Form
990
Return of Organization Exempt From Income Tax
A For the 2009 calendar year, or tax year beginning
Check if
applicable:
Please
use IRS
label or
print or
type.
Address
change
Name
change
Initial
See
return
Specific
TerminInstrucated
Amended tions.
return
Application
pending
2009
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung
benefit trust or private foundation)
| The organization may have to use a copy of this return to satisfy state reporting requirements.
Department of the Treasury
Internal Revenue Service
B
OMB No. 1545-0047
JUL 1, 2009
and ending
C Name of organization
JUN 30, 2010
D Employer identification number
DIRECT RELIEF INTERNATIONAL
Doing Business As
Number and street (or P.O. box if mail is not delivered to street address)
27 SOUTH LA PATERA LANE
95-1831116
Room/suite E Telephone number
City or town, state or country, and ZIP + 4
GOLETA, CA
Open to Public
Inspection
805-964-4767
338,439,848.
G
H(a) Is this a group return
for affiliates?
H(b) Are all affiliates included?
Gross receipts $
93117
SINGH
Yes X No
27 SOUTH LA PATERA LANE, GOLETA, CA 93117
Yes
No
) § (insert no.)
I Tax-exempt status: X 501(c) ( 3
4947(a)(1) or
527
If "No," attach a list. (see instructions)
H(c) Group exemption number |
J Website: | WWW.DIRECTRELIEF.ORG
Trust
Association
Other |
K Form of organization: X Corporation
L Year of formation: 1948 M State of legal domicile: CA
Part I Summary
1 Briefly describe the organization's mission or most significant activities: SEE SCHEDULE O
Net Assets or
Fund Balances
Expenses
Revenue
Activities & Governance
F Name and address of principal officer:BHUPI
Check this box |
if the organization discontinued its operations or disposed of more than 25% of its net assets.
29
Number of voting members of the governing body (Part VI, line 1a) ~~~~~~~~~~~~~~~~~~~~
3
29
Number of independent voting members of the governing body (Part VI, line 1b) ~~~~~~~~~~~~~~
4
58
Total number of employees (Part V, line 2a) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
5
75
Total number of volunteers (estimate if necessary) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6
0.
Total gross unrelated business revenue from Part VIII, column (C), line 12 ~~~~~~~~~~~~~~~~~ 7a
0.
Net unrelated business taxable income from Form 990-T, line 34 •••••••••••••••••••••• 7b
Prior Year
Current Year
164,936,747. 338,248,826.
8 Contributions and grants (Part VIII, line 1h) ~~~~~~~~~~~~~~~~~~~~~
1,675.
186,262.
9 Program service revenue (Part VIII, line 2g) ~~~~~~~~~~~~~~~~~~~~~
8,423.
3,698.
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d) ~~~~~~~~~~~~~
-80,984.
435.
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) ~~~~~~~~
164,865,861.
338,439,221.
12 Total revenue - add lines 8 through 11 (must equal Part VIII, column (A), line 12) •••
149,910,262. 246,998,633.
13 Grants and similar amounts paid (Part IX, column (A), lines 1-3) ~~~~~~~~~~~
14 Benefits paid to or for members (Part IX, column (A), line 4) ~~~~~~~~~~~~~
3,994,770.
4,685,308.
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) ~~~
16 a Professional fundraising fees (Part IX, column (A), line 11e)~~~~~~~~~~~~~~
1,196,397.
|
b Total fundraising expenses (Part IX, column (D), line 25)
2
3
4
5
6
7a
b
17 Other expenses (Part IX, column (A), lines 11a-11d, 11f-24f) ~~~~~~~~~~~~~
18 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) ~~~~~~~
19 Revenue less expenses. Subtract line 18 from line 12 ••••••••••••••••
Beginning of Current Year
20 Total assets (Part X, line 16) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~
21 Total liabilities (Part X, line 26) ~~~~~~~~~~~~~~~~~~~~~~~~~~~
22 Net assets or fund balances. Subtract line 21 from line 20 ••••••••••••••
Part II
Sign
Here
18,964,674. 19,314,232.
172,869,706. 270,998,173.
-8,003,845. 67,441,048.
End of Year
50,369,069. 122,563,687.
2,284,713.
2,718,738.
48,084,356. 119,844,949.
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct,
and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
=
=
Signature of officer
Date
BHUPI SINGH, EVP & CFO
Type or print name and title
=
Preparer's
Paid
signature
Preparer's Firm's name (or
Use Only yours if
self-employed),
address, and
ZIP + 4
Date
MCGOWAN GUNTERMANN
509 E. MONTECITO ST., 2ND FLOOR
SANTA BARBARA, CA 93103-3293
=
Check if
selfemployed
9
EIN
9
Phone no.
Preparer's identifying number
(see instructions)
9 (805)X
May the IRS discuss this return with the preparer shown above? (see instructions) •••••••••••••••••••••
932001 02-04-10
LHA For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
962-9175
Yes
No
Form 990 (2009)
DIRECT RELIEF INTERNATIONAL
Part III Statement of Program Service Accomplishments
95-1831116
Form 990 (2009)
1
Briefly describe the organization's mission:
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
If "Yes," describe these new services on Schedule O.
Did the organization cease conducting, or make significant changes in how it conducts, any program services?~~~~~~
If "Yes," describe these changes on Schedule O.
Describe the exempt purpose achievements for each of the organization's three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and
allocations to others, the total expenses, and revenue, if any, for each program service reported.
3
4
Page 2
SEE SCHEDULE O
268002157.
246873858.
Yes
X
No
Yes
X
No
186,262.
4a
(Code:
) (Expenses $
4b
(Code:
) (Expenses $
including grants of $
) (Revenue $
)
4c
(Code:
) (Expenses $
including grants of $
) (Revenue $
)
4d
Other program services. (Describe in Schedule O.)
(Expenses $
including grants of $
268,002,157.
Total program service expenses J $
4e
SEE SCHEDULE O
932002
02-04-10
including grants of $
) (Revenue $
) (Revenue $
)
)
Form 990 (2009)
2
DIRECT RELIEF INTERNATIONAL
Part IV Checklist of Required Schedules
Form 990 (2009)
95-1831116
Page 3
Yes
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?
If "Yes," complete Schedule A ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Is the organization required to complete Schedule B, Schedule of Contributors? ~~~~~~~~~~~~~~~~~~~~~~
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for
public office? If "Yes," complete Schedule C, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
4 Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If "Yes," complete Schedule C, Part II ~
5 Section 501(c)(4), 501(c)(5), and 501(c)(6) organizations. Is the organization subject to the section 6033(e) notice and
reporting requirement and proxy tax? If "Yes," complete Schedule C, Part III ~~~~~~~~~~~~~~~~~~~~~~~~
6 Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to
provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I
7 Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II~~~~~~~~~~~~~~
8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete
Schedule D, Part III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
9 Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide
credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV ~~
10 Did the organization, directly or through a related organization, hold assets in term, permanent, or quasi-endowments?
If "Yes," complete Schedule D, Part V ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
11 Is the organization's answer to any of the following questions "Yes"? If so, complete Schedule D, Parts VI, VII, VIII, IX, or X
as applicable ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
¥ Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete Schedule D,
Part VI.
2
3
¥ Did the organization report an amount for investments - other securities in Part X, line 12 that is 5% or more of its total
assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII.
¥ Did the organization report an amount for investments - program related in Part X, line 13 that is 5% or more of its total
assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.
¥ Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in
Part X, line 16? If "Yes," complete Schedule D, Part IX.
¥ Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X.
¥ Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses
the organization's liability for uncertain tax positions under FIN 48? If "Yes," complete Schedule D, Part X.
12 Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI, XII, and XIII.
12A Was the organization included in consolidated, independent audited financial statements for the tax year?
Yes No
If "Yes," completing Schedule D, Parts XI, XII, and XIII is optional ~~~~~~~~~~~~~~~~~~~~ 12A X
13 Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E ~~~~~~~~~~~~~~
14a Did the organization maintain an office, employees, or agents outside of the United States? ~~~~~~~~~~~~~~~~
b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business,
and program service activities outside the United States? If "Yes," complete Schedule F, Part I ~~~~~~~~~~~~~~
15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization
or entity located outside the United States? If "Yes," complete Schedule F, Part II ~~~~~~~~~~~~~~~~~~~~~
16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals
located outside the United States? If "Yes," complete Schedule F, Part III ~~~~~~~~~~~~~~~~~~~~~~~~~
17
18
19
20
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX,
column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines
1c and 8a? If "Yes," complete Schedule G, Part II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes,"
complete Schedule G, Part III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization operate one or more hospitals? If "Yes," complete Schedule H ••••••••••••••••••••
932003
02-04-10
3
1
2
X
X
3
4
X
No
X
5
6
X
7
X
8
X
9
X
10
X
11
X
12
X
13
14a
X
14b
X
15
X
X
16
X
17
X
18
X
X
19
X
20
Form 990 (2009)
DIRECT RELIEF INTERNATIONAL
Part IV Checklist of Required Schedules (continued)
Form 990 (2009)
95-1831116
Page 4
Yes
21
22
23
24a
b
c
d
25a
b
26
27
28
a
b
c
29
30
31
32
33
34
35
36
37
38
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the
United States on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and II ~~~~~~~~~~~~~~~~~~
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX,
column (A), line 2? If "Yes," complete Schedule I, Parts I and III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization's current
and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete
Schedule J ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the
last day of the year, that was issued after December 31, 2002? If "Yes," answer lines 24b through 24d and complete
Schedule K. If "No", go to line 25 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? ~~~~~~~~~~~
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease
any tax-exempt bonds? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? ~~~~~~~~~~~
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a
disqualified person during the year? If "Yes," complete Schedule L, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and
that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If "Yes," complete
Schedule L, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified
person outstanding as of the end of the organization's tax year? If "Yes," complete Schedule L, Part II ~~~~~~~~~~~
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial
contributor, or a grant selection committee member, or to a person related to such an individual? If "Yes," complete
Schedule L, Part III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Was the organization a party to a business transaction with one of the following parties, (see Schedule L, Part IV
instructions for applicable filing thresholds, conditions, and exceptions):
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV ~~~~~~~~~~~
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV ~~
An entity of which a current or former officer, director, trustee, or key employee of the organization (or a family member) was
an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV ~~~~~~~~~~~~~~~
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M ~~~~~~~~~
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation
contributions? If "Yes," complete Schedule M ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization liquidate, terminate, or dissolve and cease operations?
If "Yes," complete Schedule N, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete
Schedule N, Part II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations
sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I ~~~~~~~~~~~~~~~~~~~~~~~~
Was the organization related to any tax-exempt or taxable entity?
If "Yes," complete Schedule R, Parts II, III, IV, and V, line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Is any related organization a controlled entity within the meaning of section 512(b)(13)?
If "Yes," complete Schedule R, Part V, line 2 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization?
If "Yes," complete Schedule R, Part V, line 2 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the organization conduct more than 5% of its activities through an entity that is not a related organization
and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI ~~~~~~~~
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19?
Note. All Form 990 filers are required to complete Schedule O. ••••••••••••••••••••••••••••••
932004
02-04-10
4
21
X
X
22
23
No
X
X
24a
24b
24c
24d
25a
X
25b
X
26
X
27
X
28a
28b
X
X
28c
29
X
X
30
X
31
X
32
X
33
X
34
X
35
X
36
X
37
X
X
38
Form 990 (2009)
DIRECT RELIEF INTERNATIONAL
Statements Regarding Other IRS Filings and Tax Compliance
Form 990 (2009)
Part V
95-1831116
Page 5
Yes No
1a Enter the number reported in Box 3 of Form 1096, Annual Summary and Transmittal of
42
U.S. Information Returns. Enter -0- if not applicable ~~~~~~~~~~~~~~~~~~~~~~~
1a
0
b Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable ~~~~~~~~~~
1b
c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming
X
(gambling) winnings to prize winners? •••••••••••••••••••••••••••••••••••••••••••
1c
2a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements,
58
filed for the calendar year ending with or within the year covered by this return ~~~~~~~~~~
2a
X
b If at least one is reported on line 2a, did the organization file all required federal employment tax returns?~~~~~~~~~~
2b
e-file
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to
this return. (see instructions)
X
3a Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return? ~~~
3a
If
"No,"
provide
an
explanation
in
Schedule
O
b If "Yes," has it filed a Form 990-T for this year?
~~~~~~~~~~~~~~~
3b
4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a
X
financial account in a foreign country (such as a bank account, securities account, or other financial account)?~~~~~~~
4a
SOUTH
AFRICA
b If "Yes," enter the name of the foreign country: J
See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank and
Financial Accounts.
X
5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ~~~~~~~~~~~~
5a
X
b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?~~~~~~~~~
5b
c If "Yes," to line 5a or 5b, did the organization file Form 8886-T, Disclosure by Tax-Exempt Entity Regarding Prohibited
Tax Shelter Transaction? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
5c
6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit
X
any contributions that were not tax deductible? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6a
b If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts
were not tax deductible? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6b
7 Organizations that may receive deductible contributions under section 170(c).
a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services
X
provided to the payor? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
7a
b If "Yes," did the organization notify the donor of the value of the goods or services provided? ~~~~~~~~~~~~~~~
7b
c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required
X
to file Form 8282? ••••••••••••••••••••••••••••••••••••••••••••••••••••
7c
d If "Yes," indicate the number of Forms 8282 filed during the year ~~~~~~~~~~~~~~~~
7d
e Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal
X
benefit contract? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
7e
X
f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ~~~~~~~~~
7f
g For all contributions of qualified intellectual property, did the organization file Form 8899 as required? ~~~~~~~~~~~
7g
h For contributions of cars, boats, airplanes, and other vehicles, did the organization file a Form 1098-C as required? ~~~~~
7h
8 Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the
supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings
at any time during the year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
8
9 Sponsoring organizations maintaining donor advised funds.
a Did the organization make any taxable distributions under section 4966?~~~~~~~~~~~~~~~~~~~~~~~~~~
9a
b Did the organization make a distribution to a donor, donor advisor, or related person? ~~~~~~~~~~~~~~~~~~~
9b
10 Section 501(c)(7) organizations. Enter:
a Initiation fees and capital contributions included on Part VIII, line 12 ~~~~~~~~~~~~~~~ 10a
b Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities ~~~~~~ 10b
11 Section 501(c)(12) organizations. Enter:
a Gross income from members or shareholders ~~~~~~~~~~~~~~~~~~~~~~~~~~ 11a
b Gross income from other sources (Do not net amounts due or paid to other sources against
amounts due or received from them.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 11b
12a Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
b If "Yes," enter the amount of tax-exempt interest received or accrued during the year •••••• 12b
Form 990 (2009)
932005
02-04-10
5
DIRECT RELIEF INTERNATIONAL
95-1831116
Page 6
For
each
"Yes"
response
to
lines
2
through
7b
below,
and for a "No" response
Part VI Governance, Management, and Disclosure
Form 990 (2009)
to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Section A. Governing Body and Management
29
1a Enter the number of voting members of the governing body ~~~~~~~~~~~~~~~~~~~
1a
29
b Enter the number of voting members that are independent ~~~~~~~~~~~~~~~~~~~
1b
2 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other
officer, director, trustee, or key employee? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
3 Did the organization delegate control over management duties customarily performed by or under the direct supervision
of officers, directors or trustees, or key employees to a management company or other person? ~~~~~~~~~~~~~~
4 Did the organization make any significant changes to its organizational documents since the prior Form 990 was filed? ~~~
5 Did the organization become aware during the year of a material diversion of the organization's assets? ~~~~~~~~~~
6 Does the organization have members or stockholders? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
7a Does the organization have members, stockholders, or other persons who may elect one or more members of the
governing body? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
b Are any decisions of the governing body subject to approval by members, stockholders, or other persons?~~~~~~~~~
8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year
by the following:
a The governing body? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
b Each committee with authority to act on behalf of the governing body? ~~~~~~~~~~~~~~~~~~~~~~~~~~
9 Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the
organization's mailing address? If "Yes," provide the names and addresses in Schedule O •••••••••••••••••
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
2
X
3
4
5
6
X
X
X
X
7a
7b
X
X
X
X
8a
8b
X
9
Yes
10a Does the organization have local chapters, branches, or affiliates? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
b If "Yes," does the organization have written policies and procedures governing the activities of such chapters, affiliates,
and branches to ensure their operations are consistent with those of the organization? ~~~~~~~~~~~~~~~~~~
11 Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form? ~~~~~
11A Describe in Schedule O the process, if any, used by the organization to review this Form 990.
