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    <nameOfIssuer>ANNALY CAPITAL MANAGEMENT IN</nameOfIssuer>
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    <nameOfIssuer>APPLIED MATLS INC</nameOfIssuer>
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    <nameOfIssuer>BERKSHIRE HATHAWAY INC DEL</nameOfIssuer>
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    <titleOfClass>COM</titleOfClass>
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    <nameOfIssuer>COHERUS ONCOLOGY INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>19249H103</cusip>
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    <titleOfClass>CL A</titleOfClass>
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    <nameOfIssuer>COOPER COS INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
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    <nameOfIssuer>EDWARDS LIFESCIENCES CORP</nameOfIssuer>
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      <sshPrnamt>1248</sshPrnamt>
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      <Sole>1248</Sole>
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    <nameOfIssuer>ELI LILLY &amp; CO</nameOfIssuer>
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    <nameOfIssuer>ESTABLISHMENT LABS HLDGS INC</nameOfIssuer>
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    <titleOfClass>COM</titleOfClass>
    <cusip>501976104</cusip>
    <value>1493905</value>
    <shrsOrPrnAmt>
      <sshPrnamt>173106</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>173106</Sole>
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      <None>0</None>
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    <nameOfIssuer>LAM RESEARCH CORP</nameOfIssuer>
    <titleOfClass>COM NEW</titleOfClass>
    <cusip>512807306</cusip>
    <value>326045</value>
    <shrsOrPrnAmt>
      <sshPrnamt>1526</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>1526</Sole>
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      <None>0</None>
    </votingAuthority>
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    <nameOfIssuer>LEONABIO INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>04746L203</cusip>
    <value>1534588</value>
    <shrsOrPrnAmt>
      <sshPrnamt>149279</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>149279</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
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  <infoTable>
    <nameOfIssuer>MASTERCARD INCORPORATED</nameOfIssuer>
    <titleOfClass>CL A</titleOfClass>
    <cusip>57636Q104</cusip>
    <value>762481</value>
    <shrsOrPrnAmt>
      <sshPrnamt>1526</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>1526</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
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    <nameOfIssuer>MERCK &amp; CO INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>58933Y105</cusip>
    <value>787178</value>
    <shrsOrPrnAmt>
      <sshPrnamt>6544</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>6544</Sole>
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      <None>0</None>
    </votingAuthority>
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  <infoTable>
    <nameOfIssuer>MFA FINL INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>55272X607</cusip>
    <value>2002220</value>
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      <sshPrnamt>209000</sshPrnamt>
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    <votingAuthority>
      <Sole>209000</Sole>
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      <None>0</None>
    </votingAuthority>
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  <infoTable>
    <nameOfIssuer>MILESTONE PHARMACEUTICALS IN</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>59935V107</cusip>
    <value>1792622</value>
    <shrsOrPrnAmt>
      <sshPrnamt>1506405</sshPrnamt>
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    <votingAuthority>
      <Sole>1506405</Sole>
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      <None>0</None>
    </votingAuthority>
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  <infoTable>
    <nameOfIssuer>NEUROCRINE BIOSCIENCES INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>64125C109</cusip>
    <value>330009</value>
    <shrsOrPrnAmt>
      <sshPrnamt>2505</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>2505</Sole>
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      <None>0</None>
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    <nameOfIssuer>NOVO-NORDISK A S</nameOfIssuer>
    <titleOfClass>ADR</titleOfClass>
    <cusip>670100205</cusip>
    <value>12030370</value>
    <shrsOrPrnAmt>
      <sshPrnamt>327357</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>327357</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
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  <infoTable>
    <nameOfIssuer>OCULAR THERAPEUTIX INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>67576A100</cusip>
    <value>762300</value>
    <shrsOrPrnAmt>
      <sshPrnamt>90000</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>90000</Sole>
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      <None>0</None>
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    <nameOfIssuer>OCULIS HOLDING AG</nameOfIssuer>
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    <cusip>H5870P102</cusip>
    <value>1772676</value>
    <shrsOrPrnAmt>
      <sshPrnamt>66667</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>66667</Sole>
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      <None>0</None>
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  <infoTable>
    <nameOfIssuer>ORCHESTRA BIOMED HLDGS INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>68572M106</cusip>
    <value>932395</value>
