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      <MissionDescription>PATH IS AN INTERNATIONAL NONPROFIT ORGANIZATION. PATH'S MISSION IS TO IMPROVE THE HEALTH OF PEOPLE AROUND THE WORLD BY ADVANCING TECHNOLOGIES, STRENGTHENING SYSTEMS, AND ENCOURAGING HEALTHY BEHAVIORS.</MissionDescription>
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      <Description>VACCINES AND IMMUNIZATION:VACCINATION MAY BE THE MOST EFFECTIVE HEALTH INTERVENTION OF ALL TIME. PATH IS WORKING TO IMPROVE ACCESS TO LIFESAVING VACCINES IN POOR COUNTRIES AROUND THE WORLD. OUR PROJECTS ACCELERATE VACCINE RESEARCH AND DEVELOPMENT, INCREASE ACCESS TO NEW VACCINES, AND STRENGTHEN IMMUNIZATION SYSTEMS.IN 2011 WE USED INNOVATIVE APPROACHES TO INCREASE THE USE OF EXISTING VACCINES IN DEVELOPING COUNTRIES AND WORKED WITH PARTNERS TO ADVANCE THE DEVELOPMENT OF SAFE, EFFECTIVE, AND AFFORDABLE NEW VACCINES. THROUGH THIS WORK, WE ARE FIGHTING POTENTIALLY DEADLY HEALTH THREATS SUCH AS DIARRHEAL DISEASE, JAPANESE ENCEPHALITIS, MALARIA, MENINGITIS, CERVICAL CANCER, PANDEMIC INFLUENZA, AND PNEUMOCOCCAL DISEASE. THE MENINGITIS VACCINE PROJECT (MVP), A PARTNERSHIP BETWEEN PATH AND THE WORLD HEALTH ORGANIZATION (WHO), WORKED WITH THE GOVERNMENTS OF CAMEROON, CHAD, AND NIGERIA TO INTRODUCE MENAFRIVAC, A VACCINE DEVELOPED BY MVP TO END EPIDEMICS OF GROUP A MENINGOCOCCAL MENINGITIS IN AFRICA. THESE COUNTRIES JOINED BURKINA FASO, MALI, AND NIGER IN INTRODUCING THE VACCINE AT LARGE SCALE. MORE THAN 54 MILLION AFRICANS RECEIVED THE VACCINE BY THE END OF 2011. NOT A SINGLE CASE OF GROUP A MENINGOCOCCAL MENINGITIS WAS REPORTED AMONG THOSE VACCINATED.THE PATH MALARIA VACCINE INITIATIVE HAS ADVANCED A VACCINE CANDIDATE THAT OFFERS NEW HOPE FOR THE PREVENTION OF MALARIA IN AFRICA. IN 2011 THE FIRST RESULTS OF AN ADVANCED CLINICAL TRIAL IN SEVEN AFRICAN COUNTRIES SUGGESTED THAT THE VACCINE CANDIDATE (KNOWN AS RTS,S) MAY SUBSTANTIALLY REDUCE MALARIA EPISODES AMONG YOUNG CHILDREN. THE ACCELERATED VACCINE INTRODUCTION (AVI) INITIATIVE AIMS TO DEVELOP A COMMON PLATFORM FOR INTRODUCING NEW VACCINES BY COMBINING SCIENCE AND ADVOCACY TO SUPPORT COUNTRY-LEVEL DECISION-MAKERS IN PLANNING AND SUSTAINING IMPLEMENTATION EFFORTS. AVI'S TECHNICAL ASSISTANCE CONSORTIUM, LED BY PATH, ASSISTED IN ROLLOUTS OF PNEUMOCOCCAL CONJUGATE AND ROTAVIRUS VACCINES IN NUMEROUS COUNTRIES ELIGIBLE FOR SUPPORT THROUGH THE GLOBAL ALLIANCE FOR VACCINES AND IMMUNIZATION (GAVI). PROJECT OPTIMIZE, ANOTHER PATH-WHO COLLABORATION, WORKS TO TRANSFORM THE WAY VACCINES AND OTHER HEALTH PRODUCTS REACH UNDERSERVED POPULATIONS. IN 2011 OPTIMIZE WORKED DIRECTLY WITH THE GOVERNMENTS OF ALBANIA, GUATEMALA, TUNISIA, SENEGAL, AND VIETNAM TO IDENTIFY PROBLEMS IN THE SUPPLY CHAIN AND DEMONSTRATE INNOVATIVE SOLUTIONS. BY ASSEMBLING AN EVIDENCE BASE TO DEFINE THE OPTIMUM VACCINE SUPPLY CHAIN, OPTIMIZE IS RALLYING THE GLOBAL HEALTH COMMUNITY TO STRENGTHEN IMMUNIZATION SYSTEMS AND INCREASE ACCESS TO NEW VACCINES.</Description>
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        <Description>EMERGING AND EPIDEMIC DISEASES:THE BURDEN OF EMERGING AND EPIDEMIC DISEASES-INCLUDING MALARIA, HIV/AIDS, TUBERCULOSIS (TB), AND INFLUENZA-FALLS MOST HEAVILY ON DEVELOPING COUNTRIES WITH THE FEWEST RESOURCES TO RESPOND. PATH WORKS AROUND THE GLOBE TO HELP THESE COUNTRIES STRENGTHEN PREVENTION, DIAGNOSIS, AND TREATMENT; ENCOURAGE HEALTHY BEHAVIORS; AND MOBILIZE RESOURCES TO CONTROL DISEASE. TO DECREASE MALARIA TRANSMISSION, PATH PARTNERS WITH NATIONAL PROGRAMS TO PIONEER NEW CONTROL STRATEGIES. IN 2011 THE MALARIA CONTROL AND EVALUATION PARTNERSHIP IN AFRICA, A PROGRAM AT PATH, WORKED CLOSELY WITH SENEGAL'S MALARIA CONTROL PROGRAM TO DEVELOP DISTRICT-LEVEL PLANS AND IMPLEMENT A TRANSMISSION ELIMINATION STRATEGY. IN ZAMBIA, WE HELPED TRAIN WORKERS IN ADVANCED MALARIA SURVEILLANCE METHODS IN NEARLY 400 CLINICS ACROSS 17 DISTRICTS. TO REDUCE THE BURDEN OF HIV, PATH WORKED IN 2011 TO ENHANCE HIV AWARENESS AND PREVENTION AMONG AT-RISK GROUPS, PREVENT MOTHER-TO-CHILD TRANSMISSION, STRENGTHEN CARE AND TREATMENT SERVICES, AND INTEGRATE RELATED HEALTH SERVICES. IN INDIA, FOR EXAMPLE, WE HELPED PREVENT INFECTIONS AMONG VULNERABLE POPULATIONS THROUGH EDUCATION AND TREATMENT PROGRAMS. IN SENEGAL, WE EDUCATED AND EMPOWERED WOMEN AT HIGH RISK TO NEGOTIATE CONDOM USE. AND IN ZAMBIA, WE EXPANDED VOLUNTARY COUNSELING AND TESTING SERVICES TO INCREASE TREATMENT AMONG SERODISCORDANT COUPLES. TO PREVENT MOTHER-TO-CHILD TRANSMISSION, WE EXPANDED USE OF A NEW TREATMENT PROTOCOL IN ZIMBABWE AND HELPED TENS OF THOUSANDS OF EXPECTANT MOTHERS IN SOUTH AFRICA RECEIVE IMPORTANT SERVICES TO PROTECT THEIR BABIES FROM HIV. IN THE DEMOCRATIC REPUBLIC OF CONGO, ETHIOPIA, AND KENYA, WE BUILT THE CAPACITY OF LOCAL PARTNERS AND COMMUNITIES TO INTEGRATE SERVICES, STRENGTHEN HEALTH SYSTEMS, AND PROVIDE HIV TESTING AND COUNSELING. PATH USES OUR LONG-STANDING EXPERTISE IN GENDER AND HEALTH TO ADDRESS GENDER-BASED CONSTRAINTS THAT CONTRIBUTE TO HIV RISK. IN SENEGAL, FOR EXAMPLE, PATH BEGAN WORK IN 2011 TO ASSESS THE IMPACT OF A COMMUNITY-BASED HEALTH AND HUMAN RIGHTS PROGRAM ON LEVELS OF GENDER-BASED VIOLENCE THAT CAN LEAD TO HIV VULNERABILITY.IN 2011 WE ALSO ADDRESSED THE NEED FOR BETTER TB DIAGNOSIS, TREATMENT, AND CARE BY PROVIDING TECHNICAL ASSISTANCE TO STRENGTHEN HEALTH SYSTEMS AND COLLABORATING WITH NUMEROUS COUNTRIES TO SUPPORT IMPLEMENTATION OF THE INTERNATIONAL STOP TB STRATEGY. IN COLLABORATION WITH THE WORLD HEALTH ORGANIZATION, WE PUBLISHED A TOOLKIT THAT HELPS COUNTRIES STRENGTHEN STRATEGIES FOR DETECTING, TREATING, AND MONITORING MULTIDRUG-RESISTANT TB.</Description>
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        <Description>HEALTH TECHNOLOGIES:PATH DEVELOPS APPROPRIATELY DESIGNED, AFFORDABLE, AND INNOVATIVE TECHNOLOGIES TO ADDRESS HIGH-PRIORITY HEALTH PROBLEMS IN LOW-RESOURCE SETTINGS. OUR INTERVENTIONS HELP IMPROVE IMMUNIZATION, NUTRITION, DIAGNOSIS, CHILD SURVIVAL, AND MATERNAL AND REPRODUCTIVE HEALTH.IN 2011 ONE OF OUR LARGEST TECHNOLOGY-FOCUSED EFFORTS WAS THE SAFE WATER PROJECT, WHICH WORKED TO DEVELOP A VARIETY OF METHODS FOR THE COMMERCIAL PRODUCTION, MARKETING, AND DISTRIBUTION OF HOUSEHOLD WATER TREATMENT AND SAFE STORAGE SOLUTIONS IN ASIA AND AFRICA. IN ADDITION, OUR TECHNOLOGIES FOR HEALTH PROJECT FOCUSED ON ADAPTING, DESIGNING, DEVELOPING, AND ADVANCING A RANGE OF TECHNOLOGIES. THESE INCLUDED NEONATAL RESUSCITATORS, CHLORHEXIDINE TO REDUCE NEONATAL DEATHS FROM UMBILICAL STUMP INFECTIONS, AND OXYTOCIN FOR REDUCING DEATHS FROM POSTPARTUM HEMORRHAGE.PATH ALSO ADVANCED POINT-OF-CARE DIAGNOSTICS FOR NEGLECTED TROPICAL DISEASES, HIV AND SEXUALLY TRANSMITTED INFECTIONS, CERVICAL CANCER, AND MALARIA. OUR JET INJECTOR PROJECT FOCUSED ON NEEDLE-FREE DISPOSABLE SYRINGES FOR ADMINISTERING VACCINES, AND IN 2011 WE COMPLETED USER ASSESSEMENTS OF DEVICE PROTOTYPES IN BRAZIL, CHINA, AND INDIA. IN ADDITION, PATH DEVELOPED MARKETS FOR OUR SILCS DIAPHRAGM AND WOMAN'S CONDOM TO OFFER NEW OPTIONS IN CONTRACEPTION AND INFECTION PREVENTION.</Description>
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        <Description>REPRODUCTIVE HEALTH:PATH WORKS TO IMPROVE REPRODUCTIVE HEALTH BY INTRODUCING CONTRACEPTIVE TECHNOLOGIES, ADDRESSING FAMILY PLANNING NEEDS, PREVENTING CERVICAL AND BREAST CANCERS, PREVENTING SEXUALLY TRANSMITTED INFECTIONS, ADVOCATING FOR SERVICES AND SUPPLIES, AND ENCOURAGING HEALTHIER BEHAVIORS. IN 2011 PATH WORKED BROADLY TO INCREASE CONTRACEPTIVE CHOICE AND ACCESS. WE SERVED AS THE SECRETARIAT FOR THE REPRODUCTIVE HEALTH SUPPLIES COALITION, A GLOBAL PARTNERSHIP OF PUBLIC, PRIVATE, AND NONGOVERNMENTAL ORGANIZATIONS WORKING TO EXPAND ACCESS TO SUPPLIES, SERVICES, AND OPTIONS FOR PREVENTING UNINTENDED PREGNANCIES AND SEXUALLY TRANSMITTED INFECTIONS. PATH GENERATED EVIDENCE TO HELP COUNTRY DECISION-MAKERS IN AFRICA AND SOUTH ASIA ASSESS DEPO-SUBQ PROVERA 104TM IN THE UNIJECT INJECTION SYSTEM FOR POTENTIAL INTRODUCTION IN FAMILY PLANNING PROGRAMS. SIMILARLY, PATH HELPED ASSESS THE POTENTIAL AND VALUE OF A CONTRACEPTIVE PILL A WOMAN COULD TAKE ONLY BEFORE OR AFTER SEX, ELIMINATING THE NEED FOR A DAILY CONTRACEPTIVE METHOD. WE ALSO WORKED WITH NICARAGUA, TANZANIA, AND VIETNAM TO FILL A VOID IN DONOR SUPPORT AND CREATE A SUSTAINABLE MODEL TO MAKE CONTRACEPTIVES AND OTHER IMPORTANT SUPPLIES AVAILABLE TO EVEN THE POOREST POPULATION SEGMENTS. ADDITIONALLY, PATH ADVANCED RAPID, LOW-COST SCREENING TESTS FOR THE TYPES OF HUMAN PAPILLOMAVIRUS (HPV) THAT CAUSE CERVICAL CANCER, WITH FOUR CLINICAL STUDIES UNDER WAY IN INDIA, NICARAGUA, AND UGANDA. PATH'S WORK CONTRIBUTED TO THE GAVI ALLIANCE'S DECISION TO SUBSIDIZE HPV VACCINES FOR THE WORLD'S POOREST COUNTRIES STARTING IN 2012.</Description>
