2021-03-18T06:41:42-05:00 2020-06-30 454084437 WARREN AVERETT LLC SIX CONCOURSE PARKWAY SUITE 600 ATLANTA GA 30328 990 2019-07-01 582433968 MEDSHARE INTERNATIONAL INC MEDS 7703235858 3240 CLIFTON SPRINGS ROAD DECATUR GA 30034 CHARLES REDDING PRESIDENT/CEO 7703235858 2021-03-15 1 M SUSAN HILL P00846200 7703961100 2021-03-15 2019 2022-09-23 18:48:47Z CHARLES REDDING 3240 CLIFTON SPRINGS RD DECATUR GA 30034 23201365 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. 18 18 48 16636 0 0 27220504 23092450 0 0 31205 35342 -307248 -136046 26944461 22991746 17120674 16560519 0 0 3061735 3094652 11875 39625 1068613 2894069 2864053 23088353 22558849 3856108 432897 22797911 23656815 462551 904141 22335360 22752674 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 20766629 16560519 23173 DURING THE FISCAL YEAR 2020, THE MEDSHARE MISSION SERVED 4.8 MILLION PATIENTS IN 61 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 1,000 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 $237 MILLION IN AID TO SERVE MORE THAN 25 MILLION PATIENTS IN 117 COUNTRIES AND TERRITORIES. IN SERVICE TO OUR ENVIRONMENT WE HAVE DIVERTED ALMOST 2 MILLION POUNDS OF QUALITY MEDICAL SUPPLIES FROM LOCAL LANDFILLS ON AN ANNUAL BASIS. 20766629 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 8 0 1 48 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 18 18 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 ERIKA MITCHELL 4045375072 3240 CLIFTON SPRINGS RD DECATUR GA 30034 ANGELINE FIFE PAST CHAIR 1.50 X 0 0 0 IBRAHEEM T BADEJO PHD TRUSTEE 0.50 X 0 0 0 JOSH COVETT TRUSTEE 0.50 X 0 0 0 DONNA DRUMMOND TREASURER 0.50 X X 0 0 0 EVAN GLOVER TRUSTEE 0.50 X 0 0 0 DAVID KOCHMAN VICE CHAIR/SECRETARY 1.50 X X 0 0 0 MIKE TUCK TRUSTEE 0.50 X 0 0 0 MENDAL A BOUKNIGHT TRUSTEE 0.50 X 0 0 0 THOMAS ASHER TRUSTEE 0.50 X 0 0 0 KATHLEEN BARKSDALE TRUSTEE 0.50 X 0 0 0 DANA H HALBERG CFA TRUSTEE 0.50 X 0 0 0 SANDY TYTEL TRUSTEE 0.50 X 0 0 0 IRA HOROWITZ MD TRUSTEE 0.50 X 0 0 0 KASSY KEBEDE TRUSTEE 0.50 X 0 0 0 KEITH WINN CHAIR 1.50 X X 0 0 0 SAM ASHKNAZ TRUSTEE 0.50 X 0 0 0 TOM HAWK TRUSTEE 0.50 X 0 0 0 PAT SALBER TRUSTEE 0.50 X 0 0 0 CHARLES REDDING PRESIDENT /CEO 40.00 X 210688 0 12435 CRISTINA WELLS SOUTHEAST REGIONAL DIRECTOR 40.00 X 101281 0 7756 NELL DIALLO FORMER VP OF INTERNATIONAL DEVELOP 40.00 X 121793 0 7756 ERIC TALBERT FORMER WESTERN REGIONAL DIRECTOR 40.00 X 127632 0 11113 561394 0 39060 4 1 1 0 0 553726 22538724 15415675 23092450 35342 35342 50400 553726 209619 -159219 -159219 16827 0 16827 16827 MISCELLANEOUS REVENUE 900099 6346 6346 6346 22991746 23173 0 -123877 3174368 3174368 13386151 13386151 643371 386022 96506 160843 1962965 1137910 326524 498531 16800 10080 2520 4200 287744 215578 34804 37362 183772 116635 21021 46116 1883 1883 59920 59920 39625 39625 11703 11703 337091 201651 30017 105423 25389 1598 23791 130166 33415 41486 55265 116989 30032 37287 49670 854555 803281 25637 25637 108054 67819 22740 17495 1816 1140 382 294 113919 113919 78741 71517 5676 1548 SHIPPING COSTS 784280 784280 EQUIPMENT EXPENSES 222332 222332 MISCELLANEOUS 10143 4629 4467 1047 HIRING EXPENSES 6892 4135 1034 1723 180 137 43 22558849 20766629 723607 1068613 981116 3333898 507968 509784 239719 212812 2025 8663 699193 700156 17124354 15865888 127354 116031 2970372 1329706 1694351 1640666 1234954 1183346 186877 85571 22797911 23656815 409001 350291 53550 553850 462551 904141 X 19316800 19169506 3018560 3583168 22335360 22752674 22797911 23656815 432897 -15583 0 X X 0 1 X 1 0 X 24409309 24713272 20912881 27297154 23082450 120415066 24409309 24713272 20912881 27297154 23082450 120415066 37543241 82871825 47313 48677 49220 31205 35342 211757 106767 501 68162 6346 181776 120808599 124870 0.68600 0.68160 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1234955 16782 56688 11703 1183346 1183020 63596 11661 1234955 1193220 1758 11958 1183020 1130923 111670 38000 11373 1193220 1128012 13813 10902 1130923 0.00000 0.84510 0.15490 0 0 340552 340552 1932048 822771 1109277 3100 3100 0 383042 318375 64667 311630 185460 126170 1640666 22968039 -15583 3579 -12004 22980043 11703 11703 22991746 22550725 3579 3579 22547146 11703 11703 22558849 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. 1 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 2055610 EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 202157 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 118579 MIDDLE EAST AND NORTH AFRICA - ALGERIA, BAHRAIN, DJIBOUTI, EGYPT, 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 3768 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 46022 RUSSIA AND NEIGHBORING STATES - ARMENIA, AZERBIJAN, BELARUS, 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 284 SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 1224684 SOUTH ASIA - AFGHANISTAN, BANGLADESH, BHUTAN, INDIA, MALDIVES, NEPAL, 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 814849 SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 8893197 0 0 0 0 0 0 4465953 8893197 13359150 SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 151612 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 125715 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 125012 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 126868 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 144667 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 149786 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 146576 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 166804 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 98816 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 161020 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 201309 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 100036 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 149035 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 207491 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 141355 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 140723 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 156517 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 200874 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 132775 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 296741 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 150340 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 155022 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 164878 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 118318 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 166691 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 125351 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 174295 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 138368 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 113528 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 201275 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 192179 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 124359 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 171058 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 125601 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 165852 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 142310 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 162524 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 146807 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 134368 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 123850 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 118692 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 115818 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 237490 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 114574 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 141408 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 141019 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 125118 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 106425 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 46750 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 210239 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 50000 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 110430 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 133144 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 115017 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 109431 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 160424 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 138562 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 13516 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 8203 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 15076 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 12903 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 6664 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 133725 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 12482 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 219736 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 144376 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 215651 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 58970 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 23000 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 116496 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 117809 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 130139 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 85887 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 146708 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 111795 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 121820 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 80486 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 62250 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 137634 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 128827 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 138546 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 184884 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 20354 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 155046 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 40000 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 127224 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 84869 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 142213 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE EUROPE (INCLUDING ICELAND & GREENLAND) TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 118579 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE 58 0 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 20625 -20625 THE MENDALGROUP LLC 220 PONCE DE LEON PL 524 DECATUR GA 30030 DEVELOPMENT CONSULTANT 0 0 19000 -19000 39625 -39625 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 283580 257180 26400 12200 20035 9250 91825 SHARE THE GOOD GALA 218027 194027 24000 3000 43349 2500 8175 1 102519 102519 3315 15970 604126 553726 50400 15200 66699 11750 115970 209619 -159219 1 GLEANING FOR THE WORLD 7539 STAGE ROAD CONCORD VA 24538 541930105 501 (C) (3) 1014984 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) 49989 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT ORDER OF MALTA CLINIC 2121 HARRISON ST SUITE 1 OAKLAND CA 94612 205969389 501 (C) (3) 6439 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT CONTRA COSTA COMMUNITY OUTREACH CLINIC AND LABORATORY 4041 LONETREE WAY SUITE 101 ANTIOCH CA 94531 825065577 501 (C) (3) 12060 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT ALPHA CLINICS 138 S ORCHARD AVE VACAVILLE CA 95688 680114145 501 (C) (3) 22566 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) 18978 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT FIX OUR FERALS 12226 SAN PABLO AVE RICHMOND CA 94805 943297241 501 (C) (3) 6810 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT KAISER PERMANENTE ONE KAISER PLAZA OAKLAND CA 94612 946365467 521352 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT THE BROOKDALE HOSPITAL MEDICAL CENTER 1 BROOKDALE PLAZA BROOKLYN NY 11212 111631746 200520 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT NEW YORK CITY MAYOR'S OFFICE 253 BRAODWAY 10 NEW YORK NY 10007 139161 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT NYC HEALTH HOSPITALSELMHURST 79-01 BROADWAY ELMHURST NY 11373 362167784 86724 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT SAN FRANCISCO PUBLIC HEALTH 101 GROVE ST SAN FRANCISCO CA 94102 946000417 84165 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT KINGSBROOK JEWISH MEDICAL CENTER CO RUTLAND NURSING HOME 585 SCHENECTADY AVE BROOKLYN NY 11203 111631759 66795 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT SETON MEDICAL CENTER 1201 WEST 38TH ST AUSTIN TX 78705 741109643 65237 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT GRADY MEMORIAL HOSPITAL 80 JESSE HILL JR DRIVE SE ATLANTA GA 30303 262037695 54849 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT ALAMEDA HEALTH CONSORTIUM 101 CALLAN AVE STE 300 SAN LEANDRO CA 94577 510189590 44789 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT MONTEFIORE MEDICAL CENTER 111 E 210TH ST BRONX NY 10467 131740114 42796 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT JEWISH HOME & HOSPITAL FOR AGED 3150 HOWELL MILL RD NW ATLANTA GA 30327 131624033 40505 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT BRONXCARE HEALTH SYSTEM 1650 GRAND CONCOURSE BRONX NY 10457 131974191 39500 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT PROVIDENCE HOSPITAL 2121 SANTA MONICA BLVD SANTA MONICA CA 90404 951684082 39500 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT SF CITY IMPACT HEALTH AND WELLNESS CENTER 140 TURK ST SAN FRANCISO CA 94102 900332259 31664 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT MARTIN LUTHER KING JR COMMUNITY HOSPITAL 1680 E 120TH ST LOS ANGELES CA 90059 274658935 27385 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT ANAHEIM GLOBAL MEDICAL CENTER 1025 S ANAHEIM BLVD ANAHEIM CA 92805 550883859 22458 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT ATLANTIC HEALTH SYSTEM 100 MADISON AVE MORRISTOWN NJ 07960 223380375 19750 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT CAPITAL HEALTH SYSTEM 750 BRUINSWICK AVE TRENTON NJ 08638 223548695 19750 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT HACKENSACK MERIDIAN HEALTH 30 PROSPECT AVE HACKENSACK NJ 07601 221487278 19750 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT KAISER RICHMOND 901 NEVIN AVE RICHMOND CA 94801 946365467 18905 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT PARTNERS FOR HOME 275 PRYOR ST SW ATLANTA GA 30303 473476724 501 (C) (3) 16529 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT BUILDING FUTURES 1840 FAIRWAY DR SAN LEANDRO CA 94577 943100741 501 (C) (3) 13949 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) 11406 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT PHOEBE PUTNEY 417 W 3RD AVE ALBANY GA 31701 581928247 9552 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT ANTIOCH URBAN MINISTRIES 466 NORTHSIDE DR NW ATLANTA GA 30318 581972467 501 (C) (3) 7546 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT COHEN CHILDREN'S MEDICAL CENTER 269-01 76TH AVE NEW HYDE PARK NY 11040 112241326 6818 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT COMMUNITY ADVANCED PRACTICES NURSES 173 BOULEVARD NE ATLANTA GA 30312 582435328 501 (C) (3) 6123 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT JUSTICE FOR ALL 221 UPPER RIVERDALE RD JONESBORO GA 30236 501 (C) (3) 5625 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT LAVA MAE 1701 MONARCH ST SUITE 200 ALAMEDA CA 94501 810832318 501 (C) (3) 5549 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT RAPHA CLINIC OF WEST GEORGIA 253 E HIGHWAY 78 TEMPLE GA 30179 271188932 501 (C) (3) 5530 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT LIFELONG MEDICAL CARE - TRUST CLINIC 2344 6TH ST BERKELEY CA 94710 942502308 501 (C) (3) 5382 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT MARIN COMMUNITY CLINICS 5 BON AIR RD SUITE 117 BLDG D LARKSPUR CA 94939 942237120 5310 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT GOOD SAMARITAN HEALTH CENTER OF COBB INC 1605 ROBERTA DR SW MARIETTA GA 30008 320045238 501 (C) (3) 5048 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT 17 23 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 199549 0 11139 0 0 0 0 0 0 0 210688 0 0 0 NELL DIALLO FORMER VP OF INTERNATIONAL DEVELOP 121329 0 464 0 0 0 0 0 0 0 121793 0 0 0 ERIC TALBERT FORMER WESTERN REGIONAL DIRECTOR 127158 0 474 0 0 0 0 0 0 0 127632 0 0 0 AB SHORT RETIRED CEO/EMERITUS TRUSTEE SEE PART V X 159128 700156 0 1 1 700156 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 3 550 FAIR MARKET VALUE X 1200 FAIR MARKET VALUE X EQUIPMENT AND SUPPLIES 0 15120430 FAIR MARKET VALUE X SHIPPING 0 280332 FAIR MARKET VALUE X TRAVEL 7 7208 FAIR MARKET VALUE X EXPERIENCE 13 5655 FAIR MARKET VALUE X DINING 1 250 FAIR MARKET VALUE X OTHER 1 50 FAIR MARKET VALUE 2 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 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.