12a Does the organization have a written conflict of interest policy? If "No," go to line 13 ~~~~~~~~~~~~~~~~~~~~
b Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise
to conflicts? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
c Does the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe
in Schedule O how this is done ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
13 Does the organization have a written whistleblower policy? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
14 Does the organization have a written document retention and destruction policy? ~~~~~~~~~~~~~~~~~~~~~
15 Did the process for determining compensation of the following persons include a review and approval by independent
persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a The organization's CEO, Executive Director, or top management official ~~~~~~~~~~~~~~~~~~~~~~~~~~
b Other officers or key employees of the organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
If "Yes" to line 15a or 15b, describe the process in Schedule O. (See instructions.)
16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a
taxable entity during the year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
b If "Yes," has the organization adopted a written policy or procedure requiring the organization to evaluate its participation
in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization's
exempt status with respect to such arrangements? ••••••••••••••••••••••••••••••••••••
Section C. Disclosure
17
18
19
20
No
10a
10b
11
X
12a
X
12b
X
12c
13
14
X
X
X
15a
15b
X
X
16a
No
X
X
16b
List the states with which a copy of this Form 990 is required to be filed JCA
Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for
public inspection. Indicate how you make these available. Check all that apply.
X Own website
Another's website
Upon request
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial
statements available to the public.
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: |
DIRECT RELIEF INTERNATIONAL, BHUPI SINGH, EVP & CFO
27 SOUTH LA PATERA LANE, GOLETA, CA 93117
- 805-964-4767
Form 990 (2009)
932006
02-04-10
SEE SCHEDULE O FOR FULL LIST OF STATES
6
DIRECT RELIEF INTERNATIONAL
95-1831116
Part VII Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated
Employees, and Independent Contractors
Form 990 (2009)
Page 7
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax
year. Use Schedule J-2 if additional space is needed.
¥ List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation.
Enter -0- in columns (D), (E), and (F) if no compensation was paid.
¥ List all of the organization's current key employees. See instructions for definition of "key employee."
¥ List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable
compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations .
¥ List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of
reportable compensation from the organization and any related organizations.
¥ List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization,
more than $10,000 of reportable compensation from the organization and any related organizations.
List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest compensated employees;
and former such persons.
RICK BECKETT
DIRECTOR
JON CLARK
DIRECTOR
KENNETH COATES
TREASURER
TOM CUSACK
VICE CHAIR
ERNEST DREW, PHD
COMMITTEE CHAIR
GARY FINEFROCK
DIRECTOR
RICHARD GODFREY
COMMITTEE CHAIR
BERT GREEN, M.D., F.A.C.
DIRECTOR
RAYE HASKELL
DIRECTOR
STANLEY C. HATCH
COMMITTEE CHAIR
PRISCILLA HIGGINS
DIRECTOR
BRETT HODGES
DIRECTOR
ELLEN JOHNSON
DIRECTOR
DOROTHY LARGAY, PHD.
CHAIR
DON LEWIS
DIRECTOR
CARMEN ELENA PALOMO
DIRECTOR
ASHLEY PARKER-SNIDER
COMMITTEE CHAIR
932007 02-04-10
(E)
Reportable
compensation
from related
organizations
(W-2/1099-MISC)
Former
Highest compensated
employee
Key employee
Officer
Institutional trustee
Individual trustee or director
Check this box if the organization did not compensate any current officer, director, or trustee.
(A)
(B)
(C)
(D)
Name and Title
Average
Position
Reportable
hours
(check all that apply)
compensation
per
from
week
the
organization
(W-2/1099-MISC)
(F)
Estimated
amount of
other
compensation
from the
organization
and related
organizations
2.00 X
0.
0.
0.
2.00 X
0.
0.
0.
5.00 X
0.
0.
0.
5.00 X
0.
0.
0.
5.00 X
0.
0.
0.
2.00 X
0.
0.
0.
5.00 X
0.
0.
0.
2.00 X
0.
0.
0.
2.00 X
0.
0.
0.
5.00 X
0.
0.
0.
2.00 X
0.
0.
0.
2.00 X
0.
0.
0.
2.00 X
0.
0.
0.
10.00 X
0.
0.
0.
2.00 X
0.
0.
0.
2.00 X
0.
0.
0.
5.00 X
0.
0.
0.
7
Form 990 (2009)
Form 990 (2009)
95-1831116
JAMES SELBERT
SECRETARY
AYESHA SHAIKH, M.D.
DIRECTOR
JOHN ROMO
ASSISTANT SECRETARY
PATTY DEDOMINIC
DIRECTOR
PATRICK ENTHOVEN
DIRECTOR
HON. PAUL G. FLYNN
DIRECTOR
SCOTT HEDRICK
DIRECTOR
ROBERT A. MCLALAN
DIRECTOR
RITA MOYA
DIRECTOR
GEORGE SHORT
COMMITTEE CHAIR
Former
Highest compensated
employee
Key employee
Officer
Institutional trustee
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
(B)
(C)
(D)
(E)
Name and title
Average
Position
Reportable
Reportable
hours
(check all that apply)
compensation
compensation
per
from
from related
week
the
organizations
organization
(W-2/1099-MISC)
(W-2/1099-MISC)
Individual trustee or director
Part VII
DIRECT RELIEF INTERNATIONAL
Page 8
(F)
Estimated
amount of
other
compensation
from the
organization
and related
organizations
5.00 X
0.
0.
0.
2.00 X
0.
0.
0.
5.00 X
0.
0.
0.
2.00 X
0.
0.
0.
2.00 X
0.
0.
0.
2.00 X
0.
0.
0.
2.00 X
0.
0.
0.
2.00 X
0.
0.
0.
2.00 X
0.
0.
0.
5.00 X
0.
1,094,855.
0.
0.
0.
92,022.
1b Total ••••••••••••••••••••••••••••••••• |
2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable
compensation from the organization |
8
Yes
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on
line 1a? If "Yes," complete Schedule J for such individual ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
4 For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization
and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual~~~~~~~~~~~~~
5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization for services rendered to
the organization? If "Yes," complete Schedule J for such person ••••••••••••••••••••••••••••••
Section B. Independent Contractors
1
X
5
X
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from
the organization.
(A)
(B)
(C)
Name and business address
Description of services
Compensation
BIG SKY CONSULTING
1417-A OLIVE ST, SANTA BARBARA, CA 93101
KNACK SYSTEMS, 1 WOODBRIDGE CENTER #335,
WOODBRIDGE, NJ 07095
EA CONSULTING
PO BOX 1700, FOLSOM, CA 95763-1700
ANN CRAWFORD
27 S. LA PATERA LANE, GOLETA, CA 93117
MIKE MARKS, MD, 6 SPARROW HAWK DRIVE, BOX
29, HERMANUS, JOHANNESBURG, SOUTH
2
X
3
4
No
IT CONSULTING
262,939.
IT CONSULTING
169,381.
IT CONSULTING
161,886.
IT CONSULTING
REGIONAL MEDICAL
ADVISOR FOR AFRICA
135,690.
115,000.
Total number of independent contractors (including but not limited to those listed above) who received more than
5
$100,000 in compensation from the organization |
SEE SCHEDULE J-2 FOR PART VII, SECTION A CONTINUATION
932008 02-04-10
8
Form 990 (2009)
DIRECT RELIEF INTERNATIONAL
Statement of Revenue
95-1831116
Form 990 (2009)
Part VIII
Contributions, gifts, grants
and other similar amounts
1 a
b
c
d
e
f
Program Service
Revenue
(A)
Total revenue
2
3
4
5
6
Other Revenue
7
8
9
10
11
12
932009
02-04-10
Federated campaigns ~~~~~~
Membership dues ~~~~~~~~
Fundraising events ~~~~~~~~
Related organizations ~~~~~~
Government grants (contributions)
All other contributions, gifts, grants, and
similar amounts not included above ~~
1a
1b
1c
1d
1e
1f
(B)
Related or
exempt function
revenue
Page 9
(D)
Revenue
excluded from
tax under
sections 512,
513, or 514
(C)
Unrelated
business
revenue
549,849.
337698977.
323454357.
g Noncash contributions included in lines 1a-1f: $
h Total. Add lines 1a-1f ••••••••••••••••• | 338248826.
Business Code
541610
186,262.
a PROGRAM MANAGEMENT FEE
b
c
d
e
f All other program service revenue ~~~~~
186,262.
g Total. Add lines 2a-2f ••••••••••••••••• |
Investment income (including dividends, interest, and
4,325.
other similar amounts)~~~~~~~~~~~~~~~~~ |
Income from investment of tax-exempt bond proceeds
|
Royalties ••••••••••••••••••••••• |
(i) Real
(ii) Personal
a Gross Rents ~~~~~~~
b Less: rental expenses ~~~
c Rental income or (loss) ~~
d Net rental income or (loss) •••••••••••••• |
a Gross amount from sales of
(i) Securities
(ii) Other
assets other than inventory
b Less: cost or other basis
627.
and sales expenses ~~~
-627.
c Gain or (loss) ~~~~~~~
-627.
d Net gain or (loss) ••••••••••••••••••• |
a Gross income from fundraising events (not
including $
of
contributions reported on line 1c). See
Part IV, line 18 ~~~~~~~~~~~~~ a
b Less: direct expenses~~~~~~~~~~ b
c Net income or (loss) from fundraising events ••••• |
a Gross income from gaming activities. See
Part IV, line 19 ~~~~~~~~~~~~~ a
b Less: direct expenses ~~~~~~~~~ b
c Net income or (loss) from gaming activities •••••• |
a Gross sales of inventory, less returns
and allowances ~~~~~~~~~~~~~ a
b Less: cost of goods sold ~~~~~~~~ b
c Net income or (loss) from sales of inventory •••••• |
Miscellaneous Revenue
Business Code
624200
435.
a MISCELLANEOUS REVENUE
b
c
d All other revenue ~~~~~~~~~~~~~
435.
e Total. Add lines 11a-11d ~~~~~~~~~~~~~~~ |
338439221.
Total revenue. See instructions. ••••••••••••• |
9
186,262.
4,325.
-627.
435.
186,070.
0.
4,325.
Form 990 (2009)
DIRECT RELIEF INTERNATIONAL
Part IX Statement of Functional Expenses
95-1831116
Form 990 (2009)
Page 10
Section 501(c)(3) and 501(c)(4) organizations must complete all columns.
All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
(A)
(B)
(C)
(D)
Do not include amounts reported on lines 6b,
Total expenses
Program service
Management and
Fundraising
7b, 8b, 9b, and 10b of Part VIII.
expenses
general expenses
expenses
1 Grants and other assistance to governments and
organizations in the U.S. See Part IV, line 21 ~~ 133,272,522.133,272,522.
2
3
4
5
6
Grants and other assistance to individuals in
the U.S. See Part IV, line 22 ~~~~~~~~~
Grants and other assistance to governments,
organizations, and individuals outside the U.S.
See Part IV, lines 15 and 16 ~~~~~~~~~
Benefits paid to or for members ~~~~~~~
Compensation of current officers, directors,
trustees, and key employees ~~~~~~~~
Compensation not included above, to disqualified
persons (as defined under section 4958(f)(1)) and
persons described in section 4958(c)(3)(B) ~~~
7
8
Other salaries and wages ~~~~~~~~~~
Pension plan contributions (include section 401(k)
and section 403(b) employer contributions) ~~~
9
10
11
a
b
c
d
e
f
g
Other employee benefits ~~~~~~~~~~
Payroll taxes ~~~~~~~~~~~~~~~~
Fees for services (non-employees):
Management ~~~~~~~~~~~~~~~~
Legal ~~~~~~~~~~~~~~~~~~~~
Accounting ~~~~~~~~~~~~~~~~~
Lobbying ~~~~~~~~~~~~~~~~~~
Professional fundraising services. See Part IV, line 17
12
13
14
15
16
17
18
19
20
21
22
23
24
Investment management fees ~~~~~~~~
Other ~~~~~~~~~~~~~~~~~~~~
Advertising and promotion ~~~~~~~~~
Office expenses~~~~~~~~~~~~~~~
Information technology ~~~~~~~~~~~
Royalties ~~~~~~~~~~~~~~~~~~
Occupancy ~~~~~~~~~~~~~~~~~
Travel ~~~~~~~~~~~~~~~~~~~
Payments of travel or entertainment expenses
for any federal, state, or local public officials
Conferences, conventions, and meetings ~~
Interest ~~~~~~~~~~~~~~~~~~
Payments to affiliates ~~~~~~~~~~~~
Depreciation, depletion, and amortization ~~
Insurance ~~~~~~~~~~~~~~~~~
Other expenses. Itemize expenses not covered
above. (Expenses grouped together and labeled
miscellaneous may not exceed 5% of total
expenses shown on line 25 below.) ~~~~~~~
a INVENTORY ADJ-SEE SCH O
b FREIGHT AND TRANSPORTAT
c CONTRACT SERVICES
d WEB HOSTING
e UTILITIES AND TELEPHONE
f All other expenses
25 Total functional expenses. Add lines 1 through 24f
if following
26 Joint costs. Check here |
SOP 98-2. Complete this line only if the organization
reported in column (B) joint costs from a combined
educational campaign and fundraising solicitation •
932010 02-04-10
113,726,111.113,726,111.
472,704.
348,904.
123,800.
3,446,942.
2,423,579.
544,769.
478,594.
143,772.
361,524.
260,366.
90,644.
212,181.
164,192.
31,421.
98,888.
57,068.
21,707.
50,455.
39,106.
36,149.
57,026.
1,221.
3,509.
6,964.
1,221.
32,640.
49,195.
867.
6,530.
300,930.
157,614.
586.
253,255.
56,685.
556.
23,212.
17,841.
5,388.
24,463.
83,088.
718,736.
395,891.
707,257.
363,398.
9,406.
22,137.
2,073.
10,356.
113,618.
86,508.
37,478.
76,487.
14,166.
7,663.
61,974.
2,358.
556,509.
55,970.
403,923.
44,720.
88,483.
10,238.
64,103.
1,012.
12,645,522. 12,645,522.
1,927,719. 1,927,719.
1,426,987. 1,101,994.
253,878.
177,340.
179,906.
157,997.
393,518.
146,873.
270,998,173.268,002,157.
216,857.
44,082.
15,817.
166,276.
1,799,619.
108,136.
32,456.
6,092.
80,369.
1,196,397.
10
Form 990 (2009)
Form 990 (2009)
Part X
DIRECT RELIEF INTERNATIONAL
95-1831116
Balance Sheet
(A)
Beginning of year
Cash - non-interest-bearing ~~~~~~~~~~~~~~~~~~~~~~~~~
Savings and temporary cash investments ~~~~~~~~~~~~~~~~~~
Pledges and grants receivable, net ~~~~~~~~~~~~~~~~~~~~~
Accounts receivable, net ~~~~~~~~~~~~~~~~~~~~~~~~~~
Receivables from current and former officers, directors, trustees, key
employees, and highest compensated employees. Complete Part II
of Schedule L ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6 Receivables from other disqualified persons (as defined under section
4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete
Part II of Schedule L ~~~~~~~~~~~~~~~~~~~~~~~~~~~~
7 Notes and loans receivable, net ~~~~~~~~~~~~~~~~~~~~~~~
8 Inventories for sale or use ~~~~~~~~~~~~~~~~~~~~~~~~~~
9 Prepaid expenses and deferred charges ~~~~~~~~~~~~~~~~~~
10 a Land, buildings, and equipment: cost or other
8,481,351.
basis. Complete Part VI of Schedule D ~~~ 10a
2,113,484.
b Less: accumulated depreciation ~~~~~~ 10b
11 Investments - publicly traded securities ~~~~~~~~~~~~~~~~~~~
12 Investments - other securities. See Part IV, line 11 ~~~~~~~~~~~~~~
13 Investments - program-related. See Part IV, line 11 ~~~~~~~~~~~~~
14 Intangible assets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
15 Other assets. See Part IV, line 11 ~~~~~~~~~~~~~~~~~~~~~~
16 Total assets. Add lines 1 through 15 (must equal line 34) ••••••••••
17 Accounts payable and accrued expenses ~~~~~~~~~~~~~~~~~~
18 Grants payable ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
19 Deferred revenue ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
20 Tax-exempt bond liabilities ~~~~~~~~~~~~~~~~~~~~~~~~~
21 Escrow or custodial account liability. Complete Part IV of Schedule D ~~~~
22 Payables to current and former officers, directors, trustees, key employees,
highest compensated employees, and disqualified persons. Complete Part II
of Schedule L ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Liabilities
Assets
1
2
3
4
5
Net Assets or Fund Balances
23
24
25
26
27
28
29
30
31
32
33
34
Secured mortgages and notes payable to unrelated third parties ~~~~~~
Unsecured notes and loans payable to unrelated third parties ~~~~~~~~
Other liabilities. Complete Part X of Schedule D ~~~~~~~~~~~~~~~
Total liabilities. Add lines 17 through 25 ••••••••••••••••••
X and complete
Organizations that follow SFAS 117, check here |
lines 27 through 29, and lines 33 and 34.
