Civic Intelligence

Altru Health Foundation

EIN 45-0368330 • 501(c)3 • Grand Forks, ND

Profile

Improving health, enriching lifewhy we serve: to support altru health system in fulfilling its mission of achieving optimum health for all residents in our region through the funding of technology, facilities, medical education and health care for those in need. This fulfills altru health system's overall mission of making a difference for those we care for.

2501 Demers AvenueGrand Forks, ND 58201

www.altru.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

30th percentile

0.05x

Higher debt load relative to assets than 30% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

35th percentile

0.12x

Higher debt load relative to revenue than 35% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

82nd percentile

32%

Higher net margin than 82% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

84th percentile

25%

Faster asset growth than 84% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

90th percentile

68%

Faster revenue growth than 90% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Assets

Up

$24,331,873

Up $4,887,834 (+25%) from 2023

Liabilities

Up

$1,257,128

Up $1,235,606 (+5741%) from 2023

Net Assets

Up

$23,074,745

Up $3,652,228 (+19%) from 2023

Revenue

Up

$10,564,460

Up $4,261,276 (+68%) from 2023

Expenses

Up

$7,211,815

Up $2,865,530 (+66%) from 2023

Net Income

Up

$3,352,645

Up $1,395,746 (+71%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$30M$20M$10M$0Assets 2010: $10,615,164Liabilities 2010: $353,598Net Assets 2010: $10,261,5662010Assets 2011: $10,142,969Liabilities 2011: $342,754Net Assets 2011: $9,800,2152011Assets 2012: $11,803,070Liabilities 2012: $383,544Net Assets 2012: $11,419,5262012Assets 2013: $13,087,566Liabilities 2013: $217,739Net Assets 2013: $12,869,8272013Assets 2014: $12,964,186Liabilities 2014: $358,532Net Assets 2014: $12,605,6542014Assets 2015: $12,204,453Liabilities 2015: $297,344Net Assets 2015: $11,907,1092015Assets 2016: $12,791,110Liabilities 2016: $285,038Net Assets 2016: $12,506,0722016Assets 2017: $15,377,489Liabilities 2017: $250,918Net Assets 2017: $15,126,5712017Assets 2018: $14,610,492Liabilities 2018: $327,741Net Assets 2018: $14,282,7512018Assets 2019: $15,513,659Liabilities 2019: $72,601Net Assets 2019: $15,441,0582019Assets 2020: $16,766,439Liabilities 2020: $68,299Net Assets 2020: $16,698,1402020Assets 2021: $17,808,212Liabilities 2021: $93,189Net Assets 2021: $17,715,0232021Assets 2022: $16,452,270Liabilities 2022: $132,083Net Assets 2022: $16,320,1872022Assets 2023: $19,444,039Liabilities 2023: $21,522Net Assets 2023: $19,422,5172023Assets 2024: $24,331,873Liabilities 2024: $1,257,128Net Assets 2024: $23,074,7452024

Highlighted filing

2024

Assets$24,331,873
Liabilities$1,257,128
Net Assets$23,074,745

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$15M$10M$5.0M$0-$5.0MExpenses 2010: $1,398,7672010Expenses 2011: $1,700,5842011Expenses 2012: $1,655,0932012Revenue 2013: $3,006,644Expenses 2013: $2,000,629Net Income 2013: $1,006,0152013Revenue 2014: $2,972,470Expenses 2014: $2,622,494Net Income 2014: $349,9762014Revenue 2015: $3,276,996Expenses 2015: $3,349,358Net Income 2015: -$72,3622015Revenue 2016: $3,459,697Expenses 2016: $2,689,900Net Income 2016: $769,7972016Revenue 2017: $4,123,461Expenses 2017: $2,184,186Net Income 2017: $1,939,2752017Revenue 2018: $3,395,819Expenses 2018: $2,440,690Net Income 2018: $955,1292018Revenue 2019: $3,254,240Expenses 2019: $3,603,785Net Income 2019: -$349,5452019Revenue 2020: $2,598,732Expenses 2020: $2,493,157Net Income 2020: $105,5752020Revenue 2021: $5,022,342Expenses 2021: $2,781,245Net Income 2021: $2,241,0972021Revenue 2022: $4,171,834Expenses 2022: $2,860,845Net Income 2022: $1,310,9892022Revenue 2023: $6,303,184Expenses 2023: $4,346,285Net Income 2023: $1,956,8992023Revenue 2024: $10,564,460Expenses 2024: $7,211,815Net Income 2024: $3,352,6452024

