<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2022v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2023-12-15T09:26:15-05:00</ReturnTs>
    <TaxPeriodEndDt>2023-01-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>562034483</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>NORTON COLLAR LUND LILLEY PLLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>7701 SIX FORKS RD STE 100</AddressLine1Txt>
        <CityNm>RALEIGH</CityNm>
        <StateAbbreviationCd>NC</StateAbbreviationCd>
        <ZIPCd>27615</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2022-02-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>561609591</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>THE ALS ASSOCIATION</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>NORTH CAROLINA CHAPTER</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>ALSA</BusinessNameControlTxt>
      <PhoneNum>9197559001</PhoneNum>
      <USAddress>
        <AddressLine1Txt>4 N BLOUNT STREET SUITE 200</AddressLine1Txt>
        <CityNm>RALEIGH</CityNm>
        <StateAbbreviationCd>NC</StateAbbreviationCd>
        <ZIPCd>27601</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>DAVID SHORE</PersonNm>
      <PersonTitleTxt>PRESIDENT &amp; CEO</PersonTitleTxt>
      <PhoneNum>9197559001</PhoneNum>
      <SignatureDt>2023-12-12</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>JERRY</PersonFirstNm>
        <PersonLastNm>DAWSON</PersonLastNm>
      </PersonFullName>
      <SSN>999009999</SSN>
    </SigningOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>false</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>JON A LUND</PreparerPersonNm>
      <PTIN>P00105848</PTIN>
      <PhoneNum>9198411000</PhoneNum>
      <PreparationDt>2023-12-15</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2022</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="8">
    <IRS990 documentId="RetDoc3" referenceDocumentId="RetDoc8">
      <DoingBusinessAsName>
        <BusinessNameLine1Txt>THE ALS ASSOCIATION NORTH CAROLINA</BusinessNameLine1Txt>
      </DoingBusinessAsName>
      <PrincipalOfficerNm>DAVID SHORE</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>4 N BLOUNT ST SUITE 200</AddressLine1Txt>
        <CityNm>RALEIGH</CityNm>
        <StateAbbreviationCd>NC</StateAbbreviationCd>
        <ZIPCd>27601</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>3132849</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.ALSNC.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1988</FormationYr>
      <LegalDomicileStateCd>NC</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO DISCOVER TREATMENTS AND A CURE FOR ALS AND TO SERVE, ADVOCATE FOR, AND EMPOWER PEOPLE AFFECTED BY ALS TO LIVE THEIR LIVES TO THE FULLEST.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>12</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>12</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>21</TotalEmployeeCnt>
      <TotalVolunteersCnt>75</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>2600340</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>2387308</CYContributionsGrantsAmt>
      <CYProgramServiceRevenueAmt>11750</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>152317</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>84469</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>-120812</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>-209343</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>2631845</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>2274184</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>862797</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>1468538</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>160163</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>1228400</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>1368413</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>2091197</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>2836951</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>540648</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-562767</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>3676425</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>3182521</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>348996</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>775169</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>3327429</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>2407352</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>TO DISCOVER TREATMENTS AND A CURE FOR ALS AND TO SERVE, ADVOCATE FOR, AND EMPOWER PEOPLE AFFECTED BY ALS TO LIVE THEIR LIVES TO THE FULLEST.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>1533664</ExpenseAmt>
      <Desc>CARE SERVICES IS A PROGRAM THAT SERVES FAMILIES LIVING WITH ALS IN ALL 100 COUNTIES IN NORTH CAROLINA. DESPITE THE DISRUPTION CAUSED BY THE ONGOING COVID-19 PANDEMIC, NO CUTS WERE MADE TO ANY CRUCIAL PROGRAMS OR SERVICES. THE ALS ASSOCIATION NORTH CAROLINA CHAPTER CONTINUES TO SUPPORT ALL ALS CLINICS IN NORTH CAROLINA, MAINTAIN A MEDICAL EQUIPMENT LOAN PROGRAM, HOST MONTHLY SUPPORT GROUPS, AND PROVIDE FINANCIAL SUPPORT TO FAMILIES TO HELP ALLEVIATE STRESS RELATED TO THE COST OF MEDICAL TREATMENTS AND SERVICES FOR ALS AS IDENTIFIED IN THE FOCUS SURVEY "UNDERSTANDING INSURANCE NEEDS AND FINANCIAL BURDENS." IN THE 2023 FISCAL YEAR ALSNC HELD 104 SUPPORT GROUP MEETINGS, LOANED 501 PIECES OF DURABLE MEDICAL EQUIPMENT, PAID FOR MORE THAN 3,300 HOURS OF IN-HOME CARE, AND SUPPORTED OUR MULTIDISCIPLINARY CLINICS THAT SERVED MORE THAN 1,000 PATIENTS.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>135146</ExpenseAmt>