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        <Description>MATERNAL AND CHILD HEALTH:PATH IMPROVES THE HEALTH OF WOMEN AND CHILDREN BY APPLYING PROMISING APPROACHES TO ADDRESS THE LEADING CAUSES OF MATERNAL AND CHILD DEATH IN LOW-INCOME COUNTRIES. OUR PROJECTS FOCUS ON SAFE BIRTH AND NEWBORN CARE, NUTRITION, AND CONTROL OF DIARRHEAL DISEASE.KEY EFFORTS IN 2011 INCLUDED THE INFANT AND YOUNG CHILD NUTRITION PROJECT, WHICH WORKED ACROSS 16 COUNTRIES TO IMPROVE NUTRITION FROM PREGNANCY THROUGH THE FIRST TWO YEARS OF LIFE. PROJECT STAFF TRAINED HEALTH WORKERS (MORE THAN 2,300 IN 2011), ENCOURAGED HEALTHY BEHAVIORS, STRENGTHENED HEALTH SYSTEMS, AND INTEGRATED AGRICULTURE AND NUTRITION. SURE START WAS A SEVEN-YEAR PROJECT TO REDUCE MATERNAL AND NEWBORN ILLNESS AND DEATH THROUGH COMMUNITY EDUCATION AND IMPROVED ACCESS TO HEALTH SERVICES IN TWO STATES OF INDIA. PATH WORKED WITH 95 PARTNER ORGANIZATIONS TO MOBILIZE COMMUNITIES AND THEIR LEADERS AND STRENGTHEN LINKS TO HEALTH CARE PROVIDERS. WE TRAINED MORE THAN 7,000 COMMUNITY HEALTH WORKERS AND ESTABLISHED THOUSANDS OF VILLAGE-LEVEL MOTHERS' GROUPS TO BUILD AWARENESS OF MATERNAL AND NEWBORN HEALTH ISSUES. OUR WORK REACHED AN ESTIMATED 24.5 MILLION PEOPLE. BY ADVANCING THE USE OF OXYTOCIN TO PREVENT POSTPARTUM BLEEDING, PATH HELPED PAVE THE WAY FOR SIX COUNTRIES TO INTRODUCE OR REGISTER USE OF OXYTOCIN WITH THE UNIJECT INJECTION SYSTEM, ALLOWING HEALTH WORKERS TO DELIVER THIS DRUG OUTSIDE OF HOSPITALS. PATH ALSO LED A REGIONAL ALLIANCE TO SUPPORT DEVELOPMENT OF NATIONAL PLANS TO REDUCE NEONTAL MORTALITY AND PROMOTE NEWBORN HEALTH ACROSS LATIN AMERICA AND THE CARIBBEAN.</Description>
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      <StatesWhereCopyOfReturnIsFiled>FL</StatesWhereCopyOfReturnIsFiled>
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      <StatesWhereCopyOfReturnIsFiled>MA</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>MD</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>NJ</StatesWhereCopyOfReturnIsFiled>
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      <StatesWhereCopyOfReturnIsFiled>OH</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>OR</StatesWhereCopyOfReturnIsFiled>
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      <StatesWhereCopyOfReturnIsFiled>VA</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>VT</StatesWhereCopyOfReturnIsFiled>
      <StatesWhereCopyOfReturnIsFiled>WA</StatesWhereCopyOfReturnIsFiled>
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          <BusinessNameLine1>MARLOW KEE CHIEF FINANCIAL OFFICER</BusinessNameLine1>
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        <NamePerson>MOLLY JOEL COYE</NamePerson>
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      <GrantsToOrgsOutsideUS>
        <Region>CENTRAL AMERICA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>6300</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>CENTRAL AMERICA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>6300</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>CENTRAL AMERICA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>14500</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>CENTRAL AMERICA</Region>
        <PurposeOfGrant>MATERNAL &amp; CHILD HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>12000</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>CENTRAL AMERICA</Region>
        <PurposeOfGrant>MATERNAL &amp; CHILD HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>13500</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>647360</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>91562</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>70937</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>67257</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
        <AmountOfCashGrant>29999</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
        <AmountOfCashGrant>85500</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
        <AmountOfCashGrant>15019</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>500000</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
        <AmountOfCashGrant>12000</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>42063</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>349447</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
        <AmountOfCashGrant>75914</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
        <AmountOfCashGrant>24675</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>94250</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>6790</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>106639</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>34678</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>72500</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>81119</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>117309</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>64762</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>70745</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>87545</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>45283</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>74673</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>71038</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>20343</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>8333</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>46465</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>106212</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>28658</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>11102</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>19804</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>13081</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>6538</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>9715</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>269233</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>40427</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>401937</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>60059</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>40124</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>76744</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>91427</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>27411</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>29013</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>26436</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>29013</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>29013</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>77675</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>9883</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>9078</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>45429</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>16691</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>17378</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>56052</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>45456</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>80193</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>9214</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>4105785</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>1397139</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>690899</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>670576</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>12310</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>133249</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>63925</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>537240</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>900298</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>24785</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>24784</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>34570</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>-34570</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
        <AmountOfCashGrant>100775</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
        <AmountOfCashGrant>49225</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>OVERHEAD</PurposeOfGrant>
        <AmountOfCashGrant>31255</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>103157</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
        <AmountOfCashGrant>68613</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>496435</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>53566</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
        <AmountOfCashGrant>206636</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>2180801</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>227600</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>1503010</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>282326</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>1575000</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
        <AmountOfCashGrant>210605</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>59225</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>14584</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>55527</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>47934</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EUROPE</Region>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
