Report
Human Rights Campaign Foundation, November 2024 | 48 Minute Read
Dismantling a Culture of Violence
Table of ContentsSince 2013, at least 372 transgender, non-binary, gender-expansive, and gender-expansive individuals (“transgender and gender-expansive,” or just “trans,” going forward) have been killed in the United States. Year after year, the same trends emerge: the vast majority of victims are trans women of color (particularly Black trans women), the vast majority are young adults aged 30 or younger, and the vast majority are killed with a gun. Identifying and recording incidents is often delayed, as initial news coverage and police reports often refer to the victim with the wrong gender and pronouns (“misgendering”), or use their birth name rather than chosen name (“deadnaming”).
This epidemic of violence stems from a series of root causes: many victims are experiencing homelessness, housing insecurity and/or poverty; interpersonal violence plays a large role, with victims often killed by romantic partners, family members, and friends; in many other instances, victims lose their lives in transphobic acts of violence. These causes are fueled by anti-trans stigma and discrimination in all aspects of daily life, including policies and rhetoric that institutionalize transphobia though practices that prevent trans and gender-expansive people from having the same access to opportunities, resources, and power as their cisgender peers.
This resource offers a framework to understand the causes of fatal violence against the trans and gender-expansive community in the United States, focusing on factors at multiple levels of influence. These include determinants which directly place trans and gender-expansive people at risk for fatal violence, and those which impact fatal violence risk indirectly—either through increasing vulnerability to violence or through perpetuating the transphobic norms and marginalization that encourage this violence. At the end, we offer a series of actions and recommendations to make our society a safer place for transgender and gender-expansive people.
Transgender and gender-expansive people continue to be marginalized, ostracized and excluded from full participation in communities across the country, in ways that contribute to a culture of transphobia, anti-trans stigma, and, ultimately, discrimination and violence against transgender and non-binary people. The last few years have seen thousands of anti-LGBTQ+ attacks, many of which have been explicitly anti-trans, including protests and property damage against schools and LGBTQ+ centers, bomb threats against children’s hospitals and doctors that provide gender-affirming care, millions of dollars spent on anti-trans political ads, and record breaking numbers of anti-trans hate crimes.
Transphobia and anti-trans stigma is at the foundation of the fatal violence epidemic against the transgender and gender-expansive community. Political attacks that seek to restrict where, when, and how trans people can live openly and freely as their authentic selves are both driven by and perpetuate extreme anti-trans rhetoric, and as such portray trans people as a threat to society. Lack of awareness of, or familiarity with, transgender and non-binary identities, as well as long standing cultural norms and beliefs about gender, lead to marginalization and ‘othering’ of trans people, which can play out across the life course from family rejection, to school-based bullying, to workplace and healthcare discrimination.
On February 8, 2024, Nex Benedict, a 16-year-old non-binary high school sophomore of Choctaw ancestry in Owasso, Oklahoma, died by suicide a day after being attacked in a school restroom and beaten to the point of unconsciousness by fellow students.
When someone takes their own life—especially someone as young as Nex—it is impossible to point to any one cause. But many of the details of Nex’s death, and far too short life, reflect the numerous ways that many of the determinants of fatal violence also contribute to non-fatal violence and the high rate of suicide attempts committed by transgender and gender-expansive people—especially transgender and gender-expansive youth, who are four times as likely to attempt suicide than their peers.
Nex was assaulted in the girls’ restroom, which they were required to use due to Oklahoma’s bathroom ban. Nex had been bullied for over a year as a result of their gender identity, but this had largely been ignored by school staff. The failures of the school district were so great that the US Department of Education Office for Civil Rights (OCR) investigated the Owasso School District in response to a complaint filed by HRC; in November 2024, the OCR found the district accountable for numerous Title IX violations, including that “multiple students were subjected to repeated sex-based slurs, harassment, and physical assault.”
Addressing the factors detailed in this report will not only reduce the risk of fatal violence transgender and non-binary people face, but will also have an overwhelmingly positive impact on the mental health of transgender and non-binary people. We must all take responsibility in reshaping our culture and our communities in ways that allow trans and gender-expansive people to fully thrive.
The epidemic of fatal violence against trans and gender-expansive people is not the result of individual failings, but rather the result of transphobia and anti-trans stigma at multiple social, structural, interpersonal, and institutional factors that intersect to create the situations and contexts that directly and indirectly increase risk for fatal violence. To tease out these factors, we have created the following model to explain the horrific trends we continue to see year over year. Framed around the social-ecological model, a framework which has previously been used by the CDC to understand how factors at increasingly macro spheres of influence interact to increase risk of domestic violence (as well as to plan preventative interventions), this model looks to explain how everything from national and state policy, to stigma that emerges in individual relationships, contribute to the epidemic of fatal violence.
Following, this report addresses determinants of fatal violence rooted in transphobia and anti-trans stigma at four different sociological ‘levels.’
In some instances, the impact of these factors is indirect, such as by perpetuating marginalization and reducing opportunity, subsequently positioning trans and gender-expansive people to be at increased risk for violence. In other instances, these factors directly lead to violence and loss of life. Though not explicitly depicted in the above model, these conditions are further impacted by individuals’ unique identities; one’s race/ethnicity, gender identity, gender expression, geography, religiosity all intersect to influence how each of these factors are experienced. For those who hold a marginalized identity—or multiple marginalized identities—can converge to further increase risk of both determinants of fatal violence, and fatal violence itself.
Throughout, we rely on peer-reviewed articles, research and reports from other movement-based organizations, and the data and trends we have observed in our own monitoring of fatal violence, to guide our discussion.
The Human Rights Campaign Foundation (HRCF) has monitored fatal incidents of violence against the transgender and gender-expansive community since 2013, when gender identity was first added as category to the FBI’s hate crimes reporting.
Using information gained from news articles, police reports, and conversations with advocates, loved ones, and community members, we identify and report on the life, and death, of trans and gender-expansive people killed in the United States. We tell the stories of those lost to fatal violence in a series of blogs about each of the victims and, each year on Transgender Day of Remembrance, we publish an annual report that further details the abhorrent trends we continue seeing year after year.
Results from the most current fatal violence report as of the release of this report, find that
The broadest level of the social-ecological model, societal determinants include both enacted federal and state policies that directly limit opportunity for trans and gender-expansive people, and the cultural norms and attitudes that perpetuate the marginalization and stigmatization of trans and gender-expansive people, placing them at risk for fatal violence.
Accurate identity documents are essential for numerous aspects of daily life. For transgender and gender-expansive individuals who often face significant barriers to obtaining legal identity documents that accurately reflect their gender and/or name, ID discrepancies are far more than an inconvenience; this lack of legal identification can have a significant impact on their life, including access to health care, education, employment, public accommodations, daily transportation, travel, and housing.
Currently, the U.S. federal government allows people to obtain a passport with an “X” gender marker (indicating a sex/gender other than male or female), as well as to change the gender marker on the passport to match their current gender identity.
At the state level, the laws on updating identity documents vary greatly across state . As of September 2024, 22 states and Washington, D.C. allow for an “X” gender marker on driver’s licenses, but only 16 allow one’s birth certificate to include an “X” gender marker. Four states forbid gender marker changes on driver’s licenses, and 7 ban gender marker changes on birth certificates.
At the same time, many states only allow gender marker changes to legal documentation if e rigorous requirements are met including provider certification (e.g. a letter from a health care provider attesting to the ‘validity’ of one’s identity, so that the identification document change can be processed), proof of gender-affirming surgery, court orders, and an amended birth certificate (preceding other document changes).
These requirements can act as a major barrier to changing or obtaining legal identification. For instance, if the state one was born in does not allow for gender marker changes on IDs, then obtaining an amended birth certificate will be unfeasible, even if currently living in a state where other identification documents could be amended. Or for those for whom surgery is unaffordable or unobtainable due to lack of available providers, a surgery requirement essentially serves as a de facto ban on identification document change. Most importantly, these requirements impose a hierarchy on transition by validating some forms over others, ignoring the reality of the many diverse forms transitioning can take. Transitioning is a personal choice and the degree to which transgender and gender-expansive people decide to undergo transition related care varies considerably, depending on personal preference, considerations of safety, financial circumstances and access to specialized care. Yet by setting this requirements, states deny trans people the autonomy to make this choice.
