Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 654,149 | 303,437 | 286,680 | 332,441 | 326,591 | 1,903,298 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 654,149 | 303,437 | 286,680 | 332,441 | 326,591 | 1,903,298 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | 303,327 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 1,599,971 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 654,149 | 303,437 | 286,680 | 332,441 | 326,591 | 1,903,298 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 111,549 | 111,450 | 104,099 | 119,350 | 138,331 | 584,779 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 156,312 | 25,026 | 31,771 | 34,949 | 34,682 | 282,740 |
| 11 | Total support. Add lines 7 through 10 | 2,770,817 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2018 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2018 |
(iii) Distributable Amount for 2018 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2018 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2018: | ||||
| a From 2013....... | ||||
| b From 2014....... | ||||
| c From 2015....... | ||||
| d From 2016....... | ||||
| e From 2017....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2018 distributable amount | ||||
|
i
Carryover from 2013 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2018 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2018 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2019. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2014...... | ||||
| b Excess from 2015..... | ||||
| c Excess from 2016..... | ||||
| d Excess from 2017..... | ||||
| e Excess from 2018..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| PART II, LINE 10 | VENDING MACHINE 7,444 REIMB OF SRS LIVING 111,231 RENTAL INCOME 130,124 FUNDRAISING SALE 2,912 OTHER 31,029 |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THE ORGANIZATION PROVIDES COMPASSIONATE CARE FOR DISABLED CHILDREN AND YOUNG ADULTS. IN THE TRADITION OF THE FRANCISCAN MISSIONARIES OF MARY, A CATHOLIC ORDER OF RELIGIOUS WOMEN, SERVING THOSE MOST IN NEED, WE SHARE IN A MINISTRY OF SERVICE TO CHILDREN AND YOUNG ADULTS WHO ARE DEVELOPMENTALLY DISABLED. THE SPIRIT OF CARING AT OUR AGENCY REFLECTS COMPASSION AND REVERENCE AND A PROFOUND BELIEF IN THE SACREDNESS AND VALUE OF EACH LIFE. |
| FORM 990, PAGE 2, PART III, LINE 4A | INTERMEDIATE CARE FACILITY PROGRAMS - CARDINAL HAYES HOME FOR CHILDREN (CHHC) IS A NOT FOR PROFIT AGENCY PROVIDING RESIDENTIAL CARE AND TREATMENT FOR CHILDREN AND ADULTS WITH DEVELOPMENTAL DISABILITIES. CHILDREN OF ALL RACES, CREEDS, AND SOCIOECONOMIC BACKGROUNDS ARE EQUALLY CONSIDERED FOR ADMISSION. OUR AGENCY ACCEPTS AMBULATORY AND NON-AMBULATORY YOUNG PEOPLE WHO FUNCTION IN THE MODERATE TO PROFOUND RANGE OF INTELLECTUAL DISABILITY. THE INDIVIDUALS IN OUR CARE ARE MULTI-HANDICAPPED. SOME HAVE A DIAGNOSIS OF AUTISM; OTHERS HAVE CEREBRAL PALSY, EPILEPSY, OR NEUROLOGICAL IMPAIRMENT. OUR NURSING STAFF AND DIRECT SUPPORT PROFESSIONALS HAVE CONSIDERABLE EXPERIENCE IN THE CARE OF MEDICALLY FRAGILE CHILDREN. REFERRALS TO CARDINAL HAYES HOME CAN BE MADE BY INDIVIDUAL FAMILIES OR BY OPWDD (OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES) LOCAL DEPARTMENTS OF SOCIAL SERVICES, HOSPITALS, SCHOOLS, PRESCHOOL PROGRAMS, MENTAL HEALTH CLINICS, MEDICAL AND SOCIAL SERVICE PROFESSIONALS AND FAMILY