        <AmountOfCashGrant>113713</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>NORTH AMERICA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>7361</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>NORTH AMERICA</Region>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
        <AmountOfCashGrant>30000</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>RUSSIA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>12066</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH AMERICA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>11842</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH AMERICA</Region>
        <PurposeOfGrant>MATERNAL &amp; CHILD HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>22390</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH AMERICA</Region>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
        <AmountOfCashGrant>127899</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH AMERICA</Region>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
        <AmountOfCashGrant>33111</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH AMERICA</Region>
        <PurposeOfGrant>MATERNAL &amp; CHILD HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>7000</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH AMERICA</Region>
        <PurposeOfGrant>MATERNAL &amp; CHILD HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>6562</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH AMERICA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH AMERICA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>62000</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH ASIA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>26229</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH ASIA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>150000</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH ASIA</Region>
        <PurposeOfGrant>MATERNAL &amp; CHILD HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>86320</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH ASIA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>90824</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH ASIA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>115000</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH ASIA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>47859</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH ASIA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>1750000</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH ASIA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>1020611</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH ASIA</Region>
        <PurposeOfGrant>MATERNAL &amp; CHILD HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>56430</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH ASIA</Region>
        <PurposeOfGrant>MATERNAL &amp; CHILD HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>78256</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH ASIA</Region>
        <PurposeOfGrant>MATERNAL &amp; CHILD HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>68765</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH ASIA</Region>
        <PurposeOfGrant>MATERNAL &amp; CHILD HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>34155</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH ASIA</Region>
        <PurposeOfGrant>MATERNAL &amp; CHILD HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>24179</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH ASIA</Region>
        <PurposeOfGrant>MATERNAL &amp; CHILD HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>16613</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH ASIA</Region>
        <PurposeOfGrant>MATERNAL &amp; CHILD HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>16584</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH ASIA</Region>
        <PurposeOfGrant>MATERNAL &amp; CHILD HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>52802</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH ASIA</Region>
        <PurposeOfGrant>MATERNAL &amp; CHILD HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>9663</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH ASIA</Region>
        <PurposeOfGrant>MATERNAL &amp; CHILD HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>97302</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH ASIA</Region>
        <PurposeOfGrant>MATERNAL &amp; CHILD HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>61817</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH ASIA</Region>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
        <AmountOfCashGrant>8974</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH ASIA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>37000</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH ASIA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>98035</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH ASIA</Region>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
        <AmountOfCashGrant>17582</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH ASIA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>300000</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH ASIA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>1800000</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>EAST ASIA</Region>
        <PurposeOfGrant>MATERNAL &amp; CHILD HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>92823</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH ASIA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>5298</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SOUTH ASIA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>400000</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>15349</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>8673</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>23406</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>6684</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>8664</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>11025</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>7929</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>9274</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>7814</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>30577</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>10047</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>23952</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>9683</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>24890</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>24730</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>9382</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>11909</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>8449</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>9148</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>5763</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>7071</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>10045</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>143197</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>136677</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>377415</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>132820</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>48437</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>164569</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>369592</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>168261</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>131413</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>198150</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>177229</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>87365</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>137057</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>172299</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>12543</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>15425</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>55051</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>5312</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>530587</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>1106093</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>866029</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>1610018</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>-169</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>549047</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>349670</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>70759</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>203515</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>86936</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>2683569</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>1363652</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>47349</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>22932</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>-22932</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>22390</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>22932</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>22967</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>MATERNAL &amp; CHILD HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>696756</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>28968</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>1400301</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>528147</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>16052</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>23819</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>17375</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>6443</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
