2024-09-25T08:57:11-05:00 2023-06-30 454084437 WARREN AVERETT LLC 2500 ACTON ROAD BIRMINGHAM AL 35243 990 2022-07-01 582433968 MEDSHARE INTERNATIONAL INC MEDS 7703235858 3240 CLIFTON SPRINGS ROAD DECATUR GA 30034 STACEY KOEHNKE CEO 7703235858 2024-09-24 1 0 MEGAN RANDOLPH P00989558 2059794100 2024-09-24 2022 2024-08-08 14:25:15Z CHARLES REDDING 3240 CLIFTON SPRINGS RD DECATUR GA 30034 18406264 0 X WWW.MEDSHARE.ORG X 1998 GA WE EFFICIENTLY COLLECT SURPLUS MEDICAL SUPPLIES AND BIOMEDICAL EQUIPMENT FROM U.S. HOSPITALS AND COMPANIES AND DISTRIBUTE THOSE ITEMS TO HEALTHCARE PARTNERS AROUND THE WORLD. OUR FOUR PROGRAMS AND ONE SERVICE REFLECT OUR FOCUS AREAS: MATERNAL & CHILD HEALTH, INFECTIOUS DISEASE CONTROL & PREVENTION, DISASTER RELIEF, PRIMARY CARE, AND BIOMEDICAL EQUIPMENT TRAINING & REPAIR SERVICE. 11 11 40 4004 0 0 23155735 18124069 0 273983 257958 6235 -113447 -41009 23300246 18363278 17324890 21590841 0 0 2856604 3395697 13750 16725 1044000 3122077 1910698 23317321 26913961 -17075 -8550683 28826427 19254528 432325 500419 28394102 18754109 X MEDSHARE IMPROVES THE QUALITY OF LIFE OF PEOPLE, COMMUNITIES, AND OUR PLANET THROUGH THE SOURCING AND DELIVERY OF SURPLUS MEDICAL SUPPLIES AND EQUIPMENT TO COMMUNITIES IN NEED. 0 0 25781012 21590841 275960 DURING THE FISCAL YEAR 2023, THE MEDSHARE MISSION SERVED 1,035,783 PATIENTS IN 45 COUNTRIES THROUGH OUR MATERNAL & CHILD HEALTH, PRIMARY CARE, DISASTER RELIEF, AND INFECTIOUS DISEASE CONTROL & PREVENTION PROGRAMS. OUR BIOMEDICAL EQUIPMENT TRAINING & REPAIR SERVICE HAS SUPPORTED MORE THAN 362 ENGINEERS, TECHNICIANS, AND END-USERS THROUGHOUT THE WORLD.AS WE CONTINUE TO BE MISSION FOCUSED, THREE STRATEGIC IMPERATIVES GUIDE OUR DAILY WORK - ACHIEVING GREATER RECIPIENT IMPACT; CREATING CAPITAL-EFFICIENT GROWTH AND ENSURING ORGANIZATIONAL EXCELLENCE. IN OTHER WORDS, WE WANT TO HELP MORE PEOPLE AND COMMUNITIES IN WAYS THAT WILL LEAVE A MORE LASTING IMPACT.AS ALWAYS, WE REMAIN PREPARED FOR THE SUDDEN AND OFTEN UNIMAGINED DESTRUCTION ASSOCIATED WITH NATURAL DISASTER RELIEF. OUR PREPAREDNESS IS STRENGTHENED BY STRONG PARTNERSHIPS, BOTH LONGTIME AND EMERGING. PARTNERSHIPS WITH UPS, COCA-COLA AND OTHERS WERE ESSENTIAL TO OUR EARLY RESPONSE TO THE COVID-19 PANDEMIC. MEDSHARE DISTRIBUTED PERSONAL PROTECTIVE EQUIPMENT TO FRONT LINE HEALTH WORKERS BOTH WITHIN THE UNITED STATES AND THROUGHOUT SEVERAL OTHER COUNTRIES AROUND THE WORLD. DURING TWENTY-THREE YEARS OF SERVICE TO MEDICALLY UNDERSERVED COMMUNITIES, MEDSHARE HAS DONATED $337 MILLION IN AID TO SERVE MORE THAN 32 MILLION PATIENTS IN 117 COUNTRIES AND TERRITORIES. IN SERVICE TO OUR ENVIRONMENT WE HAVE DIVERTED ALMOST 2 MILLION POUNDS OF QUALITY MEDICAL SUPPLIES FROM LOCAL LANDFILLS ON AN ANNUAL BASIS. 25781012 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 28 0 1 40 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 GA AL AZ CA CO CT DE FL HI ID IL IN IA KY LA MA MD ME MI MN MO MS MT NC NE NH NJ NM NV NY OH OK OR PA RI SC TN TX UT VA VT WA WI WY DC X X X STEPHANIE HUDSON 7703235858 3240 CLIFTON SPRINGS RD DECATUR GA 30034 KEITH WINN PAST CHAIR 1.50 0.00 X X 0 0 0 DAVID KOCHMAN CHAIR 1.50 0.00 X X 0 0 0 TOM HAWK VICE CHAIR & SECRETARY 1.50 0.00 X X 0 0 0 MARYJANE STEVENS TREASURER 1.50 0.00 X X 0 0 0 REMY BERNSTEIN TRUSTEE 0.50 0.00 X 0 0 0 KC DECKER TRUSTEE 0.50 0.00 X 0 0 0 PAT SALBER MD MBA TRUSTEE 0.50 0.00 X 0 0 0 RON NILAND TRUSTEE 0.50 0.00 X 0 0 0 JO HODGES TRUSTEE 0.50 0.00 X 0 0 0 SANDY TYTEL TRUSTEE 0.50 0.00 X 0 0 0 IBRAHEEM T BADEJO PHD TRUSTEE 0.50 0.00 X 0 0 0 CHARLES REDDING PRESIDENT/CEO 40.00 0.00 X 241464 0 40079 STEPHANIE GREENE DIRECTOR OF FINANCE & HR 40.00 0.00 X 105700 0 9076 TONYA WARE CHIEF FINANCIAL OFFICER 40.00 0.00 X 46760 0 2525 STACEY KOEHNKE CHIEF OPERATING OFFICER 40.00 0.00 X 123546 0 15123 DENNIS ROBINSON REGIONAL DIRECTOR, WESTERN REGION 40.00 0.00 X 143838 0 14610 JANE F HE THRU 111122 REGIONAL DIRECTOR, NORTHEAST REGION 40.00 0.00 X 106988 0 0 ERNESTO OLIVARES DIRECTOR OF LOGISTICS 40.00 0.00 X 107905 0 18296 876201 0 99709 6 0 1 0 0 218456 17905613 14159832 18124069 PROGRAM INCOME 900099 273983 