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        <ExplanationTxt>UPSTREAM IS A QUALIFIED ORGANIZATION EXEMPT FROM FEDERAL AND CALIFORNIA INCOME TAXES UNDER THE PROVISIONS OF 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND 23701(D) OF THE CALIFORNIA REVENUE AND TAXATION CODE. AS SUCH, UPSTREAM QUALIFIES FOR THE MAXIMUM CHARITABLE CONTRIBUTION DEDUCTION BY DONORS. UPSTREAM HAS EVALUATED ITS CURRENT TAX POSITIONS AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2017, UPSTREAM DOES NOT HAVE ANY SIGNIFICANT UNCERTAIN TAX POSITIONS FOR WHICH A RESERVE WOULD BE NECESSARY.</ExplanationTxt>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>NANTICOKE MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>801 MIDDLEFORD RD</AddressLine1Txt>
          <CityNm>SEAFORD</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19973</ZIPCd>
        </USAddress>
        <RecipientEIN>510069243</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>28581</CashGrantAmt>
        <PurposeOfGrantTxt>REPRODUCTIVE HEALTH PROGRAM TRAINING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PLANNED PARENTHOOD OF DELAWARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>625 N SHIPLEY ST</AddressLine1Txt>
          <CityNm>WILMINGTON</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19801</ZIPCd>
        </USAddress>
        <RecipientEIN>510066725</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>301462</CashGrantAmt>
        <PurposeOfGrantTxt>REPRODUCTIVE HEALTH PROGRAM TRAINING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WESTSIDE FAMILY HEALTHCARE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>300 WATER ST 200</AddressLine1Txt>
          <CityNm>WILMINGTON</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19801</ZIPCd>
        </USAddress>
        <RecipientEIN>222488654</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>11967</CashGrantAmt>
        <PurposeOfGrantTxt>REPRODUCTIVE HEALTH PROGRAM TRAINING</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>6</Total501c3OrgCnt>
      <TotalOtherOrgCnt>11</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS FOR MONITORING AND APPROVING GRANTS TO HEALTH CENTERS 1. MEMORANDUM OF UNDERSTANDING IS NEGOTIATED AND EXECUTED WITH HEALTH CENTER. 2. MILESTONES AND RELATED TERMS ARE AGREED UPON AND DOCUMENTED IN THE PARTNERSHIP AGREEMENT. 3. UPSTREAM QUALITY IMPROVEMENT OFFICER WORKS WITH HEALTH CENTER TO CREATE A PLAN TO ACHIEVE MILESTONES. 4. WHEN MILESTONE IS ACHIEVED, QUALITY IMPROVEMENT OFFICER REVIEWS AND VERIFIES SUPPORTING DOCUMENTATION. EXAMPLES OF MILESTONE ACHIEVEMENT SUPPORTING DOCUMENTATION: A. TRAINING MILESTONE TRAINING ROSTER. B. REIMBURSEMENT OF DEVICE EXPENDITURE - HEALTH CENTER SYSTEM REPORTS SHOWING USAGE AND OUT OF POCKET EXPENSE. C. FUNDING FOR PURCHASE OF INITIAL DEVICE INVENTORY - HEALTH CENTER PROPOSAL WITH REQUESTED INVENTORY LEVEL. 5. ONCE QUALITY IMPROVEMENT OFFICER VERIFIES SUPPORTING DOCUMENTS THAT SHOW MILESTONE ACHIEVED, QUALITY IMPROVEMENT OFFICER INITIATES PAYMENT BY SENDING PAYMENT REQUEST TO CONTRACT ADMINISTRATION. 6. CONTRACT ADMINISTRATION REVIEWS PAYMENT REQUEST AGAINST THE TERMS OF THE PARTNERSHIP AGREEMENT, APPROVES PAYMENT REQUEST AND FORWARDS TO ACCOUNTS PAYABLE FOR PAYMENT. 7. DEPENDING ON AMOUNT OF PAYMENT REQUEST, ADDITIONAL APPROVALS WITHIN FINANCE MAY BE REQUIRED. 8. PAYMENT IS ISSUED AND FORWARDED TO APPLICABLE HEALTH CENTER.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CARLA MARKELL</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SPOUSE OF BOARD MEMBER JACK MARKELL</RelationshipDescriptionTxt>
