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  5. ELDERSERVE, INC.

ELDERSERVE, INC.

Company Details

Name: ELDERSERVE, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 10 Sep 1962 (63 years ago)
Organization Date: 10 Sep 1962 (63 years ago)
Last Annual Report: 22 Apr 2024 (a year ago)
Organization Number: 0048013
Industry: Miscellaneous Services
Number of Employees: Small (0-19)
ZIP code: 40211
City: Louisville
Primary County: Jefferson County
Principal Office: 631 S. 28TH ST., LOUISVILLE, KY 40211
Place of Formation: KENTUCKY

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
DNNQZFFUD8F1 2024-09-01 631 S 28TH ST, LOUISVILLE, KY, 40211, 1369, USA 631 S 28TH ST, LOUISVILLE, KY, 40211, 1369, USA

Business Information
Doing Business As ELDERSERVE INC
URL www.elderserveinc.org
Congressional District 03
State/Country of Incorporation KY, USA
Activation Date 2023-09-05
Initial Registration Date 2008-08-29
Entity Start Date 2000-02-01
Fiscal Year End Close Date Jun 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name PATTY BELDEN
Role CEO
Address 215 W BRECKINRIDGE STREET, LOUISVILLE, KY, 40203, USA
Title ALTERNATE POC
Name PATTY BELDEN
Role CEO
Address 215 W BRECKINRIDGE STREET, LOUISVILLE, KY, 40203, USA
Government Business
Title PRIMARY POC
Name PATTY BELDEN
Role CEO
Address 215 W BRECKINRIDGE STREET, LOUISVILLE, KY, 40203, USA
Title ALTERNATE POC
Name SAMUEL JOHNSON
Role EXECUTIVE VICE PRESIDENT
Address 215 W BRECKINRIDGE STREET, LOUISVILLE, KY, 40203, USA
Past Performance
Title PRIMARY POC
Name JULIE GUENTHNER
Role CEO
Address 300 EAST MARKET STREET, SUITE 190, LOUISVILLE, KY, 40202, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
403(B) THRIFT PLAN OF ELDERSERVE, INC. 2020 616024140 2021-10-15 ELDERSERVE, INC. 32
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 624200
Sponsor’s telephone number 5025878673
Plan sponsor’s address 215 W BRECKINRIDGE ST, LOUISVILLE, KY, 402032219

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing PATTY BELDEN
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF ELDERSERVE, INC. 2019 616024140 2020-10-13 ELDERSERVE, INC. 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 624200
Sponsor’s telephone number 5025878673
Plan sponsor’s address 215 W BRECKINRIDGE ST, LOUISVILLE, KY, 402032219

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing PATTY BELDEN
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF ELDERSERVE, INC. 2018 616024140 2019-10-14 ELDERSERVE, INC. 112
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 624200
Sponsor’s telephone number 5025878673
Plan sponsor’s address 215 W BRECKINRIDGE ST, LOUISVILLE, KY, 402032219

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing MEGAN KREBS
Valid signature Filed with authorized/valid electronic signature
403 B THRIFT PLAN OF ELDERSERVE INC 2017 616024140 2018-07-12 ELDERSERVE INC 114
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 624100
Sponsor’s telephone number 5025878673
Plan sponsor’s address 215 W BRECKINRIDGE ST, LOUISVILLE, KY, 402032219

Signature of
Role Plan administrator
Date 2018-07-12
Name of individual signing JULIE W. GUENTHNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-12
Name of individual signing JULIE W. GUENTHNER
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF ELDERSERVE, INC. 2016 616024140 2017-04-26 ELDERSERVE, INC. 96
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 624100
Sponsor’s telephone number 5025878673
Plan sponsor’s address 300 E MARKET ST, LOUISVILLE, KY, 40202

Signature of
Role Plan administrator
Date 2017-04-26
Name of individual signing JULIE W. GUENTHNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-26
Name of individual signing JULIE W. GUENTHNER
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF ELDERSERVE, INC. 2015 616024140 2016-07-19 ELDERSERVE, INC. 96
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 624100
Sponsor’s telephone number 5025878673
Plan sponsor’s address 300 E MARKET ST, LOUISVILLE, KY, 40202