Following, barriers to legal identification can both directly and indirectly contribute to risk for fatal violence. Lacking proper identification can increase economic insecurity, by preventing trans and gender-expansive people from accessing basic services, such as opening/accessing a bank account, obtaining a driver’s license, starting a job, or enrolling in public assistance programs or health insurance. It keeps people from participating in civic life, such as voting and accessing court services. And it may lead to discriminatory, harassing, and violent interactions of a person is outed by presenting an incongruent ID.
Despite historic victories and other marginal gains in state, local, and federal policies, recent years have been marked by anti-LGBTQ+ political attacks.
At the federal level, LGBTQ+ people still lack nationwide discrimination protections in housing, healthcare, education and public accommodations.
At the state level, LGBTQ+ people face a patchwork of anti-LGBTQ+ legislation, the majority of which explicitly target transgender and gender-expansive youth and adults. In the summer of 2023, HRC for the first time officially declared a National State of Emergency for LGBTQ+ Americans. In 2023 alone, over 80 anti-LGBTQ+ bills were signed into law, more than doubling the previous year's number. 2024 saw the passage of more than 40 additional anti-LGBTQ+ bills. And with the incoming presidential administration, House, and Senate in 2025, there are fears that LGBTQ+ people will see a further rollback of rights at both the state and national level.
These laws directly target all aspects of daily life for transgender and gender-expansive Americans, from who can play school sports, to where they can go to the bathroom, to what sort of health care they can receive. For transgender and gender-expansive youth in schools, they dictate what lessons they can learn about themselves in school, what books they can read with characters that resemble them, and even the ability of students and staff to refer to them with the correct pronouns and their chosen name.
These laws essentially enshrine transphobic discrimination and exclusion into law, by aiming to restrict the ability of LGBTQ+ people—and trans and gender-expansive youth in particular—to live openly and freely in their daily lives, increasing their risk for violence as a result.
This risk can be direct, as legislation can force trans and gender-expansive people into locations and situations that are unsafe, placing them at risk for violent encounters. Bathroom bills and other bans/restrictions on public restroom and locker room access, for instance, force transgender and gender-expansive people to use facilities that do not match their gender presentation, where they may encounter verbal harassment, physical attacks, and sexual assault.
Further, these laws serve to legitimize anti-trans stigma and perpetuate transphobic attitudes. Much of the rhetoric and discourse from police makers and advocates for anti-LGBTQ+ legislation rely on harmful stereotypes of trans people and stigmatizing messages about trans and gender-expansive people, often which are expressed publicly and vocally. Through transphobic messaging and rhetoric which portrays trans people as dangerous predators, or “groomers,” a threat to women and girls’ sports, or mentally ill and confused, anti-trans stigma and hate spreads and becomes legitimized.
The community level of the social-ecological model focuses on the institutions and organizations that people encounter throughout their daily life. These institutions are often regulated by policies and norms at the societal level, while simultaneously, individuals are influenced by their lived experiences with both institutional practices and the people they encounter therein.
In recent years many transgender and gender-expansive students have been faced with harmful legislation and school policies that attack their basic rights, and further their marginalization. In states where these policies have been signed into law, bathroom and pronoun bans prevent trans and gender-expansive students, teachers, and staff from living openly and have their identities affirmed, while curriculum bans essentially render the LGBTQ+ community invisible.
Against this backdrop, trans and gender-expansive youth continue to experience bullying and harassment from their peers, and discrimination and discipline from teachers and staff, at substantially higher levels than their cisgender peers.
As a result, many students may miss large amounts of class due to feeling unsafe at school, or may face harsher discipline (such as suspension or expulsion) from discriminatory teachers, leading to lasting impacts on their overall well-being, future economic stability, and employment opportunities.
Transgender and gender-expansive people face disproportionate levels of discrimination and harassment in the workplace. Though the 2020 Supreme Court ruling in Bostock v. Clayton County extended Title VII employment protections to include gender identity, prohibiting anti-trans employment discrimination at the federal level, in practice, workplace discrimination still occurs.
This discrimination and harassment can present itself overtly, such as in a refusal to hire, denial of promotions or raises, lack of inclusive health benefits that covers gender-affirming care (while covering similar procedures for cisgender employees), or unfairly being fired or reassigned. It can also occur in more insidious ways, such as in an unfriendly or non-inclusive workplace culture where harassing, stereotyping, or other transphobic comments from colleagues and customers occur without bystander intervention or organizational action.
