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        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>193177</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Kari Stoever</NamePerson>
        <Title>Former Program Director</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>385000</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>2168799</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>95201</TotalOtherCompensation>
      <NumberIndividualsGT100K>11</NumberIndividualsGT100K>
      <FormersListed>1</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Changing our World</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>220 East 42nd St 7th Flr</AddressLine1>
            <City>New York</City>
            <State>NY</State>
            <ZIPCode>10017</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Resource development strategy &amp; support</DescriptionOfServices>
        <Compensation>720011</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>GMMB</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>101 Wisconsin Avenue NW</AddressLine1>
            <City>Washington</City>
            <State>DC</State>
            <ZIPCode>20007</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Pneumococcal vaccine advocacy</DescriptionOfServices>
        <Compensation>408501</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>APCO Worldwide</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>700 12th Street NW Suite 800</AddressLine1>
            <City>Washington</City>
            <State>DC</State>
            <ZIPCode>20005</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Communication services</DescriptionOfServices>
        <Compensation>165154</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Home Front Communications</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1121 14th Street</AddressLine1>
            <City>Washington</City>
            <State>DC</State>
            <ZIPCode>20005</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Communication services</DescriptionOfServices>
        <Compensation>132661</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Fraunhofer USA Inc</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 673308</AddressLine1>
            <City>Detroit</City>
            <State>MI</State>
            <ZIPCode>48267</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Vaccine manufacture</DescriptionOfServices>
        <Compensation>124500</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>5</NumberOfContractorsGT100K>
      <AllOtherContributions>21076480</AllOtherContributions>
      <TotalContributions>21076480</TotalContributions>
      <InvestmentIncome>
        <TotalRevenueColumn>25207</TotalRevenueColumn>
        <ExclusionAmount>25207</ExclusionAmount>
      </InvestmentIncome>
      <TotalRevenue>
        <TotalRevenueColumn>21101687</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>25207</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>4933944</Total>
        <ProgramServices>4933944</ProgramServices>
      </GrantsToDomesticOrgs>
      <ForeignGrants>
        <Total>2986706</Total>
        <ProgramServices>2986706</ProgramServices>
      </ForeignGrants>
      <CompCurrentOfficersDirectors>
        <Total>887148</Total>
        <ProgramServices>732914</ProgramServices>
        <ManagementAndGeneral>147454</ManagementAndGeneral>
        <Fundraising>6780</Fundraising>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>2400556</Total>
        <ProgramServices>1987373</ProgramServices>
        <ManagementAndGeneral>395614</ManagementAndGeneral>
        <Fundraising>17569</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>51421</Total>
        <ProgramServices>40257</ProgramServices>
        <ManagementAndGeneral>10355</ManagementAndGeneral>
        <Fundraising>809</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>258739</Total>
        <ProgramServices>202566</ProgramServices>
        <ManagementAndGeneral>52104</ManagementAndGeneral>
        <Fundraising>4069</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>193436</Total>
        <ProgramServices>160288</ProgramServices>
        <ManagementAndGeneral>31367</ManagementAndGeneral>
        <Fundraising>1781</Fundraising>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>124013</Total>
        <ProgramServices>100294</ProgramServices>
        <ManagementAndGeneral>23719</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>13380</Total>
        <ProgramServices>10821</ProgramServices>
        <ManagementAndGeneral>2559</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesProfFundraising>
        <Total>720011</Total>
        <Fundraising>720011</Fundraising>
      </FeesForServicesProfFundraising>
      <FeesForServicesOther>
        <Total>858739</Total>
        <ProgramServices>591694</ProgramServices>
        <ManagementAndGeneral>266629</ManagementAndGeneral>
        <Fundraising>416</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>612002</Total>
        <ProgramServices>609674</ProgramServices>
        <ManagementAndGeneral>2328</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>295541</Total>
        <ProgramServices>254232</ProgramServices>