Signature of
Role Plan administrator
Date 2016-07-19
Name of individual signing JULIE W. GUENTHNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-19
Name of individual signing JULIE W. GUENTHNER
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF ELDERSERVE, INC. 2014 616024140 2015-07-24 ELDERSERVE, INC. 91
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 624100
Sponsor’s telephone number 5025878673
Plan sponsor’s address 300 E MARKET ST, LOUISVILLE, KY, 40202

Signature of
Role Plan administrator
Date 2015-07-24
Name of individual signing JULIE W. GUENTHNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-24
Name of individual signing JULIE W. GUENTHNER
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF ELDERSERVE, INC. 2013 616024140 2014-07-30 ELDERSERVE, INC. 89
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 624100
Sponsor’s telephone number 5025878673
Plan sponsor’s address 411 E.MUHAMMED ALI BLVD., LOUISVILLE, KY, 40202

Signature of
Role Plan administrator
Date 2014-07-30
Name of individual signing JULIE W. GUENTHNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-30
Name of individual signing JULIE W. GUENTHNER
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF ELDERSERVE, INC. 2012 616024140 2013-07-30 ELDERSERVE, INC. 98
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 624100
Sponsor’s telephone number 5025878673
Plan sponsor’s address 411 E.MUHAMMED ALI BLVD., LOUISVILLE, KY, 40202

Signature of
Role Plan administrator
Date 2013-07-30
Name of individual signing JULIE W. GUENTHNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-30
Name of individual signing JULIE W. GUENTHNER
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF ELDERSERVE, INC. 2011 616024140 2012-07-30 ELDERSERVE, INC. 106
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 624100
Sponsor’s telephone number 5025878673
Plan sponsor’s address 411 E.MUHAMMED ALI BLVD., LOUISVILLE, KY, 40202

Plan administrator’s name and address
Administrator’s EIN 616024140
Plan administrator’s name ELDERSERVE, INC.
Plan administrator’s address 411 E.MUHAMMED ALI BLVD., LOUISVILLE, KY, 40202
Administrator’s telephone number 5025878673

Signature of
Role Plan administrator
Date 2012-07-30
Name of individual signing JULIE W. GUENTHNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-30
Name of individual signing JULIE W. GUENTHNER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/28/20110728102614P040015499426001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 624100
Sponsor’s telephone number 5025878673
Plan sponsor’s address 411 E.MUHAMMED ALI BLVD., LOUISVILLE, KY, 40202

Plan administrator’s name and address
Administrator’s EIN 616024140
Plan administrator’s name ELDERSERVE, INC.
Plan administrator’s address 411 E.MUHAMMED ALI BLVD., LOUISVILLE, KY, 40202
Administrator’s telephone number 5025878673

Signature of
Role Plan administrator
Date 2011-07-28
Name of individual signing JULIE W. GUENTHNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-28
Name of individual signing JULIE W. GUENTHNER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/15/20101015110031P040006912584001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 624100
Sponsor’s telephone number 5025878673
Plan sponsor’s address 411 E. MUHAMMAD ALI. BLVD, LOUISVILLE, KY, 40202

Plan administrator’s name and address
Administrator’s EIN 616024140
Plan administrator’s name ELDERSERVE, INC.
Plan administrator’s address 411 E. MUHAMMAD ALI. BLVD, LOUISVILLE, KY, 40202
Administrator’s telephone number 5025878673

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing GUENTHNER JULIE
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
THOMAS C. FENTON Registered Agent

Secretary

Name Role
John Asher Secretary

Director

Name Role
Thomas Norris Director
Katie Gaughan Director
Todd Meador Director
Bonnie Michaels Director
Amy Gilbert Director
Karen Paulin Director
Charles Cronan Director
Marilyn Nicholson Director
Aaron Walther Director
Nancy Jo Trafton Director

Treasurer

Name Role
Kathy Chlon Treasurer

Vice President

Name Role
Matt Watkins Vice President

Incorporator

Name Role
THERESA BRISTOW Incorporator
CATHY BOHLER Incorporator
JIM BULTER Incorporator
MARGARET FARLEY Incorporator
JOAN KENYON Incorporator

