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        <ProgramServicesAmt>20251</ProgramServicesAmt>
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        <TotalAmt>2515</TotalAmt>
        <ManagementAndGeneralAmt>2515</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>20994</ManagementAndGeneralAmt>
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        <TotalAmt>1750</TotalAmt>
        <ManagementAndGeneralAmt>1750</ManagementAndGeneralAmt>
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        <FundraisingAmt>151</FundraisingAmt>
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        <ManagementAndGeneralAmt>188</ManagementAndGeneralAmt>
        <FundraisingAmt>162</FundraisingAmt>
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        <TotalAmt>1493</TotalAmt>
        <FundraisingAmt>1493</FundraisingAmt>
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        <ManagementAndGeneralAmt>2022</ManagementAndGeneralAmt>
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        <Desc>DUES AND SUBSCRIPTIONS</Desc>
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        <ManagementAndGeneralAmt>2744</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>51605</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30213</ManagementAndGeneralAmt>
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        <EOYAmt>100</EOYAmt>
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        <EOYAmt>280037</EOYAmt>
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        <EOYAmt>20514</EOYAmt>
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        <EOYAmt>3843152</EOYAmt>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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      <PublicOrganization170Ind>X</PublicOrganization170Ind>
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        <CurrentTaxYearMinus3YearsAmt>196447</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>190011</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>174857</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus2YearsAmt>190011</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>174857</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>781697</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>75753</CurrentTaxYearMinus1YearAmt>
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        <ExplanationTxt>MISCELLANEOUS INCOME - 2020 AMOUNT: $ 1,800. 2022 AMOUNT: $ 247. FUNDRAISING EVENT SALES REVENUE - 2019 AMOUNT: $ 400. 2022 AMOUNT: $ 19,925.</ExplanationTxt>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
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        <EndYearBalanceAmt>1608527</EndYearBalanceAmt>
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      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1379415</BeginningYearBalanceAmt>
        <ContributionsAmt>12856</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>423632</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>1815903</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1358501</BeginningYearBalanceAmt>
        <ContributionsAmt>46335</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-25421</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>1379415</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.04532</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.65605</PrmnntEndowmentBalanceEOYPct>
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      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <EquipmentGrp>
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        <DepreciationAmt>3147</DepreciationAmt>
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        <OtherCostOrOtherBasisAmt>5825</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5825</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>GIFT ANNUITY LIABILITY</Desc>
        <Amt>20219</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>20219</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>21491937</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>156258</NetUnrealizedGainsInvstAmt>
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      <RevenueSubtotalAmt>865770</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>865770</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>19720708</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>49462</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>19587622</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>19637084</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>83624</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>83624</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION'S ENDOWMENT CONSISTS OF NUMEROUS INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE GOVERNING BODY TO FUNCTION AS ENDOWMENTS (BOARD DESIGNATED ENDOWMENT FUNDS). PERMANENTLY RESTRICTED NET ASSETS CONSIST OF DONOR RESTRICTED CONTRIBUTIONS TO A PERMANENT ENDOWMENT FUND, THE PRINCIPAL OF WHICH IS REQUIRED TO REMAIN IN PERPETUITY. THE INCOME GENERATED FROM PERMANENTLY RESTRICTED ASSETS MAY BE USED TO PERPETUATE AND ASSIST IN SATISFYING OPERATING EXPENSES AND CAPITAL IMPROVEMENTS FOR BEARTOOTH BILLINGS CLINIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BEARTOOTH BILLINGS CLINIC REVENUE 20,351,812. CONSOLIDATING ELIMINATIONS -49,462. NET ASSETS RELEASED FROM RESTRICTIONS 87,872. FUNDRAISING EVENT EXPENSES 30,225.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BEARTOOTH BILLINGS CLINIC EXPENSES 19,606,859. CONSOLIDATING ELIMINATIONS -49,462. FUNDRAISING EVENT EXPENSES 30,225.</ExplanationTxt>
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        <GrossRevenueEvent1Amt>30000</GrossRevenueEvent1Amt>
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        <EntertainmentEvent1Amt>4850</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>2000</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>245705</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>215705</CharitableContributionsTotAmt>
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        <NonCashPrizesTotalEventsAmt>30000</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>10191</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>13184</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>4850</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>2000</OthDirectExpnssTotalEventsAmt>
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        <NetIncomeSummaryAmt>-30225</NetIncomeSummaryAmt>
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      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
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          <BusinessNameLine1Txt>BEARTOOTH BILLINGS CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 590</AddressLine1Txt>
          <CityNm>RED LODGE</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59068</ZIPCd>
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        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
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        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
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        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
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        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION PROVIDES HIGHER EDUCATION SCHOLARSHIPS TO AREA HIGH SCHOOL SENIORS AS WELL AS STAFF OF BEARTOOTH BILLINGS CLINIC. THEY ALSO PROVIDE SUPPORT TO BEARTOOTH BILLINGS CLINIC FOR EQUIPMENT, STAFF DEVELOPMENT AND OTHER PROGRAMS. IN ADDITION, WE OFFER SUPPORT TO BEARTOOTH BILLINGS CLINIC FOR EMERGENCY NEEDS. BEARTOOTH BILLINGS CLINIC FOUNDATION REVIEWS REQUESTS AND SUPPORTING INVOICES FOR ITEMS THE BEARTOOTH BILLING CLINIC HOSPITAL WOULD LIKE TO PURCHASE USING FOUNDATION FUNDS, AND ONLY APPROVES AND PAYS MONEY TO THE HOSPITAL WITH VALID RECEIPTS SHOWING HOW THE MONEY HAS BEEN SPENT.</ExplanationTxt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationRltdOrgsAmt>169157</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>BEARTOOTH BILLINGS CLINIC, A RELATED ORGANIZATION, ESTABLISHES COMPENSATION OF THE CEO. BEARTOOTH BILLINGS CLINIC USES THE FOLLOWING TO ESTABLISH THE CEO'S COMPENSATION: 1. COMPENSATION SURVEY OR STUDY 2. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE</ExplanationTxt>
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        <Desc>AUCTION ITEMS</Desc>
        <ContributionCnt>46</ContributionCnt>
        <NoncashContributionsRptF990Amt>47279</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NUMBER OF ITEMS CONTRIBUTED WAS USED IN PART I.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 32B:</FormAndLineReferenceDesc>
        <ExplanationTxt>DONATED SECURITIES ARE RECEIVED, PROCESSED AND IMMEDIATELY SOLD BY OUR INVESTMENT MANAGER.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>BEARTOOTH BILLINGS CLINIC HIRED BILLINGS CLINIC TO CONDUCT, SUPERVISE, OPERATE AND MANAGE DAY-TO-DAY OPERATIONS OF THE HOSPITAL, ITS DEPARTMENTS, EMPLOYEES AND FINANCIAL ADMINISTRATION. THROUGH THIS SERVICES AGREEMENT, ABBY LOTZ RECEIVED $209,513 OF TAXABLE COMPENSATION AND $72,599 OF NONTAXABLE BENEFITS IN CALENDAR YEAR 2023 FOR HER SERVICES AS CEO.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE CORPORATE MEMBER OF THE FOUNDATION CONSISTS OF THE BEARTOOTH BILLINGS CLINIC, A MONTANA NONPROFIT CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL FOUNDATION DIRECTORS ARE APPOINTED BY THE GOVERNING BOARD OF BEARTOOTH BILLINGS CLINIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>BEARTOOTH BILLINGS CLINIC SHALL, WITHOUT LIMITATION: A) APPOINT ALL DIRECTORS OF THE CORPORATION; B) REMOVE ANY DIRECTOR; C) APPROVE NOMINEES FOR APPOINTMENT OF THE PRESIDENT OF THE CORPORATION, BEFORE THE APPOINTMENT BECOMES EFFECTIVE; D) APPROVE ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS; AND E) APPROVE ANY PLAN OF DISSOLUTION OR LIQUIDATION OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY THE ORGANIZATION'S INDEPENDENT ACCOUNTANT AND PROVIDED TO THE BOARD FOR REVIEW AND APPROVAL PRIOR TO SUBMITTING TO THE IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD PERIODICALLY REVIEWS AND MONITORS A CONFLICT-OF-INTEREST POLICY TO PROTECT THE FOUNDATION'S INTEREST WHEN IT IS CONTEMPLATING ANY TRANSACTION OR ARRANGEMENT, WHICH MAY BENEFIT ANY DIRECTOR, OFFICER OR EMPLOYEE WITH BOARD-DELEGATED POWERS. THE POLICY SHALL: - DEFINE THE FINANCIAL INTERESTS THAT OBLIGATE AN INDIVIDUAL TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTERESTS; - ESTABLISH PROCEDURES FOR DETERMINING THE EXISTENCE OF THE CONFLICT WITHOUT PARTICIPATION BY THE POTENTIALLY INTERESTED PERSON; - ESTABLISH PROCEDURES FOR ADDRESSING THE CONFLICT INCLUDING INVESTIGATION OF ALTERNATIVES AND REQUIRING DETERMINATIONS AS TO WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE FOUNDATION'S BEST INTEREST AND WHETHER IT IS FAIR AND REASONABLE TO THE FOUNDATION; - ESTABLISH PROCEDURES FOR VIOLATIONS OF THE POLICY; - SPECIFY THE RECORDS TO BE MAINTAINED RELATING TO CONFLICT DISCLOSURES, AND DETERMINATION OF CONFLICTS; - REQUIRE ANNUAL STATEMENTS FROM ALL DIRECTORS, OFFICERS AND MEMBERS OF THE FOUNDATION BOARD REFLECTING REVIEW AND COMPLIANCE WITH THE POLICY; AND - REQUIRE PERIODIC REVIEWS TO ENSURE THE FOUNDATION ACTS IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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          <AddressLine1Txt>PO BOX 590</AddressLine1Txt>
          <CityNm>RED LODGE</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59068</ZIPCd>
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        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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