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      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingCashInd>X</MethodOfAccountingCashInd>
      <AccountantCompileOrReviewInd>1</AccountantCompileOrReviewInd>
      <AcctCompileOrReviewBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="R000002" softwareId="20012124" softwareVersionNum="v1.00">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>3612335</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5734922</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5253210</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5993808</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7652266</CurrentTaxYearAmt>
        <TotalAmt>28246541</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TaxRevLeviedOrgnztnlBnft170Grp>
        <CurrentTaxYearMinus4YearsAmt>7561</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2928</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6513</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4415</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5221</CurrentTaxYearAmt>
        <TotalAmt>26638</TotalAmt>
      </TaxRevLeviedOrgnztnlBnft170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
        <CurrentTaxYearMinus4YearsAmt>3619896</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5737850</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5259723</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5998223</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7657487</CurrentTaxYearAmt>
        <TotalAmt>28273179</TotalAmt>
      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>7239792</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11475700</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10519446</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11996446</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15314974</CurrentTaxYearAmt>
        <TotalAmt>56546358</TotalAmt>
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      <PublicSupportTotal170Amt>56546358</PublicSupportTotal170Amt>
      <TotalSupportAmt>56546358</TotalSupportAmt>
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      <PublicSupportPY170Pct>1</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part II, Line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>There were no other income for the 2020 calendar year for FOSREF.</ExplanationTxt>
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    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="R000003" softwareId="20012124" softwareVersionNum="v1.00">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="R000004" softwareId="20012124" softwareVersionNum="v1.00">
      <OtherAssetsOrgGrp>
        <Desc>TOYOTA LAND CRUISER SUV 2008</Desc>
        <BookValueAmt>25200</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>TOYOTA LAND CRUISER SUV 2012</Desc>
        <BookValueAmt>30800</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>NISSAN PATROL SUV 2007 X2</Desc>
        <BookValueAmt>41485</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>TOYOTA PRADO 2020</Desc>
        <BookValueAmt>45762</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>NISSAN PATROL SUV 2007</Desc>
        <BookValueAmt>21686</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>NISSAN 20 SEAT BUS 2008</Desc>
        <BookValueAmt>10800</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>SDMO DIESEL GENERATOR 40KW X11</Desc>
        <BookValueAmt>104589</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>KUBOTA DIESEL GENERATOR 80 KW X10</Desc>
        <BookValueAmt>163090</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>NISSAN PICKUP 2020</Desc>
        <BookValueAmt>28000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>471412</TotalBookValueOtherAssetsAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="R000005" softwareId="20012124" softwareVersionNum="v1.00">
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <OfficesCnt>15</OfficesCnt>
        <EmployeeCnt>681</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>HEALTH SERVICES</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>7652266</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <TotalOfficeCnt>15</TotalOfficeCnt>
      <TotalEmployeeCnt>681</TotalEmployeeCnt>
      <TotalSpentAmt>7652266</TotalSpentAmt>
      <TransferToForeignCorpInd>0</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>0</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>0</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
    </IRS990ScheduleF>
    <IRS990ScheduleO documentId="R000006" softwareId="20012124" softwareVersionNum="v1.00">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>PART III: STATEMENT OF PROGRAM SERVICES ACCOMPLISHMENTS 4D. OTHER PROGRAM SERVICES RESULTS BASED FINANCING PROGRAM (PASMISSI) OFFERING TECHNICAL ASSISTANCE TO HEALTH DEPARTMENTAL DIRECTORATES ACROSS THE COUNTRY IN RESULTS BASED FINANCING. COVID 19 PREVENTION PROJECT OFFERING INFORMATION AND SENSITIZATION SESSIONS ON COVID 19 FACTS AND PREVENTION MEASURES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI: GOVERNANCE, MANAGEMENT AND DISCLOSURE SECTION B. POLICIES 11B. PROCESS USED BY THE ORGANIZATION TO REVIEW FORM 990 ALL DEPARTMENTS ARE INCLUDED IN THE PROCESS OF REVIEWING FORM 990, PARTICULARLY HUMAN RESSOURCES, ADMINISTRATIVE, FINANCE AND INTERNAL CONTROL STAFF. ALL INFORMATION ARE REVIEWED AND DISCUSSED AS A TEAM. COPIES OF ALL DOCUMENTS SUBMITTED TO THE IRS ARE KEPT ON FILE FOR FUTURE REFERENCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI: GOVERNANCE, MANAGEMENT AND DISCLOSURE SECTION C. DISCLOSURE 19. HAS THE ORGANIZATION MADE IS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC DURING THE TAX YEAR? IF SO, HOW? ONCE A YEAR, FOSREF SUBMITS ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND AN ANNUAL CONSOLIDATED REPORT TO THE HAITIAN MINISTRY OF PLANIFICATION AND EXTERNAL COOPERATION, WHICH IS THE REGULATING MINISTRY FOR ALL NON GOVERNMENTAL ORGANIZATIONS (NGO) WORKING IN HAITI.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <ReasonableCauseExplanation documentId="R000007" softwareId="20012124" softwareVersionNum="v1.00">
      <ExplanationTxt>Late submission of Form 990 2020 for Fondation pour la Sante Reproductrice et l'Education Familiale (EIN: 30 0046081) Dear IRS staff, We are writing in response to a correspondence received on September 12, 2022 from the IRS (Reference 0422817044 Nov 22, 2021 LTR 2694c). This correspondence was received at FOSREF headquarters in Haiti almost 10 months after it was sent by the IRS, as it transited through the dysfunctional national mailing system, also known as Offices des Postes d'Haiti. We would like to point out that the mailing system here in Haiti has been in complete disarray in the past two years, especially during periods of sociopolitical unrest and fuel shortages that have recently and continue to plague the country. We believe that this ongoing situation in Haiti can explain the extremely late arrival of this important correspondence from the IRS. Additionally, we are currently facing another period of unrest that some analysts are calling a "low-intensity civil war" and have had limited access to electricity and internet in the past week. We were informed in the IRS letter received that we need to resubmit our 2020 990 tax forms (which were also sent back to us in the package) electronically, in accordance with the Taxpayer First Act which requires tax-exempt organizations to file tax forms electronically as of July 2020. We were unfortunately not aware of this requirement and had submitted our 2020 tax forms in hard copy through US mail in May 2021 (package was mailed by a FOSREF staff member who had travelled to the States). We are kindly requesting that penalties be voided for FOSREF as we were not aware of this new requirement dating back to July 2020 and because of the extensive delays incurred with mail delivery through the national mailing system. 2020 forms are now being submitted electronically to follow IRS requirements. We will also stay informed and updated of all new requirements with regards to IRS forms and publications moving forward. Thank you for your consideration and understanding.</ExplanationTxt>
    </ReasonableCauseExplanation>
  </ReturnData>
</Return>