April 20th, 2020

The Honorable Nita Lowey The Honorable Kay Granger Committee Chairwoman Committee Ranking Member U.S. House of Representatives U.S. House of Representatives Appropriations, Committee Appropriations, Committee Washington, D.C. 20515 Washington, D.C. 20515

The Honorable Pete Visclosky The Honorable Ken Calvert Subcommittee Chairman Subcommittee Ranking Member U.S. House of Representatives U.S. House of Representatives Appropriations, Defense Subcommittee Appropriations, Defense Subcommittee Washington, D.C. 20515 Washington, D.C. 20515

Dear Chairwoman Lowey, Chairman Visclosky, Ranking Member Granger, and Ranking Member Calvert:

According to the recent military census, 86% of our active military fall within the National Institutes of Health’s (NIH) definition of Adolescents and Young Adults (AYA)—persons between the ages of 15 and 39 years old. More than half of the U.S. active military personnel are 25 years of age or younger, and 90% are married and/or have children. Cancer is the #1 disease killer of the pediatric and AYA population in America. We are thankful for the inclusion of cancers in children, adolescents and young adults in the Department of Defense (DoD) Congressionally Directed Medical Research Program (CDMRP) Cancer Peer-Review Program over the past three years. But there is more that needs to be done.

Also, on behalf of the millions of young Americans touched by cancer each year, we are writing to express our strong support for a Peer-Reviewed Cancers in Children, Adolescents and Young Adult Cancer Research program to target critical gaps and transform healthcare through groundbreaking biomedical research in response to its stakeholders – the American public, Congress, and our military.

We are truly grateful for the inclusion of “cancers of children, adolescents, and young adults” in the CDMRP Peer-Reviewed Cancer Research Program in FY 2017, FY 2018 and FY2019. Your support resulted in awards for translational and innovative cancer research that will positively impact the lives of our military personnel, their family members, and the American public in the near-term.

We respectfully request that the Senate Appropriations Subcommittee on Defense allocate $30 million for a Peer-Reviewed Cancers in Children, Adolescents and Young Adult Cancer Research program in FY 2020 under the Defense Health Program.

The NIH reports that cancers that affect children, adolescents and young adults are significantly under-researched, leading to poor outcomes. According to NIH, early-onset cancers common to AYAs and children (e.g., carcinomas, brain tumors, melanomas, germ cell tumors, soft tissue sarcomas, leukemia, and lymphomas) differ in type and biological behavior from cancers commonly found in older adults (e.g., breast, prostate, ovarian, and lung). As a result of these age-related differences in both cancer and host biology, AYA and pediatric cancer patients experience significantly altered and varied outcomes and quality of life, facing unique obstacles Page 1 in adhering to therapy and obtaining adequate psychosocial care.

Please join us by signing the attached letter to the Defense Appropriations Subcommittee. The letter requests that the Subcommittee provide a $30 million standalone program within the DoD CDMRP for cancers in children, adolescents and young adults in the FY 2020 Defense Appropriations Bill. Kidney and melanoma are the most recent CDMRP standalone programs, and each received $10 million for their program. We are asking for a $30 million program since there are three age groups represented in children, adolescents, and young adults with more than 25 different cancers between them. This age group represents 86% of the active military and their families and they currently do not have a standalone program for the #1 disease-killer of this population.

The DoD CDMRP is in the unique position to make groundbreaking transformation in healthcare for 90 percent of our nation’s active military forces, their families and 53 percent of the American population, filling the critical gap by investing in research for cancers that specifically affect AYAs and their children. A Peer-Reviewed Cancer in Children, Adolescents and Young Adults Research Program at DoD would support high-impact innovative research, leading to significant breakthroughs in our country. And, while this new knowledge will impact screening, detection, and treatment of AYA and pediatric cancers, it will also serve to improve our knowledge and understanding of biomarkers, enabling us to develop safer, more effective therapies and implement precision medicine, and more. Clinicians would use the knowledge gained from this cancer research program to effectively treat our active military personnel and their families suffering from cancer, and scientists would harness these promising discoveries to accelerate innovation for the next wave of cancer therapies.

This new program is integral and necessary to the lives of millions of America’s youth, including our military and their families. The development of less-toxic, effective therapies will reduce a lifetime of additional medical costs and suffering due to long-term effects from current cancer treatments.

Cancers in Children, Adolescents, and Young Adults Research Funding

As the DoD subcommittee members begin their consideration of the FY 2020 Department of Defense Appropriations bill, we respectfully request that the following report language be included in the FY 2020 Department of Defense Appropriations bill under Title VI: Other Department of Defense Programs : “$30 million for the ‘Peer-Reviewed Cancers in Children, Adolescents, and Young Adults Research Program under the Defense Health Program”. A Peer-Reviewed Cancers in Children, Adolescents, and Young Adults Research Program at the DoD would support high-impact innovative research, leading to significant breakthroughs in our country. While this new knowledge will impact screening, detection, and treatment of adolescents and young adults (AYA) and pediatric cancers, it will also serve to improve our knowledge and understanding of biomarkers, enabling us to develop safer, more effective therapies and implement precision medicine. Clinicians would use the knowledge gained from this cancer research program to effectively treat our active military personnel and their families suffering from cancer. Scientists would harness these promising discoveries to accelerate innovation for the next wave of cancer therapies.