        <AmountOfCashGrant>12708</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>5880</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>7936</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>5329</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
        <AmountOfCashGrant>5272</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>100000</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>300000</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>-300000</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>1146805</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>44960</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>339481</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>298546</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>45000</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>51303</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
        <AmountOfCashGrant>185484</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>SUB-SAHARAN AFRICA</Region>
        <PurposeOfGrant>MATERNAL &amp; CHILD HEALTH</PurposeOfGrant>
        <AmountOfCashGrant>25895</AmountOfCashGrant>
        <MannerOfCashDisbursement>CHECK / WIRE</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
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        <AmountOfCashGrant>1803179</AmountOfCashGrant>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>WORLD VISION</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>P O BOX 9716 DEPT W</AddressLine1>
          <City>FEDERAL WAY</City>
          <State>WA</State>
          <ZIPCode>980639716</ZIPCode>
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        <EINOfRecipient>951922279</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>2397056</AmountOfCashGrant>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>WORLD VISION</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>P O BOX 9716 DEPT W</AddressLine1>
          <City>FEDERAL WAY</City>
          <State>WA</State>
          <ZIPCode>980639716</ZIPCode>
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        <EINOfRecipient>951922279</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>-2397056</AmountOfCashGrant>
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      <RecipientTable>
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          <BusinessNameLine1>WORLD VISION</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>P O BOX 9716 DEPT W</AddressLine1>
          <City>FEDERAL WAY</City>
          <State>WA</State>
          <ZIPCode>980639716</ZIPCode>
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        <EINOfRecipient>951922279</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>2397056</AmountOfCashGrant>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>WORLD VISION</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>P O BOX 9716 DEPT W</AddressLine1>
          <City>FEDERAL WAY</City>
          <State>WA</State>
          <ZIPCode>980639716</ZIPCode>
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        <EINOfRecipient>951922279</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>734581</AmountOfCashGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>BROADREACH HEALTHCARE LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2500 WILSON BLVD SUITE 220</AddressLine1>
          <City>ARLINGTON</City>
          <State>VA</State>
          <ZIPCode>222013848</ZIPCode>
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        <EINOfRecipient>861052728</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>52850</AmountOfCashGrant>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>BROADREACH HEALTHCARE LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2500 WILSON BLVD SUITE 220</AddressLine1>
          <City>ARLINGTON</City>
          <State>VA</State>
          <ZIPCode>222013848</ZIPCode>
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        <EINOfRecipient>861052728</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>-52850</AmountOfCashGrant>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>BROADREACH HEALTHCARE LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2500 WILSON BLVD SUITE 220</AddressLine1>
          <City>ARLINGTON</City>
          <State>VA</State>
          <ZIPCode>222013848</ZIPCode>
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        <EINOfRecipient>861052728</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>384592</AmountOfCashGrant>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>BROADREACH HEALTHCARE LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2500 WILSON BLVD SUITE 220</AddressLine1>
          <City>ARLINGTON</City>
          <State>VA</State>
          <ZIPCode>222013848</ZIPCode>
        </AddressUS>
        <EINOfRecipient>861052728</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>52850</AmountOfCashGrant>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>JOHNS HOPKINS UNIVERSITY</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>615 N WOLFE STREET</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21205</ZIPCode>
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        <EINOfRecipient>131687001</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>THE POPULATION COUNCIL</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>ONE DAG HAMMARSKJOLD PLAZA</AddressLine1>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10017</ZIPCode>
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        <EINOfRecipient>912088484</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>136033</AmountOfCashGrant>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>VILLAGEREACH</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>601 NORTH 34TH STREET</AddressLine1>
          <City>SEATTLE</City>
          <State>WA</State>
          <ZIPCode>98103</ZIPCode>
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        <EINOfRecipient>911565985</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <PurposeOfGrant>MATERNAL &amp; CHILD HEALTH</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>RAINIER CLINICAL RESEARCH CENTER INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>723 SW 10TH STREET SUITE 100</AddressLine1>
          <City>RENTON</City>
          <State>WA</State>
          <ZIPCode>98057</ZIPCode>
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        <EINOfRecipient>911565985</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>12413</AmountOfCashGrant>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CDC FOUNDATION</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>55 PARK PLACE SUITE 400</AddressLine1>
          <City>ATLANTA</City>
          <State>GA</State>
          <ZIPCode>30303</ZIPCode>
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        <EINOfRecipient>582106707</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>300000</AmountOfCashGrant>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>GEORGETOWN UNIVERSITY INSTITUTE FOR REPRODUCTIVE HEALTH</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>4301 CONNECTICUT AVENUE NW SUITE</AddressLine1>
          <AddressLine2>310</AddressLine2>
          <City>WASHINGTON</City>
          <State>DC</State>
          <ZIPCode>20008</ZIPCode>
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        <EINOfRecipient>500196603</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>INTERNATIONAL PLANNED PARENTHOOD FEDERATION (IPPF)</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>120 WALL ST 9TH FLOOR</AddressLine1>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10005</ZIPCode>
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        <EINOfRecipient>131845455</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>UNIVERSITY OF MARYLAND BALTIMORE</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>620 WEST LEXINGTON ST 4TH FLOOR</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21201</ZIPCode>
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        <EINOfRecipient>526002033</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>67500</AmountOfCashGrant>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>GUTTMACHER INSTITUTE</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>125 MAIDEN LANE 7TH FLOOR</AddressLine1>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10038</ZIPCode>
