AGENO FOUNDATION INTERNATIONAL INCORPORATED: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: AGENO FOUNDATION INTERNATIONAL INCORPORATED (EIN 45-4043387)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-15
IRS object ID: 202113199349329591
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule F
Schedule G
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-15T23:52:46-05:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	271197866	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	NORSTAR GROUP LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 828	AddressLine1Txt
City	YONKERS	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10702	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	454043387	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE AGENO FOUNDATION INTERNATIONAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	AGEN	BusinessNameControlTxt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 370	AddressLine1Txt
City	NEW CITY	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10956	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVE A HOLSON	PersonNm
Person Title	VICE PRESIDENT	PersonTitleTxt
Signature	2021-03-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	DAVE	PersonFirstNm
Person Last	HOLSON	PersonLastNm

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	RAYMOND EMANUEL	PreparerPersonNm
PTIN	P00184601	PTIN
Phone	9142144971	PhoneNum
Preparation	2021-11-15	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	0	TrustedCustomerCd
OOB Security Verification	00	OOBSecurityVerificationCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JAMEL PATTERSON MD MPH MS	PrincipalOfficerNm
Gross Receipts	$261,426	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.AGENOFOUNDATION.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2011	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	HEALTH CARE AND EDUCATION	ActivityOrMissionDesc
Voting Members Governing Body	4	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$291,049	PYContributionsGrantsAmt
CY Contributions Grants	$261,426	CYContributionsGrantsAmt
CY Program Service Revenue	$0	CYProgramServiceRevenueAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$291,049	PYTotalRevenueAmt
CY Total Revenue	$261,426	CYTotalRevenueAmt
PY Grants And Similar Paid	$258,812	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$236,955	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$696	CYTotalFundraisingExpenseAmt
PY Other Expenses	$26,599	PYOtherExpensesAmt
CY Other Expenses	$10,327	CYOtherExpensesAmt
PY Total Expenses	$285,411	PYTotalExpensesAmt
CY Total Expenses	$247,282	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,638	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$14,144	CYRevenuesLessExpensesAmt
Total Assets BOY	$9,990	TotalAssetsBOYAmt
Total Assets EOY	$24,134	TotalAssetsEOYAmt
Total Liabilities EOY	$0	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$9,990	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$24,134	NetAssetsOrFundBalancesEOYAmt
Mission	HEALTH CARE AND EDUCATION	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$201,667	ExpenseAmt
Desc	HAITI1.PROJET AGENO AT DELMASWE PROVIDED SCHOLARSHIPS TO 62 STUDENTS AT THE PRIMARY AND SECONDARY LEVEL. 51 STUDENTS ALSO PARTICIPATED IN OUR AFTERSCHOOL PROGRAM 6 DAYS PER WEEK. WE DISTRIBUTED 2 SETS OF UNIFORMS, SCHOOL BAGS, BOOKS, AND SCHOOL SUPPLIES TO ALL THE PARTICIPANTS IN THE AFTERSCHOOL PROGRAM. THE FOUNDATION ALSO PROVIDED HOT MEALS TO THE STUDENTS WHEN IN SESSION. OUR 3 CANDIDATES CONTINUED OUR TRADITION OF 100% PASS RATE FOR THE HAITIAN 9TH GRADE NATIONAL EXAMS. THE 6 HIGH SCHOOL SENIORS ALSO HAD 100% PASS RATE FOR THE NATIONAL EXAMS OF THE PHILO BACCALAUREATE.AGENO SUPPORTED 21 UNIVERSITY STUDENTS WITH FULL SCHOLARSHIPS IN VARIOUS FIELDS SUCH AS NURSING, ENGINEERING, ACCOUNTING, MEDICINE, AND DENTISTRY. WE ALSO DISTRIBUTED 5 LAPTOPS. WE HAD 3 UNIVERSITY GRADUATES THIS YEAR IN ACCOUNTING, BUSINESS AND NURSING.2.CLINIQUE SUR APPEL DE DELMASTHE FOUNDATION MANAGED AND SUPPORTED THIS PRIMARY CARE CLINIC IN DELMAS 75.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$17,760	ExpenseAmt
Desc	KENYA, MALAWI, CONGO 1.WORKING WITH OUR PARTNERS IN KENYA, WE FED OVER 5000 PEOPLE. 2.CONTINUED FINANCIAL SUPPORT TO LOCAL ARTIST FOR THE ART PROGRAM WHICH NOW HAS OVER 100 STUDENTS IN THE COMMUNITY. WE ALSO FINANCED THE CONSTRUCTION THE ART STUDIO WHERE THE STUDENTS WHO WERE UNABLE TO ATTEND SCHOOL BECAUSE OF THE PANDEMIC HAD A SAFE HAVEN TO LEARN ART, PLAY GAMES AND BE MENTORED.3.FUNDED THE MERCY TRAIN EMPOWERMENT PROGRAM RUN BY DANIEL NJERI, WHICH HAS 100 WOMEN ENROLLED IN A PROGRAM DESIGNED TO EMPOWER THEM SOCIALLY AND ECONOMICALLY.MALAWI 1.DISTRIBUTION OF MASKS AND BARS OF SOAP.2.FEEDING PROGRAM FOR APPROXIMATELY 200 WIDOWS AND ORPHANS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$10,128	ExpenseAmt
Desc	COMMUNITY HEALTH AND DEVELOPMENT PROJECTS 2020JAMAICA 1.DISTRIBUTED FUNDS TO HILLTOP BASIC SCHOOL IN MONTEGO BAY TO MAKE THE SCHOOL COVID-19 SAFE. THE FOUNDATION PURCHASED A REFRIGERATOR AND SCHOOL SUPPLIES FOR THE STUDENTS AND TEACHERS OF THE SCHOOL. 2.SHIPPED 17 BARRELS OF SCHOOL SUPPLIES, FOOD ITEMS, CLOTHING AND BIBLES TO VARIOUS MINISTRIES IN JAMAICA.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$7,400	ExpenseAmt
Desc	UGANDA PARTNERSHIP WITH LIFE-LINE MINISTRIES1.CONTINUED THE ELIJAH MILLIARD EDUCATION PROJECT WHICH PROVIDES SCHOLARSHIPS TO PRIMARY SCHOOL STUDENTS.2.WOMEN EMPOWERMENT PROGRAM IN KAMPALA NOW REPLICATED IN ENTEBBE.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$7,400	TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses	$236,955	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	false	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	Yes (true)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	Yes (true)	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	false	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	4	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	false	ConflictOfInterestPolicyInd
Whistleblower Policy	false	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DAVE HOLSON MD MPH	PersonNm
Phone	9144231720	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 370	AddressLine1Txt
City	NEW CITY	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10956	ZIPCd