We are committed to working with subcommittee members and the DoD CDMRP to ensure that cancers in children, adolescents and young adults in our active military and the American population become a priority.

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Our brave servicemen and women who put their lives at risk for our country along with their children have been left behind when it comes to a cancer research program dedicated to them within the DoD CDMRP. We respectfully request that research for cancers in children, adolescents and young adults become, at minimum, its own $30 million program to support our brave service members and their families to show that we have not forgotten them when it comes to the war on cancer.

Thank you very much for your consideration.

Sincerely,

Dean Crowe - Founder & CEO Rally Foundation for Childhood Cancer Research ([email protected])

Cindi Bear Bonner – Director Rally Pensacola Rally Foundation for Childhood Cancer Research ([email protected])

Beth Anne Baber, PhD, MBA - Co-Founder & CEO The Nicholas Conor Institute ([email protected])

Supporting Organizations, Oncologists and Patient Advocates (listed below)

Supporting Organizations: 1 Million 4 Anna Foundation Dallas, TX Caelynn Andrea Iten Foundation Imperial Valley, CA 1 Voice Foundation Tampa, FL Caitlyn's Crusaders Battle Creek, MI 3/32 Foundation Boonville, NC Caleb's Crusade Against Childhood Cancer Fort Myers, FL 4 Square Clobbers Cancer Virginia Beach, VA Camila Castillo's Leukemia Battle Report Gainesville, GA 4Another Virginia Beach, VA Camp out from Cancer Montgomery, IL A Key for a Cure Foundation Monterey, CA Camp Sunshine Casco, ME A Kids' Brain Tumor Cure Needham, MA CancerFree KIDS Loveland, OH Adam's Angels Ministry Brenham, TX CandlelightersNYC New York, NY Addison Bryan Foundation Raleigh, NC Cannonball Kids' Cancer Foundation Orlando, FL Addi’s Faith Foundation Kingwood, TX Care For Kids, Inc. Madison, IN Aiden's Army Eustis, FL Carson Leslie Foundation Dallas, TX Alex’s Army Childhood Cancer Foundation Casanova, VA All Chai Lifeline New York, NY in To Win Foundation Miami, FL Chase After a Cure Summerville, SC Along Comes Hope San Luis Obispo, CA CHEMOWARRIOR: The Eli Sidler Foundation Lebanon, PA Amanda Riley Foundation Snellville, GA Chi Town Golf Club Skokie, IL APIVEO Leadership, Inc. Tyrone, GA Childhood Cancer Awareness Arizona Cancer Foundation for Children Scottsdale, AZ Group of Coffee County Douglas, GA Arms Wide Open Childhood Childhood Cancer Notes New York, NY Cancer Foundation Marlboro, NJ Children's Oncology Group Philadelphia, PA aTeam Ministries Birmingham, AL Chris Lantos Foundation Arlington, VA AYA J Fund North Adams, MA Christopher Court Foundation Sellersville, PA Bald Brigade Indianapolis, IN Christopher's Fight Foundation Jacksonville, FL Band of Parents New York, NY Christopher's Haven Boston, MA Batcole Foundation Bedford, IN Connect4Cancer Encino, CA BCCNS Life Support Network Burton, OH Conner's Cause for Children Encinitas, CA Be The Change - Brandy Angel Foundation, Inc. Atlanta, GA Cookie's Crumblers Freehold, NJ Bear Necessities Pediatric Cancer Foundation Chicago, IL Cory's Project Winthrop Harbor, IL Beginning Foundation Dallas, TX Critical Mass Austin, TX Bekah & Friends Foundation Derby, KS Cure4Cam Childhood Cancer Foundation Downington, PA Believe in 17 Van Nuys, CA CureSearch Bethesda, MD Benjamin's Hope for the Future Wood Ridge, NJ Curing Kids Cancer Marietta, GA Blair's Tree of Hope Minnetonka, MN Dawson's Circle of Hope Geneva, FL Blue Skies Ministries Marietta, GA DC Candlelighters Childhood Braden's Hope for Childhood Cancer Olathe, KS Cancer Foundation Merrifield, VA Bryantstrong Foundation Jacksonville, FL Dominic's Fight Moreno Valley, CA