As a result, employment discrimination and non-inclusive work environments serve as an additional source of stigma against transgender and gender-expansive people, while also perpetuating economic insecurity, to potentially fatal results. Unemployment and underemployment place trans people at increased risk for poverty and housing insecurity, . Limited job opportunities may further push trans and gender-expansive people out of the formal job market, leading them to survival sex work and other informal forms of work, which increase susceptibility to violence. And lack of economic stability limits the ability to move to safer, more affirming areas, and may potentially force people to stay in unsafe or violent relationships because they lack the resources to move or leave an abusive partner.
At the same time, stigmatizing workplace experiences can force trans and gender-expansive people to feel the need to choose between maintaining a desired job and living as their authentic selves. This may lead some transgender or gender-expansive people to choose (or be forced) to conceal their identity at work, perpetuating stress and poor mental health, which in turn can reduce productivity and work performance, and limit opportunity for advancement.
One system where trans people have often faced marginalization is in seeking health care. This includes general health care related to physical or mental health conditions, in addition to gender-affirming care related to transition.
This marginalization can take multiple forms, including
As a result, many trans people choose to conceal their gender identity from providers or avoid or delay seeking care altogether, limiting their ability to receive appropriate and health care and furthering risk of health disparities. At the same time, lack of comprehensive efforts to increase trans-inclusive knowledge and training among healthcare providers, against a backdrop of legislative efforts to ban or severely curtail access to gender affirming care, perpetuate access barriers, stigma, discrimination, and invisibility that creates a culture of transphobia, and contributes to the epidemic of fatal violence against trans people.
Gender-affirming care, also sometimes referred to as transition-related care, is a broad umbrella term for a range of mental and physical health services that transgender and gender-expansive people may undergo as they transition to better align their physical appearance with their gender identity or expression. , There are clear, well-established, evidence-based eligibility standards for who can access various of gender affirming care and at what ages. Decisions to provide care are made in consultation with patients, doctors, and their families. Gender-affirming care is supported by every major medical and mental health organization — including the American Medical Association, the American Academy of Pediatrics, and the American Psychological Association. Research has consistently found that trans people who are able to access desired gender-affirming care report better mental health outcomes and lower suicidality, and that the vast majority are satisfied and happy with the care they receive.
Yet, in recent years, trans health care has begun to face legally sanctioned barriers, with the introduction of gender-affirming care bans. These laws seek to prevent transgender and gender-expansive youth and young adults from accessing this life saving medical care, through approaches such as enacting age barriers on accessing care, or banning doctors and hospitals from providing this care, even if this care has been consented to by patients, their parents, and their physicians.
Prohibiting trans individuals from receiving gender affirming care negatively impacts mental health, increasing symptoms of anxiety, depression, suicidal idealization, and self-harm. At the same time, these laws perpetuate stigma against trans people. The rhetoric and debates surrounding these bills have led to the rampant spread of harmful misinformation and disinformation about trans people, creating false and hurtful narratives while legitimizing stigma towards trans and gender-expansive people, and thus increasing the risk of violence.
Inequities in the existing justice system continue to lead transgender and gender-expansive people to experience unequal treatment when seeking help from the systems designed to protect them. For instance, anti-trans legislation such as bathroom bans and gender-affirming care bans place trans and gender-expansive people at risk of policing simply for existing in public. Higher rates of homelessness and survival sex work among trans and gender-expansive people further place them at risk of over policing and arrest. And the reality that incarcerated transgender and gender-expansive inmates are often housed in facilities that do not match their gender identity, further leaves trans and gender-expansive people vulnerable to physical violence, sexual assault, and verbal abuse while incarcerated.
At the same time, transgender and gender-expansive people, particularly people of color, often avoid interaction with law enforcement because of fear of harassment, intimidation, incarceration or violence — leaving those who are victims of crime without the legal recourse and protections they vitally need. As a result, bias-motivated crimes against transgender and gender-expansive people often go uninvestigated, unreported and therefore unaddressed.
At the relationship level, determinants focus on the interpersonal interactions and relationships a person holds throughout their lifetime, and the experiences that occur therein. For transgender and gender-expansive people, fatal violence can both occur at the hands of those closest to them, or rejection and abuse in these relationships could place them on a path towards increased risk factors for future violence.
