,",r 990. www. r 42-L ,9s0. ra rowa DONOR NETWORK

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, ,r 990 Return f Orgnitin empt Frm lnme T Under setin 501(), 527, r 4947()(1) f the nternl Revenue Cde (eept privte fundtins) Deprtment t the Tresury ) D nt enter sil seurity numers n this trm s it my
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, ,r 990 Return f Orgnitin empt Frm lnme T Under setin 501(), 527, r 4947()(1) f the nternl Revenue Cde (eept privte fundtins) Deprtment t the Tresury ) D nt enter sil seurity numers n this trm s it my e mde puli. nternl Revenug Servie lnfrmtin 99O nd its i A Fr the 2014 lendr, r t yer nd B hek if pplile: T---- Ad dress L_--Jhnge ---lnme L-Jhnge T---]lnitil lreturn f -lamended L-Jreturn f-.-lfinl Urturn/ terminte f lappti - UON pending C Nme f rgnitin rowa DONOR NTWORK Numer nd street (r P.0. if mil is nt delivered t street ddress) 550 MADSON AVNU City r twn, stte r prvine, untry, nd ZP r freign pstl de NORT LBRTY, A 523L7 F Nme nd ddress f rinil ffier:suzann CONRAD sme s ve () ( ){ (insert n.) 4947()(1) r www. r D mplyer identifitin numer 42-L OMB N Telephne numer Grss reeipts $ () ls this grup return frsurdintes? l-]v fxn () Are tt surintes intudsd? Yes l--l N lf N, tth list. (see instrutins) numer f dmiile: Wesite: Frm f Crprtin Trust Assitin Other Stte 52t () G d.9 f- ul :ii 6-qg = 1 Briefly desrie the rgnitin's missin r mst signifint tivities: ATS BOT ORGAN AND TSSU RCOVRY AND SRVS AS T STAT OF OWA'S Chek this ) if tne rgnitin disntinued its pertins r dispsed f mre lhn 25/ f its net ssets. Numer f vting memers f the gverning dy (Prt Vl, line 1 ) Numer f independent vting memers f the gverning dy (Prt Vl, line 1) Ttl numer f individuls emplyed in lendr yer 2O14 (Prt V, line 2) Ttl numer f vlunteers (estimte if neessry) Ttl unrelted usiness revenue frm Prt Vlll, lumn (C), line 12 Net unrelted usiness tle inme frm Frm 990-T. line 34 8 Cntriutins nd grnts (Prt Vlll, line t h) 9 Prgrm servie revenue (Prt Vlll, line 29) 10 nvestment inme (Prt Vlll, lumn (A), lines 3, 4, nd 7d) 11 Other revenue (Prt Vlll, lumn (A), lines 5, 6d, 8, 9, 10, nd 11 e) 12 Ttl revenue-dd lines 8 thruh 11 (must eul Prt Vlll. lumn (A). line Benefits pid t r fr memers (Prt lx, lumn (A), line 4) 15 Slries, ther mpenstin, emplyee enefits (Prt lx, lumn (A), lines 5-10) 16Prfessinl fundrising fees (Prt lx, lumn (A), line 11e) Tt fundrisingexpenses(prt X, umn(d), ine25) 17 Other epenses (Prt lx, lumn (A), lines 11-11d, 11'f-24e) 18 Ttl epenses. Add lines (must equl Prt lx, lumn (A), line 25) Sutrt line 18 frm line Ttl ssets (Prt X, line 16) 21 Ttl liilities (Prt X, line 26) 22 Net ssets r fund lnes. Sutrt line 2 81,9s0. Current nd f Yer L7 Under penlties f perlury, delre tht hv emined this return, inluding mpnying shedules nd sttements, nd t the est f my knwledge nd eliel, it is true, rret, nd mplete. Delrtin f preprer (ther thn ffier) is sed n ll infrmtin f whih preprer hs ny Sign ere SUZANN CONRAD, CF XCUTV OFFCR ype 0r pflnr nme Pid Prep rer Use 0nly VD A. RCTR, CPA Firm'sddress P.O. with the ra Firm's N LA Fr Pperwrk Redutin At Ntie, see the seprte instrutins. See Shedule O fr Orgnitin Missin Sttement Cntinutin Phnen.3t rrm 990 lt +1 OWA DONOR NTWORK m Chek if Shedule O ntins respnse r nte t nv line in this Prt lll 42-L4L4092 Briefly desrie the rgnitin's mtssrn: WORKNG TOGTR TO TRANSFORM LVS TROUG ORGAN AND TTSSU DONATTON. Did the rgnitin undertke ny signifint prgrm servies during the yer whih were nt listed n the prir Frm 990 r 99O-V? f-]y f l lf Yes, desrie these new servies n Shedule O. Did the rgnitin ese nduting, r mke signifint hnges in hw it nduts, ny prgrm servies? l-_lv [] lf Yes, desrie these hnges n Shedule O. 4 Desrie the rgnitin's prgrm servie mplishments fr eh f its three lrgest prgrm servies, s mesured y epenses. Setin 501()(3) nd 501(X4) rgnitins re required t reprt the munt f grnts nd lltins t thers, the ttl epenses, nd if nv, fr eh prrm servie inluding grnts l $ (Revenue $ CONTACT FOR ORGAN, TSSU A{D Y DONATON SRVCS TN T STAT OF OWA. FD TO FUNCTON AS T SNGL ORGAi PROCURMNT ORGANZATON SRVNG T STAT OF OWA. DN ALSO PROVDS TSSU RCOVRY SRVCS. N 20L4, L TTSSU RC NUS. DN WORKS WT MOR TAT 1OO OSPTALS ACROSS T STAT. T ALSO WORKS CLOSLY WT T OWA LONS Y BANK TO PROMOT Y DONATON. N 4 (e: - )(epenses$- 2,038,5L2. inludinggrntsf g,; (Revenue$ ) OSPTAL DVLOPMNT, PUBLC DUCATON, AND DONOR FAMLY SRVCS DN S COMMTTD TO MTNG ALL OSPTA,S' DUCATTONAL NDS RGARDTNG DONATON. TS NCLUDS: TRANNG N T DNTFCATON, RFRRAL AiD MANAGMNT,s T AitD T FOR APPR POTNTAL DONOR FA{LS WT T OPTON OF DONATON, RSPONSBLTY N T OPRAT S AND DSCUSSONS AUTORZATON FOR DONATON. T TSSU RCOVRY PROCSS S PRFORMD BY DN STAFF WL ORGAN RCOVRY S DON BY TRAND, DN AFFLATD VRY OSPTAL, MDCAL XA{NR'S OFFC, DMV OFFC, A}D MS PROGRA.{ 4 (e:_)(epenses$ inluding grnts f 5 ) (Revenue $ 4d Other prgrm servies (Desrie in Shedule O.) (penses $ inludin grnts f $ O tt 'rt tt .' t n t,, *r,, t,. ) (nevenu $ See Shedule O fr Cntinutin(s) ;;;;OO6i 6j;; OWA DONOR NTWORK 42-L4L4092 ls the rgnitin desried in setin 501 ()(3) r 4947()(1) (ther thn privte fundtin)? lf Yes, mplete Shedule A 2 ls the rgnitin required t mplete Shedule B, Shedule f Cntriutrs? 3 Did the rgnitin engge in diret r indiret plitil mpign tivities n ehlf f r in ppsitin t ndidtes fr puli ffie? /f Yes, mplete Shedule Q, Prt Setin 501()(3) rgnitins. Did the rgnitin engge in lying tivities, r hve setin 501 (h) eletin in effet during the t yer? lf Yes, mplete Shedule C, Pft ll ls the rgnitin setin 501(X4), 501(X5), r 501()(6) rgnitin tht reeives memership dues, ssessments, r similr munts s defined in Revenue Predure 98-19? /l Yes, mplete Shedule C, Prl ll Did lhe rgnitin mintin ny dnr dvised funds r ny similr funds r unts fr whih dnrs hve the right t prvide dvie n the distriutin r investment f munts in suh funds r unts? lf Yes, mplete Shedule D, Prt Did the rgnitin reeive r hld nservtin esement, inluding esements t preserve pen spe, the envirnment, histri lnd res, r histri strutures? f Yes, mplete Shedule D, Pft ll Did the rgnitin mintin lletins f wrks f rt, histril tresures, r ther similr ssets? lf Yes, mplete Shedule D, Prt lll Did the rgnitin reprt n munt in Prt X, line 21, fr esrw r ustdil unt liility; serve s ustdin fr munts nt listed in Prt X; r prvide redit unseling, det mngement, redit repir, r det negtitin servies? lf Yes, mplete Shedule D, Pft lv 10 Did the rgnitin, diretly r thrugh relted rgnitin, hld ssets in temprrily restrited endwments, permnent endwments, r qusi-endwments? /f Yes, mplete Shedule D, Pft V 11 lf the rgnitin's nswer t ny f the fllwing questins is Yes, then mplete Shedule D, Prts Vl, Vll, Vlll, lx, r X s pplile. Did the rgnitin reprt n munt fr lnd, uildings, nd equipment in Prt