Unrestricted net assets ~~~~~~~~~~~~~~~~~~~~~~~~~~~
Temporarily restricted net assets ~~~~~~~~~~~~~~~~~~~~~~
Permanently restricted net assets ~~~~~~~~~~~~~~~~~~~~~
Organizations that do not follow SFAS 117, check here |
and
complete lines 30 through 34.
Capital stock or trust principal, or current funds ~~~~~~~~~~~~~~~
Paid-in or capital surplus, or land, building, or equipment fund ~~~~~~~~
Retained earnings, endowment, accumulated income, or other funds ~~~~
Total net assets or fund balances ~~~~~~~~~~~~~~~~~~~~~~
Total liabilities and net assets/fund balances ••••••••••••••••
932011 02-04-10
11
600.
203,178.
Page 11
(B)
End of year
1
2
3
4
600.
4,832,151.
5
43,947,323.
338,875.
5,871,594.
4,499.
3,000.
50,369,069.
355,249.
1,400,000.
529,464.
2,284,713.
47,162,834.
921,522.
48,084,356.
50,369,069.
6
7
8
9
10c
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
111,110,110.
248,460.
6,367,867.
4,499.
0.
122,563,687.
680,841.
1,400,000.
637,897.
2,718,738.
113,570,684.
6,274,265.
119,844,949.
122,563,687.
Form 990 (2009)
DIRECT RELIEF INTERNATIONAL
Part XI Financial Statements and Reporting
Form 990 (2009)
95-1831116
Yes
X
1
2a
b
c
d
3a
b
Accounting method used to prepare the Form 990:
Cash
Accrual
Other
If the organization changed its method of accounting from a prior year or checked "Other," explain in Schedule O.
Were the organization's financial statements compiled or reviewed by an independent accountant? ~~~~~~~~~~~~
Were the organization's financial statements audited by an independent accountant? ~~~~~~~~~~~~~~~~~~~
If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit,
review, or compilation of its financial statements and selection of an independent accountant? ~~~~~~~~~~~~~~~
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
If "Yes" to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a
consolidated basis, separate basis, or both:
X Consolidated basis
Separate basis
Both consolidated and separate basis
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit
Act and OMB Circular A-133? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit
or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ••••••••••••••••
932012 02-04-10
12
Page 12
2a
2b
X
2c
X
3a
No
X
X
3b
Form 990 (2009)
SCHEDULE A
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
2009
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
| Attach to Form 990 or Form 990-EZ. | See separate instructions.
Name of the organization
Part I
OMB No. 1545-0047
Public Charity Status and Public Support
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
95-1831116
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).
2
A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)
3
A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).
A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name,
4
city, and state:
An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
X
8
9
10
11
e
f
g
h
A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in
section 170(b)(1)(A)(vi). (Complete Part II.)
A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)
An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from
activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment
income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975.
See section 509(a)(2). (Complete Part III.)
An organization organized and operated exclusively to test for public safety. See section 509(a)(4).
An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or
more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that
describes the type of supporting organization and complete lines 11e through 11h.
a
Type I
b
Type II
c
Type III - Functionally integrated
d
Type III - Other
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than
foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III
supporting organization, check this box ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii) below,
Yes No
the governing body of the supported organization? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 11g(i)
(ii) A family member of a person described in (i) above? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 11g(ii)
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ~~~~~~~~~~~~~~~~~~~~~~~~ 11g(iii)
Provide the following information about the supported organization(s).
(i) Name of supported
organization
(ii) EIN
(iii) Type of
(vi) Is the
(iv) Is the organization (v) Did you notify the
in col.
organization
in col. (i) listed in your organization in col. organization
(described on lines 1-9 governing document? (i) of your support? (i) organized in the
U.S.?
above or IRC section
(see instructions))
Yes
No
Yes
No
Yes
No
Total
LHA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
932021 02-08-10
13
(vii) Amount of
support
Schedule A (Form 990 or 990-EZ) 2009
DIRECT RELIEF INTERNATIONAL
95-1831116
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
Schedule A (Form 990 or 990-EZ) 2009
Part II
Page 2
(Complete only if you checked the box on line 5, 7, or 8 of Part I.)
Section A. Public Support
Calendar year (or fiscal year beginning in)|
(a) 2005
(b) 2006
(c) 2007
(d) 2008
(e) 2009
(f) Total
1 Gifts, grants, contributions, and
membership fees received. (Do not
include any "unusual grants.") ~~ 24101248019849365929762904.165973150338438016973680209
2 Tax revenues levied for the organization's benefit and either paid to
or expended on its behalf ~~~~
3 The value of services or facilities
furnished by a governmental unit to
the organization without charge ~
4 Total. Add lines 1 through 3 ~~~
5 The portion of total contributions
by each person (other than a
governmental unit or publicly
supported organization) included
on line 1 that exceeds 2% of the
amount shown on line 11,
column (f) ~~~~~~~~~~~~
24101248019849365929762904.165973150338438016973680209
448469026
525211183
6 Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year (or fiscal year beginning in)|
(a) 2005
(b) 2006
(c) 2007
(d) 2008
(e) 2009
(f) Total
7 Amounts from line 4 ~~~~~~~ 24101248019849365929762904.165973150338438016973680209
8 Gross income from interest,
dividends, payments received on
securities loans, rents, royalties
1243820. 83,420.
5,456.
8,423.
4,325. 1345444.
and income from similar sources ~
9 Net income from unrelated business
activities, whether or not the
business is regularly carried on ~
10 Other income. Do not include gain
or loss from the sale of capital
7,524.
37.
10.
474.
435.
8,480.
assets (Explain in Part IV.) ~~~~
975034133
11 Total support. Add lines 7 through 10
12 Gross receipts from related activities, etc. (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~ 12
13 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)
organization, check this box and stop here ••••••••••••••••••••••••••••••••••••••••••••• |
Section C. Computation of Public Support Percentage
53.87 %
14 Public support percentage for 2009 (line 6, column (f) divided by line 11, column (f)) ~~~~~~~~~~~~ 14
60.11 %
15 Public support percentage from 2008 Schedule A, Part II, line 14 ~~~~~~~~~~~~~~~~~~~~~ 15
16a 33 1/3% support test - 2009. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box and
stop here. The organization qualifies as a publicly supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ | X
b 33 1/3% support test - 2008. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ |
17a 10% -facts-and-circumstances test - 2009. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more,
and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part IV how the organization
meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ~~~~~~~~~~~~~~~ |
b 10% -facts-and-circumstances test - 2008. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or
more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part IV how the
organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ~~~~~~~~ |
18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions ••• |
Schedule A (Form 990 or 990-EZ) 2009
932022
02-08-10
14
Schedule A (Form 990 or 990-EZ) 2009
Page 3
Part III Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I.)
Section A. Public Support
Calendar year (or fiscal year beginning in)|
1 Gifts, grants, contributions, and
membership fees received. (Do not
include any "unusual grants.") ~~
(a) 2005
(b) 2006
(c) 2007
(d) 2008
(e) 2009
(f) Total
(a) 2005
(b) 2006
(c) 2007
(d) 2008
(e) 2009
(f) Total
2 Gross receipts from admissions,
merchandise sold or services performed, or facilities furnished in
any activity that is related to the
organization's tax-exempt purpose
3 Gross receipts from activities that
are not an unrelated trade or business under section 513 ~~~~~
4 Tax revenues levied for the organization's benefit and either paid to
or expended on its behalf ~~~~
5 The value of services or facilities
furnished by a governmental unit to
the organization without charge ~
6 Total. Add lines 1 through 5 ~~~
7 a Amounts included on lines 1, 2, and
3 received from disqualified persons
b Amounts included on lines 2 and 3 received
from other than disqualified persons that
exceed the greater of $5,000 or 1% of the
amount on line 13 for the year ~~~~~~
c Add lines 7a and 7b ~~~~~~~
8 Public support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)|
9 Amounts from line 6 ~~~~~~~
10a Gross income from interest,
dividends, payments received on
securities loans, rents, royalties
and income from similar sources ~
b Unrelated business taxable income
(less section 511 taxes) from businesses
acquired after June 30, 1975 ~~~~
c Add lines 10a and 10b ~~~~~~
11 Net income from unrelated business
activities not included in line 10b,
whether or not the business is
regularly carried on ~~~~~~~
12 Other income. Do not include gain
or loss from the sale of capital
assets (Explain in Part IV.) ~~~~
13 Total support (Add lines 9, 10c, 11, and 12.)
14 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here •••••••••••••••••••••••••••••••••••••••••••••••••••• |
Section C. Computation of Public Support Percentage
15 Public support percentage for 2009 (line 8, column (f) divided by line 13, column (f)) ~~~~~~~~~~~~
16 Public support percentage from 2008 Schedule A, Part III, line 15 ••••••••••••••••••••
Section D. Computation of Investment Income Percentage
15
16
%
%
17 Investment income percentage for 2009 (line 10c, column (f) divided by line 13, column (f)) ~~~~~~~~ 17
%
18 Investment income percentage from 2008 Schedule A, Part III, line 17 ~~~~~~~~~~~~~~~~~~ 18
%
19 a 33 1/3% support tests - 2009. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not
more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ~~~~~~~~~~ |
b 33 1/3% support tests - 2008. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3%, and
line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ~~~~ |
20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions •••••••• |
Schedule A (Form 990 or 990-EZ) 2009
932023 02-08-10
15
Schedule B
Schedule of Contributors
(Form 990, 990-EZ,
or 990-PF)
OMB No. 1545-0047
2009
| Attach to Form 990, 990-EZ, or 990-PF.
Department of the Treasury
Internal Revenue Service
Name of the organization
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Organization type (check one):
Filers of:
Form 990 or 990-EZ
Section:
X
501(c)(
3
) (enter number) organization
4947(a)(1) nonexempt charitable trust not treated as a private foundation
527 political organization
Form 990-PF
501(c)(3) exempt private foundation
4947(a)(1) nonexempt charitable trust treated as a private foundation
501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or property) from any one
contributor. Complete Parts I and II.
Special Rules
X
For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33 1/3% support test of the regulations under sections
509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the greater of (1) $5,000 or (2) 2%
of the amount on (i) Form 990, Part VIII, line 1h or (ii) Form 990-EZ, line 1. Complete Parts I and II.
For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor, during the year,
aggregate contributions of more than $1,000 for use exclusively for religious, charitable, scientific, literary, or educational purposes, or
the prevention of cruelty to children or animals. Complete Parts I, II, and III.
For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor, during the year,
contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did not aggregate to more than $1,000.
If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc.,
purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively
religious, charitable, etc., contributions of $5,000 or more during the year. ~~~~~~~~~~~~~~~~~ | $
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990, 990-EZ, or 990-PF),
but it must answer "No" on Part IV, line 2 of its Form 990, or check the box on line H of its Form 990-EZ, or on line 2 of its Form 990-PF, to certify
that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).
LHA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
923451 02-01-10
16
Schedule B (Form 990, 990-EZ, or 990-PF) (2009)
Schedule B (Form 990, 990-EZ, or 990-PF) (2009)
Page
Name of organization
DIRECT RELIEF INTERNATIONAL
Part II
(a)
No.
from
Part I
1
2
Noncash Property
3
(c)
FMV (or estimate)
(see instructions)
(b)
Description of noncash property given
4
5
6
(d)
Date received
01/01/10
(d)
Date received
PHARMACEUTICALS
8,012,303.
(c)
FMV (or estimate)
(see instructions)
(b)
Description of noncash property given
01/01/10
(d)
Date received
PHARMACEUTICALS
8,819,003.
(c)
FMV (or estimate)
(see instructions)
(b)
Description of noncash property given
01/01/10
(d)
Date received
PHARMACEUTICALS AND MEDICAL SUPPLIES
7,583,796.
(c)
FMV (or estimate)
(see instructions)
(b)
Description of noncash property given
01/01/10
(d)
Date received
PHARMACEUTICALS AND MEDICAL SUPPLIES
$
(a)
No.
from
Part I
21,345,629.
(c)
FMV (or estimate)
(see instructions)
(b)
Description of noncash property given
$
(a)
No.
from
Part I
of Part II
PHARMACEUTICALS, MEDICAL SUPPLIES AND
EQUIPMENT
$
(a)
No.
from
Part I
2
(see instructions)
$
(a)
No.
from
Part I
of
95-1831116
$
(a)
No.
from
Part I
1
Employer identification number
12,641,446.
(c)
FMV (or estimate)
(see instructions)
(b)
Description of noncash property given
01/01/10
(d)
Date received
PHARMACEUTICALS
$
923453 02-01-10
19
35,015,662.
01/01/10
Schedule B (Form 990, 990-EZ, or 990-PF) (2009)
Schedule B (Form 990, 990-EZ, or 990-PF) (2009)
Page
Name of organization
DIRECT RELIEF INTERNATIONAL
Part II
(a)
No.
from
Part I
7
8
of
2
of Part II
Noncash Property
95-1831116
(see instructions)
(c)
FMV (or estimate)
(see instructions)
(b)
Description of noncash property given
(d)
Date received
PHARMACEUTICALS
$
(a)
No.
from
Part I
2
Employer identification number
143,000,803.
(c)
FMV (or estimate)
(see instructions)
(b)
Description of noncash property given
01/01/10
(d)
Date received
PHARMACEUTICALS
$
(a)
No.
from
Part I
(b)
Description of noncash property given
8,593,332.
01/01/10
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
$
(a)
No.
from
Part I
(b)
Description of noncash property given
$
(a)
No.
from
Part I
(b)
Description of noncash property given
$
(a)
No.
from
Part I
(b)
Description of noncash property given
$
923453 02-01-10
20
Schedule B (Form 990, 990-EZ, or 990-PF) (2009)
SCHEDULE C
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities
For Organizations Exempt From Income Tax Under section 501(c) and section 527
J Complete if the organization is described below.
J Attach to Form 990 or Form 990-EZ. | See separate instructions.
OMB No. 1545-0047
2009
Open to Public
Inspection
If the organization answered "Yes," to Form 990, Part IV, line 3, or Form 990-EZ, Part VI, line 46 (Political Campaign Activities), then
¥ Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
¥ Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
¥ Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes," to Form 990, Part IV, line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
¥ Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
¥ Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes," to Form 990, Part IV, line 5 (Proxy Tax), then
¥ Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of organization
Employer identification number
Part I-A
DIRECT RELIEF INTERNATIONAL
95-1831116
Complete if the organization is exempt under section 501(c) or is a section 527 organization.
1 Provide a description of the organization's direct and indirect political campaign activities in Part IV.
2 Political expenditures ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ J $
3 Volunteer hours ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Part I-B
Complete if the organization is exempt under section 501(c)(3).
1 Enter the amount of any excise tax incurred by the organization under section 4955 ~~~~~~~~~~~~~ J $
2 Enter the amount of any excise tax incurred by organization managers under section 4955 ~~~~~~~~~~ J $
3 If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ~~~~~~~~~~~~~~~~~~~
4a Was a correction made? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
b If "Yes," describe in Part IV.
Yes
Yes
No
No
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
Enter the amount directly expended by the filing organization for section 527 exempt function activities ~~~~ J $
1
2 Enter the amount of the filing organization's funds contributed to other organizations for section 527
exempt function activities ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ J $
3 Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL,
line 17b ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ J $
4 Did the filing organization file Form 1120-POL for this year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Yes
No
5 Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which payments were made.
For each organization listed, enter the amount paid from the filing organization's funds. Also enter the amount of political contributions received
that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee
(PAC). If additional space is needed, provide information in Part IV.
(a) Name
(b) Address
(c) EIN
(d) Amount paid from
(e) Amount of political
contributions received and
filing organization's
promptly and directly
funds. If none, enter -0-.
delivered to a separate
political organization.
If none, enter -0-.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
LHA
932041 02-04-10
21
Schedule C (Form 990 or 990-EZ) 2009
DIRECT RELIEF INTERNATIONAL
95-1831116
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768
(election under section 501(h)).
Schedule C (Form 990 or 990-EZ) 2009
Part II-A
A Check
B Check
J
J
if the filing organization belongs to an affiliated group.
if the filing organization checked box A and "limited control" provisions apply.