        <ManagementAndGeneral>39451</ManagementAndGeneral>
        <Fundraising>1858</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>183612</Total>
        <ProgramServices>131665</ProgramServices>
        <ManagementAndGeneral>51947</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>522446</Total>
        <ProgramServices>62674</ProgramServices>
        <ManagementAndGeneral>459772</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>711625</Total>
        <ProgramServices>667373</ProgramServices>
        <ManagementAndGeneral>24620</ManagementAndGeneral>
        <Fundraising>19632</Fundraising>
      </Travel>
      <ConferencesMeetings>
        <Total>935277</Total>
        <ProgramServices>928715</ProgramServices>
        <ManagementAndGeneral>5696</ManagementAndGeneral>
        <Fundraising>866</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>2457</Total>
        <ProgramServices>1270</ProgramServices>
        <ManagementAndGeneral>1187</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>15661</Total>
        <ManagementAndGeneral>15661</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>56592</Total>
        <ProgramServices>16006</ProgramServices>
        <ManagementAndGeneral>40586</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Recruiting</Description>
        <Total>66876</Total>
        <ProgramServices>51524</ProgramServices>
        <ManagementAndGeneral>14901</ManagementAndGeneral>
        <Fundraising>451</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Dues and subscriptions</Description>
        <Total>40877</Total>
        <ProgramServices>38293</ProgramServices>
        <ManagementAndGeneral>2584</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Miscellaneous</Description>
        <Total>22901</Total>
        <ProgramServices>18306</ProgramServices>
        <ManagementAndGeneral>4535</ManagementAndGeneral>
        <Fundraising>60</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Bank fees</Description>
        <Total>7284</Total>
        <ProgramServices>6341</ProgramServices>
        <ManagementAndGeneral>943</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Books and publications</Description>
        <Total>4226</Total>
        <ProgramServices>2568</ProgramServices>
        <ManagementAndGeneral>642</ManagementAndGeneral>
        <Fundraising>1016</Fundraising>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>16905470</Total>
        <ProgramServices>14535498</ProgramServices>
        <ManagementAndGeneral>1594654</ManagementAndGeneral>
        <Fundraising>775318</Fundraising>
      </TotalFunctionalExpenses>
      <SavingsAndTempCashInvestments>
        <BOY>18623652</BOY>
        <EOY>24339796</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>758437</BOY>
        <EOY>577493</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>2549401</BOY>
        <EOY>1712316</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>97035</BOY>
        <EOY>97680</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>222806</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>183739</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>54728</BOY>
        <EOY>39067</EOY>
      </LandBuildingsEquipmentBasisNet>
      <OtherAssetsTotal>
        <BOY>469381</BOY>
        <EOY>48873</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>22552634</BOY>
        <EOY>26815225</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>2889732</BOY>
        <EOY>2937947</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>472376</BOY>
        <EOY>472376</EOY>
      </DeferredRevenue>
      <OtherLiabilities>
        <BOY>192180</BOY>
        <EOY>210339</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>3554288</BOY>
        <EOY>3620662</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>2321029</BOY>
        <EOY>1806523</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>16677317</BOY>
        <EOY>21388040</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>18998346</BOY>
        <EOY>23194563</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>22552634</BOY>
        <EOY>26815225</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>4196217</ReconcilationRevenueExpenses>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>11442210</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>15829944</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>25512242</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>17123901</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>21076480</CurrentTaxYear>
        <Total>90984777</Total>
      </GiftsGrantsContribReceived170>
      <Total170>
        <CurrentTaxYearMinus4Years>11442210</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>15829944</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>25512242</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>17123901</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>21076480</CurrentTaxYear>
        <Total>90984777</Total>
      </Total170>