Highlighted filing

2024

Revenue$10,564,460
Expenses$7,211,815
Net Income$3,352,645

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$24.3$1.26$23.1$10.6$7.21$3.35
2023Detailed filing. Detailed filing data is available for this year.$19.4$0.02$19.4$6.30$4.35$1.96
2022Detailed filing. Detailed filing data is available for this year.$16.5$0.13$16.3$4.17$2.86$1.31
2021Detailed filing. Detailed filing data is available for this year.$17.8$0.09$17.7$5.02$2.78$2.24
2020Detailed filing. Detailed filing data is available for this year.$16.8$0.07$16.7$2.60$2.49$0.11
2019Detailed filing. Detailed filing data is available for this year.$15.5$0.07$15.4$3.25$3.60$0.35
2018Detailed filing. Detailed filing data is available for this year.$14.6$0.33$14.3$3.40$2.44$0.96
2017Detailed filing. Detailed filing data is available for this year.$15.4$0.25$15.1$4.12$2.18$1.94
2016Detailed filing. Detailed filing data is available for this year.$12.8$0.29$12.5$3.46$2.69$0.77
2015Detailed filing. Detailed filing data is available for this year.$12.2$0.30$11.9$3.28$3.35$0.07
2014Detailed filing. Detailed filing data is available for this year.$13.0$0.36$12.6$2.97$2.62$0.35
2013Detailed filing. Detailed filing data is available for this year.$13.1$0.22$12.9$3.01$2.00$1.01
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.8$0.38$11.4$1.66
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.1$0.34$9.80$1.70
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.6$0.35$10.3$1.40
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 7, 2025
Return Version
2024v5.2
Gross Receipts
$10,700,380
Mission and Program Overview

Mission

Improving health, enriching lifewhy we serve: to support altru health system in fulfilling its mission of achieving optimum health for all residents in our region through the funding of technology, facilities, medical education and health care for those in need.how we serve: by educating, encouraging, receiving and administering individuals and organizations' gifts and responsibly distributing charitable contributions to altru patient care programs and services.whom we serve: any individual or organization who shares a connection with altru health system and a concern for quality health care.who we are: an essential subsidiary 501(c)(3) corporation with its own board of directors responsible to our donors and the altru health system board of directors.

Altru health foundation's mission is to support altru health system in fulfilling its mission of achieving optimum health for all residents residing in our region through funding of technology, facilities, medical education, and healthcare for those in need. This fulfills altru health system's overall mission of making a difference for those we care for.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$15,672,601$21,493,721▲ $5,821,120
Pledges and Grants Receivable$1,483,673$1,917,715▲ $434,042
Cash and Non-Interest-Bearing Accounts$17,556$181,727▲ $164,171
Land, Buildings, and Equipment, Net$1,795$1,468▼ $327
Prepaid Expenses and Deferred Charges$450$450→ $0
Total Assets$19,444,039$24,331,873▲ $4,887,834
Other Assets Total$2,267,964$736,792▼ $1,531,172
Liabilities
Other Liabilities$18,649$1,081,446▲ $1,062,797
Accounts Payable and Accrued Expenses$2,873$175,682▲ $172,809
Total Liabilities$21,522$1,257,128▲ $1,235,606
Net Assets / Fund Balance
Net Assets With Donor Restrictions$18,666,320$22,176,951▲ $3,510,631
Net Assets Without Donor Restrictions$756,197$897,794▲ $141,597
Total Net Assets Fund Balance$19,422,517$23,074,745▲ $3,652,228
Total Liabilities and Net Assets / Fund Balance$19,444,039$24,331,873▲ $4,887,834

