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        <CurrentTaxYearMinus1YearAmt>609110</CurrentTaxYearMinus1YearAmt>
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        <SpecificServicesProvidedTxt>ORGANIZATION AND TRANSITIONAL COSTS FOR THE FORMATION OF INTERNATIONAL FISTULA ALLIANCE (IFA). THE IFA IS A REPRESENTATIVE ORGANIZATION WHOSE MEMBERS CURRENTLY SUPPORT THE WORK OF HFE BY PROVIDING THEM WITH RESOURCES, INCLUDING FUNDING, TECHNICAL SUPPORT AND EXPERTISE. THE IFA IS ESSENTIALLY AN OVERSIGHT AND GOVERNANCE ENTITY FORMED TO BRIDGE THE HAMLIN ORGANIZATIONS THROUGHOUT THE WORLD.THE PRIMARY ROLE OF THE IFA IS TO DEVELOP AND MAINTAIN AN EFFECTIVE PARTNERSHIP WITH HFE, BOARD AND MANAGEMENT, AND LIAISE WITH THE MINISTRY OF HEALTH IN ETHIOPIA WHERE NECESSARY TO ENSURE SMOOTH OPERATIONS AT HAMLIN; PROVIDING COLLECTIVE ACCOUNTABILITY AND OVERSIGHT OF HFE TO ALLIANCE MEMBERS INCLUDING FINANCIAL, PROGRAM/PROJECT EFFECTIVENESS, ASSESSMENT OF ON THE GROUND RELATIONSHIPS IMPACTING ON PROGRAM DELIVERY AND DESIRED OUTCOMES. THE IFA HAS THREE AREAS OF KEY FOCUS: PARTNERSHIP RESPONSIBILITY, FINANCIAL RESPONSIBILITY, AND PROGRAM/PROJECT EFFECTIVENESS.</SpecificServicesProvidedTxt>
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      <GrantsToOrgOutsideUSGrp>
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        <PurposeOfGrantTxt>TO PAY LEGAL FEES INCURRED FORMING AND ESTABLISHING THE ORGANIZATION.</PurposeOfGrantTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>REGARDING FUNDS GOING TO THE ETHIOPIA REGION, THE MATERNAL HELP HOPE FUND (DBA HAMLIN FISTULA USA) IS IN REGULAR CONTACT WITH THE CEO OF HAMLIN FISTULA ETHIOPIA AND THE RECIPIENT OF THE FUNDS PROVIDED, TO DISCUSS THE MANAGEMENT AND OVERSIGHT OF THE ORGANIZATION. MATERNAL HELP HOPE FUND IS IN SIMILAR, REGULAR CONTACT WITH THE MEDICAL DIRECTOR OF THE ADDIS ABABA FISTULA HOSPITAL. MEMBERS OF THE BOARD OF DIRECTORS MAKE REGULAR TRIPS TO ETHIOPIA TO DISCUSS MANAGEMENT MATTERS WITH MEMBERS OF THE SENIOR MANAGEMENT TEAM IN ETHIOPIA. WE ANTICIPATE THAT THIS LEVEL OF BOARD INTERACTION WILL CONTINUE IN THE FUTURE. REGARDING FUNDS GOING TO THE AUSTRALIA REGION, THESE ARE ORGANIZATION AND TRANSITIONAL COSTS PAID ON BEHALF OF THE INTERNATIONAL FISTULA ALLIANCE DIRECTLY TO SERVICE PROVIDERS. THE USE OF THESE FUNDS WERE MONITORED BY REVIEWING INVOICES AND PAYING THEM DIRECTLY TO THE SERVICE PROVIDER AFTER APPROVAL IS GRANTED.</ExplanationTxt>
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        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>MATERNAL HELP HOPE DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS RECEIVE A COPY OF THE FORM 990 TO REVIEW PRIOR TO SUBMISSION TO THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND DUALITIES OF INTEREST AND ALL MATERIAL FACTS TO THE DIRECTORS, OR TO THE MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS, CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. SUCH DISCLOSURE SHALL BE MADE WHEN A POTENTIAL CONFLICT OF INTEREST OR DUALITY OF INTEREST ARISES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>A NATIONAL NON-PROFIT RECRUITMENT AGENCY WAS EMPLOYED TO ASSIST WITH THE EXECUTIVE DIRECTOR HIRING PROCESS. THEY MADE RECOMMENDATIONS TO THE BOARD AND PROVIDED GUIDELINES FOR COMPENSATION PACKAGES BASED ON QUALIFICATIONS, EXPERIENCE, EMPLOYMENT HISTORY, AND GEOGRAPHY. THE BOARD THEN DELIBERATED AND VOTED ON THE MATTER. THE EXECUTIVE DIRECTOR CATHY SANDERS WAS THE ONLY COMPENSATED EMPLOYEE OF THE ORAGNIZATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FORM 990 IS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND ANNUAL FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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</Return>