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        <EINOfRecipient>132890727</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>113000</AmountOfCashGrant>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>CHILDREN'S HOSPITAL MEDICAL CENTER</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>3333 BURNET AVENUE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>452293039</ZIPCode>
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        <EINOfRecipient>311327089</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>GLOBAL CHANGE NETWORK SEATTLE</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>136 NORTH 81ST STREET</AddressLine1>
          <City>SEATTLE</City>
          <State>WA</State>
          <ZIPCode>98103</ZIPCode>
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        <EINOfRecipient>450662149</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>8500</AmountOfCashGrant>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>GLOBAL CHANGE NETWORK SEATTLE</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>136 NORTH 81ST STREET</AddressLine1>
          <City>SEATTLE</City>
          <State>WA</State>
          <ZIPCode>98103</ZIPCode>
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        <EINOfRecipient>450662149</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>8500</AmountOfCashGrant>
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      <RecipientTable>
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          <BusinessNameLine1>GORDON RESEARCH CONFERENCES</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>512 LIBERTY LANE</AddressLine1>
          <City>WEST KINGSTON</City>
          <State>RI</State>
          <ZIPCode>02892</ZIPCode>
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        <EINOfRecipient>050300482</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>GMMB</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1010 WISCONSIN AVE NW SUITE 800</AddressLine1>
          <City>WASHINGTON</City>
          <State>DC</State>
          <ZIPCode>20007</ZIPCode>
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        <EINOfRecipient>521305983</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>73111</AmountOfCashGrant>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>POPULATION REFERENCE BUREAU (PRB)</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1875 CONNECTICUT AVENUE NW SUITE</AddressLine1>
          <AddressLine2>520</AddressLine2>
          <City>WASHINGTON</City>
          <State>DC</State>
          <ZIPCode>20009</ZIPCode>
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        <EINOfRecipient>530214030</EINOfRecipient>
        <IRCSection>GOVERNMENT</IRCSection>
        <AmountOfCashGrant>58350</AmountOfCashGrant>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>WALTER REED ARMY INSTITUTE OF RESEARCH (WRAIR)</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>503 ROBERT GRANT AVENUE</AddressLine1>
          <City>SILVER SPRING</City>
          <State>MD</State>
          <ZIPCode>109107500</ZIPCode>
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        <EINOfRecipient>520664528</EINOfRecipient>
        <IRCSection>GOVERNMENT</IRCSection>
        <AmountOfCashGrant>1750000</AmountOfCashGrant>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>OFFICE OF RESEARCH ADMINISTRATION</AddressLine1>
          <AddressLine2>615 N WOLFE STREET W1100</AddressLine2>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21205</ZIPCode>
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        <EINOfRecipient>520595110</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>147858</AmountOfCashGrant>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>NAT INS OF ALLERGY &amp; INFECTIOUS DISEASE (NIAID)</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>6610 ROCKLEDGE DRIVE SUITE 2800 MSC</AddressLine1>
          <AddressLine2>6606</AddressLine2>
          <City>BETHESDA</City>
          <State>MD</State>
          <ZIPCode>208926606</ZIPCode>
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        <EINOfRecipient>520858115</EINOfRecipient>
        <IRCSection>GOVERNMENT</IRCSection>
        <AmountOfCashGrant>260000</AmountOfCashGrant>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>WOMEN DELIVER</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>588 BROADWAY SUITE 5033</AddressLine1>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10012</ZIPCode>
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        <EINOfRecipient>264462256</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>150000</AmountOfCashGrant>
        <PurposeOfGrant>NOT SPECIFIED/CROSS PROGRAM</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>NAT INS OF ALLERGY &amp; INFECTIOUS DISEASE (NIAID)</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>6610 ROCKLEDGE DRIVE SUITE 2800 MSC</AddressLine1>
          <AddressLine2>6606</AddressLine2>
          <City>BETHESDA</City>
          <State>MD</State>
          <ZIPCode>208926606</ZIPCode>
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        <EINOfRecipient>520858115</EINOfRecipient>
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        <AmountOfCashGrant>61670</AmountOfCashGrant>
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          <BusinessNameLine1>POPULATION ACTION INTERNATIONAL</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1300 19TH STREET NW</AddressLine1>
          <City>WASHINGTON</City>
          <State>DC</State>
          <ZIPCode>20036</ZIPCode>
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        <EINOfRecipient>520812075</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>125000</AmountOfCashGrant>
        <PurposeOfGrant>NOT SPECIFIED/CROSS PROGRAM</PurposeOfGrant>
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          <BusinessNameLine1>DIAGNOSTIC CONSULTING NETWORK INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>6354 CORTE DEL ABETO - SUITE B</AddressLine1>
          <City>CARLSBAD</City>
          <State>CA</State>
          <ZIPCode>92011</ZIPCode>
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        <EINOfRecipient>205531959</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CENTERS FOR DISEASE CONTROL AND PREVENTION</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>NAT CTR IMMUNIZATION RESP DISEASES</AddressLine1>
          <AddressLine2>1600 CLIFTON ROAD NE</AddressLine2>
          <City>ATLANTA</City>
          <State>GA</State>
          <ZIPCode>30333</ZIPCode>
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        <EINOfRecipient>582106707</EINOfRecipient>
        <IRCSection>GOVERNMENT</IRCSection>
        <AmountOfCashGrant>234010</AmountOfCashGrant>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>UNIVERSITY OF WASHINGTON</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>4333 BROOKLYN AVE NE BOX 359472</AddressLine1>
          <City>SEATTLE</City>
          <State>WA</State>
          <ZIPCode>98195</ZIPCode>
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        <EINOfRecipient>916001537</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>155901</AmountOfCashGrant>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>FRED HUTCHINSON CANCER RESEARCH CENTER</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>PO BOX 19024</AddressLine1>
          <City>SEATTLE</City>
          <State>WA</State>
          <ZIPCode>98109</ZIPCode>
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        <EINOfRecipient>237156071</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>80861</AmountOfCashGrant>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>SANARIA INC</BusinessNameLine1>
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          <AddressLine1>9800 MEDICAL CENTER DRIVE SUITE</AddressLine1>
          <AddressLine2>A209</AddressLine2>
          <City>ROCKVILLE</City>
          <State>MD</State>
          <ZIPCode>20850</ZIPCode>
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        <EINOfRecipient>562354362</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>125000</AmountOfCashGrant>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CARE INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>151 ELLIS STREET NE</AddressLine1>
          <City>ATLANTA</City>
          <State>GA</State>
          <ZIPCode>300302440</ZIPCode>
        </AddressUS>
        <EINOfRecipient>131685039</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>289917</AmountOfCashGrant>
        <PurposeOfGrant>MATERNAL &amp; CHILD HEALTH</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CARE INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>151 ELLIS STREET NE</AddressLine1>
          <City>ATLANTA</City>
          <State>GA</State>
          <ZIPCode>300302440</ZIPCode>
        </AddressUS>
        <EINOfRecipient>131685039</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>24987</AmountOfCashGrant>
        <PurposeOfGrant>MATERNAL &amp; CHILD HEALTH</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CARE INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>151 ELLIS STREET NE</AddressLine1>
          <City>ATLANTA</City>
          <State>GA</State>
          <ZIPCode>300302440</ZIPCode>
        </AddressUS>
