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      <PersonNm>Jonathan Naber</PersonNm>
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      <SignatureDt>2025-11-15</SignatureDt>
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      <Desc>CBR Program The Community-Based Rehabilitation CBR Program: Delivers personalized care within communities pairing participants with Mobilizers who provide bi-monthly support at home. These community rehabilitation workers assist across pre-prosthetic prosthetic and post-prosthetic stages focusing on physical rehabilitation mental health and productive activities. Graduates receive ongoing support from community contacts ensuring long-term care continuity. ROMP collects detailed outcome measures showing significant improvements in mental health mobility economic stability and quality of life. By leveraging mobile technology and local volunteers the CBR Program has reduced costs per participant while expanding its reach across multiple provinces in Guatemala. The CBR program graduated 140 individuals from its mobility and empowerment course 11 patients received surgical limb revisions through public hospitals 39 water filters delivered to homes without clean drinking water 19 PT students trained through clinical rotations 28 participants added to labor inclusion database 130+ community contacts and peer mentors mobilized and 100+ group and individual therapy sessions provided.</Desc>
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        <Desc>ROMP Guatemala Programs: Support for the ROMP Guatemala operations was spent on services for patients in Guatemala. This entity is responsible for carrying out the mission of ROMP in Guatemala. This program covered operational expenses of the ROMP Guatemala clinic including staffing expenses the purchase of materials and supplies importation of prosthetic components and other operational expenses. The ROMP Guatemala clinic was responsible for delivering 379 custom prosthetic devices while processing 2,630 individual patient visits at its fixed clinic site in Guatemala City in 2024.</Desc>
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        <Desc>ROMP Ecuador Programs: Support for the ROMP Ecuador operations was distributed in the form of a financial package to the Ecuadorian Fundacin Proyecto de Rangos en Movimiento. The grant covered operational expenses of the ROMP Ecuador clinic including staffing expenses the purchase of materials and supplies importation of prosthetic components mobile clinic operations in rural parts of the Ecuadorian highlands and Amazon region and other operational expenses. The ROMP Ecuador clinic was responsible for delivering 311 custom prosthetic devices and performing 1,547 individual patient visits at its fixed clinic site in Quito Ecuador and through mobile clinic operations throughout the country in 2024.</Desc>
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        <Desc>EXPENSES: The organization allocated $258,795 towards wages and benefits for employees directly involved in program management. Additionally $52,943 was designated for operations within the United States. Travel expenses totaling $12,811 were incurred to support prosthetic care programs in multiple countries. A lease expense of $16,880 was attributed to the organizations facility in Denver Colorado. An investment of $16,600 was made in program technology to enhance inventory management and patient information systems. Climbing for ROMP Program $11,020. Components for operations $839,446. INCOME: The organization generated $925 from programs in the USA $58,500 from the Climbing for ROMP initiative and $337,412 from providing various prosthetic services and revenue-generating activities while $37,461 was raised through fundraising events. An additional $8,122 in revenue was generated from other sources.</Desc>
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        <ExclusionAmt>0</ExclusionAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
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        <PersonalAmt>0</PersonalAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <NetRentalIncomeOrLossGrp>
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        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
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        <OtherAmt>0</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
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        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>110598</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>283346</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>73138</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>37460</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </NetIncomeFromGamingGrp>
      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
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        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>OTHER</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>8122</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>8122</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>8122</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>1899265</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>937843</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>1514334</TotalAmt>
        <ProgramServicesAmt>1514334</ProgramServicesAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>95000</TotalAmt>
        <ProgramServicesAmt>76000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19000</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>236172</TotalAmt>
        <ProgramServicesAmt>110186</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>125986</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>8960</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1030</ManagementAndGeneralAmt>