(a) Filing
organization's
totals
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
1a
b
c
d
e
f
(b) Affiliated group
totals
Total lobbying expenditures to influence public opinion (grass roots lobbying) ~~~~~~~~~~
Total lobbying expenditures to influence a legislative body (direct lobbying) ~~~~~~~~~~~
Total lobbying expenditures (add lines 1a and 1b) ~~~~~~~~~~~~~~~~~~~~~~~~
Other exempt purpose expenditures ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Total exempt purpose expenditures (add lines 1c and 1d) ~~~~~~~~~~~~~~~~~~~~
Lobbying nontaxable amount. Enter the amount from the following table in both columns.
If the amount on line 1e, column (a) or (b) is:
The lobbying nontaxable amount is:
Not over $500,000
Over $500,000 but not over $1,000,000
Over $1,000,000 but not over $1,500,000
Over $1,500,000 but not over $17,000,000
Over $17,000,000
g
h
i
j
Page 2
20% of the amount on line 1e.
$100,000 plus 15% of the excess over $500,000.
$175,000 plus 10% of the excess over $1,000,000.
$225,000 plus 5% of the excess over $1,500,000.
$1,000,000.
Grassroots nontaxable amount (enter 25% of line 1f) ~~~~~~~~~~~~~~~~~~~~~~
Subtract line 1g from line 1a. If zero or less, enter -0- ~~~~~~~~~~~~~~~~~~~~~~
Subtract line 1f from line 1c. If zero or less, enter -0- ~~~~~~~~~~~~~~~~~~~~~~
If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720
reporting section 4911 tax for this year? ••••••••••••••••••••••••••••••••••••••
4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Yes
No
Lobbying Expenditures During 4-Year Averaging Period
Calendar year
(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) Total
2 a Lobbying nontaxable amount
b Lobbying ceiling amount
(150% of line 2a, column(e))
c Total lobbying expenditures
d Grassroots nontaxable amount
e Grassroots ceiling amount
(150% of line 2d, column (e))
f Grassroots lobbying expenditures
Schedule C (Form 990 or 990-EZ) 2009
932042 02-04-10
22
DIRECT RELIEF INTERNATIONAL
95-1831116
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768
(election under section 501(h)).
Schedule C (Form 990 or 990-EZ) 2009
Part II-B
(a)
Yes
1
a
b
c
d
e
f
g
h
i
j
2a
b
c
d
During the year, did the filing organization attempt to influence foreign, national, state or
local legislation, including any attempt to influence public opinion on a legislative matter
or referendum, through the use of:
Volunteers? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ~
Media advertisements? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Mailings to members, legislators, or the public? ~~~~~~~~~~~~~~~~~~~~~~~~~
Publications, or published or broadcast statements? ~~~~~~~~~~~~~~~~~~~~~~
Grants to other organizations for lobbying purposes? ~~~~~~~~~~~~~~~~~~~~~~
Direct contact with legislators, their staffs, government officials, or a legislative body? ~~~~~~
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ~~~~
Other activities? If "Yes," describe in Part IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~
Total. Add lines 1c through 1i ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? ~~~~
If "Yes," enter the amount of any tax incurred under section 4912 ~~~~~~~~~~~~~~~~
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ~~~
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ••••••
X
(b)
No
Amount
X
X
X
X
X
X
X
X
1,221.
1,221.
X
Part III-A Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section
501(c)(6).
Yes
1
2
3
Were substantially all (90% or more) dues received nondeductible by members? ~~~~~~~~~~~~~~~~~
Did the organization make only in-house lobbying expenditures of $2,000 or less? ~~~~~~~~~~~~~~~~
Did the organization agree to carryover lobbying and political expenditures from the prior year? •••••••••
Page 3
No
1
2
3
Part III-B Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section
501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered "No" OR if Part III-A, line 3 is answered
"Yes."
Dues, assessments and similar amounts from members ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a Current year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
b Carryover from last year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
c Total ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues ~~~~~~~~
4 If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess
does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political
expenditure next year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
5 Taxable amount of lobbying and political expenditures (see instructions) •••••••••••••••••••••
1
2
Part IV
Supplemental Information
1
2a
2b
2c
3
4
5
Complete this part to provide the descriptions required for Part I-A, line 1; Part I-B, line 4; Part I-C, line 5; and Part II-B, line 1i. Also, complete this part
for any additional information.
PART II-B, LINE 1(I), OTHER LOBBYING ACTIVITIES:
DIRECT RELIEF INTERNATIONAL PAYS AN ANNUAL MEMBERSHIP FEE TO
INTERACTION. FOR FY 10 THAT AMOUNT WAS $15,071. INTERACTION INFORMED
DIRECT RELIEF INTERNATIONAL THAT 8.1% ($1,221) OF THE MEMBERSHIP DUES
ARE USED FOR LOBBYING ACTIVITIES.
Schedule C (Form 990 or 990-EZ) 2009
932043 02-04-10
23
Schedule D
(Form 990)
Department of the Treasury
Internal Revenue Service
2009
| Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
| Attach to Form 990. | See separate instructions.
Name of the organization
Part I
OMB No. 1545-0047
Supplemental Financial Statements
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the
organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds
(b) Funds and other accounts
Total number at end of year ~~~~~~~~~~~~~~~
Aggregate contributions to (during year) ~~~~~~~~
Aggregate grants from (during year) ~~~~~~~~~~
Aggregate value at end of year ~~~~~~~~~~~~~
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds
are the organization's property, subject to the organization's exclusive legal control? ~~~~~~~~~~~~~~~~~~
6 Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only
for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring
impermissible private benefit? ••••••••••••••••••••••••••••••••••••••••••••
Part II Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
2
3
4
5
Yes
No
Yes
No
1
Purpose(s) of conservation easements held by the organization (check all that apply).
Preservation of land for public use (e.g., recreation or pleasure)
Preservation of an historically important land area
Protection of natural habitat
Preservation of a certified historic structure
Preservation of open space
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last
day of the tax year.
Held at the End of the Tax Year
a
b
c
d
3
Total number of conservation easements ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
2a
Total acreage restricted by conservation easements ~~~~~~~~~~~~~~~~~~~~~~~~~~
2b
Number of conservation easements on a certified historic structure included in (a) ~~~~~~~~~~~~
2c
Number of conservation easements included in (c) acquired after 8/17/06 ~~~~~~~~~~~~~~~~
2d
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax
year |
Number of states where property subject to conservation easement is located |
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of
violations, and enforcement of the conservation easements it holds? ~~~~~~~~~~~~~~~~~~~~~~~~~
Yes
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year |
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year | $
4
5
6
7
8
9
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i)
and section 170(h)(4)(B)(ii)? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Yes
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and balance sheet, and
include, if applicable, the text of the footnote to the organization's financial statements that describes the organization's accounting for
conservation easements.
Part III
No
No
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of art, historical
treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIV, the text of
the footnote to its financial statements that describes these items.
b If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art, historical treasures,
or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to
these items:
(i) Revenues included in Form 990, Part VIII, line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ | $
(ii) Assets included in Form 990, Part X ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ | $
2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide
the following amounts required to be reported under SFAS 116 relating to these items:
a Revenues included in Form 990, Part VIII, line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ | $
b Assets included in Form 990, Part X ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ | $
LHA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932051
02-01-10
24
Schedule D (Form 990) 2009
DIRECT RELIEF INTERNATIONAL
95-1831116 Page 2
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
Schedule D (Form 990) 2009
Part III
Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of its collection items
(check all that apply):
a
Public exhibition
d
Loan or exchange programs
b
Scholarly research
e
Other
c
Preservation for future generations
4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIV.
5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets
to be sold to raise funds rather than to be maintained as part of the organization's collection? •••••••••••••
Yes
No
Part IV Escrow and Custodial Arrangements. Complete if organization answered "Yes" to Form 990, Part IV, line 9, or
reported an amount on Form 990, Part X, line 21.
3
1a Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included
on Form 990, Part X? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
b If "Yes," explain the arrangement in Part XIV and complete the following table:
Yes
No
Amount
Beginning balance ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1c
Additions during the year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1d
Distributions during the year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1e
Ending balance ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1f
Did the organization include an amount on Form 990, Part X, line 21? ~~~~~~~~~~~~~~~~~~~~~~~~~
If "Yes," explain the arrangement in Part XIV.
Part V Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
c
d
e
f
2a
b
Yes
No
(a) Current year
(b) Prior year
(c) Two years back (d) Three years back (e) Four years back
31306636. 45480303.
Beginning of year balance ~~~~~~~
179,402. 578,647.
Contributions ~~~~~~~~~~~~~~
1,899,350.-10335382.
Net investment earnings, gains, and losses
Grants or scholarships ~~~~~~~~~ 4,895,531.4,350,069.
Other expenditures for facilities
and programs ~~~~~~~~~~~~~
60,142.
66,863.
f Administrative expenses ~~~~~~~~
28429715.
31306636.
g End of year balance ~~~~~~~~~~
2 Provide the estimated percentage of the year end balance held as:
99.91
a Board designated or quasi-endowment |
%
.09
b Permanent endowment |
%
c Term endowment |
%
3a Are there endowment funds not in the possession of the organization that are held and administered for the organization
by:
Yes No
X
(i) unrelated organizations ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3a(i)
X
(ii) related organizations ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3a(ii)
X
b If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? ~~~~~~~~~~~~~~~~~~~~~~
3b
4 Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI Investments - Land, Buildings, and Equipment. See Form 990, Part X, line 10.
1a
b
c
d
e
Description of investment
(a) Cost or other
basis (investment)
(b) Cost or other
basis (other)
(c) Accumulated
depreciation
(d) Book value
1,363,950.
1,363,950.
1a Land ~~~~~~~~~~~~~~~~~~~~
1,538,071.
493,466.
1,044,605.
b Buildings ~~~~~~~~~~~~~~~~~~
1,725,899.
319,647.
1,406,252.
c Leasehold improvements ~~~~~~~~~~
1,430,229.
821,986.
608,243.
d Equipment ~~~~~~~~~~~~~~~~~
2,423,202.
478,385.
1,944,817.
e Other ••••••••••••••••••••
6,367,867.
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).) •••••••••••• |
Schedule D (Form 990) 2009
932052
02-01-10
25
DIRECT RELIEF INTERNATIONAL
Part VII Investments - Other Securities. See Form 990, Part X, line 12.
95-1831116
Schedule D (Form 990) 2009
(a) Description of security or category
(including name of security)
(b) Book value
Page 3
(c) Method of valuation:
Cost or end-of-year market value
Financial derivatives ~~~~~~~~~~~~~~~~~
Closely-held equity interests ~~~~~~~~~~~~~
Other
Total. (Col (b) must equal Form 990, Part X, col (B) line 12.) |
Part VIII Investments - Program Related. See Form 990, Part X, line 13.
(a) Description of investment type
(b) Book value
(c) Method of valuation:
Cost or end-of-year market value
Total. (Col (b) must equal Form 990, Part X, col (B) line 13.) |
Part IX Other Assets. See Form 990, Part X, line 15.
(a) Description
(b) Book value
Total. (Column (b) must equal Form 990, Part X, col (B) line 15.) •••••••••••••••••••••••••••• |
Part X Other Liabilities. See Form 990, Part X, line 25.
(a) Description of liability
(b) Amount
1.
Federal income taxes
DISTRIBUTION PAYABLE-ANNUITIES
CAPITAL LEASE OBLIGATION
OTHER CURRENT LIABILITIES
6,341.
3,120.
628,436.
637,897.
Total. (Column (b) must equal Form 990, Part X, col (B) line 25.) ••••• |
2. FIN 48 Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for
uncertain tax positions under FIN 48.
932053
Schedule D (Form 990) 2009
02-01-10
26
DIRECT RELIEF INTERNATIONAL
95-1831116 Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Audited Financial Statements
338,439,221.
1 Total revenue (Form 990, Part VIII, column (A), line 12) ~~~~~~~~~~~~~~~~~~~~~~
1
270,998,173.
2 Total expenses (Form 990, Part IX, column (A), line 25) ~~~~~~~~~~~~~~~~~~~~~~
2
67,441,048.
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ~~~~~~~~~~~~~~~~~~~~~
3
Schedule D (Form 990) 2009
4
5
6
7
8
9
10
Net unrealized gains (losses) on investments ~~~~~~~~~~~~~~~~~~~~~~~~~~~
Donated services and use of facilities ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Investment expenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Prior period adjustments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Other (Describe in Part XIV.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Total adjustments (net). Add lines 4 through 8 ~~~~~~~~~~~~~~~~~~~~~~~~~~~
Excess or (deficit) for the year per audited financial statements. Combine lines 3 and 9 •••••••
4
5
6
7
8
9
10
4,319,545.
4,319,545.
71,760,593.
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ~~~~~~~~~~~~~~~~~~~
1 342,997,127.
2
a
b
c
d
e
3
4
a
b
c
5
Amounts included on line 1 but not on Form 990, Part VIII, line 12:
Net unrealized gains on investments ~~~~~~~~~~~~~~~~~~~~~~
2a
2,645,998.
Donated services and use of facilities ~~~~~~~~~~~~~~~~~~~~~~
2b
Recoveries of prior year grants ~~~~~~~~~~~~~~~~~~~~~~~~~
2c
1,911,908.
Other (Describe in Part XIV.) ~~~~~~~~~~~~~~~~~~~~~~~~~~
2d
Add lines 2a through 2d ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
2e
Subtract line 2e from line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
3
Amounts included on Form 990, Part VIII, line 12, but not on line 1:
Investment expenses not included on Form 990, Part VIII, line 7b ~~~~~~~~
4a
Other (Describe in Part XIV.) ~~~~~~~~~~~~~~~~~~~~~~~~~~
4b
Add lines 4a and 4b ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
4c
Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) •••••••••••••••••
5
2
a
b
c
d
e
3
4
a
b
c
5
Amounts included on line 1 but not on Form 990, Part IX, line 25:
Donated services and use of facilities ~~~~~~~~~~~~~~~~~~~~~~
Prior year adjustments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Other losses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Other (Describe in Part XIV.) ~~~~~~~~~~~~~~~~~~~~~~~~~~
4,557,906.
338,439,221.
0.
338,439,221.
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ~~~~~~~~~~~~~~~~~~~~~~~~~~
1 273,704,398.
2,645,998.
2a
2b
2c
60,227.
2d
Add lines 2a through 2d ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
2e
Subtract line 2e from line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
3
Amounts included on Form 990, Part IX, line 25, but not on line 1:
Investment expenses not included on Form 990, Part VIII, line 7b ~~~~~~~~
4a
Other (Describe in Part XIV.) ~~~~~~~~~~~~~~~~~~~~~~~~~~
4b
Add lines 4a and 4b ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
4c
Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ••••••••••••••••
5
2,706,225.
270,998,173.
0.
270,998,173.
Part XIV Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part
X, line 2; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
PART X: THE ORGANIZATION EVALUATES UNCERTAIN TAX POSITIONS,
WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS
CONSIDERED PROBABLE AND REASONABLY ESTIMABLE.
AS OF JUNE 30, 2010, THE
ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL.
THE ORGANIZATION FILES TAX RETURNS IN CALIFORNIA AND U.S. FEDERAL
JURISDICTIONS.
THE ORGANIZATION IS NO LONGER SUBJECT TO U.S. FEDERAL,
STATE AND LOCAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2006.
932054
02-01-10
Schedule D (Form 990) 2009
27
DIRECT RELIEF INTERNATIONAL
Part XIV Supplemental Information (continued)
Schedule D (Form 990) 2009
95-1831116
Page 5
PART XI, LINE 8 - OTHER ADJUSTMENTS:
TRANSFER FROM DIRECT RELIEF FOUNDATION FEIN 20-5983698
TRANSFER TO DIRECT RELIEF FOUNDATION FEIN 20-5983698
PART XII, LINE 2D - OTHER ADJUSTMENTS:
DIRECT RELIEF FOUNDATION
PART XIII, LINE 2D - OTHER ADJUSTMENTS:
DIRECT RELIEF FOUNDATION
PART XII AND PART XIII:
THE AUDITED FINANCIAL STATEMENTS REFLECT THE COMBINED AND CONSOLIDATED
STATEMENTS FOR DIRECT RELIEF INTERNATIONAL, DIRECT RELIEF FOUNDATION, A
RELATED TAX-EXEMPT ORGANIZATION AND DIRECT RELIEF INTERNATIONAL (SOUTH
AFRICA), A WHOLLY OWNED FOREIGN SUBSIDIARY.
932055
02-01-10
Schedule D (Form 990) 2009
28
Schedule F
(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
OMB No. 1545-0047
2009
| Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
| Attach to Form 990. | See separate instructions.
Name of the organization
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes"
1
to Form 990, Part IV, line 14b.
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or assistance, the
grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? ~~~~
X
Yes
2
For grantmakers. Describe in Part IV the organization's procedures for monitoring the use of grant funds outside the United States.
3
Activities per Region. (Use Schedule F-1 (Form 990) if additional space is needed.)
(a) Region
(b) Number of (c) Number of
(d) Activities conducted in region
offices
employees or
(by type) (i.e., fundraising,
in the region
agents in
program services, grants to
region
recipients located in the region)
CENTRAL AMERICA AND
THE CARIBBEAN
0
0 GRANT MAKING
0
0 PROGRAM SERVICES
EAST ASIA AND THE
PACIFIC
0
0 GRANT MAKING
0
PROVISION OF
PHARMACEUTICALS, MEDICAL
EQUIPMENT AND SUPPLIES.
20,858,541.
284,572.
1 PROGRAM SERVICES
PROVISION OF
PHARMACEUTICALS, MEDICAL
EQUIPMENT AND SUPPLIES.
4,812,822.
PROVISION OF
PHARMACEUTICALS, MEDICAL
EQUIPMENT AND SUPPLIES.
25,495.
NORTH AMERICA
0
0 PROGRAM SERVICES
SOUTH AMERICA
0
0 GRANT MAKING
96,818.
SOUTH AMERICA
0
0 PROGRAM SERVICES
SOUTH ASIA
0
0 GRANT MAKING
PROVISION OF
PHARMACEUTICALS, MEDICAL
EQUIPMENT AND SUPPLIES.
2,245,476.
72,448.
0
6
Totals ••••••••• |
LHA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932071
02-01-10
(f) Total
expenditures
for region
89,000.
CENTRAL AMERICA AND
THE CARIBBEAN
EAST ASIA AND THE
PACIFIC
(e) If activity listed in (d)
is a program service,
describe specific type
of service(s) in region
No
29
113,726,111.
Schedule F (Form 990) 2009
DIRECT RELIEF INTERNATIONAL
95-1831116
Schedule F (Form 990) 2009
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any
recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ |
Use Schedule F-1 (Form 990) if additional space is needed.
1
(g) Amount of
(h) Description
(i) Method of
(b) IRS code section
(d) Purpose of
(e) Amount
(f) Manner of
(a) Name of organization
(c) Region
non-cash
of non-cash
valuation (book, FMV,
and EIN (if applicable)
grant
of cash grant cash disbursement assistance
assistance
appraisal, other)
2
3
CENTRAL AMERICA
FUND TRAVEL FOR AAI
MEMBER TO HAITI FOR
ASSESSMENT
9,000.WIRE
0.
CENTRAL AMERICA
RAISE AWARENESS &
ACCEPTANCE OF PEOPLE
WITH DISABILITIES
30,000.WIRE
0.
CENTRAL AMERICA
TO SUPPORT ORPHANAGE
OPERATIONS
25,000.WIRE
0.
CENTRAL AMERICA
FULLY OPEN CLINIC AND
PROVIDE OPERATING
FUNDS FOR ONE MONTH
25,000.WIRE
0.
EAST ASIA AND THE NURSE/MIDWIFE HEALTH
PACIFIC
EDUCATION TRAINING
94,700.WIRE
0.
EAST ASIA AND THE
PACIFIC
NUTRITIONAL PROJECT
104,872.WIRE
0.
TIBET/CHINA
EAST ASIA AND THE EARTHQUAKE RELIEF
PACIFIC
EFFORTS
10,000.WIRE
0.
EAST ASIA AND THE TSUNAMI RELIEF
PACIFIC
FOLLOW-UP
50,000.WIRE
0.
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by
the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ~~~~~~~~~~~~~~~~~~~~~~~ |
Enter total number of other organizations or entities ••••••••••••••••••••••••••••••••••••••••••••• |
119
25
Schedule F (Form 990) 2009
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02-01-10
30
DIRECT RELIEF INTERNATIONAL
95-1831116
Schedule F (Form 990) 2009
Part III Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Schedule F-1 (Form 990) if additional space is needed.
(c) Number of (d) Amount of
(e) Manner of
(f) Amount of
(g) Description of
(a) Type of grant or assistance
(b) Region
recipients
cash grant
cash disbursement
non-cash
non-cash assistance
assistance
Page 3
(h) Method of
valuation
(book, FMV,
appraisal, other)
Schedule F (Form 990) 2009
932073
02-01-10
31
DIRECT RELIEF INTERNATIONAL
Supplemental Information
95-1831116
Schedule F (Form 990) 2009
Part IV
Page 4
Complete this part to provide the information required in Part I, line 2, and any additional information.
SCHEDULE F, PART I, LINE 2: EXCEPT IN CERTAIN EMERGENCY RESPONSE
SITUATIONS WHERE THE TIMELINESS OF OUR RESPONSE IS PARAMOUNT, GRANT
RECIPIENTS SIGN MEMORANDUMS OF UNDERSTANDING OUTLINING THE
RESPONSIBILITIES OF DIRECT RELIEF AND THE GRANTEE.
REPORTING BY THE
GRANTEE VARIES BASED ON THE SIZE, SCOPE, AND TYPE OF PROGRAM, RANGING
FROM MONTHLY, QUARTERLY, OR ANNUAL REPORTING, WITH A FINAL REPORT DUE
UPON COMPLETION OF THE PROJECT.
DIRECT RELIEF ALSO HAS THE RIGHT TO MAKE
SITE VISITS TO GRANTEES TO ENSURE COMPLIANCE WITH THE PROPOSAL, THIS IS
ESPECIALLY THE CASE WHEN IT COMES TO THE MONITORING OF OUR SUPPORT OF
GRANTEES IN EMERGENCY RESPONSE SITUATIONS.
932074 02-01-10
32
Schedule F (Form 990) 2009
SCHEDULE F-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Continuation Sheet for Schedule F (Form 990)
DIRECT RELIEF INTERNATIONAL
Continuation of Activities per Region. (Schedule F (Form 990), Part I, line 3)
(a) Region
(b) Number of (c) Number of
offices
employees or
in the region
agents in
region
(d) Activities conducted in region
(by type) (i.e., fundraising,
program services, grants to
recipients located in the region)
SOUTH ASIA
0
0 PROGRAM SERVICES
SUB-SAHARAN AFRICA
0
0 GRANT MAKING
SUB-SAHARAN AFRICA
EUROPE
0
0
Open to Public
Inspection
Employer identification number
95-1831116
(e) If activity listed in (d)
is a program service,
describe specific type
of service(s) in region
PROVISION OF
PHARMACEUTICALS, MEDICAL
EQUIPMENT AND SUPPLIES.
(f) Total
expenditures
for region
4,362,173.
714,542.
5 PROGRAM SERVICES
PROVISION OF
PHARMACEUTICALS, MEDICAL
EQUIPMENT AND SUPPLIES.
78,737,372.
0 PROGRAM SERVICES
PROVISION OF
PHARMACEUTICALS, MEDICAL
EQUIPMENT AND SUPPLIES.
1,426,852.
5
Totals ••••••••• |
LHA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932181 02-01-10
2009
| Attach to Form 990 to list additional information for
Schedule F (Form 990) Part I, line 3; Part II, line 1; or Part III.
| See instructions for Schedule F (Form 990).
Name of the organization
Part I
OMB No. 1545-0047
33
85,240,939.
Schedule F-1 (Form 990) 2009
DIRECT RELIEF INTERNATIONAL
95-1831116
Schedule F-1 (Form 990) 2009
Part II
Continuation of Grants and Other Assistance to Organizations or Entities Outside the United States. (Schedule F (Form 990), Part II, line 1)
1
(a) Name of organization
(b) IRS code section
and EIN (if applicable)
(c) Region
(g) Amount of
(e) Amount
(f) Manner of
non-cash
of cash grant cash disbursement assistance
(d) Purpose of
grant
FUNDING TO SUPPORT
EAST ASIA AND THE PADANG EARTHQUAKE
PACIFIC
RELIEF
FUND EMERGENCY
HEALTHCARE SERVICES
EAST ASIA AND THE FOLLOWING TYPHOON
PACIFIC
KETSANA
10,000.WIRE
0.
15,000.WIRE
0.
SOUTH AMERICA
RIO BENI HEALTH CARE
PROJECT RURRENABAQUE, BOLIVIA
52,150.WIRE
0.
SOUTH AMERICA
DIABETES PREVENTION
PROGRAM - BOLIVIA
41,000.WIRE
0.
3,668.WIRE
0.
SOUTH ASIA
TECHNOLOGY TO SUPPORT
DIABETES PREVENTION
PROGRAM
POST TSUNAMI
REHABILITATION OF
PULICAT ISLAND
CLINICS
15,000.WIRE
0.
SOUTH ASIA
HOSPITAL
REHABILITATION
PROGRAM
25,741.WIRE
0.
SOUTH ASIA
IMPROVE CLINICAL
STAFFING, SERVICES
AND OUTREACH
31,250.WIRE
0.
SOUTH ASIA
EYECARE SURGICAL CAMP
457.WIRE
0.
SOUTH AMERICA
Page 2
(h) Description
of non-cash
assistance
(i) Method of
valuation (book, FMV,
appraisal, other)
Schedule F-1 (Form 990) 2009
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DIRECT RELIEF INTERNATIONAL
95-1831116
Schedule F-1 (Form 990) 2009
Part II
Continuation of Grants and Other Assistance to Organizations or Entities Outside the United States. (Schedule F (Form 990), Part II, line 1)
1
(a) Name of organization
(b) IRS code section
and EIN (if applicable)
(c) Region
(g) Amount of
(e) Amount
(f) Manner of
non-cash
of cash grant cash disbursement assistance
(d) Purpose of
grant
SUB SAHARAN
AFRICA
SCHOLARSHIPS FOR
CLINICAL OFFICER
TRAINING
192,000.WIRE
0.
SUB SAHARAN
AFRICA
OBSTETRIC FISTULA
REPAIR/PREVENTION
PROGRAM
57,500.WIRE
0.
SUB SAHARAN
AFRICA
GRANT TO COVER UNPAID
MEDICAL BILLS AT
CLINIC
500.WIRE
0.
SUB SAHARAN
AFRICA
BUILD AND IMPROVE
HEALTHCARE CAPACITY
IN GHANA
261,542.WIRE
0.
SUB SAHARAN
AFRICA
CLEAN WATER PROJECT WELLS AND BOREHOLES
130,500.WIRE
0.
SUB SAHARAN
AFRICA
FLOOD RELIEF/RESPONSE
10,000.WIRE
0.
SUB SAHARAN
AFRICA
NURSE HEALTHCARE
TRAINING
16,000.WIRE
0.
SUB SAHARAN
AFRICA
PROVIDE TRAINING,
EVAL, AND ONGOING HIV
AIDS SUPPORT GRANT
30,000.WIRE
0.
SUB SAHARAN
AFRICA
PURCHASE OF VEHICLE
TO SUPPORT HIV AIDS
PROGRAMS
15,000.WIRE
0.
Page 2
(h) Description
of non-cash
assistance
(i) Method of
valuation (book, FMV,
appraisal, other)
Schedule F-1 (Form 990) 2009
932182
02-01-10
35
DIRECT RELIEF INTERNATIONAL
95-1831116
Schedule F-1 (Form 990) 2009
Part II
Continuation of Grants and Other Assistance to Organizations or Entities Outside the United States. (Schedule F (Form 990), Part II, line 1)
1
(a) Name of organization
(b) IRS code section
and EIN (if applicable)
(c) Region
SUB SAHARAN
AFRICA
(g) Amount of
(e) Amount
(f) Manner of
non-cash
of cash grant cash disbursement assistance
(d) Purpose of
grant
CHILD & INFANT
NUTRITIONAL PROJECT
1,500.WIRE
Page 2
(h) Description
of non-cash
assistance
(i) Method of
valuation (book, FMV,
appraisal, other)
0.
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
6196861.AND EQUIPMENT
WHOLESALE PRICE
CENTRAL AMERICA
AND THE CARIBBEAN
0.
PHARMACEUTICALS,
MEDICAL SUPPLIES ESTIMATED
774,984.AND EQUIPMENT
WHOLESALE PRICE
CENTRAL AMERICA
AND THE CARIBBEAN
0.
ESTIMATED
454,870.MEDICAL SUPPLIES WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
332,856.AND EQUIPMENT
WHOLESALE PRICE
CENTRAL AMERICA
AND THE CARIBBEAN
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
54,371.AND EQUIPMENT
WHOLESALE PRICE
CENTRAL AMERICA
AND THE CARIBBEAN
0.
CENTRAL AMERICA
AND THE CARIBBEAN
CENTRAL AMERICA
AND THE CARIBBEAN
CENTRAL AMERICA
AND THE CARIBBEAN
CENTRAL AMERICA
AND THE CARIBBEAN
320.PHARMACEUTICALS
ESTIMATED
WHOLESALE PRICE
0.
PHARMACEUTICALS,
MEDICAL SUPPLIES ESTIMATED
94,817.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
635,018.AND EQUIPMENT
WHOLESALE PRICE
Schedule F-1 (Form 990) 2009
932182
02-01-10
36
DIRECT RELIEF INTERNATIONAL
95-1831116
Schedule F-1 (Form 990) 2009
Part II
Continuation of Grants and Other Assistance to Organizations or Entities Outside the United States. (Schedule F (Form 990), Part II, line 1)
1
(a) Name of organization
(b) IRS code section
and EIN (if applicable)
(c) Region
(g) Amount of
(e) Amount
(f) Manner of
non-cash
of cash grant cash disbursement assistance
(d) Purpose of
grant
Page 2
(h) Description
of non-cash
assistance
(i) Method of
valuation (book, FMV,
appraisal, other)
CENTRAL AMERICA
AND THE CARIBBEAN
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
882,723.AND EQUIPMENT
WHOLESALE PRICE
CENTRAL AMERICA
AND THE CARIBBEAN
0.
682,121.PHARMACEUTICALS
CENTRAL AMERICA
AND THE CARIBBEAN
0.
PHARMACEUTICALS,
MEDICAL SUPPLIES ESTIMATED
502,439.AND EQUIPMENT
WHOLESALE PRICE
CENTRAL AMERICA
AND THE CARIBBEAN
0.
15,520.PHARMACEUTICALS
ESTIMATED
WHOLESALE PRICE
ESTIMATED
WHOLESALE PRICE
CENTRAL AMERICA
AND THE CARIBBEAN
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
1275168.AND EQUIPMENT
WHOLESALE PRICE
CENTRAL AMERICA
AND THE CARIBBEAN
0.
1078128.PHARMACEUTICALS
ESTIMATED
WHOLESALE PRICE
CENTRAL AMERICA
AND THE CARIBBEAN
0.
69,610.PHARMACEUTICALS
ESTIMATED
WHOLESALE PRICE
0.
PHARMACEUTICALS
AND MEDICAL
22,635.SUPPLIES
ESTIMATED
WHOLESALE PRICE
CENTRAL AMERICA
AND THE CARIBBEAN
CENTRAL AMERICA
AND THE CARIBBEAN
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
331,230.AND EQUIPMENT
WHOLESALE PRICE
Schedule F-1 (Form 990) 2009
932182
02-01-10
37
DIRECT RELIEF INTERNATIONAL
95-1831116
Schedule F-1 (Form 990) 2009
Part II
Continuation of Grants and Other Assistance to Organizations or Entities Outside the United States. (Schedule F (Form 990), Part II, line 1)
1
(a) Name of organization
(b) IRS code section
and EIN (if applicable)
(c) Region
(g) Amount of
(e) Amount
(f) Manner of
non-cash
of cash grant cash disbursement assistance
(d) Purpose of
grant
CENTRAL AMERICA
AND THE CARIBBEAN
CENTRAL AMERICA
AND THE CARIBBEAN
CENTRAL AMERICA
AND THE CARIBBEAN
CENTRAL AMERICA
AND THE CARIBBEAN
CENTRAL AMERICA
AND THE CARIBBEAN
CENTRAL AMERICA
AND THE CARIBBEAN
Page 2
(h) Description
of non-cash
assistance
(i) Method of
valuation (book, FMV,
appraisal, other)
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
2957620.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
59,634.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS,
MEDICAL SUPPLIES ESTIMATED
1466662.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
265,749.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
154,009.AND EQUIPMENT
WHOLESALE PRICE
0.