Page 3 Eaise Family Foundation Monroeville, NJ Pilots for Christ, Inc. Monroeville, AL Eden's Fireworks Foundation Woodward, OK Pray for Peyton Snellville, GA Ellie's Hats South Riding, VA Prayers for Cohen Mcdonough, GA Ethan Richardson Foundation, Inc. Mt. Pleasant, SC Prayers for Cole Brewton, AL Fairy Godmother Project Fredericksburg, VA Prayers for Katelyn Fige Woodstock, GA First Descents Denver, CO Prayers for Kena Foley, AL Prayers for Wyatt Schmaltz Huntington, IN For Beydn Cherryville, NC Praying for Adam Lumpkins King George, VA Forever Fierce Foundation Baltimore, MD Praying for Carolyn Pensacola, FL Forever WE Atlanta, GA From Ryder, With Love Omaha, NE Precious Jules Childhood Cancer Foundation Old Bridge, NJ Genetic Alliance Washington, DC Prevent Child Abuse Rockdale Conyers, GA Get Well Gabby Foundation Ocean View, DE Rally Foundation for Childhood Gianna Nicole's Heart of Hope Cancer Research Atlanta, GA Pediatric Cancer Foundation Staten Island, NY RASophathies Network USA Altadena, CA Give Hope Foundation Orlando, FL Reflections of Grace Foundation North Huntingdon, PA Giving Hope through Faith Foundation Valrico, FL Rett's Roost Dover, NH Global Genes Washington, DC RobbyStrong Gulf Breeze, FL Gold in September (G9) Ruby Rocks Atlanta, GA Childhood Cancer Project Delafield, WI Ryan’s Case for Smiles Wayne, PA Gold Rush Cure Foundation Laguna Niguel, CA Sam Biggs Memorial Foundation Alton, IL Grandparents In Action Virginia Beach, VA Sammy's Superheroes Foundation Columbus, NE Granting Grace Foundation Norcross, GA Samuel Jeffers Childhood Hailey Bankhead Foundation, Inc. Jonesboro, GA Cancer Foundation Grover Beach, CA Halos and Tiaras Holtville, CA Second Star to the Right Bakersfield, CA Hannah Duffy Foundation Tinton Falls, NJ SeventyK Laguna Beach, CA Hope and Heroes New York, NY Smashing Walnuts Leesburg, VA Hope Faster Ashburn, VA Smiley for Kylie Suwanee, GA I Back Jack Foundation Hartland, WI Sofia's Hope Miami, FL Infinite Love for Natalie Grace Middletown, NJ Solving Kids Cancer New York, NY Iolanthe Alpaca Ranch for Kids with Cancer Sequim, WA Isaac's Sophia's Fund Marlborough, MA Rays of Hope Jerseyville, IL St. Baldrick's Foundation Grant Junction Annual Head Shaving Event Grand Junction, CO Jack's Angels Foundation Agua Dulce, CA Jeff Gordon Children's Foundation Charlotte, NC Standing with Coop Jay, FL Jeffrey's Voice Ponte Vedra Beach, FL Step Up Be A Voice Atlanta, GA Stillbrave Childhood Cancer Foundation Burke, VA Journey 4 A Cure Broadlands, VA Stomp the Monster Marlboro, NJ Julia's Grace Foundation Royersford, PA Strong For Dom Foundation Fredericksburg, VA Julia's Legacy of Hope Tinley Park, IL Stupid Cancer New York, NY Kaelys Kindness Foundation Buffalo, NY Swifty Foundation Woodbridge, IL Katie vs. Cancer Crestview, FL Sydney's Incredible Defeat Keeping up with Khai Pace, FL of Ewing's Sarcoma Fort Lauderdale, FL KiDS NEED MORE Central Islip, NY Talia's Legacy Children's Cancer Foundation Oviedo, FL Kids v Cancer Washington, DC Team Amber Des Plaines, IL Kingdom Kids Suwanee, GA Team Connor Childhood Cancer Foundation Dallas, TX Kraftlove Support Team McLean, VA Team Dylan Frick Yreka, CA Kyle's Crusaders Frederick, MD Lauren’s Fight for Cure Lawrenceburg, IN Team G Family Childhood Cancer Foundation Scotts Valley, CA Lauren's Love Foundation, Inc. Coral Springs, FL Lights Camera Cure Los Angeles, CA Team Finn Vancouver, Canada Team Ila Jean Schenectady, NY Lights Out Leukemia Kensington, MD Lily LaRue Foundation Wayne, NJ Team Summer Atlanta, GA LIVESTRONG Foundation Austin, TX Team Thomasville Thomasville, GA Love for Lauren Cumming, GA Team Zane Greenwood, IN Matthew Larson Foundation Franklin Lakes, NJ Teamcameron, Mattie Miracle Cancer Foundation Arlington, VA The Cameron McCarthy Foundation Aston, PA Teen Cancer America Los Angeles, CA Max Cure Foundation Englewood Cliffs, NJ The Alexander Munoz Memorial Fund Oceanport, NJ Max's Ring of Fire Childhood The Alyssa House Charlottesville, VA Cancer Foundation San Diego, CA The Andrew McDonough B+ Foundation Wilmington, DE The Michael Mosier Defeat DIPG Foundation Bethesda, MD Brad Kaminsky Foundation Ashburn, VA Mixed Marrow Los Angeles, CA The BraveCort Foundation San Diego, CA Momcology Jacksonville, FL Mystic Force Foundation North Miami Beach, FL The Catherine Elizabeth Blair Memorial Foundation Washington, DC Nico's Army Blackwood, NJ The Chase Ryan Olsen Foundation Jackson, NJ Noah's Light Foundation Winter Garden, FL The Cure Starts Now Cancer Foundation Cincinnati, OH Northwest Indiana Cancer Kids Foundation St. John, IN The Francesco Loccisano Olivia Boccuzzi Foundation Brooklyn, NY P.U.N.T. Foundation Buffalo, NY Memorial Foundation Brooklyn, NY Paperheart Creations by Jess Northolt, England The Get Well Gabby Foundation Oceanview, DE The Hero & The Dragon Piraeus, Greece Peads Foundation Port of Spain, Trinidad and Tobago The Holding Hands for Haley Foundation Cumberland, MD Pediatric Cancer Family Foundation Jacksonville, FL The Max Cure Foundation New York, NY Pelotonia Columbus, OH People Against Childhood Cancer Carolina Beach, NC The Mikey's Way Foundation Fairfield, CT The Morgan Adams Foundation Denver, CO Pierce Phillips Charity Buffalo, NY

