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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON TRADE OR BUSINESS PROFITS GENERATED BY ACTIVITIES RELATED TO THE ORGANIZATION'S EXEMPT FUNCTION. THE ORGANIZATION MAY BE SUBJECT TO FEDERAL AND STATE INCOME TAXES FOR PROFITS GENERATED FROM TRADE OR BUSINESS ACTIVITIES UNRELATED TO THE ORGANIZATION'S EXEMPT FUNCTION. AS OF DECEMBER 31, 2017, MANAGEMENT BELIEVES THAT THE ORGANIZATION HAS NOT GENERATED ANY UNRELATED BUSINESS TAXABLE INCOME. THE ORGANIZATION ASSESSES THE RECORDING OF UNCERTAIN TAX POSITIONS BY EVALUATING THE MINIMUM RECOGNITION THRESHOLD AND MEASUREMENT REQUIREMENTS A TAX POSITION MUST MEET BEFORE BEING RECOGNIZED AS A BENEFIT IN THE FINANCIAL STATEMENTS</ExplanationTxt>
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        <GrantTypeTxt>DESIGN AND DEPLOYMENT OF A REGIONAL DRIED BLOOD SPOT SAMPLING PROGRAM FOR IMPROVED TUBERCULOSIS DIAGNOSTICS IN IFANADIANA DISTRICT, MADAGASCAR. GRANT FUNDS WERE PAID TO ONE PRINCIPAL INVESTIGATOR FROM THE U.S. TO HELP PAY THE EXPENSES OF 3 INVESTIGATORS TO TRAVEL TO MADAGASCAR TO PERFORM THIS RESEARCH STUDY.</GrantTypeTxt>
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        <ExplanationTxt>IN 2017, MATTHEW BONDS WAS AN EMPLOYEE OF HARVARD MEDICAL SCHOOL (HMS). HIS HMS PAYROLL WAS REIMBURSED BY PIVOT WORKS, INC. FOR SERVICES RENDERED IN THE AMOUNT OF $9,509 IN 2017, MICHAEL RICH WAS AN EMPLOYEE OF BRIGHAM AND WOMEN'S HOSPITAL (BWH). HIS BWH PAYROLL WAS REIMBURSED BY PIVOT WORKS, INC. FOR SERVICES RENDERED IN THE AMOUNT OF $22,649 THE REIMBURSEMENT OF THE ABOVE PERSONNEL'S PAYROLL BY PIVOT WORKS, INC. (HMS OR BWH) WAS REFLECTED AS OFFICER OR DIRECTOR COMPENSATION AND INCLUDED ON LINE 5 OF THE STATEMENT OF FUNCTIONAL EXPENSES.</ExplanationTxt>
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        <ExplanationTxt>JAMES HERRNSTEIN (DIRECTOR) AND ROBIN HERRNSTEIN (DIRECTOR) ARE HUSBAND AND WIFE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE DIRECTOR OF FINANCE &amp; ADMINISTRATION AND THE EXECUTIVE DIRECTOR. IT IS THEN REVIEWED BY THE GOVERNING BODY PRIOR TO ITS FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE STAFF, BOARD MEMBERS, OFFICERS AND RELATED PERSONNEL OF PIVOT WORKS, INC. ARE REQUIRED TO SELF-DISCLOSE ANY POSSIBLE CONFLICT OF INTEREST WHEN SUCH AN ISSUE ARISES. IT WILL BE BROUGHT UP TO OFFICER'S ATTENTION AND TO A BOARD MEETING FOR DISCUSSION. ANY NECESSARY ACTIONS ILLUSTRATED ON THE CONFLICT OF INTEREST POLICY OF PIVOT WORKS INC. WILL BE TAKEN.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>PIVOT WORKS INC. DEVELOPED IT'S COMPENSATION SCALE VIA RESOURCES PROVIDED BY A THIRD PARTY HR SERVICE COMPANY, AS WELL AS DISCUSSION AMONG ITS GOVERNING BOARD MEMBERS. THE CEO, OFFICERS AND EMPLOYEES WERE PAID BASED ON THEIR EXPERIENCE AND EDUCATION QUALIFICATIONS. PIVOT'S POLICIES COMMIT IT TO RE-TAKING AND RE-EVALUATING ITS SALARY SCALE BASED ON A THIRD PARTY SALARY COMPARABILITY STUDY EVERY THREE YEARS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 8, PRIOR PERIOD ADJUSTMENT:</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE YEAR ENDED DECEMBER 31, 2017, THE ORGANIZATION BECAME AWARE OF CERTAIN RESTATEMENTS TO THE DECEMBER 31, 2017 NET ASSET BALANCE OF THE ORGANIZATION. THESE RESTATEMENTS ARE ATTRIBUTABLE TO ERRORS MADE IN CALCULATING DEPRECIATION ON PROPERTY AND EQUIPMENT FOR THE YEAR ENDED DECEMBER 31, 2016 AND IMPROPER ACCRUED EXPENSES FOR EMERGENCY SERVICES AND VEHICLE EXPENSES AS OF DECEMBER 31, 2016. THE EFFECTS OF THESE PRIOR PERIOD ADJUSTMENTS ($264,394) RESULTED IN AN ADJUSTED NET ASSET ENDING BALANCE OF $2,039,745 AS OF DECEMBER 31, 2016.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 8938, PART V, QUESTION 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CURRENT FOREIGN CURRENCY FOR MADAGASCAR IS MALAGASY ARIARY (MGA), BUT IT IS NOT INCLUDED IN THE DROP DOWN LIST, SO MADAGASCAR FRANC (MGF) WAS ENTERED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>