PURCHASED PRICE,
ESTIMATED
WHOLESALE PRICE
3,883.PHARMACEUTICALS
CENTRAL AMERICA
AND THE CARIBBEAN
0.
PHARMACEUTICALS,
MEDICAL SUPPLIES ESTIMATED
17,897.AND EQUIPMENT
WHOLESALE PRICE
CENTRAL AMERICA
AND THE CARIBBEAN
0.
74,839.MEDICAL SUPPLIES PURCHASED PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
95,727.AND EQUIPMENT
WHOLESALE PRICE
CENTRAL AMERICA
AND THE CARIBBEAN
Schedule F-1 (Form 990) 2009
932182
02-01-10
38
DIRECT RELIEF INTERNATIONAL
95-1831116
Schedule F-1 (Form 990) 2009
Part II
Continuation of Grants and Other Assistance to Organizations or Entities Outside the United States. (Schedule F (Form 990), Part II, line 1)
1
(a) Name of organization
(b) IRS code section
and EIN (if applicable)
(c) Region
(g) Amount of
(e) Amount
(f) Manner of
non-cash
of cash grant cash disbursement assistance
(d) Purpose of
grant
Page 2
(h) Description
of non-cash
assistance
(i) Method of
valuation (book, FMV,
appraisal, other)
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
33,160.AND EQUIPMENT
WHOLESALE PRICE
CENTRAL AMERICA
AND THE CARIBBEAN
0.
PHARMACEUTICALS
AND MEDICAL
14,228.EQUIPMENT
PURCHASED PRICE,
ESTIMATED
WHOLESALE PRICE
CENTRAL AMERICA
AND THE CARIBBEAN
0.
281,602.PHARMACEUTICALS
ESTIMATED
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
543,330.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
207,388.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
1279141.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
194,761.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
669,040.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
63,723.AND EQUIPMENT
WHOLESALE PRICE
CENTRAL AMERICA
AND THE CARIBBEAN
CENTRAL AMERICA
AND THE CARIBBEAN
CENTRAL AMERICA
AND THE CARIBBEAN
CENTRAL AMERICA
AND THE CARIBBEAN
EAST ASIA AND THE
PACIFIC
EAST ASIA AND THE
PACIFIC
EAST ASIA AND THE
PACIFIC
Schedule F-1 (Form 990) 2009
932182
02-01-10
39
DIRECT RELIEF INTERNATIONAL
95-1831116
Schedule F-1 (Form 990) 2009
Part II
Continuation of Grants and Other Assistance to Organizations or Entities Outside the United States. (Schedule F (Form 990), Part II, line 1)
1
(a) Name of organization
(b) IRS code section
and EIN (if applicable)
(c) Region
(g) Amount of
(e) Amount
(f) Manner of
non-cash
of cash grant cash disbursement assistance
(d) Purpose of
grant
Page 2
(h) Description
of non-cash
assistance
(i) Method of
valuation (book, FMV,
appraisal, other)
EAST ASIA AND THE
PACIFIC
0.
PHARMACEUTICALS,
MEDICAL SUPPLIES ESTIMATED
2403294.AND EQUIPMENT
WHOLESALE PRICE
EAST ASIA AND THE
PACIFIC
0.
187.MEDICAL SUPPLIES PURCHASED PRICE
EAST ASIA AND THE
PACIFIC
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
976,163.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS
AND MEDICAL
30,146.SUPPLIES
0.
PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
71,904.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
73,600.AND EQUIPMENT
WHOLESALE PRICE
EAST ASIA AND THE
PACIFIC
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
83,454.AND EQUIPMENT
WHOLESALE PRICE
EAST ASIA AND THE
PACIFIC
0.
MEDICAL SUPPLIES ESTIMATED
30,814.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
33,988.AND EQUIPMENT
WHOLESALE PRICE
EAST ASIA AND THE
PACIFIC
EAST ASIA AND THE
PACIFIC
EAST ASIA AND THE
PACIFIC
EAST ASIA AND THE
PACIFIC
PURCHASED PRICE,
ESTIMATED
WHOLESALE PRICE
Schedule F-1 (Form 990) 2009
932182
02-01-10
40
DIRECT RELIEF INTERNATIONAL
95-1831116
Schedule F-1 (Form 990) 2009
Part II
Continuation of Grants and Other Assistance to Organizations or Entities Outside the United States. (Schedule F (Form 990), Part II, line 1)
1
(a) Name of organization
(b) IRS code section
and EIN (if applicable)
(c) Region
(g) Amount of
(e) Amount
(f) Manner of
non-cash
of cash grant cash disbursement assistance
(d) Purpose of
grant
EAST ASIA AND THE
PACIFIC
0.
EAST ASIA AND THE
PACIFIC
0.
EAST ASIA AND THE
PACIFIC
EAST ASIA AND THE
PACIFIC
EAST ASIA AND THE
PACIFIC
EAST ASIA AND THE
PACIFIC
EAST ASIA AND THE
PACIFIC
EUROPE
(h) Description
of non-cash
assistance
(i) Method of
valuation (book, FMV,
appraisal, other)
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
28,603.AND EQUIPMENT
WHOLESALE PRICE
PHARMACEUTICALS
AND MEDICAL
5,581.SUPPLIES
PURCHASED PRICE,
ESTIMATED
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
103,693.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
2,808.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
2,853.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
37,584.AND EQUIPMENT
WHOLESALE PRICE
0.
EUROPE
Page 2
PHARMACEUTICALS
AND MEDICAL
625.EQUIPMENT
PURCHASED PRICE,
ESTIMATED
WHOLESALE PRICE
0.
PURCHASED PRICE,
ESTIMATED
882,944.MEDICAL SUPPLIES WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
17,015.AND EQUIPMENT
WHOLESALE PRICE
Schedule F-1 (Form 990) 2009
932182
02-01-10
41
DIRECT RELIEF INTERNATIONAL
95-1831116
Schedule F-1 (Form 990) 2009
Part II
Continuation of Grants and Other Assistance to Organizations or Entities Outside the United States. (Schedule F (Form 990), Part II, line 1)
1
(a) Name of organization
(b) IRS code section
and EIN (if applicable)
(c) Region
(g) Amount of
(e) Amount
(f) Manner of
non-cash
of cash grant cash disbursement assistance
(d) Purpose of
grant
Page 2
(h) Description
of non-cash
assistance
(i) Method of
valuation (book, FMV,
appraisal, other)
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
502,118.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
24,774.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
25,495.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
493,653.AND EQUIPMENT
WHOLESALE PRICE
SOUTH AMERICA
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
118,703.AND EQUIPMENT
WHOLESALE PRICE
SOUTH AMERICA
0.
157,071.PHARMACEUTICALS
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
1167635.AND EQUIPMENT
WHOLESALE PRICE
SOUTH AMERICA
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
283,700.AND EQUIPMENT
WHOLESALE PRICE
SOUTH AMERICA
0.
MEDICAL SUPPLIES ESTIMATED
24,714.AND EQUIPMENT
WHOLESALE PRICE
EUROPE
EUROPE
NORTH AMERICA
SOUTH AMERICA
SOUTH AMERICA
ESTIMATED
WHOLESALE PRICE
Schedule F-1 (Form 990) 2009
932182
02-01-10
42
DIRECT RELIEF INTERNATIONAL
95-1831116
Schedule F-1 (Form 990) 2009
Part II
Continuation of Grants and Other Assistance to Organizations or Entities Outside the United States. (Schedule F (Form 990), Part II, line 1)
1
(a) Name of organization
(b) IRS code section
and EIN (if applicable)
(c) Region
(g) Amount of
(e) Amount
(f) Manner of
non-cash
of cash grant cash disbursement assistance
(d) Purpose of
grant
SOUTH ASIA
SOUTH ASIA
SOUTH ASIA
SOUTH ASIA
SOUTH ASIA
SOUTH ASIA
SOUTH ASIA
SOUTH ASIA
SOUTH ASIA
Page 2
(h) Description
of non-cash
assistance
(i) Method of
valuation (book, FMV,
appraisal, other)
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
180,106.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
428,632.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
169,711.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
349,022.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
32,060.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
958.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
458,369.AND EQUIPMENT
WHOLESALE PRICE
0.
PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
22,353.AND EQUIPMENT
WHOLESALE PRICE
0.
PURCHASED PRICE,
ESTIMATED
WHOLESALE PRICE
10,032.PHARMACEUTICALS
Schedule F-1 (Form 990) 2009
932182
02-01-10
43
DIRECT RELIEF INTERNATIONAL
95-1831116
Schedule F-1 (Form 990) 2009
Part II
Continuation of Grants and Other Assistance to Organizations or Entities Outside the United States. (Schedule F (Form 990), Part II, line 1)
1
(a) Name of organization
(b) IRS code section
and EIN (if applicable)
(c) Region
(g) Amount of
(e) Amount
(f) Manner of
non-cash
of cash grant cash disbursement assistance
(d) Purpose of
grant
Page 2
(h) Description
of non-cash
assistance
(i) Method of
valuation (book, FMV,
appraisal, other)
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
1889186.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
77,997.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS
AND MEDICAL
44,267.SUPPLIES
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
38,368.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
333,330.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
83,877.AND EQUIPMENT
WHOLESALE PRICE
SOUTH ASIA
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
30,020.AND EQUIPMENT
WHOLESALE PRICE
SOUTH ASIA
0.
SOUTH ASIA
SOUTH ASIA
SOUTH ASIA
SOUTH ASIA
SOUTH ASIA
SOUTH ASIA
SOUTH ASIA
0.
191,700.PHARMACEUTICALS
PURCHASED PRICE,
ESTIMATED
WHOLESALE PRICE
ESTIMATED
WHOLESALE PRICE
PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
4,596.AND EQUIPMENT
WHOLESALE PRICE
Schedule F-1 (Form 990) 2009
932182
02-01-10
44
DIRECT RELIEF INTERNATIONAL
95-1831116
Schedule F-1 (Form 990) 2009
Part II
Continuation of Grants and Other Assistance to Organizations or Entities Outside the United States. (Schedule F (Form 990), Part II, line 1)
1
(a) Name of organization
(b) IRS code section
and EIN (if applicable)
(c) Region
(g) Amount of
(e) Amount
(f) Manner of
non-cash
of cash grant cash disbursement assistance
(d) Purpose of
grant
Page 2
(h) Description
of non-cash
assistance
(i) Method of
valuation (book, FMV,
appraisal, other)
PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
17,590.AND EQUIPMENT
WHOLESALE PRICE
SOUTH ASIA
0.
SUB-SAHARAN
AFRICA
0.
107,862.PHARMACEUTICALS
ESTIMATED
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
326,572.PHARMACEUTICALS
ESTIMATED
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
622,410.PHARMACEUTICALS
ESTIMATED
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
36,280.MEDICAL SUPPLIES PURCHASED PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
123,340.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
104,575.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
177,202.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
807,755.AND EQUIPMENT
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
SUB-SAHARAN
AFRICA
SUB-SAHARAN
AFRICA
SUB-SAHARAN
AFRICA
Schedule F-1 (Form 990) 2009
932182
02-01-10
45
DIRECT RELIEF INTERNATIONAL
95-1831116
Schedule F-1 (Form 990) 2009
Part II
Continuation of Grants and Other Assistance to Organizations or Entities Outside the United States. (Schedule F (Form 990), Part II, line 1)
1
(a) Name of organization
(b) IRS code section
and EIN (if applicable)
(c) Region
(g) Amount of
(e) Amount
(f) Manner of
non-cash
of cash grant cash disbursement assistance
(d) Purpose of
grant
Page 2
(h) Description
of non-cash
assistance
(i) Method of
valuation (book, FMV,
appraisal, other)
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
322,660.AND EQUIPMENT
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
65,195.AND EQUIPMENT
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
20,639.MEDICAL SUPPLIES PURCHASED PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
96,744.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS
AND MEDICAL
30,992.SUPPLIES
SUB-SAHARAN
AFRICA
SUB-SAHARAN
AFRICA
SUB-SAHARAN
AFRICA
ESTIMATED
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
9,849.AND EQUIPMENT
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
242,770.AND EQUIPMENT
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
MEDICAL SUPPLIES ESTIMATED
2,292.AND EQUIPMENT
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
29,936.MEDICAL SUPPLIES PURCHASED PRICE
SUB-SAHARAN
AFRICA
Schedule F-1 (Form 990) 2009
932182
02-01-10
46
DIRECT RELIEF INTERNATIONAL
95-1831116
Schedule F-1 (Form 990) 2009
Part II
Continuation of Grants and Other Assistance to Organizations or Entities Outside the United States. (Schedule F (Form 990), Part II, line 1)
1
(a) Name of organization
(b) IRS code section
and EIN (if applicable)
(c) Region
(g) Amount of
(e) Amount
(f) Manner of
non-cash
of cash grant cash disbursement assistance
(d) Purpose of
grant
SUB-SAHARAN
AFRICA
SUB-SAHARAN
AFRICA
SUB-SAHARAN
AFRICA
SUB-SAHARAN
AFRICA
Page 2
(h) Description
of non-cash
assistance
(i) Method of
valuation (book, FMV,
appraisal, other)
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
3580231.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
742,238.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS
AND MEDICAL
30,564.EQUIPMENT
PURCHASED PRICE,
ESTIMATED
WHOLESALE PRICE
0.
84,200.PHARMACEUTICALS
ESTIMATED
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
953,078.AND EQUIPMENT
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
352,192.AND EQUIPMENT
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
1273759.PHARMACEUTICALS
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
190,590.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
45,301.AND EQUIPMENT
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
SUB-SAHARAN
AFRICA
SUB-SAHARAN
AFRICA
ESTIMATED
WHOLESALE PRICE
Schedule F-1 (Form 990) 2009
932182
02-01-10
47
DIRECT RELIEF INTERNATIONAL
95-1831116
Schedule F-1 (Form 990) 2009
Part II
Continuation of Grants and Other Assistance to Organizations or Entities Outside the United States. (Schedule F (Form 990), Part II, line 1)
1
(a) Name of organization
(b) IRS code section
and EIN (if applicable)
(c) Region
(g) Amount of
(e) Amount
(f) Manner of
non-cash
of cash grant cash disbursement assistance
(d) Purpose of
grant
Page 2
(h) Description
of non-cash
assistance
(i) Method of
valuation (book, FMV,
appraisal, other)
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
32,556.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
224,439.AND EQUIPMENT
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
68,249.AND EQUIPMENT
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
15306763PHARMACEUTICALS
ESTIMATED
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
1269196.PHARMACEUTICALS
ESTIMATED
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
2,994.MEDICAL SUPPLIES PURCHASED PRICE
SUB-SAHARAN
AFRICA
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
129,461.AND EQUIPMENT
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
SUB-SAHARAN
AFRICA
SUB-SAHARAN
AFRICA
SUB-SAHARAN
AFRICA
0.
17,696.PHARMACEUTICALS
ESTIMATED
WHOLESALE PRICE
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
112,475.AND EQUIPMENT
WHOLESALE PRICE
Schedule F-1 (Form 990) 2009
932182
02-01-10
48
DIRECT RELIEF INTERNATIONAL
95-1831116
Schedule F-1 (Form 990) 2009
Part II
Continuation of Grants and Other Assistance to Organizations or Entities Outside the United States. (Schedule F (Form 990), Part II, line 1)
1
(a) Name of organization
(b) IRS code section
and EIN (if applicable)
(c) Region
(g) Amount of
(e) Amount
(f) Manner of
non-cash
of cash grant cash disbursement assistance
(d) Purpose of
grant
Page 2
(h) Description
of non-cash
assistance
(i) Method of
valuation (book, FMV,
appraisal, other)
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
79,691.AND EQUIPMENT
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
63,286.AND EQUIPMENT
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
42167768PHARMACEUTICALS
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
118,066.AND EQUIPMENT
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
150,509.AND EQUIPMENT
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
1,533.MEDICAL SUPPLIES PURCHASED PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
212,112.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
100,623.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
64,957.AND EQUIPMENT
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
SUB-SAHARAN
AFRICA
SUB-SAHARAN
AFRICA
SUB-SAHARAN
AFRICA
SUB-SAHARAN
AFRICA
ESTIMATED
WHOLESALE PRICE
Schedule F-1 (Form 990) 2009
932182
02-01-10
49
DIRECT RELIEF INTERNATIONAL
95-1831116
Schedule F-1 (Form 990) 2009
Part II
Continuation of Grants and Other Assistance to Organizations or Entities Outside the United States. (Schedule F (Form 990), Part II, line 1)
1
(a) Name of organization
(b) IRS code section
and EIN (if applicable)
(c) Region
(g) Amount of
(e) Amount
(f) Manner of
non-cash
of cash grant cash disbursement assistance
(d) Purpose of
grant
Page 2
(h) Description
of non-cash
assistance
(i) Method of
valuation (book, FMV,
appraisal, other)
SUB-SAHARAN
AFRICA
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
305,300.AND EQUIPMENT
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
20,418.MEDICAL SUPPLIES PURCHASED PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
9,920.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
351,011.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
14,232.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
12,178.AND EQUIPMENT
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
6,749.AND EQUIPMENT
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
SUB-SAHARAN
AFRICA
SUB-SAHARAN
AFRICA
SUB-SAHARAN
AFRICA
SUB-SAHARAN
AFRICA
SUB-SAHARAN
AFRICA
0.
