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          <AverageHrsPerWkDevotedToPosRt>1.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
          <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
          <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>DAVID ACKER</PersonNm>
          <USAddress>
            <AddressLine1Txt>40 WEST 25TH STREET 6TH FLOOR</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10010</ZIPCd>
          </USAddress>
          <TitleTxt>DIRECTOR</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>1.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
          <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
          <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>DR NILS DAULAIRE</PersonNm>
          <USAddress>
            <AddressLine1Txt>40 WEST 25TH STREET 6TH FLOOR</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10010</ZIPCd>
          </USAddress>
          <TitleTxt>DIRECTOR</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>1.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
          <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
          <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>STEPHEN RUDY</PersonNm>
          <USAddress>
            <AddressLine1Txt>40 WEST 25TH STREET 6TH FLOOR</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10010</ZIPCd>
          </USAddress>
          <TitleTxt>CEO/DIRECTOR</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>40.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>325000</CompensationAmt>
          <EmployeeBenefitProgramAmt>66635</EmployeeBenefitProgramAmt>
          <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>LINA SAYED</PersonNm>
          <USAddress>
            <AddressLine1Txt>40 WEST 25TH STREET 6TH FLOOR</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10010</ZIPCd>
          </USAddress>
          <TitleTxt>COO</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>40.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>210000</CompensationAmt>
          <EmployeeBenefitProgramAmt>33129</EmployeeBenefitProgramAmt>
          <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>ERICA FRENKEL</PersonNm>
          <USAddress>
            <AddressLine1Txt>40 WEST 25TH STREET 6TH FLOOR</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10010</ZIPCd>
          </USAddress>
          <TitleTxt>COO, THRU MAY 2019</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>40.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>105805</CompensationAmt>
          <EmployeeBenefitProgramAmt>23640</EmployeeBenefitProgramAmt>
          <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
        </OfficerDirTrstKeyEmplGrp>
        <CompensationHighestPaidEmplGrp>
          <PersonNm>DAVID ETTL</PersonNm>
          <USAddress>
            <AddressLine1Txt>40 WEST 25TH STREET 6TH FLOOR</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10010</ZIPCd>
          </USAddress>
          <TitleTxt>VP, OPERATIONS</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>40.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>155000</CompensationAmt>
          <EmployeeBenefitsAmt>44257</EmployeeBenefitsAmt>
          <ExpenseAccountAmt>0</ExpenseAccountAmt>
        </CompensationHighestPaidEmplGrp>
        <CompensationHighestPaidEmplGrp>
          <PersonNm>ADAM LEWIS</PersonNm>
          <USAddress>
            <AddressLine1Txt>40 WEST 25TH STREET 6TH FLOOR</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10010</ZIPCd>
          </USAddress>
          <TitleTxt>VP, BUSINESS DEVELOP</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>40.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>132292</CompensationAmt>
          <EmployeeBenefitsAmt>26884</EmployeeBenefitsAmt>
          <ExpenseAccountAmt>0</ExpenseAccountAmt>
        </CompensationHighestPaidEmplGrp>
        <CompensationHighestPaidEmplGrp>
          <PersonNm>RITI KARNARD</PersonNm>
          <USAddress>
            <AddressLine1Txt>40 WEST 25TH STREET 6TH FLOOR</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10010</ZIPCd>
          </USAddress>
          <TitleTxt>DIRECTOR, STRATEGY</TitleTxt>
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          <CompensationAmt>130000</CompensationAmt>
          <EmployeeBenefitsAmt>19222</EmployeeBenefitsAmt>
          <ExpenseAccountAmt>0</ExpenseAccountAmt>
        </CompensationHighestPaidEmplGrp>
        <CompensationHighestPaidEmplGrp>
          <PersonNm>HANNAH NELSON</PersonNm>
          <USAddress>