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,468$73,942$75,410

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$5,479,070$70,163▲ $405,369$15,954$5,938,648
2023$4,879,911$142,325▲ $465,277$8,443$5,479,070
2022$5,772,953$79,100▼ $940,213$31,929$4,879,911
2021$5,486,477$67,200▲ $309,176$89,900$5,772,953
2020$5,012,831$80,855▲ $459,980$67,189$5,486,477
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
Kristi Hall-jiranDirector (chief Philanthropy Officer Ahs)PT$478,392$478,392

Board Members and Trustees

NameTitle
Dan MulroyChair (beg June)
Jenny ArelChair (thru June)/director
Keith LundHonorary Chair
Joshua DeereDirector (president Ahs)
Kathryn KesterVice Chair
Ashley CahalanDirector
Chris JohnsonDirector
Kristi Magnuson NelsonDirector
Nidhi PandaDirector
Sadie GardnerDirector
Todd ForkelDirector (CEO Ahs)
Kristi Hall-jiranDirector (chief Philanthropy Officer
Kamrin MackiDirector (nurse Practitioner Ahs)
David ZavoralDIRECTOR (THRU MAY 24')
Skip GreenbergDIRECTOR (THRU MAY 24')
Derek GoebelCFO/treasurer
Matt WalkowiakSecretary/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Community Counseling Service Co LLCProfessional Fundraising Services527 MADISON AVENUE 5TH FLOOR, New York, NY 10022$112,433
Revenue and Support

Revenue Composition

Contributions and Grants
$9,633,395
Program Service Revenue
$0
Investment Income
$1,025,665
Other Revenue
$-94,600
All Other Contributions
$7,852,449
Change in Net Assets
$3,352,645

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Other Non Cash Contri Table175$78,153Fair Market Value (FMV)
Total Noncash Contributions175$78,153-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$5,938,561
Other Expenses$1,160,821
Total Fundraising Expense$987,302
Professional Fundraising Fees$112,433
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$5,861,811--$5,861,811
Fees for Services Management-$241,994$483,988$725,982
Fees for Services Professional Fundraising--$112,433$112,433
Grants to Domestic Individuals$76,750--$76,750
Fees for Services Other-$14,625$40,096$54,721
Office Expenses-$6,742$10,423$17,165
Fees for Services Accounting-$14,496-$14,496
Fees for Service Investment Mgmnt Fees-$5,236-$5,236
Other Expenses-$727$1,138$1,865
Travel-$1,096-$1,096
Insurance-$900-$900
Conferences and Meetings-$136$213$349
Depreciation Depletion--$326$326
Total Functional Expenses$5,938,561$285,952$987,302$7,211,815
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Altru Health SystemGrand Forks, ND501(c)(3)Facility Enhancements, Program Support, Educational Support, Patient Needs, Employee Support, Equipment Needs, General Program Needs$5,343,322
THE TEARS' FOUNDATIONGrand Forks, ND501(c)(3)Supported Suidicde Prevention and Mental Health Promotion in the Community$79,200
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
Yes

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$135,920
Professional Fundraising Fees$112,433
Fundraising Gross Income$41,320

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Gala$333,143$23,170$52,864$-29,694
Golf Outing$114,104$18,150$7,222$10,928
Total Events$447,247$41,320$135,920$-94,600
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Fund$576,458
Due to Affiliates$480,794
Amounts Held for Others$14,697
Charitable Gift Annuities$9,497
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
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The organization has a single corporate member, altru health system.

Form 990, Part VI, Section A, Line 7A

As the sole corporate member of altru health foundation, altru health system's board of directors can appoint all of the directors and make governance decisions.

Form 990, Part VI, Section A, Line 7B

As the sole corporate member of altru health foundation, altru health system's board of directors can appoint all of the directors and make governance decisions.

Form 990, Part VI, Section B, Line 11B

Form 990 was electronically reviewed for accuracy by the board of directors prior to filing.

