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      <Form990PartVIISectionAGrp>
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        <PersonNm>Mark Perry</PersonNm>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Howard Stevenson</PersonNm>
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        <PersonNm>Lauren Schadt Baker</PersonNm>
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        <PersonNm>Donella Rapier</PersonNm>
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        <PersonNm>Ann Starrs</PersonNm>
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        <PersonNm>Krishna White</PersonNm>
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      <ContractorCompensationGrp>
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          <BusinessName>
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        </ContractorAddress>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV</FormAndLineReferenceDesc>
        <ExplanationTxt>| PartandLinenumber:,Explanation:| Part II-A Line 2,Upstream made its first 501h election in the tax year ending December 31 2020. The election has not been revoked.|</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Upstream accounts for uncertainty in income taxes in accordance with ASC Topic Income Taxes. This standard clarifies the accounting for uncertainty in tax positions and prescribes a recognition threshold and measurement attribute for the financial statements regarding a tax position taken or expected to be taken in a tax return. Upstream has determined that there are no uncertain tax positions which qualify for either recognition or disclosure in the financial statements at December 31 2024 and 2023.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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        <RecipientEIN>042582119</RecipientEIN>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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          <StateAbbreviationCd>WI</StateAbbreviationCd>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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          <StateAbbreviationCd>IN</StateAbbreviationCd>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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          <AddressLine1Txt>PO Box 1065</AddressLine1Txt>
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          <StateAbbreviationCd>LA</StateAbbreviationCd>
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          <StateAbbreviationCd>CA</StateAbbreviationCd>
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          <StateAbbreviationCd>TX</StateAbbreviationCd>
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          <StateAbbreviationCd>IN</StateAbbreviationCd>
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          <StateAbbreviationCd>LA</StateAbbreviationCd>
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          <StateAbbreviationCd>KS</StateAbbreviationCd>
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          <StateAbbreviationCd>TX</StateAbbreviationCd>
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          <StateAbbreviationCd>TX</StateAbbreviationCd>
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          <AddressLine2Txt>Suite I</AddressLine2Txt>
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          <StateAbbreviationCd>AL</StateAbbreviationCd>
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          <StateAbbreviationCd>PA</StateAbbreviationCd>
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          <StateAbbreviationCd>NC</StateAbbreviationCd>
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          <StateAbbreviationCd>NC</StateAbbreviationCd>
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          <StateAbbreviationCd>NC</StateAbbreviationCd>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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          <StateAbbreviationCd>VA</StateAbbreviationCd>
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          <StateAbbreviationCd>NC</StateAbbreviationCd>
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          <StateAbbreviationCd>NC</StateAbbreviationCd>
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          <CityNm>Littleton</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
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          <StateAbbreviationCd>CO</StateAbbreviationCd>
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        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
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        <RecipientBusinessName>
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        </RecipientBusinessName>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>0</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Hospital Service District 1A of the Parish of Richland State of LA</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <CityNm>Delhi</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>71232</ZIPCd>
        </USAddress>
        <RecipientEIN>721179027</RecipientEIN>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>0</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Odyssey House Louisiana Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1125 North Tonti Street</AddressLine1Txt>
          <CityNm>New Orleans</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70119</ZIPCd>
        </USAddress>
        <RecipientEIN>720743677</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>0</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>South Plains Public Health District</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>919 E Main St</AddressLine1Txt>
          <CityNm>Brownfield</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>79316</ZIPCd>
        </USAddress>
        <RecipientEIN>756002471</RecipientEIN>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>0</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Berks Community Health Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>838 Penn ST</AddressLine1Txt>
          <CityNm>Reading</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19602</ZIPCd>
        </USAddress>
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        <CashGrantAmt>8000</CashGrantAmt>
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        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>0</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Hilltown Community Health Centers Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>58 Old North Road</AddressLine1Txt>
          <CityNm>Worthington</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01098</ZIPCd>
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        <RecipientEIN>042161484</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>8000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>0</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>Wood River Health Services Inc</BusinessNameLine1Txt>
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        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