        <FundraisingAmt>23001</FundraisingAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>16647</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1563</ManagementAndGeneralAmt>
        <FundraisingAmt>10571</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62383</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1708</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18349</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>22769</TotalAmt>
        <FundraisingAmt>22769</FundraisingAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>47002</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>7315</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>6149</TotalAmt>
        <ProgramServicesAmt>1137</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3577</ManagementAndGeneralAmt>
        <FundraisingAmt>1435</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>49974</TotalAmt>
        <ProgramServicesAmt>16600</ProgramServicesAmt>
        <ManagementAndGeneralAmt>468</ManagementAndGeneralAmt>
        <FundraisingAmt>32906</FundraisingAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>20360</TotalAmt>
        <ProgramServicesAmt>16880</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>3480</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>21125</TotalAmt>
        <ProgramServicesAmt>12811</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4147</ManagementAndGeneralAmt>
        <FundraisingAmt>4167</FundraisingAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>5545</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1392</ManagementAndGeneralAmt>
        <FundraisingAmt>4153</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>2428</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2428</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <InsuranceGrp>
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        <ManagementAndGeneralAmt>8276</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>EDUCATION &amp; STAFF DEVELOPMENT</Desc>
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        <ManagementAndGeneralAmt>309</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM OPERATIONS IN USA</Desc>
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        <ProgramServicesAmt>51806</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2001</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER FUNDRAISING EXPENSES</Desc>
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        <ProgramServicesAmt>11020</ProgramServicesAmt>
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        <FundraisingAmt>14465</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>BANK SERVICES CHARGES</Desc>
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        <ManagementAndGeneralAmt>2839</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>1883383</ProgramServicesAmt>
        <ManagementAndGeneralAmt>129470</ManagementAndGeneralAmt>
        <FundraisingAmt>250248</FundraisingAmt>
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      <TotalJointCostsGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>465251</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>2600</EOYAmt>
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      <ReceivablesFromOfficersEtcGrp>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>557360</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>5629</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>0</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>0</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>0</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>0</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>1030840</EOYAmt>
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        <EOYAmt>32163</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>0</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>0</EOYAmt>
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      <EscrowAccountLiabilityGrp>
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        <EOYAmt>0</EOYAmt>
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      <LoansFromOfficersDirectorsGrp>
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        <EOYAmt>0</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>68492</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>140912</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>241567</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>789276</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>1030843</EOYAmt>
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      <NetUnrlzdGainsLossesInvstAmt>0</NetUnrlzdGainsLossesInvstAmt>
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      <PriorPeriodAdjustmentsAmt>0</PriorPeriodAdjustmentsAmt>
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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>true</AccountantCompileOrReviewInd>
      <AcctCompileOrReviewBasisGrp>
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      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA1" documentName="IRS990ScheduleA">
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        <CurrentTaxYearMinus3YearsAmt>1263972</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>1241242</CurrentTaxYearMinus1YearAmt>
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      <GovtFurnSrvcFcltsVl170Grp>
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      <PublicSupportTotal170Amt>4924425</PublicSupportTotal170Amt>
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        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>0</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>975303</CurrentTaxYearAmt>
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      <TotalSupportAmt>6691165</TotalSupportAmt>