Chairman

Name Role
Steve Schulz Chairman

Licenses

Department License Number License Type / Line of Authority Status Issue Date Effective Date Inactive Date Expiry Date Address
Department of Charitable Gaming EXE0001558 Exempt Organization Inactive - - - - Louisville, JEFFERSON, KY

Former Company Names

Name Action
GUARDIACARE SERVICES, INC. Merger
KENTUCKY ASSOCIATION FOR OLDER PERSONS EDUCATION AND RESEARCH FOUNDATION, INC. Merger
SENIOR HOUSE, INC. Old Name
ST. WILLIAM CENTER, INC. Old Name
ST. WILLIAM NEIGHBORHOOD CENTER, INC. Old Name

Filings

Name File Date
Annual Report 2024-04-22
Annual Report 2023-05-23
Registered Agent name/address change 2022-10-25
Annual Report 2022-06-20
Registered Agent name/address change 2021-04-14
Annual Report 2021-04-14
Principal Office Address Change 2021-03-30
Annual Report 2020-07-13
Registered Agent name/address change 2020-02-06
Annual Report 2019-06-30

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DELIVERY ORDER AWARD VA249BO00761C5035AD 2010-10-01 2011-09-30 2013-08-31
Unique Award Key CONT_AWD_VA249BO00761C5035AD_3600_VA249BO0076_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 51610.00
Current Award Amount 51610.00
Potential Award Amount 51610.00

Description
Title EXPRESS REPORT - ADULT DAY HEALTHCARE - FY'11 (ALL 4 QTRS) 1358 QUARTERLY BILLING UPDATES
NAICS Code 623110: NURSING CARE FACILITIES
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient ELDERSERVE, INC.
UEI DNNQZFFUD8F1
Recipient Address 631 S 28TH ST, LOUISVILLE, JEFFERSON, KENTUCKY, 402111369, UNITED STATES
No data IDV VA249BO0076 2008-09-01 No data No data
Unique Award Key CONT_IDV_VA249BO0076_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 0.00
Potential Award Amount 0.00

Description
Title ADULT DAY HEALTHCARE
NAICS Code 623110: NURSING CARE FACILITIES
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient ELDERSERVE, INC.
UEI DNNQZFFUD8F1
Recipient Address 631 S 28TH ST, LOUISVILLE, JEFFERSON, KENTUCKY, 402111369, UNITED STATES

