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      <MissionDesc>TO PROVIDE INFORMATION ABOUT THE BIRTH DEFECT OF SPINA BIFIDA AND ITS RELATED CONDITIONS AND SUPPORT TO INDIVIDUALS LIVING WITH IT THROUGH EDUCATION, ADVOCACY, RESEARCH, AND SERVICE; TO FACILITATE RESEARCH INTO THE CAUSES, EFFECTS, AND TREATMENT OF SPINA BIFIDA; AND TO EDUCATE AND TRAIN THE PROFESSIONALS INVOLVED IN THE TREATMENT OF SPINA BIFIDA.</MissionDesc>
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      <Desc>RESEARCH AND CLINICAL CARE THE SPINA BIFIDA ASSOCIATION (THE ASSOCIATION) DEVELOPED THE SPINA BIFIDA COLLABORATIVE CARE NETWORK (SBCCN) TO IMPROVE THE HEALTH CARE OF PEOPLE WITH SPINA BIFIDA, ENABLING THEN TO HAVE BETTER CARE. THE SBCCN, WHEN COMPLETED, WILL BUILD A SYSTEM THAT MONITORS, TRACKS, AND EVALUATES CARE PROVIDED IN SPINA BIFIDA CLINICS AND OTHER HEALTH CARE SETTINGS. THE SBCCN IS MADE UP OF PEOPLE OF DIFFERENT BACKGROUNDS AND EXPERIENCES: SPINA BIFIDA ASSOCIATION (SBA) STAFF, CHAPTER LEADERS, DOCTORS, NURSES, PSYCHOLOGIST, THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), PARENTS OF CHILDREN WITH SPINA BIFIDA, AND ADULTS WITH SPINA BIFIDA. THE ASSOCIATION WORKED IN CONJUNCTION WITH THE NATIONAL CENTER ON BIRTH DEFECTS AND DEVELOPMENTAL DISABILITIES TO CONTINUE RESEARCH THROUGH THE NATIONAL SPINA BIFIDA PATIENT REGISTRY (NSBPR). THE SPINA BIFIDA COLLABORATIVE CARE NETWORK PRODUCED GUIDELINES FOR THE CARE OF PEOPLE LIVING WITH SPINA BIFIDA WHICH INCLUDED RESEARCH FROM NSBPR. IN 2023 THE WORLD CONGRESS ON SPINA BIFIDA RESEARCH AND CARE HOSTED 100 HEALTH AND RESEARCH INSTITUTES, FROM 18 COUNTRIES AND 35 STATES WITHIN THE U.S. AND THE DISTRICT OF COLUMBIA.</Desc>
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        <Desc>CHAPTER DEVELOPMENT THE ASSOCIATION PROMOTES THE GROWTH AND DEVELOPMENT OF ITS 14 CHAPTERS THROUGH TECHNICAL ASSISTANCE IN CAPACITY BUILDING, COMMUNICATIONS, PROGRAMMATIC RESOURCES AND GRANTS.</Desc>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRYAN VODICKA</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAWNE WIDENER-BURROWS</PersonNm>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN WIENER MD</PersonNm>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SARA STRUWE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL WOOD</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GLENRAE BROWN</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LOEWS HOTEL &amp; CO FINANCIAL SVS LVC HOTEL</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>TN</StateAbbreviationCd>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DAVINCI DIRECT INC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 1640</AddressLine1Txt>
            <CityNm>PLYMOUTH</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>VENABLE LLP</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>MD</StateAbbreviationCd>
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      <FederatedCampaignsAmt>70003</FederatedCampaignsAmt>
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      <ProgramServiceRevenueGrp>
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        <ExclusionAmt>15488</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
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      <LessCostOthBasisSalesExpnssGrp>
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      <GainOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>14618</ExclusionAmt>
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        <Desc>OTHER INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>38114</RelatedOrExemptFuncIncomeAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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      <AllOtherExpensesGrp>
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        <CurrentYearAmt>77172</CurrentYearAmt>
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        <InvestmentEarningsOrLossesAmt>8771</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>147138</OtherExpendituresAmt>
        <EndYearBalanceAmt>343638</EndYearBalanceAmt>
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      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>241479</BeginningYearBalanceAmt>
        <ContributionsAmt>60080</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-4119</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>57531</OtherExpendituresAmt>
        <EndYearBalanceAmt>239909</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>274846</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>3232</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>36599</OtherExpendituresAmt>
        <EndYearBalanceAmt>241479</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>312034</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>3339</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>40527</OtherExpendituresAmt>
        <EndYearBalanceAmt>274846</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>341658</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>2012</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>31636</OtherExpendituresAmt>
        <EndYearBalanceAmt>312034</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>0.17460</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.82540</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>132484</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>132484</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>57100</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>55121</DepreciationAmt>
        <BookValueAmt>1979</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>43744</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>43291</DepreciationAmt>
        <BookValueAmt>453</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>2432</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>102112</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>102112</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>2863585</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>30855</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>30855</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2832730</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>1780</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>1780</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>2834510</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3173770</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>3173770</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>1780</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>1780</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>3175550</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PERMANENT ENDOWMENT FUNDS ARE USED TO FUND SCHOLARSHIPS WITH PEOPLE WITH SPINA BIFIDA, FUND GRANTS TO PROMOTE THE PREVENTION AND SCIENTIFIC UNDERSTANDING OF SPINA BIFIDA, AND TO IMPROVE THE LIVES OF THOSE LIVING WITH SPINA BIFIDA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION EVALUATED ITS UNCERTAINTY IN INCOME TAXES FOR THE YEAR ENDED DECEMBER 31, 2023, AND DETERMINED THAT THERE WERE NO MATTERS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS OR THAT MAY HAVE ANY EFFECT ON ITS TAX EXEMPT STATUS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SARA STRUWE</PersonNm>
        <TitleTxt>PRESIDENT AND CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>141598</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21879</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>163477</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH CHAPTER OF THE ASSOCATION WHICH MEETS THE AFFILIATION STANDARDS OF THE ASSOCIATION AND IS IN GOOD STANDING AT THE TIME OF EACH RELEVENT MEETING IS REFERRED TO AS A MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>DELEGATES ARE APPOINTED BY EACH CHAPTER. THESE DELEGATES APPROVE THE SLATE OF BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>ANY CHANGES IN THE ASSOCIATION'S BYLAWS AND ARTICLES OF INCORPORATION ARE REQUIRED TO BE APPROVED BY A MAJORITY OF THE CHAPTER DELEGATES PRESENT AT THE ANNUAL BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DRAFT VERSION OF THE FEDERAL FORM 990 IS REVIEWED BY THE PRESIDENT AND CEO AS WELL AS THE CHIEF FINANCIAL OFFICER. IT IS THEN GIVEN TO THE AUDIT COMMITTEE FOR REVIEW, DISCUSSION, AND APPROVAL. A COPY OF THE DRAFT FEDERAL FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUAL WRITTEN CONFIRMATION IS REQUIRED FROM ALL BOARD MEMBERS WHO IDENTIFY ANY POTENTIAL CONFLICTS OF INTEREST. THE CONFIRMATION FORM STATES THAT BOARD MEMBERS FOR WHOM THERE IS A CONFLICT ON A GIVEN ISSUES WILL NOT BE INVOLVED IN ANY DISCUSSIONS NOR VOTES ON AREAS OF CONFLICT. THE ANNUAL CONFLICT OF INTEREST (COI) STATEMENTS ARE REVIEWED BY THE BOARD CHAIR AND THE CEO AND, IF ANY COI ITEMS ARE IDENTIFIED, THEY WILL BE BROUGHT TO THE BOARD FOR REVIEW. IN ADDITION, BOARD MEMBERS ARE EXPECTED TO IDENTIFY ANY POTENTIAL CONFLICTS OF INTEREST THAT MAY ARISE THROUGHOUT THE YEAR AND AFTER THE COI STATEMENTS ARE SIGNED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS A FORMAL REVIEW OF THE CHIEF EXECUTIVE OFFICER'S (CEO) COMPENSATION BY THE BOARD OF DIRECTORS. A FORMAL REVIEW IS MADE BY THE CEO FOR ALL OTHER EMPLOYEES. THE BOARD OF DIRECTORS EMPLOYS A COMBINATION OF PERFORMANCE EVALUATION AND REVIEW OF BOTH LOCAL AND NATIONAL COMPENSATION SURVEYS TO ESTABLISH THE COMPENSATION OF THE CEO. SIMILARLY, THE CEO EMPLOYS PERFORMANCE REVIEWS AND DOCUMENTATION ON REGIONAL COMPENSATION STUDIES TO REVIEW ALL STAFF INCLUDING THE CONTROLLER. ALL STAFF PERFORMANCE REVIEWS AND COMPENSATION CHANGES ARE PRESENTED TO THE CEO PRIOR TO FINALIZING FOR WRITTEN APPROVAL. THE COMPENSATION STUDY LAST TOOK PLACE DURING DECEMBER 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON THEIR WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTANTS: PROGRAM SERVICE EXPENSES 661,265. MANAGEMENT AND GENERAL EXPENSES 7,230. FUNDRAISING EXPENSES 6,669. TOTAL EXPENSES 675,164.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION HAS NOT CHANGED THE OVERSIGHT OR SELECTION PROCESS OF THE AUDIT COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 5 &amp; PART V, LINE 2A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION HAS CONTRACTED WITH A PROFESSIONAL EMPLOYER ORGANIZATION, COADVANTAGE, TO SERVE AS THE EMPLOYER OF RECORD FOR THE ASSOCIATION'S EMPLOYEES. AS SUCH COADVANTAGE IS RESPONSIBLE FOR TAX FILINGS RELATED TO EMPLOYEES. COADVANTAGE ISSUED 15 W-2 FORMS IN 2023 FOR THE ASSOCIATION EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>