      <PublicSupportCY170Pct>0.7360</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.8200</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part II - Line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>| Year:, Amount:, Description:| 2024, 975303Other income primarily includes revenue from Climbing for ROMP international volunteer program service fees and interest earned on our savings accounts. These activities are mission-aligned and support our charitable purpose. Funds generated through these programs directly contribute to financing ROMPs prosthetic care services for individuals with limb loss in our countries of operation.|</ExplanationTxt>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    <IRS990ScheduleD documentId="IRS990ScheduleD1" documentName="IRS990ScheduleD">
      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDABLE ADVANCE</Desc>
        <Amt>140912</Amt>
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      <TotalLiabilityAmt>140912</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>1899265</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>1899265</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>1899265</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2263101</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2263101</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>2263101</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>As of December 31 2024 the organization reported refundable advances totaling $140,912 including restricted grant funds and volunteer program fees received in advance of service delivery. These amounts are recorded as refundable advances until donor requirements are met or volunteer programs occur. Each November the organization publishes the following years volunteer program dates and many participants reserve in advance and remit their fees at registration. Funds may be refunded if a program is canceled or a participant withdraws within established policies. Revenue is recognized only when donor conditions are satisfied or program services are delivered. The organization evaluated its tax positions under ASC 740 and determined it has no uncertain tax positions and remains exempt under Section 501c3.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I to XII</FormAndLineReferenceDesc>
        <ExplanationTxt>| PartandLinenumber:,Explanation:| Part X General,FIN 48 Footnote The organization is exempt from income tax under Section 501c3 of the United States Internal Revenue Code and comparable state law and contributions to it are deductible within the limitations prescribed by the Code. The organization has been classified as a publicly supported organization and not a private foundation under Section 509a of the Code. The accounting standard for uncertainty in income taxes addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under this guidance the organization may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained upon examination by taxing authorities based on the technical merits of the position.| Part X General,Additional FIN 48 Disclosure Examples of tax positions include the organizations tax-exempt status and positions related to potential sources of unrelated business taxable income UBTI. The tax benefits recognized in the financial statements from such positions are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. No unrecognized tax benefits were identified or recorded as liabilities for the years ended December 31 2024 2023 and 2022. The organization files its Form 990 in the U.S. federal jurisdiction and is generally no longer subject to examination by the Internal Revenue Service for years before 2019.|</ExplanationTxt>
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      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
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        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <OfficesCnt>1</OfficesCnt>
        <EmployeeCnt>7</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Prosthetic care</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>150502</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <OfficesCnt>1</OfficesCnt>
        <EmployeeCnt>6</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Prosthetic care</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>314596</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <OfficesCnt>1</OfficesCnt>
        <EmployeeCnt>6</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Prosthetic care</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>209790</RegionTotalExpendituresAmt>
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      <SubtotalOfficesCnt>3</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>19</SubtotalEmployeesCnt>
      <TotalOfficeCnt>3</TotalOfficeCnt>
      <TotalEmployeeCnt>19</TotalEmployeeCnt>
      <SubtotalSpentAmt>674888</SubtotalSpentAmt>
      <TotalSpentAmt>674888</TotalSpentAmt>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <PurposeOfGrantTxt>General operations</PurposeOfGrantTxt>
        <CashGrantAmt>465098</CashGrantAmt>
        <MannerOfCashDisbursementTxt>0</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South America</RegionTxt>
        <PurposeOfGrantTxt>General operations</PurposeOfGrantTxt>
        <CashGrantAmt>209790</CashGrantAmt>
        <MannerOfCashDisbursementTxt>0</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <TransferToForeignCorpInd>false</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>false</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>false</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, II, III and IV</FormAndLineReferenceDesc>
        <ExplanationTxt>| PartandLinenumber:,Explanation:| Part I Line 2,The organization monitors the use of its international grants through direct oversight by staff based in the United States Guatemala and Ecuador. All grant-funded activities are implemented and supervised by these teams ensuring continuous monitoring of program execution. The organization prepares all required reports outcome measures and performance results in coordination with its local teams in Guatemala and Ecuador. This structure provides ongoing verification that grant funds are used in accordance with approved purposes.|</ExplanationTxt>