            <AddressLine1Txt>40 WEST 25TH STREET 6TH FLOOR</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10010</ZIPCd>
          </USAddress>
          <TitleTxt>MONITORING &amp; EVAL. M</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>40.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>85750</CompensationAmt>
          <EmployeeBenefitsAmt>22607</EmployeeBenefitsAmt>
          <ExpenseAccountAmt>0</ExpenseAccountAmt>
        </CompensationHighestPaidEmplGrp>
        <CompensationHighestPaidEmplGrp>
          <PersonNm>CULLEN ROSS</PersonNm>
          <USAddress>
            <AddressLine1Txt>40 WEST 25TH STREET 6TH FLOOR</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10010</ZIPCd>
          </USAddress>
          <TitleTxt>PRODUCT MANAGER</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>40.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>72642</CompensationAmt>
          <EmployeeBenefitsAmt>21963</EmployeeBenefitsAmt>
          <ExpenseAccountAmt>0</ExpenseAccountAmt>
        </CompensationHighestPaidEmplGrp>
        <OtherEmployeePaidOver50kCnt>1</OtherEmployeePaidOver50kCnt>
        <CompensationOfHghstPdCntrctGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ROBERT HALF INTERNATIONAL INC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>125 PARK AVENUE</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10017</ZIPCd>
          </USAddress>
          <ServiceTypeTxt>ACCOUNTING</ServiceTypeTxt>
          <CompensationAmt>129871</CompensationAmt>
        </CompensationOfHghstPdCntrctGrp>
        <CompensationOfHghstPdCntrctGrp>
          <BusinessName>
            <BusinessNameLine1Txt>STORYTELLIOT INC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>125 DOLORES STREET</AddressLine1Txt>
            <CityNm>SAN FRANCISCO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94103</ZIPCd>
          </USAddress>
          <ServiceTypeTxt>IT CONSULTING</ServiceTypeTxt>
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        </CompensationOfHghstPdCntrctGrp>
        <CompensationOfHghstPdCntrctGrp>
          <BusinessName>
            <BusinessNameLine1Txt>VELOCITY GLOBAL LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3858 WALNUT STREET SUITE 107</AddressLine1Txt>
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            <StateAbbreviationCd>CO</StateAbbreviationCd>
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          <ServiceTypeTxt>EMPLOYMENT CONSULTING</ServiceTypeTxt>
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        <CompensationOfHghstPdCntrctGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MYHR PARTNER INC</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>7540 WINDSOR DR 310</AddressLine1Txt>
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          </USAddress>
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        </CompensationOfHghstPdCntrctGrp>
        <CompensationOfHghstPdCntrctGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NICOLE LUND</BusinessNameLine1Txt>
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          <USAddress>
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      <SumOfProgramRelatedInvstGrp>
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      <PrivateOperatingFoundationsGrp>
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        <Section4942j3Ind>X</Section4942j3Ind>
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          <Year1Amt>0</Year1Amt>
          <Year2Amt>0</Year2Amt>
          <Year3Amt>0</Year3Amt>
          <TotalAmt>0</TotalAmt>
        </LessorAdjNetIncmMinInvstRetGrp>
        <Pct85LessorAdjIncmOrMinRetGrp>
          <CurrentYearAmt>0</CurrentYearAmt>
          <Year1Amt>0</Year1Amt>
          <Year2Amt>0</Year2Amt>
          <Year3Amt>0</Year3Amt>
          <TotalAmt>0</TotalAmt>
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          <Year2Amt>9300</Year2Amt>
          <Year3Amt>0</Year3Amt>
          <TotalAmt>15536</TotalAmt>
        </QualifyingDistriNotUsedDrtGrp>
        <QualifyingDistriMadeDrtGrp>
          <CurrentYearAmt>6545008</CurrentYearAmt>
          <Year1Amt>4930984</Year1Amt>
          <Year2Amt>3181872</Year2Amt>
          <Year3Amt>1781051</Year3Amt>
          <TotalAmt>16438915</TotalAmt>
        </QualifyingDistriMadeDrtGrp>
        <TotalAssetsGrp>
          <TotalAmt>0</TotalAmt>
        </TotalAssetsGrp>
        <TotalAssetsSect4942j3BiGrp>
          <TotalAmt>0</TotalAmt>
        </TotalAssetsSect4942j3BiGrp>
        <TwoThirdsMinimumInvstRetGrp>
          <CurrentYearAmt>62798</CurrentYearAmt>