Form 990, Part VI, Section B, Line 12C

Conflict of interest policy is reviewed and signed off annually by all members of the board of directors. These forms are collected and reviewed by the secretary. An "interested person" is any director, principal officer, or committee member with board-delegated powers who has a direct or indirect financial interest. This includes ownership, investment, or compensation arrangements with entities involved in transactions with the corporation. Interested persons must disclose their financial interests to the board or committee. The interested person must leave the meeting while their financial interest is discussed and voted upon. The board or committee may appoint a disinterested person to investigate alternatives. If no better alternative is found, the board or committee will vote on whether the transaction is in the corporation's best interest. If a member fails to disclose a conflict, the board or committee will investigate and take appropriate action. Records of proceedings: minutes must include the names of those with financial interests, the nature of the interests, actions taken, and the decisions made.

Form 990, Part VI, Section B, Line 15

The organization's top management official and other officers were paid by altru health system, a related party. Altru health system determines the top management official's compensation by review and approval by a governing body without conflicts of interest, using comparable compensation data.

Form 990, Part VI, Section C, Line 19

The organization's financial statements, governing documents and conflict of interest policy are available upon request. The organization's financial statements are also made available to the public via altru's web site, altru.org.

Filing and Contact Details

Filer

Filer Name
Altru Health Foundation
EIN
45-0368330
Phone
7017805600
Address
2501 DEMERS AVENUE, GRAND FORKS, ND 58201

Signing Officer

Name
Kristi Hall-jiran
Title
Chief Philanthropy Officer
Phone
7017805600
Signed
2025-11-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kristi Hall-jiran
Formed
1982
Legal Domicile
Nd
Voting Board Members
14
Independent Board Members
10
Employees
0
Volunteers
42

Preparer

Firm
Wipfli Advisory LLC
Address
1502 LONDON ROAD SUITE 200, DULUTH, MN 55812
Preparer
Michael J Peterson CPA
Phone
2187224705
Supplemental Narrative

Financial Statement Notes

PART V, LINE 4:

Endowments consist of twenty-nine donor-restricted funds, to be maintained in perpetuity. The income of which is expendable and is established to provide investment income for a variety of purposes, including patient care, patient support programs, financial assistance, educational programs, and building additions.