Family acceptance and support during childhood and adolescence plays a vital role in the mental health, wellbeing, and future development of youth of all gender identities. For trans and gender-expansive youth, family acceptance can carry the additional benefits of fostering resiliency against stigma and discrimination encountered outside of the home, facilitating safe gender transition, and increased confidence, acceptance, and pride in their transgender identity, contributing to lower rates of depression, anxiety, substance use, HIV acquisition and suicidality.
However, many transgender and gender-expansive youth experience familial rejection of them and their gender identity, which can have both immediate and long-term consequences for physical and emotional health and safety, and even future economic stability. Familial rejection often begins at an early age, either when parents suspect their child’s gender identity (or note that something is ‘different,’), or when trans youth disclose to their parents. Such rejection can range from hurtful comments and name-calling, to willful refusal to use their child’s chosen name and pronoun, to more severe violence such as physical abuse or being kicked out of their homes. Subsequently, the pathways from family rejection in adolescence to increased risk of fatal violence can be both direct and indirect.
Directly, and tragically, some trans and gender-expansive people lose their lives at the hands of family members, precisely because of a lack of family acceptance. For instance, since 2013, HRC has identified at least 9 transgender and gender-expansive people who were killed by a family member, a third of whom were under the age of 21. Four of the nine were killed by their mother or father.
Indirectly, family rejection may lead trans and gender-expansive youth to either choose to run away from home to escape the abuse they endure, or to be kicked out of their home by non-affirming family members. This can lead to homelessness/housing instability, which may be further compounded by limited access to gender-inclusive shelters. Alternatively, trans youth may enter the child welfare/foster system, where they may encounter further discrimination and abuse, especially by facilities and/or families who refuse to serve a trans child, forcing them to choose between their identity and their safety. Together, trans youth remain at increased risk of not only becoming homeless, but also staying homeless, which can lead to dangerous and vulnerable situations, including survival sex work, which make them extremely susceptible to fatal violence starting at a young age.
Intimate partner violence (IPV), or violence encountered in the context of a romantic, sexual, and/or dating relationship, is far too common, with nearly 1 in 10 violent deaths in the United States between 2015-2019 were tied to IPV.
IPV is a form of violence rooted in power and domination, and thus it is often perpetuated against those who are more vulnerable, or who carry (multiple) marginalized identities. Globally, IPV disproportionately impacts women—and women of color in particular.
Transgender and gender-expansive people, and trans women of color, are at greater risk of encountering IPV. Unique vulnerabilities experienced by trans people, such as a lack of economic stability, lack of familial support, and or identity-based attacks (threats to out the trans person if they leave) are often leveraged by abusive partners to keep them in the unhealthy relationship.
At the same time, trans and gender-expansive people face unique barriers to receiving care and justice. Many shelters and domestic violence related services are segregated by biological sex (and/or gender) and age, leading to the fear—or the actual experience—of being turned away, mistreated, or deadnamed/misgendered in shelters or services that are segregated by sex. When abuse is reported it is often dismissed or downplayed by law enforcement or medical providers, particularly if the perpetrator was a same-sex partner and/or survivor was LGBTQ. If a trans person has experienced previous transphobic encounters, it may make them hesitant to report IPV at all, in order to avoid additional victimization.
As a result, transgender and gender-expansive people are doubly-vulnerable when it comes to IPV, as they are not only at elevated risk of experiencing it, but at elevated risk at being unable to leave an abusive relationship, or find support and help.
Individual level factors are the lived experiences, behaviors, and characteristics of a given person that place them at risk for fatal violence. Although these factors may reflect choices made by an individual, it is important to contextualize those choices in a broader social and structural context. For instance, the choice to engage in survival sex work can result from living in an environment where enacted anti-trans legislation and discriminatory workplace experiences bar success in a formal economy and leave minimal employment opportunities available. Likewise, homelessness can result from housing discrimination which prevents access to affordable stable housing options, or from family rejection that forces a person out of their home.
In the face of discrimination and economic barriers, many transgender and gender-expansive people engage in sex work (i.e., the exchange of sex for money or goods) out of survival often out of financial necessity in the face of employment discrimination, poverty, or to save money for expensive but medically necessary transition-related care.