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      <EmailSolicitationsInd>X</EmailSolicitationsInd>
      <PhoneSolicitationsInd>X</PhoneSolicitationsInd>
      <InPersonSolicitationsInd>X</InPersonSolicitationsInd>
      <SpecialFundraisingEventsInd>X</SpecialFundraisingEventsInd>
      <AgrmtProfFundraisingActyInd>true</AgrmtProfFundraisingActyInd>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>STEP BY STEPP STRATEGIES LLC</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>1 Central Ave NW Unit 404</AddressLine1Txt>
          <CityNm>Albuquerque</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>87102</ZIPCd>
        </USAddress>
        <ActivityTxt>FUNRAISING FOR EVENT</ActivityTxt>
        <FundraiserControlOfFundsInd>false</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>50000</GrossReceiptsAmt>
        <RetainedByContractorAmt>0</RetainedByContractorAmt>
        <NetToOrganizationAmt>16000</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <TotalGrossReceiptsAmt>50000</TotalGrossReceiptsAmt>
      <TotalRetainedByContractorsAmt>0</TotalRetainedByContractorsAmt>
      <TotalNetToOrganizationAmt>16000</TotalNetToOrganizationAmt>
      <LicensedStatesCd>CO</LicensedStatesCd>
      <LicensedStatesCd>IL</LicensedStatesCd>
      <FundraisingEventInformationGrp>
        <Event1Nm>Climbing for ROMP</Event1Nm>
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        <CharitableContriEvent1Amt>0</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>283345</GrossRevenueEvent1Amt>
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        <NonCashPrizesEvent1Amt>0</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>0</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>0</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>0</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>53601</OtherDirectExpensesEvent1Amt>
        <Event2Nm>Peer to peer</Event2Nm>
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        <CharitableContriEvent2Amt>0</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>83435</GrossRevenueEvent2Amt>
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        <RentFacilityCostsEvent2Amt>0</RentFacilityCostsEvent2Amt>
        <FoodAndBeverageEvent2Amt>0</FoodAndBeverageEvent2Amt>
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        <OtherEventsTotalCnt>1</OtherEventsTotalCnt>
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        <GrossRevenueOtherEventsAmt>27164</GrossRevenueOtherEventsAmt>
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        <RentFcltyCostsOtherEventsAmt>0</RentFcltyCostsOtherEventsAmt>
        <FoodAndBeverageOtherEventsAmt>0</FoodAndBeverageOtherEventsAmt>
        <EntertainmentOtherEventsAmt>0</EntertainmentOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>19468</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>393944</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>0</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>393944</GrossRevenueTotalEventsAmt>
        <CashPrizesTotalEventsAmt>0</CashPrizesTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>0</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>0</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>0</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>0</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>73138</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>73138</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>320806</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV</FormAndLineReferenceDesc>
        <ExplanationTxt>| PartandLinenumber:,Explanation:| Part I Line 2,We have an MOU with Step by Stepp Strategies LLC for its Fundraising Services.| Part II Line 9,The organization conducts several fundraising events including Climbing for ROMP peer-to-peer campaigns and other community-based initiatives that support its mission to expand access to prosthetic care. Climbing for ROMP and peer-to-peer campaigns involve participants raising funds through personal networks using online tools provided by the organization. Participants do not receive goods or services of material value and donations collected are recorded as contributions unless a portion relates to event participation benefits which is reported as special event revenue. Other fundraising events include virtual and in-person activities that generate awareness and financial support. The organization tracks gross receipts direct event expenses and net proceeds in accordance with IRS requirements. Event expenses typically include promotional materials digital platforms coordination costs and processing fees.|</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleG>
    <IRS990ScheduleM documentId="IRS990ScheduleM1" documentName="IRS990ScheduleM">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>5191</ContributionCnt>
        <NoncashContributionsRptF990Amt>328676</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Based on inventory condition and usable value of donated prosthetic components.</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I and II</FormAndLineReferenceDesc>
        <ExplanationTxt>| PartandLinenumber:,Explanation:| Part I Line 20,The organization received 5,191 prosthetic components classified as medical supplies with a total estimated value of $328,676. Items are recorded and tracked in the organizations inventory management system Inflow which is used to document quantities condition and usable value. The reported amounts reflect the number of individual items received rather than the number of donor contributions. Valuation is based on the estimated fair value of donated prosthetic components considering condition remaining useful life and suitability for clinical use. The organization reports items in Part I column b as the total number of items received.|</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO1" documentName="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Doing Business As Names</FormAndLineReferenceDesc>