Page 4 The Nicholas Conor Institute San Diego, CA Thumbs Up For Lane Goodwin The QuadW Foundation Dallas, TX Childhood Cancer Foundation Beech Grove, KY The Rare Childhood Cancer Advocacy Group Bozeman, MT Tori's Art of Hope Davenport, IA The Steven G AYA Tyler DeMarco Foundation, Inc. Schenectady, NY Cancer Research Foundation Westlake, OH Ulman Cancer Fund Baltimore, MD The Super Sam Foundation: United Leukodystrophy Foundation DeKalb, IL Fighting Childhood Cancer Fulton, MO Unravel Pediatric Cancer Gilroy, CA The Taylor Brooks Foundation Lawrenceville, GA Vying for a Cure Greeley, CO The Truth 365 Marlboro, NJ W.I.N.G.S. Holtville, CA The Tyler Robinson Foundation Las Vegas, NV Wade's Army Belle Mead, NJ The William Guy Forbeck We Believe Foundation Bowie, MD Research Foundation Hilton Head Island, SC We Love Riley Fan Club South Hadley, MA This Star Won't Go Out Quincy, MA WV Kids Cancer Crusaders Charleston, WV Through Ahmie's Eyes Shoreline, WA

Supporting Oncologists and Researchers: Dr. David Loeb Baltimore, MD Dr. Jon Aster Boston, MA Dr. Crystal Mackall Stanford, CA Dr. Scott Borinstein Nashville, TN Dr. Tsz-Kwong "Chris" Man Houston, TX Dr. Julienne Brackett Houston, TX Dr. Jeffrey Marcus Marietta, GA Dr. Mark Chiang Ann Arbor, MI Dr. John Maris Philadelphia, PA Dr. Richard Cohen Greenbelt, MD Dr. Michele Redell Houston, TX Dr. Jennifer Cullen Rockville, MD Dr. Damon Reed Tampa, FL Dr. Adolfo Ferrando New York, NY Dr. Simon Sanford New York, NY Dr. Ricardo Flores Houston, TX Dr. Leonard Sender Irvine, CA Dr. Debra Friedman Nashville, TN Dr. Hui Shi Boston, MA Dr. Gregory Friedman Birmingham, AL Dr. Edward Allan R. Sison Houston, TX Dr. Vidya Gopalakrishnan Houston, TX Dr. Simone Sredni Chicago, IL Dr. Terzah Horton Houston, TX Dr. Sarah Tasian Philadelphia, PA Dr. Theodore Johnson Augusta, GA Dr. Matteo Trucco Houston, TX Dr. Lonela Lacobas Houston, TX Dr. Lisa Wang Houston, TX Dr. Daniel Lacorazza Houston, TX Dr. Xiaofeng Wang Boston, MA Dr. Elizabeth Lawlor Ann Arbor, MI Dr. Daniel Wechsler Durham, NC Dr. Corinne Linardic Durham, NC Dr. Patrick Zweidler-McKay Houston, TX

Supporting Patient Advocates:

Jen Beegle Shipshewana, IN Colette Abramo Wood-Ridge, NJ Julie Beichler Louisville, KY Abbie Achatz Fairfax, VA Emily Belcher Ashburn, VA Ellen Adams Dacula, GA Tamra Bell Burton, OH Michele Adams Zimmerman, MN Linda Belli East Quogue, NY Kathleen Akana Lancaster, CA Molly Belling Fishers, IN William Alaynick, Ph.D. San Diego, CA Renee Bergen Perkasie, PA Lisa & Dan Aldridge Marietta, GA Nancy Bergin Belford, NJ Kristen Alexander Ivoryton, CT Judy Bernards Crooks, SD Misty AllenGr& Junction, CO Alexandra Bianco North Babylon, NY Annette Alvarez El Centro, CA Michelle Billie Covington, LA Maryann Ambrogi Middletown, NJ Jessica Birchmier Woodstock, GA Donna Ambrosiano McIntosh Hilton Head, SC Meryl Bisaga Centreville, VA Zhanna Anash Monroe, NJ Andee Blauser Alpharetta, GA Andrew, Dave, Mary Ann & Nicolas Appert Johns Creek, GA Darlene Blount Poinciana, FL Kathy Arabia North Adams, MA Valerie Bobo Torrance, CA Laura Arm Sterling, VA Shanon Bogren Bismarck, ND Tami and Randy Arrowood Peachtree City, GA Sara Bonario Houston, TX Julie Ashmore-Smith Tyrone, GA Cindi Bonner Pensacola, FL Virginia Atkinson Smyrna, DE Jo Bonner Member of Congress (retired) Tuscaloosa, AL Laurie Auth Safety Harbor, FL Kristi Book Lewisberry, PA Christina Avery Rockville, MD Nicole Book Peyton, CO Jennifer Ayala Burke, VA Anna Marie Borucki Fithian Marlton, NJ Madalena Baez Kissimmee, FL Rebecca Boyd-Lemley Birmingham, AL Maureen Balyeat Great Falls, MT Helen Bratton San Antonio, TX David Baptista Narragansett, RI Amy & Jon Bridges Peachtree City, GA Liz Barnes Virginia Beach, VA Brianna Brodak Grand Junction, CO Heather Barr Locust Grove, GA Cheryl Brooks Herndon, VA Pat Barten Pruitt Waverly, TN Carol Brooks Grand Junction, CO Margie Bauer Indianapolis, IN Lori Brooks Fall River, MA Mike Bauer New Orleans, LA Amy Browning Brighton, CO Elizabeth Bay Beverly Hills, MI Sherry Browning Lewisville, PA Belle Bear Gulf Breeze, FL Ana Bruno Gainesville,VA Patricia Beason Bakersfield, CA