2784042.PHARMACEUTICALS
ESTIMATED
WHOLESALE PRICE
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
24,349.AND EQUIPMENT
WHOLESALE PRICE
Schedule F-1 (Form 990) 2009
932182
02-01-10
50
DIRECT RELIEF INTERNATIONAL
95-1831116
Schedule F-1 (Form 990) 2009
Part II
Continuation of Grants and Other Assistance to Organizations or Entities Outside the United States. (Schedule F (Form 990), Part II, line 1)
1
(a) Name of organization
(b) IRS code section
and EIN (if applicable)
(c) Region
(g) Amount of
(e) Amount
(f) Manner of
non-cash
of cash grant cash disbursement assistance
(d) Purpose of
grant
SUB-SAHARAN
AFRICA
0.
Page 2
(h) Description
of non-cash
assistance
(i) Method of
valuation (book, FMV,
appraisal, other)
PHARMACEUTICALS
AND MEDICAL
61,120.EQUIPMENT
PURCHASED PRICE,
ESTIMATED
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
101,374.AND EQUIPMENT
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
361,130.PHARMACEUTICALS
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
230,617.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
79,293.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
44,922.AND EQUIPMENT
WHOLESALE PRICE
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
68,916.AND EQUIPMENT
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
152,530.AND EQUIPMENT
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
622,080.PHARMACEUTICALS
SUB-SAHARAN
AFRICA
SUB-SAHARAN
AFRICA
SUB-SAHARAN
AFRICA
SUB-SAHARAN
AFRICA
ESTIMATED
WHOLESALE PRICE
ESTIMATED
WHOLESALE PRICE
Schedule F-1 (Form 990) 2009
932182
02-01-10
51
DIRECT RELIEF INTERNATIONAL
95-1831116
Schedule F-1 (Form 990) 2009
Part II
Continuation of Grants and Other Assistance to Organizations or Entities Outside the United States. (Schedule F (Form 990), Part II, line 1)
1
(a) Name of organization
(b) IRS code section
and EIN (if applicable)
(c) Region
(g) Amount of
(e) Amount
(f) Manner of
non-cash
of cash grant cash disbursement assistance
(d) Purpose of
grant
Page 2
(h) Description
of non-cash
assistance
(i) Method of
valuation (book, FMV,
appraisal, other)
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
893,606.AND EQUIPMENT
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
PHARMACEUTICALS, PURCHASED PRICE,
MEDICAL SUPPLIES ESTIMATED
22,411.AND EQUIPMENT
WHOLESALE PRICE
SUB-SAHARAN
AFRICA
0.
SUB-SAHARAN
AFRICA
2069574.PHARMACEUTICALS
ESTIMATED
WHOLESALE PRICE
Schedule F-1 (Form 990) 2009
932182
02-01-10
52
OMB No. 1545-0047
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
2009
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22.
| Attach to Form 990.
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection
X Yes
criteria used to award the grants or assistance? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
2 Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 21, for any
recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use Part IV and Schedule I-1 (Form 990) if additional space is needed • |
(f) Method of
1 (a) Name and address of organization
(b) EIN
(c) IRC section
(d) Amount of
(e) Amount of
(g) Description of
(h) Purpose of grant
valuation (book,
or government
if applicable
cash grant
non-cash
non-cash assistance
or assistance
FMV, appraisal,
assistance
other)
1
SANTA BARBARA STREET MEDICINE
5638 HOLLISTER AVE #200-B
SANTA BARBARA, CA 93117
33-1210731 501C3
50,426.
0.
ASSISTANCE FOR MEDICAL
SERVICES FOR SANTA
BARBARA HOMELESS
POPULATION
No
ONE HEART WORLDWIDE
352 DEVER ST. SUITE 350
SALT LAKE CITY, UT 84111
20-0443243 501C3
10,000.
0.
ASSISTANCE FOR CHINA
(QINGHAI) EARTHQUAKE
EMERGENCY SUPPORT
ONE HEART WORLDWIDE
352 DEVER ST. SUITE 350
SALT LAKE CITY, UT 84111
20-0443243 501C3
100,000.
0.
MATERNAL & CHILD HEALTH
PROJECT IN TIBET
AMITABHA FOUNDATION
109 IRVINGTON RD.
ROCHESTER, NY 14620
95-4111288 501C3
10,000.
0.
CENTER FOR COMMUNITY HEALTH
420 WASHINGTON ST.
DORCHESTER, MA 02124-1127
04-3112225 501C3
25,000.
0.
ASSISTANCE FOR CHINA
(QINGHAI) EARTHQUAKE
EMERGENCY SUPPORT
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PATIENTS
HAITI SOLEIL, INC.
2342 SHATTUCK AVE. #885
BERKELEY, CA 94704
2
3
LHA
ASSISTANCE FOR HAITI
EARTHQUAKE EMERGENCY
20-5603446 501C3
75,000.
0.
SUPPORT
1,149.
Enter total number of section 501(c)(3) and government organizations ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ |
3.
Enter total number of other organizations •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• |
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932101 02-02-10
53
Schedule I (Form 990) 2009
DIRECT RELIEF INTERNATIONAL
Schedule I (Form 990) 2009
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Part IV and Schedule I-1 (Form 990) if additional space is needed.
(a) Type of grant or assistance
Part IV
(b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of noncash assistance
(e) Method of valuation
(book, FMV, appraisal, other)
95-1831116
Page 2
(f) Description of non-cash assistance
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
SCHEDULE I, PART I, LINE 2: EXCEPT IN CERTAIN EMERGENCY RESPONSE
SITUATIONS WHERE THE TIMELINESS OF OUR RESPONSE IS PARAMOUNT, GRANT
RECIPIENTS SIGN MEMORANDUMS OF UNDERSTANDING OUTLINING THE
RESPONSIBILITIES OF DIRECT RELIEF INTERNATIONAL AND THE GRANTEE.
REPORTING BY THE GRANTEE VARIES BASED ON THE SIZE, SCOPE, AND TYPE OF
PROGRAM, RANGING FROM MONTHLY, QUARTERLY, OR ANNUAL REPORTING, WITH A
FINAL REPORT DUE UPON COMPLETION OF THE PROJECT.
DIRECT RELIEF
INTERNATIONAL ALSO HAS THE RIGHT TO MAKE SITE VISITS TO GRANTEES TO
ENSURE COMPLIANCE WITH THE PROPOSAL -- THIS IS ESPECIALLY THE CASE WHEN
54
932102 02-02-10
Schedule I (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
EMPOWERMENT NETWORK GLOBAL INC.
2800 SW 73RD WAY #1602
DAVIE, FL 33314-1015
(b) EIN
(c) IRC section
if applicable
26-4675427 501C3
HAITIAN HEALTH & EDUCATION
FOUNDATION - 2320 NW 102ND PLACE MIAMI, FL 33172
65-0627901 501C3
HAITIAN EDUCATION & LEADERSHIP
PROGRAM - PO BOX 1532 - NEW YORK,
NY 10159
HEALING HANDS FOR HAITI
PO BOX 521800
SALT LAKE CITY, UT 84152-1800
BATEY RELIEF ALLIANCE
PO BOX 300565
BROOKLYN, NY 11230-5656
ANGEL WINGS INTERNATIONAL
1580 SAWGRASS CORP PKWY #130
SUNRISE, FL 33323
FRIENDS OF PETIT-GOAVE
PO BOX 530612
MIAMI, FL 33153
GAWOU GINOU FOUNDATION
222 PUTNAM AVE
CAMBRIDGE, MA 02139
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
02-0602245 501C3
04-3486458 501C3
11-3403494 501C3
26-3425703 501C3
83-0440836 501C3
75-3023362 501C3
(d) Amount of
cash grant
25,000.
25,000.
25,000.
275,000.
30,000.
25,000.
25,000.
25,000.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
55
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
0.
ASSISTANCE FOR HAITI
EARTHQUAKE EMERGENCY
SUPPORT
0.
ASSISTANCE FOR HAITI
EARTHQUAKE EMERGENCY
SUPPORT
0.
ASSISTANCE FOR HAITI
EARTHQUAKE EMERGENCY
SUPPORT
0.
ASSISTANCE FOR HAITI
EARTHQUAKE EMERGENCY
SUPPORT
0.
ASSISTANCE FOR HAITI
EARTHQUAKE EMERGENCY
SUPPORT
0.
ASSISTANCE FOR HAITI
EARTHQUAKE EMERGENCY
SUPPORT
0.
ASSISTANCE FOR HAITI
EARTHQUAKE EMERGENCY
SUPPORT
0.
ASSISTANCE FOR HAITI
EARTHQUAKE EMERGENCY
SUPPORT
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
FOUNDATION HOPE FOR HAITI
PO BOX 212673
ROYAL PALM BEACH, FL 33421
KONBIT SANTE
PO BOX 11284
PORTLAND , ME 04104
BETTER BURMESE HEALTH CARE INC
PO BOX 631
LEEDS, NY 12451
(b) EIN
(c) IRC section
if applicable
02-0580060 501C3
01-0540292 501C3
(d) Amount of
cash grant
25,000.
16,000.
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
0.
ASSISTANCE FOR HAITI
EARTHQUAKE EMERGENCY
SUPPORT
0.
ASSISTANCE FOR HAITI
EARTHQUAKE EMERGENCY
SUPPORT
20-8775544 501C3
20,000.
0.
TO FUND MEDICAL/STAFF
SERVICES IN MYANMAR POST
CYCLONE NARGIS
GLOBAL HEALTH ACCESS
PROGRAM/PLANET CARE - 801 CEDAR ST
- BERKELEY, CA 94710
80-0035287 501C3
162,000.
0.
MATERNAL & CHILD HEALTH
PROJECT IN MYANMAR
THIRST AID
2855 CALKINS PLACE
BROOMFIELD, CO 80020
95-3656221 501C3
25,000.
45TH STREET CLINIC
1629 N. 45TH STREET.
SEATTLE, WA 98103-6701
23-7134174 501C3
0.
A COMMUNITY CLINIC, INC
335 MARKET STREET
SUNBURY, PA 17801
20-4051982 501C3
0.
AARON E HENRY
800 OHIO STREET
CLARKSDALE, MS 38614
64-0624495 501C3
0.
LHA
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
56
SAFEWATER DELIVERY
PROJECT IN MYANMAR
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
528.WHOLESALE PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
46,368.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
129,792.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
0.
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
ABCCM MEDICAL MINISTRY
155 LIVINGSTON STREET
ASHEVILLE, NC 28801
56-1987021 501C3
0.
ESTIMATED
3,084.WHOLESALE
ACCESS FAMILY CARE
530 N. MAIDEN LANE
JOPLIN, MO 64801
43-1752799 501C3
0.
ESTIMATED
11,256.WHOLESALE
ACCESS FAMILY HEALTH SERVICES
63420 HWY 25 N
SMITHVILLE, MS 38870
64-0612902 501C3
0.
ESTIMATED
4,382.WHOLESALE
ACCESS HEALTH
252 RURAL ACRES DRIVE
BECKLEY, WV 25801
55-0490878 501C3
0.
ESTIMATED
72,022.WHOLESALE
ACCESS HEALTH
63 MAIN STREET
BAR MILLS, ME 04004
01-0757566 501C3
0.
ESTIMATED
340.WHOLESALE
ADAMS COUNTY HEALTH CENTER
205 N. BERKLEY STREET
COUNCIL, ID 83612
20-8341138 501C3
0.
ESTIMATED
2,203.WHOLESALE
SEA MAR COMMUNITY HEALTH CENTER
1040 SOUTH HENDERSON STREET
SEATTLE, WA 98108
91-1020139 501C3
0.
ESTIMATED
98,410.WHOLESALE
0.
PURCHASED
ESTIMATED
7,449.WHOLESALE
ADVENTIST DEVELOPMENT
12501 OLD COLUMBIA PIKE
SILVER SPRING, MD 20904
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
52-1314847 501C3
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
57
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE,
CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
AEROMEDICOS OF SANTA BARBARA
PO BOX 538
GOLETA, CA 93116
77-0117662 501C3
0.
AGAPE COMMUNITY HEALTH
1760 EDGEWOOD AVE WEST
JACKSONVILLE, FL 32208
16-1660966 501C3
0.
AKRON-CANTON REGIONAL FOODBANK
350 OPPORTUNITY PARKWAY
AKRON, OH 44307
34-1888311 501C3
0.
ALAMEDA COUNTY HEALTH CARE
1900 FRUITVALE AVE STE 3E
OAKLAND, CA 94601-2469
94-6000501 501C3
0.
ALASKA ISLAND COMMUNITY SERVICES
320 BENNETT STREET
WRANGELL, AK 99929
92-0129543 501C3
0.
ALBERT GALVAN HEALTH CLINIC
2106 N. MAIN STREET
FT. WORTH, TX 76164
54-2117989 501C3
0.
ALCONA HEALTH CENTERS
177 N. BARLOW ROAD
LINCOLN, MI 48742
38-2170985 501C3
0.
ALGIERS COMMUNITY HEALTH CLINIC
1111 NEWTON STREET
NEW ORLEANS, LA 70114
72-6000969 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
58
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
PURCHASED PRICE, PHARMACEUTICALS, SUPPORT TO CLINICS FOR
ESTIMATED
MEDICAL SUPPLIES LOW-INCOME PATIENTS IN
153,324.WHOLESALE PRICE AND EQUIPMENT
MEXICO/BAJA
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
1,008.WHOLESALE PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
239,164.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
86,260.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
4,579.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
2,582.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
34,337.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PURCHASED PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
147,330.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
ALIVIO MEDICAL CENTER
966 WEST 21ST STREET
CHICAGO, IL 60608
36-3661051 501C3
0.
ESTIMATED
5,301.WHOLESALE
ALL SAINTS HEALTH CARE
1320 WISCONSIN AVENUE
RACINE, WI 53403
39-0807069 501C3
0.
ESTIMATED
2,644.WHOLESALE
ALLEN COUNTY HEALTH PARTNERS
441 EAST 8TH STREET
LIMA, OH 45804
56-2330309 501C3
0.
ESTIMATED
23,711.WHOLESALE
ALLERGY AND ASTHMA MEDICAL GROUP
9610 GRANITE RIDGE DRIVE, SUITE B
SAN DIEGO, CA 92123
95-2975467 501C3
0.
ESTIMATED
2,754.WHOLESALE
ALLIANCE MEDICAL CLINIC
1381 UNIVERSITY STREET
HEALDSBURG, CA 95448
94-2308748 501C3
0.
ESTIMATED
89,910.WHOLESALE
ALTAMED BOYLE HEIGHTS
3945 WHITTIER BLVD
LOS ANGELES, CA 90023
95-2810095 501C3
0.
PURCHASED
ESTIMATED
22,281.WHOLESALE
ALTAMED HEALTH SERVICES
500 CITADEL DRIVE, SUITE 490
COMMERCE, CA 90040
95-2810095 501C3
0.
ESTIMATED
11,784.WHOLESALE
ALTAMED HEALTH SERVICES
CORPORATION - 249 E POMONA BLVD MONTEREY PARK, CA 91755
95-2810095 501C3
0.
ESTIMATED
9,278.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
59
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
ALTOONA REGIONAL PARTNERSHIP
501 HOWARD AVENUE SUITE 204B
ALTOONA, PA 16601
25-1842308 501C3
0.
ESTIMATED
80,614.WHOLESALE
AMERICAN INDIAN HEALING CENTER
12456 E. WASHINGTON BLVD.
WHITTER, CA 90602
95-4835249 501C3
0.
ESTIMATED
53,049.WHOLESALE
0.
