS ASSOCIATION MANAGEMENT PARTNERS &amp; EXECUTIVE DIRECTORS, LLC, A MANAGEMENT COMPANY, TO PROVIDE THE FOLLOWING SERVICES: ADMINISTRATION/HEADQUARTERS; ADVOCACY OVERSIGHT AND DEVELOPMENT; BOARD, GOVERNANCE AND COMMITTEE SUPPORT; FINANCIAL MANAGEMENT; MARKETING, COMMUNICATIONS AND WEB; MEETING AND EVENT MANAGEMENT; AND MEMBERSHIP GROWTH AND MANAGEMENT. PAYMENT FOR SALARIES, BENEFITS, AND OVERHEAD IS COVERED UNDER THE CONTRACT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>AAAA UPDATED ITS BYLAWS TO INCLUDE THE EXPANSION OF THE BOARD TO GIVE INCREASED REPRESENTATION OF CERTIFIED ANESTHESIOLOGIST ASSISTANT (CAA) BY ADDING THREE AT-LARGE BOARD SEATS TO THE AAAA BOARD AND EQUAL GEOGRAPHICAL REPRESENTATION OF THE REMAINING SEVEN BOARD SEATS BY THE FORMATION OF FOUR REGIONAL CAUCUSES IN THE UNITED STATES. THE REGIONAL CAUCUSES WILL RECEIVE A NUMBER OF BOARD SEATS BASED ON THE POPULATION OF CAAS WITHIN THAT CAUCUS. THE EXPANDED BOARD WILL HELP AAAA MAINTAIN EQUAL REPRESENTATION OF THE CAA POPULATION THROUGHOUT THE UNITED STATES AND WILL HELP OUR EFFORTS TO CONTINUE TO EXPAND AS A COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS THE FOLLOWING CLASSES OF MEMBERSHIP: FELLOW, STUDENT, EMERITUS, PHYSICIAN AFFILIATE, AND AFFILIATE. FELLOW MEMBERS ARE THOSE MEMBERS OF THE AAAA WHO (I) ARE GRADUATES OF AN APPROVED PROGRAM FOR THE TRAINING OF AAS; (II) ARE CURRENTLY LICENSED, CERTIFIED, OR OTHERWISE SANCTIONED TO PRACTICE AS A AA; AND (III) DEMONSTRATE THE IDEALS AND PRINCIPLES FOR WHICH THE AAAA STANDS. FELLOW MEMBERS OF THE AAAA SHALL HAVE (I) THE RIGHT TO VOTE IN ALL ELECTIONS, GENERAL AND SPECIAL; (II) THE RIGHT TO HOLD OFFICE POSITIONS; AND (III) THE RIGHT TO ENJOY ALL BENEFITS WHICH SHALL ACCRUE TO THE AAAA. STUDENT MEMBERS ARE THOSE MEMBERS OF THE AAAA WHO (I) ARE CURRENTLY ENROLLED IN, OR (II) HAVE RECENTLY GRADUATED FROM, AN APPROVED PROGRAM FOR THE TRAINING OF AAS. STUDENT MEMBERS WILL RETAIN STUDENT MEMBERSHIP STATUS UNTIL THE NEXT DUES CYCLE, AT WHICH POINT THEY ARE ELIGIBLE TO APPLY FOR FELLOW STATUS. STUDENT MEMBERS MAY ENJOY ALL RIGHTS AND PRIVILEGES OF MEMBERSHIP IN THE AAAA; PROVIDED, HOWEVER, THAT STUDENT MEMBERS MAY NOT HOLD GENERAL OFFICE POSITIONS, OR VOTE EXCEPT AS SET FORTH IN THE BYLAWS. EMERITUS MEMBERS ARE PERSONS OF DISTINCTION WHO HAVE RENDERED OUTSTANDING SERVICE TO THE AAAA AND ARE NOMINATED TO EMERITUS MEMBERSHIP BY THE MEMBERSHIP COMMITTEE AND ELECTED BY THE BOARD. EMERITUS MEMBERS ARE ENTITLED TO ALL RIGHTS AND PRIVILEGES OF FELLOW MEMBERS, ARE NOT REQUIRED TO PAY DUES, FINES OR ASSESSMENTS, AND ARE ELECTED TO THE AAAA FOR LIFE. PHYSICIAN AFFILIATE MEMBERS ARE ALLOPATHIC AND OSTEOPATHIC PHYSICIANS LICENSED TO PRACTICE IN THE UNITED STATES OF AMERICA WHO SUPPORT THE IDEALS AND PRINCIPLES FOR WHICH THE AAAA STANDS. PHYSICIAN AFFILIATE MEMBERS SHALL ENJOY ALL BENEFITS, WHICH SHALL ACCRUE TO THE AAAA, BUT ARE NOT ENTITLED TO VOTE AND MAY NOT HOLD ANY OFFICE POSITION. AFFILIATE MEMBERS ARE ANY ANESTHESIA ADJACENT PROFESSION INCLUDING BUT NOT LIMITED TO RESPIRATORY THERAPISTS, ANESTHESIA TECHNICIANS, PRE-AA STUDENTS IN A FOUR-YEAR UNIVERSITY, AND INTERNATIONAL ANESTHESIOLOGIST ASSISTANT EQUIVALENTS. THIS MEMBERSHIP CATEGORY CANNOT VOTE OR HOLD OFFICE POSITIONS WITHIN AAAA BUT ARE ENTITLED TO AFFILIATE MEMBER BENEFITS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>FELLOW MEMBERS HAVE THE RIGHT TO ELECT THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S BYLAWS MAY BE AMENDED, OR REGULATIONS MAY BE ADOPTED, BY EITHER THE VOTE OF A TWO-THIRDS MAJORITY OF THE ELIGIBLE VOTING MEMBERS OF THE AAAA PRESENT IN PERSON AT A GENERAL OR SPECIAL MEETING HELD FOR SUCH PURPOSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS PROVIDED A COMPLETE COPY OF THE FORM 990 TO THE TREASURER AND EXECUTIVE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DIRECTORS AND OFFICERS ANNUALLY COMPLETE AND SIGN A CONFLICTS OF INTEREST STATEMENT. THE SIGNED STATEMENTS ARE KEPT AT THE ORGANIZATION'S OFFICE. THE DIRECTORS MAKE DETERMINATIONS OF WHETHER A CONFLICT EXISTS AND REVIEW ACTUAL CONFLICTS. ANY PERSON WITH A CONFLICT IS PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS IN THE TRANSACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>EDUCATION TO MEMBERS 84,000. STATE AFFAIRS CONSULTING 150,000. OTHER CONTRACT SERVICES 50,490.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
