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      <Desc>SKILLED NURSING FACILITY - WITH CONSTRUCTION FINANCING AND ARCHITECTURAL PLANNING BEGINNING IN 1985, THE ACC CARE CENTER OPENED FOR BUSINESS IN 1987. A 99-BED SKILLED NURSING FACILITY, THE CARE CENTER IS ONE OF ACC'S PRIMARY PROGRAMS, PROVIDING PRIVATE AND SEMI-PRIVATE ROOMS, NURSING, DIETARY, REHABILITATION, AND SOCIAL SERVICES IN A MULTI-CULTURAL AND MULTI-LINGUAL SETTING. IT IS STAFFED BY OVER 100 STAFF ABLE TO SPEAK 22 DIFFERENT LANGUAGES IN ADDITION TO ENGLISH. MANY RELIGIOUS AND CULTURAL EVENTS ARE OBSERVED THROUGHOUT THE YEAR. THE MENU RESPONDS TO THE FOOD PREFERENCES AND DIETARY NEEDS OF RESIDENTS WHO ARE 60% ASIAN AMERICAN, 30% WHITE, AND 10% AFRICAN AMERICAN, LATINO, AND OTHER ETHNICITY. THE 70% (60% ASIAN AND 10% AFRICAN AMERICAN, LATINO, AND OTHER) MINORITIES SERVED BY ACC CARE CENTER COMPARES TO A SACRAMENTO COUNTY MINORITY POPULATION PERCENTAGE OF 37%. SINCE OPENING IN 1987, OVER 60% OF THE RESIDENTS AT ACC CARE CENTER HAVE BEEN MEDI-CAL ELIGIBLE. IN 2002, 2003, AND 2005, THE FACILITY EARNED A GOLDEN SURVEY: A ZERO-DEFICIENCY OUTCOME FROM THE STATE DEPARTMENT OF HEALTH SERVICES LICENSING AND CERTIFICATION DIVISION. IN 2004, ACC CARE CENTER WAS RECOGNIZED BY THE FEDERAL GOVERNMENT QUALITY IMPROVEMENT ORGANIZATION, LUMETRA, FOR SUSTAINED ATTENTION TO AND SUCCESSFUL IMPLEMENTATION OF QUALITY IMPROVEMENT EFFORTS. SEVERAL ARTICLES IN LEADINGAGE, SACRAMENTO MUNICIPAL UTILITIES DISTRICT NEWSLETTERS AND ELSEWHERE REPORT ON INNOVATIVE WORK THAT DEMONSTRATES THE POSITIVE IMPACT THAT HUMAN CENTRIC LIGHTING CAN HAVE ON THE BEHAVIOR OF PERSONS WITH DEMENTIA, AND HOW IT CAN PROMOTE SAFETY FOR RESIDENTS AT NIGHT. PARTNERSHIPS LIKE THIS IMPROVE CARE QUALITY AND ENHANCE RESIDENT QUALITY OF LIFE. THE ACC CARE CENTER WAS ALSO RECOGNIZED IN 2015 WITH A BRONZE AWARD, AND IN 2016 WITH A SILVER AWARD FOR QUALITY CARE, SPONSORED BY THE CALIFORNIA ASSOCIATION OF HEALTH FACILITIES, MODELED ON THE NATIONALLY RECOGNIZED BALDRIGE AWARD. BASED ON 2019 DATA, THE ACC CARE CENTER HAS JUST BEEN RECOGNIZED AS ONE OF THE BEST NURSING HOMES FOR LONG-TERM CARE AND SHORT-TERM REHABILITATION BY THE US NEWS WORLD REPORT.</Desc>
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        <Desc>MAPLE TREE VILLAGE - THE CONSTRUCTION OF MAPLE TREE VILLAGE (MTV) WAS COMPLETED IN NOVEMBER 2019 AND IS ANOTHER STEP IN ACC'S MISSION TO PROVIDE A CONTINUUM OF CARE IN A FAMILY-ORIENTED, CULTURALLY SENSITIVE ENVIRONMENT. MTV OFFERS 72 ASSISTED LIVING APARTMENTS AND A SPECIALIZED NEIGHBORHOOD OF 30 APARTMENTS SUPPORTING THOSE WITH MEMORY LOSS AND VARIOUS FORMS OF DEMENTIA.</Desc>
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        <Desc>GREENHAVEN TERRACE - IN 2007, ACC ACQUIRED ACC GREENHAVEN TERRACE (GT), A 166 UNIT INDEPENDENT LIVING SENIOR APARTMENT COMPLEX. IN 2014 HALF OF THE SECOND FLOOR OF THIS THREE STORY COMPLEX WAS REMODELED SO THAT ACC COULD RESPOND TO NEEDS IN THE COMMUNITY FOR ASSISTED LIVING (A RESIDENTIAL CARE FACILITY FOR THE ELDERLY). GT SERVES SENIORS 62 AND OLDER WITH 146 INDEPENDENT AND 24 ASSISTED LIVING APARTMENTS MANAGED BY A CARING ACC MANAGEMENT STAFF. THE FACILITY ACCEPTS PERSONS WITH SECTION 8 VOUCHERS ISSUED BY THE SACRAMENTO HOUSING AND REDEVELOPMENT AUTHORITY (SHRA). MANAGEMENT AND OCCUPANCY STAFF HAVE BEEN TRAINED TO ADMINISTER THE SECTION 8 PROGRAM IN ACCORDANCE WITH SHRA AND HUD REGULATIONS. CURRENTLY, GT HAS HAD ON THE AVERAGE OF FIVE RESIDENTS PER MONTH UNDER THE SECTION 8 PROGRAM. MARKETING AND RECRUITMENT OF RESIDENTS IS CONDUCTED IN ACCORDANCE WITH "AFFIRMATIVE FAIR HOUSING" REGULATIONS. A WAITING LIST FOR BOTH INDEPENDENT AND ASSISTED LIVING UNITS IS ACTIVELY MANAGED.</Desc>