      <AmountsSubstContributorsTotal>70859109</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>20125668</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>206125</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>390893</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>241594</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>92623</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>25207</CurrentTaxYear>
        <Total>956442</Total>
      </GrossInvestmentIncome170>
      <TotalSupport>91941219</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>892383</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.21890</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.27810</PublicSupportPertcentPriorYear>
      <TenPercentTestCurrentYear>X</TenPercentTestCurrentYear>
      <FactsAndCircumstancesTest>The Organization has maintained a continuous and bona fide program for solicitation of funds from the general public, community, government units, and other charities. The public support percentage for both 2010 and 2009 was approximately 22% and 28%, respectively, since some donations for use in the Organization's charitable programs from several contributors were larger than anticipated. As contained in the program descriptions in Part III of Form 990, the Organization's program services directly benefit the general public on a continuing basis. While certain large Foundation grants may continue in the near term, this support is crucial to the Organization's exempt purpose of promoting and contributing to the control of infectious and neglected tropical diseases. The Organization expects to continue to solicit qualifying public support to assist in carrying out these programs. Finally, the Organization's governing body represents the broad interest of the public, with no one individual or related group of individuals having undue control or influence over the Organization's funding or affairs. These Board members bring important skill sets and qualifications that help the Organization plan and achieve its strategic objectives. Accordingly, the "facts and circumstances" substantiate that the Organization continues to operate as a public charity.</FactsAndCircumstancesTest>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Equipment>
        <OtherCostOrOtherBasis>222806</OtherCostOrOtherBasis>
        <Depreciation>183739</Depreciation>
        <BookValue>39067</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <BookValue>0</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>39067</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>Obligation under capital lease</Description>
        <Amount>12997</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Deferred rent</Description>
        <Amount>197342</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>210339</TotalOfAmounts>
      <TotalRevenue>21101687</TotalRevenue>
      <TotalExpenses>16905470</TotalExpenses>
      <ExcessOrDeficitForYear>4196217</ExcessOrDeficitForYear>
      <TotalAdjustments>0</TotalAdjustments>
      <ExcessOrDeficitPerFS>4196217</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>21370503</TotRevenueEtcAuditedFinclStmt>
      <DonatedSrvcAndUseOfFacilities>268816</DonatedSrvcAndUseOfFacilities>
      <RevenueNotRptdF990>268816</RevenueNotRptdF990>
      <RevenueSubtotal>21101687</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>21101687</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>17174286</TotExpensesEtcAuditedFinclStmt>
      <DonatedServicesUseOfFacilities>268816</DonatedServicesUseOfFacilities>
      <ExpensesNotRptdF990>268816</ExpensesNotRptdF990>
      <ExpensesSubtotal>16905470</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>16905470</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Description of Uncertain Tax Positions Under FIN 48:</Identifier>
        <ReturnReference>Part X:</ReturnReference>
        <Explanation>The Organization has no significant uncertain tax positions during the year ended December 31, 2010.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="RetDoc1040500001">
      <GrantRecordsMaintained>1</GrantRecordsMaintained>
      <AcctsActvsOutUSTable>
        <Region>Middle East and North Africa</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Grants to recipients located in region.</TypeOfActivitiesConducted>
        <TotalExpenditures>109247</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>Europe (Including Iceland &amp; Greenland)</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Grants to recipients located in region.</TypeOfActivitiesConducted>
        <TotalExpenditures>952940</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>South America</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Grants to recipients located in region.</TypeOfActivitiesConducted>
        <TotalExpenditures>1089469</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>East Asia and the Pacific</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Grants to recipients located in region.</TypeOfActivitiesConducted>
        <TotalExpenditures>835049</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <SubtotalNumberOfEmployees>0</SubtotalNumberOfEmployees>
      <ContNumberOfEmployees>0</ContNumberOfEmployees>
      <TotalNumberOfEmployees>0</TotalNumberOfEmployees>
      <SubtotalAmountSpent>2986705</SubtotalAmountSpent>
      <ContAmountSpent>0</ContAmountSpent>