        <EINOfRecipient>131685039</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>377883</AmountOfCashGrant>
        <PurposeOfGrant>MATERNAL &amp; CHILD HEALTH</PurposeOfGrant>
      </RecipientTable>
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        <EINOfRecipient>131685039</EINOfRecipient>
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          <BusinessNameLine1>MANOFF GROUP</BusinessNameLine1>
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          <BusinessNameLine1>CARTER CENTER</BusinessNameLine1>
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          <AddressLine1>ONE COPENHILL 453 FREEDOM PARKWAY</AddressLine1>
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          <BusinessNameLine1>WALTER REED ARMY INSTITUTE OF RESEARCH (WRAIR)</BusinessNameLine1>
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          <BusinessNameLine1>FOOD &amp; DRUG ADMINISTRATION (FDA)</BusinessNameLine1>
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          <BusinessNameLine1>NAT INS OF ALLERGY &amp; INFECTIOUS DISEASE (NIAID)</BusinessNameLine1>
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        <AmountOfCashGrant>75319</AmountOfCashGrant>
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          <BusinessNameLine1>JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH</BusinessNameLine1>
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          <BusinessNameLine1>TULANE UNIVERSITY</BusinessNameLine1>
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          <BusinessNameLine1>UNIVERSITY OF MARYLAND BALTIMORE</BusinessNameLine1>
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          <AddressLine1>PO BOX 41428</AddressLine1>
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          <State>MD</State>
          <ZIPCode>212036428</ZIPCode>
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        <EINOfRecipient>526002033</EINOfRecipient>
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        <AmountOfCashGrant>450000</AmountOfCashGrant>
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          <BusinessNameLine1>EPOCH BIOSCIENCES</BusinessNameLine1>
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          <City>LOGAN</City>
          <State>UT</State>
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        <EINOfRecipient>870284733</EINOfRecipient>
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        <AmountOfCashGrant>25020</AmountOfCashGrant>
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          <BusinessNameLine1>EPOCH BIOSCIENCES</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>370 W 1700 S</AddressLine1>
          <City>LOGAN</City>
          <State>UT</State>
          <ZIPCode>84321</ZIPCode>
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        <EINOfRecipient>870284733</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>50040</AmountOfCashGrant>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>EPOCH BIOSCIENCES</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>370 W 1700 S</AddressLine1>
          <City>LOGAN</City>
          <State>UT</State>
          <ZIPCode>84321</ZIPCode>
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        <EINOfRecipient>870284733</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>47587</AmountOfCashGrant>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>EPOCH BIOSCIENCES</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>370 W 1700 S</AddressLine1>
          <City>LOGAN</City>
          <State>UT</State>
          <ZIPCode>84321</ZIPCode>
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        <EINOfRecipient>870284733</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>64491</AmountOfCashGrant>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>PAN AMERICAN HEALTH ORGANIZATION (PAHO)</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>525 TWENTY-THIRD STREET NW</AddressLine1>
          <City>WASHINGTON</City>
          <State>DC</State>
          <ZIPCode>20037</ZIPCode>
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        <EINOfRecipient>237072046</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>13830</AmountOfCashGrant>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>WORLD VISION INC</BusinessNameLine1>
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          <AddressLine1>300 I ST NE</AddressLine1>
          <City>WASHINGTON</City>
          <State>DC</State>
          <ZIPCode>20002</ZIPCode>
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        <EINOfRecipient>951922279</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>63332</AmountOfCashGrant>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>FRED HUTCHINSON CANCER RESEARCH CENTER</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>PO BOX 19024</AddressLine1>
          <City>SEATTLE</City>
          <State>WA</State>
          <ZIPCode>98109</ZIPCode>
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        <EINOfRecipient>237156071</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>49423</AmountOfCashGrant>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>WALTER REED ARMY INSTITUTE OF RESEARCH (WRAIR)</BusinessNameLine1>
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          <AddressLine1>503 ROBERT GRANT AVENUE</AddressLine1>
          <City>SILVER SPRING</City>
          <State>MD</State>
          <ZIPCode>109107500</ZIPCode>
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        <EINOfRecipient>520664528</EINOfRecipient>
        <IRCSection>GOVERNMENT</IRCSection>
        <AmountOfCashGrant>341743</AmountOfCashGrant>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>JOHN SNOW INC</BusinessNameLine1>
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          <AddressLine1>1616 N FORT MYER DRIVE 16TH FLOOR</AddressLine1>
          <City>ARLINGTON</City>
          <State>VA</State>
          <ZIPCode>22209</ZIPCode>
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        <EINOfRecipient>042578580</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>63917</AmountOfCashGrant>
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      <RecipientTable>
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          <BusinessNameLine1>UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL THE</BusinessNameLine1>
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          <AddressLine1>ADMINISTRATIVE OFFICE BLDG SUITE</AddressLine1>
          <AddressLine2>2200 104 AIRPORT DRIVE CB 1350</AddressLine2>
          <City>CHAPEL HILL</City>
          <State>NC</State>
          <ZIPCode>285991350</ZIPCode>
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        <EINOfRecipient>566001393</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>22617</AmountOfCashGrant>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL THE</BusinessNameLine1>
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          <AddressLine1>ADMINISTRATIVE OFFICE BLDG SUITE</AddressLine1>
          <AddressLine2>2200 104 AIRPORT DRIVE CB 1350</AddressLine2>
          <City>CHAPEL HILL</City>
          <State>NC</State>
          <ZIPCode>285991350</ZIPCode>
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        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>-22617</AmountOfCashGrant>
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      <RecipientTable>
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          <BusinessNameLine1>UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL THE</BusinessNameLine1>
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          <AddressLine1>ADMINISTRATIVE OFFICE BLDG SUITE</AddressLine1>
          <AddressLine2>2200 104 AIRPORT DRIVE CB 1350</AddressLine2>
          <City>CHAPEL HILL</City>
          <State>NC</State>
          <ZIPCode>285991350</ZIPCode>
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        <EINOfRecipient>566001393</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>21383</AmountOfCashGrant>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL THE</BusinessNameLine1>
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          <AddressLine1>ADMINISTRATIVE OFFICE BLDG SUITE</AddressLine1>
          <AddressLine2>2200 104 AIRPORT DRIVE CB 1350</AddressLine2>
          <City>CHAPEL HILL</City>
          <State>NC</State>
          <ZIPCode>285991350</ZIPCode>
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        <EINOfRecipient>566001393</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>22617</AmountOfCashGrant>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>NEW YORK UNIVERSITY</BusinessNameLine1>
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          <AddressLine1>SCHOOL OF MEDICINE 650 FIRST AVENUE</AddressLine1>
          <AddressLine2>AVENUE</AddressLine2>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10016</ZIPCode>
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        <EINOfRecipient>135562308</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>165742</AmountOfCashGrant>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>NEW YORK UNIVERSITY</BusinessNameLine1>
