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        <CompensationAmt>4221066</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PUREWAY COMPLIANCE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2716 OCEAN PARK BOULEVARD SUITE 308</AddressLine1Txt>
            <CityNm>SANTA MONICA</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>90405</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COLLECTION AND DISPOSAL</ServicesDesc>
        <CompensationAmt>3720343</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MOSAIC SALES SOLUTIONS US OPERATING CO L</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>451 A STREET</AddressLine1Txt>
            <CityNm>SAN DIEGO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92101</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMPORARY STAFFING</ServicesDesc>
        <CompensationAmt>1657082</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CIVILIAN AGENCY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>451 A STREET SUITE 150</AddressLine1Txt>
            <CityNm>SAN DIEGO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92101</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDIA SERVICES</ServicesDesc>
        <CompensationAmt>1636459</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>23</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>PROGRAM SERVICE FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>34061603</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>34061603</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>34061603</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1143457</TotalRevenueColumnAmt>
        <ExclusionAmt>1143457</ExclusionAmt>
      </InvestmentIncomeGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>16235</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-16235</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-16235</TotalRevenueColumnAmt>
        <ExclusionAmt>-16235</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>175242</TotalRevenueColumnAmt>
        <ExclusionAmt>175242</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>175242</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>35364067</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>34061603</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1302464</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>169650</TotalAmt>
        <ProgramServicesAmt>169650</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>10928751</TotalAmt>
        <ProgramServicesAmt>7285834</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3642917</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>843348</TotalAmt>
        <ProgramServicesAmt>562232</ProgramServicesAmt>
        <ManagementAndGeneralAmt>281116</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>144195</TotalAmt>
        <ManagementAndGeneralAmt>144195</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2005599</TotalAmt>
        <ProgramServicesAmt>1337066</ProgramServicesAmt>
        <ManagementAndGeneralAmt>668533</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>2918099</TotalAmt>
        <ProgramServicesAmt>2918099</ProgramServicesAmt>
      </AdvertisingGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1354286</TotalAmt>
        <ProgramServicesAmt>902857</ProgramServicesAmt>
        <ManagementAndGeneralAmt>451429</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
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        <ProgramServicesAmt>10057</ProgramServicesAmt>
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      <TravelGrp>
        <TotalAmt>615553</TotalAmt>
        <ProgramServicesAmt>488031</ProgramServicesAmt>
        <ManagementAndGeneralAmt>127522</ManagementAndGeneralAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1265433</TotalAmt>
        <ProgramServicesAmt>1265433</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>181878</TotalAmt>
        <ProgramServicesAmt>121252</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60626</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>COLLECTION VENDOR</Desc>
        <TotalAmt>13827317</TotalAmt>
        <ProgramServicesAmt>13827317</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>JURISDICTIONAL FEES</Desc>
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        <ProgramServicesAmt>1303978</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>KIOSK MAINTENANCE</Desc>
        <TotalAmt>465946</TotalAmt>
        <ProgramServicesAmt>465946</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>COMPLIANCE SUPPORT</Desc>
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        <ProgramServicesAmt>383162</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>24527</ProgramServicesAmt>
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        <ProgramServicesAmt>31065441</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5388601</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <BOYAmt>8813233</BOYAmt>
        <EOYAmt>14049593</EOYAmt>
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        <BOYAmt>26730491</BOYAmt>
        <EOYAmt>29033431</EOYAmt>
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        <EOYAmt>2764965</EOYAmt>
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        <EOYAmt>552467</EOYAmt>
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      <LandBldgEquipAccumDeprecAmt>6623134</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>3941388</BOYAmt>
        <EOYAmt>3026427</EOYAmt>
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        <EOYAmt>8705281</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>13878313</EOYAmt>
