2022-05-16T09:20:24-05:00 2021-06-30 454084437 WARREN AVERETT LLC SIX CONCOURSE PARKWAY SUITE 600 ATLANTA GA 30328 990 2020-07-01 582433968 MEDSHARE INTERNATIONAL INC MEDS 7703235858 3240 CLIFTON SPRINGS ROAD DECATUR GA 30034 CHARLES REDDING PRESIDENT/CEO 7703235858 2022-05-13 1 CHARLES REDDING 999009999 M SUSAN HILL P00846200 7703961100 2022-05-13 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z CHARLES REDDING 3240 CLIFTON SPRINGS RD DECATUR GA 30034 28824946 0 X WWW.MEDSHARE.ORG X 1998 GA WE EFFICIENTLY COLLECT SURPLUS MEDICAL SUPPLIES AND BIOMEDICAL EQUIPMENT FROM U.S. HOSPITALS AND COMPANIES AND DISTRIBUTE THOSE ITEMS TO HEALTHCARE PARTNERS AROUND THE WORLD. OUR FOUR PROGRAMS AND ONE SERVICE REFLECT OUR FOCUS AREAS: MATERNAL & CHILD HEALTH, INFECTIOUS DISEASE CONTROL & PREVENTION, DISASTER RELIEF, PRIMARY CARE, AND BIOMEDICAL EQUIPMENT TRAINING & REPAIR SERVICE. 16 16 46 7018 0 0 23092450 28791096 0 0 35342 30808 -136046 -2101 22991746 28819803 16560519 17464494 0 0 3094652 3223323 39625 27000 937983 2864053 2318122 22558849 23032939 432897 5786864 23656815 29183563 904141 404265 22752674 28779298 X MEDSHARE IMPROVES THE QUALITY OF LIFE OF PEOPLE, COMMUNITIES, AND OUR PLANET THROUGH THE SOURCING AND DELIVERY OF SURPLUS MEDICAL SUPPLIES AND EQUIPMENT TO COMMUNITIES IN NEED. 0 0 21225840 17464494 3042 DURING THE FISCAL YEAR 2021, THE MEDSHARE MISSION SERVED 4.7 MILLION PATIENTS IN 41 COUNTRIES THROUGH OUR MATERNAL & CHILD HEALTH, PRIMARY CARE, DISASTER RELIEF, AND INFECTIOUS DISEASE CONTROL & PREVENTION PROGRAMS. OUR BIOMEDICAL EQUIPMENT TRAINING & REPAIR SERVICE HAS SUPPORTED MORE THAN 32 ENGINEERS, TECHNICIANS, AND END-USERS THROUGHOUT THE WORLD.AS WE CONTINUE TO BE MISSION FOCUSED, THREE STRATEGIC IMPERATIVES GUIDE OUR DAILY WORK - ACHIEVING GREATER RECIPIENT IMPACT; CREATING CAPITAL-EFFICIENT GROWTH AND ENSURING ORGANIZATIONAL EXCELLENCE. IN OTHER WORDS, WE WANT TO HELP MORE PEOPLE AND COMMUNITIES IN WAYS THAT WILL LEAVE A MORE LASTING IMPACT.OUR MATERNAL & CHILD HEALTH INTERVENTIONS MEANS REDUCING MATERNAL DEATH FOR UNDERSERVED COMMUNITIES AROUND THE WORLD. OUR SAFE BIRTH INITIATIVE WITH THE COCA-COLA WEST AFRICA BUSINESS UNIT CONTINUES TO SUPPORT THE MINISTRIES OF HEALTH IN COTE D'IVOIRE AND NIGERIA AND TACKLE THE HIGH INCIDENCES OF MATERNAL AND NEWBORN MORTALITY IN THESE TWO COUNTRIES.AS ALWAYS, WE REMAIN PREPARED FOR THE SUDDEN AND OFTEN UNIMAGINED DESTRUCTION ASSOCIATED WITH NATURAL DISASTER RELIEF. OUR PREPAREDNESS IS STRENGTHENED BY STRONG PARTNERSHIPS, BOTH LONGTIME AND EMERGING. PARTNERSHIPS WITH UPS, COCA-COLA AND OTHERS WERE ESSENTIAL TO OUR EARLY RESPONSE TO THE COVID-19 PANDEMIC. MEDSHARE DISTRIBUTED PERSONAL PROTECTIVE EQUIPMENT TO FRONT LINE HEALTH WORKERS BOTH WITHIN THE UNITED STATES AND THROUGHOUT SEVERAL OTHER COUNTRIES AROUND THE WORLD. DURING TWENTY-TWO YEARS OF SERVICE TO MEDICALLY UNDERSERVED COMMUNITIES, MEDSHARE HAS DONATED $2557 MILLION IN AID TO SERVE MORE THAN 29.7 MILLION PATIENTS IN 117 COUNTRIES AND TERRITORIES. IN SERVICE TO OUR ENVIRONMENT WE HAVE DIVERTED ALMOST 3.7 MILLION POUNDS OF QUALITY MEDICAL SUPPLIES FROM LOCAL LANDFILLS ON AN ANNUAL BASIS. 21225840 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 1 1 0 1 1 0 0 1 0 1 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 9 0 1 46 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 GA AL AZ CA CO CT DE FL HI ID IL IN IA KY LA MA MD ME MI MN MO MS MT NC NE NH NJ NM NV OH OK OR PA SC TN TX UT VA VT WA WI WY DC X X X TONYA WARE 4045375072 3240 CLIFTON SPRINGS RD DECATUR GA 30034 KEITH WINN CHAIR 1.50 X X 0 0 0 ANGELINE FIFE PAST CHAIR 0.50 X 0 0 0 DAVID KOCHMAN VICE CHAIR 1.50 X X 0 0 0 DANA H HALBERG CFA TREASURER 0.50 X X 0 0 0 TOM HAWK SECRETARY 0.50 X X 0 0 0 EVAN GLOVER TRUSTEE 0.50 X 0 0 0 IBRAHEEM T BADEJO PHD TRUSTEE 0.50 X 0 0 0 IRA HOROWITZ MD TRUSTEE 0.50 X 0 0 0 JOSH COVETT TRUSTEE 0.50 X 0 0 0 KATHLEEN BARKSDALE TRUSTEE 0.50 X 0 0 0 KASSY KEBEDE TRUSTEE 0.50 X 0 0 0 MARYJANE STEVENS TRUSTEE 0.50 X 0 0 0 MIKE TUCK TRUSTEE 0.50 