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        <ContributorBusinessName>
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          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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        <PurposeOfGrantTxt>FINANCIAL SUPPORT OF THE CHILDREN'S EYE CLINIC AT THE OREGON HEALTH AND SCIENCE UNIVERSITY.</PurposeOfGrantTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ELKS YOUTH EYE SERVICE, IN CONJUNCTION WITH ITS SUPPORTED ORGANIZATION (OREGON STATE ELKS ASSOCIATION), PROVIDES SUPPORT TO THE OREGON HEALTH AND SCIENCE UNIVERSITY FOUNDATION (THE FOUNDATION) TO SUPPORT THE FOUNDATION'S EYE CLINIC AT THE OREGON HEALTH AND SCIENCE UNIVERSITY. ELKS YOUTH EYE SERVICE RECEIVES ACKNOWLEDGEMENT FROM THE FOUNDATION CONFIRMING THE USE OF THE CONTRIBUTIONS.</ExplanationTxt>
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        <ExplanationTxt>A COPY OF THE 990 IS REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECTORS SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL GOVERNING DOCUMENT AND FORM 990 ARE MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.</ExplanationTxt>
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          <StateAbbreviationCd>OR</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>SUPPORTS OREGON STATE ELKS ASSOCIATION VISUAL COMMITTEE CHILDREN'S PROGRAM</PrimaryActivitiesTxt>
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      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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</Return>