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      <Form990ScheduleAPartVIGrp>
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        <ExplanationTxt>KeyBank representatives have completed an extensive internal review ofsupporting organization accounts. This was done in concert with in house counsel and individual determinations were made with respect to the relationships.The trust can be terminated by any 25% combination of beneficiary income interests. The trustee has the right to amend the trust to insure continuation of 509(a)3 status.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION D, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>KeyBank, as Trustee, welcomes the input of the charitable beneficiaries as to investments.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>KeyBank, as Trustee, maintains a close and continuous working relationship with each supporting organization. The supported organizations maintain a significant voice as the trust can be terminated by any 25% combination of beneficiary income interests. The Trustee has theauthority to amend the document to insure the</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Line 8 Continued</FormAndLineReferenceDesc>
        <ExplanationTxt>continuation of 509(a)3 status. The supported organizations receive periodic statements reflecting all activity in the trust regarding income, expenses, and investments. KeyBank welcomes the input of the supported organizations as to investments.</ExplanationTxt>
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    </IRS990ScheduleA>
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          <AddressLine1Txt>1501 Euclid Ave STE 310</AddressLine1Txt>
          <CityNm>Chagrin Falls</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>440221397</ZIPCd>
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        <CashGrantAmt>57550</CashGrantAmt>
        <PurposeOfGrantTxt>Grants made are for human service providers to identify and resolve economic, health and social issues facing Northeast Ohio</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>American Lung Association</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <CityNm>Dublin</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43016</ZIPCd>
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        <RecipientEIN>314379531</RecipientEIN>
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        <CashGrantAmt>29503</CashGrantAmt>
        <PurposeOfGrantTxt>Grants made are for the support and attainment of the organization's mission</PurposeOfGrantTxt>
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      <RecipientTable>
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          <AddressLine1Txt>33775 Hiram Trl</AddressLine1Txt>
          <CityNm>Chagrin Falls</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>440221397</ZIPCd>
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        <PurposeOfGrantTxt>Grants made are for the support and attainment of the organization's mission</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>A M McGregor Home</BusinessNameLine1Txt>
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          <AddressLine1Txt>14900 Private Drive</AddressLine1Txt>
          <CityNm>Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>441123413</ZIPCd>
        </USAddress>
        <RecipientEIN>340714356</RecipientEIN>
        <IRCSectionDesc>170 (b) (1) (A)</IRCSectionDesc>
        <CashGrantAmt>115099</CashGrantAmt>
        <PurposeOfGrantTxt>Grants made are for the support and attainment of the organization's mission</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>St AlexisSisters of St Francis</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1515 E Dragdoon Trail</AddressLine1Txt>
          <CityNm>Mishawaka</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46544</ZIPCd>
        </USAddress>
        <RecipientEIN>340714485</RecipientEIN>
        <IRCSectionDesc>170 (b) (1) (A)</IRCSectionDesc>
        <CashGrantAmt>57550</CashGrantAmt>
        <PurposeOfGrantTxt>Grants made are for the support and attainment of the organization's mission</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Cleveland Clinic Children's Hospital</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>6801 Brecksville Rd STE 2</AddressLine1Txt>
          <CityNm>Independence</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>441315062</ZIPCd>
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        <RecipientEIN>340714570</RecipientEIN>
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        <PurposeOfGrantTxt>Grants made are for support and attainment of the hospital's mission</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Beech Brook</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3737 Lander Road</AddressLine1Txt>
          <CityNm>Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>441245712</ZIPCd>
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        <RecipientEIN>340714597</RecipientEIN>
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        <CashGrantAmt>57550</CashGrantAmt>
        <PurposeOfGrantTxt>Grants made are for the support and attainment of the organization's mission</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Vocational Guidance &amp; Rehabilitation</BusinessNameLine1Txt>
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          <AddressLine1Txt>2239 E 55th Street</AddressLine1Txt>
          <CityNm>Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>441034451</ZIPCd>