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          <AddressLine1>SCHOOL OF MEDICINE 650 FIRST AVENUE</AddressLine1>
          <AddressLine2>AVENUE</AddressLine2>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10016</ZIPCode>
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        <EINOfRecipient>135562308</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>63509</AmountOfCashGrant>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
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          <BusinessNameLine1>CASCADE DESIGNS INC</BusinessNameLine1>
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          <AddressLine1>4000 FIRST AVENUE SOUTH</AddressLine1>
          <City>SEATTLE</City>
          <State>WA</State>
          <ZIPCode>98134</ZIPCode>
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        <EINOfRecipient>910969695</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>78150</AmountOfCashGrant>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
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          <BusinessNameLine1>PATHFINDER INTERNATIONAL</BusinessNameLine1>
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          <AddressLine1>NINE GALEN STREET SUITE 217</AddressLine1>
          <City>WATERTOWN</City>
          <State>MA</State>
          <ZIPCode>02472</ZIPCode>
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        <EINOfRecipient>530235320</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>373462</AmountOfCashGrant>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
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          <BusinessNameLine1>PATHFINDER INTERNATIONAL</BusinessNameLine1>
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          <AddressLine1>NINE GALEN STREET SUITE 217</AddressLine1>
          <City>WATERTOWN</City>
          <State>MA</State>
          <ZIPCode>02472</ZIPCode>
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        <EINOfRecipient>530235320</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>25020</AmountOfCashGrant>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
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          <BusinessNameLine1>PATHFINDER INTERNATIONAL</BusinessNameLine1>
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          <AddressLine1>NINE GALEN STREET SUITE 217</AddressLine1>
          <City>WATERTOWN</City>
          <State>MA</State>
          <ZIPCode>02472</ZIPCode>
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        <EINOfRecipient>530235320</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>-25020</AmountOfCashGrant>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
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          <BusinessNameLine1>EMORY UNIVERSITY</BusinessNameLine1>
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          <AddressLine1>1599 CLIFTON RD NE 4TH FLOOR</AddressLine1>
          <AddressLine2>MAILSTOP 1499/001/1BH</AddressLine2>
          <City>ATLANTA</City>
          <State>GA</State>
          <ZIPCode>303224250</ZIPCode>
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        <EINOfRecipient>580566256</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>1438022</AmountOfCashGrant>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
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          <BusinessNameLine1>UNIVERSITY OF WASHINGTON</BusinessNameLine1>
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          <AddressLine1>4333 BROOKLYN AVE NE BOX 359472</AddressLine1>
          <City>SEATTLE</City>
          <State>WA</State>
          <ZIPCode>98195</ZIPCode>
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        <EINOfRecipient>916001537</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>33727</AmountOfCashGrant>
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        <AmountOfCashGrant>54215</AmountOfCashGrant>
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          <City>MINNEAPOLIS</City>
          <State>MN</State>
          <ZIPCode>554263181</ZIPCode>
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        <EINOfRecipient>411617548</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>17054</AmountOfCashGrant>
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          <BusinessNameLine1>PARTNERS IN HEALTH</BusinessNameLine1>
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          <AddressLine1>888 COMMONWEALTH AVENUE 3RD FLOOR</AddressLine1>
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          <State>MA</State>
          <ZIPCode>02215</ZIPCode>
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        <EINOfRecipient>043567502</EINOfRecipient>
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        <AmountOfCashGrant>25000</AmountOfCashGrant>
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          <BusinessNameLine1>POPULATION ACTION INTERNATIONAL</BusinessNameLine1>
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          <City>WASHINGTON</City>
          <State>DC</State>
          <ZIPCode>20036</ZIPCode>
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        <EINOfRecipient>520812075</EINOfRecipient>
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        <AmountOfCashGrant>83866</AmountOfCashGrant>
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          <BusinessNameLine1>ARTEFACT GROUP</BusinessNameLine1>
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          <AddressLine1>225 TERRY AVENUE N SUITE 300</AddressLine1>
          <City>SEATTLE</City>
          <State>WA</State>
          <ZIPCode>98109</ZIPCode>
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        <EINOfRecipient>203035342</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>9785</AmountOfCashGrant>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
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          <BusinessNameLine1>ARTEFACT GROUP</BusinessNameLine1>
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          <AddressLine1>225 TERRY AVENUE N SUITE 300</AddressLine1>
          <City>SEATTLE</City>
          <State>WA</State>
          <ZIPCode>98109</ZIPCode>
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        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>-9785</AmountOfCashGrant>
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          <BusinessNameLine1>WORLD VISION INC</BusinessNameLine1>
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          <AddressLine1>300 I ST NE</AddressLine1>
          <City>WASHINGTON DC</City>
          <State>DC</State>
          <ZIPCode>20002</ZIPCode>
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        <EINOfRecipient>951922279</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>125139</AmountOfCashGrant>
        <PurposeOfGrant>MATERNAL &amp; CHILD HEALTH</PurposeOfGrant>
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          <BusinessNameLine1>BIOJECT INC</BusinessNameLine1>
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          <AddressLine1>20245 SW 95TH AVENUE</AddressLine1>
          <City>TUALATIN</City>
          <State>OR</State>
          <ZIPCode>97062</ZIPCode>
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        <EINOfRecipient>930881020</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>110259</AmountOfCashGrant>
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          <BusinessNameLine1>SEATTLE BIOMEDICAL RESEARCH INSTITUTE</BusinessNameLine1>
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          <AddressLine1>307 WESTLAKE AVE N SUITE 500</AddressLine1>
          <City>SEATTLE</City>
          <State>WA</State>
          <ZIPCode>98109</ZIPCode>
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        <EINOfRecipient>910961784</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>192498</AmountOfCashGrant>
        <PurposeOfGrant>VACCINES AND IMMUNIZATIONS</PurposeOfGrant>
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          <BusinessNameLine1>LIQUIDIA TECHNOLOGIES INC</BusinessNameLine1>
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          <AddressLine1>419 DAVIS DRIVE SUITE 100</AddressLine1>
          <City>DURHAM</City>
          <State>NC</State>
          <ZIPCode>27713</ZIPCode>
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        <EINOfRecipient>201926605</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>185343</AmountOfCashGrant>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
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          <AddressLine1>419 DAVIS DRIVE SUITE 100</AddressLine1>
          <City>DURHAM</City>
          <State>NC</State>
          <ZIPCode>27713</ZIPCode>
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        <EINOfRecipient>201926605</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>212717</AmountOfCashGrant>
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          <City>MARLBOROUGH</City>
          <State>MA</State>
          <ZIPCode>01752</ZIPCode>