X 0 0 0 PAT SALBER MD MBA TRUSTEE 0.50 X 0 0 0 SANDY TYTEL TRUSTEE 0.50 X 0 0 0 THOMAS ASHER TRUSTEE 0.50 X 0 0 0 CHARLES REDDING PRESIDENT/CEO 40.00 X 236359 0 12441 CRISTINA WELLS DIRECTOR OF DEVELOPMENT 40.00 X 115357 0 7756 ERIKA MITCHELL IMM PAST CHIEF FINANCIAL OFFICER 40.00 X 141479 0 28 RANDOLPH STRANG CHIEF OPERATING OFFICER 40.00 X 128232 0 9065 JAMES WHITE IMM PAST DIR. OF OPS NE REGION 40.00 X 111988 0 8908 STEPHANIE GREENE DIRECTOR OF FINANCE & HR 40.00 X 107460 0 9661 840875 0 47859 6 0 1 0 0 X 158710 553850 28078536 22770466 28791096 30808 30808 0 158710 5143 -5143 -5143 3042 0 3042 3042 28819803 3042 0 25665 3867214 3867214 13597280 13597280 874257 312073 298008 264176 1853165 1260071 216099 376995 13086 -4344 20319 -2889 292608 223808 17397 51403 190207 118310 29090 42807 60515 60515 27000 27000 12466 12466 196006 147942 31087 16977 21749 200 324 21225 281771 56047 138904 86820 882557 827292 28862 26403 2118 2056 62 10256 5234 4787 235 117472 117472 86441 75872 10108 461 SHIPPING COSTS 432312 432312 EQUIPMENT EXPENSES 177557 177557 HIRING EXPENSES 32693 7529 153 25011 MISCELLANEOUS 3990 1915 778 1297 219 219 23032939 21225840 869116 937983 3333898 3184494 509784 510602 212812 419050 8663 152 700156 700981 15865888 21318823 116031 89083 2970372 1447178 1640666 1523194 1183346 1401765 85571 35419 23656815 29183563 350291 404265 553850 0 904141 404265 X 19169506 25449404 3583168 3329894 22752674 28779298 23656815 29183563 5786864 239760 0 X X 0 1 X 1 0 X 24713272 20912881 27297154 23082450 28791096 124796853 24713272 20912881 27297154 23082450 28791096 124796853 24558369 100238484 48677 49220 31205 35342 30808 195252 501 68162 6346 75009 125067114 92169 0.80150 0.68600 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1183346 268884 38000 12465 1401765 1234955 16782 56688 11703 1183346 1183020 63596 11661 1234955 1193220 1758 11958 1183020 1130923 111670 38000 11373 1193220 0.00000 0.71339 0.28661 0 0 340552 340552 1932048 891750 1040298 3100 3100 0 383042 335498 47544 311630 216830 94800 1523194 29252157 239760 205060 444820 28807337 12466 12466 28819803 23225533 205060 205060 23020473 12466 12466 23032939 PART V, LINE 4: THE MEDSHARE BUILDING MAINTENANCE ENDOWMENT FUND WILL BE TO PROVIDE FUNDS FOR THE MAINTENANCE AND REPAIR OF THE HEADQUARTERS BUILDING IN DECATUR, GA. 0 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 4133839 EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 473328 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 118918 MIDDLE EAST AND NORTH AFRICA - ALGERIA, BAHRAIN, DJIBOUTI, EGYPT, 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 297176 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 74358 SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 437003 SOUTH ASIA - AFGHANISTAN, BANGLADESH, BHUTAN, INDIA, MALDIVES, NEPAL, 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 2287485 SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 6989795 0 0 0 0 0 0 14811902 0 14811902 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 129193 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 69012 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 63681 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 230475 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 172282 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 243419 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 96903 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 247603 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 164318 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 100121 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 46750 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 107298 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 39062 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 86190 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 152588 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 18488 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 148401 