273983 273983 6235 6235 0 218456 42986 -42986 -42986 MISCELLANEOUS INCOME 901101 1977 1977 1977 18363278 275960 0 -36751 469927 469927 21120914 21120914 517469 320238 71692 125539 2306183 1427189 319504 559490 26243 16241 3635 6367 339476 210087 47031 82358 206326 127686 28585 50055 6333 2813 3130 390 59409 26392 29358 3659 16725 16725 249811 114266 120524 15021 23627 364 23263 126838 21559 69184 36095 143503 24391 78274 40838 541385 487473 38354 15558 135111 78551 38363 18197 956 556 271 129 98683 98683 83711 67103 16135 473 SHIPPING COSTS 539752 539752 DISTRIBUTION CENTER 525720 524855 865 HIRING EXPENSES 44742 27689 6198 10855 REPAIRS & MAINTENANCE 40898 36826 2897 1175 -709781 37821 -785415 37813 26913961 25781012 88949 1044000 1908903 112582 621349 287342 386000 230965 0 700981 700981 22366549 15003440 89585 179541 2970372 1655731 1413324 1314641 1279835 1369845 59901 55191 28826427 19254528 432325 500419 432325 500419 X 25512807 16162190 2881295 2591919 28394102 18754109 28826427 19254528 -8550683 -1089310 0 X X 0 0 0 X 27297154 23082450 28791096 23155735 18124069 120450504 27297154 23082450 28791096 23155735 18124069 120450504 22201575 98248929 31205 35342 30808 37647 6235 141237 5119 23173 3042 5354 1977 38665 120630406 273983 0.81450 0.86250 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1276249 57558 40326 7875 1366258 1401765 -113944 11572 1276249 1183346 268884 38000 12465 1401765 1234955 16782 56688 11703 1183346 1183020 63596 11661 1234955 0.00000 0.78355 0.21645 0 0 340552 340552 1932049 1029709 902340 3100 3100 0 383043 359063 23980 311628 263859 47769 1314641 18497852 91588 42986 134574 18363278 0 18363278 27048535 91588 42986 134574 26913961 0 26913961 PART V, LINE 4: THE MEDSHARE BUILDING MAINTENANCE ENDOWMENT FUND WILL BE TO PROVIDE FUNDS FOR THE MAINTENANCE AND REPAIR OF THE HEADQUARTERS BUILDING IN DECATUR, GA. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 42,986. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 42,986. 1 SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 5227701 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 324111 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 2457036 EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, 0 0 PRORAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 278492 RUSSIA AND NEIGHBORING STATES - ARMENIA, AZERBIJAN, BELARUS, 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 9340993 SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 7001 SOUTH ASIA - AFGHANISTAN, BANGLADESH, BHUTAN, INDIA, MALDIVES, NEPAL, PAKIS 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 2810 NORTH AMERICA 0 0 PROGRAM SERVICES MEDICAL SUPPLIES & EQUIPMENT 9895 0 0 0 0 0 0 17648039 0 17648039 SUB- SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 156491 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB- SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 387509 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB- SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 256850 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB- SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 293643 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB- SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 47000 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB- SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 329514 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 69012 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB- SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 12640 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB- SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 134756 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 336021 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 10278 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 78854 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 7137 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB- SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 319615 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB- SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 