Civic Intelligence

Path Inc Workers' Compensation Self-Insurance Trust

990 • Fiscal year 2020 • EIN 23-7870577

Jun 01, 2019 to May 31, 2020 • Filed on May 13, 2021

8220 Castor AvePhiladelphia, PA 19152

(215) 728-4595

Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Flat

$0

Flat from 2020

Net Assets

Flat

-$235,399

Flat from 2020

Liabilities

Flat

$235,399

Flat from 2020

Revenue And Expenses

Revenue

Flat

$299,360

Flat from 2020

Expenses

Flat

$459,492

Flat from 2020

Net Income

Flat

-$160,132

Flat from 2020

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$1.0M$500K$0-$500KAssets 2011: $622,944Liabilities 2011: $131,342Net Assets 2011: $491,6022011Assets 2012: $698,466Liabilities 2012: $79,241Net Assets 2012: $619,2252012Assets 2013: $470,342Liabilities 2013: $142,538Net Assets 2013: $327,8042013Assets 2014: $408,792Liabilities 2014: $96,585Net Assets 2014: $312,2072014Assets 2016: $277,619Liabilities 2016: $103,213Net Assets 2016: $174,4062016Assets 2017: $174,383Liabilities 2017: $151,958Net Assets 2017: $22,4252017Assets 2018: $94,697Liabilities 2018: $116,185Net Assets 2018: -$21,4882018Assets 2019: $10,443Liabilities 2019: $85,710Net Assets 2019: -$75,2672019Assets 2020: $0Liabilities 2020: $235,399Net Assets 2020: -$235,3992020Assets 2020: $0Liabilities 2020: $235,399Net Assets 2020: -$235,3992020Assets 2021: $39,036Liabilities 2021: $390,821Net Assets 2021: -$351,7852021Assets 2022: $22,980Liabilities 2022: $207,721Net Assets 2022: -$184,7412022

Highlighted filing

2020

Assets$0
Liabilities$235,399
Net Assets-$235,399

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.0M$500K$0-$500KExpenses 2011: $113,4482011Expenses 2012: $67,2472012Expenses 2013: $386,2212013Revenue 2014: $114,850Expenses 2014: $130,447Net Income 2014: -$15,5972014Revenue 2016: $139,877Expenses 2016: $231,334Net Income 2016: -$91,4572016Revenue 2017: $95,247Expenses 2017: $247,228Net Income 2017: -$151,9812017Revenue 2018: $170,702Expenses 2018: $214,615Net Income 2018: -$43,9132018Revenue 2019: $95,305Expenses 2019: $149,084Net Income 2019: -$53,7792019Revenue 2020: $299,360Expenses 2020: $459,492Net Income 2020: -$160,1322020Revenue 2020: $299,360Expenses 2020: $459,492Net Income 2020: -$160,1322020Revenue 2021: $624,801Expenses 2021: $741,187Net Income 2021: -$116,3862021Revenue 2022: $268,855Expenses 2022: $101,811Net Income 2022: $167,0442022

Highlighted filing

2020

Revenue$299,360
Expenses$459,492
Net Income-$160,132
Jump To
Filing Snapshot
Filing Period
Jun 1, 2019 to May 31, 2020
Signed
May 13, 2021
Return Version
2019v5.0
Gross Receipts
$299,360
Mission and Program Overview

Mission

The trust was established for the exclusive purpose of providing a source of funds and maintaining adequate reserves for the payments of worker's compensation benefits and associated claims expense incurred by path (people acting to help), inc.

The trust was established to provide a source of funds and to maintain adequate reserves for the payments of worker's compensation benefits and associated claims expense incurred by path, inc.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$10,443--
Rtn Earn Endowment Incm Other Fnds$-75,267$-235,399▼ $160,132
Total Assets$10,443$0▼ $10,443
Liabilities
Accounts Payable and Accrued Expenses-$235,399-
Other Liabilities$85,710--
Total Liabilities$85,710$235,399▲ $149,689
Net Assets / Fund Balance
Total Net Assets Fund Balance$-75,267$-235,399▼ $160,132
Total Liabilities and Net Assets / Fund Balance$10,443$0▼ $10,443
Compensation and Service Providers

Employees

NameTitleOtherTotal
Elizabeth Andl-petkovPresident &$1,257,661$1,257,661

Board Members and Trustees

NameTitle
Nancy GreensteinChairperson
Retirement PayoutPresident &
Elizabeth Andl-petkovPresident & CEO
Muriel SilvaVice Chairpe
Dottie LynchDirector
Mary SparksDirector
Sherrie LevinDirector
Maryann ParrottiSecretary
Brad Newman EsqTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$298,855
Investment Income
$505
Other Revenue
$0
Change in Net Assets
$-160,132
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$459,492
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Insurance$68,428--$68,428
All Other Expenses$16,680$6,539-$23,219
Other Expenses$19,423--$19,423
Fees for Services Legal$6,925--$6,925
Office Expenses-$324-$324
Total Functional Expenses$452,629$6,863$0$459,492
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

A draft of the 990 is provided to the administrative committee of the board of directors of path, inc, a related entity, for review in order to make recommendations to the board of directors for approval.

Form 990, Page 6, Part VI, Line 12C

The board discloses conflicts of interest annually. In addition, individual board members disclose possible conflicts of interest as situations arise which are evaluated by the board to determine conflict of interest.

Form 990, Page 6, Part VI, Line 19

The organization makes its governing documents and conflict of interest policy available to the public upon request.

Filing and Contact Details

Filer

Filer Name
PATH INC WORKERS' COMPENSATION
EIN
23-7870577
Phone
2157284595
Address
8220 CASTOR AVE, PHILADELPHIA, PA 19152

Signing Officer

Name
Elizabeth Andl-petkov
Title
President & CEO
Phone
2157284595
Signed
2021-05-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Elizabeth Andl-petkov
Formed
1996
Legal Domicile
Pa
Voting Board Members
7
Independent Board Members
7
Employees
0
Volunteers
7

Preparer

Firm
Bee Bergvall & Co
Address
PO BOX 754, WARRINGTON, PA 18976-0754
Preparer
Cynthia Bergvall CPA
Phone
2153432727
Supplemental Narrative

Additional Explanations

Form 990, Page 1, Item B

The president & ceo received a payout from a supplemental executive retirement plan. In part vii, the reportable compensation included salary and the retirement payout. While the breakout is shown properly on schedule j we felt it should be also broken out in part vii.

FORM 990 - ORGANIZATION'S MISSION

The trust was established for the exclusive purpose of providing a source of funds and maintaining adequate reserves for the payments of worker's compensation benefits and associated claims expense incurred by path (people acting to help), inc.