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        <RecipientEIN>340714650</RecipientEIN>
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        <PurposeOfGrantTxt>Grants made are for the support and attainment of the organization's mission</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Church Home for Sick &amp; Friendless</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2230 Euclid Ave</AddressLine1Txt>
          <CityNm>Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>441153204</ZIPCd>
        </USAddress>
        <RecipientEIN>340714658</RecipientEIN>
        <IRCSectionDesc>170 (b) (1) (A)</IRCSectionDesc>
        <CashGrantAmt>29503</CashGrantAmt>
        <PurposeOfGrantTxt>Grants made are for the support and attainment of the organization's mission</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Visiting Nurse Association</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2500 E 22nd Street</AddressLine1Txt>
          <CityNm>Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>441153204</ZIPCd>
        </USAddress>
        <RecipientEIN>340714728</RecipientEIN>
        <IRCSectionDesc>170 (b) (1) (A)</IRCSectionDesc>
        <CashGrantAmt>29503</CashGrantAmt>
        <PurposeOfGrantTxt>Grants made are for support and attainment of the organization's mission</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>YMCA of Greater Cleveland</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2200 Prospect Ave STE 900</AddressLine1Txt>
          <CityNm>Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>441152674</ZIPCd>
        </USAddress>
        <RecipientEIN>340714728</RecipientEIN>
        <IRCSectionDesc>170 (b) (1) (A)</IRCSectionDesc>
        <CashGrantAmt>115099</CashGrantAmt>
        <PurposeOfGrantTxt>Grants made are for the support and attainment of the organization's mission</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Young Womens Christian Association</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4019 Prospect Ave</AddressLine1Txt>
          <CityNm>Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>441034317</ZIPCd>
        </USAddress>
        <RecipientEIN>340714800</RecipientEIN>
        <IRCSectionDesc>170 (b) (1) (A)</IRCSectionDesc>
        <CashGrantAmt>115099</CashGrantAmt>
        <PurposeOfGrantTxt>Grants made are for the support and attainment of the organization's mission</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>St Johns Episcopal Church</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2230 Euclid</AddressLine1Txt>
          <CityNm>Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44115</ZIPCd>
        </USAddress>
        <RecipientEIN>341018992</RecipientEIN>
        <IRCSectionDesc>170 (b) (1) (A)</IRCSectionDesc>
        <CashGrantAmt>59006</CashGrantAmt>
        <PurposeOfGrantTxt>Grants made are for the support and attainment of the organization's mission</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Case Western Reserve</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>11000 Cedar Ave</AddressLine1Txt>
          <CityNm>Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44106</ZIPCd>
        </USAddress>
        <RecipientEIN>341018992</RecipientEIN>
        <IRCSectionDesc>170 (b) (1) (A)</IRCSectionDesc>
        <CashGrantAmt>57549</CashGrantAmt>
        <PurposeOfGrantTxt>Grants made are for the suppport and attainment of the organization's mission</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Goodrich-Gannett Neighborhood Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1400 E 55th St</AddressLine1Txt>
          <CityNm>Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44103</ZIPCd>
        </USAddress>
        <RecipientEIN>341154199</RecipientEIN>
        <IRCSectionDesc>170 (b) (1) (A)</IRCSectionDesc>
        <CashGrantAmt>57549</CashGrantAmt>
        <PurposeOfGrantTxt>Grants made are for the support and attainment of the center's mission</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Eliza Jennings Senior Care Network</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>14701 Detroit Ave STE 620</AddressLine1Txt>
          <CityNm>Lakewood</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44107</ZIPCd>
        </USAddress>
        <RecipientEIN>341166722</RecipientEIN>
        <IRCSectionDesc>170 (b) (1) (A)</IRCSectionDesc>
        <CashGrantAmt>57549</CashGrantAmt>
        <PurposeOfGrantTxt>Grants made are for support and attainment of the organization's mission</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>University Hospitals</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>11100 Euclid Ave MCCO-5062</AddressLine1Txt>
          <CityNm>Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44106</ZIPCd>
        </USAddress>
        <RecipientEIN>341567805</RecipientEIN>
        <IRCSectionDesc>170 (b) (1) (A)</IRCSectionDesc>
        <CashGrantAmt>318161</CashGrantAmt>
        <PurposeOfGrantTxt>Grants made are for the support and attainment of the hospital's mission</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Altenheim Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>18627 Shurmer Rd</AddressLine1Txt>
          <CityNm>Strongsville</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44136</ZIPCd>
        </USAddress>
        <RecipientEIN>341647102</RecipientEIN>
        <IRCSectionDesc>170 (b) (1) (A)</IRCSectionDesc>
        <CashGrantAmt>57549</CashGrantAmt>
        <PurposeOfGrantTxt>Grants made are for the support and attainment of the organization'smission</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>St Vincent CharityCSAHS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6935 Treeline Dr STE J</AddressLine1Txt>
          <CityNm>Brecksville</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44141</ZIPCd>
        </USAddress>
        <RecipientEIN>341893452</RecipientEIN>
        <IRCSectionDesc>170 (b) (1) (A)</IRCSectionDesc>
        <CashGrantAmt>57549</CashGrantAmt>
        <PurposeOfGrantTxt>Grants made are for support and attainment of the hospital's mission</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Cleveland Clinic Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>9500 Euclid Ave</AddressLine1Txt>
          <CityNm>Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44195</ZIPCd>
        </USAddress>
        <RecipientEIN>340714585</RecipientEIN>
        <IRCSectionDesc>170 (b) (1) (A)</IRCSectionDesc>
        <CashGrantAmt>288657</CashGrantAmt>
        <PurposeOfGrantTxt>Grants made are for support and attainment of the hospital's mission</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>St John Medical Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>29000 Center Ridge Rd</AddressLine1Txt>
          <CityNm>Westlake</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44145</ZIPCd>
        </USAddress>
        <RecipientEIN>341260978</RecipientEIN>
        <IRCSectionDesc>170 (b) (1) (A)</IRCSectionDesc>
        <CashGrantAmt>29503</CashGrantAmt>
        <PurposeOfGrantTxt>Grants made are for support and attainment of the hospital's mission</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Rainbow Babies and Children's Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>11100 Euclid Ave</AddressLine1Txt>
          <CityNm>Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44106</ZIPCd>
        </USAddress>
        <RecipientEIN>346532528</RecipientEIN>
        <IRCSectionDesc>170 (b) (1) (A)</IRCSectionDesc>
        <CashGrantAmt>59006</CashGrantAmt>
        <PurposeOfGrantTxt>Grants made are for support and attainment of the hospital's mission</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>St Luke's Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4208 Prospect Ave Ste 600W</AddressLine1Txt>
          <CityNm>Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44106</ZIPCd>
        </USAddress>
        <RecipientEIN>340714513</RecipientEIN>
        <IRCSectionDesc>170 (b) (1) (A)</IRCSectionDesc>
        <CashGrantAmt>57549</CashGrantAmt>
        <PurposeOfGrantTxt>Grants made are for the support and attainment of the organization'smission</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>23</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>EXPLANATION FOR FORM 990, SCHEDULE I, PART 1, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Grants are made to 501(c)(3) organizations that are named in the trust document. Our administrative representatives are in periodic contact with representatives of the charities in order to be in compliancewith the trust provisions.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, Line 12a</FormAndLineReferenceDesc>
        <ExplanationTxt>No conflict of interest policy exists for the trust. Keybank N.A. has a corporate conflict of interest policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, Line 14</FormAndLineReferenceDesc>
        <ExplanationTxt>The trust has no written document retention or destruction policy. Keybank N.A. has a corporate document retention and destruction policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>EXPLANATION FOR FORM 990, PAGE 2, PART III, LINE 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Grants made are for support and attainment of the missions of the organizations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>EXPLANATION FOR FORM 990, PAGE 6, PART VI, LINE 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>Keybank is sole Trustee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>EXPLANATION FOR FORM 990, PAGE 6, PART VI, LINE 8a</FormAndLineReferenceDesc>
        <ExplanationTxt>KeyBank administration documents all meetings and written actions taken during the year. Actions through NPTAC are also documented.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>EXPLANATION FOR FORM 990, PAGE 6, PART VI, LINE 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>KeyBank administration documents all meetings and written actions taken during the year. Actions through NPTAC are also documented.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11-DESCRIPTION OF PROCESS FOR REVIEW</FormAndLineReferenceDesc>
        <ExplanationTxt>All returns are prepared and thoroughly reviewed by our tax vendor and/or internal professional tax department.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Documents are available upon request by mail or by phone and delivered within 2 weeks.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>EXPLANATION FOR FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANT RECOVERY, PARTNERSHIP BASIS ADJUSTMENT</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Center for Community Solutions</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1501 Euclid Ave STE 310</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44022</ZIPCd>
        </USAddress>
        <EIN>340714320</EIN>
        <PrimaryActivitiesTxt>HUMAN SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>American Lung Association</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5900 Wilcox Pl</AddressLine1Txt>
          <CityNm>DUBLIN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43016</ZIPCd>
        </USAddress>
        <EIN>314379531</EIN>