        <ExplanationTxt>Range Of Motion Project | Range Of Motion Project</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 11a</FormAndLineReferenceDesc>
        <ExplanationTxt>The process is as follows: Once the Form 990 is prepared it is sent via email to the Finance Committee for initial review followed by distribution to all governing body members for their comments and feedback. Members are given a one-week period to review the form and provide input. After any necessary revisions are made final approval is obtained from the Executive Director before filing. This process ensures thorough oversight and transparency.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy. Currently this process is carried out by the Board of Directors and the Executive Director as there are no other key employees at this time. The Board and Executive Director complete an annual conflict of interest disclosure form which is reviewed by the governance committee in accordance with the conflict of interest policy as established in the organizations bylaws.. Any potential conflicts are addressed promptly and all actions are documented to ensure compliance with the policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 PART VI LINE 15 a - Compensation process for top official: The process for determining the compensation of the organizations Executive Director is handled by the Board of Directors. The Board conducts an annual performance review and uses a combination of comparability data from similar organizations market research and performance metrics to set the Executive Directors salary. Independent members of the Board are responsible for reviewing and approving the compensation package to ensure that it is fair and aligned with the organizations financial situation and the Executive Directors contributions. FORM 990 PART VI LINE 15 b - Compensation process for officers For other contractors and employees the proposed salaries are reviewed as part of the organizations budgeting process. The Executive Director submits salary proposals which are then reviewed by the Board of Directors. If the Board has any questions or concerns they may request additional explanations or adjustments to ensure that the salaries are in line with organizational goals financial resources and industry standards. The Board is responsible for the final approval of all compensation ensuring transparency and accountability. This process ensures that salary decisions are made consistently and fairly across the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization does not make its governing documents conflict of interest policy and financial statements publicly available as a standard practice. However if such information is requested the request is immediately forwarded to the President of the Board of Directors for consideration. Upon receiving the request the Board of Directors reviews it and evaluates whether sharing the information is appropriate and in line with the requesting party in a timely manner. The organization prioritises transparency while ensuring compliance with internal protocols and protecting sensitive information when necessary.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization prepares its Form 990 on an accrual basis. No change in accounting method occurred during the year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization did not change its oversight process or selection process during the tax year. Oversight and Auditing of Financial Statements by Independent Accountants The organizations financial statements were audited by an independent contractor. The audit was performed on a separate basis with the independent auditor focusing on the individual financial activities of the organization. The organization has a committee that assumes responsibility for the oversight of the audit review and compilation of the financial statements. This committee is responsible for selecting the independent accountant and ensuring that the audit process is carried out thoroughly and in compliance with industry standards. The committee reviews the scope of the audit provides necessary information to the auditor and monitors the progress of the audit process. They also oversee the auditors findings and ensure that any recommendations for financial improvements are addressed. The committee did not make any changes to the oversight or selection process during the tax year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>| Description:, Explanation:, Amount:| No changes were made to the organizations oversight procedures or to the process used for selecting officers directors or key personnel during the tax year., No changes were made to the organizations oversight procedures or to the process used for selecting, $0|</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>| Explanation:| FORM 990 PART VI LINE 11 b - Organizations process to review form 990 Yes the organization has provided a complete copy of this Form 990 to all members of its governing body prior to filing. Additionally the form is reviewed by the Finance Committee to ensure accuracy and compliance with financial reporting standards. The process is as follows: Once the Form 990 is prepared it is sent via email to the Finance Committee for initial review followed by distribution to all governing body members for their comments and feedback. Members are given a one-week period to review the form and provide input. After any necessary revisions are made final approval is obtained from the Executive Director before filing. This process ensures thorough oversight and transparency.</ExplanationTxt>
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  </ReturnData>
</Return>