X, line 10? lf Yes, mplete Shedule D, Prt Vl Did the rgnitin reprt n munt fr investments - ther seurities in Prt X, line 12 tht is 5% r mre f its ttl ssets reprted in Prt X, line 16? lf Yes, mplete Shedule D, Pft V Did the rgnitin reprt n munt fr investments - prgrm relted in Prt X, line 13 tht is 5/ er m( f its ttl ssets reprted in Prt X, line 16? lf Yes, mplete Shedu/e D, Pr Vlll Did the rgnitin reprt n munt fr ther ssets in Pft X, line 15 tht is 5% r mre f its ttl ssets reprted in Prt X, line 16? /f Yes, mplete Shedule D, Prt X e Did the rgnitin reprt n munt fr ther liilities in Prt X, line 25? lf Yes, mplete Shedule D, Pft X t Did the rgnitin'seprte r nslidted finnil sttements fr the t yer inlude ftnte tht ddresses the rgnitin's liility fr unertin t psitins under FN 48 (ASC 74O)? lf Yes, mplete Shedule D, Prt X 12 Did the rgnitin tin seprte, independent udited finnil sttements fr the t yer? lf Yes, mplete Shedule D, Pfts Xl nd Xll Ws the rgnitin inluded in nslidted, independent udited finnil sttements fr the t yer? ll Yes, nd if the rgnitin nswered N t line 12, then mpleting Shedule D, Prts Xl nd Xll is ptinl 13 ls the rgnitin shl desried in setin 170()(1)(AX D? lf Yes, mplete Shedule 14 Did the rgnitin mintin n ffie, emplyees, r gents utside f the United Sttes? Did the rgnitin hve ggregte revenues r epenses f mre thn $10,000 frm grntmking, fundrising, usiness, investment, nd prgrm servie tivities utside the United Sttes, r ggregte freign investments vlued t $100,000 r mre? /f yes, mplete Shedule F, Pfts nd lv 15 Oid the rgnitin reprt n Prt lx, lumn (A), line 3, mre thn $5,000 f grnts r ther ssistne t r fr ny freign rgnitin? lf Yes, mplete Shedule F, Prts ll nd V 16 Did the rgnitin reprt n Prt lx, lumn (A), line 3, mre thn $5,000 f ggregte grnts r ther ssistne t r fr freign individuls? lf Yes, mplete Shedule F, Prts lll nd lv 17 Did the rgnitin reprt ttl f mre thn $15,000 f epenses fr prfessinl fundrising servies n Prt lx, lumn (A), lines 6 nd 11e? lf Yes, mplete Shedule G, Prl 18 Did the rgnitin reprt mre thn $15,000 ttl f fundrising event grss inme nd ntriutins n Prt Vlll, lines 1 nd 8? lf Yes, mplete Shedule G, Prl ll 19 Oid the rgnitin repd mre thn $15,000 f grss inme frm gming tivities n Prt Vlll, line 9? lf Yes, mplete Shedule G, Prt lll 2O Did the rgnitin perte ne r mre hspitl filities? lf Yes, mplete Shedule lf Yes t line 20. did the v f X X O7-14 OWA DONOR NTWORK (ntinued) 2'l Did the rgnitin reprt mre thn $5,000 f grnts r ther ssistne t ny dmesti rgnitin r dmesti gvernment n Prt lx, lumn (A), line 1? lf Yes, mplete Shedule l, Prts nd ll 22 Did the rgnitin reprt mre thn $5,000 f grnts r ther ssistne t r fr dmesti individuls n Prt lx, lumn (A), line 2? lf Yes, mplete Shedule l, Pfts nd lll 23 Did the rgnitin nswer Yes t Prt Vll, Setin A, line 3, 4, r 5 ut mpenstin f the rgnitin's urrent nd frmer ffiers, diretrs, trustees, key emplyees, nd highest mpensted emplyees? f Yes, mplete Shedule J 24 Did the rgnitin hve t-eempt nd issue with n utstnding prinipl munt f mre thn $100,000 s f the fst dy f the yer, tht ws issued fter Deemer 31, 2002? lt Yes, nswer lines 24 thrugh 24d nd mplete Shedule K lf N , g t line r4t4092 Did the rgnitin invest ny preeds f t-eempt nds eynd temprry perid eeptin? Did the rgnitin mintin n esrw unt ther thn refunding esrw t ny time during the yer t defese ny t-eempt nds? d Did the