Field	Value	IRS element (for citing)
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
DALE REIGER-BUTLER DNP FNP
VICE PRESIDENT & SECRETARY	5.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
CRYSTAL GARCIA
ASSISTANT SECRETARY	5.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
JAMEL PATTERSON MD MPH MS
PRESIDENT	10.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
DAVE HOLSON MD MPH
VICE PRESIDENT & TREASURER	10.00	0.00	Yes (X)	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Fundraising	$35,748	FundraisingAmt
All Other Contributions	$225,678	AllOtherContributionsAmt
Total Contributions	$261,426	TotalContributionsAmt
Contri Rpt Fundraising Event	$35,748	ContriRptFundraisingEventAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$261,426	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$236,955	TotalAmt
Program Services	$236,955	ProgramServicesAmt

Other Expenses OtherExpensesGrp

Field	Value	IRS element (for citing)
Desc	OPERATING EXPENSES	Desc
Total	$10,327	TotalAmt
Management And General	$9,631	ManagementAndGeneralAmt
Fundraising	$696	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$247,282	TotalAmt
Program Services	$236,955	ProgramServicesAmt
Management And General	$9,631	ManagementAndGeneralAmt
Fundraising	$696	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$9,990	BOYAmt
EOY	$24,134	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,990	BOYAmt
EOY	$24,134	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Org Does Not Follow FASB117	Yes (X)	OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

Field	Value	IRS element (for citing)
BOY	$9,990	BOYAmt
EOY	$24,134	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$9,990	BOYAmt
EOY	$24,134	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$9,990	BOYAmt
EOY	$24,134	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$14,144	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Cash	Yes (X)	MethodOfAccountingCashInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	false	FSAuditedInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$256,956	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$283,327	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$269,069	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$287,409	CurrentTaxYearMinus1YearAmt
Current Tax Year	$261,426	CurrentTaxYearAmt
Total	$1,358,187	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$256,956	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$283,327	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$269,069	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$287,409	CurrentTaxYearMinus1YearAmt
Current Tax Year	$261,426	CurrentTaxYearAmt
Total	$1,358,187	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$384,165	SubstantialContributorsTotAmt
Public Support Total170	$974,022	PublicSupportTotal170Amt
Total Support	$1,358,187	TotalSupportAmt
Public Support CY170	0.71710	PublicSupportCY170Pct
Public Support PY170	0.73010	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule F IRS990ScheduleF

Grants To Org Outside US GrantsToOrgOutsideUSGrp

Field	Value	IRS element (for citing)
Region	SUB-SAHARAN AFRICA	RegionTxt
Purpose Of Grant	EDUCATION	PurposeOfGrantTxt
Cash Grant	$7,400	CashGrantAmt
Manner Of Cash Disbursement	WIRE TRANSFER	MannerOfCashDisbursementTxt

Foreign Individuals Grants ForeignIndividualsGrantsGrp (2 entries)

Type Of AssistanceTypeOfAssistanceTxt	RegionRegionTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt
COMMUNITY DEVELOPMENT	SUB-SAHARAN AFRICA	$17,760	WIRE TRANSFER
COMMUNITY DEVELOPMENT	CENTRAL AMERICA AND THE CARIBBEAN	$211,795	WIRE TRANSFER

Field	Value	IRS element (for citing)
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	CLEAN WATER	Event1Nm
Gross Receipts Event1	$29,382	GrossReceiptsEvent1Amt
Gross Revenue Event1	$29,382	GrossRevenueEvent1Amt
Event2	HAITI TRUCK	Event2Nm
Gross Receipts Event2	$5,966	GrossReceiptsEvent2Amt
Gross Revenue Event2	$5,966	GrossRevenueEvent2Amt
Gross Receipts Total	$35,348	GrossReceiptsTotalAmt
Gross Revenue Total Events	$35,348	GrossRevenueTotalEventsAmt
Net Income Summary	$35,348	NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990 governing body review Part VI line 11	PRIOR TO FILING FORM 990 OR 990EZ, THIS FORM WILL BE MADE AVAILABLE REVIEW, COMMENT AND/OR INPUT TO ALL GOVERNING MEMBERS OF THE ORGANIZATION IN ELECTRONIC OR PAPER FORMAT.
Governing documents etc available to public Part VI line 19	BEYOND ITEMS REQUIRED BY THE IRS TO BE MADE AVAILABLE TO THE PUBLIC, OTHER ORGANIZATIONAL DOCUMENTS WILL BE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST AND TO THE EXTENT THAT THE DOCUMENTS ENHANCE PUBLIC UNDERSTANDING AND ARE BENEFICIAL TO THE ORGANIZAION. THESE DOCUMENTS WILL BE MADE AVAILABLE IN ELECTRONIC AND/OR PAPER FORMAT.