          <Year1Amt>65629</Year1Amt>
          <Year2Amt>42615</Year2Amt>
          <Year3Amt>28001</Year3Amt>
          <TotalAmt>199043</TotalAmt>
        </TwoThirdsMinimumInvstRetGrp>
        <TotalSupportGrp>
          <TotalAmt>0</TotalAmt>
        </TotalSupportGrp>
        <PublicSupportType>
          <TotalAmt>0</TotalAmt>
        </PublicSupportType>
        <LargestSupportFromEOGrp>
          <TotalAmt>0</TotalAmt>
        </LargestSupportFromEOGrp>
        <GrossInvestmentIncomeGrp>
          <TotalAmt>0</TotalAmt>
        </GrossInvestmentIncomeGrp>
      </PrivateOperatingFoundationsGrp>
      <SupplementaryInformationGrp>
        <OnlyContriToPreselectedInd>X</OnlyContriToPreselectedInd>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>AMERICAN MEDICAL CENTER</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientForeignAddress>
            <AddressLine1Txt>ADDIS ABABA</AddressLine1Txt>
            <CityNm>MERI LOKIE</CityNm>
            <CountryCd>ET</CountryCd>
          </RecipientForeignAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>NC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS.</GrantOrContributionPurposeTxt>
          <Amt>15573</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>AMINU KANO TEACHING HOSPITAL</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientForeignAddress>
            <AddressLine1Txt>PMB 3451</AddressLine1Txt>
            <CityNm>KANO</CityNm>
            <CountryCd>NI</CountryCd>
          </RecipientForeignAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>NC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS.</GrantOrContributionPurposeTxt>
          <Amt>1450</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>EMERGENCY PLUS MEDICAL SERVICES (E-PLUS)</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientForeignAddress>
            <AddressLine1Txt>RED CROSS ROAD OFF POPO ROAD</AddressLine1Txt>
            <CityNm>NAIROBI</CityNm>
            <CountryCd>KE</CountryCd>
          </RecipientForeignAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>NC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS.</GrantOrContributionPurposeTxt>
          <Amt>27179</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>GLOBAL SURGERY INITIATIVE</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientForeignAddress>
            <AddressLine1Txt>KYABIIRWA</AddressLine1Txt>
            <CityNm>JINJA</CityNm>
            <CountryCd>UG</CountryCd>
          </RecipientForeignAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>NC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS.</GrantOrContributionPurposeTxt>
          <Amt>16907</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>JMS - TRAINING</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientForeignAddress>
            <AddressLine1Txt>828 GOGONYA ROAD - NSAMBYA</AddressLine1Txt>
            <CityNm>KAMPALA</CityNm>
            <CountryCd>UG</CountryCd>
          </RecipientForeignAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>NC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS.</GrantOrContributionPurposeTxt>
          <Amt>1875</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>KAS MEDICS LIMITED</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientForeignAddress>
            <AddressLine1Txt>JULIUS K NYERERE RD</AddressLine1Txt>
            <CityNm>DAR ES SALAAM</CityNm>
            <CountryCd>TZ</CountryCd>
          </RecipientForeignAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>NC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS.</GrantOrContributionPurposeTxt>
          <Amt>1110</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>KORLE-BU HOSPITAL</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientForeignAddress>
            <AddressLine1Txt>KORLEBU STREET</AddressLine1Txt>
            <CityNm>ACCRA</CityNm>
            <CountryCd>GH</CountryCd>
          </RecipientForeignAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>NC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS.</GrantOrContributionPurposeTxt>
          <Amt>4870</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>LAGOS STATE UNIVERSITY TEACHING HOSPITAL (LASUTH)</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientForeignAddress>
            <AddressLine1Txt>1 - 5 OBA AKINJOBI ROAD</AddressLine1Txt>
            <CityNm>LAGOS</CityNm>
            <CountryCd>NI</CountryCd>
          </RecipientForeignAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>NC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS.</GrantOrContributionPurposeTxt>