    <shrsOrPrnAmt>
      <sshPrnamt>219387</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>219387</Sole>
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      <None>0</None>
    </votingAuthority>
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  <infoTable>
    <nameOfIssuer>OVID THERAPEUTICS INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>690469101</cusip>
    <value>290405</value>
    <shrsOrPrnAmt>
      <sshPrnamt>130813</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>130813</Sole>
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      <None>0</None>
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  <infoTable>
    <nameOfIssuer>OXFORD LANE CAP CORP</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>691543847</cusip>
    <value>978000</value>
    <shrsOrPrnAmt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>100000</Sole>
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      <None>0</None>
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  <infoTable>
    <nameOfIssuer>PACIRA BIOSCIENCES INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>695127100</cusip>
    <value>1415958</value>
    <shrsOrPrnAmt>
      <sshPrnamt>62653</sshPrnamt>
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    <votingAuthority>
      <Sole>62653</Sole>
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      <None>0</None>
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  <infoTable>
    <nameOfIssuer>PALANTIR TECHNOLOGIES INC</nameOfIssuer>
    <titleOfClass>CL A</titleOfClass>
    <cusip>69608A108</cusip>
    <value>1712061</value>
    <shrsOrPrnAmt>
      <sshPrnamt>11704</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>11704</Sole>
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      <None>0</None>
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  <infoTable>
    <nameOfIssuer>PALISADE BIO INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>696389402</cusip>
    <value>612500</value>
    <shrsOrPrnAmt>
      <sshPrnamt>350000</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>350000</Sole>
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      <None>0</None>
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  <infoTable>
    <nameOfIssuer>PALO ALTO NETWORKS INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>697435105</cusip>
    <value>635989</value>
    <shrsOrPrnAmt>
      <sshPrnamt>3967</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>3967</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
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  <infoTable>
    <nameOfIssuer>PEPSICO INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>713448108</cusip>
    <value>202653</value>
    <shrsOrPrnAmt>
      <sshPrnamt>1305</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>1305</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
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  <infoTable>
    <nameOfIssuer>PHATHOM PHARMACEUTICALS INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>71722W107</cusip>
    <value>2915108</value>
    <shrsOrPrnAmt>
      <sshPrnamt>262386</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>262386</Sole>
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      <None>0</None>
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  <infoTable>
    <nameOfIssuer>PHILIP MORRIS INTL INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>718172109</cusip>
    <value>235940</value>
    <shrsOrPrnAmt>
      <sshPrnamt>1427</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>1427</Sole>
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      <None>0</None>
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  <infoTable>
    <nameOfIssuer>PLAINS GP HLDGS L P</nameOfIssuer>
    <titleOfClass>LTD PARTNR INT A</titleOfClass>
    <cusip>72651A207</cusip>
    <value>30892901</value>
    <shrsOrPrnAmt>
      <sshPrnamt>1272360</sshPrnamt>
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      <Sole>1272360</Sole>
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      <None>0</None>
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  <infoTable>
    <nameOfIssuer>PURECYCLE TECHNOLOGIES INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>74623V103</cusip>
    <value>9190338</value>
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    <votingAuthority>
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      <None>0</None>
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    <nameOfIssuer>QUALCOMM INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>747525103</cusip>
    <value>717820</value>
    <shrsOrPrnAmt>
      <sshPrnamt>5574</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>5574</Sole>
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      <None>0</None>
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  <infoTable>
    <nameOfIssuer>REGENERON PHARMACEUTICALS</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>75886F107</cusip>
    <value>8421776</value>
    <shrsOrPrnAmt>
      <sshPrnamt>10900</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>10900</Sole>
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      <None>0</None>
    </votingAuthority>
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  <infoTable>
    <nameOfIssuer>RITHM CAPITAL CORP</nameOfIssuer>
    <titleOfClass>COM NEW</titleOfClass>
    <cusip>64828T201</cusip>
    <value>3190902</value>
    <shrsOrPrnAmt>
      <sshPrnamt>336593</sshPrnamt>
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    <votingAuthority>
      <Sole>336593</Sole>
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      <None>0</None>
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  <infoTable>
    <nameOfIssuer>ROCKWELL AUTOMATION INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>773903109</cusip>