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        <EINOfRecipient>043471059</EINOfRecipient>
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        <AmountOfCashGrant>131230</AmountOfCashGrant>
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          <City>MARLBOROUGH</City>
          <State>MA</State>
          <ZIPCode>01752</ZIPCode>
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        <EINOfRecipient>043471059</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>20958</AmountOfCashGrant>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
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          <BusinessNameLine1>UNIVERSITY OF WASHINGTON</BusinessNameLine1>
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          <AddressLine1>4333 BROOKLYN AVE NE BOX 359472</AddressLine1>
          <City>SEATTLE</City>
          <State>WA</State>
          <ZIPCode>98195</ZIPCode>
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        <EINOfRecipient>916001537</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>179508</AmountOfCashGrant>
        <PurposeOfGrant>HEALTH TECHOLOGIES</PurposeOfGrant>
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          <BusinessNameLine1>HEALTH ALLIANCE INTERNATIONAL</BusinessNameLine1>
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          <AddressLine1>4534 11TH AVE NE</AddressLine1>
          <City>SEATTLE</City>
          <State>WA</State>
          <ZIPCode>98105</ZIPCode>
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        <EINOfRecipient>943047981</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>253403</AmountOfCashGrant>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
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          <BusinessNameLine1>SOUTH AFRICA PARTNERS</BusinessNameLine1>
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          <AddressLine1>89 SOUTH STREET SUITE 700</AddressLine1>
          <City>BOSTON</City>
          <State>MA</State>
          <ZIPCode>021112679</ZIPCode>
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        <EINOfRecipient>043396641</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>165623</AmountOfCashGrant>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
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        <AddressUS>
          <AddressLine1>89 SOUTH STREET SUITE 700</AddressLine1>
          <City>BOSTON</City>
          <State>MA</State>
          <ZIPCode>021112679</ZIPCode>
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        <EINOfRecipient>043396641</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>180000</AmountOfCashGrant>
        <PurposeOfGrant>EMERGING AND EPIDEMIC DISEASES</PurposeOfGrant>
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      <TotalNbrOf501C3AndGovtGrants>79</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>52</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>SCHEDULE I, PART I, LINE 2: SUBRECIPIENTS ARE REQUIRED TO SUBMIT PROGRESS REPORTS, WHICH ARE REVIEWED BY RESPONSIBLE PATH PROGRAM MANAGERS AND PROGRAM ADMINISTRATORS TO ENSURE THAT PROGRAM GOALS ARE ATTAINED IN ACCORDANCE WITH AGREEMENT REQUIREMENTS. THE RESPONSIBLE PROGRAM MANAGERS AND PROGRAM ADMINISTRATORS CONTACT SUBRECIPIENTS WITH QUESTIONS AND FOLLOW UP ON ANY CONCERNS. IN SOME CASES, SUBAWARD TERMS MAY REQUIRE SPECIFIED DELIVERABLES IN ADDITION TO, OR IN LIEU OF, TECHNICAL REPORTS. IN ADDITION, DISCRETIONARY ON-SITE VISITS ARE CONDUCTED TO EVALUATE BOTH COMPLIANCE WITH THE SCIENTIFIC OBJECTIVES OF THE PROJECT AND THE APPROPRIATENESS OF THE SUBRECIPIENT'S ADMINISTRATIVE SYSTEMS AND PROCESSES. PATH ALSO USES CROSS-PROGRAM INDICATORS TO TRACK OVERALL ORGANIZATIONAL PERFORMANCE AND LINK OUR WORK AND THE WORK OF SUBRECIPIENTS TO SPECIFIC IMPROVEMENTS IN HEALTH-RELATED OUTCOMES. MONITORING THIS SET OF INDICATORS HELPS PATH SET FUTURE BENCHMARKS AND ADOPT BEST PRACTICES THAT IMPROVE PROGRAMMATIC EFFECTIVENESS OVER TIME.</Explanation>
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        <ReturnReference>PART I, LINE 1A</ReturnReference>
        <Explanation>HOUSING ALLOWANCE &amp; TAX INDEMNIFICATION ARE ONLY PROVIDED TO THOSE INDIVIDUALS WHO ARE EXPATRIATE EMPLOYEES. ALL BENEFIT PAYMENTS ARE MADE ACCORDING TO OUR EXPATRIATE POLICY.</Explanation>
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        <NumberOfContributions>18</NumberOfContributions>
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        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
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      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>SUPPLIES</Description>
        <NumberOfContributions>34</NumberOfContributions>
        <NoncashContribsRptdF990>31021</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST OR SALES PRICE</MethodOfDeterminingRevenues>
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      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>SOFTWARE LIC.</Description>
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        <MethodOfDeterminingRevenues>COST OR SALES PRICE</MethodOfDeterminingRevenues>
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        <MethodOfDeterminingRevenues>COST</MethodOfDeterminingRevenues>
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        <MethodOfDeterminingRevenues>COST</MethodOfDeterminingRevenues>
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      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE FORM 990 WAS PREPARED BY THE OUTSIDE ACCOUNTING FIRM AND REVIEWED BY SENIOR MANAGEMENT. A COPY OF THE FINAL FORM 990 WAS SENT TO THE BOARD OF DIRECTORS FOR COMMENT. AFTER THE COMMENT PERIOD, THE PRESIDENT AND CEO SIGNED THE RETURN AND FILED WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>BOARD MEMBERS, PATH MANAGEMENT, AND ALL STAFF ABOVE A DESIGNATED LEVEL IN THE ORGANIZATION MUST COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM EACH YEAR. ALL FORMS ARE REVIEWED AND KEPT ON FILE. A CONFLICT MANAGEMENT PLAN IS DEVELOPED FOR ANY PERSON WITH A SIGNIFICANT ACTUAL OR PERCEIVED CONFLICT OF INTEREST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE BOARD'S COMPENSATION COMMITTEE ANNUALLY REVIEWS SALARY AND BENEFITS FOR KEY EMPLOYEE POSITIONS. ANY PROPOSALS FOR CHANGES TO SALARY AND BENEFITS MUST BE APPROVED BY THE COMMITTEE BEFORE CONSIDERATION FOR FINAL APPROVAL BY THE BOARD OF DIRECTORS. THE SALARY AND BENEFITS FOR PATH'S PRESIDENT AND CEO POSITION ARE REVIEWED AND APPROVED BY THE ENTIRE BOARD OF DIRECTORS EACH YEAR AT THE MAY BOARD MEETING. PATH ROUTINELY USES THE SERVICES OF EXTERNAL FIRMS TO ASSESS AND BENCHMARK EXECUTIVE COMPENSATION (PRESIDENT/CEO AND VICE PRESIDENTS). THE LAST MAJOR REVIEW WAS COMPLETED IN 2008, WHEN PATH ENGAGED MERCER (A COMPENSATION, BENEFITS, AND HUMAN RESOURCES CONSULTING FIRM) TO REVIEW CURRENT AND PROPOSED BASE SALARIES OF PATH'S CEO AND VICE PRESIDENTS. MERCER USED DATA FROM MULTIPLE SOURCES TO EVALUATE CURRENT AND PROPOSED BASE SALARIES OF THE CEO, VICE PRESIDENTS, AND OTHER KEY EMPLOYEES. THE BOARD'S COMPENSATION COMMITTEE REVIEWED THE MERCER REPORT AND APPROVED THE COMPENSATION PACKAGES FOR THE VICE PRESIDENTS, WITH RATIFICATION BY THE BOARD. THE COMMITTEE ALSO MADE A RECOMMENDATION TO THE BOARD FOR APPROVAL OF THE PRESIDENT'S COMPENSATION PACKAGE, WHICH THE BOARD SUBSEQUENTLY APPROVED. ADDITIONALLY, MERCER REVIEWED THE PROPOSED TOTAL COMPENSATION FOR THE PRESIDENT AND CEO POSITION AND OBTAINED A SIGNIFICANT NUMBER OF DATA POINTS TO ASCERTAIN ITS REASONABLENESS AND APPROPRIATENESS. THE BOARD REVIEWED MERCER'S FINDINGS AND APPROVED THE PRESIDENT AND CEO POSITION'S COMPENSATION AND BENEFIT PACKAGE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>PATH MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
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      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED LOSSES ON INVESTMENTS: -1,512,561.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VII, SECTION A, COLUMN (B): HOURS FOR RELATED ORGANIZATIONS:</ReturnReference>
        <Explanation>CHRISTOPHER J. ELIAS, PRESIDENT AND CEO DURING 2011, DEVOTED APPROXIMATELY ONE HOUR PER WEEK TO PATH VACCINE SOLUTIONS GOVERNANCE. ERIC G. WALKER, VICE PRESIDENT OF CORPORATE SERVICES, DEVOTES APPROXIMATELY ONE HOUR PER WEEK TO PATH VACCINE SOLUTIONS GOVERNANCE. JACQUELINE D. SHERRIS, VICE PRESIDENT OF GLOBAL PROGRAMS, DEVOTES APPROXIMATELY ONE HOUR PER WEEK TO PATH VACCINE SOLUTIONS GOVERNANCE. DAN LASTER, GENERAL COUNSEL, DEVOTES APPROXIMATELY ONE HOUR PER WEEK TO PATH VACCINE SOLUTIONS GOVERNANCE.</Explanation>
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          <State>WA</State>
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        <PrimaryActivities>ADVANCE DEVELOPMENT OF VACCINES TO IMPROVE THE HEALTH OF CHILDREN</PrimaryActivities>
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          <City>KYIV</City>
          <Country>UP</Country>
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        <PrimaryActivities>REDUCE THE BURDEN IN UKRAINE</PrimaryActivities>
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