Engagement in sex work and the current criminal status of sex work are intricately tied to the epidemic of violence that impacts transgender and gender-expansive people. The criminal status of sex work leads sex workers to become increasingly vulnerable to exploitation, trafficking, and physical, emotional, and systematic violence. Due to the criminalization of sex work, many avoid interactions with law enforcement or to decline to seek assistance, even when they themselves are victims of a crime or traumatic event. It can also prevent those with criminal charges from securing housing or other employment opportunities.
Transgender and gender-expansive people face disproportionate rates of poverty and homelessness in the United States. Homelessness can result from family rejection, leading trans youth to run away or be kicked out of their home by parents and guardians who do not accept their gender identity, or can result from inability to afford stable housing, or access trans-inclusive shelters. Poverty can result from limited economic opportunities tied to workplace discrimination and transphobic stigma, which leave transgender and gender-expansive people at risk of being underpaid, or under/unemployed.
Both can lead transgender and gender-expansive people to rely on the underground economy to survive, which includes sex work, drug sales and other currently criminalized work. Involvement in these systems increases the risk of violence, including intimate partner violence (IPV), sexual assault, health disparities, police harassment and fatal violence.
Confronted with barriers in virtually every facet of life, transgender and gender-expansive people can be more susceptible to elevated mental health risks including depression, anxiety and suicide.
Transgender and gender-expansive people are also more likely to face physical health conditions, often related to the risk factors discussed in this report. For instance, the rate of HIV among transgender people working solely in the underground economy, including survival sex work, was more than ten times higher than other transgender and non-binary people living with HIV. Transgender and non-binary people who have experienced homelessness are twice as likely to be living with HIV.
Unfortunately, limited access to trans-inclusive healthcare too often prevents health conditions from being fully addressed. In lieu of affordable and affirming care, countless transgender and non-binary people will continue to lack the resources they need to improve their well-being and overall safety.
Violence against transgender and gender-expansive people is not a new phenomenon. We know that it disproportionately impacts young transgender women of color, and we can identify common risk factors shared among many of its victims. But in order for us to end this deeply complex crisis, we must identify new approaches and engage wider audiences to address the root causes that put transgender people at higher risk of violence.
There are many steps all of us can take to address the stigma, discrimination and risk factors that lead to a higher rate of violence against transgender and gender-expansive people. Below, we summarize some of the major ways that we can address each issue within this larger crisis, as explained in detail earlier in this report. Some are steps that can be taken by specific actors, or within specific settings, so as you review, think about what steps you may be most qualified or able to take on personally. But any and all of them can go a long way towards counteracting transphobia and transphobic stigma and, subsequently, ending the epidemic of fatal violence.
There are a number of policies and practices which can be implemented—be it federally, at the state level, or locally—that would have a demonstrable impact on improving the safety and well-being of transgender and gender-expansive people, and reducing their risk of being subjected to fatal violence. This includes passing new, pro-equality legislation; repealing and fighting back against anti-trans legislation; and implementing best practices, which will improve outcomes for trans and cis people alike.
Steps at the community level focus on actions to take within the institutions of your daily life such as workplaces, schools, and healthcare facilities:
Action steps at the relationship level focus on ways you can influence the people in your life to be more trans-affirming, as well as steps you can take to support those in your community.
Action steps at the individual level focus on activities any person can engage in, in order to demonstrate their support for the trans community, and counteract transphobia and transphobic stigma.
Ending the epidemic of fatal violence against the trans and gender-expansive community requires addressing and eliminating stigma and discrimination against transgender people across all facets of society — and embracing and accepting people of all genders. It is unacceptable that transgender and gender-expansive people are killed simply because of who they are. And it is insufficient to simply grieve the loss of victims of violence. Instead, we must honor their memories with action.
We all can, and must, play a role in helping to end the violence. In removing the root causes of violence we not only will make our communities safer for trans people—we will make them safer for everyone.
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Through four key pillars — economic empowerment, capacity-building, public safety and strategic communication — TJI seeks to address the realities that increase bias and discrimination and put transgender people at risk of violence.
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The following people contributed to the content, review, and design of this report (listed alphabetically): Jennifer Pike Bailey, Jane Ciminera, Tori Cooper, Charleigh Flohr, Shoshana K. Goldberg, Orlando Gonzales, Josette Matoto, Laurel Powell, David Stacy, Emily Ulizio, Luis Vasquez, Robert Villaflor, and Jordyn White.
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