2020-02-18T14:13:59-06:00 2019-06-30 454084437 WARREN AVERETT LLC 2500 ACTON ROAD BIRMINGHAM AL 35243 990 2018-07-01 582433968 MEDSHARE INTERNATIONAL INC MEDS 7703235858 3240 CLIFTON SPRINGS ROAD DECATUR GA 30034 CHARLES REDDING PRESIDENT/CEO 7703235858 2020-02-18 1 MEGAN RANDOLPH P00989558 2059794100 2020-02-17 209.136.244.2 2020-02-18 14:01:59 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 95D733EE951200AFCC5ADA28EDB6EEDCD89109D1 2018 2020-09-23 17:36:50Z CHARLES REDDING 3240 CLIFTON SPRINGS RD DECATUR GA 30034 27333478 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. 17 17 49 20000 0 0 20832924 27220504 0 0 -7890 31205 -145177 -307248 20679857 26944461 13544927 17120674 0 0 2737418 3061735 0 11875 1109702 2278301 2894069 18560646 23088353 2119211 3856108 18828083 22797911 385744 462551 18442339 22335360 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 IN 105 COUNTRIES. 0 0 21293457 17120674 5119 DURING THE FISCAL YEAR 2019, THE MEDSHARE MISSION SERVED 1.7 MILLION PATIENTS IN 69 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, DELTA CARING CREW AND MEDICAL MISSION TEAMS WERE ESSENTIAL TO OUR EARLY RESPONSE TO CYCLONE IDAI. WE ALSO WORKED WITH THE LUDACRIS FOUNDATION FOR THE FIRST TIME. IN RESPONSE TO THE DEVASTATION OF HURRICANE DORIAN 800 POUNDS OF EMERGENCY MEDICAL SUPPLIES WERE FLOWN TO THE BAHAMAS.DURING TWENTY-ONE YEARS OF SERVICE TO MEDICALLY UNDERSERVED COMMUNITIES, MEDSHARE HAS DONATED $236 MILLION IN AID TO SERVE MORE THAN 21 MILLION PATIENTS IN 105 COUNTRIES. IN SERVICE TO OUR ENVIRONMENT WE HAVE DIVERTED ALMOST 2 MILLION POUNDS OF QUALITY MEDICAL SUPPLIES FROM LOCAL LANDFILLS. 21293457 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 1 1 0 0 1 0 0 1 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 6 0 1 49 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 GA AL AR AZ CA CO CT DE FL ID IL IN IA KY LA MA MD ME MI MN MO MT NC NE NH NJ NM NV NY OH OK OR PA RI 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 CHAIR 1.50 0.00 X X 0 0 0 IBRAHEEM T BADEJO PHD TRUSTEE 0.50 0.00 X 0 0 0 JOSH COVETT TRUSTEE 0.50 0.00 X 0 0 0 DONNA DRUMMOND TREASURER 0.50 0.00 X X 0 0 0 EVAN GLOVER TRUSTEE 0.50 0.00 X 0 0 0 DAVID KOCHMAN TRUSTEE 0.50 0.00 X 0 0 0 MIKE TUCK TRUSTEE 0.50 0.00 X 0 0 0 MICHAEL R IRWIN TRUSTEE 0.50 0.00 X 0 0 0 MENDAL A BOUKNIGHT SECRETARY 0.50 0.00 X X 0 0 0 THOMAS ASHER TRUSTEE 0.50 0.00 X 0 0 0 KATHLEEN BARKSDALE TRUSTEE 0.50 0.00 X 0 0 0 DANA H HALBERG CFA TRUSTEE 0.50 0.00 X 0 0 0 SUSAN SPRUNK TRUSTEE 0.50 0.00 X 0 0 0 SANDY TYTEL TRUSTEE 0.50 0.00 X 0 0 0 IRA HOROWITZ MD TRUSTEE 0.50 0.00 X 0 0 0 KASSY KEBEDE TRUSTEE 0.50 0.00 X 0 0 0 KEITH WINN VICE CHAIR 1.50 0.00 X X 0 0 0 CHARLES REDDING PRESIDENT /CEO 40.00 0.00 X 223090 0 11897 NELL DIALLO VP OF INTERNATIONAL DEVELO 40.00 0.00 X 118533 0 7218 ERIC TALBERT WESTERN REGIONAL DIRECTOR 40.00 0.00 X 126670 0 10442 KIMBERLY LABOONE CFO THROUGH 2/27/19 40.00 0.00 X 102571 0 5414 570864 0 34971 4 0 1 0 0 726094 26494410 21118177 27220504 31205 31205 76650 726094 389017 -312367 -312367 5119 0 5119 5119 26944461 5119 0 -281162 1217695 1217695 15902979 15902979 223337 67001 33501 122835 2323564 1457490 348534 517540 16021 11016 2403 2602 306940 186410 46041 74489 191873 115124 28781 47968 165 74 56 35 34544 15545 11745 7254 11875 11875 11661 11661 353787 200813 67583 85391 67742 67742 93854 24402 34726 34726 132421 34838 48931 48652 827693 778031 24831 24831 171579 123537 48042 161627 151929 4849 4849 65397 58857 2616 3924 SHIPPING COSTS 933533 933533 MISCELLANEOUS 18773 6007 12766 EQUIPMENT EXPENSES 13530 3518 5006 5006 HIRING EXPENSES 7763 4658 1164 1941 23088353 21293457 685194 1109702 1252949 981116 505947 507968 291087 239719 1202 2025 617608 699193 12996914 17124354 158952 127354 2910138 1215787 1784986 1694351 1183019 1234954 35419 186877 18828083 22797911 330494 409001 55250 53550 385744 462551 X 15348688 19316800 2093651 2018560 1000000 1000000 18442339 22335360 18828083 22797911 3856108 36913 0 X X 0 1 X 1 0 X 22452545 24409309 24713272 20912881 27297154 119785161 22452545 24409309 24713272 20912881 27297154 119785161 37466088 82319073 32703 47313 48677 49220 31205 209118 597390 106767 501 68162 772820 120767099 108043 0.68160 0.64330 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1183020 63596 11661 1234955 1193220 1758 11958 1183020 1130923 111670 38000 11373 1193220 1128012 13813 10902 1130923 1171710 -768 