rgnitin t s n n ehlf f issuer fr nds utstnding t ny time during the yer? 25 Setin 5O1()(3), 50l(X), nd 5O1()(29) rgnitins. Did the rgnitin engge in n eess enefit trnstin with disqulified persn during the ye2 lf Yes, mplete Shedule L, Prt ls the rgnitin wre tht it engged in n eess enefit trnstin with disqulified persn in prir yer, nd tht the trnstin hs nt een reprted n ny f the rgnitin's prir Frms 990 r 990-Z? lf Yes, mplete Shedule L, Prt 26 Did the rgnitin reprt ny munt n Prt X, line 5, 6, r 22lr reeivles frm r pyles t ny urrent r frmer ffiers, diretrs, trustees, key emplyees, highest mpensted emplyees, r disqulified persns? lf Yes, mplete Shedule L, Pri ll 27 Did the rgnitin prvide grnt r ther ssistne t n ffier, diretr, trustee, key emplyee, sustntil ntriutr r emplyee theref, grnt seletin mmittee memer, r t 35% ntrlled entity r fmily memer f ny f these persns? lf Yes, mplete Shedule L, Prt lll 28 Ws the rgnitin prty t usiness trnstin with ne f the fllwing prties (see Shedule L, Prt lv instrutins fr pplile filing threshlds, nditins, nd eeptins): A urrent r frmer ffier, diretr, trustee, r key emplyee? lf Yes, mplete Shedule L, Prt V A fmily memer f urrent r frmer ffier, diretr, trustee, r key emplyee? lf Yes, mplete Shedule L, Pft lv An entity f whih urrent r frmer ffier, diretr, trustee, r key emplyee (r fmily memer theref) ws n ffier, diretr, trustee, r diret r indiret wner? /f Yes, mplete Shedule L, Pft lv 29 Did the rgnitin reeive mre thn $25,000 in nn-sh ntriutins? f Yes, mplete Shedule M 30 Did the fgnitin reeive ntriutins f rt, histril tresures, r ther similr ssets, r qulified nservtin ntriutins? lf Yes, mplete Shedule M 31 Did the rgnitin liquidte, terminte, r disslve nd ese pertins? lf Yes, mplete Shedule N, Prt Did the rgnitin sell, ehnge, dispse f, r trnsfer mre thn 25% f ils net ssets?/f Yes, mplete Shedule N, Pft ll Did the rgnitin wn 100% f n entity disregrded s seprte frm the rgnitin under Regultins setins 3O nd ? f Yes, mplete Shedule R, Pri 34 Ws the rgnitin relted t ny t.eempt r tle entity? /l Yes, mplete Shedule R, Prt, lll, r lv, nd Prt V, line Did the rgnitin hve ntrlled entity within the mening f setin 512(X13)? lf Yes t line 35, did the rgnitin reeive ny pyment frm r engge in ny trnstin with ntrlled entity within the mening f setin 512(X13)? lf Yes, mplete Shedule R, Prt V, line 2 Setin 501(X3) rgnitins. Did the rgnitin mke ny trnsfers t n eempt nn-hritle relted rgnitin? lf Yes, mplete Shedule R, Prl V, line 2 Did the rgnitin ndut mre thn 5% f its tivities thrugh n entity tht is nt relted rgnitin nd tht is treted s prtnership fr federl inme t purpses? f Yes, mplete Shedule R, Pft Vl Did the rgnitin mplete Shedule O nd prvide eplntins in Shedule O fr Prt Vl, lines 11 nd 19? N X X rrm 990 lt; OWA DONOR NTWORK Chek if Shedule O ntins respnse r nte t ny line in this Prt V 42-r4L nter the numer reprted in B 3 l Frm 1096, nter -0- if nt pplile l nter the numer f Frms W-2G inluded in line 1. nter -0. if nt pplile Did the rgnitin mply with kup withhlding rules fr reprtle pyments t vendrs nd reprtle gming (gmling) winnings t prie winners? 