        <Desc>THE GLOBAL RESEARCH PROGRAM PROVIDES FUNDING TO THE ALS ASSOCIATION NATIONAL OFFICE TO SUPPORT INTERNATIONAL MEDICAL RESEARCH TO DISCOVER EFFECTIVE TREATMENTS AND A CURE FOR ALS.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>752413</ExpenseAmt>
        <Desc>THE PUBLIC EDUCATION AND AWARENESS PROGRAM IS DESIGNED TO INCREASE UNDERSTANDING, EDUCATION, AND AWARENESS OF THE IMPACT OF ALS AND THE ROLE THAT THE ASSOCIATION PLAYS IN PROVIDING CARE SERVICES, ADVANCING GLOBAL ALS RESEARCH, AND ADVANCING IMPORTANT PUBLIC POLICY INITIATIVES.</Desc>
      </ProgSrvcAccomActy3Grp>
      <TotalProgramServiceExpensesAmt>2421223</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc9">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc4">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc4">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc4">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc4">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc4">true</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc4">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc4">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc4">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc4">true</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc4">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc4">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc4">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc4">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc5">false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc5">true</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc5">false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc6">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="RetDoc7">true</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd referenceDocumentId="RetDoc7">false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>8</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>21</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <Form8899Filedind>false</Form8899Filedind>
      <Form1098CFiledInd>false</Form1098CFiledInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>12</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>12</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>false</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <OtherWebsiteInd>X</OtherWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>HOLLY ZAHN</PersonNm>
        <PhoneNum>9197559001</PhoneNum>
        <USAddress>
          <AddressLine1Txt>4 N BLOUNT ST SUITE 200</AddressLine1Txt>
          <CityNm>RALEIGH</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27601</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>JERRY DAWSON</PersonNm>
        <TitleTxt>PRESIDENT&amp;CE</TitleTxt>
        <AverageHoursPerWeekRt>44.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>188723</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18803</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID SHORE</PersonNm>
        <TitleTxt>PRESIDENT &amp;</TitleTxt>
        <AverageHoursPerWeekRt>44.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>125707</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13668</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JANA ANTOS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SARAH BOYCE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BETH CHRISTINA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHRYN FOSTER</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>6.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTY HALL</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENISE KIRKLAND</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN MILLER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DOUGLAS NOREEN</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>15.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA SHUFORD-REEVES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DARVIS SIMMS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANN WHITE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT WHITED</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>314430</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>32471</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>2</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <FundraisingAmt>1238087</FundraisingAmt>
      <GovernmentGrantsAmt>434937</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>714284</AllOtherContributionsAmt>
      <NoncashContributionsAmt>143235</NoncashContributionsAmt>
      <TotalContributionsAmt>2387308</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CAREGIVERS CONFERENCE</Desc>
        <TotalRevenueColumnAmt>11750</TotalRevenueColumnAmt>
        <ExclusionAmt>11750</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>11750</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>133702</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>133702</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>594288</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>636200</SecuritiesAmt>
        <OtherAmt>7321</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-41912</SecuritiesAmt>
        <OtherAmt>-7321</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-49233</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-49233</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <ContriRptFundraisingEventAmt>1238087</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>215144</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-215144</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER MISC INCOME</Desc>
        <TotalRevenueColumnAmt>5801</TotalRevenueColumnAmt>
        <ExclusionAmt>5801</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>5801</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2274184</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>84469</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>17551</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>593092</TotalAmt>
        <ProgramServicesAmt>533783</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59309</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>616576</TotalAmt>
        <ProgramServicesAmt>600761</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5569</ManagementAndGeneralAmt>
        <FundraisingAmt>10246</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>33301</TotalAmt>
        <ProgramServicesAmt>31110</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1674</ManagementAndGeneralAmt>
        <FundraisingAmt>517</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>148609</TotalAmt>
        <ProgramServicesAmt>141354</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5060</ManagementAndGeneralAmt>
        <FundraisingAmt>2195</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>76960</TotalAmt>
        <ProgramServicesAmt>73004</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2878</ManagementAndGeneralAmt>
        <FundraisingAmt>1078</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>25040</TotalAmt>
        <ManagementAndGeneralAmt>25040</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>15853</TotalAmt>
        <FundraisingAmt>15853</FundraisingAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>106383</TotalAmt>
        <ProgramServicesAmt>55431</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50303</ManagementAndGeneralAmt>
        <FundraisingAmt>649</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>14866</TotalAmt>
        <ProgramServicesAmt>14866</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>28515</TotalAmt>
        <ProgramServicesAmt>10460</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2911</ManagementAndGeneralAmt>
        <FundraisingAmt>15144</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>97943</TotalAmt>
        <ProgramServicesAmt>41254</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20274</ManagementAndGeneralAmt>
        <FundraisingAmt>36415</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>113479</TotalAmt>
        <ProgramServicesAmt>96716</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10495</ManagementAndGeneralAmt>
        <FundraisingAmt>6268</FundraisingAmt>
      </OccupancyGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>8772</TotalAmt>
        <ProgramServicesAmt>8381</ProgramServicesAmt>
        <ManagementAndGeneralAmt>362</ManagementAndGeneralAmt>
        <FundraisingAmt>29</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>42233</TotalAmt>
        <ManagementAndGeneralAmt>42233</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>8399</TotalAmt>
        <ProgramServicesAmt>7618</ProgramServicesAmt>
        <ManagementAndGeneralAmt>450</ManagementAndGeneralAmt>
        <FundraisingAmt>331</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM EXPENSES</Desc>
        <TotalAmt>563149</TotalAmt>
        <ProgramServicesAmt>563149</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>NATIONAL DUES</Desc>
        <TotalAmt>281642</TotalAmt>
        <ProgramServicesAmt>223792</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17181</ManagementAndGeneralAmt>
        <FundraisingAmt>40669</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BANK FEES</Desc>
        <TotalAmt>29607</TotalAmt>
        <ManagementAndGeneralAmt>3926</ManagementAndGeneralAmt>
        <FundraisingAmt>25681</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>18730</TotalAmt>
        <ProgramServicesAmt>8014</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6782</ManagementAndGeneralAmt>
        <FundraisingAmt>3934</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>13802</TotalAmt>
        <ProgramServicesAmt>11530</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1118</ManagementAndGeneralAmt>
        <FundraisingAmt>1154</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>2836951</TotalAmt>
        <ProgramServicesAmt>2421223</ProgramServicesAmt>
        <ManagementAndGeneralAmt>255565</ManagementAndGeneralAmt>
        <FundraisingAmt>160163</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>269447</BOYAmt>
        <EOYAmt>553775</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>236753</BOYAmt>
        <EOYAmt>172521</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>254487</BOYAmt>
        <EOYAmt>236634</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>14894</BOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>346994</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>97866</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>148557</BOYAmt>
        <EOYAmt>249128</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>2737944</BOYAmt>
        <EOYAmt>1680301</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>14343</BOYAmt>
        <EOYAmt>290162</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>3676425</BOYAmt>
        <EOYAmt>3182521</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>293556</BOYAmt>
        <EOYAmt>482711</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <BOYAmt>10000</BOYAmt>