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 365657 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 381535 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 144991 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 425046 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 6291 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 13106 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 9300 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 563570 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 76803 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 141184 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 115441 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 6290 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 141117 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 63171 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE MIDDLE EAST AND NORTH AFRICA - ALGERIA, BAHRAIN, DJIBOUTI, EGYPT, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 250333 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE MIDDLE EAST AND NORTH AFRICA - ALGERIA, BAHRAIN, DJIBOUTI, EGYPT, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 18979 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE MIDDLE EAST AND NORTH AFRICA - ALGERIA, BAHRAIN, DJIBOUTI, EGYPT, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 18244 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE MIDDLE EAST AND NORTH AFRICA - ALGERIA, BAHRAIN, DJIBOUTI, EGYPT, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 9619 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 55771 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 13937 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 39500 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 146366 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 246768 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SOUTH ASIA - AFGHANISTAN, BANGLADESH, BHUTAN, INDIA, MALDIVES, NEPAL, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 38400 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SOUTH ASIA - AFGHANISTAN, BANGLADESH, BHUTAN, INDIA, MALDIVES, NEPAL, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 13457 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SOUTH ASIA - AFGHANISTAN, BANGLADESH, BHUTAN, INDIA, MALDIVES, NEPAL, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 1623657 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SOUTH ASIA - AFGHANISTAN, BANGLADESH, BHUTAN, INDIA, MALDIVES, NEPAL, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 281286 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SOUTH ASIA - AFGHANISTAN, BANGLADESH, BHUTAN, INDIA, MALDIVES, NEPAL, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 329232 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 129789 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 280475 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 32343 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 292729 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 361548 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 259081 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 14029 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 494063 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 512400 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 523714 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 527195 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 8661 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 6847 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 413559 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 137460 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 253492 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 251200 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 139179 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 126687 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 126664 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 126500 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 158719 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 160033 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 48901 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 100740 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 167844 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 175041 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 182447 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 191968 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 208000 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 236409 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 163562 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 142661 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE 0 0 0 0 0 0 PART I, LINE 2: THERE ARE NO CASH GRANTS AWARDED OUTSIDE THE UNITED STATES. ALL FOREIGN ASSISTANCE IS IN THE FORM OF DONATED MEDICAL SUPPLIES AND EQUIPMENT. PART III ACCOUNTING METHOD: X X X X X X X 1 WELLSPRING NONPROFIT RESOURCE INC 2870 PEACHTREE RD SUITE 614 ATLANTA GA 30305 GRANTWRITING 0 0 0 21000 THE MENDALGROUP LLC 220 PONCE DE LEON PL 524 DECATUR GA 30030 DEVELOPMENT CONSULTANT 0 0 0 6000 27000 GA AL AZ CA CO CT DE FL HI ID IL IN IA KY LA MA MD ME MI MN MO MS MT NC NE NH NJ NM NV NY OH OK OR PA SC TN TX UT VA VT WA WI WY DC KALEIDOSCOPE 104384 104384 4391 SHARE THE GOOD GALA 49222 49222 386 1 5104 5104 366 158710 158710 5143 5143 -5143 1 ACTION NETWORK OF ATLANTA PO BOX 10919 ATLANTA GA 30310 852889531 501(C)(3) 9000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT ALAMEDA COUNTY - DUBLIN 6780 SIERRA CT SUITE M DUBLIN CA 94568 946000501 501(C)(3) 58621 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT ALAMEDA COUNTY FOOD BANK - OAKLAND 7500 EDGEWATER DRIVE OAKLAND CA 94621 942960297 501(C)(3) 51850 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT ALPHA CLINICS 138 S ORCHARD AVE VACAVILLE CA 95688 680114145 501(C)(3) 8060 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT ANAHEIM COMMUNITY FOUNDATION 200 SOUTH ANAHEIM BLVD SUITE433 ANAHEIM CA 92805 330033023 501(C)(3) 9000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT ANAHEIM YMCA 240 S EUCLID ST ANAHEIM CA 92802 951709299 501(C)(3) 9000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT ANGELS OF GRACE COMMUNITY WELLNESS CENTER 1030 4TH ST SE CAIRO GA 39828 473561575 501(C)(3) 5247 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT ASHTABULA COUNTY HEAD START 4510 MAIN AVE ASHTABULA OH 44004 113802674 501(C)(3) 12000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT ATLANTA PUBLIC SCHOOLS 210 PRYOR RD ATLANTA GA 30335 586000134 501(C)(3) 75000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT ATLANTA TOOLBANK 410 ENGLEWOOD AVE SE ATLANTA GA 30315 582363433 501(C)(3) 30510 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT AXIS COMMUNITY HEALTH 5925 W LAS POSITAS BLVD UNIT 100 PLEASANTON CA 94588 942232394 501(C)(3) 5393 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT BEAR SOLDIER FIRE RESCUE FREMONT FIR DEPARTMENT 3300 CAPITOL AVE FREMONT CA 94538 831476532 501(C)(3) 21219 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT BEREAN CHRISTIAN CHURCH 1737 PANOLA RD STONE MOUNTAIN GA 30088 320349640 501(C)(3) 10272 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT BETHESDA COMMUNITY CLINIC 111 MOUNTAIN BROOK DR CANTON GA 30115 274923001 501(C)(3) 5056 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT BIG BROTHERS BIG SISTERS 1382 PEACHTREE STREET NE ATLANTA GA 30309 231365190 501(C)(3) 9000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT BILL WILSON CENTER 3490 THE ALAMEDA SANTA CLARA CA 94541 942221849 501(C)(3) 10500 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT BILL WILSON CENTER 3490 THE ALAMEDA SANTA CLARA CA 94541 942221849 501(C)(3) 8060 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT BLUE SHIELD OF CALIFORNIA 601 12TH ST OAKLAND CA 94607 942822302 501(C)(3) 15253 