31400 11440 1128102 0.00000 0.82220 0.17780 0 0 340552 340552 1932047 753791 1178256 3100 3100 0 383044 297777 85267 251395 161119 90276 1694351 27367637 36913 397924 434837 26932800 11661 11661 26944461 23474616 397924 397924 23076692 11661 11661 23088353 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 1188320 EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 1332680 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 462683 MIDDLE EAST AND NORTH AFRICA - ALGERIA, BAHRAIN, DJIBOUTI, EGYPT, 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 4246 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 79407 RUSSIA AND NEIGHBORING STATES - ARMENIA, AZERBIJAN, BELARUS, 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 227380 SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 542550 SOUTH ASIA - AFGHANISTAN, BANGLADESH, BHUTAN, INDIA, MALDIVES, NEPAL, 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 68743 SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 11996970 0 0 0 0 0 0 3906009 11996970 15902979 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 70310 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 213807 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 188084 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 122430 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 75314 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 50395 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 108155 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 134506 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 178831 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 120098 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 254250 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 167269 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 213353 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 173196 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 461753 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE RUSSIA AND NEIGHBORING STATES - ARMENIA, AZERBIJAN, BELARUS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 223154 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 16986 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 51000 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 213938 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 117641 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 69621 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 27908 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SOUTH ASIA - AFGHANISTAN, BANGLADESH, BHUTAN, INDIA, MALDIVES, NEPAL, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 60740 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 49500 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 377032 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 1094686 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 45000 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 149284 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 117768 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 202016 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 217933 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 116172 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 126990 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 149172 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 407526 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 147136 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 156967 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 190503 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 133403 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 221613 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 223703 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 277620 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 81498 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 164717 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 63347 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 149356 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 473539 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 53000 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 174743 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 119629 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 45500 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 