        <EOYAmt>10000</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
        <BOYAmt>45440</BOYAmt>
        <EOYAmt>2500</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <EOYAmt>279958</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>348996</BOYAmt>
        <EOYAmt>775169</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>3327429</BOYAmt>
        <EOYAmt>2353752</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <EOYAmt>53600</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>3327429</BOYAmt>
        <EOYAmt>2407352</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>3676425</BOYAmt>
        <EOYAmt>3182521</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-562767</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-357310</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc9">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>2328075</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2493664</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2318060</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2600340</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2387308</CurrentTaxYearAmt>
        <TotalAmt>12127447</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>2328075</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2493664</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2318060</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2600340</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2387308</CurrentTaxYearAmt>
        <TotalAmt>12127447</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>176970</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>11950477</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>85914</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>71181</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>60988</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>179500</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>133702</CurrentTaxYearAmt>
        <TotalAmt>531285</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearAmt>17551</CurrentTaxYearAmt>
        <TotalAmt>17551</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>12676283</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>12031</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.94270</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.87960</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <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>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc4">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>2737944</BeginningYearBalanceAmt>
        <ContributionsAmt>50730</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-265520</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>827000</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>15853</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>1680301</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2909687</BeginningYearBalanceAmt>
        <ContributionsAmt>597725</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>36776</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>783893</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>22351</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>2737944</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2387504</BeginningYearBalanceAmt>
        <ContributionsAmt>909709</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>226954</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>595000</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>19480</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>2909687</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2346083</BeginningYearBalanceAmt>
        <ContributionsAmt>752183</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>357975</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1047000</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>21737</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>2387504</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2278101</BeginningYearBalanceAmt>
        <ContributionsAmt>1659000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-38244</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1534000</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>18774</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>2346083</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>1.00000</BoardDesignatedBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>8939</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1951</DepreciationAmt>
        <BookValueAmt>6988</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>280430</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>87912</DepreciationAmt>
        <BookValueAmt>192518</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>57625</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>8003</DepreciationAmt>
        <BookValueAmt>49622</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>249128</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>LEASE RIGHT OF USE</Desc>
        <BookValueAmt>275819</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>JEWELRY DONATION</Desc>
        <BookValueAmt>10190</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>SECURITY DEPOSIT</Desc>
        <BookValueAmt>4153</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>290162</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY</Desc>
        <Amt>279958</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>279958</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>2134022</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-357310</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>17856</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>215145</OtherRevenueAmt>
      <RevenueNotReportedAmt>-124309</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2258331</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>15853</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>15853</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>2274184</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3054099</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>17856</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>215145</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>233001</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2821098</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>15853</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>15853</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>2836951</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT FUNDRAISING EXPENSES 215,145</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT FUNDRAISING EXPENSES 215,145</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc5">
      <FundraisingEventInformationGrp>
        <Event1Nm>WALKS</Event1Nm>
        <GrossReceiptsEvent1Amt>914568</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>914568</CharitableContriEvent1Amt>
        <OtherDirectExpensesEvent1Amt>166611</OtherDirectExpensesEvent1Amt>
        <Event2Nm>OTHER EVENTS</Event2Nm>
        <GrossReceiptsEvent2Amt>323519</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>323519</CharitableContriEvent2Amt>
        <OtherDirectExpensesEvent2Amt>48533</OtherDirectExpensesEvent2Amt>
        <GrossReceiptsTotalAmt>1238087</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>1238087</CharitableContributionsTotAmt>
        <OthDirectExpnssTotalEventsAmt>215144</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>215144</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-215144</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc6">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JERRY DAWSON</PersonNm>
        <TitleTxt>PRESIDENT&amp;CEO (FMR)</TitleTxt>
        <BaseCompensationFilingOrgAmt>188723</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>18803</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>207526</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc7">
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>492</ContributionCnt>
        <NoncashContributionsRptF990Amt>50735</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>WHEELCHAIRS</Desc>
        <ContributionCnt>37</ContributionCnt>
        <NoncashContributionsRptF990Amt>92500</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>true</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE M, PAGE 1, PART I, LINE 32B</FormAndLineReferenceDesc>
        <ExplanationTxt>BROKERAGE FIRM IS CHARGED WITH PROCESSING AND LIQUIDATING DONATED SECURITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc8">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>CARE SERVICES IS A PROGRAM THAT SERVES FAMILIES LIVING WITH ALS IN ALL 100 COUNTIES IN NORTH CAROLINA. DESPITE THE DISRUPTION CAUSED BY THE ONGOING COVID-19 PANDEMIC, NO CUTS WERE MADE TO ANY CRUCIAL PROGRAMS OR SERVICES. THE ALS ASSOCIATION NORTH CAROLINA CHAPTER CONTINUES TO SUPPORT ALL ALS CLINICS IN NORTH CAROLINA, MAINTAIN A MEDICAL EQUIPMENT LOAN PROGRAM, HOST MONTHLY SUPPORT GROUPS, AND PROVIDE FINANCIAL SUPPORT TO FAMILIES TO HELP ALLEVIATE STRESS RELATED TO THE COST OF MEDICAL TREATMENTS AND SERVICES FOR ALS AS IDENTIFIED IN THE FOCUS SURVEY "UNDERSTANDING INSURANCE NEEDS AND FINANCIAL BURDENS." IN THE 2023 FISCAL YEAR ALSNC HELD 104 SUPPORT GROUP MEETINGS, LOANED 501 PIECES OF DURABLE MEDICAL EQUIPMENT, PAID FOR MORE THAN 3,300 HOURS OF IN-HOME CARE, AND SUPPORTED OUR MULTIDISCIPLINARY CLINICS THAT SERVED MORE THAN 1,000 PATIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TREASURER WILL REVIEW AND COMMENT ON A DRAFT OF THE FORM 990 AND ANNUAL AUDITED FINANCIAL STATEMENTS. AFTER ANY CHANGES, THE DRAFTS OF THE FORM 990 AND AUDITED FINANCIAL STATEMENTS WILL BE FORWARDED TO ALL MEMBERS OF THE FINANCE COMMITTEE FOR REVIEW. IF NEEDED, THE PREPARER SHALL SCHEDULE A PRESENTATION IN PERSON OR BY TELECONFERENCE WITH THE FINANCE COMMITTEE TO ADDRESS ANY QUESTIONS OR ISSUES. UPON RESOLUTION OF ANY ISSUES AND APPROVAL BY THE FINANCE COMMITTEE, COPIES OF THE FINAL AUDITED FINANCIAL STATEMENTS AND FORM 990 WILL BE FORWARDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS. THE PRESIDENT &amp; CEO WILL EXECUTE AND MAIL OR ELECTRONICALLY FILE THE FINAL DOCUMENTS WITH THE IRS AND APPROPRIATE STATE AGENCIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL EMPLOYEES ARE REQUIRED TO SIGN AN ACKNOWLEDGEMENT OF RECEIPT OF THE CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE DETERMINES PRESIDENT &amp; CEO'S COMPENSATION BASED ON A SALARY SURVEY AND PERFORMANCE EVALUTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE NOT COMPENSATED. OTHER OFFICER COMPENSATION IS DETERMINED BASED ON SALARY SURVEYS, PERFORMANCE, AND BUDGETARY NEEDS AND IS APPROVED BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS ARE KEPT ON FILE AT THE ORGANIZATION'S OFFICE AND ARE MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT FUNDRAISING EXPENSES 215,145 DIRECT FUNDRAISING EXPENSES -215,145</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