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT BLUE SHIELD OF CALIFORNIA UNITRANS 601 12TH ST OAKLAND CA 94607 840360524 501(C)(3) 49447 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT BOYS & GIRLS CLUBS OF LA HARBOR 1444 WEST Q ST WILMINGTON CA 90744 951661682 501(C)(3) 10250 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT BOYS & GIRLS CLUBS OF LANIER 1 POSITIVE PLACE GAINESVILLE GA 30503 580656890 501(C)(3) 8500 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT BRAID MISSION 312 GEORGIA STREET VALLEJO CA 94590 941156840 501(C)(3) 14000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT BROOKDALE MEDICAL CENTER 1275 LINDEN BLVD BROOKLYN NY 11212 111631746 501(C)(3) 10406 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT BUCKHEAD CHURCH 3336 PEACHTREE RD ATLANTA GA 30326 582203569 501(C)(3) 10507 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT CAP OCOC FOOD BANK 11870 MONARCH ST GARDEN GROVE CA 92841 952452787 501(C)(3) 75000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT CENTERS FOR ELDER INDEPENDENCE 510 17TH STREET OAKLAND CA 94612 943123446 501(C)(3) 6000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT CENTRAL MO FOSTER CARE & ADOPTION ASSOCIATION 400 NORTH MAIN ROLLA MO 65401 800519145 501(C)(3) 7500 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT CHILDREN'S HOSPITAL LOS ANGELES 4650 SUNSET BLVD LOS ANGELES CA 90027 951690977 501(C)(3) 6000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT CHILDREN'S MERCY HOSPITAL 2401 GILLHAM ROAD KANSAS CITY MO 64108 440605373 501(C)(3) 16500 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT CHRIS 180 INC 1030 FAYETTEVILLE ROAD ATLANTA GA 30316 581430183 501(C)(3) 23150 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT CITY YEAR CHICAGO 36 S WABASH AVE STE 1300 CHICAGO IL 60007 222882549 501(C)(3) 15000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT CLAYTON COUNTY PUBLIC SCHOOLS 1058 FIFTH AVE JOESBORO GA 30236 454281815 501(C)(3) 63000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT COBB COUNTY COMMUNITY FOUNDATION 514 GLOVES ST MARIETTA GA 30061 205652970 501(C)(3) 69299 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT COMMUNITY ACTION AGENCY OF SIOUXLAND 2700 LEECH AVENUE SIOUX CITY IA 51106 420989589 501(C)(3) 9000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT COMMUNITY ADVANCED PRACTICES NURSES 173 BOULEVARD NE ATLANTA GA 30312 582435328 501(C)(3) 5244 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT CORNERSTONE BAPTIST CHURCH 7167 SOUTH SWEETWATER ROAD LITHIA SPRINGS GA 30122 200388154 501(C)(3) 7500 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT COWETA COUNTY SCHOOL SYSTEM 170 WERZ INDUSTRIAL BLVD NEWNAN GA 30263 586000219 501(C)(3) 39000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT CUES & FUENTES ELEMENTARY OUSD 6701 INTERNATIONAL BLVD OAKLAND CA 94621 942737190 501(C)(3) 6000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT CURE VIOLENCE GLOBAL 227 W MONROE ST STE 1025 CHICAGO IL 606060007 823471223 501(C)(3) 15000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT CURRY SENIOR CENTER TM 315 TURK STREET SAN FRANCISCO CA 94102 237362588 501(C)(3) 15000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT DC CHILD AND FAMILY SERVICES AGENCY (CFSA) 200 I STREET SE WASHINGTON DC 20003 999999999 501(C)(3) 15000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT DECATUR COOPERATIVE MINISTRY 115 CHURCH ST DECATUR GA 30030 581082247 501(C)(3) 9467 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT DEKALB COUNTY SCHOOL DISTRICT 1701 MOUNTAIN INDUSTRIAL BLVD STONE MOUNTAIN GA 30083 203133041 501(C)(3) 72000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT DELTA SIGMA THETA SORORITY - HENRY COUNTY ALUMNAE CHAPTER PO BOX 787 MCDONOUGH GA 30253 593790767 501(C)(3) 7250 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT DOUGLAS COUNTY SCHOOL SYSTEM 9030 HIGHWAY 5 DOUGLAS GA 30134 846011446 501(C)(3) 7500 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT DOWNTOWN STREETS TEAM 1671 ALAMEDA SUITE 306 SAN JOSE CA 95120 205242330 501(C)(3) 33000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT EAST SAN JOSE PEACE PARTNERSHIP 2400 CLOVE DRIVE SAN JOSE CA 95128 770187890 501(C)(3) 31500 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT ETHNE HEALTH 4122 E PONCE DE LEON AVE CLARKSTON GA 30021 823920554 501(C)(3) 7472 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT FAMILY HOUSE 540 MISSION BAY BLVD NORTH SAN FRANCISCO CA 94158 942722663 501(C)(3) 9000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT FAYETTE COUNTY PUBLIC SCHOOLS 939 GOZA ROAD FAYETTEVILLE GA 30215 611295655 501(C)(3) 9000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT FODAC 4900 LEWIS ROAD STONE MOUNTAIN GA 30083 581709436 501(C)(3) 74321 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT FULTON COUNTY SCHOOLS 786 CLEVELAND AVE SW ATLANTA GA 30315 586000246 501(C)(3) 70850 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT GAP MINISTRIES 2861 NORTH FLOWING WELLS TUCSON AZ 85705 860999503 501(C)(3) 7500 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT GEORGIA CENTER FOR NONPROFITS 881 MEMORIAL DR SE UNIT 1001 ATLANTA GA 30316 582554789 501(C)(3) 99232 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT GLEANING FOR THE WORLD 7539 STAGE ROAD CONCORD VA 24538 541930105 501(C)(3) 950116 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT GLOBAL HEALTHCARE AND EDUCATION INITIATIVE 352 LAFAYETTE AVENUE BROOKLYN NY 11238 999999999 501(C)(3) 5461 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT GOOD SAMARITAN HEALTH CENTER 3700 CLUB DRIVE LAWRENCEVILLE GA 30044 582373395 501(C)(3) 5031 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT GRASSROOTS HEALTHCARE FOUNDATION 732 PLACER CIRCLE VACAVILLE CA 95687 320600776 501(C)(3) 9283 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT GRIFFIN SPALDING COUNTY SCHOOL SYSTEM 216 SOUTH SIXTH ST GRIFFIN GA 30224 586003006 501(C)(3) 28500 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT GWINNETT AREA 1 COUNCIL OF PTA 4311 ROYAL MUSTANG WAY SNELLVILLE GA 30039 262306796 501(C)(3) 24000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT HANDS OF HOPE CLINIC 1010 HOSPITAL DRIVE STOCKBRIDGE GA 30281 694357557 501(C)(3) 5601 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT HARRISON BOARD OF EDUCATION 517 HAMILTON STREET HARRISON NJ 07029 999999999 501(C)(3) 9000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT HEARTSHARE 82-12 151ST AVENUE HOWARD BEACH NY 11214 111633549 501(C)(3) 13500 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT HOPE ROSWELL 480 W CROSSVILLE RD ROSWELL GA 30328 454367335 501(C)(3) 6000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT HOWARD COUNTY GENERAL HOSPITAL 6614 RIDGE ROAD SKYESVILLE MD 21784 522093120 501(C)(3) 18000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT ILLUMINATION FOUNDATION 1091 N BATAVIA STREET ORANGE CA 92867 711047686 501(C)(3) 7500 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT INSTITUE FOR SOCIAL AND HUMAN DEVELOPMENT 155 BOVET RD SUITE 300 SAN MATEO CA 94402 942920286 501(C)(3) 6000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT JEWISH HOME LIFE 3150 HOWELL MILL ROAD NW ATLANTA GA 30327 474755353 501(C)(3) 12156 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT KEATON'S CHILD CANCER ALLIANCE (HI RISK) 2260 DOUGLAS BLVD ROSEVILLE CA 95661 680406980 501(C)(3) 9091 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT KIPP WOODSON PARK ACADEMY 20 EVELYN WAY NW ATLANTA GA 30318 113723114 501(C)(3) 27000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT LA CLINICA DE LA RAZA PO BOX 17054 OAKLAND CA 94601 941744108 501(C)(3) 9000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT LA RABIDA CHILDREN'S HOSPITAL 6501 S PROMONTORY DRIVE CHICAGO IL 60649 362170143 501(C)(3) 9000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT LAPEER COUNTY OFFICE MI DEPT HEALTH AND HUMAN SERVICES 1505 SUNCREST DRIVE LAPEER MI 48446 999999999 501(C)(3) 9000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT LAVA MAE 1701 MONARCH ST SUITE 200 ALAMEDA CA 94501 810832318 501(C)(3) 19470 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT LIFELONG MEDICAL CARE - (EAST OAKLAND) 386 14TH STREET OAKLAND CA 94612 942502308 501(C)(3) 6778 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT LINCOLN ELEMENTARY SCHOOL 1111 COMMERCIAL DRIVE/225 11TH ST OAKLAND CA 94607 PORT ALLEN LA 70767 134250837 501(C)(3) 62970 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT MARIETTA CITY SCHOOLS 250 HOWARD ST MARIETTA CA 30060 581524893 501(C)(3) 52500 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT MARIN CHILDCARE COUNCIL 555 NORTH GATE DRIVE SAN RAFAEL CA 94903 942605281 501(C)(3) 6000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT MARIN FOOD BANK 2550 KERNER BLVD SAN RAFAEL CA 94901 943041517 501(C)(3) 155640 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT MILWAUKEE RESCUE MISSION NORTH CAMPUS 1530 W CENTER STREET MILWAUKEE WI 53206 390816851 501(C)(3) 9000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT MONTEREY COUNTY AGRICULTURAL 522 NORTH 2ND STREET KING CITY CA 93930 942495649 501(C)(3) 133500 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT NASSAU BOCES (BOARD OF COOPERATIVE EDUCATIONAL SERVICES) 71 CLINTON ROAD GARDEN CITY NY 11530 112136917 501(C)(3) 39000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT NATIVE AMERICAN HEALTH CENTER 2950 INTERNATIONAL BLVD OAKLAND CA 94601 237135928 501(C)(3) 13500 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT NEW YORK PRESBYTERIAN 1320 YORK AVE APT 18H NEW YORK NY 10021 133160356 501(C)(3) 7091 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT NOVA SOUTHEASTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE 3200 S UNIVERSITY DRIVE FORT LAUDERDALE FL 33328 591083502 501(C)(3) 15000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT MEDCURA HEALTH 5563 MEMORIAL DR STONE MOUNTAIN GA 30083 581413957 501(C)(3) 6030 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT OPEN ARMS CLINIC 109 BIG A RD TOCCOA GA 30577 203296577 501(C)(3) 5220 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT PARTNERS FOR HOME 275 PRYOR ST SW ATLANTA GA 30303 473476724 501(C)(3) 21274 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT PLACE OF HOPE CLINIC 5404 JONESBORO RD LAKE CITY GA 30260 582656313 501(C)(3) 36158 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT PROJECT HOPE 7500 OLD GEORGETOWN ROAD BETHESDA MD 20814 530242962 501(C)(3) 24642 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT REDWOOD EMPIRE FOOD BANK 3990 BRICKWAY BLVD SANTA ROSA CA 95403 680121855 501(C)(3) 53000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT ROCKDALE COUNTY SCHOOL DISTRICT 954 NORTH MAIN STREET CONYERS GA 30012 586000312 501(C)(3) 45000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT ROOTS COMMUNITY HEALTH CENTER 9925 INTERNATIONAL BLVD SUITE 12 OAKLAND CA 94603 262583954 501(C)(3) 173955 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT ROOTS OUTREACH TEAM EAST OAKLAND 9925 INTERNATIONAL BLVD OAKLAND CA 94603 262583954 501(C)(3) 6494 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT RUTHERFORD COUNTY SCHOOLS 2240 SOUTHPARK DRIVE MURFREESBORO TN 37128 272771407 501(C)(3) 35000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT SACRED HEART COMMUNITY SERVICE 1381 S 1ST ST SAN JOSE CA 95110 237179787 501(C)(3) 106500 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT SANTA CLARA COUNTY JAIL 150 W HEDDING ST SAN JOSE CA 95110 946000426 501(C)(3) 16500 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT SAVE THE FRONTLINE C/O MICHAEL MARGO FOUNDATION INC 12 JULIAN ST HICKVILLE NY 11801 202280077 501(C)(3) 37500 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT SECOND HARVEST OF SILICON VALLEY 4001 NORTH 1ST STREET SAN JOSE CA 95134 942614101 501(C)(3) 64500 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT SPREAD ALOHA TO THE WORLDMINNESOTA 1820 JAMISON WINDOM MN 56101 473596170 501(C)(3) 6919 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT STANDING ROCK FREE CLINIC STANDING ROCK SIOUX RESERVATION FORT YATES ND 58538 450432519 501(C)(3) 55500 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT THE HEALTH TRUST 3180 NEWBERRY DR SUITE 200 SAN JOSE CA 95118 946050231 501(C)(3) 9000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT THE RESOURCE CENTER 3911 CAIN MILL DRIVE LITHONIA GA 30038 636005396 501(C)(3) 5907 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT TIBURCIO VASQUEZ HEALTH CENTER INC 22331 MISSION BLVD OR 16110 E 14TH STREET SAN LEANDRO CA 9457 ALAMEDA CA 94541 237118361 501(C)(3) 8219 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT UNITED WAY OF SOUTHWEST GEORGIA 112 N WESTOVER BLVD ALBANY GA 31707 580655156 501(C)(3) 5280 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT UNITED WAY OF WYOMING VALLEY 100 N PENNSYLVANIA AVE 2ND FLOOR WILKESBARRE PA 18701 240831490 501(C)(3) 9000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT VALLEY CHILDREN'S HOSPITAL 41169 GOODWIN WAY FRESNO CA 93720 941294954 501(C)(3) 6000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT VOLUNTEER FLORIDA FOUNDATION 545 RAYMOND DIEHL RD 250 TALAHASSEE FL 32308 010973168 501(C)(3) 75000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT WILLING HELPERS MEDICAL INC 8207 HWY 278 NW COVINGTON GA 30014 562602392 501(C)(3) 5492 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT WYOMING INDIAN SCHOOLS 638 BLUE SKY HIGHWAY EYHETE WY 82520 850275393 501(C)(3) 15000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT YOUTH ALLIANCE 1572 HAIGHT ST SAN FRANCISCO CA 94117 813036333 501(C)(3) 63000 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT 111 0 PART I, LINE 2: ALL NONCASH ASSISTANCE IS IN THE FORM OF SURPLUS MEDICAL EQUIPMENT AND SUPPLIES 1 X X 0 0 0 0 0 0 0 0 0 CHARLES REDDING PRESIDENT/CEO 202359 0 34000 0 0 0 4685 0 7756 0 248800 0 0 0 AB SHORT RETIRED CEO/EMERITUS TRUSTEE SEE PART V X 159128 700981 0 1 1 700981 SCHEDULE L PART II, LOANS TO INTERESTED PERSONS PURPOSE OF LOAN:AMOUNTS REFLECT PREMIUM ADVANCED TO FORMER KEY EXECUTIVE FOR THE PURCHASE OF LIFE INSURANCE, WHEREBY EACH PREMIUM IS TREATED AS A LOAN TO THE FORMER KEY EXECUTIVE FOR TAX PURPOSES UNDER IRC SECTION 26 C.F.R. SUBSECTION 1.7872-15. IT WILL BE REPAID AT THE DEATH OF MR. SHORT INCLUDING PRINCIPAL PLUS CUMULATIVE INTEREST AT A RATE ESTABLISHED BY THE INTERNAL REVENUE SERVICE. X 5026 FAIR MARKET VALUE X EQUIPMENT AND SUPPLIES 0 21331518 FAIR MARKET VALUE X SHIPPING 0 121695 FAIR MARKET VALUE 3 0 1 0 FORM 990, PART VI, SECTION B, LINE 11B EACH TRUSTEE RECEIVES AN ELECTRONIC COPY OF THE FORM 990 WITH A REQUEST THAT THEY REVIEW AND SUBMIT ANY QUESTIONS TO THE CHIEF FINANCIAL OFFICER. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY AND COMPLIANCE FORM ARE SENT ANNUALLY TO EACH TRUSTEE AND THE CEO. COMPLIANCE IS MONITORED BY THE CFO. FORM 990, PART VI, SECTION B, LINE 15A THE SALARY FOR THE CEO WAS AGREED UPON BY THE BOARD OF TRUSTEES AFTER A THOROUGH REVIEW OF SALARY DATA COMPARISONS. AN ANNUAL REVIEW IS COMPLETED BY THE EXECUTIVE COMMITTEE, WHO REQUEST INPUT FROM ALL TRUSTEES, AND IS REVIEWED WITH THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF AUDITED FINANCIAL STATEMENTS AND FORM 990 ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE AND UPON REQUEST. FORM 990 PART XIII LINE 1E ON 04/13/20, THE ORGANIZATION RECEIVED A GRANT FROM THE PAYCHECK PROTECTION PROGRAM IN THE AMOUNT OF $553,850 TO BE USED FOR PAYROLL EXPENSES, MORTGAGE INTEREST, COMMERCIAL RENT OR UTILITIES. UNDER GUIDANCE OF THE AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS, THE GRANT FUNDS ARE TO BE RECOGNIZED AS INCOME ONCE ALL CONDITIONS OF THE GRANT ARE SUBSTANTIALLY MET OR EXPLICITLY WAIVED. AT 06/30/21, THE ORGANIZATION HAD SUBSTANTIALLY MET ALL CONDITIONS OF THE GRANT AND RECORDED THE PROCEEDS AS GRANT INCOME ON THE INCOME STATEMENT. FORM XII, LINE 2C THE AUDIT COMMITTEE OF THE ORGANIZATION ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT.