2022-05-12T08:45:40-07:00 2021-06-30 990 2020-07-01 475469826 Friends of Kijabe FRIE 9804980456 2404 Rock Creek Drive Charlotte NC 28226 David Shirk Executive Director 7048795106 2022-05-12 0 11 1 AAL2 2020 2022-09-23 18:48:47Z John Richter 2404 Rock Creek Drive Charlotte NC 28226 788137 0 X www.friendsofkijabe.org X 2016 NC SUPPORT HEALTHCARE QUALITY, ACCESS, AND AFFORDABILITY AT AIC KIJABE HOSPITAL IN KENYA THROUGH MEDICAL EDUCATION; INFRASTRUCTURE AND EQUIPMENT; AND VULNERABLE PATIENT FUNDING 9 8 0 25 0 0 715583 788132 0 0 564 5 0 0 716147 788137 638932 671410 0 0 0 0 0 0 3366 17246 22124 656178 693534 59969 94603 180290 274926 0 87 180290 274839 X FRIENDS OF KIJABE SUPPORTS THE MISSION OF AIC KIJABE HOSPITAL KENYA TO PROVIDE WORLD-CLASS HEALTHCARE AND MEDICAL EDUCATION. FOCUS ON ACCESS AND AFFORDABILITY FOR PATIENTS, EQUIPMENT AND INFRASTRUCTURE FOR HEALERS, AND MEDICAL EDUCATION FOR NURSING AND POSTGRADUATE STUDENTS. 0 0 157633 157633 164716 EDUCATION GRANTS FOR KIJABE COLLEGE OF HEALTH SCIENCES; CONTINUING AND ADVANCED EDUCATION OF PHYSICIANS 267838 267838 357891 COMPASSION GRANTS TO AIC KIJABE HOSPITAL FRIENDS OF KIJABE NEEDY PATIENT FUND AND FOR NEEDY PATIENTS UNDER THE SPECIALIST TREATMENT IN AUDIOLOGY, ENT, GENERAL SURGERY, INTERNAL MEDICINE, OB/GYN, ONCOLOGY, OPHTHALMOLOGY, ORTHOPEDICS, PALLIATIVE CARE, PEDIATRICS/NICU, AND PEDIATRIC SURGERY. 240696 240696 228331 INFRASTRUCTURE GRANTS TO AIC KIJABE HOSPITAL FOR MEDICAL AND SURGICAL EQUIPMENT, PERSONAL PROTECTIVE EQUIPMENT, OPERATING THEATRE CONSTRUCTION. SUPPLY GRANTS WERE MADE FOR PATHOLOGY, RADIOLOGY, MATERNITY, AND PEDIATRICS 5243 5243 1239 Chaplain's ministry contributions and Kijabe Hospital administration budget 5243 5243 1239 671410 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 NC X X John Richter 9804980456 2404 Rock Creek Drive Charlotte NC 28226 X David Shirk Executive Director 40 0 X X 0 0 0 John Richter Board Chair 2 0 X X 0 0 0 Dr Ken Muma Board Member 0 X 0 0 0 Dr Evelyn Mbugua Board Member 0 0 X 0 0 0 Dr Richard Davis Board Member 0 0 X 0 0 0 Dr John Axelson Board Member 0 0 X 0 0 0 Tom Tillett Board Member 0 0 X 0 0 0 Harrison Gitau Board Member 0 0 X 0 0 0 Al Puckett Board Member 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 396517 0 391615 0 788132 0 5 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 788137 0 0 5 98953 98953 0 0 572457 572457 3750 3750 3366 3366 0 1269 1269 Bank & Credit Card Processing Fees 13739 0 13739 0 693534 671410 18758 3366 79348 53970 100942 220956 180290 274926 87 0 87 X 87729 102245 92561 172594 180290 274839 180290 274926 94603 0 0 0 -54 0 X 1 X 1 X 1 0 X 155710 291465 623782 715583 788132 2574672 398 564 5 967 155710 291465 624180 716147 788137 2575639 1172633 1403006 2575639 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 48916 120420 0 0 0 0 169336 0 48916 0 0 0 0 48916 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 788137 0 0 0 0 0 788137 0 0 0 788137 693534 0 0 0 0 0 693534 0 0 0 693534 Schedule D, Part V, Line 4 The proceeds from the quasi-endowment fund listed Part V will be used to support Kijabe Hospital in Kijabe, Kenya. Specifically, the funds will be used to support compassionate care (i.e., needy patient funds) and medical education scholarships for East African healthcare providers connected with Kijabe Hospital and its College of Health Sciences. 1 Sub-Saharan Africa 0 0 Grantmaking Grants to AIC Kijabe Hospital 571671 0 0 571671 0 0 0 0 0 0 Schedule F, Part I, Line 2 Grants to AIC Kijabe Hospital require prior authorization by a majority of the Friends of Kijabe board and signatory authorization by the AIC Kijabe Hospital Director General, Clinical Services Director, and Finance Director. Receipts are obtained from AIC Kijabe Hospital and kept on file with Friends of Kijabe. Schedule F, Part I, Line 3 Grants to Kijabe Hospital 1 Pan African Academy of Christian Surgeons 440 W Colfax St Suite 1458 Palantine IL 60067 842569391 98953 Int'l Medical Education 1 0 Schedule I, Part I, Line 2 GRANTS TO PAACS FOR MEDICAL EDUCATION REQUIRE PRIOR AUTHORIZATION WITH THE MAJORITY FRIENDS OF KIJABE BOARD APPROVAL. PAACS IS REQUIRED TO PROVIDE A RECORD FOR SPENDING ON A BI-ANNUAL BASIS. Form 990, Part I, Line 1 DESCRIPTION OF ORGANIZATION MISSION: MEDICAL EDUCATION, EQUIPMENT AND INFRASTRUCTURE, AND VULNERABLE PATIENT FUNDING TO BENEFIT AIC KIJABE HOSPITAL IN KENYA Form 990, Part III, Line 4d Chaplain's ministry support and Kijabe Hospital administrative expense for program oversight. Form 990, Part VI, Section B, Line 11b FORM 990 IS PROVIDED ELECTRONICALLY TO ALL FRIENDS OF KIJABE BOARD MEMBERS FOR APPROVAL BEFORE FILING. Form 990, Part VI, Section B, Line 12c Board Members submitted annual conflict of interest questionaire. Form 990, Part VI, Section C, Line 19 GOVERNING DOCUMENTS ARE SAVED IN A SHARED DROPBOX FOLDER AND AVAILABLE UPON REQUEST. FINANCIAL STATEMENTS ARE PROVIDED IN THE ORGANIZATION'S ANNUAL REPORT WHICH IS AVAILABLE ON THE FRIENDS OF KIJABE WEBSITE. Return was filed by certified mail on Nov. 9th 2021 and stamped as received with IRS seal on Nov. 17, 2021. Rejection letter was received by Friends of Kijabe on May 11, 2022 with explanation that Tax Exempt Organizations are required to file electronically. Electronic submission has been completed as requested within 10 days of receipt of rejection letter. IRS letter reference: 0422897269 May 6, 2022 LTR 2694 C 1 47-5469826 202106 67