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        <EOYAmt>31383325</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>45629035</BOYAmt>
        <EOYAmt>53966919</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>13862557</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>14952532</BOYAmt>
        <EOYAmt>13862557</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>60581567</BOYAmt>
        <EOYAmt>67829476</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-1089975</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>32742554</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>35701596</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>33875049</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>34236845</CurrentTaxYearAmt>
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      <Total509Grp>
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        <CurrentTaxYearAmt>34236845</CurrentTaxYearAmt>
        <TotalAmt>164577666</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <CurrentTaxYearMinus4YearsAmt>13485678</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>24965309</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11683868</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10420320</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>11738222</CurrentTaxYearAmt>
        <TotalAmt>72293397</TotalAmt>
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      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>13485678</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>24965309</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11683868</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10420320</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>11738222</CurrentTaxYearAmt>
        <TotalAmt>72293397</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>92284269</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>295</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>52652</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>795011</CurrentTaxYearMinus1YearAmt>
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        <TotalAmt>2016512</TotalAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus3YearsAmt>295</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>52652</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>795011</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1143457</CurrentTaxYearAmt>
        <TotalAmt>2016512</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>392644</CurrentTaxYearMinus4YearsAmt>
        <TotalAmt>392644</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>28439363</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>32742849</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>35754248</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>34670060</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>35380302</CurrentTaxYearAmt>
        <TotalAmt>166986822</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.55260</PublicSupportCY509Pct>
      <InvestmentIncomeCYPct>0.01210</InvestmentIncomeCYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="RetDoc1039600001">
      <TotalGrassrootsLobbyingGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotalGrassrootsLobbyingGrp>
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>31065441</FilingOrganizationsTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>31065441</FilingOrganizationsTotalAmt>
      </TotalExemptPurposeExpendGrp>
      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>1000000</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>250000</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <TotLbbyngGrassrootMnsNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyngGrassrootMnsNonTxGrp>
      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyExpendMnsLbbyngNonTxGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>0</CurrentYearAmt>
        <TotalAmt>1000000</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>1500000</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearMinus1Amt>8000</CurrentYearMinus1Amt>
        <CurrentYearAmt>0</CurrentYearAmt>
        <TotalAmt>8000</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>0</CurrentYearAmt>
        <TotalAmt>250000</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>375000</GrassrootsCeilingAmt>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>116320</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>28738</DepreciationAmt>
        <BookValueAmt>87582</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>6594396</DepreciationAmt>
        <BookValueAmt>2938845</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>3026427</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>RESERVE FUND LIABILITY</Desc>
        <Amt>31383325</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>31383325</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>35380302</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-16235</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-16235</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>35364067</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>36470277</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>16235</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>16235</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>36454042</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>36454042</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MED-PROJECT USA IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOWEVER, INCOME FROM ACTIVITIES NOT DIRECTLY RELATED TO MED-PROJECT USA'S TAX-EXEMPT PURPOSES, IF ANY, WOULD BE SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. THE EIGHT MED-PROJECT LLCS ARE CONSIDERED "DISREGARDED ENTITIES" FOR FEDERAL INCOME TAX PURPOSES. THEIR ACTIVITIES AND PURPOSES ARE FULLY CONSISTENT WITH THOSE OF MED-PROJECT USA, AND THE ACTIVITIES OF THE LLCS ARE REPORTED ON A CONSOLIDATED BASIS WITH MED-PROJECT USA'S FEDERAL INFORMATION RETURN FILING (IRS FORM 990). THE LLCS ARE SUBJECT TO APPLICABLE STATE INCOME TAXES AS FOR-PROFIT LIMITED LIABILITY COMPANIES. MED-PROJECT RECORDED STATE INCOME TAX EXPENSE TOTALING $26,525 FOR THE YEAR ENDING DECEMBER 31,2024 INCLUDED IN THE JURISDICTIONAL FEES LINE OF THE STATEMENT OF FUNCTIONAL EXPENSES. MED-PROJECT'S TAX RETURNS AND FILINGS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES FOR A PERIOD OF THREE TO FOUR YEARS DEPENDING ON THE JURISDICTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON DISPOSAL OF FIXED ASSET -16,235.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON DISPOSAL OF FIXED ASSET 16,235.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION SHALL HAVE ONE VOTING MEMBER, WHICH SHALL BE THE PHARMACEUTICAL PRODUCT STEWARDSHIP WORK GROUP, A DISTRICT OF COLUMBIA NONPROFIT CORPORATION, AND WHOSE RIGHTS SHALL BE PROVIDED FOR IN THE BYLAWS OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>PER THE ORGANIZATION'S BYLAWS, THE ORGANIZATION SHALL HAVE ONLY ONE VOTING MEMBER, WHICH SHALL BE THE PHARMACEUTICAL PRODUCT STEWARDSHIP WORK GROUP (PPSWG), A DISTRICT OF COLUMBIA NONPROFIT CORPORATION. THE CORPORATION SHALL HAVE NO OTHER MEMBERS. THE AFFAIRS OF THE ORGANIZATION SHALL BE MANAGED BY THE BOARD OF DIRECTORS, RECOGNIZING THE EXPRESS RIGHTS RESERVED FOR THE ORGANIZATION'S VOTING MEMBER (PPSWG). DIRECTORS SHALL BE APPOINTED BY THE BOARD OF DIRECTORS OF THE ORGANIZATION'S VOTING MEMBER (PPSWG).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE VOTING MEMBER HAS CERTAIN RIGHTS RESERVED FOR IT, INCLUDING BUT NOT LIMITED TO THE RIGHT TO AMEND MED-PROJECT USA'S BYLAWS AND APPROVE THE MED-PROJECT USA ANNUAL BUDGET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>NO COMMITTEES HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL REVIEW OF THE FORM 990 IS COMPLETED PRIOR TO FILING WITH THE IRS. THE FORM 990 IS REVIEWED BY MANAGEMENT AND THE BOARD OF DIRECTORS. THE EXECUTIVE DIRECTOR GIVES FINAL APPROVAL PRIOR TO FILING THE FORM WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ADP TOTALSOURCE STAFF IS RESPONSIBLE FOR ENTERPRISE RISK MONITORING COMPLIANCE WITH THE MED-PROJECT'S CONFLICT OF INTEREST (COI) POLICY. WITHIN THIS GROUP, THE SENIOR MANAGER, ETHICS, COMPLIANCE, &amp; TRAINING, REQUESTS ANNUAL ACKNOWLEDGEMENT OF THE COI ONCE A YEAR FROM ALL ADP TOTALSOURCE STAFF EMPLOYED FOR MED-PROJECT. ALL NEW STAFF HIRED FOR MED-PROJECT ARE REQUIRED TO SIGN THE COI UPON HIRE. REPORTING OF CONFLICT OF INTEREST: ALL POTENTIAL CONFLICTS OF INTEREST (INCLUDING PRE-EXISTING CONFLICTS OF INTEREST THAT HAVE NOT BEEN PREVIOUSLY APPROVED OR RATIFIED) WILL BE PROMPTLY REPORTED TO: (I) THE EXECUTIVE DIRECTOR; OR (II) THE LEAD DIRECTOR, LEGAL AND COMPLIANCE, AS APPROPRIATE. (III) WHERE THE CONFLICT ARISES WITH RESPECT TO THE EXECUTIVE DIRECTOR, IT WILL BE PROMPTLY REPORTED TO THE MED-PROJECT USA BOARD OF DIRECTORS ("BOARD") CHAIR. ALL PERSONS (EMPLOYED ON BEHALF OF MED-PROJECT) COVERED BY THE COI WILL ANNUALLY ACKNOWLEDGE THAT THEY HAVE EITHER NO CONFLICTS OR HAVE DISCLOSED/WILL DISCLOSE THEM BY FOLLOWING THE COI PROCEDURE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE 2024 FISCAL YEAR A 3RD PARTY VENDOR WAS UTILIZED TO ANALYZE THE LEADERSHIP COMPENSATION FOR A GENERAL MARKET COMPARISON. PER MED-PROJECT USA BYLAWS THE EX-OFFICIO OFFICER POSITIONS ARE REVIEWED BY THE EXECUTIVE COMMITTEE ANNUALLY. IN ADDITION TO THIS THERE IS A REVIEW OF THE EXECUTIVE DIRECTOR'S POSITION, AND THE COMMITTEE DETERMINES COMPENSATION. ALL OTHER POSITIONS ARE REVIEWED BY LEADERSHIP ANNUALLY. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2024.</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 AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ENTERED A CLIENT SERVICES AGREEMENT WITH A PROFESSIONAL EMPLOYER ORGANIZATION (PEO) - ADP TOTALSOURCE, INC. TO PERFORM WORK FOR THE ORGANIZATION. THE TERMS OF THE AGREEMENT STATE THAT THE PEO WILL SHARE CERTAIN EMPLOYER RESPONSIBILITIES. THE ORGANIZATION IS RESPONSIBLE FOR THE DAY TO DAY MANAGING OF THE EMPLOYEES. BOTH PEO AND THE ORGANIZATION HAVE A RIGHT TO HIRE (AND TERMINATE) EMPLOYEES AND HIRED EMPLOYEES MUST COMPLETE THE PEO'S NEW HIRE FORMS. THE EMPLOYEES ARE PAID EXCLUSIVELY THROUGH THE PEO. COMPENSATION PAID TO THE PEO IS TREATED LIKE COMPENSATION TO A MANAGEMENT COMPANY FOR PURPOSES OF FORM 990 COMPENSATION REPORTING. THE FOLLOWING INDIVIDUALS HOLD OFFICER, KEY EMPLOYEE, AND HIGHEST COMPENSATED EMPLOYEE POSITIONS WITH THE ORGANIZATION AND ARE COMPENSATED BY ADP: MICHAEL VAN WINKLE: REPORTABLE COMPENSATION $542,938, OTHER COMPENSATION $13,800 VICTORIA TRAVIS: REPORTABLE COMPENSATION $546,364, OTHER COMPENSATION $13,800 JAMES WILSON: REPORTABLE COMPENSATION $415,811, OTHER COMPENSATION $12,578 KIMBERLY PETERSON: REPORTABLE COMPENSATION $344,163, OTHER COMPENSATION $13,109 ADAM BURKHARDT: REPORTABLE COMPENSATION $292,666, OTHER COMPENSATION $10,603 JAMES ANDREW DAVENPORT: REPORTABLE COMPENSATION $194,090, OTHER COMPENSATION $6,566 CARLY ANDREWS: REPORTABLE COMPENSATION $193,029, OTHER COMPENSATION $7,870</ExplanationTxt>
      </SupplementalInformationDetail>
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