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        <Desc>COMMUNITY PROGRAMS - ENHANCING THE QUALITY OF LIFE OF ELDERS AND THEIR CAREGIVERS IS CENTRAL TO ACC'S COMMUNITY SERVICES. RENOVATED AND OPENED IN 2015, A 15,000 SQUARE FOOT COMMUNITY CENTER LOCATED A MILE FROM THE CARE CENTER IS THE SITE OF ACC'S LIFELONG LEARNING AND WELLNESS PROGRAM (LLWP), WHICH SUPPORTS AND SUSTAINS THE EFFORTS OF FAMILY CAREGIVERS, MANY OF WHOM CARE FOR PERSONS WITH ALZHEIMER'S DISEASE AND OTHER DEMENTIAS, PHYSICAL DISABILITY, ARE NO LONGER ABLE TO LIVE INDEPENDENTLY, AND ARE AT RISK OF INSTITUTIONALIZATION. EVEN THOUGH ACC OPERATES AN EXCELLENT NURSING HOME, PLACEMENT THERE IS GENERALLY A LAST CHOICE FOR CARE. NUMEROUS STUDIES FIND THAT STRESS AND BURNOUT CAN ENDANGER FAMILY CARE ARRANGEMENTS COMPROMISING CAREGIVER HEALTH, AND EXACERBATING CHRONIC ILLNESS. THE LLWP SUPPORTS THE COMMITMENT OF FAMILIES TO SUSTAIN CARE GIVING BY FOSTERING WELLNESS, PROVIDING INFORMATION, AND OFFERING OPPORTUNITIES THAT ARE EMPOWERING. ACC'S BRIDGE TO HEALTHY FAMILIES (INITIATED IN 2008) AND ACC RIDES TRANSPORTATION SERVICES (INITIATED IN 2003) ARE EXAMPLES OF THE TYPE OF SUPPORTIVE SERVICES THAT ACC PROVIDES TO ASSURE THAT A TRUE CONTINUUM OF LONG TERM SERVICES AND SUPPORT ARE AVAILABLE TO OLDER ADULTS IN THE COMMUNITY WE SERVE. LLWP SERVICES ARE PROVIDED AT RATES THAT ARE AFFORDABLE FOR ELDERS AND INSTRUCTOR FEES ARE FULLY COVERED BY ACC. IN 2016, THE SENIOR COMMUNITY SERVICE AND EMPLOYMENT PROGRAM, OR "SCSEP", AN OLDER AMERICANS ACT PROGRAM FOR SACRAMENTO COUNTY, WAS TAKEN ON THROUGH A CONTRACT WITH THE NATIONAL ASIAN PACIFIC CENTER ON AGING. THROUGH THIS, ELDERS WITH LOW INCOMES WHO WANT TO LEARN NEW JOB SKILLS CAN RECEIVE JOB TRAINING AND OBTAIN WORK EXPERIENCE. THE PROGRAM HAS HELPED AN AVERAGE OF 13-15 LOW-INCOME JOB SEEKERS ANNUALLY FIND EMPLOYMENT SINCE 2017. SEVERAL AWARDS RECOGNIZING PROGRAM INNOVATION, EXCELLENCE, AND MULTI-CULTURAL PROGRAMMING HAVE BEEN RECEIVED BY ACC FROM THE ADMINISTRATION FOR COMMUNITY LIVING, AMERICAN SOCIETY ON AGING, AARP, PFIZER, METLIFE, AGENCY ON AGING AREA 4, AND THE NATIONAL ASSOCIATION OF AREA AGENCIES ON AGING. LLWP AND RIDES PROGRAM PARTICIPANTS ARE CLOSE TO 80% MINORITY COMPARED TO THE SACRAMENTO COUNTY MINORITY POPULATION PERCENTAGE OF 37%. THE ACC RIDES PROGRAM SERVES 30% WHITE, 14% AFRICAN AMERICAN, 2% AMERICAN INDIAN, 42% ASIAN, 11% HISPANIC, AND 1% OTHER RACES. ITNAMERICA RECOGNIZED ACC RIDES AS A "TRUSTED TRANSPORTATION PARTNER" IN CALIFORNIA.</Desc>
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        <PersonNm>TAMARA KARIO ADMINISTRATOR</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>127676</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4029</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CONNIE L RUSYNYK</PersonNm>
        <TitleTxt>PRESIDENT/CEO (AS OF 09/23)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>87692</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEAN SHIOMOTO - CHAIR</PersonNm>
        <TitleTxt>ACTING PRES/CEO (THRU 09/23)</TitleTxt>
        <AverageHoursPerWeekRt>28.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TIM CORCORAN</PersonNm>
        <TitleTxt>VICE CHAIR (THRU 03/23)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOYCE ISERI</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BETTY MASUOKA</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TITUS TOYAMA</PersonNm>
        <TitleTxt>FINANCE CHAIR/TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY BIENKO</PersonNm>
        <TitleTxt>DIRECTOR (AS OF 10/23)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA A CABATIC</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LORA CONNOLLY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRENT LUU</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAULA MISHIMA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAM MIZUKAMI</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KATHRYN SEXSON</PersonNm>
        <TitleTxt>DIRECTOR (THRU 09/23)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN SOUBLET</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>11385</TotalOtherCompensationAmt>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HARDESTY LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>19800 MACARTHUR BLVD SUITE 270</AddressLine1Txt>
            <CityNm>IRVINE</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92612</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT LABOR</ServicesDesc>
        <CompensationAmt>879138</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KAISER FOUNDATION HEALTH PLAN INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 80204</AddressLine1Txt>
