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      <FootnoteTextInd>X</FootnoteTextInd>
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        <FormAndLineReferenceDesc>V 1b</FormAndLineReferenceDesc>
        <ExplanationTxt>Contributions were reduced by 12,817,875 negative contribution because term endowment funds were released to general funds in November 2023 at the end of a 25-year holding period.</ExplanationTxt>
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        <FormAndLineReferenceDesc>X 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The following was disclosed related to certain tax positions in the audited financial statements The American Diabetes Association ADA is generally exempt from income taxes under Section 501c3 of the Internal Revenue Code the Code and charitable contributions to the organization qualifies for tax deductions as described in the Code. PTHC is generally exempt from income taxes under Section 501c2 of the Code. These entities are subject to taxation on any net unrelated business income and have been classified as organizations that are not private foundations under Section 509a of the Code. ADA recognizes the effect of income tax positions only if those positions more likely than not would not be sustained upon examination by the Internal Revenue Service. ADA has analyzed the tax positions taken and has concluded that as of December 31, 2023, there are no uncertain tax positions taken or expected to be taken that would require recognition of a liability or asset or disclosure in the consolidated financial statements. The ADA is open to examination by taxing authorities for the years ended December 31, 2020 and forward.</ExplanationTxt>
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        <PersonNm>Charles D Henderson</PersonNm>
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        <FormAndLineReferenceDesc>Part I Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The operations of the American Diabetes Association Property Title Holding Corporation are managed by the Chief Executive Officer and the Chief Operating Officer of its parent organization, the American Diabetes Association ADA. The principal officers of the ADA use an Executive Compensation Committee, compensation studies and an independent consultant to establish the compensation is within the guidelines set by the Executive Compensation Committee.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>The Corporations draft IRS 990 is reviewed by the American Diabetes Associations ADA management and BDO. The final and signed IRS Form 990 is provided to the ADAs Board of Directors prior to filing with the IRS.</ExplanationTxt>
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        <ExplanationTxt>Managing a Conflict of Interest To identify potential conflicts of interest with appropriate due diligence, Officers, Directors, members of select Board appointed committees and their related subcommittees, and senior staff of the ADA and its subsidiaries must annually disclose any potential conflicts of interest. The ADAs Audit and Governance Committee and senior staff in Legal Affairs manage the disclosure and monitoring processes. Through review of the annual disclosures and review of the agendas of relevant Board, Committee and other meetings, appropriate efforts are made in advance of the meetings to identify potential conflicts of interest. Each person also has the responsibility to report his/her own conflicts of interest actual or perceived as those conflicts may arise during a meeting.</ExplanationTxt>
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        <ExplanationTxt>The following information is available on the American Diabetes Associations ADA website http//www.diabetes.org board of directors, annual report, audited consolidated financial statements, most recent IRS Forms 990 filed, whistleblower policy. The following information is available by request to the ADA Legal Affairs department current bylaws, articles of incorporation, conflict of interest policy.</ExplanationTxt>
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        <ExplanationTxt>The Chief Executive Officer and the Chief Operating Officer are compensated by the American Diabetes Association based on a standard average of 37.5 hours per week.</ExplanationTxt>
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        <ExplanationTxt>The American Diabetes Association Property Title Holding Corporation was formed to support the not-for-profit purposes of the American Diabetes Association ADA EIN 13-1623888, 501c3, by holding title to property utilized by the ADA and to perform related services for the ADA with respect to such property, as permitted under the provisions of the Internal Revenue Code of 1986, as amended, related to tax-exempt title holding companies.</ExplanationTxt>
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