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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
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        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA HILL MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>144167</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>28778</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
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      <NoncashContributionsAmt>1048</NoncashContributionsAmt>
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        <Desc>CONTRACT REVENUE</Desc>
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        <TotalRevenueColumnAmt>3506257</TotalRevenueColumnAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ManagementAndGeneralAmt>8091</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>25040</ProgramServicesAmt>
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      </FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>9271</ProgramServicesAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>9923</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4552</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>51639</TotalAmt>
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        <ManagementAndGeneralAmt>6681</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>41262</ProgramServicesAmt>
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        <FundraisingAmt>5158</FundraisingAmt>
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        <ProgramServicesAmt>216078</ProgramServicesAmt>
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        <FundraisingAmt>124017</FundraisingAmt>
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        <ProgramServicesAmt>14840</ProgramServicesAmt>
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        <ProgramServicesAmt>1724412</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>15850</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>2003</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1913</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>459</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5686</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>3156488</TotalAmt>
        <ProgramServicesAmt>2766921</ProgramServicesAmt>
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        <FundraisingAmt>231990</FundraisingAmt>
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        <EOYAmt>1514860</EOYAmt>
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        <EOYAmt>17901</EOYAmt>
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        <EOYAmt>10084</EOYAmt>
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        <EOYAmt>54112</EOYAmt>
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        <EOYAmt>167029</EOYAmt>
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        <EOYAmt>727228</EOYAmt>
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        <EOYAmt>2491214</EOYAmt>
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        <EOYAmt>16849</EOYAmt>
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        <EOYAmt>9663</EOYAmt>
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        <EOYAmt>79673</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>2327837</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>83704</EOYAmt>
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        <EOYAmt>2411541</EOYAmt>
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        <EOYAmt>2491214</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>588584</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>0</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus3YearsAmt>350871</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>612578</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>644696</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>281393</CurrentTaxYearAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>281843</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1062530</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2375337</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3506257</CurrentTaxYearAmt>
        <TotalAmt>7554067</TotalAmt>
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      <Total509Grp>
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        <CurrentTaxYearMinus3YearsAmt>632714</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1675108</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3020033</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3787650</CurrentTaxYearAmt>
        <TotalAmt>9626645</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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        <CurrentTaxYearMinus3YearsAmt>14241</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>59413</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearAmt>18200</CurrentTaxYearAmt>
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      <SubstantialContributorsAmtGrp>
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      <SubstAndDsqlfyPrsnsTotGrp>
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        <CurrentTaxYearMinus3YearsAmt>14241</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>59413</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearAmt>18200</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>1926</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2194</CurrentTaxYearAmt>
        <TotalAmt>4121</TotalAmt>
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      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus3YearsAmt>1</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1926</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2194</CurrentTaxYearAmt>
        <TotalAmt>4121</TotalAmt>
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      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>511140</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>632715</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1675108</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3021959</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3789844</CurrentTaxYearAmt>
        <TotalAmt>9630766</TotalAmt>
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      <PublicSupportCY509Pct>0.98890</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98480</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00040</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00030</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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>
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        <InvestmentEarningsOrLossesAmt>1000</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>1000</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>50000</EndYearBalanceAmt>
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      <CYMinus1YrEndwmtFundGrp>
        <ContributionsAmt>50000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>1000</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>1000</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>50000</EndYearBalanceAmt>
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        <GrantsOrScholarshipsAmt>8000</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>24970</OtherExpendituresAmt>
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      <CYMinus4YrEndwmtFundGrp>
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        <EndYearBalanceAmt>32970</EndYearBalanceAmt>
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      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <EquipmentGrp>
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        <DepreciationAmt>26755</DepreciationAmt>
        <BookValueAmt>54112</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>54112</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>INVESTMENTS</Desc>
        <BookValueAmt>167029</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>167029</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>GRANTS AND CONTRACTS RECEIVABLE</Desc>
        <BookValueAmt>727228</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>727228</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>20654</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>381992</DonatedServicesAndUseFcltsAmt>
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      <RevenueNotReportedAmt>485785</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>3712705</RevenueSubtotalAmt>
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      <RevenueNotReportedFinclStmtAmt>32367</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>3745072</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3589252</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>381992</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>83139</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>465131</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>3124121</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>32367</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>32367</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>3156488</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION IS A NONPROFIT ORGANIZATION AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SECTION 23701(D) OF THE CALIFORNIA REVENUE AND TAXATION CODE. THE FOUNDATION IS NOT A PRIVATE FOUNDATION. THE FOUNDATION'S RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX FOR THE YEAR ENDED SEPTEMBER 30, 2023 IS SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND STATE TAXING AUTHORITIES, GENERALLY THREE TO FOUR YEARS AFTER THE RETURNS WERE FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENT EXPENSES 83,139.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT BENEFIT TO DONORS 32,367.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENT EXPENSES 83,139.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT BENEFIT TO DONORS 32,367.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>JIM HAY AWARD: JAMES T HAY WAS A FOUNDING BOARD MEMBER AT CFH, AS WELL AS BEING A SDCMS BOARD MEMBER. HE DECIDED TO CREATE AN ENDOWMENT WITH $50K WITHIN CFH SO THAT THE AWARDEE WOULD RECEIVE $1000. THE JIM HAY AWARD IS PRESENTED BY THE SDCMS OUTGOING BOARD PRESIDENT EACH YEAR. IT USED TO BE CALLED THE ATLAS AWARD. IT IS GIVEN TO A PHYSICIAN WHO HAS GONE ABOVE AND BEYOND THE CALL OF DUTY AND LEAVES A LEGACY IN THE MEDICAL FIELD. AT THE JOINT GALA OF THE SDCMS AND CFH, THE JIM HAY AWARD IS PRESENTED AND WE PROVIDE $1000 FROM THE INTEREST REVENUE EACH YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <Event1Nm>CHAMPIONS SOIREE</Event1Nm>
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        <CharitableContriEvent1Amt>124301</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>25114</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>67832</OtherDirectExpensesEvent1Amt>
        <Event2Nm>CASINO NIGHT</Event2Nm>
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        <ExplanationTxt>THE ORGANIZATION WILL PROVIDE THE GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS TO ANY PERSON WHO REQUESTS THIS INFORMATION IN WRITING. THIS INFORMATION CAN BE OBTAINED IN THE FORM OF PDF DOCUMENTS.</ExplanationTxt>
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