2 nter the numer f emplyees reprted n Frm W-3, Trnsmittl f Wge nd T Sttements, filed fr the lendr yer ending with r within the yer vered y this return & lf t lest ne is reprted n line 2, did the rgnitin file ll required federl emplyment t returns? Nte. ff the sum f lines 1 nd 2 is greter thn 250, yu my e required t e-file (see instrutins) 3 Did the rgnitin hve unrelted usiness grss inme f $1,000 r mre during the yer? lf Yes, hs it filed Frm 990-T fr this yer? lf 'N, t line 3, prvide n eplntin in Shedule O 4 At ny time during the lendr yer, did the rgnitin hve n interest in, r signture r ther uthrity ver, finnil unt in freign untry (suh s nk unt, seurities unt, r ther finnil unt)? lf Yes, enter the nme f the freign untry: ) See instrutins fr filing requirements fr FinCN Frm 114, Reprt f Freign Bnk nd Finnil Aunts (FBAR), 5 Wsthergnitinprtytprhiitedtshettertrnstintnytimeduringthetyer? Did ny tle prty ntify the rgnitin tht it ws r is prty t prhiited t shelter trnstin? lf Yes, t line 5 r 5, did the rgnitin file Frm 8886-T? 6 Des the rgnitin hve nnul grss reeipts tht re nrmlly greter thn $100,000, nd did the rgnitin sliit ny ntriutins tht were nt t dedutile s hritle ntriutins? lf Yes, did the rgnitin inlude with every sliittin n epress sttementht suh ntriutins r gifts were nt t dedutile? Orgnitins tht my reeive dedutile ntriutins under setin 170(). Did the rgnitin reeive pyment in eess f $75 mde prtly s ntriutin nd prtly fr gds nd servies prvided t the pyr? lf Yes, did the rgnitintify the dnr f the vlue f the gds r servies prvided? Did the rgnitin sell, ehnge, r therwise dispse f tngile persnl prperty fr whih it ws required t file Frm 8282? d e t s h 10 lf Yes. indite the numer f Frms 8282 filed durin the ver Did the rgnitin reeive ny funds, diretly r indiretly, t py premiums n persnl enefit ntrt? Did the rgnitin, during the yer, py premiums, diretly r indiretly, n persnl enefit ntrt? lf the rgnitin reeived ntriutin f qulified intelletul prperty, did the rgnitin file Frm 8899 s required? lf the rgnitin reeived ntriutin f rs, ts, irplnes, r ther vehiles, did the rgnitin file Frm 1098-C? Spnsring rgnitins mintining dnr dvised funds. Did dnr dvised fund mintined y the spnsring rgnitin hve eess usiness hldings t ny time during the yer? Spnsring rgnitins mintining dnr dvised funds. Did the spnsring rgnitin mke ny tle distriutins under setin 4966? Did the spnsring rgnitin mke distriutin t dnr, dnr dvisr, r relted persn? Setin 501()(7) rgnitins. nter: nititin tees nd pitl ntriutins inluded n Prt Vlll, line 12 Grss reeipts, inluded n Frm 990, Prt Vlll, line 12, fr puli use f lu filities 11 Setin 501(X12) rgnitins. nter: Grss inme frm memers r shrehlders Grss inme frm ther sures (D nt net munts due r pid t ther sures ginst munts due r reeived frm them.) 12 Setin 4947(X1) nn-eempt hritle trusts. ls the rgnitin filing Frm 990 in lieu f Frm1041? 13 lf Yes, enter the munt f t-eempt interest reeived r rued during the yer Setin 501()(29) qulified nnprfit helth insurne issuers. ls the rgnitin liensed t issue qulified helth plns in mre thn ne stte? Nte, See the instrutins fr dditinl infrmtin the rgnitin must reprt n Shedule O. nter the munt f reserves the rgnitin is required t mintin y the sttes in whih the rgnitin is liensed t issue qulified helth plns 12 nter the munt f reserves n hnd 14 Did the rgnitin reeive ny pyments fr indr tnning servies during the t yer? lf Yes hs it f N tn r d Frm 990 (2014) Frmee Qr4L OWA DONOR NTWORK p q 6,pnse t line 8, 8, r 10 elw, desrie the irumstnes, presses, r hnges in Shedule O. See,nsfruflns. Setin Gvern nd nter the numer f vting memers f the gverning dy t the end