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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0THE BOARD OF DIRECTORS DETERMINES THE COMPENSATION OF THE CEO. THE BOARD OF DIRECTORS ARE ALL INDEPENDENT PERSONS AND HAVE NO PERSONAL RELATIONSHIP TO THE CEO. THE BOARD REVIEWS THE ACCOMPLISHMNETS OF THE CEO, HAS COMPARATIVE COMPENSATION AND BENEFIT DATA, PROVIDED BY AN INDEPENDENT SOURCE, OF CEOS IN A SIMILAR SIZE AND TYPE OF ORGANIZATION. AN INDEPENDENT COMPENSATION CONSULTANT WAS ENGAGED TO RESEARCH AND ANALYZE COMPARATIVE SALARY AND BENEFIT DATA AND MAKE RECOMMENDATIONS TO THE BOARD OF DIRECTORS ON A COMPREHENSIVE COMPENSATION PACKAGE. THE CEO IS COMPENSATED FOR THE OPERATIONS OF PATH, INC., PATH GROUP HOMES AND PATH MR HOUSING ASSOCIATES, INC. THE BOARD OF DIRECTORS MEETS IN EXECUTIVE SESSION TO DISCUSS AND DETERMINE THE CEO'S CONTRACT, WHICH IS DOCUMENTED IN THE CORPORATE FILES.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1PART 1, QUESTION 4B THE RELATED ORGANIZATION, PATH, INC., ESTABLISHED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (THE PLAN) FOR CERTAIN EXECUTIVE EMPLOYEES. THE PLAN WAS ESTABLISHED AS A NON-QUALIFIED DEFERRED COMPENSATION PLAN, AS PROVIDED FOR UNDER CERTAIN SECTIONS OF THE INTERNAL REVENUE CODE. THE PLAN WAS SUBJECT TO SERVICE REQUIREMENTS AND RESPECTIVE DATES OF RETIREMENT, AS DEFINED. THE PLAN'S ASSETS WERE FORMERLY INCLUDED IN INVESTMENTS, RESTRICTED, ON THE STATEMENT OF FINANCIAL POSITION OF THE RELATED ORGANIZATION, PATH, INC. ALL REMAINING PAYOUTS FROM THE PLAN WERE MADE IN THE FISCAL YEAR ENDING JUNE 30, 2019. ACCORDINGLY, THE AMOUNT WERE INCLUDED IN THE 2019 W-2S, HOWEVER, THE PLAN WAS NOT IN EXISTENCE FOR THE JUNE 30,2020 FISCAL YEAR.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE J, PAGE 1, PART I, LINE 3
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1SCHEDULE J, PART III
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE PRESIDENT & CEO RECEIVED A PAYOUT FROM A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. IN PART VII, THE REPORTABLE COMPENSATION INCLUDED SALARY AND THE RETIREMENT PAYOUT. WHILE THE BREAKOUT IS SHOWN PROPERLY ON SCHEDULE J WE FELT IT SHOULD BE ALSO BROKEN OUT IN PART VII.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE TRUST WAS ESTABLISHED FOR THE EXCLUSIVE PURPOSE OF PROVIDING A SOURCE OF FUNDS AND MAINTAINING ADEQUATE RESERVES FOR THE PAYMENTS OF WORKER'S COMPENSATION BENEFITS AND ASSOCIATED CLAIMS EXPENSE INCURRED BY PATH (PEOPLE ACTING TO HELP), INC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2A DRAFT OF THE 990 IS PROVIDED TO THE ADMINISTRATIVE COMMITTEE OF THE BOARD OF DIRECTORS OF PATH, INC, A RELATED ENTITY, FOR REVIEW IN ORDER TO MAKE RECOMMENDATIONS TO THE BOARD OF DIRECTORS FOR APPROVAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE BOARD DISCLOSES CONFLICTS OF INTEREST ANNUALLY. IN ADDITION, INDIVIDUAL BOARD MEMBERS DISCLOSE POSSIBLE CONFLICTS OF INTEREST AS SITUATIONS ARISE WHICH ARE EVALUATED BY THE BOARD TO DETERMINE CONFLICT OF INTEREST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 1, ITEM B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990 - ORGANIZATION'S MISSION
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleR/AssetExchangeInd0false
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd0false
IRS990ScheduleR/AssetSaleToOtherOrgInd0false
IRS990ScheduleR/DivRelatedOrganizationInd0false
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd0false
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd1false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt0NA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt1PATH INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0PATH INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1PATH HOUSING ASSOCIATES INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0237313698
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN1222533230
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501C3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt1501C3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0PA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd1PA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HEALTHCARE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt1HOUSING
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt010
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt17
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt08220 CASTOR AVE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt18220 CASTOR AVE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0PHILADELPHIA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm1PHILADELPHIA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0PA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd1PA
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd019152
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd119152
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd0false
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd0false
IRS990ScheduleR/PaidEmployeesSharingInd0false
IRS990ScheduleR/PerformOfServicesByOtherOrgInd0false
IRS990ScheduleR/PerformOfServicesForOthOrgInd0false
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd0false
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd0false
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd0false
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd0false
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd0false
IRS990ScheduleR/SharingOfFacilitiesInd0false
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt0298900
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt0FAIR MARKET VALUE
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt0PATH INC
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt0S
IRS990ScheduleR/TransferFromOtherOrgInd0true
IRS990ScheduleR/TransferToOtherOrgInd0false
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt010443
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt010443
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd0true
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt06863
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0452629
IRS990/TotalFunctionalExpensesGrp/TotalAmt0459492
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt085710
IRS990/TotalLiabilitiesEOYAmt0235399
IRS990/TotalLiabilitiesGrp/BOYAmt085710
IRS990/TotalLiabilitiesGrp/EOYAmt0235399
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-75267
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-235399
IRS990/TotalOtherCompensationAmt050651
IRS990/TotalProgramServiceExpensesAmt0452629
IRS990/TotalProgramServiceRevenueAmt0298855
IRS990/TotalRevenueGrp/ExclusionAmt0505
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0298855
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0299360
IRS990/TotalVolunteersCnt07
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt010443
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotReportableCompRltdOrgAmt01207010
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt08220 CASTOR AVE
IRS990/USAddress/CityNm0PHILADELPHIA
IRS990/USAddress/StateAbbreviationCd0PA
IRS990/USAddress/ZIPCd019152
IRS990/VotingMembersGoverningBodyCnt07
IRS990/VotingMembersIndependentCnt07
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0ELIZABETH ANDL-PETKOV
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT & CEO
ReturnHeader/BusinessOfficerGrp/PhoneNum02157284595
ReturnHeader/BusinessOfficerGrp/SignatureDt02021-05-13
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0PATH INC WORKERS' COMPENSATION
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0SELF-INSURANCE TRUST
ReturnHeader/Filer/BusinessNameControlTxt0PATH
ReturnHeader/Filer/EIN0237870577
ReturnHeader/Filer/PhoneNum02157284595
ReturnHeader/Filer/USAddress/AddressLine1Txt08220 CASTOR AVE
ReturnHeader/Filer/USAddress/CityNm0PHILADELPHIA
ReturnHeader/Filer/USAddress/StateAbbreviationCd0PA
ReturnHeader/Filer/USAddress/ZIPCd019152

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.23$2.08$1.85$2.69$1.02$1.67
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.39$3.91$3.52$6.25$7.41$1.16
2020Detailed filing. Detailed filing data is available for this year.$0.00$2.35$2.35$2.99$4.59$1.60
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$2.35$2.35$2.99$4.59$1.60
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.10$0.86$0.75$0.95$1.49$0.54
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.95$1.16$0.21$1.71$2.15$0.44
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.74$1.52$0.22$0.95$2.47$1.52
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.78$1.03$1.74$1.40$2.31$0.91
2014Detailed filing. Detailed filing data is available for this year.$4.09$0.97$3.12$1.15$1.30$0.16
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.70$1.43$3.28$3.86
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.98$0.79$6.19$0.67
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.23$1.31$4.92$1.13
Peer Organizations

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