2660792 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 211032 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 151562 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 487555 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 108670 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 49580 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 134068 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 128413 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 52000 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 283096 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 270149 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 111804 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 50000 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 92500 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 111311 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 253861 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 245093 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 107419 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 20721 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 128661 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 247519 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 95469 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE 73 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. KALEIDOSCOPE 340915 304915 36000 34977 58455 36840 100412 SHARE THE GOOD GALA 241086 211086 30000 58103 23925 3 220743 210093 10650 8609 13578 1700 52418 802744 726094 76650 43586 130136 38540 176755 389017 -312367 1 GLEANING FOR THE WORLD 7539 STAGE ROAD CONCORD VA 24538 541930105 501 (C) (3) 0 749639 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) 0 40524 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) 0 34046 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) 0 33337 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT ALPHA CLINICS 138 S ORCHARD AVE VACAVILLE CA 95688 680114145 501 (C) (3) 0 31471 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) 0 22545 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT BRIGHTER BEGINNINGS- RICHMOND 2727 MACDONALD AVE RICHMOND CA 94804 942949749 501 (C) (3) 0 15498 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT SAN FRANCISCO FREE CLINIC 4900 CALIFORNIA ST SAN FRANSISCO CA 94118 943186248 501 (C) (3) 0 10299 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT SHOT IN THE DARKSONORAN PREVENTION WORKS 3201 N 16TH STREET PHOENIX AZ 95016 300760098 501 (C) (3) 0 9876 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT ROOTS OUTREACH TEAM EAST OAKLAND 9925 INTERNATIONAL BLVD SUITE 5 OAKLAND CA 94603 262583954 501 (C) (3) 0 9570 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT WILLING HELPERS MEDICAL INC 8207 HWY 278 NW SUITE 28 COVINGTON GA 30014 562602392 501 (C) (3) 0 6765 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT DAVIS STREET PRIMARY CARE CLINIC 3081 TEAGARDEN ST SAN LEANDRO CA 94577 813892878 501 (C) (3) 0 6460 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT BAYVIEW HUNTER'S POINT ADULT DAY CARE HEALTH CENTER 1250 LA SALLE AVE SAN FRANSISCO CA 94124 942186268 501 (C) (3) 0 6364 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT FIX OUR FERALS 12226 SAN PABLO AVE RICHMOND CA 94805 943297241 501 (C) (3) 0 6015 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT BERKELEY FREE CLINIC 2339 DURANT AVE BERKELEY CA 94704 941697002 501 (C) (3) 0 5878 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT HELPING HANDS 1733 ROCKAWAY ROAD CONYERS GA 30012 582618889 501 (C) (3) 0 5840 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT 16 0 PART I, LINE 2: ALL NONCASH ASSISTANCE IS IN THE FORM OF SURPLUS MEDICAL EQUIPMENT AND SUPPLIES X X 0 0 0 0 0 0 0 0 0 CHARLES REDDING PRESIDENT /CEO 211951 0 11139 0 0 0 4679 0 7218 0 234987 0 0 0 AB SHORT RETIRED CEO/EMERITUS TRUSTEE SEE PART V X 159128 699193 0 1 1 699193 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 7 13050 FAIR MARKET VALUE X 32735 FAIR MARKET VALUE X 1 150 FAIR MARKET VALUE X 2 275 FAIR MARKET VALUE X 3031 21026372 FAIR MARKET VALUE X WINE AND OTHER SMALL AUCTION ITEMS 23 37715 FAIR MARKET VALUE X LODGING 8 6880 FAIR MARKET VALUE X OTHER 1 1000 FAIR MARKET VALUE 1 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 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.