            <CityNm>LOS ANGELES</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>90080</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>800857</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TWOMAGNETS INC DBA CLIPBOARD HEALTH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 103125</AddressLine1Txt>
            <CityNm>PASADENA</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>91189</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT LABOR</ServicesDesc>
        <CompensationAmt>780749</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THERAPY SPECIALIST</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 69268</AddressLine1Txt>
            <CityNm>BALTIMORE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21264</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>THERAPY SERVICES</ServicesDesc>
        <CompensationAmt>603489</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>US FOODS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 884766</AddressLine1Txt>
            <CityNm>LOS ANGELES</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>90088</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FOOD SERVICE</ServicesDesc>
        <CompensationAmt>541163</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>18</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>465263</FundraisingAmt>
      <GovernmentGrantsAmt>529172</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1481281</AllOtherContributionsAmt>
      <NoncashContributionsAmt>24698</NoncashContributionsAmt>
      <TotalContributionsAmt>2475716</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT CARE REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>11303018</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11303018</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ASSISTED LIVING</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>5162034</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5162034</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>GREENHAVEN TERRACE RENTAL</Desc>
        <BusinessCd>532000</BusinessCd>
        <TotalRevenueColumnAmt>2417788</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2417788</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MAPLE TREE VILLAGE RENTAL</Desc>
        <BusinessCd>532000</BusinessCd>
        <TotalRevenueColumnAmt>2103036</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2103036</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>COMMUNITY CENTER PROGRAMS</Desc>
        <BusinessCd>624110</BusinessCd>
        <TotalRevenueColumnAmt>106127</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>106127</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>90895</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>90895</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>21182898</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>199388</TotalRevenueColumnAmt>
        <ExclusionAmt>199388</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>644344</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>644344</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>644344</TotalRevenueColumnAmt>
        <ExclusionAmt>644344</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>465263</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>85210</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-85210</TotalRevenueColumnAmt>
        <ExclusionAmt>-85210</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>MAPLE TREE VILLAGE - MISC</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>184121</TotalRevenueColumnAmt>
        <ExclusionAmt>184121</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MANAGEMENT FEE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>114858</TotalRevenueColumnAmt>
        <ExclusionAmt>114858</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>CARE CENTER - MISC</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>82285</TotalRevenueColumnAmt>
        <ExclusionAmt>82285</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>94882</TotalRevenueColumnAmt>
        <ExclusionAmt>94882</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>476146</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>24893282</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>21182898</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1234668</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>87692</TotalAmt>
        <ProgramServicesAmt>21923</ProgramServicesAmt>
        <ManagementAndGeneralAmt>65769</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>8596661</TotalAmt>
        <ProgramServicesAmt>5756154</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2784889</ManagementAndGeneralAmt>
        <FundraisingAmt>55618</FundraisingAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1680148</TotalAmt>
        <ProgramServicesAmt>1680148</ProgramServicesAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>964721</TotalAmt>
        <ProgramServicesAmt>960235</ProgramServicesAmt>
        <FundraisingAmt>4486</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>138312</TotalAmt>
        <ManagementAndGeneralAmt>138312</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>154015</TotalAmt>
        <ManagementAndGeneralAmt>154015</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>127398</TotalAmt>
        <FundraisingAmt>127398</FundraisingAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>14043</TotalAmt>
        <ManagementAndGeneralAmt>14043</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>4201357</TotalAmt>
        <ProgramServicesAmt>3226461</ProgramServicesAmt>
        <ManagementAndGeneralAmt>903075</ManagementAndGeneralAmt>
        <FundraisingAmt>71821</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>62261</TotalAmt>
        <ProgramServicesAmt>62261</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>147579</TotalAmt>
        <ProgramServicesAmt>147579</ProgramServicesAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>984460</TotalAmt>
        <ProgramServicesAmt>984272</ProgramServicesAmt>
        <FundraisingAmt>188</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>36087</TotalAmt>
        <ProgramServicesAmt>36087</ProgramServicesAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>11136</TotalAmt>
        <ProgramServicesAmt>11136</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>1724726</TotalAmt>
        <ProgramServicesAmt>1724726</ProgramServicesAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>1913638</TotalAmt>
        <ProgramServicesAmt>1913638</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>401905</TotalAmt>
        <ProgramServicesAmt>400838</ProgramServicesAmt>
        <FundraisingAmt>1067</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>DIRECT PROGRAM EXPENSES</Desc>
        <TotalAmt>3758558</TotalAmt>
        <ProgramServicesAmt>3758558</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>1542388</TotalAmt>
        <ProgramServicesAmt>1534655</ProgramServicesAmt>
        <FundraisingAmt>7733</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>588420</TotalAmt>
        <ProgramServicesAmt>588420</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>QA FEES</Desc>
        <TotalAmt>509733</TotalAmt>
        <ProgramServicesAmt>509733</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>228393</TotalAmt>
        <ProgramServicesAmt>225208</ProgramServicesAmt>
        <FundraisingAmt>3185</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>27873631</TotalAmt>
        <ProgramServicesAmt>23542032</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4060103</ManagementAndGeneralAmt>
        <FundraisingAmt>271496</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>1383504</BOYAmt>
        <EOYAmt>1038372</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2990777</BOYAmt>
        <EOYAmt>2794112</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>997281</BOYAmt>
        <EOYAmt>2136048</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>385661</BOYAmt>
        <EOYAmt>242551</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>65628318</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>23384134</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>43962048</BOYAmt>
        <EOYAmt>42244184</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>3756224</BOYAmt>
        <EOYAmt>293648</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>433930</BOYAmt>
        <EOYAmt>530415</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
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        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WAS PREPARED BY A FIRM OF CERTIFIED PUBLIC ACCOUNTANTS AND REVIEWED BY MANAGEMENT. MANAGEMENT'S QUESTIONS AND COMMENTS WERE ANSWERED AND RESOLVED PRIOR TO FILING THE FORM 990. EACH BOARD MEMBER WAS PROVIDED WITH A COPY OF THE FORM 990 BEFORE THE RETURN WAS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS MEMBERS OF THE BOARD OF DIRECTORS, OTHER OFFICERS, AND VOTING MEMBERS OF COMMITTEES WITH FIDUCIARY DUTIES. EACH COVERED MEMBER IS REQUIRED TO SUBMIT AN ANNUAL DISCLOSURE STATEMENT. THE CHIEF EXECUTIVE OFFICER, BOARD PRESIDENT, VICE PRESIDENT, OR COMMITTEE CHAIR, AS APPROPRIATE, REVIEW THE DISCLOSURE STATEMENTS FOR SITUATIONS THAT MAY POSE POTENTIAL CONFLICTS OF INTEREST FOR DIRECTORS, OFFICERS AND VOTING COMMITTEE MEMBERS WITH FIDUCIARY DUTIES. EACH COVERED MEMBER HAS THE DUTY TO DISCLOSE A POTENTIAL CONFLICT OF INTEREST PRIOR TO THEIR PARTICIPATION IN THE DISCUSSION, EVALUATION, OR ACTION ON A TRANSACTION. THE COVERED MEMBER DISCLOSES ANY INTERESTS HE OR SHE THINKS COULD BE CONSIDERED "MATERIAL" ALONG WITH ALL RELEVANT FACTS TO THE BOARD ITSELF, A COMMITTEE OR THE CHIEF EXECUTIVE OFFICER. MEMBERS THAT ARE DETERMINED TO HAVE A CONFLICT OF INTEREST ARE REQUIRED TO REFRAIN FROM VOTING ON ANY MATTERS RELATED TO THE TRANSACTION AND WILL NOT BE COUNTED FOR THE PRESENCE OF A QUORUM. BOARD APPROVAL OF A TRANSACTION INVOLVING A CONFLICT OF INTEREST REQUIRES A MAJORITY VOTE OF THE BOARD OF DIRECTORS, NOT INCLUDING THE COVERED MEMBER WITH THE CONFLICT. ALL PROCEEDINGS RELATED TO CONFLICTS OF INTEREST ARE DOCUMENTED IN THE MEETING MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO'S COMPENSATION IS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS BASED ON THE CEO'S PERFORMANCE AND COMPARABILITY DATA. COMPENSATION FOR THE CEO IS BASED ON AN ANNUAL REVIEW OF COMPARABLE POSITIONS SUBMITTED BY THE CHIEF HUMAN RESOURCES OFFICER (CHRO) TO THE EXECUTIVE COMMITTEE OF THE BOARD. COMPENSATION IS DETERMINED AS PART OF AN ANNUAL PERFORMANCE REVIEW, WHICH IS CONDUCTED BY THE EXECUTIVE COMMITTEE (LED BY THE BOARD CHAIR). REFERRING TO THE RANGES NOTED BY THE CHRO, THE BOARD CHAIR WITH THE CONCURRENCE OF THE EXECUTIVE COMMITTEE RECOMMENDS ANNUAL COMPENSATION FOR THE CEO TO THE BOARD OF DIRECTORS DURING AN EXECUTIVE SESSION CALLED FOR THAT PURPOSE. THE DELIBERATION AND DECISIONS ARE DOCUMENTED IN THE MEETING MINUTES AND A NOTICE TO PERSONNEL ACTION IS COMPLETED AND STORED IN THE EMPLOYEE'S PERSONNEL FILE. COMPENSATION FOR THE COO IS BASED ON AN ANNUAL PERFORMANCE REVIEW CONDUCTED BY THE CEO, WHO THEN CONSIDERS ANNUAL COMPENSATION BASED ON COMPARABLE DATA (SALARY AND BENEFITS DATA RESEARCH BY THE CHRO). A NOTICE TO PERSONNEL ACTION IS COMPLETED AND STORED IN THE EMPLOYEE'S PERSONNEL FILE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 2,284,967. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,284,967. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 941,494. MANAGEMENT AND GENERAL EXPENSES 903,075. FUNDRAISING EXPENSES 71,821. TOTAL EXPENSES 1,916,390.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MEALS ON WHEELS BY ACC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>7375 PARK CITY DRIVE</AddressLine1Txt>
          <CityNm>SACRAMENTO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95831</ZIPCd>
        </USAddress>
        <EIN>300610870</EIN>
        <PrimaryActivitiesTxt>NUTRITIOUS MEALS DELIVERED TO SENIORS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ASIAN COMMMUNITY CENTER OF SACRAMENTO</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
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          <BusinessNameLine1Txt>MEALS ON WHEELS BY ACC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>90000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
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