Raw XML AppendixShowing 400 of 779 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivityOrMissionDesc0ALTRU HEALTH FOUNDATION'S MISSION IS TO SUPPORT ALTRU HEALTH SYSTEM IN FULFILLING ITS MISSION OF ACHIEVING OPTIMUM HEALTH FOR ALL RESIDENTS RESIDING IN OUR REGION THROUGH FUNDING OF TECHNOLOGY, FACILITIES, MEDICAL EDUCATION, AND HEALTHCARE FOR THOSE IN NEED. THIS FULFILLS ALTRU HEALTH SYSTEM'S OVERALL MISSION OF MAKING A DIFFERENCE FOR THOSE WE CARE FOR.
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
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IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR (CHIEF PHILANTHROPY OFFICER AHS)
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR (NURSE PRACTITIONER AHS)
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IRS990/Form990PartVIISectionAGrp/TitleTxt5CHAIR (THRU JUNE)/DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6CHAIR (BEG JUNE)
IRS990/Form990PartVIISectionAGrp/TitleTxt7VICE CHAIR
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IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR (THRU MAY 24')
IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt14DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR (THRU MAY 24')
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IRS990/MissionDesc0ALTRU HEALTH FOUNDATION IS A TYPE 1 SUPPORTING ORGANIZATION THAT SUPPORTS ALTRU HEALTH SYSTEM IN FULFILLING ITS MISSION OF MAKING A DIFFERENCE FOR THOSE WE CARE FOR - ALL RESIDENTS IN THE REGION THROUGH THE FUNDING OF TECHNOLOGY, FACILITIES, MEDICAL EDUCATION AND HEALTH CARE FOR THOSE IN NEED. ALTRU HEALTH SYSTEM IS SPECIFIED IN THE FOUNDATION'S GOVERNING DOCUMENTS AND OTHER ORGANIZATIONS ARE DESIGNATED BY CLASS OR PURPOSE AS CLOSELY RELATED IN PURPOSE OR FUNCTION TO THE SUPPORTED ORGANIZATION.
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IRS990/OtherExpensesGrp/Desc1DUES & SUBSCRIPTIONS
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IRS990/ProgSrvcAccomActy2Grp/Desc0GRANTS TO NON-ALTRU NONPROFIT ENTITIES TO FURTHER THEIR MISSIONS AND CONTINUE THEIR SERVICES TO THE REGION. GRANTS AND SCHOLARSHIPS TO INDIVIDUALS.
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0ALTRU HEALTH FOUNDATION IS A TYPE 1 SUPPORTING ORGANIZATION THAT SUPPORTS ALTRU HEALTH SYSTEM IN FULFILLING ITS MISSION OF ACHIEVING OPTIMUM HEALTH FOR ALL RESIDENTS IN THE REGION THROUGH THE FUNDING OF TECHNOLOGY, FACILITIES, MEDICAL EDUCATION AND HEALTH CARE FOR THOSE IN NEED. ALTRU HEALTH SYSTEM IS SPECIFIED IN THE FOUNDATION'S GOVERNING DOCUMENTS AND OTHER ORGANIZATIONS ARE DESIGNATED BY CLASS OR PURPOSE AS CLOSELY RELATED IN PURPOSE OR FUNCTION TO THE SUPPORTED ORGANIZATION.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1ALTRU HEALTH FOUNDATION PROVIDED GRANTS TO INDIVIDUALS FOR SCHOLARSHIPS IN THE AMOUNT OF $40,000 RELATED TO THE PROMOTION OF HEALTHCARE AND THE BENEFIT OF THE SUPPORTED ORGANIZATION. ALTRU HEALTH FOUNDATION ALSO PROVIDED GRANTS TO INDIVIDUALS IN THE FORM OF EMPLOYEE EMERGENCY ASSISTANCE IN THE AMOUNT OF $36,750. ALTRU HEALTH FOUNDATION ALSO SUPPORTED SUICIDE PREVENTION AND MENTAL HEALTH PROMOTION IN THE COMMUNITY THROUGH SUPPORTING THE TEARS ORGANIZATION IN THE AMOUNT OF $79,200.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt2THE FOUNDATION PROVIDED BENEFITS TO PERMISSIBLE BENEFICIARIES THAT FULFILLED THE MISSION OF THE ALTRU HEALTH SYSTEM TO ACHIEVE OPTIMUM HEALTH FOR ALL RESIDENTS IN THE REGION THROUGH THE FUNDING OF TECHNOLOGY, FACILITIES, MEDICAL EDUCATION AND HEALTH CARE FOR THOSE IN NEED.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt3THE ORGANIZATION DOES RECEIVE CONTRIBUTIONS FROM THEIR PAST AND PRESENT BOARD MEMBERS/DIRECTORS (BOTH THE FILING ORGANIZATION AND THE SUPPORTED ORGANIZATION BOARD MEMBERS). HOWEVER, THE AMOUNTS ARE NOT SO MATERIAL IN NATURE THAT THEY WOULD PRESENT ADDITIONAL OR EXCESS CONTROL OVER THE FOUNDATION. THE FOUNDATION RECEIVES A VERY DIVERSE AMOUNT OF FUNDING FROM MANY DONORS, SUCH THAT NO AMOUNTS RECEIVED FROM THE BOARD OF DIRECTORS OR THOSE RELATED TO THE BOARD GENERATE UNDUE INFLUENCE.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART IV, SECTION A, LINE 1:
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc1PART IV, SECTION A, LINE 6:
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc2PART IV, SECTION B, LINE 2:
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc3PART IV, SECTION A, LINE 11A:
IRS990ScheduleA/OtherSupportSumAmt00
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IRS990/ScheduleBRequiredInd01
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IRS990ScheduleD/CYEndwmtFundGrp/BeginningYearBalanceAmt05479070
IRS990ScheduleD/CYEndwmtFundGrp/ContributionsAmt070163

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