f the t yer lf there re mteril differenes in vting rights mng memers f the gverning dy, r il the gverning dy delegted rd uthrity t n eeutive mmittee r similr mmittee, eplin Shedule 0. nter the numer f vting memers inluded in line 1, ve, wh re independent Did ny ffier, diretr, trustee, r key emplyee hve fmily reltinship r usiness reltinship with ny ther ffier, diretr, trustee, r key emplyee? Did the rgnitin delegte ntrl ver mngement duties ustmrily perfrmed y r under the diret supervisin f ffiers, diretrs, r trustees, r key emplyees t mngement mpny r ther persn? 4 Did the rgnitin mke ny signifint hnges t its gverning duments sine the prir Frm 990 ws filed? 5 Did the rgnitin eme wre during the yer f signifint diversin f the rgnitin's ssets? 6 Did the rgnitin hve memers r stkhlders? 7 Did the rgnitin hve memers, stkhlders, r ther persns wh hd the pwer t elet r ppint ne t mre memers f the gverning dy? Are ny gvernne deisins f the rgnitinreserved t (r sujet t pprvl y) memers, stkhlders, r persns ther thn the gverning dy? 8 Did the rgnitin ntemprneusly dument the meetings held r wrjtten tins undertken during the yer y the fllwing: 't The gverning dy? h mmittee with uthrity t t n ehlf f the gverning dy? ls there ny ffier, diretr, trustee, r key emplyee listed in Prt Vll, Setin A, wh nnt e rehed t the nmes nd ddresses rn Shedule O (This Setin B infmtin ut nt required y the lnternl Bevenue Cde Did the rgnitin hve ll hpters, rnhes, r ffilites? lf Yes, did the rgnitin hve written pliies nd predures gverning the tivities f suh hpters, ffilites, nd rnhes t ensure their pertins re nsistent with the rgnitin's eempt purpses? s the rgnitin prvided mplete py f this Frm 990 t ll memers f its gverning dy efre filing the frm? Desrie in Shedule O the press, if ny, used y the rgnitin t review this Frm 990. Did the rgnitin hve written nf lit f interest pliy? lf N, g t line 13 Were tfiers, diretrs, trustees, nd key emplyees required t dislse nnully interests tht uld give rise t nflits? Did the rgnitin regulrly nd nsistently mnitr nd enfre mpline with the pliy? lf Yes, desrie in Shedule O hw this ws dne Did the rgnitin hve written whistlelwer pliy? Did the rgnitin hve written dument retentin nd destrutin pliy? Did the press fr determining mpenstin f the fllwing persns inlude review nd pprvl y independent persns, mprility dt, nd ntemprneusustntitin f the deliertin nd deisin? The rgnitin's CO, eutive Diretr, r tp mngement ffiil Other ffiers r key emplyees f the rgnitin lf Yes t line 15 r 15, desrie the press in Shedule O (see instrutins). Did the rgnitin invest in, ntriute ssets t, r prtiipte in jint venture r similr rrngement with tle entity during the yer? lf Yes, did the rgnitin fllw written pliy r predure requiring the rgnitin t evlute its prtiiptin in jint venture rrngements under pplile federl t lw, nd tke steps t sfegurd the rgnitin's t t suh Setin G. Dislsure 17 List the sttes with whih py f this Frm 990 is required t e filed ) Nne 18 Setin 6104 requires n rgnitin t mke its Frms 1023 (r 1024 if pplile), 990, nd 990-T (Setin 501 (X3)s nly) ville fr plrli inspetin. ndite hw yu mde these vjleqle. Chek ll tht pply;_ lxlownwesite lxlanther'swesite lxlupnrequest lothet(eplininsheduleo) 19 Desrie in Shedule O whether (nd if s, hw) the rgnitin mde its gverning duments, nflit f interest pl
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