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
2009D1BX0212 Department of Justice 16.753 - CONGRESSIONALLY RECOMMENDED AWARDS 2009-07-01 2012-06-30 ELDERSERVE, INC. COMPREHENSIVE CRIME PREVENTION & VICTIM SERVICES FOR SENIORS PROJECT
Recipient ELDERSERVE, INC.
Recipient Name Raw ELDERSERVE, INC.
Recipient Address 411 EAST MUHAMMAD ALI BLVD., LOUISVILLE, JEFFERSON, KENTUCKY, 40202-1501, UNITED STATES
Obligated Amount 225000.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
09SCSKY003 Corporation for National and Community Service 94.016 - SENIOR COMPANION PROGRAM 2009-01-01 2011-12-31 786298281 10952728000411 E MUHAMMAD ALI
Recipient ELDERSERVE, INC
Recipient Name Raw ELDERSERVE, INC
Recipient Address LOUISVILLE, JEFFERSON, KENTUCKY, 40202-1501
Obligated Amount 828492.00
Non-Federal Funding 73328.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
KY001REL049A007 Department of Housing and Urban Development 14.870 - RESIDENT OPPORTUNITY AND SUPPORTIVE SERVICES - SERVICE COORDINATORS 2007-10-01 2008-09-30 RESIDENT/OPPORT/SUPPORT SERVIC
Recipient ELDERSERVE, INC.
Recipient Name Raw ELDERSERVE,INC
Recipient UEI PXNAKCFENF13
Recipient DUNS 786298281
Recipient Address 411 E. MUHAMMAD ALI BLVD, LOUISVILLE, JEFFERSON, KENTUCKY, 40202-1501
Obligated Amount 250000.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
06SCSKY003 Corporation for National and Community Service 94.016 - SENIOR COMPANION PROGRAM 2006-01-01 2008-12-31 SENIOR COMPANION PROGRAM
Recipient ELDERSERVE, INC.
Recipient Name Raw ELDERSERVE, INC
Recipient UEI PXNAKCFENF13
Recipient DUNS 786298281
Recipient Address 411 E MUHAMMAD ALI, LOUISVILLE, JEFFERSON, KENTUCKY, 40202-1501
Obligated Amount 834876.00
Non-Federal Funding 62963.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
61-6024140 Corporation Unconditional Exemption 631 S 28TH ST, LOUISVILLE, KY, 40211-1369 1968-02
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-06
Asset 1,000,000 to 4,999,999
Income 500,000 to 999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Jun
Asset Amount 2847761
Income Amount 967673
Form 990 Revenue Amount 967673
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name ELDERSERVE INC
EIN 61-6024140
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name ELDERSERVE INC
EIN 61-6024140
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name ELDERSERVE INC
EIN 61-6024140
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name ELDERSERVE INC
EIN 61-6024140
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name ELDERSERVE INC
EIN 61-6024140
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name ELDERSERVE INC
EIN 61-6024140
Tax Period 201706
Filing Type E
Return Type 990
File View File
Organization Name ELDERSERVE INC
EIN 61-6024140
Tax Period 201606
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1987227809 2020-05-22 0457 PPP 215 W BRECKINRIDGE ST, LOUISVILLE, KY, 40203-2219
Loan Status Date 2022-03-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 430500
Loan Approval Amount (current) 430500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27542
Servicing Lender Name Republic Bank & Trust Company
Servicing Lender Address 601 W Market St Republic Corporate Center, LOUISVILLE, KY, 40202
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address LOUISVILLE, JEFFERSON, KY, 40203-2219
Project Congressional District KY-03
Number of Employees 17
NAICS code 624120
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 27542
Originating Lender Name Republic Bank & Trust Company
Originating Lender Address LOUISVILLE, KY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 438081.58
Forgiveness Paid Date 2022-02-23

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
1185959 Intrastate Non-Hazmat 2020-03-10 13000 2019 2 3 Priv. Pass. (Business)
Legal Name ELDERSERVE INC
DBA Name -
Physical Address 215 W BRECKINRIDGE ST, LOUISVILLE, KY, 40203, US
Mailing Address 215 W BRECKINRIDGE ST, LOUISVILLE, KY, 40203, US
Phone (502) 587-8673
Fax (502) 587-0222
E-mail MKREBS@ELDERSERVEINC.ORG

Safety Measurement System - All Transportation
Total Number of Inspections for the measurement period (24 months) 0
Driver Fitness BASIC Serious Violation Indicator No
Vehicle Maintenance BASIC Acute/Critical Indicator No
Unsafe Driving BASIC Acute/Critical Indicator No
Driver Fitness BASIC Roadside Performance measure value 0
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value 0
Total Number of Driver Inspections for the measurment period 0
Vehicle Maintenance BASIC Roadside Performance measure value 0
Total Number of Vehicle Inspections for the measurement period 0
Controlled Substances and Alcohol BASIC Roadside Performance measure value 0
Unsafe Driving BASIC Roadside Performance Measure Value 0
Number of inspections with at least one Driver Fitness BASIC violation 0
Number of inspections with at least one Hours-of-Service BASIC violation 0
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation 0
Number of inspections with at least one Vehicle Maintenance BASIC violation 0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation 0
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation 0
Number of inspections with at least one Unsafe Driving BASIC violation 0

Contracts

Branch Contract Id Procurement Type Begin Date End Date Amount
Executive 2000002607 MOA/PSC Exception 2020-07-01 2021-05-31 152947
Department CHFS - Department for Aging and Independent Living
Category (952) HUMAN SERVICES
Authorization Memorandum of Agreement - Non Profit 501 (c) 3
Document View Document
Executive 2000000497 MOA/PSC Exception 2019-10-07 2020-06-30 152947
Department CHFS - Department for Aging and Independent Living
Category (952) HUMAN SERVICES
Authorization Memorandum of Agreement - Non Profit 501 (c) 3
Document View Document

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Sources: Kentucky Secretary of State

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