246390 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB- SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 282512 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB- SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 100347 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 26360 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 590782 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB- SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 80510 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 83717 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 202007 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 93187 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 75652 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 476016 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 8327 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 358275 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB- SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 12110 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB- SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 18182 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 208451 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 24561 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 119188 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 9895 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 264516 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB- SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 130191 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 165091 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 237926 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 224798 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB- SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 390271 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB- SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 10972 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB- SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 24004 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB- SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 107726 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 8319 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB- SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 121820 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 10941 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB- SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 271015 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 132402 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 167282 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE EUROPE (INCLUDING ICELAND & GREENLAD) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 57195 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE EUROPE (INCLUDING ICELAND & GREENLAD) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 43691 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE EUROPE (INCLUDING ICELAND & GREENLAD) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 24603 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE EUROPE (INCLUDING ICELAND & GREENLAD) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 162537 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB- SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 28463 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE RUSSIA AND NEIGHBORING STATES - ARMENIA, AZERBIJAN, BELARUS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 33906 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE RUSSIA AND NEIGHBORING STATES - ARMENIA, AZERBIJAN, BELARUS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 92529 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE RUSSIA AND NEIGHBORING STATES - ARMENIA, AZERBIJAN, BELARUS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 5535 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE RUSSIA AND NEIGHBORING STATES - ARMENIA, AZERBIJAN, BELARUS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 18000 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE RUSSIA AND NEIGHBORING STATES - ARMENIA, AZERBIJAN, BELARUS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 9038292 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE RUSSIA AND NEIGHBORING STATES - ARMENIA, AZERBIJAN, BELARUS, TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 147256 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB- SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 30100 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB- SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 106043 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE SUB- SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO TO PROVIDE MEDICAL SUPPLIES AND EQUIPMENT 0 N/A 5582 MEDICAL SUPPLIES AND EQUIPMENT FAIR MARKET VALUE 62 0 0 0 0 0 0 0 PART I, LINE 2: THERE ARE NO CASH GRANTS AWARDED OUTSIDE THE UNITED STATES. ALL FOREIGN ASSISTANCE IS IN THE FORM OF DONATED MEDICAL SUPPLIES AND EQUIPMENT. PART III ACCOUNTING METHOD: X X X X X X X 1 WELLSPRING NONPROFIT RESOURCE INC 2870 PEACHTREE RD SUITE 614 ATLANTA GA 30305 GRANTWRITING 0 0 13125 -13125 13125 -13125 GA AL AR AZ CA CO CT DE FL HI ID IL IN IA KY LA MA MD ME MI MN MO MS MT NC NE NH NJ NM NV NY OH OK OR PA RI SC TN TX UT VA VT WA WI WY DC SHARE THE GOOD GALA 218456 218456 283 22278 3750 16675 218456 218456 283 22278 3750 16675 42986 -42986 1 GLEANING FOR THE WORLD 7539 STAGE ROAD CONCORD VA 24538 541930105 501(C)(3) 0 421950 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT ETHNE HEALTH 4057 CENTRAL DRIVE CLARKSTON GA 30021 823920554 501(C)(3) 0 8989 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT GRASSROOTS HEALTHCARE FOUNDATION 732 PLACER CIRCLE VACAVILLE CA 95687 320600776 501(C)(3) 0 6868 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT DREAM YOUTH CLINIC 3649 OAK KNOLL BLVD OAKLAND CA 946054457 923921922 501(C)(3) 0 5944 FMV MEDICAL SUPPLIES AND EQUIPMENT TO PROVIDE HOSPITAL/CLINICAL EQUIPMENT 4 0 PART I, LINE 2: ALL NONCASH ASSISTANCE IS IN THE FORM OF SURPLUS MEDICAL EQUIPMENT AND SUPPLIES 1 X X 0 0 0 0 0 0 0 0 0 CHARLES REDDING PRESIDENT/CEO 229544 0 11920 0 0 0 0 0 41243 0 282707 0 0 0 AB SHORT RETIRED CEO/EMERITUS TRUSTEE SEE PART V X 159128 700981 0 1 1 700981 SCHEDULE L PART II, LOANS TO INTERESTED PERSONS PURPOSE OF LOAN:AMOUNTS REFLECT PREMIUM ADVANCED TO FORMER KEY EXECUTIVE FOR THE PURCHASE OF LIFE INSURANCE, WHEREBY EACH PREMIUM IS TREATED AS A LOAN TO THE FORMER KEY EXECUTIVE FOR TAX PURPOSES UNDER IRC SECTION 26 C.F.R. SUBSECTION 1.7872-15. IT WILL BE REPAID AT THE DEATH OF MR. SHORT INCLUDING PRINCIPAL PLUS CUMULATIVE INTEREST AT A RATE ESTABLISHED BY THE INTERNAL REVENUE SERVICE. X EQUIPMENT AND SUPPLIES 1327 14159832 FAIR MARKET VALUE 0 0 1 0 PART I, COLUMN (B): COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS. FORM 990, PART IV, LINE 12A THE AUDIT OF THE FINANCIAL STATEMENTS OF THE CURRENT TAX YEAR HAVE NOT BEEN COMPLETED AS OF THE FILING DATE OF THE TAX RETURN. FORM 990, PART VI, SECTION B, LINE 11B EACH TRUSTEE RECEIVES AN ELECTRONIC COPY OF THE FORM 990 WITH A REQUEST THAT THEY REVIEW AND SUBMIT ANY QUESTIONS TO THE CHIEF FINANCIAL OFFICER. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY AND COMPLIANCE FORM ARE SENT ANNUALLY TO EACH TRUSTEE AND THE CEO. COMPLIANCE IS MONITORED BY THE CFO. FORM 990, PART VI, SECTION B, LINE 15A THE SALARY FOR THE CEO WAS AGREED UPON BY THE BOARD OF TRUSTEES AFTER A THOROUGH REVIEW OF SALARY DATA COMPARISONS. AN ANNUAL REVIEW IS COMPLETED BY THE EXECUTIVE COMMITTEE, WHO REQUEST INPUT FROM ALL TRUSTEES, AND IS REVIEWED WITH THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF AUDITED FINANCIAL STATEMENTS AND FORM 990 ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE AND UPON REQUEST. FORM 990, PART XII, LINE 2C THE AUDIT COMMITTEE OF THE ORGANIZATION ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. FORM 990, PART XII, LINE 2B THE AUDIT OF THE FINANCIAL STATEMENTS OF THE CURRENT TAX YEAR HAVE NOT BEEN COMPLETED AS OF THE FILING DATE OF THE TAX RETURN.