Page 5 Teresa Bryan Warren, PA Valerie Elspas-Long Loveland, CO Karen Bryant Baton Rouge, LA Laura Emery Aliquippa, PA Sarah Bucciero Fort Mill, SC Julie Erway Austin, TX Tammy Buchanan Helena, MT Corey Esparza Burke, VA Christine Bullis Essex Junction, VT Kacey Ezelle Atlanta, GA Elizabeth Bulter Lawrenceville, GA Tina Ezzell Norcross, GA Martin Burge Cumming, GA Kristol Faucheux Louisa, VA Bobbi Burgstone DeKalb, IL Destini Fay Clifton, CO Kimberley Burrows Clinton, UT Trisha Ferguson Alpharetta, GA Tiffani Burt Dacula, GA Sharon Ferraro Chantilly, VA Cassie Busby St. Simons Island, GA Stacey Figueroa Middletown, NJ Amber & Zachary Bybee Deland, FL Melanie Firestone Rochester, NY Aimee Cabral Manalapan, NJ Ellen Flannery Loveland, OH Kysha Cameron Atlanta, GA Jodi Fleissner Treynor, IA Carol Campanella Moschetti Vineland, NJ Jenisa Flick Santa Monica, CA Sherri Carmical Broadlands, VA Julie Floersch Plymouth, MN Rosemary Caroll Boonsboro, MD Karla Flook Ft. Collins, CO Susan Carroll Suwanee, GA Casie Forke-Burke Carroll, IA Briana Carson Buford, GA Heidi Fosberg Dayton, OH Rebecca Chatterrjee Herndon, VA Niki Friedman Vienna, VA Slyvia Chmielewicz Clermont, FL Ashley & Todd Frieze Galena, MO Wendy Christian Waterbury, CT Maria Fuentes Canton, GA Donna Ciafre Sharon, PA Susan Funck Tinton Falls, NJ Chasity Clabo Parkton, NC Gayle Funk Cheyenne, WY David & Dayana Clark Cumming, GA Rachel Gandee Clearwater, FL Shannon Clayman Sandy Springs, GA Dominic Gagliard Laurel Springs, NJ Danielle Cloakey Cashmere, WA Danielle Gagnon Vernon, CT Monica Clow Grand Junction, CO Nicole Gaines Bountiful, UT Miriam Cohen Gaithersburg, MD Heather Gale Grand Junction, CO Claudia Collins Ocean, NJ Elissa Gaus Raleigh, NC Beth Cook Pennsburg, PA Jeri Geary Azle, TX Holly Corrigan Arlington, VA Jill George Atlanta, GA Brenda Cortes-Suarez Long Beach, CA Hilary Giallourakis Avon, OH Mary Costello Springfield, VA Blair Gibson Palmyra, VA Kelly Cotter Libertyville, IL J.W. Gibson Charlottesville, VA Michelle Cottrell Northwood, IA Traci Gilbertson Alpharetta, GA Deena Couglin Duluth, GA Darla Gillaspie Grand Junction, CO Caroline Court Sellersville, PA Jennifer Gillespie Raymond, ME Kim Cowsill Witchita, KS Donna Glasser Lawrenceville, GA Debbie Cox Weston, WV Donna Glatfelter Hamilton, OH Michelle Crabtree Alexandria, VA Sara Gochanour Sterling Heights, MI Beth Crowe Riverside, CA Rhonda Godfrey Suwanee, GA Stephen, Cynthia & Anne Crowley Cleveland Heights, OH Jeff Goetz Saint Helen, MI Trent Croxall Cumming, GA Jane Goff Little Rock, AR Paige Crutchley Placeville, CA Kathy Goldberg Jackson, NJ Lori Cummings Senoia, GA Francenne Goldblatt Suwanee, GA Tanya Curry St. Albans, WV Dee Gomer Marlboro, NJ Patricia DaSilva Hardyston, NJ Danielle Goshert Benicia, CA Susan Davidson Greenwood, IN Sheree Gossling Lawrenceville, GA Stacy Davis Glade Park, CO Shellie Gossling Winder, GA Madeline Dee Farmingdale, NM June Gossling Monroe, GA Jennifer DeLang North Collins, NY Shannon Greene Snellville, GA Enrique Dentone Gainesville, VA Jamie Greiner Ocala, FL Heidi DeRosa Suwanee, GA Afton Grossman Richmond, VA Ginger Diamond Douglas, GA Leigh Grosvenor Lincoln, NE Marilyn & Anthony DiGeorgio Old Bridge, NJ Jessica Guess Terre Haute, IN Dianne Dilbone Wapakoneta, OH Maria Gwynn Snellville, GA Kimberly Dionisio West Milford, NJ Maria Hacker Naugatuck, CT Alan Disbrow Quakertown, PA Jan Halash Southgate, MI Theresa Doenitz Fort Myers, FL Teresa Hall-Ashley Federal Way, WA Anna Doll-Storey Grand Junction, CO Steve Hammerton Lisbon, ME Diana Downey Grand Junction, CO Judy Hammett Stone Mountain, GA Gail Doyle Trumbull, CT Lorraine Haney Massapequa, NY Kati Dugan Denver, CO Stefanie Harris Charleston, WV Kate Duggan Mechanicsville, VA Freda Hart Pahoa, HI Jenifer Duncan Snellville, GA Katherine Hartford Milliken, CO Terri L Dustin-Hodges Shelby Township, MI Nicole Hatcher Saint Marys, GA Jacy Earhart Colorado Springs, CO Caleb Hatchett Whitewater, WI Lisa Edwards Bell Woodbridge, VA Susan Hausler Trinity, FL Ellen Eggenberger Westland, MI Symantha Hawk Clayton, NM Katherine Hazelrigg University Park, MD Jennifer Elkhouri Chantilly, VA Margaret Ellrick Grand Junction, CO Donna Heaney Kernerville , NC

