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The Oakland Fukuoka Sister City Association has conducted a variety of activities over the years that have led to a cordial and collaborative relationship between the people of the two cities. Its most enduring program is the annual homestay exchange between high school students in each city.  OFSCA has also promoted other exchanges of animals between the zoos of both cities, exchanges of nurses between leading hospitals in both cities, and exchanges of art work. It has sponsored cultural programs for the residents of Oakland, and both cities have hosted official government and business delegations from the other city.
OFSCA currently has five primary programs: four annual events, plus a Torii Gate in the Gardens at Lake Merritt: