2020-09-17T09:24:03-05:00 2019-12-31 390974031 WEGNER CPAS LLP 230 PARK AVE FL 3 NEW YORK NY 101690005 990 2019-01-01 201102853 TIBA FOUNDATION TIBA 4143748370 BOX 1028 4200 PARK BLVD OAKLAND CA 94602 ARNE WAGNER JD TREASURER 4143748370 2020-09-08 1 YIGIT UCTUM CPA P01269549 2125511724 66.222.124.178 2020-09-08 10:50:26 CD P 6BE22992A1FE3C9B6F79F8315EFC85A5D6DFCE95 74B0C536FBDEA54BE69F712409E5EA3D5A3AE8D3 2019 2021-01-29 14:40:06Z DIANE DODGE BOX 1028 4200 PARK BLVD OAKLAND CA 94602 1123323 0 X WWW.TIBAFOUNDATION.ORG X 2004 CA TO BUILD COMMUNITY HEALTHCARE IN RURAL KENYA BY PROVIDING MEDICAL TREATMENT, TRAINING, FACILITIES AND EQUIPMENT, AND TO EMPOWER LOCAL COMMUNITIES TO TAKE CONTROL OVER THEIR OWN HEALTH AND WELL-BEING. 9 9 3 46 0 0 766215 1057766 0 0 16277 573 155144 -62397 937636 995942 595663 416378 0 0 239450 224322 0 0 56641 66680 69431 901793 710131 35843 285811 517227 807303 6658 9507 510569 797796 X TO BUILD COMMUNITY HEALTHCARE IN RURAL KENYA BY PROVIDING MEDICAL TREATMENT, TRAINING, FACILITIES AND EQUIPMENT, AND TO EMPOWER LOCAL COMMUNITIES TO TAKE CONTROL OVER THEIR OWN HEALTH AND WELL-BEING. 0 0 576423 416378 0 DURING 2019, TIBA SUPPORTED THE OPERATION OF THE MATIBABU HOSPITAL (CONSTRUCTION OF WHICH TIBA HAD PREVIOUSLY FINANCED), AND THREE OUTPATIENT CLINICS IN UGENYA DISTRICT, KENYA. THESE FACILITIES PROVIDE A WIDE RANGE OF HEALTHCARE SERVICES TO THE LOCAL COMMUNITY, INCLUDING LABOR AND CHILDBIRTH; HIV TESTING, TREATMENT AND COUNSELING; CERVICAL CANCER SCREENINGS AND ULTRASOUNDS FOR LOCAL WOMEN; PEDIATRIC SERVICES; LAB TESTS; MEDICATION PRESCRIPTIONS; AND TREATMENT FOR SUCH CONDITIONS AS MALARIA, HYPERTENSION, ETC. TIBA SUPPORTED A VARIETY OF COMMUNITY HEALTH PROGRAMS IN UGENYA DISTRICT, KENYA. ONE OF THESE IS A MOTHER AND CHILD NUTRITION PROGRAM THAT TRAINED LOCAL WOMEN TO PROVIDE NUTRITIONAL GUIDANCE TO MOTHERS, BENEFITING MANY THOUSANDS OF MOTHERS AND CHILDREN. ALSO A WOMEN'S EMPOWERMENT AND FAMILY PLANNING PROGRAM THAT PROVIDES CONTRACEPTIVE SUPPORT AND SUPPLIES; COUNSELING; AND PRE- AND POST-NATAL CARE. ALSO A DISABILITY AND MOBILITY PROGRAM, THAT PROVIDES PHYSICAL THERAPY, MOBILITY TOOLS, AND MEDICINE TO DISABLED PEOPLE, AS WELL AS PEER SUPPORT FOR THEM AND THEIR FAMILIES. TIBA ALSO SUPPORTED A LARGE CONTINGENT OF COMMUNITY HEALTHWORKERS WHO TRAVELED THROUGHOUT THE COMMUNITY EDUCATING RESIDENTS ABOUT SANITATION, CLEAN WATER, BEDNETS AND OTHER ISSUES OF HYGIENE, AS WELL AS IDENTIFYING INDIVIDUALS WHO NEED MEDICAL TREATMENT. TIBA ALSO PROVIDED SCHOLARSHIPS TO LOCAL NURSING STUDENTS. TIBA ARRANGED FOR SOME TWO DOZEN VOLUNTEERS, PRIMARILY U.S. PHYSICIANS AND NURSES, TO TRAVEL TO UGENYA TO PROVIDE TRAINING TO MEDICAL STAFF AT THE MATIBABU HOSPITAL, AND TO PERFORM SURGERIES ON LOCAL PATIENTS. 