Page 6 Charlotte Hearn Gadston, AL Johanna Lanham El Dorado Hills, CA Rhina Lara Miami, FL Sally Heath Pinedale, WY Ella LaRe Herndon, VA Sara Heim Orwigsburg, PA Dana Heino Manassas, VA Susie LaViola Grayson, GA Andrea Heins Nutley, PA Nancy Lederhos Aurora, CO Deborah Helie Watertown, MA Christine Lenfant Lynnwood, WA Kathleen Henry Fayetteville , NC Annette Lenik Clancy, MO Lindsey Hermida Smyrna, GA Jennifer Leraci Floral Park, NY Laura Hernandez Coachella, CA Brandy Leslie Katy, TX Yuridia Hernandez Hayward, CA Jennifer Levitt Chalfont, PA Ruby Herrera Goodyear, AZ Maria Lewan Alexandria, VA Angie Hietzer Cumming, GA Amber Lewis Ft. Meade, MD Lisa Higdon Atlanta, GA Katie Lewis Stafford, VA Camilla Hightower Scottsdale, AZ Cassandra Lewis Colorado Springs, CO Deborah Hill Ocilla, GA Lori Libby Philadelphia, PA Shelly Hill Marietta, GA Karen & Joseph Liggett Smithville, TN Erika Hill Duluth, GA Mckeva Livingstone Buford, GA Michelle Hinsley Mission, TX Molly Locke Hamilton, VA Maria Hofmann Plano, TX Allison Loetscher Alpharetta, GA Laurie Hoglund Greensboro, NC Christine Lograno-Weinstein Cape Coral, FL Cindy Holdal Just Eagle River, AK Katie Long Hedgeville, WV Cathy Hollis Liburn, GA Erin Long Oceanside, CA Lesley Holmes Los Angeles, CA Jenny Long Centreville, VA Belinda Holton Winter Garden, FL Olivia Lopez Tucson, AZ Lisa Hopkins Aliso Viejo, CA Matthew Lott Lawrenceville, GA Diane Horowitz Cherry Hill, NJ Kim Loumakos New Port Richey, FL Laurel & Farrell Howe Kalamazoo, MI Wanda Love Screven, GA Michelle Lucas Montross, VA Linda Hudson Brocton, GA Anne Huelbig Branchville, NJ Robin Luckenbaugh Leesburg, VA Daville Huffman Encinitas, CA Diana Lyndhurst Leesburg, VA Becky Hughes Concord, NC Sonya Lyons Pickerington, OH Veronica Hulse Avon by the Sea, NJ Amber Maggio Pleasant Hill, MO Tammy Hutchinson Helena, MT Melissa Mahan Ocean City, MD Aylin Ippolito Montgomery, NY Mary Mamcini Herndon, VA Cammisha Manley Portland, OR Loretta Isley Snellville, GA Jennifer Jack Greenfield, IN Jennifer Manning Monroe, GA Lee and Melinda Marchiano Nipomo, CA Stacia Jacob Jackson, NJ Lisa Marks Proctorsville, VT Jeff & Leslie Janes Tinley Park, IL Jody Martin Moorpark, CA Heather Jencks Lisbon, CT Niki Jewell Ashburn, VA Leah Maugiafico Duluth, GA Rosemarie Mazur Jackson, NJ Maghan Johnson Ashburn, VA Katherine Johnson Sanford, NC Gary McBride Berkeley Lake, GA Dee McCabe Wake, VA Brian, Jones Salem, OR Jennifer Jones Ocala, FL Laurie McCarthy Aston, PA Carolyn McCarthy Brewster, NY Barbara Jones Baltimore, MD Tracie Jones Belton, TX Mary Beth McCarthy Greenwich, CT Nicole Jones Duluth, GA Jill McDaid Long Island, NY Sarah Kaczor Alexandria, VA Brenda McFadden Eudora, KS Peter Kallos Johns Creek, GA Julia McGraw Delran, NJ Debbie Kaniaris Anderson, SC Sarah McHugh Rutledge, GA Richard Kavanaugh Warwick, RI Amy McNeil Gladstone, MO Jean Kelley Hernando Beach, FL Laura Meadows Waldport, OR Julie Kelly Natick, MA Tara Medina Herndon, VA Patti Kelly Patchogue, NY Tracy Meeker Buford, GA Michelle Kennon Richmond, VA Rita Melvin Linthicum, MD Myla Kent Sequim, WA Bobbie Menneg Lawrenceville, GA Midge Kerr Avalon, NJ M&I Meros Alexandria, VA Gina Kidwell North Potomac, MD Leslie Miccio Fishkill, NY Peggy Kidwell Royse City, TX Ashley Michalski Livonia, MI Jane King Plymouth, MN Rachael Migler New York, NY Susan & Louis Kinkle Longs, SC Sarah Miller Macomb, MI Maryellen Miller South Plainfield, NJ Margie Kneedler Garland, TX Ellyn Miller Leesburg, VA Lindsay Knobelauch Westminster, MD Christina Mills Nippa, KY Sandy Kraft Linthicum, MD Cindy Krass Dumfries, VA Dana Minton London, KY Thomas Mitchell Burke, VA Tiffani Kreiger Hebron, IN Laurabeth Mixon Phenix City, AL Roberta Kroubek Berkeley Heights, NJ Nancy Montoya Grand Junction, CO Suzanne Krust Lexington, SC Heidi Moore Alpharetta, GA Solveig Kutter Germany Brenda Mosely Magnolia, DE Jill Kwatkoski Bayville, NJ Melanie Mott Smithfield, RI Shannon Landman Suwanee, GA Holly Murfield Delware, OH Leslie Langford Decatur, GA