        <PrimaryActivitiesTxt>CHARITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>A M McGregor Home</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>14900 Private Drive</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44112</ZIPCd>
        </USAddress>
        <EIN>340714356</EIN>
        <PrimaryActivitiesTxt>CHARITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St AlexisSisters of St Francis</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1515 E Dragdoon Trail</AddressLine1Txt>
          <CityNm>Mishawaka</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46544</ZIPCd>
        </USAddress>
        <EIN>340714485</EIN>
        <PrimaryActivitiesTxt>CHARITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Cleveland Clinic Childrens Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>6801 Brecksville Rd</AddressLine1Txt>
          <CityNm>INDEPENDANCE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44131</ZIPCd>
        </USAddress>
        <EIN>340714570</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Beech Brook</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3737 Lander Road</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44124</ZIPCd>
        </USAddress>
        <EIN>340714597</EIN>
        <PrimaryActivitiesTxt>CHARITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Vocational Guidance &amp; Rehabilitation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2239 E 55th Street</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44103</ZIPCd>
        </USAddress>
        <EIN>340714650</EIN>
        <PrimaryActivitiesTxt>CHARITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Church Home for Sick &amp; Friendless</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2230 Euclid Ave</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44115</ZIPCd>
        </USAddress>
        <EIN>340714658</EIN>
        <PrimaryActivitiesTxt>CHARITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Visiting Nurse Association</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2500 E 22nd Street</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44115</ZIPCd>
        </USAddress>
        <EIN>340714728</EIN>
        <PrimaryActivitiesTxt>CHARITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>YMCA of Greater Cleveland</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2200 Prospect Ave</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44115</ZIPCd>
        </USAddress>
        <EIN>340714728</EIN>
        <PrimaryActivitiesTxt>CHARITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Young Womens Christian Association</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4019 Prospect Ave</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44103</ZIPCd>
        </USAddress>
        <EIN>340714800</EIN>
        <PrimaryActivitiesTxt>CHARITY</PrimaryActivitiesTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Johns Episcopal Church</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2230 Euclid</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44115</ZIPCd>
        </USAddress>
        <EIN>341018992</EIN>
        <PrimaryActivitiesTxt>CHURCH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Case Western Reserve</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>11000 Cedar Ave</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44106</ZIPCd>
        </USAddress>
        <EIN>341018992</EIN>
        <PrimaryActivitiesTxt>CHARITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Goodrich-Gannett Neighborhood Center</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1400 E 55th St</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44103</ZIPCd>
        </USAddress>
        <EIN>341154199</EIN>
        <PrimaryActivitiesTxt>CHARITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Eliza Jennings Senior Care Network</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>14701 Detroit Ave</AddressLine1Txt>
          <CityNm>LAKEWOOD</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44107</ZIPCd>
        </USAddress>
        <EIN>341166722</EIN>
        <PrimaryActivitiesTxt>CHARITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>University Hospitals</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>11100 Euclid Ave</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44106</ZIPCd>
        </USAddress>
        <EIN>341567805</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Altenheim Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>18627 Shurmer Rd</AddressLine1Txt>
          <CityNm>STRONGSVILLE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44136</ZIPCd>
        </USAddress>
        <EIN>341647102</EIN>
        <PrimaryActivitiesTxt>CHARITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Cleveland Clinic Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>9500 Euclid Ave</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44195</ZIPCd>
        </USAddress>
        <EIN>340714585</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St John Medical Center</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>29000 Center Ridge Rd</AddressLine1Txt>
          <CityNm>WEST LAKE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44145</ZIPCd>
        </USAddress>
        <EIN>341260978</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Rainbow Babies</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>11100 Euclid Ave</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44106</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>CHARITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>