2013-05-14T13:19:37-05:00 2012-12-31 231144520 TAIT WELLER & BAKER LLP 1818 MARKET STREET SUITE 2400 PHILADELPHIA PA 19103 990 2012-01-01 273207754 HELP ME SEE INC HELP 2122217605 20 WEST 36TH STREET NO 701 NEW YORK NY 10018 MOHAN JACOB THAZHATHU 2122217605 2013-05-14 1 STACY CULLEN P00974308 2159798800 2013-05-14 2012 2016-02-24 21:20:13Z X MOHAN JACOB THAZHATHU 20 WEST 36TH STREET NO 701 NEW YORK NY 10018 10964842 0 X WWW.HELPMESEE.ORG X 2010 DE HELP ME SEE IS A GLOBAL CAMPAIGN FOR THE ELIMINATION OF CATARACT BLINDNESS. 3 2 5 150 0 0 3039049 8989514 0 0 6 128942 0 5541 3039055 9123997 41651 1124927 0 0 555820 698866 310152 386000 2048116 1019820 4755489 1927443 6965282 1111612 2158715 1617704 7182673 723481 4069132 894223 3113541 X HELPMESEE IS A GLOBAL CAMPAIGN TO ELIMINATE CATARACT BLINDNESS. THIS IS ACHIEVED THROUGH DELIVERING HIGH QUALITY MANUAL SMALL INCISION CATARACT SURGERY AT THE LOWEST COST POSSIBLE TO EVERY BLIND PERSON IN THE WORLD. (CONTINUED IN SCHEDULE O) 0 0 2885930 PUBLIC AWARENESS: TO ENGAGE IN POLICY DIALOGUE AND DEVELOPMENT OF CATARACT SURGICAL SERVICES AND PATIENT CARE MANAGEMENT STANDARDS AND SYSTEMS WITH PARTNERS, GOVERNMENTS AND CORPORATIONS FOR SUSTAINABLE SOLUTIONS FOR THE ELIMINATION OF NEEDLESS CATARACT BLINDNESS. IN 2012, PUBLIC CAMPAIGN COVERING A POPULATION AREA OF 1 MILLION WAS LAUNCHED AND WORKED WITH WORLD HEALTH ORGANIZAITON ("WHO") AND VARIOUS BLINDNESS PREVENTION GROUPS IN AFRICA AND ASIA TO ESTABLISH PARTNERSHIPS. 1342904 1103425 ASSISTANCE WITH CATARACT SURGERIES: AS THE MISSION OF HELPMESEE IS TO ELIMINATE CATARACT BLINDNESS, THE NUMBER OF MSIC SURGERIES PERFORMED IS A KEY INDICATOR OF MISSION PROGRESS. IN THE REPORTING YEAR - THE FIRST FULL YEAR OF THE SPONSORSHIP - HELPMESEE SUCCESSFULLY ESTABLISHED 64 SURGICAL PARTNERSHIPS THAT COLLECTIVELY PERFORMED 29,134 CATARACT SURGERIES, EXCEEDING THE ORIGINAL GOAL OF 25,000. WITH AN INCREASING NUMBER OF SURGICAL PARTNERS AND THE INTRODUCTION OF THE MSICS TRAINING COURSE, IT WILL BE POSSIBLE TO RAPIDLY SCALE UP THE VOLUME OF CATARACT SURGERIES. 354831 21502 TECHNICAL ASSISTANCE: DEFINE AND DEVELOP MANUAL SMALL INCISION CATARACT SURGERY (MSICS) AS A HIGH QUALITY SURGICAL PROCEDURE TO BE DELIVERED IN HIGH VOLUME BY TRAINED SURGEONS. THIS INCLUDES SURGICAL PRACTICE RESEARCH, HUMAN SUBJECT RESEARCH, SURGICAL RESULTS REVIEWS, THE PROVISION OF PHYSICS-BASED DATA TO SUPPORT SURGICAL PROCEDURES, FORCE MEASUREMENTS AND DOCUMENTATION OF THE ANATOMY AND SURGICAL RESPONSE OF THE HUMAN EYE. RESULTS WILL BE PUBLISHED TO CONTRIBUTE TO THE GENERAL BODY OF KNOWLEDGE AS WELL AS TO DEVELOP PHYSICS-BASED VIRTUAL REALITY MODELS OF THE HUMAN EYE FOR SURGICAL TRAINING. HELPMESEE HAS COMPLETED COMPREHENSIVE DOCUMENTATION FOR MSICS AND PHYSICS BASED MODEL OF THE HUMAN EYE. THE HELPMESEE APPROACH WAS ALSO STUDIED IN A 2012 RAND REPORT. 195541 SURGICAL TRAINING AND QUALITY ASSURANCE:IN ORDER TO ELIMINATE THE GLOBAL CATARACT BLINDNESS BACKLOG, WE UTILIZE HIGH-FIDELITY, LEVEL "D" SIMULATION COMBINED WITH ADVANCED PROFICIENCY TRAINING WITH OBJECTIVE PERFORMANCE-BASED CURRICULUM, COURSEWARE, AND PROFICIENCY TESTING. HELPMESEE PROVIDED SUCH SURGICAL TRAINING TO 52 PARTNERS IN 2012. OUR INNOVATIVE APPROACH PRIORITIZES THE QUALITY OF OUTCOMES IN ORDER TO INSPIRE PATIENT, COMMUNITY, AND DONOR CONFIDENCE. HELPMESEE HAS ALREADY DESIGNED AND INSTALLED A CLOUD-BASED DATA MONITORING SYSTEM TO UPLOAD ALL PATIENT DATA AND SURGICAL RESULTS IN NEAR REAL TIME. ALL SURGICAL OUTCOMES ARE SCORED FOR QUALITY AND DIRECT FEEDBACK IS PROVIDED TO THE SURGEON AS NECESSARY. 195541 4779206 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 26 0 1 5 1 0 0 0 0 0 0 0 0 X 3 2 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X MENGFANG MADGE BIAN 2122217605 20 WEST 36TH ST SUITE 701 NEW YORK NY 100188005 JAMES TYLER UELTSCHI 20.00 X X 0 0 0 JEFF MULLEN 5.00 X X 0 0 0 MOHAN JACOB THAZHATHU 40.00 X X 365000 0 0 GLENN STRAUSS 40.00 X 185000 0 0 550000 0 0 2 0 1 0 SURGERY FOR THE POOR INCWONDERWORK 420 5TH AVE 27TH FLOOR NEW YORK NY 10018 FUNDRAISING/CONSULTING 850000 TARGET MARKETEAM 1050 CROWN POINTE PARKWAY SUITE 18 ATLANTA GA 303387707 DIRECT MAIL/CONSULTING 115000 2 8989514 2701889 8989514 75 75 1969712 1840845 128867 128867 128867 LIST RENTAL INCOME 900099 5541 5541 5541 9123997 5541 0 128942 15000 15000 1109927 1109927 384459 273308 54610 56541 283951 203477 39486 40988 4367 2637 865 865 26089 15755 5167 5167 60571 37949 466 22156 14366 9000 111 5255 386000 386000 760560 718338 8813 33409 9315 5589 3726 2811491 1687178 4710 1119603 64599 39552 8347 16700 45502 42403 979 2120 2339 1403 468 468 13206 7924 2641 2641 603 378 4 221 LIST SERVICE 943639 591204 7254 345181 MISCELLANEOUS 21641 13387 3980 4274 BANK CHARGES & FEES 7657 4797 59 2801 6965282 4779206 137960 2048116 X 4925394 2955236 0 1970158 18939 21502 536151 3994770 0 5542 0 132748 1418311 17040 374084 1401271 688530 1608720 0 18120 1617704 7182673 113481 459132 610000 610000 0 3000000 723481 4069132 X 894223 3113541 894223 3113541 1617704 7182673 2158715 59146 1457 0 X 0 1 X 1 0 X 3038049 8989514 12027563 3038049 8989514 12027563 8212091 3815472 6 75 81 5541 5541 12033185 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1418311 17040 1401271 1401271 X 9245120 59146 61977 121123 9123997 0 9123997 7025802 60520 60520 6965282 0 6965282 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: MANAGEMENT HAS REVIEWED THE TAX POSITIONS FOR THE OPEN TAX YEARS 2010 AND 2011 OR EXPECTED TO BE TAKEN ON THE ORGANIZATION'S 2012 TAX RETURN AND HAS CONCLUDED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS. 1 SOUTH ASIA 0 2 PROGRAM SERVICES & GRANTS TO RECIPIENTS IN REGION CATARACT SURGICAL SUPPORT FOR ADULTS AND CHILDREN 1244382 SUB-SAHARAN AFRICA 0 0 GRANTS TO RECIPIENTS IN REGION 10995 0 2 0 0 0 2 1255377 0 1255377 SOUTH ASIA SUPPORT FOR CATARACT SURGERIES 435665 WIRE TRANSFER SOUTH ASIA SUPPORT FOR CATARACT SURGERIES 96160 WIRE TRANSFER SOUTH ASIA SUPPORT FOR CATARACT SURGERIES 453350 WIRE TRANSFER SOUTH ASIA SUPPORT FOR CATARACT SURGERIES 20680 WIRE TRANSFER SOUTH ASIA SUPPORT FOR CATARACT