Page 7 Joyce Murphy Baltimore, MD Christine Remy Vienna, VA Missy Murray Bradenton, FL Lindsay Rhodes Herndon, VA Christy Murrell Centreville, VA Stephanie L. Rhodes Yulee, FL Alycia Myers Plymouth, MN Hilary Riebau Ashburn, VA Mark Myers Suwanee, GA Margaret Riedel Boulder, CO Suzie Navarro Long Beach, CA Brian Riggs Mickleton, NJ Linda Navas Jackson, NJ Devon Riley Sterling, VA Mindy S. Nelson Pasadena, MD Veronica Rine Newark, OH Sarah Newby Houston, TX Maria Ritter Summerfield, FL Laura Newman Pierre, SD Josh Roach Colorado Springs, CO Karen Newman Clifton, VA Janilee Roach Jacksonville, FL Kathie Neyman Smyrna, GA Alyson Roach Marietta, GA Jacqui Niederschulte St. Peters, MO Kathleen Rogacki Jackson, NJ Am&a & Eduardo Romero Cape Coral, FL Kristen Niedt Jackson, NJ Alejandra Romo Vallejo, CA Kaley Nieviadomy Weyburn, SK Canada Margaret Norris Kensington, MD Jen Roney Tinley Park, IL Dallas Nunnery Grand Junction, CO Patricia Rosado North Plainfield, NJ Tim O'Brien Bayville, NJ Chelsea Rosa-Mir&a Grand Junction, CO John O'Donnell Marietta, GA Karen Rosenberg Atlanta, GA Bob Ohara Franklin, PA Jena Ross Spokane, WA Kelly Olah Sinking Spring, PA Page Roush Fruitland Park, FL Jeneen M. and Jesse Olive Hampton, GA Kelly Routhier West Unity, OH Kelly Rowan Wymer Charleston, WV Maureen Olsen Jackson, NJ Susan Rucker Grand Junction, CO Gretchen Opersteny Bryan, TX Sally Opie Irving, NY Sherri Ruffler New Milford, CT Laurie Orloski, PharmD Douglassville, PA Krissy Ruiz Escondido, CA Traci & Michael Otterman Arvada, CO Robin Ruptak Wheat Ridge, CO Pat Rush Warwick, RI Sara Owen Snellville, GA Joy Sandifer Johns Creek, GA Amanda Owen Grand Junction, CO Krista Myong Pak Yorktown, VA Ricky Sandoval San Antonio, TX Jennifer Parks Grand Junction, CO Renee Sacco Neptune, NJ Marcella Parsons Frederick, MD Arpana Satyu-Burge Cumming, GA Dayna Scala Berryville, VA Alison Patternson Royse City, TX Angie Patterson Frostburg, MD Janice Scarborough Powells Point, NC Angelina Schalk Philadelphia, PA Nancy Paul Rockville, MD Dana Payne Mesa, AZ Ellen Schenker Smithtown, NY Lisa Schmidt Fairfax, VA Nicole Peake Grand Rapids, MI Darlene Pearson Denham Springs, LA Amy Schneider San Diego, CA Jennifer Schroeder Omaha, NE Billie Peterson Kingwood, TX Cheryl Pettit Sussex, NJ Heather & Jason Schultz Northfield, MN Robert Petty Olympia, WA Shannon Schulze Statesville, NC Hanh Pham Houston, TX Michelle Schwartz New Milford, NJ Linda Pickford Medford, NY Eileen Scoles Middletown, NJ Collen & Dan Scoles Hamilton Square, NJ Kate Pickworth Herndon, VA Ann-Marie Scott Princeton, WV Wendi Pierce Lawrenceville, GA Jenifer Pifer Livonia, MI Samantha Seliga Tinton Falls, NJ Kelly Pitta Clark, NJ Christine Sera Oxford, MI Barbara Polo Staten Island, NY Dakota Seven Yorba Linda, CA Matthew, Ashley, Noah & Allison Severino Brussels, Belgium Sue Pompetti Bucks County, PA Devon Pothier Santa Monica, CA Shari Shallard Gulf Breeze, FL Susan Price Atlanta, GA Lainie Shapiro Farmington Hills, MI Patti Sharp Maple Shade, NJ Leo Prieto Houston, TX Elizabeth Proctor Medina, OH Lisa Shaw Ashburn, VA Shannon Puga Boise, ID Dena & William Sherwood Marlboro, NJ Susan Pugila Brooklyn, NY Judy & David Sillen Red Bank, NJ Lisa Pullen Camas, WA Ruth Silverio Hinesville, GA Cathy Simas Frankovic Haymarket, VA Jessica Pullen Toledo, OH Shanna Simpson Oswego, IL Patty Purco Virginia Beach, VA Jill Skubik Tinton Falls, NJ Greg Puryear Boonville, NC Tiffany Skye Roder Durango, CO Beatriz Quinonez Victorville, CA Amy Small Eurgene, OR Jessi Randle Denver, CO Kathleen Smarrito Haddon Hieghts, NJ Leanne Rafter Deland, FL Sarah Smith Leesburg, VA Kristal Raiger Valley Center, CA Jennifer Smith Medina, MN Laura Ramos Ocala, FL Deborah Smith Anderson, IN Tracey Rankin Ocala, FL Nydzia Smith Fayetteville, NC Denise Rast Modesto, CA Patricia Snider Kennesaw, GA Kristine & James Rech Akeley, MN Amy Snider Winchester, VA Tammy Reddmann Warren, MI Gabriela Solano Miami, FL Wendy Reece Grand Junction, CO Lorene Soto Winchester, VA Brandi Reichert Liberty, NC Lisa Spaulding Gwinn, MI Jennie Reiners Heber City, UT Donna Speckhard Ashburn, VA Kathi Reinhart Berwyn Heights, MD

Page 8 Erika Spracher Simpsonville, SC Andrea Verdone Middletown, NJ Kristy Vestre Newport News, VA Jenny Sprague Gray, ME Helen Viles Elberta, AL Alene Sprano Annandale, VA Courtney Stansbury Manchester, MD Deborah Voizin Pensacola, FL Andrea Steffen Green River, WY Joe Wajda Farmingdale, NJ Sheila Stevens Suwanee, GA Chris Walker Alexandria, VA Sally Stevenson St. Simons Island, GA Janine Walker Dacula, GA Pamela Stewart Norman, OK Sherise Wallace Muskegon, MI Cheri Stockton Harpers Ferry, WV Trish Ward McGuire Vienna, VA Tony & Michelle Stoddard Sandown, NH Lisa Watson Magnolia, TX Robert Stone Tuscaloosa, AL Holly Weaver Gouverneur, NY Elly Stone Grand Junction, CO Stacy Webb New Haven, IN Gwen Struz Manchester, NJ Lori Wecht Clearwater, FL Ellyn Sudak Beverly, MA Wendy Weihe Murrysville, PA Deb Suta Wood Ridge, NJ Gail Weiner Toledo, OH Amanda & Abigail Sutherland Pound, VA Ray Weiss Springfield, NJ Cyndi Suttom Arlington, VA Stacey Weldon Lake Worth, FL Jennifer Sweeney Dothan, AL Michelle Wendt Ashburn, VA Melissa Sweet Commerce City, CO Jackie Wessels West Point, TX Maryrose Sweeting Vacaville, CA Carley Wessler Richmond, VA Joshua and Annie Swink Cherryville, NC Shea West Gainvesville, GA Kita Szpak Ottawa, Canada Ellie Wheeler Laguna Niguel, CA Julia Tager Cape Cod, MA Sara Wheeler New Bern, NC Bridget Tapp Suwanee, GA Mark Whipple Centreville, VA Linda Tarantal Tucson, AZ Deborah White Oakville, CT Rosemary Taranto Staten Island, NY Diane Wickham Cincinnati, OH Alejandra Teran Anaheim, CA Kevin Wiemersiage Waterloo, IL Ken Thomas Clearfield, UT Marie Wilcoxson Conroe, TX Katie Wilkin St. Simons Island, GA Irene Thomas Alameda, CA Teresa Williams Liburn, GA Sarah Thompson Chugiak, AK Rebecca Tomaszewski Montpelier, VT Leanne Williams Valdosta, GA Cindy Torres McKinney, TX Polly Williamson Cumming, GA Nancy Torrisi Virginia Beach, VA Jennifer Willoughby Aptos, CA Gail Toth Vienna, VA Clealyn B.Wilson Dover, DE Jennifer Toth, RN, BSN Philadelphia, PA Carol Wilson El Reno, OK Naomi Tramontano Eatontown, NJ Laurie Wood Tinton Falls, NJ Barb Trevino Toledo, OH Colleen Woods-Papke Chicago, IL Sherry, Dirk & Alexis Tucker Valrico, FL Tiffany Woolsey Jerseville, IL Dawn Tune Fredericksburg, VA Kristen Worden Overland Park, KS Shea Worley Andalusia, AL Tara Turk Gulf Breeze, FL Kate Turner Leesburg, VA Lyndsy Wunder Marietta, GA Janaya Turner Tucson, AZ Kerri Yacca Staten Island, NY Janice Tuzcan Baltimore, MD Elaine Yeager North Olmstead, OH Janette Uggla Atlanta, GA Catherine Yorke Woodbridge, NJ Kim Veiga Sea Cliff, NY Katelin Zaro Manassas, VA Teresa Velez San Antonio, TX Susan Zukauckas Cheyenne, WY

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