          <Amt>12947</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>LEKMA HOSPITAL</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientForeignAddress>
            <AddressLine1Txt>AGBLEZAA - MANET ROAD</AddressLine1Txt>
            <CityNm>ACCRA</CityNm>
            <CountryCd>GH</CountryCd>
          </RecipientForeignAddress>
          <RecipientRelationshipTxt>NONE</RecipientRelationshipTxt>
          <RecipientFoundationStatusTxt>NC</RecipientFoundationStatusTxt>
          <GrantOrContributionPurposeTxt>TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS.</GrantOrContributionPurposeTxt>
          <Amt>10411</Amt>
        </GrantOrContributionPdDurYrGrp>
        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>MBALE REGIONAL REFERRAL HOSPITAL</BusinessNameLine1Txt>
          </RecipientBusinessName>
          <RecipientForeignAddress>
            <AddressLine1Txt>PO BOX 921 PALLISA ROAD</AddressLine1Txt>
            <CityNm>MBALE</CityNm>
            <CountryCd>UG</CountryCd>
          </RecipientForeignAddress>
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          <BusinessNameLine1Txt>KORLE-BU HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <ForeignAddress>
          <AddressLine1Txt>KORLEBU STREET</AddressLine1Txt>
          <CityNm>ACCRA</CityNm>
          <CountryCd>GH</CountryCd>
        </ForeignAddress>
        <GrantDt>2019-09-27</GrantDt>
        <GrantAmt>4870</GrantAmt>
        <PurposeOfGrantTxt>TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS.</PurposeOfGrantTxt>
        <ExpendedByGranteeAmt>4870</ExpendedByGranteeAmt>
        <AnyDiversionByGranteeTxt>NONE</AnyDiversionByGranteeTxt>
      </ExpenditureResponsibilityGrp>
      <ExpenditureResponsibilityGrp>
        <BusinessName>
          <BusinessNameLine1Txt>MSSI (MEDICAL &amp; SURGICAL SKILLS INSTITUTE)</BusinessNameLine1Txt>
        </BusinessName>
        <ForeignAddress>
          <AddressLine1Txt>SLATER AVENUE</AddressLine1Txt>
          <CityNm>ACCRA</CityNm>
          <CountryCd>GH</CountryCd>
        </ForeignAddress>
        <GrantDt>2019-04-08</GrantDt>
        <GrantAmt>3925</GrantAmt>
        <PurposeOfGrantTxt>TO FACILITATE THE DEVELOPMENT OF A CLINICAL TRAINING PROGRAM TO IMPROVE SURGICAL OUTCOMES IN LOW RESOURCE SETTINGS.</PurposeOfGrantTxt>
        <ExpendedByGranteeAmt>3925</ExpendedByGranteeAmt>
        <AnyDiversionByGranteeTxt>NONE</AnyDiversionByGranteeTxt>
      </ExpenditureResponsibilityGrp>
    </ExpenditureResponsibilityStmt>
    <LandEtcSchedule2 documentId="RetDoc2059000001">
      <LandEtcGrp>
        <CategoryOrItemTxt>FURNITURE &amp; FIXTURES</CategoryOrItemTxt>
        <CostOrOtherBasisAmt>128722</CostOrOtherBasisAmt>
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        <BookValueAmt>36616</BookValueAmt>
      </LandEtcGrp>
      <LandEtcGrp>
        <CategoryOrItemTxt>MACHINERY &amp; OTHER EQUIPMENT</CategoryOrItemTxt>
        <CostOrOtherBasisAmt>132800</CostOrOtherBasisAmt>
        <AccumulatedDepreciationAmt>51330</AccumulatedDepreciationAmt>
        <BookValueAmt>81470</BookValueAmt>
      </LandEtcGrp>
      <LandEtcGrp>
        <CategoryOrItemTxt>OTHER</CategoryOrItemTxt>
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        <AccumulatedDepreciationAmt>53264</AccumulatedDepreciationAmt>
        <BookValueAmt>82696</BookValueAmt>
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        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>2432</DisbursementsCharitablePrpsAmt>
      </LegalFeesGrp>
      <LegalFeesGrp>
        <CategoryTxt>CULHANE MEADOWS PLLC</CategoryTxt>
        <LegalFeesAmt>23000</LegalFeesAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>17750</DisbursementsCharitablePrpsAmt>
      </LegalFeesGrp>
      <LegalFeesGrp>
        <CategoryTxt>GOULSON &amp; STORRS, PC</CategoryTxt>
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        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>34589</DisbursementsCharitablePrpsAmt>
      </LegalFeesGrp>
      <LegalFeesGrp>
        <CategoryTxt>CORPORATE SERVICE COMPANY</CategoryTxt>
        <LegalFeesAmt>82</LegalFeesAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>82</DisbursementsCharitablePrpsAmt>
      </LegalFeesGrp>
      <LegalFeesGrp>
        <CategoryTxt>ASHITIVA ADVOCATES, LLP</CategoryTxt>
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        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>7830</DisbursementsCharitablePrpsAmt>
      </LegalFeesGrp>
      <LegalFeesGrp>
        <CategoryTxt>OUTTEN &amp; GOLDEN, LLP</CategoryTxt>
        <LegalFeesAmt>0</LegalFeesAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>5000</DisbursementsCharitablePrpsAmt>
      </LegalFeesGrp>
      <LegalFeesGrp>
        <CategoryTxt>PERLMAN &amp; PERLMAN</CategoryTxt>
        <LegalFeesAmt>595</LegalFeesAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>940</DisbursementsCharitablePrpsAmt>
      </LegalFeesGrp>
    </LegalFeesSchedule>
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      <OtherAssetsScheduleGrp>
        <Desc>SECURITY DEPOSITS</Desc>
        <BOYBookValueAmt>101145</BOYBookValueAmt>
        <EOYBookValueAmt>103085</EOYBookValueAmt>
        <EOYFMVAmt>103085</EOYFMVAmt>
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      <OtherAssetsScheduleGrp>
        <Desc>INVENTORY DEPOSITS</Desc>
        <BOYBookValueAmt>935225</BOYBookValueAmt>
        <EOYBookValueAmt>405269</EOYBookValueAmt>
        <EOYFMVAmt>405269</EOYFMVAmt>
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      <OtherAssetsScheduleGrp>
        <Desc>OTHER RECEIVABLES</Desc>
        <BOYBookValueAmt>7347</BOYBookValueAmt>
        <EOYBookValueAmt>8547</EOYBookValueAmt>
        <EOYFMVAmt>8547</EOYFMVAmt>
      </OtherAssetsScheduleGrp>
    </OtherAssetsSchedule>
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      <OtherExpensesScheduleGrp>
        <Desc>INFORMATION TECHNOLOGY</Desc>
        <RevenueAndExpensesPerBooksAmt>2508</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>2508</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>EQUIPMENT</Desc>
        <RevenueAndExpensesPerBooksAmt>243931</RevenueAndExpensesPerBooksAmt>
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        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>240761</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>INSURANCE</Desc>
        <RevenueAndExpensesPerBooksAmt>60588</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>58329</DisbursementsCharitablePrpsAmt>
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      <OtherExpensesScheduleGrp>
        <Desc>PROFESSIONAL DEVELOPMENT</Desc>
        <RevenueAndExpensesPerBooksAmt>19459</RevenueAndExpensesPerBooksAmt>
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        <DisbursementsCharitablePrpsAmt>19459</DisbursementsCharitablePrpsAmt>
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      <OtherExpensesScheduleGrp>
        <Desc>OFFICE EXPENSE</Desc>
        <RevenueAndExpensesPerBooksAmt>197756</RevenueAndExpensesPerBooksAmt>
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        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>211813</DisbursementsCharitablePrpsAmt>
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      <OtherExpensesScheduleGrp>
        <Desc>WARRANTY EXPENSE</Desc>
        <RevenueAndExpensesPerBooksAmt>340258</RevenueAndExpensesPerBooksAmt>
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        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>138226</DisbursementsCharitablePrpsAmt>
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      <OtherExpensesScheduleGrp>
        <Desc>COMMISSIONS</Desc>
        <RevenueAndExpensesPerBooksAmt>61727</RevenueAndExpensesPerBooksAmt>
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        <DisbursementsCharitablePrpsAmt>72426</DisbursementsCharitablePrpsAmt>
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      <OtherExpensesScheduleGrp>
        <Desc>REGULATORY EXPENSES</Desc>
        <RevenueAndExpensesPerBooksAmt>991</RevenueAndExpensesPerBooksAmt>
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        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>991</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>WRITE-OFF</Desc>
        <RevenueAndExpensesPerBooksAmt>1136</RevenueAndExpensesPerBooksAmt>
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        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
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      <OtherExpensesScheduleGrp>
        <Desc>RECRUITMENT EXPENSES</Desc>
        <RevenueAndExpensesPerBooksAmt>90310</RevenueAndExpensesPerBooksAmt>
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        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>90310</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>PRODUCT DEVELOPMENT</Desc>
        <RevenueAndExpensesPerBooksAmt>87</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>182</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
    </OtherExpensesSchedule>
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        <Desc>MISC. REVENUE</Desc>
        <RevenueAndExpensesPerBooksAmt>7348</RevenueAndExpensesPerBooksAmt>
        <AdjustedNetIncomeAmt>7348</AdjustedNetIncomeAmt>
      </OtherIncomeDetail>
      <OtherIncomeDetail>
        <Desc>TAX REFUNDS</Desc>
        <RevenueAndExpensesPerBooksAmt>5512</RevenueAndExpensesPerBooksAmt>
        <AdjustedNetIncomeAmt>5512</AdjustedNetIncomeAmt>
      </OtherIncomeDetail>
    </OtherIncomeSchedule2>
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      <OtherLiabilitiesDetail>
        <Desc>DEFERRED RENT</Desc>
        <BOYBookValueAmt>44591</BOYBookValueAmt>
        <EOYBookValueAmt>7806</EOYBookValueAmt>
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      <OtherLiabilitiesDetail>
        <Desc>ACCRUED WARRANTY</Desc>
        <BOYBookValueAmt>373717</BOYBookValueAmt>
        <EOYBookValueAmt>470929</EOYBookValueAmt>
      </OtherLiabilitiesDetail>
    </OtherLiabilitiesSchedule>
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      <OtherProfessionalFeesDetail>
        <CategoryTxt>PAYROLL SERVICE FEES</CategoryTxt>
        <Amt>139797</Amt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>146309</DisbursementsCharitablePrpsAmt>
      </OtherProfessionalFeesDetail>
      <OtherProfessionalFeesDetail>
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        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>181080</DisbursementsCharitablePrpsAmt>
      </OtherProfessionalFeesDetail>
      <OtherProfessionalFeesDetail>
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        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>181787</DisbursementsCharitablePrpsAmt>
      </OtherProfessionalFeesDetail>
      <OtherProfessionalFeesDetail>
        <CategoryTxt>MARKETING AND BUSINESS DEVELOPMENT CONSULTANTS</CategoryTxt>
        <Amt>77571</Amt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>63625</DisbursementsCharitablePrpsAmt>
      </OtherProfessionalFeesDetail>
      <OtherProfessionalFeesDetail>
        <CategoryTxt>MANUFACTURING CONSULTANTS</CategoryTxt>
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        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>35079</DisbursementsCharitablePrpsAmt>
      </OtherProfessionalFeesDetail>
      <OtherProfessionalFeesDetail>
        <CategoryTxt>OTHER PROFESSIONAL SERVICES</CategoryTxt>
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        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>51045</DisbursementsCharitablePrpsAmt>
      </OtherProfessionalFeesDetail>
      <OtherProfessionalFeesDetail>
        <CategoryTxt>TRANSLATION SERVICES</CategoryTxt>
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        <DisbursementsCharitablePrpsAmt>12102</DisbursementsCharitablePrpsAmt>
      </OtherProfessionalFeesDetail>
      <OtherProfessionalFeesDetail>
        <CategoryTxt>LOGISTICS CONSULTANTS</CategoryTxt>
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        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>55828</DisbursementsCharitablePrpsAmt>
      </OtherProfessionalFeesDetail>
      <OtherProfessionalFeesDetail>
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        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>18850</DisbursementsCharitablePrpsAmt>
      </OtherProfessionalFeesDetail>
      <OtherProfessionalFeesDetail>
        <CategoryTxt>SERVICE CONSULTANTS</CategoryTxt>
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        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>26802</DisbursementsCharitablePrpsAmt>
      </OtherProfessionalFeesDetail>
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      <TaxesDetail>
        <CategoryTxt>FEDERAL EXCISE TAX</CategoryTxt>
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        <DisbursementsCharitablePrpsAmt>2752</DisbursementsCharitablePrpsAmt>
      </TaxesDetail>
      <TaxesDetail>
        <CategoryTxt>VAT TAXES</CategoryTxt>
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        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>4290</DisbursementsCharitablePrpsAmt>
      </TaxesDetail>
      <TaxesDetail>
        <CategoryTxt>DELAWARE TAXES</CategoryTxt>
        <Amt>272</Amt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>272</DisbursementsCharitablePrpsAmt>
      </TaxesDetail>
      <TaxesDetail>
        <CategoryTxt>EXCISE DUTY TAXES</CategoryTxt>
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        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>12</DisbursementsCharitablePrpsAmt>
      </TaxesDetail>
    </TaxesSchedule>
  </ReturnData>
</Return>