SURGERIES ($83,075)/TECHNICAL ASSISTANT ($502) 83577 WIRE TRANSFER SUB SAHARAN AFRICA SUPPORT FOR CATARACT SURGERIES 10995 WIRE TRANSFER SOUTH ASIA DEVELOPMENT OF SIMULATED INSTRUCTION FOR MANUAL SMALL INCISION CATARACT SURGERY 6000 WIRE TRANSFER 0 0 0 0 0 0 PROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.: SCHEDULE F, PART I, LINE 2: ALL THE PROGRAM MANAGEMENT AND MONITORING IS DONE THROUGH THE OFFICE OF THE CHIEF OF PROGRAMS AND FIELD OPERATIONS BASED IN NEW DELHI, INDIA WHO REGULARLY MONITORS PARTNER AGREEMENTS AND DELIVERABLES. IN ADDITION, HELPMESEE HAS ESTABLISHED AN ELECTRONIC PATIENT REPORTING SYSTEM WHICH IS CLOUD/WEB/INTERNET BASED AND IS REVIEWED BY THE CHIEF MEDICAL OFFICER FOR EXCEPTIONS AND FURTHER FOLLOW UP. X X X X X X 1 TARGET MARKETEAM 1050 CROWN POINTE PARKWAY SUITE 18 ATLANTA GA 303387707 DIRECT MAIL MANAGER 0 2760467 115000 2645467 SURGERY FOR THE POOR 420 5TH AVE 27TH FLOOR NEW YORK NY 10018 COORDINATION OF FUNDRAISING MANAGEMENT 0 239550 850000 -610450 3000017 965000 2035017 AK AL AR AZ CA CO DE FL HI ID IL IN IA KS LA MA MI MN MS MO MT NE NV NH NJ NM NC OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY 1 MERCY SHIPS PO BOX 1930 GARDEN VALLEY TX 757711930 262414132 501(C)(3) 15000 TECHNICAL ASSISTANCE (PROGRAM USE SOFTWARE AND HARDWARE) 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE ORGANIZATION MONITORS THE USE OF GRANT FUNDS IN THE UNITED STATES BY ISSUING AWARD LETTERS TO GRANTEES WHO IN TURN SUBMIT PROGRESS REPORTS TO THE ORGANIZATION. X 0 0 0 0 0 0 0 0 0 MOHAN JACOB THAZHATHU 316000 0 0 0 49000 0 0 0 0 0 365000 0 0 0 GLENN STRAUSS 185000 0 0 0 0 0 0 0 0 0 185000 0 0 0 JAMES T UELTSCHI TREASURER TO FUND START-UP OPERATIONS OF HELP ME SEE, INC. X 5000000 610000 0 1 1 610000 X 1 2701889 FAIR MARKET VALUE 0 1 0 ORGANIZATION MISSION STATEMENT FORM 990, PART III, LINE 1 HELPMESEE HAS SCALABLE TRAINING INNOVATION THROUGH SIMULATOR BASED LEARNING SYSTEMS FOR PROFICIENCY LEVEL OF TRAINING OF CATARACT SURGERIES WORLDWIDE. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WAS REVIEWED BY THE CHAIRMAN/TREASURER AND PRESIDENT AND CEO AND APPROVED BY THE SAME. FOR THIS YEAR, THE CHAIRMAN (JAMES T. UELTSCHI) WILL SIGN THE FORM 990 AND MOHAN J. THAZHATHU WILL SIGN AS CUSTODIAN OF THE BOOKS. THE FORM 990 WAS DISCUSSED BY THE BOARD AND APPROVED THROUGH APPROPRIATE RESOLUTION BEFORE BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF HELPMESEE REVIEWS THE CONFLICT OF INTEREST POLICY AND SIGNS THE FORM ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE CHAIRMAN/TREASURER IN CONSULTATION WITH THE BOARD AND WITH INDEPENDENT EXTERNAL INPUT AND AUDITORS DETERMINES THE COMPENSATION OF THE PRESIDENT, CEO AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. OTHER FEES FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 716,543. MANAGEMENT AND GENERAL EXPENSES 8,791. FUNDRAISING EXPENSES 32,361. TOTAL EXPENSES 757,695. PAYROLL SERVICES: PROGRAM SERVICE EXPENSES 1,795. MANAGEMENT AND GENERAL EXPENSES 22. FUNDRAISING EXPENSES 1,048. TOTAL EXPENSES 2,865.