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          <RecipientPhoneNum>3096921192</RecipientPhoneNum>
          <FormAndInfoAndMaterialsTxt>APPLICATION PACKET CONTAINING ONE COMPLETED APPLICATION FORM, ONE PROFESSIONAL LETTER OF REFERENCE, ONE PAGE PERSONAL STATEMENT STRESSING GOALS AND OBJECTIVES, AND AN OFFICIAL COPY OF CURRENT COLLEGE/GRADUATE SCHOOL TRANSCRIPTS.</FormAndInfoAndMaterialsTxt>
          <SubmissionDeadlinesTxt>MID JANUARY BEFORE FALL SEMESTER</SubmissionDeadlinesTxt>
          <RestrictionsOnAwardsTxt>ELIGIBILITY REQUIREMENTS: 1. RESIDENT OF PEORIA, TAZEWELL, OR WOODFORD COUNTIES IN IL FOR AT LEAST 3 CONSECUTIVE YEARS. 2. ACHIEVED AT LEAST A 3.0 GPA ON A 4.0 SCALE. 3. HAVE COMPLETED ONE FULL TIME SEMESTER OF STUDY IN AN ACCREDITED INSTITUTION IN A PROFESSIONAL BACCALAUREATE PROGRAM (NURSING, DIETETICS, OR ALLIED HEALTH) OR GRADUATE PROGRAM (MEDICINE, NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, OR PHARMACY). SCHOLARSHIP AWARDS WILL BE MADE ON THE BASIS OF MERIT AND NEED UP TO $3,000. SELECTION WILL BE BASED UPON ACADEMIC EXCELLENCE AS DETERMINED BY GRADES, RECOMMENDATIONS, FINANCIAL NEED, COMMUNITY SERVICE, AND DEMONSTRATED LEADERSHIP.</RestrictionsOnAwardsTxt>
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            <AddressLine1Txt>1501 W Bradley Avenue</AddressLine1Txt>
            <CityNm>Peoria</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>61606</ZIPCd>
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          <GrantOrContributionPurposeTxt>Scholarship Payments</GrantOrContributionPurposeTxt>
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            <BusinessNameLine1Txt>Methodist College</BusinessNameLine1Txt>
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            <AddressLine1Txt>7600 N Academic Dr</AddressLine1Txt>
            <CityNm>Peoria</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>61615</ZIPCd>
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          <GrantOrContributionPurposeTxt>Scholarship Payment</GrantOrContributionPurposeTxt>
          <Amt>1250</Amt>
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        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>Illinois State University Scholarship Resource Office</BusinessNameLine1Txt>
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          <RecipientUSAddress>
            <AddressLine1Txt>Campus Box 2320</AddressLine1Txt>
            <CityNm>Peoria</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>61790</ZIPCd>
          </RecipientUSAddress>
          <GrantOrContributionPurposeTxt>Scholarship Payment</GrantOrContributionPurposeTxt>
          <Amt>2500</Amt>
        </GrantOrContributionPdDurYrGrp>
        <TotalGrantOrContriPdDurYrAmt>6250</TotalGrantOrContriPdDurYrAmt>
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        <SubtotalsIncmProducingActyGrp>
          <UnrelatedBusinessTaxblIncmAmt>0</UnrelatedBusinessTaxblIncmAmt>
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        <TrnsfrOtherAssetNonchrtblEOInd>false</TrnsfrOtherAssetNonchrtblEOInd>
        <SalesOrExchangesOfAssetsInd>false</SalesOrExchangesOfAssetsInd>
        <PurchaseOfAssetsNonchrtblEOInd>false</PurchaseOfAssetsNonchrtblEOInd>
        <RentalOfFacilitiesOthAssetsInd>false</RentalOfFacilitiesOthAssetsInd>
        <ReimbursementArrangementsInd>false</ReimbursementArrangementsInd>
        <LoansOrLoanGuaranteesInd>false</LoansOrLoanGuaranteesInd>
        <PerformanceOfServicesEtcInd>false</PerformanceOfServicesEtcInd>
        <SharingOfFacilitiesEtcInd>false</SharingOfFacilitiesEtcInd>
        <RelationshipsNonchrtblEOInd>false</RelationshipsNonchrtblEOInd>
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    </IRS990PF>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="22016472" softwareVersionNum="V1.0" documentName="IRS990ScheduleB">
      <Organization501c3ExemptPFInd>X</Organization501c3ExemptPFInd>
      <GeneralRuleInd>X</GeneralRuleInd>
      <ContributorInformationGrp>
        <ContributorNum>6</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1Txt>Peoria Medical Society</BusinessNameLine1Txt>
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        <ContributorUSAddress>
          <AddressLine1Txt>809 W DETWEILLER DR STE 817</AddressLine1Txt>
          <CityNm>Peoria</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>61615</ZIPCd>
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        <TotalContributionsAmt>8900</TotalContributionsAmt>
        <PersonContributionInd>X</PersonContributionInd>
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