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        <CharitableContriEvent1Amt>88272</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>20014</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>58247</OtherDirectExpensesEvent1Amt>
        <Event2Nm>MEMPHIS CORNHOLE</Event2Nm>
        <GrossReceiptsEvent2Amt>49317</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>45975</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>3342</GrossRevenueEvent2Amt>
        <OtherDirectExpensesEvent2Amt>24162</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>1</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>12057</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>5093</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>6964</GrossRevenueOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>3189</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>169660</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>139340</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>30320</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>85598</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>85598</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-55278</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SSM HEALTH SAINT MARY'S HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>400 N PLEASANT AVENUE</AddressLine1Txt>
          <CityNm>CENTRALIA</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62801</ZIPCd>
        </USAddress>
        <RecipientEIN>364636691</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>28000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO ADVANCE THE MISSION OF THE ORGANIZATION</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH CHARITY THAT RECEIVES FUNDS FROM THE FOUNDATION IS WELL KNOWN TO THE FOUNDATION AND KNOWN TO BE A PUBLIC CHARITY IN GOOD STANDING.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>JASON MOTTE AND CAITLIN MOTTE ARE SPOUSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT IS PROVIDED THE FORM 990 FOR REVIEW AND APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ENFORCEMENT OF CONFLICTS POLICY CONFLICTS OF INTEREST ARE REVEIWED ON AT LEAST AN ANNUAL BASIS WITH ALL NECESSARY PERSONNEL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE OFFICE OF RECORDS DURING REGULAR BUSINESS HOURS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>