        <TransactionAmt>37500</TransactionAmt>
        <TransactionDesc>CONSULTING SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>UPSTREAM USA INC. AMENDED ITS BYLAWS DURING THE YEAR. CHANGES INCLUDE: 1. DEFINE QUORUM AND AUTHORIZED ACTIONS OF THE VOTING MEMBERS. 2. INCREASE THE NUMBER OF BOARD DIRECTORS (PREVIOUSLY 3-15) TO 5-18 AND EXPAND OFFICER TERMS FROM 2 CONSECUTIVE 3-YEAR TERMS TO 3 CONSECUTIVE 3-YEAR TERMS. 3. REQUIRE THAT THE CHAIR, VICE-CHAIR, SECRETARY AND TREASURER BE ELECTED FROM AMONG THE DIRECTORS INSTEAD OF ONLY THE CHAIR. 4. ADDED "PURPOSE" SECTION TO ARTICLE VIII TO RESTATE THE CORPORATION'S EXEMPT PURPOSE AND ACTIVITIES PERMITTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS COMPLETED BY THE ORGANIZATION'S INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY THE CFO PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD SHALL AUTHORIZE AND OVERSEE AN ANNUAL REVIEW OF THE ADMINISTRATION OF THIS CONFLICT OF INTEREST POLICY. THE REVIEW MAY BE WRITTEN OR ORAL. THE REVIEW SHALL CONSIDER THE LEVEL OF COMPLIANCE WITH THE POLICY, THE CONTINUING SUITABILITY OF THE POLICY, AND WHETHER THE POLICY SHOULD BE MODIFIED AND IMPROVED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, SECTION B, LINE 15A: THE BOARD (OR A BOARD COMMITTEE) REVIEWS ANY COMPENSATION PACKAGES (INCLUDING ALL BENEFITS) OF THE PRESIDENT OR THE CHIEF EXECUTIVE OFFICER(S) AND THE TREASURER OR CHIEF FINANCIAL OFFICER, REGARDLESS OF JOB TITLE, AND APPROVE SUCH COMPENSATION ONLY AFTER DETERMINING THAT THE COMPENSATION IS JUST AND REASONABLE. THIS REVIEW AND APPROVAL OCCURS WHEN SUCH OFFICER IS HIRED, WHEN THE TERM OF EMPLOYMENT OF SUCH OFFICER IS RENEWED OR EXTENDED, AND WHEN THE COMPENSATION OF SUCH OFFICER IS MODIFIED, UNLESS THE MODIFICATION APPLIES TO SUBSTANTIALLY ALL OF THE EMPLOYEES OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PAYROLL PROCESSING FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 38,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,000. RECRUITING: PROGRAM SERVICE EXPENSES 128,712. MANAGEMENT AND GENERAL EXPENSES 129,126. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 257,838. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 1,604. MANAGEMENT AND GENERAL EXPENSES 311,280. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 312,884. TRAINING: PROGRAM SERVICE EXPENSES 417,960. MANAGEMENT AND GENERAL EXPENSES 65,017. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 482,977. EVALUATION: PROGRAM SERVICE EXPENSES 163,580. MANAGEMENT AND GENERAL EXPENSES 7,007. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 170,587. RESEARCH: PROGRAM SERVICE EXPENSES 287,433. MANAGEMENT AND GENERAL EXPENSES 990. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 288,423. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 81,219. MANAGEMENT AND GENERAL EXPENSES 101,098. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 182,317.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER OF NET ASSETS ON FORMATION 18,861,556.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDIT COMMITTEE RECOMMENDS TO THE FULL BOARD FOR APPROVAL OF THE RETENTION AND, WHEN APPROPRIATE, THE TERMINATION OF AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT TO SERVE AS AUDITOR. THE AUDIT COMMITTEE ALSO REVIEWS AND DETERMINES WHETHER TO ACCEPT THE AUDIT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>