    <value>203844</value>
    <shrsOrPrnAmt>
      <sshPrnamt>568</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>568</Sole>
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      <None>0</None>
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  <infoTable>
    <nameOfIssuer>SAB BIOTHERAPEUTICS INC</nameOfIssuer>
    <titleOfClass>COM NEW</titleOfClass>
    <cusip>78397T202</cusip>
    <value>717091</value>
    <shrsOrPrnAmt>
      <sshPrnamt>187230</sshPrnamt>
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      <Sole>187230</Sole>
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  <infoTable>
    <nameOfIssuer>SEAGATE TECHNOLOGY HLDNGS PL</nameOfIssuer>
    <titleOfClass>ORD SHS</titleOfClass>
    <cusip>G7997R103</cusip>
    <value>385884</value>
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      <Sole>985</Sole>
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  <infoTable>
    <nameOfIssuer>SERVICENOW INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>81762P102</cusip>
    <value>566766</value>
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      <Sole>5421</Sole>
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      <None>0</None>
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  <infoTable>
    <nameOfIssuer>SIMPLIFY EXCHANGE TRADED FUN</nameOfIssuer>
    <titleOfClass>ANCORATO TARGET</titleOfClass>
    <cusip>82889N343</cusip>
    <value>2832500</value>
    <shrsOrPrnAmt>
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    <votingAuthority>
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      <None>0</None>
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  <infoTable>
    <nameOfIssuer>SIMPLIFY EXCHANGE TRADED FUN</nameOfIssuer>
    <titleOfClass>TARGET 15 DISTRI</titleOfClass>
    <cusip>82889N350</cusip>
    <value>14711005</value>
    <shrsOrPrnAmt>
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  <infoTable>
    <nameOfIssuer>SIMPLIFY EXCHANGE TRADED FUN</nameOfIssuer>
    <titleOfClass>MULTI QIS ALTERN</titleOfClass>
    <cusip>82889N533</cusip>
    <value>45792310</value>
    <shrsOrPrnAmt>
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  <infoTable>
    <nameOfIssuer>SIMPLIFY EXCHANGE TRADED FUN</nameOfIssuer>
    <titleOfClass>TREASURY OPT INC</titleOfClass>
    <cusip>82889N640</cusip>
    <value>39958500</value>
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  <infoTable>
    <nameOfIssuer>SIMPLIFY EXCHANGE TRADED FUN</nameOfIssuer>
    <titleOfClass>SHORT TERM TREA</titleOfClass>
    <cusip>82889N657</cusip>
    <value>116655570</value>
    <shrsOrPrnAmt>
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  <infoTable>
    <nameOfIssuer>SIMPLIFY EXCHANGE TRADED FUN</nameOfIssuer>
    <titleOfClass>NATL MUNI BD ETF</titleOfClass>
    <cusip>82889N442</cusip>
    <value>37530496</value>
    <shrsOrPrnAmt>
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  <infoTable>
    <nameOfIssuer>SIMPLIFY EXCHANGE TRADED FUN</nameOfIssuer>
    <titleOfClass>PIPER SANDLER US</titleOfClass>
    <cusip>82889N327</cusip>
    <value>2612596</value>
    <shrsOrPrnAmt>
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  <infoTable>
    <nameOfIssuer>SIMPLIFY EXCHANGE TRADED FUN</nameOfIssuer>
    <titleOfClass>AGGREGATE BOND E</titleOfClass>
    <cusip>82889N723</cusip>
    <value>42920734</value>
    <shrsOrPrnAmt>
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  <infoTable>
    <nameOfIssuer>SIMPLIFY EXCHANGE TRADED FUN</nameOfIssuer>
    <titleOfClass>NEXT INTANGIBLE</titleOfClass>
    <cusip>82889N475</cusip>
    <value>24416890</value>
    <shrsOrPrnAmt>
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      <None>0</None>
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  <infoTable>
    <nameOfIssuer>SIMPLIFY EXCHANGE TRADED FUN</nameOfIssuer>
    <titleOfClass>MANAGED FUTURES</titleOfClass>
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    <titleOfClass>US EQT PLS UPSID</titleOfClass>
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    <cusip>82889N228</cusip>
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    <titleOfClass>COM</titleOfClass>
    <cusip>89532M101</cusip>
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      <Sole>65412</Sole>
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      <None>0</None>
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    <nameOfIssuer>UBER TECHNOLOGIES INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>90353T100</cusip>
    <value>236722</value>
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      <sshPrnamt>3291</sshPrnamt>
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    <votingAuthority>
      <Sole>3291</Sole>
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      <None>0</None>
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    <nameOfIssuer>UNITED THERAPEUTICS CORP DEL</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>91307C102</cusip>
    <value>20310158</value>
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    <titleOfClass>COM</titleOfClass>
    <cusip>91324P102</cusip>
    <value>784982</value>
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      <None>0</None>
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    <titleOfClass>COM</titleOfClass>
    <cusip>91678A107</cusip>
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      <None>0</None>
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    <nameOfIssuer>VANECK BITCOIN ETF</nameOfIssuer>
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    <cusip>92189K105</cusip>
    <value>4007333</value>
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      <None>0</None>
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    <cusip>92790C104</cusip>
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