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        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
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        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>0</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Comprehensive Community Action Inc</BusinessNameLine1Txt>
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        <USAddress>
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          <CityNm>Cranston</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02910</ZIPCd>
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        <RecipientEIN>056018801</RecipientEIN>
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        <CashGrantAmt>6000</CashGrantAmt>
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        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>0</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Creek Valley Health Clinic</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1065 North Hildale Street</AddressLine1Txt>
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          <StateAbbreviationCd>UT</StateAbbreviationCd>
          <ZIPCd>84784</ZIPCd>
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        <RecipientEIN>833039533</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>0</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Finger Lakes Migrant Health Care Project Inc</BusinessNameLine1Txt>
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        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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        <RecipientEIN>043314093</RecipientEIN>
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        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
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        <PurposeOfGrantTxt>Contraceptive Coverage</PurposeOfGrantTxt>
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          <CityNm>Providence</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02904</ZIPCd>
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        <RecipientEIN>050474726</RecipientEIN>
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        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>0</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule I Part I Line 2 - Upstream works in partnership with organizations receiving grants to determine the recipient organizations progress toward the grant agreement goals. Upstream holds regular discussions with grant recipients for a formal update on the project and to review the organizations progress. For grant agreements that include milestones payments are initiated once the milestones are met. These milestones are documented and agreed to in a memorandum of understanding between Upstream and the organization receiving the grant. When a milestone is reached Upstream reviews and verifies supporting documentation before issuing the grant payment.</ExplanationTxt>
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      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <TotalCompensationFilingOrgAmt>544317</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Nicole Mckinney</PersonNm>
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        <PersonNm>Jessica Beaman</PersonNm>
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        <PersonNm>Keshia Hughston</PersonNm>
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        <PersonNm>Jessica Foster</PersonNm>
        <TitleTxt>President from 12-05-2024</TitleTxt>
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        <PersonNm>John Ho</PersonNm>
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        <ContributionCnt>3</ContributionCnt>
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        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I and II</FormAndLineReferenceDesc>
        <ExplanationTxt>| PartandLinenumber:,Explanation:| Part I Line 9,In column b Upstream is reporting the number of stock donations received in 2024.|</ExplanationTxt>
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    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO1" documentName="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>As a non-stock non-profit Delaware corporation Upstream has members but the governing documents state that the members shall consist of those persons serving as directors. Members have no right to vote on any matter other than the election and removal of directors.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board authorizes and oversees an annual review of the administration of Upstreams conflict of interest policy. The review may be written or oral. The review shall consider the level of compliance with the policy the continuing suitability of the policy and whether the policy should be modified and improved. The process occurs each year during a scheduled meeting of the Upstream Boards Governance and Nominating Committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The Compensation Committee of the Board of Directors none of whom have a conflict of interest is charged with overseeing Upstreams management compensation policies and practices including making recommendations to the independent members of the Board of Directors with respect to compensation of the CEO on an annual basis reviewing the compensation of the Organizations other officers managers and employees who have substantial influence over the affairs of the organization on an annual basis of which the CFO qualified under this category in the Committees most recent review. The Committee meets at least two times per year and additionally as circumstances dictate. Comparability data for similarly qualified persons in functionally comparable positions at similarly situated organizations are prepared by a compensation consultant on a regular basis. This data was last compiled in 2024 for the CEO and CFO roles. The CEOs 360 performance evaluations and the comparability data are reviewed by the Committee before forming recommendations around changes in compensation to the Board of Directors. The Board of Directors reviews the Committees recommendation and votes on it. The CEO who is a member of the Board of Directors is recused from this review and vote. These deliberations and decisions are documented in the minutes contemporaneously. This recommendation review and vote occur annually and were last completed in 2024 and again in 2025.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Upstreams governing documents conflict of interest policy and financial statements are available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>The process has not changed from the prior year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 17</FormAndLineReferenceDesc>
        <ExplanationTxt>| Explanation:| States with which a copy of this Form 990 is required to be filed: AK AL AR AZ CA CO CT DC FL GA HI IL KS KY MA MK ME MI MN MS NC ND NH NJ NM,NV NY OH OK OR PA RI SC TN UT VA WA WI WV.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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</Return>