576423 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 1 1 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6 0 3 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 9 9 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 CA X ARNE WAGER JD 4143748370 BOX 1028 4200 PARK BLVD OAKLAND CA 94602 GAIL WAGNER MD PRESIDENT 6.00 X X 0 0 0 RAM RAMACHANDRA MD DIRECTOR 2.00 X 0 0 0 AMANDA SCHOENBERG MD DIRECTOR 3.00 X 0 0 0 PAUL OSESO DIRECTOR 1.00 X 0 0 0 JILL MCCARTHY VICE PRESIDENT 1.00 X X 0 0 0 PETER SHERRIS MD DIRECTOR 1.00 X 0 0 0 NORMA BOZZINI MD DIRECTOR 1.00 X 0 0 0 ARNE WAGNER JD TREASURER/SECRETARY 6.00 X X 0 0 0 BILL PLAUTZ MD DIRECTOR 2.00 X 0 0 0 DIANE DODGE EXECUTIVE DIRECTOR 40.00 X 170000 0 12704 170000 0 12704 1 0 1 0 0 453450 604316 19049 1057766 99 99 54258 53784 474 474 474 11200 453450 73597 -62397 -62397 995942 0 0 -61824 416378 416378 182704 109422 36691 36591 28981 17357 5820 5804 12637 7568 2538 2531 24966 24966 6546 1296 5250 11207 2400 2342 6465 4908 2429 2479 1938 1938 176 176 884 442 442 2186 573 1613 VOLUNTEER EXPENSES 16620 16620 710131 576423 77067 56641 324123 284425 0 121835 173084 384333 15271 15145 2653 1088 2449 1565 2300 0 517227 807303 1408 9507 5250 0 6658 9507 X 496119 493796 14450 304000 510569 797796 517227 807303 285811 1416 0 X X 0 1 X 1 0 X 354420 732356 273495 766215 1057766 3184252 354420 732356 273495 766215 1057766 3184252 1932442 1251810 4200 9701 88467 14041 99 116508 2236 2236 3302996 789793 0.37900 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2653 1088 1565 1565 997358 1416 1416 995942 0 995942 710131 0 710131 0 710131 1 AFRICA 0 0 GRANTMAKING AND SCHOLARSHIPS 416378 0 0 0 0 0 0 416378 0 416378 AFRICA GENERAL OPERATIONS AND OPERATING ROOM CONSTRUCTION 402928 WIRE 0 1 SCHOLARSHIPS NURSING SCHOOL SCHOLARSHIPS 2 13450 WIRE 0 0 0 0 0 0 PART III ACCOUNTING METHOD: ANNUAL GALA 464650 453450 11200 14125 44790 14682 464650 453450 11200 14125 44790 14682 73597 -62397 X X 0 0 0 0 0 0 0 0 0 DIANE DODGE EXECUTIVE DIRECTOR 170000 0 0 0 0 0 2408 0 10296 0 182704 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 GAIL WAGNER, M.D. AND ARNE WAGNER, J.D. - FAMILY RELATIONSHIP FORM 990, PART VI, SECTION B, LINE 11B TIBA FOUNDATION REQUIRES ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS TO HAVE ACCESS FOR REVIEW PURPOSES OF THE IRS FORM 990 PRIOR TO IT BEING FILED WITH THE INTERNAL REVENUE SERVICE. THE EXECUTIVE DIRECTOR WILL SUBMIT A DRAFT COPY OF THE FORM TO THE BOARD OF DIRECTORS AT THE EARLIER OF EITHER THE BOARD MEETING PRIOR TO THE DUE DATE OF THE RETURN OR 30 DAYS BEFORE THE RETURN IS DUE. EACH BOARD MEMBER WILL BE GIVEN THE OPPORTUNITY TO RESPOND IN WRITING OR BY E-MAIL TO THE EXECUTIVE DIRECTOR ASKING ANY QUESTIONS OR OBJECTING TO ANY INFORMATION PRESENTED ON THE FORM. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: A. HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, B. HAS READ AND UNDERSTANDS THE POLICY, C. HAS AGREED TO COMPLY WITH THE POLICY, AND D. UNDERSTANDS THAT TIBA IS A TAX-EXEMPT ORGANIZATION, AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD APPROVES REASONABLE COMPENSATION AND BENEFITS FOR THE EXECUTIVE DIRECTOR NEAR THE END OF EACH YEAR. THE BOARD SETS COMPENSATION LEVELS TO BE COMPARATIVE WITH OTHER ORGANIZATIONS BASED ON COMPARISONS. THE EXECUTIVE DIRECTOR DOES NOT PARTICIPATE IN THE DISCUSSIONS OR DELIBERATIONS ABOUT COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PG 12 PART XII 2C THE BOARD OF DIRECTORS REVIEW AND APPROVE THE AUDITED FINANCIAL STATEMENTS BEFORE THEY ARE ISSUED AND AVAILABLE TO THE PUBLIC.