<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2022v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2023-12-06T11:29:24-06:00</ReturnTs>
    <TaxPeriodEndDt>2023-04-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>341310124</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>REA &amp; ASSOCIATES INC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>230 N MARKET ST</AddressLine1Txt>
        <CityNm>WOOSTER</CityNm>
        <StateAbbreviationCd>OH</StateAbbreviationCd>
        <ZIPCd>44691</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2022-05-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>341740695</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>CENTRAL AMERICAN MEDICAL OUTREACH</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>INC</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>CENT</BusinessNameControlTxt>
      <PhoneNum>3306835956</PhoneNum>
      <USAddress>
        <AddressLine1Txt>322 WESTWOOD AVE</AddressLine1Txt>
        <CityNm>ORRVILLE</CityNm>
        <StateAbbreviationCd>OH</StateAbbreviationCd>
        <ZIPCd>44667</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>MORGAN DURST</PersonNm>
      <PersonTitleTxt>TREASURER</PersonTitleTxt>
      <PhoneNum>3306835956</PhoneNum>
      <SignatureDt>2023-12-06</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>MORGAN</PersonFirstNm>
        <PersonLastNm>DURST</PersonLastNm>
      </PersonFullName>
      <SSN>999009999</SSN>
    </SigningOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>0</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>ANDREA HOSTETLER CPA</PreparerPersonNm>
      <PTIN>P00607721</PTIN>
      <PhoneNum>3302640791</PhoneNum>
      <PreparationDt>2023-12-06</PreparationDt>
    </PreparerPersonGrp>
    <AdditionalFilerInformation>
      <TrustedCustomerGrp>
        <TrustedCustomerCd>2</TrustedCustomerCd>
        <AuthenticationAssuranceLevelCd>AAL1</AuthenticationAssuranceLevelCd>
        <IdentityAssuranceLevelCd>IAL1</IdentityAssuranceLevelCd>
      </TrustedCustomerGrp>
    </AdditionalFilerInformation>
    <TaxYr>2022</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>KATHRYN TSCHIEGG RN BBA</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>14821 BURKHART RD</AddressLine1Txt>
        <CityNm>ORRVILLE</CityNm>
        <StateAbbreviationCd>OH</StateAbbreviationCd>
        <ZIPCd>44667</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>3358315</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.CAMO.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1993</FormationYr>
      <LegalDomicileStateCd>OH</LegalDomicileStateCd>
      <ActivityOrMissionDesc>CAMO'S MISSION IS TO IMPROVE THE QUALITY OF LIFE OF PEOPLE IN CENTRAL AMERICA BY STRENGTHENING HEALTH CARE SYSTEMS AND PROMOTING SUSTAINABLE COMMUNITY DEVELOPMENT.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>8</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>8</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>6</TotalEmployeeCnt>
      <TotalVolunteersCnt>141</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>3844883</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>3142667</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>0</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>0</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>2984</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>-9396</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>55864</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>49440</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>3903731</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>3182711</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>210166</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>185564</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>271793</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>242045</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>63579</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>3714902</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>2373671</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>4196861</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>2801280</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-293130</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>381431</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>1259322</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>1638065</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>279889</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>279549</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>979433</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>1358516</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>CAMO IS A HUMANITARIAN ORGANIZATION THAT IMPROVES THE LIVES OF PEOPLE BY STRENGTHENING HEALTH CARE SYSTEMS AND PROMOTING SUSTAINABLE COMMUNITY DEVELOPMENT.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>1997131</ExpenseAmt>
      <Desc>MEDICAL SERVICES: CAMO'S MEDICAL PROGRAMS IN HONDURAS PROVIDE SERVICES THAT OTHERWISE WOULD BE IMPOSSIBLE FOR PATIENTS TO RECEIVE IN A DEVELOPING COUNTRY. INSTEAD OF USING A BAND-AID APPROACH TO CARE, CAMO TREATS THE WHOLE INDIVIDUAL WITH DIGNITY, RESPECT, AND FOLLOW-THROUGH. THROUGH THE GENEROSITY OF DONORS IN THE USA AND HONDURAS, LIFE-SAVING SUPPLIES AND EQUIPMENT ARE INTEGRATED INTO OUR 25 MEDICAL PROGRAMS IN WOMEN'S HEALTH (ULTRASOUND, CERVICAL CANCER, MAMMOGRAPHY); SERVICES FOR DISABILITIES (AUDIOLOGY LAB, ORTHOTIC/ PROSTHETIC LAB, WHEELCHAIR REPAIR) GENERAL MEDICAL (NEUROLOGY, DENTISTRY, OPHTHALMOLOGY, PSYCHOLOGY, DERMATOLOGY) SURGICAL PROGRAMS (NEUROSURGERY, ENDOSCOPY, UROLOGY, PLASTIC SURGERY), AND MEDICAL EQUIPMENT/BIOMEDICINE.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>31519</ExpenseAmt>
        <Desc>TRAINING AND EDUCATION: WHEN CAMO ESTABLISHES A SERVICE, IMPROVES A FACILITY OR INSTALLS NEW EQUIPMENT, EDUCATION AND TRAINING ARE ALWAYS PROVIDED. CAMO IS THE SOLE NATIONAL TRAINING CENTER FOR THE AMERICAN HEART ASSOCIATION IN HONDURAS, TRAINING 1500 PHYSICIANS, NURSES AND PARAMEDICS ANNUALLY IN CPR AND NEONATAL, PEDIATRIC, AND ADULT ADVANCED LIFE SUPPORT. TO ADDRESS THE LACK OF STANDARDIZED NURSING CARE, CAMO'S KATHRYN TSCHIEGG WROTE, PUBLISHED AND DISSEMINATED 1,100 NURSING PROTOCOL MANUALS THAT COVER 140 COMMON STANDARDIZED PROCEDURES. COMMONPLACE IN THE U.S., THESE MANUALS ARE NOW BEING USED IN HONDURAN UNIVERSITIES/HOSPITALS NATIONWIDE. DURING THE PANDEMIC, CAMO HONDURAS WAS CHOSEN TO ADMINISTER A $1.6 MILLION CONTRACT WITH THE U.S. INTER-AMERICAN DEVELOPMENT BANK (USAID) AND THE MINISTER OF HEALTH TO COORDINATE THE COVID-19 RESPONSE, ADMINISTER HEALTH CARE AND TRIAGE CENTERS, HIRE PANDEMIC PERSONNEL IN THREE STATES OF HONDURAS, PURCHASE PPE AND MEDICAL SUPPLIES FOR CLINICS/HOSPITALS, AND EDUCATE PATIENTS/STAFF IN COVID. IN ADDITION, CAMO PROVIDED FIVE HOSPITALS WITH VENTILATORS, C-PAP MACHINES AND RESPIRATORY SUPPLIES SAVING THOUSANDS OF LIVES. SINCE RESPIRATORY THERAPISTS DO NOT EXIST IN HONDURAS, CAMO USA RESPIRATORY VOLUNTEERS REMOTELY TRAINED HONDURAN MEDICAL STAFF IN VENTILATOR USE. CAMO COLLABORATES WITH THE TECHNICAL SCHOOL OF ARTS AND TRADES SERVING WESTERN HONDURAS IN PROVIDING TECHNICAL TRAINING TO MEET THE DEMANDS OF THE LABOR FORCE. ANNUALLY, 600 TEENAGERS AGES 13-18 YEARS OLD COMPLETE PROGRAMS IN AREAS SUCH AS WELDING, CARPENTRY, COMPUTER, AND CULINARY.CAMO'S HEALTH AND EDUCATION PROGRAM PROVIDES TEACHER PROFESSIONAL DEVELOPMENT AND TEXTBOOKS TO 13 RURAL VILLAGES. LAST YEAR, CAMO PROVIDED 2,130 DENTAL, NUTRITIONAL, OPHTHALMOLOGICAL, AND AUDIOMETRY SERVICES IN REMOTE SCHOOLS.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>386314</ExpenseAmt>
        <GrantAmt>185564</GrantAmt>
        <Desc>COMMUNITY DEVELOPMENT: CAMO BELIEVES THAT HOLISTIC HEALTH INCLUDES LIVING IN A HEALTHY ENVIRONMENT. SINCE 2004, CAMO HAS PARTNERED WITH HONDURAN CITY LEADERS TO FILL GAPS IN THE COMMUNITY AND IMPROVE QUALITY OF LIFE. CAMO PROVIDES COMMUNITY DEVELOPMENT SERVICES TO THE REGION TO DEVELOP GOOD CITIZENS, COMBAT CRIME AND FEAR, AND PROMOTE SECURITY AND WELL-BEING THROUGH: PUBLIC DAYCARE FOR 90 LOW-INCOME, AT-RISK CHILDREN RECOGNIZED BY THE GOVERNMENT FOR BEST PRACTICES IN PREPARING KINDERGARTENERS AND INSTILLING POSITIVE BEHAVIOR AND ATTITUDES. DOMESTIC VIOLENCE SHELTER CAN HOUSE 100 WOMEN/CHILDREN WITH COMPREHENSIVE HOLISTIC PROGRAMMING (COOKING, NUTRITION, PARENTING AND ACCESS TO EDUCATION/JOB PLACEMENT, MEDICAL CARE, AND LEGAL ADVICE). COMMUNITY RECREATION CENTER SERVING 600/DAY AND 1000/WEEKEND (ONLY GYM FOR 1 MILLION PEOPLE) WITH TRANSPORTATION FROM SCHOOLS, INTRAMURALS, WEIGHT ROOM AND AEROBIC CLASSES. YOUTH MENTORING CENTER WITH BOYS/GIRLS CLUB AND CHARACTER DEVELOPMENT PROGRAMS, A CAFETERIA WITH MICROBUSINESS, NUTRITION, AND HEALTH PROGRAMS.AS A RESULT OF THESE SUCCESSFUL CAMO INITIATIVES, SANTA ROSA DE COPAN HAS BEEN NAMED THE "SAFEST CITY" IN HONDURAS A COUNTRY THAT IS DEEMED VERY VIOLENT BASED ON ITS MURDER RATE.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>124032</ExpenseAmt>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>124032</TotalOtherProgSrvcExpenseAmt>
      <TotalProgramServiceExpensesAmt>2538996</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd>0</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>0</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1039900001">1</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1039900001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1039900001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1039900001">0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>1</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1039900001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1039900001">1</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1039900001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1039900001">1</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1039900001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1039900001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1039900001">0</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1039900001">1</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd referenceDocumentId="RetDoc1040500001">0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd referenceDocumentId="RetDoc1040500001">1</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd referenceDocumentId="RetDoc1040500001">0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc1041300001">0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc1041300001">1</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc1041300001">0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd>0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd>0</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="RetDoc1042900001">1</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd referenceDocumentId="RetDoc1042900001">0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd>0</DisregardedEntityInd>
      <RelatedEntityInd>0</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>1</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>6</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>1</ForeignFinancialAccountInd>
      <ForeignCountryCd>HO</ForeignCountryCd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>8</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>8</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>0</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>0</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>OH</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>KATHRYN TSCHIEGG RN BBA</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>3306835956</PhoneNum>
        <USAddress>
          <AddressLine1Txt>322 WESTWOOD AVENUE</AddressLine1Txt>
          <CityNm>ORRVILLE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44667</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>RON TAGGART</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RUTH BROWN</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRENT DEVORE</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MORGAN DURST</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BETH MILLER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GLENDA LEHMAN ERVIN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN MICHAEL WEEMAN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHRYN TSCHIEGG RN BBA</PersonNm>
        <TitleTxt>FOUNDER AND DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>55.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>88500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>88500</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>0</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>0</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>3142667</AllOtherContributionsAmt>
      <NoncashContributionsAmt>2137006</NoncashContributionsAmt>
      <TotalContributionsAmt>3142667</TotalContributionsAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2606</TotalRevenueColumnAmt>
        <ExclusionAmt>2606</ExclusionAmt>
      </InvestmentIncomeGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>12002</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-12002</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-12002</TotalRevenueColumnAmt>
        <ExclusionAmt>-12002</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>183387</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>126754</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>56633</TotalRevenueColumnAmt>
        <ExclusionAmt>56633</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GrossSalesOfInventoryAmt>28815</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>36848</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-8033</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-8033</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>840</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>840</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>840</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>3182711</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-7193</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>47237</ExclusionAmt>
      </TotalRevenueGrp>
      <ForeignGrantsGrp>
        <TotalAmt>185564</TotalAmt>
        <ProgramServicesAmt>185564</ProgramServicesAmt>
      </ForeignGrantsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>88500</TotalAmt>
        <ProgramServicesAmt>36285</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43365</ManagementAndGeneralAmt>
        <FundraisingAmt>8850</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>128035</TotalAmt>
        <ProgramServicesAmt>52494</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62736</ManagementAndGeneralAmt>
        <FundraisingAmt>12805</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>5572</TotalAmt>
        <ProgramServicesAmt>2285</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2730</ManagementAndGeneralAmt>
        <FundraisingAmt>557</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>5298</TotalAmt>
        <ProgramServicesAmt>2172</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2596</ManagementAndGeneralAmt>
        <FundraisingAmt>530</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>14640</TotalAmt>
        <ProgramServicesAmt>6002</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7174</ManagementAndGeneralAmt>
        <FundraisingAmt>1464</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>1706</TotalAmt>
        <ManagementAndGeneralAmt>1706</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>11247</TotalAmt>
        <ManagementAndGeneralAmt>11247</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <AdvertisingGrp>
        <TotalAmt>32355</TotalAmt>
        <FundraisingAmt>32355</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>23306</TotalAmt>
        <ProgramServicesAmt>9555</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11420</ManagementAndGeneralAmt>
        <FundraisingAmt>2331</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>15409</TotalAmt>
        <ProgramServicesAmt>6318</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7550</ManagementAndGeneralAmt>
        <FundraisingAmt>1541</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>82885</TotalAmt>
        <ProgramServicesAmt>82885</ProgramServicesAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>9914</TotalAmt>
        <ProgramServicesAmt>4065</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4858</ManagementAndGeneralAmt>
        <FundraisingAmt>991</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>6870</TotalAmt>
        <ProgramServicesAmt>2817</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3366</ManagementAndGeneralAmt>
        <FundraisingAmt>687</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES &amp; EQUIPMENT</Desc>
        <TotalAmt>1923429</TotalAmt>
        <ProgramServicesAmt>1923429</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER SPECIAL PROJECTS</Desc>
        <TotalAmt>113671</TotalAmt>
        <ProgramServicesAmt>113671</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>POSTAGE AND SHIPPING</Desc>
        <TotalAmt>81180</TotalAmt>
        <ProgramServicesAmt>81180</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS EXPENSE</Desc>
        <TotalAmt>32764</TotalAmt>
        <ManagementAndGeneralAmt>32764</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>38935</TotalAmt>
        <ProgramServicesAmt>30274</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7193</ManagementAndGeneralAmt>
        <FundraisingAmt>1468</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>2801280</TotalAmt>
        <ProgramServicesAmt>2538996</ProgramServicesAmt>
        <ManagementAndGeneralAmt>198705</ManagementAndGeneralAmt>
        <FundraisingAmt>63579</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>220405</BOYAmt>
        <EOYAmt>189164</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>392794</BOYAmt>
        <EOYAmt>504795</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>5253</BOYAmt>
        <EOYAmt>3000</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <EOYAmt>213578</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>16744</BOYAmt>
        <EOYAmt>16744</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>521981</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>241055</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>255976</BOYAmt>
        <EOYAmt>280926</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>87631</BOYAmt>
        <EOYAmt>87631</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>280519</BOYAmt>
        <EOYAmt>342227</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>1259322</BOYAmt>
        <EOYAmt>1638065</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>29889</BOYAmt>
        <EOYAmt>29549</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>250000</BOYAmt>
        <EOYAmt>250000</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>279889</BOYAmt>
        <EOYAmt>279549</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>805174</BOYAmt>
        <EOYAmt>1144780</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>174259</BOYAmt>
        <EOYAmt>213736</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>979433</BOYAmt>
        <EOYAmt>1358516</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1259322</BOYAmt>
        <EOYAmt>1638065</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>381431</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-1685</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-663</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>1</AccountantCompileOrReviewInd>
      <AcctCompileOrReviewBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </AcctCompileOrReviewBasisGrp>
      <FSAuditedInd>0</FSAuditedInd>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>2228122</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1513300</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4047362</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3844883</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3142667</CurrentTaxYearAmt>
        <TotalAmt>14776334</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>2228122</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1513300</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4047362</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3844883</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3142667</CurrentTaxYearAmt>
        <TotalAmt>14776334</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>14776334</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>2069</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1302</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1724</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2503</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2606</CurrentTaxYearAmt>
        <TotalAmt>10204</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearMinus4YearsAmt>46983</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>33117</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>47622</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1680</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>840</CurrentTaxYearAmt>
        <TotalAmt>130242</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <TotalSupportAmt>14916780</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>83895</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99060</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.98500</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1039900001">
      <DonorAdvisedFundsContriAmt>50820</DonorAdvisedFundsContriAmt>
      <DonorAdvisedFundsVlEOYAmt>230140</DonorAdvisedFundsVlEOYAmt>
      <DisclosedOrgLegCtrlInd>0</DisclosedOrgLegCtrlInd>
      <DisclosedForCharitablePrpsInd>0</DisclosedForCharitablePrpsInd>
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>185630</BeginningYearBalanceAmt>
        <ContributionsAmt>50820</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-4363</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>1947</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>230140</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>72688</BeginningYearBalanceAmt>
        <ContributionsAmt>114110</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-389</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>779</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>185630</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>45678</BeginningYearBalanceAmt>
        <ContributionsAmt>16250</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>11070</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>310</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>72688</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>35678</BeginningYearBalanceAmt>
        <ContributionsAmt>11625</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-1383</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>242</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>45678</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>34615</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>1235</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>172</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>35678</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>1.00000</BoardDesignatedBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>1</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>55602</OtherCostOrOtherBasisAmt>
        <BookValueAmt>55602</BookValueAmt>
      </LandGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>466379</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>241055</DepreciationAmt>
        <BookValueAmt>225324</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>280926</TotalBookValueLandBuildingsAmt>
      <CloselyHeldEquityInterestsGrp>
        <BookValueAmt>87631</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </CloselyHeldEquityInterestsGrp>
      <TotalBookValueSecuritiesAmt>87631</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>ENDOWMENT FUND HELD BY OTHERS</Desc>
        <BookValueAmt>230140</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>CASH SURRENDER VALUE OF LIFE INS.</Desc>
        <BookValueAmt>112087</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>342227</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>SUPPLEMENTAL BENEFIT PLAN</Desc>
        <Amt>250000</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>250000</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>4288416</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-1684</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>640549</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>466841</OtherRevenueAmt>
      <RevenueNotReportedAmt>1105706</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>3182710</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>1</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>1</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>3182711</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3899503</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>640549</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>457675</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>1098224</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2801279</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>1</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>1</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>2801280</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ADOPTED THE PROVISIONS OF FASB ASC 740-10, (FORMERLY FIN 48 ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES), WHICH PRESCRIBES A RECOGNITION THRESHOLD AND A MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. FOR THOSE BENEFITS TO BE RECOGNIZED, A TAX POSITION MUST BE MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. THE AMOUNT RECOGNIZED IS MEASURED AS THE AMOUNT OF BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED UPON ULTIMATE SETTLEMENT. AS A RESULT OF THE IMPLEMENTATION OF THIS STANDARD, MANAGEMENT DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS. AS A NOT-FOR-PROFIT ORGANIZATION, CAMO IS GENERALLY EXEMPT FROM FEDERAL INCOME TAXES UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND EXEMPT FROM OHIO INCOME TAXES. HOWEVER, INSSA, CAMO'S FOR PROFIT SUBSIDIARY, HAS A TAX PROVISION IN THE AMOUNT OF $0 INCLUDED IN INSSA'S EXPENSES FOR THE YEARS ENDED APRIL 30, 2023 AND 2022</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INSSA SALES 466,841.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>ROUNDING 1.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INSSA DEPRECIATION 5,334. INSSA PROGRAM EXPENSES 452,341.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>ROUNDING 1.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="RetDoc1040500001">
      <GrantRecordsMaintainedInd>0</GrantRecordsMaintainedInd>
      <SubtotalOfficesCnt>0</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>0</SubtotalEmployeesCnt>
      <ContinuationTotalOfficeCnt>0</ContinuationTotalOfficeCnt>
      <ContinuationTotalEmployeeCnt>0</ContinuationTotalEmployeeCnt>
      <TotalOfficeCnt>0</TotalOfficeCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <SubtotalSpentAmt>0</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>0</TotalSpentAmt>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>HONDURAS</RegionTxt>
        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
        <CashGrantAmt>185564</CashGrantAmt>
        <MannerOfCashDisbursementTxt>ETF</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <TransferToForeignCorpInd>0</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>0</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>0</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III ACCOUNTING METHOD:</FormAndLineReferenceDesc>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>GOLF OUTING</Event1Nm>
        <GrossReceiptsEvent1Amt>32480</GrossReceiptsEvent1Amt>
        <GrossRevenueEvent1Amt>32480</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>6970</OtherDirectExpensesEvent1Amt>
        <Event2Nm>SALSA SIZZLE</Event2Nm>
        <GrossReceiptsEvent2Amt>47472</GrossReceiptsEvent2Amt>
        <GrossRevenueEvent2Amt>47472</GrossRevenueEvent2Amt>
        <OtherDirectExpensesEvent2Amt>9795</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>1</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>103435</GrossReceiptsOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>103435</GrossRevenueOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>109989</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>183387</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>183387</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>126754</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>126754</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>56633</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>MEDICAL SUPPLIES AND EQUIPMENT</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>2137006</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>CATALOG/ESTIMATE</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION (CONTINUED)</FormAndLineReferenceDesc>
        <ExplanationTxt>CAMO WAS FOUNDED IN 1993 BY KATHRYN TSCHIEGG, RN, BBA AFTER SERVING AS A PEACE CORPS NURSE AT THE HOSPITAL DE OCCIDENTE. TODAY, CAMO IS ONE OF THE MOST RECOGNIZED NON-PROFIT ORGANIZATIONS IN WESTERN HONDURAS. ANNUALLY, CAMO HONDURAS' 55-MEMBER STAFF PROVIDES 120,000 DIRECT SERVICES. OVER THE PAST NEARLY THREE DECADES, IT IS ESTIMATED THAT AS MANY AS 2.9 MILLION LIVES HAVE BEEN SAVED DIRECTLY AND INDIRECTLY AS A RESULT OF CAMO'S 22 MEDICAL SERVICES INCLUDING NEUROSURGERY, OPHTHALMOLOGY, PROSTHETICS AND CERVICAL CANCER. CAMO TRAINS MEDICAL PERSONNEL IN SURGERY, ORTHOPEDICS, RESPIRATORY CARE, EMERGENCY CARE, ADVANCED LIFE SUPPORT, NUTRITION, AND NURSING PROTOCOLS. CAMO'S EDUCATION PROGRAM PROVIDES TEACHER PROFESSIONAL DEVELOPMENT AND TEXTBOOKS TO 13 RURAL VILLAGES. CAMO PARTNERS WITH HONDURAN CITY LEADERS IN COMMUNITY DEVELOPMENT AND EDUCATION TO IMPROVE THE QUALITY OF LIFE MAKING SANTA ROSA DE COPN ONE OF THE SAFEST CITIES. INSTEAD OF FALLING INTO VIOLENT STREET LIFE, CAMO'S SUCCESSFUL COMMUNITY DEVELOPMENT INITIATIVES PROMOTE POSITIVE CHANGE AND EQUITABLE SOCIETY, YOUTH TAKE ADVANTAGE OF HEALTHY ACTIVITIES AT THE COMMUNITY GYM, ENRICH THEIR ARTISTIC CREATIVITY AT THE CULTURAL CENTER, AND LEARN VALUABLE SKILLS AT THE TRADE SCHOOL. CHILDREN RECEIVE A SAFE, NUTRITIOUS HEAD START AT THE PUBLIC DAYCARE CENTER. WOMEN AND CHILDREN ARE SAFE AT CAMO'S DOMESTIC VIOLENCE SHELTER AND ARE EMPOWERED LEARNING SKILLS VIA MICROBUSINESSES. CAMO USA, LOCATED IN ORRVILLE, OHIO, UTILIZES 5 STAFF AND HUNDREDS OF VOLUNTEERS TO RAISE FUNDING AND SECURE DONATED MEDICAL SUPPLIES (VALUED AT $2 MILLION ANNUALLY AND SHIPPED IN TEN CONTAINERS/YEAR. CAPITAL IMPROVEMENTS CAMO HAS INVESTED NEARLY $4 MILLION IN CAPITAL IMPROVEMENTS IN SANTA ROSA DE COPAN, HONDURAS, TO COMBAT CRIME AND FEAR AND PROMOTE A SAFE, EQUITABLE AND HEALTHY SOCIETY IN THE FOLLOWING AREAS: MEDICAL SYSTEM FACILITIES: AT THE PUBLIC HOSPITAL (SERVING 35,000/YEAR), CAMO RENOVATED THE FOLLOWING DEPARTMENTS: PEDIATRIC, EMERGENCY, X-RAY &amp; DIAGNOSTIC, NICU (SERVING 2,000 NEWBORNS ANNUALLY), ENDOSCOPY, KITCHEN, LAUNDRY AND CAMO INSTALLED NEW ELECTRICAL SYSTEM WITH BACK-UP GENERATORS AND MEDICAL COMPRESSED AIR. CAMO CONSTRUCTED AND MAINTAINS THE INFRASTRUCTURE FOR THE COUNTRY'S LARGEST PUBLIC HEALTH CENTER, SERVING 800 PATIENTS PER DAY IN SANTA ROSA DE COPAN (PROJECT COST - $680,235). EDUCATION FACILITIES: CAMO BUILT AN ACADEMY HIGHER LEARNING IN 2017 WITH NINE STATE-OF-THE-ART CLASSROOMS, EQUIPPED WITH VIDEO-CONFERENCING, A COMPUTER LAB, A NURSING PROTOCOL LAB/CLASSROOM, A LAB/CLASSROOM WITH BIOMEDICAL MODALITIES, AND A LARGE CONFERENCE ROOM THAT IS RENTED BY OUTSIDE ASSOCIATIONS/GROUPS. NOW THE ACADEMY IS BEING RUN BY A NON-PROFIT CALLED YO QUIERO SER. THE ACADEMY ALLOWS TALENTED STUDENTS FROM RURAL AND URBAN HONDURAS TO RECEIVE TRAINING WHO WOULD OTHERWISE NOT HAVE ACCESS. UPON SUCCESSFUL PROGRAM COMPLETION, THESE STUDENTS PROVIDE THE IMPORTANT AND NECESSARY LEADERSHIP AND TECHNICAL SKILLS TO THE HONDURAN HEALTHCARE WORKFORCE. COMMUNITY DEVELOPMENT FACILITIES: CAMO BUILT AND CONTINUES TO MAINTAIN THE LARGEST DOMESTIC VIOLENCE SHELTER IN CENTRAL AND SOUTH AMERICA, HOUSING OVER 44 INDIVIDUALS AT ONE TIME. CAMO REBUILT THE COMMUNITY GYM IN 2004 WHICH SERVES 600 PEOPLE DAILY AND CREATES ENOUGH REVENUE STREAMS TO BE SELF-SUSTAINING. CAMO ALSO SUPPORTS THE PUBLIC DAYCARE CENTER WITH FOOD, MEDICINE, AND EMPLOYS A FULL-TIME TEACHER. RELATIONSHIPS MAKE CAMO UNIQUE. CAMO BUILDS MULTI-DISCIPLINARY NETWORKS AMONG MEDICAL EXPERTS, TRADE PROFESSIONALS, AND THOSE IN LEADERSHIP DEVELOPMENT. CAMO-USA PROFESSIONALS COMMIT TO LONG-TERM COUNTERPART RELATIONSHIPS WITH CAMO'S HONDURAN PROFESSIONALS TO PROMOTE POSITIVE, FORWARD CHANGE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>DISTRIBUTED TO THE VARIOUS BOARD MEMBERS FOR QUESTIONS AND/OR CHANGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH CONFLICT OF INTEREST IN ACCORDANCE WITH THE ORGANIZATION'S WRITTEN POLICY. OTHER POLICIES INCLUDE WHISTLE BLOWING POLICY, DONOR PRIVACY POLICY AND RETENTION OF RECORD POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING COMPENSATION FOR THE ORGANIZATION'S EXECUTIVE DIRECTOR AND OTHER TOP MANAGEMENT OFFICIALS WAS COMPLETED INACCORDANCE WITH THE ORGANIZATION'S WRITTEN POLICY. THE PROCESS FOR DETERMINING COMPENSATION FOR THE ORGANIZATION'S OTHER OFFICERS AND KEY EMPLOYEES WAS COMPLETED IN ACCORDANCE WITH THE ORGANIZATION'S WRITTEN POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CUMULATIVE TRANSLATION ADJUSTMENT -663.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS DID NOT CHANGE FROM LAST YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
