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        <StateAbbreviationCd>IA</StateAbbreviationCd>
        <ZIPCd>51501</ZIPCd>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATIONS EXEMPT UNDER CODE SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ARE HOLDERS OF INTEREST IN THE CORPORATION AND ARE ENTITLED EQUAL SHARE OF THE INCOME OF THE CORPORATION, LESS OR NET OF EXPENSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH HOLDER OF INTEREST IN THE CORPORATION SHALL DESIGNATE A DIRECTOR WHO SHALL BE AN EXECUTIVE LEVEL EMPLOYEE OF THE RESPECTIVE HOLDER OF INTEREST'S ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING BODY DOES NOT HAVE COMMITTEES WITH THE AUTHORITY TO ACT ON ITS BEHALF. THUS, THERE IS NO DOCUMENTATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A DRAFT OF THE FORM 990 IS REVIEWED BY MEMBERS OF THE ORGANZATION WHO PREPARE A LIST OF QUESTIONS FOR THE PREPARER. CHANGES ARE MADE AS NECESSARY AND THE RETURN IS FINALIZED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ALL APPLICABLE DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CAMPUS COORDINATOR 82,298.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHARLES E. LAKIN HUMAN SERVICES CAMPUS WILL OFFER VARIOUS SERVICES FOR LOW-INCOME INDIVIDUALS INCLUDING HOUSING, EMERGENCY ASSISTANCE, SHELTER, PARENTING CLASSES AND AFTERSCHOOL ACTIVITIES THROUGH EACH OF THE FOLLOWING ENTITIES: BOYS AND GIRLS CLUB OF THE MIDLANDS (OMAHA, NE), HEARTLAND FAMILY SERVICE (OMAHA, NE), THE SALVATION ARMY/COUNCIL BLUFFS CORPS (COUNCIL BLUFFS, IA) AND THE MICAH HOUSE (COUNCIL BLUFFS, IA). EACH OF THESE ENTITIES OWN THEIR RESPECTIVE BUILDINGS AND THE LAND UPON WHICH THEY ARE SITUATED. LEGACY FAMILY CAMPUS, INC, AS A SEPARATE NOT-FOR-PROFIT ENTITY, HOLDS TITLE TO THE COMMON AREA PROPERTY OF THE CHARLES E. LAKIN HUMAN SERVICES CAMPUS AND BY PROXY MAINTAINS AND REPAIRS SUCH PROPERTY. MAINTENANCE AND REPAIR EXPENSES WILL BE ALLOCATED EQUALLY BETWEEN EACH OF THE ABOVE ENTITIES. THE EXPENSES WILL BE REIMBURSED BY THESE ENTITIES OR BY THE CHARLES E. LAKIN HUMAN SERVICES CAMPUS FOUNDATION. THE FOUNDATION WAS ESTABLISHED TO ENDOW AND SUPPORT THE MAINTENANCE OF THE CAMPUS AND ITS AGENCIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHARLES E LAKIN HUMAN SERVICES CAMPUS FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1515 AVENUE J</AddressLine1Txt>
          <CityNm>COUNCIL BLUFFS</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>51501</ZIPCd>
        </USAddress>
        <EIN>454639407</EIN>
        <PrimaryActivitiesTxt>SUPPORT THE OPERATIONS OF THE CHARLES E. LAKIN HUMAN SERVICES CAMPUS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>509(A)(3) TYPE I</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CHARLES E LAKIN HUMAN SERVICES CAMPUS FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>E</TransactionTypeTxt>
        <InvolvedAmt>362951</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH TRANSFER</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE R, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION IS A SUPPORTING ORGANIZATION OF FOUR ORGANIZATIONS (HEARTLAND FAMILY SERVICE, BOYS AND GIRLS CLUBS OF THE MIDLANDS, THE SALVATION ARMY AND MICAH HOUSE) IN RELATION TO THEIR OPERATIONS ON THE CHARLES E. LAKIN HUMAN SERVICES CAMPUS AND THEIR PROGRAMS PROVIDING CHARITABLE HUMAN SERVICES TO THE GENERAL PUBLIC AT THE CAMPUS. THE FOUNDATION MAY MAKE DISBURSEMENTS DIRECTLY TO OR REIMBURSE THE COSTS OF THE SUPPORTED ORGANIZATIONS' SHARE OF ROUTINE ADMINISTRATION, MAINTENANCE, REPAIRS AND IMPROVEMENTS OF THE COMMON AREAS OF THE CAMPUS; PAY FOR MAJOR REPAIRS AND IMPROVEMENTS TO THE COMMON AREAS OF THE CAMPUS; OR DISTRIBUTE FUNDS EQUALLY FOR REPAIR AND REFURBISHMENT OF THE SUPPORTED ORGANIZATIONS' FACILITIES ON THE CAMPUS. LEGACY FAMILY CAMPUS, INC. HOLDS TITLE TO THE COMMON CAMPUS REAL PROPERTY AND ASSOCIATED MAINTENANCE COSTS ARE ALLOCATED BETWEEN THE FOUR ORGANZATIONS OPERATING ON THE CAMPUS. AS CONSIDERED NECESSARY, MONEY IS DISBURSED DIRECTLY TO LEGACY FAMILY CAMPUS, INC. BY THE FOUNDATION ON BEHALF OF ITS FOUR SUPPORTED ORGANIZATIONS TO HELP PAY FOR THE ROUTINE MAINTENANCE OF THE COMMON AREA OF THE CAMPUS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