SERVICE AGENCIES. INQUIRIES ABOUT OUR PROGRAMS ARE MOST WELCOME, AND SITE VISITS ARE EASILY ARRANGED. CARDINAL HAYES HOME CAMPUS IS LOCATED IN MILLBROOK, NY, A SMALL VILLAGE 75 MILES NORTH OF NYC AND 15 MILES EAST OF POUGHKEEPSIE. THE CAMPUS IS ON 62 ACRES OF LAND IN A SERENE SETTING IN CENTRAL DUTCHESS COUNTY AND IS EASILY ACCESSIBLE VIA MAJOR ROUTES. A TOTAL OF 119 YOUNG PEOPLE RESIDE IN CARDINAL HAYES' HOMES. ON OUR MILLBROOK CAMPUS, THERE ARE SIX HANDICAPPED- ACCESSIBLE COTTAGES AND A SPECIAL UNIT IN THE MAIN BUILDING. THE MILLBROOK ICF (INTERMEDIATE CARE FACILITY) IS HOME FOR 60 CHILDREN AND YOUNG ADULTS. OUR COMMUNITY ICFS ENCOMPASS FIVE RESIDENCES IN VARIOUS PARTS OF DUTCHESS COUNTY - 10 YOUNG PEOPLE RESIDE IN EACH OF THESE HOUSES. OUR IRA (INDIVIDUALIZED RESIDENTIAL ALTERNATIVE) PROGRAM OFFERS 3 SEPARATE APARTMENTS (2 BED, 3 BED AND 4 BED) PROVIDING SUPERVISED LIVING FOR 9 YOUNG ADULTS WITH COMPLEX CARE NEEDS. OUR RESIDENCES ARE "HOMES" - INDIVIDUALLY DECORATED AND APPROPRIATELY FURNISHED FOR THE COMFORT AND SAFETY OF PEOPLE WITH A DEVELOPMENTAL DISABILITY. UNDER THE SUPERVISION OF A LICENSED DIETITIAN, NUTRITIOUS MEALS MEET EACH INDIVIDUAL'S SPECIAL DIETARY NEEDS. EVERY PHASE OF A PERSON'S CARE AND TREATMENT IS IMPORTANT. OUR STAFF MONITORS EACH YOUNG PERSON'S DEVELOPMENT AND WELL BEING THROUGH AN INDIVIDUALIZED TREATMENT PLAN. SERVICES PROVIDED BY CHHC INCLUDE SOCIAL WORK, MEDICAL AND NEUROLOGICAL SERVICES, DIETARY PLANNING, BEHAVIORAL PROGRAMMING, PHYSICAL THERAPY, SPEECH THERAPY, AND OCCUPATIONAL THERAPY. SOCIAL AND RECREATIONAL OPPORTUNITIES ARE ALSO AN IMPORTANT PART OF EACH RESIDENT'S PLAN OF CARE. CHILDREN WITH DISABILITIES NEED A CONTINUUM OF CARE THROUGHOUT THEIR LIVES, AND WE WORK WITH FAMILIES TO MOST APPROPRIATELY MEET THE SPECIAL NEEDS OF THEIR CHILDREN. AT CARDINAL HAYES HOME, THE GOAL IS TO MAXIMIZE THE POTENTIAL FOR GROWTH AND DEVELOPMENT OF EACH RESIDENT. THIS PLANNING CONTINUES THROUGH ADULTHOOD. PARENTS OF CHILDREN WITH SPECIAL NEEDS ARE GIVEN A NUMBER OF OPTIONS TODAY. SOME FAMILIES ARE ABLE TO HAVE THEIR CHILD LIVE AT HOME - OTHERS FIND IT NECESSARY TO SEEK RESIDENTIAL SERVICES. PLACING A SPECIAL NEEDS CHILD IN SOMEONE ELSE'S CARE IS A DIFFICULT AND OFTEN PAINFUL DECISION. WE HELP PARENTS CHOOSE THE OPTION THAT IS BEST FOR THEIR CHILD AND THE FAMILY, WHETHER IT IS PLACEMENT AT CARDINAL HAYES HOME OR EXPLORING OTHER ALTERNATIVES. THE YOUNG PEOPLE IN OUR HOMES HAVE BEEN ENTRUSTED TO OUR CARE, AND EACH ONE IS TREATED WITH DIGNITY AND RESPECT. FAMILIES ARE ENCOURAGED TO TAKE AN ACTIVE PART IN THEIR CHILDREN'S LIVES AND IN PLANNING FOR THEIR CURRENT AND FUTURE NEEDS. THE AGENCY HELPS FAMILIES ARRANGE VISITS WITH THEIR SON OR DAUGHTER AT HOME AND WELCOMES FAMILY VISITS TO CARDINAL HAYES HOME. OUR TRAINED AND SKILLED STAFF GIVES NURTURING CARE AND SUPERVISION TO THE SPECIAL NEEDS YOUNG PEOPLE WHO RESIDE AT CHHC. OUR MEDICAL DEPARTMENT OVERSEES THE HEALTH NEEDS OF THE RESIDENTS AND WORKS IN CONCERT WITH MAJOR FACILITIES FOR EVALUATION AND TREATMENT OF SPECIAL CONDITIONS. THERE IS 24 HOUR STAFFING IN ALL OUR HOMES. IT IS OUR BELIEF THAT THE SPIRITUAL FORMATION OF A CHILD IS AN INTEGRAL PART OF HIS OR HER DEVELOPMENT. NON-DENOMINATIONAL PRAYER SERVICES APPROPRIATE FOR YOUNGSTERS WITH DEVELOPMENTAL DISABILITIES ARE HELD SEVERAL TIMES A YEAR. RELIGIOUS CEREMONIES ARE PLANNED IN COOPERATION WITH AREA CHURCHES AND SYNAGOGUES IN ACCORDANCE WITH THE WISHES OF THE FAMILY AND, WHERE APPROPRIATE, THE INFORMED CHOICE OF THE RESIDENT. |
| FORM 990, PAGE 6, PART VI, LINE 2 | FREDRICK WILHELM SHARON WILHELM BOARD MEMBER BOARD MEMBER HUSBAND & WIFE ELIZABETH WOLF BENJAMIN HAYDEN PRESIDENT BOARD MEMBER SISTER INLAW - BROTHER INLAW JOHN CINA, JR JOHN HALVORSEN BOARD MEMBER AST TREASUR BROTHER INLAWS |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FINAL DRAFT OF THE 990 IS PRESENTED TO THE FINANCE COMMITTEE FOR FINAL REVIEW, DISCUSSION AND APPROVAL FOR DISTRIBUTION TO THE FULL BOARD. THE RETURN IS MADE IS AVAILABLE TO THE BOARD IN HARD OR ELECTRONIC FORM AND THE FINANCE COMMITTEE REPORTS ON ITS DISCUSSION TO THE BOARD. UPON DISCUSSION AND RECOMMENDATION FROM THE FINANCE COMMITTEE THE FULL BOARD APPROVES THE SUBMISSION OF THE FORM. |
| FORM 990, PAGE 6, PART VI, LINE 12C | IN THE EVENT THAT THE BOARD CONSIDERS AN ISSUE THAT INVOLVES THE FINANCIAL RELATIONSHIP BETWEEN CHHC AND A MEMBER OF THE BOARD, THE BOARD MEMBER WILL DISCLOSE TO THE BOARD THE FINANCIAL RELATIONSHIP THAT THE PARTICULAR BOARD MEMBER HAS WITH RESPECT TO THE ISSUE. NO CONTRACT OR OTHER TRANSACTION BETWEEN CHHC AND A BOARD MEMBER IN WHICH THERE EXISTS A CONFLICT OF INTEREST SHALL BE EITHER VOID OR VOIDABLE FOR THIS REASON ALONE OR BY REASON THAT SUCH BOARD MEMBER IS PRESENT AT THE MEETING OF THE BOARD, OR OF A COMMITTEE THEREOF, WHICH AUTHORIZES SUCH CONTRACT OR TRANSACTION, OR THAT SUCH BOARD MEMBER'S VOTE IS COUNTED FOR SUCH PURPOSE, IF THE MATERIAL FACTS AS TO SUCH BOARD MEMBER'S INTERESTS IN SUCH CONTRACT OR TRANSACTION ARE DISCLOSED IN GOOD FAITH OR KNOWN TO THE BOARD OR COMMITTEE, AND THE BOARD OR COMMITTEE AUTHORIZES SUCH CONTRACT OR TRANSACTION BY A VOTE SUFFICIENT FOR SUCH PURPOSE WITHOUT COUNTING THE VOTE OR VOTES OF SUCH BOARD MEMBER. BOARD MEMBERS WHO SERVE AS EMPLOYEES OR VOLUNTEERS IN A DECISION-MAKING CAPACITY ON BEHALF OF ANOTHER ORGANIZATION WITH WHICH CHHC IS WORKING OR TRANSACTING BUSINESS, SHALL INFORM THE BOARD PRESIDENT AND THE EXECUTIVE DIRECTOR AS TO THEIR INVOLVEMENT IN THE SAID ORGANIZATION. IN THE EVENT OF AN ACTUAL OR PERCEIVED CONFLICT OF INTEREST, THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH THE BOARD-DELEGATED POWERS SHALL CONTAIN: 1- THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED. 2- THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN. |
| FORM 990, PAGE 6, PART VI, LINE 15A | AS ESTABLISHED IN THE BYLAWS OF THE CORPORATION, THE MEMBERS OF THE CORPORATION HAVE THE AUTHORITY TO APPROVE THE APPOINTMENT OR REMOVAL OF THE EXECUTIVE DIRECTOR. THE PROVINCIAL SUPERIOR OF THE FRANCISCAN MISSIONARIES OF MARY OF THE UNITED STATES PROVINCE, INC., AS THE CHAIRPERSON OF THE CORPORATION DETERMINES THE COMPENSATION FOR THE EXECUTIVE DIRECTOR. REVIEW OF INFORMATION REGARDING SIMILAR NON-PROFIT CEO COMPENSATION, SIZE OF AGENCY AND LOCATION OF AGENCY ARE INCLUDED IN THE CONSIDERATION OF THE COMPENSATION. THE BOARD OF DIRECTORS HAS THE RESPONSIBILITY TO CONDUCT AN ANNUAL PERFORMANCE REVIEW OF THE EXECUTIVE DIRECTOR. THIS REVIEW IS COMMUNICATED TO THE MEMBERS OF THE CORPORATION FOR CONSIDERATION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | "SEE 15 A" |
| FORM 990, PAGE 6, PART VI, LINE 19 | SENT UPON REQUEST |
| Software ID: | |
| Software Version: |