      <TotalAmountSpent>2986705</TotalAmountSpent>
      <GrantsToOrgsOutsideUS>
        <Region>South America</Region>
        <PurposeOfGrant>Vaccine Development</PurposeOfGrant>
        <AmountOfCashGrant>164243</AmountOfCashGrant>
        <MannerOfCashDisbursement>EFT</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>Europe (Including Iceland &amp; Greenland)</Region>
        <PurposeOfGrant>NTD Control</PurposeOfGrant>
        <AmountOfCashGrant>419535</AmountOfCashGrant>
        <MannerOfCashDisbursement>EFT</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>South America</Region>
        <PurposeOfGrant>NTD Control</PurposeOfGrant>
        <AmountOfCashGrant>100057</AmountOfCashGrant>
        <MannerOfCashDisbursement>EFT</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>South America</Region>
        <PurposeOfGrant>Vaccine Development</PurposeOfGrant>
        <AmountOfCashGrant>825168</AmountOfCashGrant>
        <MannerOfCashDisbursement>EFT</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>Europe (Including Iceland &amp; Greenland)</Region>
        <PurposeOfGrant>NTD Control</PurposeOfGrant>
        <AmountOfCashGrant>156777</AmountOfCashGrant>
        <MannerOfCashDisbursement>EFT</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>Europe (Including Iceland &amp; Greenland)</Region>
        <PurposeOfGrant>NTD Control</PurposeOfGrant>
        <AmountOfCashGrant>92213</AmountOfCashGrant>
        <MannerOfCashDisbursement>EFT</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>East Asia and the Pacific</Region>
        <PurposeOfGrant>Vaccine Development</PurposeOfGrant>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <MannerOfCashDisbursement>EFT</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>East Asia and the Pacific</Region>
        <PurposeOfGrant>Vaccine Development</PurposeOfGrant>
        <AmountOfCashGrant>148086</AmountOfCashGrant>
        <MannerOfCashDisbursement>EFT</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>Middle East and North Africa</Region>
        <PurposeOfGrant>NTD control</PurposeOfGrant>
        <AmountOfCashGrant>109247</AmountOfCashGrant>
        <MannerOfCashDisbursement>EFT</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>East Asia and the Pacific</Region>
        <PurposeOfGrant>Vaccine Development</PurposeOfGrant>
        <AmountOfCashGrant>175453</AmountOfCashGrant>
        <MannerOfCashDisbursement>EFT</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>East Asia and the Pacific</Region>
        <PurposeOfGrant>NTD Control</PurposeOfGrant>
        <AmountOfCashGrant>205000</AmountOfCashGrant>
        <MannerOfCashDisbursement>EFT</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>East Asia and the Pacific</Region>
        <PurposeOfGrant>NTD Control</PurposeOfGrant>
        <AmountOfCashGrant>256510</AmountOfCashGrant>
        <MannerOfCashDisbursement>EFT</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>East Asia and the Pacific</Region>
        <PurposeOfGrant>NTD Control</PurposeOfGrant>
        <AmountOfCashGrant>284415</AmountOfCashGrant>
        <MannerOfCashDisbursement>EFT</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <TotalNumberOf501c3Orgs>13</TotalNumberOf501c3Orgs>
      <TransferToForeignCorp>0</TransferToForeignCorp>
      <InterestInForeignTrust>0</InterestInForeignTrust>
      <OwnForeignCorp>0</OwnForeignCorp>
      <PassiveForeignInvestCo>0</PassiveForeignInvestCo>
      <ForeignPartnership>0</ForeignPartnership>
      <BoycottCountries>0</BoycottCountries>
      <Form990ScheduleFPartV>
        <Identifier>Procedure for Monitoring Grants Outside the U.S.:</Identifier>
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        <Identifier>Procedure for Monitoring Grants in the U.S.:</Identifier>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>The Form 990 is prepared by an outside tax accountant. It is first reviewed by the Chief Operating Officer and then presented to the Finance Committee for their review and approval. Finally, it is presented to the full Board of Trustees for their review and approval before filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>The Organization's Ethics &amp; Compensation Committee is responsible for ensuring the conflict of interest policy is up-to-date and adhered to by the Trustees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>Compensation of officers and/or key employees is set in consultation with the Compensation and Ethics Committee. The Organization uses a mix of data points including: independent salary surveys; comparable pay by similar organizations; compensation consultant and its own internal pay scale.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>The Organization's financial statements are included on its website. Also, the Organization's governing documents and conflict of interest policy are available upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part XII, Line 2c:</ReturnReference>
        <Explanation>The Organization has a finance committee that assumes responsibility for oversight of the audit. This process is consistent with prior years.</Explanation>
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</Return>