PURCHASED
ESTIMATED
8,980.WHOLESALE
AMERICAN INDIAN HEALTH & SERVICES
4141 STATE STREET, SUITE B-11
SANTA BARBARA, CA 93110
AMERICAN NEAR EAST REFUGEE AID
1111 14TH STREET
WASHINGTON, DC 20005
AMERICAN NICARAGUAN FOUNDATION
848 BRICKELL AVENUE
MIAMI, FL 33131
77-0398793 501C3
52-0882226 501C3
0.
65-0326517 501C3
0.
AMERICAN REFUGEE COMMITTEE
430 OAK GROVE STREET
MINNEAPOLIS, MN 55403
36-3241033 501C3
0.
AMERICARES FREE CLINICS
88 HAMILTON AVENUE
STAMFORD, CT 06902
06-1422741 501C3
0.
AMES FREE MEDICAL CLINIC
508 KELLOGG AVENUE
AMES, IA 50010
42-1428706 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
60
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
PURCHASED PRICE, PHARMACEUTICALS, SUPPORT TO CLINICS FOR
ESTIMATED
MEDICAL SUPPLIES LOW-INCOME PATIENTS IN
776,743.WHOLESALE PRICE AND EQUIPMENT
GAZA, W. BANK & LEBANON
PURCHASED PRICE, PHARMACEUTICALS, SUPPORT TO CLINICS FOR
ESTIMATED
MEDICAL SUPPLIES LOW-INCOME PATIENTS IN
7,424,365.WHOLESALE PRICE AND EQUIPMENT
NICARAGUA
PURCHASED PRICE, PHARMACEUTICALS, SUPPORT TO CLINICS FOR
ESTIMATED
MEDICAL SUPPLIES LOW-INCOME PATIENTS IN
481,723.WHOLESALE PRICE AND EQUIPMENT
HAITI & PAKISTAN
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
10,575.WHOLESALE PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
23,419.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
AMISTAD COMMUNITY HEALTH CENTER
1533 BROWNLEE AVENUE, SUITE 100
CORPUS CHRISTI, TX 78404
20-3008507 501C3
0.
AMMONOOSUC COMMUNITY HEALTH
SERVICE - 25 MT. EUSTIS ROAD LITTLETON, NH 03561
51-0137745 501C3
0.
AMRIT DAVAA WORLD HEALTH CORP.
6322 DE LONGPRE AVENUE
LOS ANGELES, CA 90028
20-8818368 501C3
0.
ANDERSON CREEK DENTAL CLINIC
6720 OVERHILLS ROAD
SPRING LAKE, NC 28390
56-1205213 501C3
0.
ANDERSON FREE CLINIC
414 NORTH FANT STREET
ANDERSON, SC 29621
57-0787584 501C3
0.
ANDERSON VALLEY HEALTH CENTER
13500 AIRPORT ROAD
BOONVILLE, CA 95415
94-2347424 501C3
0.
ANGEL WINGS INTERNATIONAL INC.
1580 SAWGRASS CORPORATE PARKWAY
SUNRISE, FL 33323
26-3425703 501C3
0.
ANN SILVERMAN COMMUNITY HEALTH
CLIN - 595 W. STATE STREET DOYLESTOWN, PA 18901
23-2892823 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
61
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
378.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
6,518.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT CLINICS FOR
ESTIMATED
PHARMACEUTICALS, LOW-INCOME PATIENTS IN
200,327.WHOLESALE PRICE MEDICAL SUPPLIES INDIA
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
11,044.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
1,013.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
66,135.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
1,790.WHOLESALE PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
7,384.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
ANSON REGIONAL MEDICAL SERVICES
203 SALISBURY STREET
WADESBORO, NC 28170
56-1768044 501C3
0.
ESTIMATED
1,376.WHOLESALE
ANY POSITIVE CHANGE, INC.
16155 FLORENCE STREET
LOWER LAKE, CA 95457
68-0483272 501C3
0.
ESTIMATED
378.WHOLESALE
ARLANZA FAMILY HEALTH CENTER
8856 ARLINGTON AVENUE
RIVERSIDE, CA 92503
33-0056551 501C3
0.
ESTIMATED
9,443.WHOLESALE
ARLINGTON FREE CLINIC
2921 S. 11TH STREET
ARLINGTON, VA 22204
54-1671883 501C3
0.
ESTIMATED
7,831.WHOLESALE
ARROYO VISTA FAMILY HEALTH CENTER
6000 N. FIGUEROA STREET
LOS ANGELES, CA 90042
95-3514918 501C3
0.
PURCHASED
ESTIMATED
3,055.WHOLESALE
ARTHUR NAGEL COMMUNITY CLINIC
1116 12TH STREET
BANDERA, TX 78003
77-0697361 501C3
0.
ESTIMATED
44,854.WHOLESALE
ASHE COUNTY FREE MEDICAL CLINIC
105 EAST MAIN STREET
JEFFERSON, NC 28640
13-4314059 501C3
0.
ESTIMATED
1,221.WHOLESALE
ASHER COMMUNITY HEALTH CENTER
712 JAY STREET
FOSSIL, OR 97830
38-3692646 501C3
0.
ESTIMATED
734.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
62
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PRICE,
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
ASHLAND COMMUNITY HEALTH CENTER
501 MAIN
ASHLAND, MT 59003
81-0512837 501C3
0.
ASIAN HEALTH SERVICES
818 WEBSTER STREET
OAKLAND, CA 94607
94-2235908 501C3
0.
ASIAN HUMAN SERVICES
2424 W. PETERSON AVENUE
CHICAGO, IL 60659
01-0567661 501C3
0.
ASIAN PACIFIC HEALTH CARE VENTURE
1530 HILLHURST AVENUE
LOS ANGELES, CA 90027
95-4177752 501C3
0.
ATKINSON FOUNDATION
1720 SO. AMPHLETT BLVD., SUITE 100
SAN MATEO, CA 94402
94-6075613 501C3
0.
ATOKA MEDICAL CLINIC
1501 SOUTH VIRGINIA AVENE
ATOKA, OK 74525
26-3329785 501C3
0.
AUGUSTA REGIONAL FREE CLINIC
342 MULE ACADMEY RD
FISHERSVILLE, VA 22939
20-2922988 501C3
0.
AZUSA HEALTH CENTER
150 N. AZUSA
AZUSA, CA 91702
95-4685099 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
63
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
1,872.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
12,899.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
81,615.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
PHARMACEUTICALS, SUPPORT CLINICS FOR
ESTIMATED
MEDICAL SUPPLIES LOW-INCOME PATIENTS IN
285,813.WHOLESALE PRICE AND EQUIPMENT
GUATAMALA
SUPPORT TO US
PURCHASED PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
2,461,246.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
12,728.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
24,893.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
41,062.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
BABY HEALTH SERVICE
1590 HARRODSBURG ROAD
LEXINGTON, KY 40504
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
61-0518017 501C3
0.
BATEY RELIEF ALLIANCE INC
P.O. BOX 300565
BROOKLYN, NY 11230-5656
11-3403494 501C3
0.
BATON ROUGE PRIMARY CARE
1414 FAIRCHILD STREET
BATON ROUGE, LA 70807
41-2114148 501C3
0.
BAYOU CLINIC
13833 TAPIA AVENUE
BAYOU LA BATRE, AL 36509
63-1270951 501C3
0.
BEACH HEALTH CLINIC
3396 HOLLAND ROAD STE 102
VIRGINIA BEACH, VA 23452
54-1366960 501C3
0.
BEAR LAKE COMMUNITY HEALTH CENTER
325 W. LOGAN HIGHWAY
GARDEN CITY, UT 84028
81-0587644 501C3
0.
BEAUREGARD AGAPE COMMUNITY CLINIC
305 W 7TH ST.
DERIDDER, LA 70634
06-1822290 501C3
0.
BECKLEY HEALTH RIGHT
111 RANDOLPH STREET
BECKLEY, WV 25801
55-0774466 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
64
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
9,528.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
PURCHASED PRICE, PHARMACEUTICALS, SUPPORT CLINICS FOR
ESTIMATED
MEDICAL SUPPLIES LOW-INCOME PATIENTS IN EL
4,994,318.WHOLESALE PRICE AND EQUIPMENT
SALVADOR/HAITI
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
19,811.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PURCHASED PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
218,626.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
6,349.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
378.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
33,998.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
10,967.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
BELL GARDENS FAMILY MEDICAL CENTER
6501 S. GARFIELD AVENUE
BELL GARDENS, CA 90201
95-1641454 501C3
0.
BELL MEDICAL CLINIC
801 3RD STREET SW
DE SMET, SD 57231
46-0341255 501C3
0.
BELLEVUE MEDICAL CLINIC
1811 156 AVENUE NE, SUITE 2
BELLEVUE, WA 98007
91-1020139 501C3
0.
BELLINGHAM MEDICAL CLINIC
4455 CORDATA PKWY.
BELLINGHAM, WA 98226
91-1020139 501C3
0.
BEN ARCHER HEALTH CENTER
1600 THORPE ROAD
LAS CRUCES, NM 88012
51-0158976 501C3
0.
BENNETT COUNTY COMMUNITY
302 1ST AVENUE
MARTIN, SD 57551
46-0341255 501C3
0.
BENTON COUNTY HEALTH CENTER
530 NW 27TH STREET
CORVALLIS, OR 97339
93-6002285 501C3
0.
BETHEL FREE HEALTH CLINIC
1650 CARROL DRIVE
BILOXI, MS 39531
64-0605675 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
65
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PURCHASED PRICE,
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
13,008.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
4,630.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
43,565.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PURCHASED PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
64,244.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
24,181.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
13,133.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
1,322.WHOLESALE PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
PURCHASED PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
104,889.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
BETHESDA HEALTH CENTER
133 STETSON DRIVE
CHARLOTTE, NC 28262
56-2015959 501C3
0.
ESTIMATED
24,287.WHOLESALE PRICE
BETHESDA HEALTH CLINIC
409 W. FERGUSON
TYLER, TX 75702
26-0036674 501C3
0.
ESTIMATED
115,730.WHOLESALE PRICE
BETHESDA MISSION HEALTH CLINIC
611 REILY STREET
HARRISBURG, PA 17102
23-1389397 501C3
0.
ESTIMATED
20,307.WHOLESALE PRICE
BIDDEFORD FREE CLINIC
189 ALFRED STREET
BIDDEFORD, ME 04005
01-0478977 501C3
0.
ESTIMATED
5,496.WHOLESALE PRICE
BILL MOORE COMMUNITY HEALTH CLINIC
1460 N. LAKE AVENUE, STE. 105
PASADENA, CA 91104
95-4410426 501C3
0.
ESTIMATED
5,288.WHOLESALE PRICE
BLACK RIVER HEALTHCARE, INC.
12 W SOUTH ST
MANNING, SC 29102-2925
57-0846180 501C3
0.
ESTIMATED
7,429.WHOLESALE PRICE
BLACKSTONE VALLEY
42 PARK PLACE
PAWTUCKET, RI 02860
51-0183476 501C3
0.
ESTIMATED
9,153.WHOLESALE PRICE
BLAND COUNTY MEDICAL CLINIC
12301 GRAPEFIELD ROAD
BASTIAN, VA 24314
54-1074890 501C3
0.
ESTIMATED
246,274.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
66
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
BLUE RIDGE HEALTH SERVICES
2579 CHIMNEY ROCK ROAD
HENDERSONVILLE, NC 28792
56-0794933 501C3
0.
ESTIMATED
378.WHOLESALE
BLUE RIDGE MEDICAL CENTER
4038 THOMAS NELSON HWY.
ARRINGTON, VA 22922
54-1222147 501C3
0.
ESTIMATED
41,547.WHOLESALE
BLUEGRASS COMMUNITY HEALTH CENTER
1301 VERSAILLES RD, SUITE 120
LEXINGTON, KY 40504
06-1798832 501C3
0.
ESTIMATED
36,227.WHOLESALE
501C3
0.
ESTIMATED
5,288.WHOLESALE
BON SECOURS CARE-A-VAN
4121 COX ROAD
GLEN ALLEN, VA 23060
BOND COMMUNITY HEALTH CENTER
1720 SOUTH GADSDEN STREET
TALLAHASSEE, FL 32301
59-2426414 501C3
0.
PURCHASED
ESTIMATED
143,236.WHOLESALE
BOONE TRAIL MEDICAL CENTER
1000 MEDICAL CENTER ROAD
MAMERS, NC 27552
56-1205213 501C3
0.
ESTIMATED
11,761.WHOLESALE
BOUNDARY REGIONAL
6635 COMANCHE STREET
BONNERS FERRY, ID 83805
04-3634356 501C3
0.
ESTIMATED
10,954.WHOLESALE
BRANDON OUTREACH CLINIC
517 NORTH PARSONS AVENUE
BRANDON, FL 33510
59-2917499 501C3
0.
ESTIMATED
3,966.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
67
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
BREAD OF HEALING CLINIC
1821 NORTH 16TH STREET
MILWAUKEE, WI 53205
81-0669867 501C3
0.
ESTIMATED
148,322.WHOLESALE PRICE
BREATHITT COUNTY FAMILY HEALTH
265 HWY 15 SOUTH, SUITE 3
JACKSON, KY 41339
04-3779582 501C3
0.
ESTIMATED
23,605.WHOLESALE PRICE
BREVARD HEALTH ALLIANCE
220 BARTON BLVD
ROCKLEDGE, FL 32955
90-0068515 501C3
0.
ESTIMATED
5,441.WHOLESALE PRICE
BRIDGE COMMUNITY HEALTH CLINIC
1810 N. 2ND STREET
WAUSAU, WI 54403
39-1759404 501C3
0.
ESTIMATED
2,361.WHOLESALE PRICE
501C3
0.
ESTIMATED
3,924.WHOLESALE PRICE
BROAD STREET CLINIC FOUNDATION
534 NORTH 35TH STREET
MOREHEAD CITY, NC 28557
56-1853604 501C3
0.
ESTIMATED
17,186.WHOLESALE PRICE
BROCK HUGHES FREE CLINIC
100 EDGEMONT ROAD
WYTHEVILLE, VA 24382
20-2353144 501C3
0.
ESTIMATED
2,516.WHOLESALE PRICE
BROCKTON NEIGHBORHOOD HEALTH
CENTER - 63 MAIN STREET BROCKTON, MA 02301
04-3165044 501C3
0.
ESTIMATED
2,690.WHOLESALE PRICE
BRITTON BAPTIST CHURCH
1141 W BRITTON ROAD
OKLAHOMA CITY, OK 73114
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
68
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
BROWARD COMMUNITY & FAMILY
5010 HOLLYWOOD BLVD SUITE 100-B
HOLLYWOOD, FL 33021
59-3489664 501C3
0.
ESTIMATED
5,065.WHOLESALE PRICE
BROWNSVILLE COMMUNITY HEALTH
CENTER - 2137 EAST 22ND STREET BROWNSVILLE, TX 78521
74-2176836 501C3
0.
ESTIMATED
28,796.WHOLESALE PRICE
BRYANT CLINIC
110 WEST MAIN
BRYANT, SD 57221
46-0341255 501C3
0.
ESTIMATED
5,808.WHOLESALE PRICE
BUCKS COUNTY HEALTH
2546 B KNIGHTS ROAD
BENSALEM, PA 19020
23-2862339 501C3
0.
ESTIMATED
1,948.WHOLESALE PRICE
BUDDHIST TZU CHI FREE CLINIC
1000 S GARFIELD AVENUE
ALHAMBRA, CA 91801
95-4457939 501C3
0.
ESTIMATED
25,113.WHOLESALE PRICE
BURIEN MEDICAL CLINIC
14434 AMBAUM BLVD SW, SUITE 5
BURIEN, WA 98166
91-1020139 501C3
0.
ESTIMATED
902.WHOLESALE PRICE
CABIN CREEK HEALTH CENTER
5722 CABIN CREEK DRIVE
DAWES, WV 25054
55-0709223 501C3
0.
ESTIMATED
75,944.WHOLESALE PRICE
CACHE VALLEY CHC
550 EAST 1400 STREET SUITE K
LOGAN, UT 84341
87-0269232 501C3
0.
ESTIMATED
30,716.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
69
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
CALCASIEU COMMUNITY CLINIC
550 EAST SALE ROAD SUITE 217
LAKE CHARLES, LA 70605
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
72-1454126 501C3
0.
CALIFORNIA CONCERN
27 SOUTH LA PATERA LANE
GOLEAT, CA 93117
0.
CAMBODIAN CHILDREN'S FUND
2461 SANTA MONICA BLVD. #833
SANTA MONICA, CA 90404
20-0764162 501C3
0.
CAMILLUS HEALTH CONCERN, INC
336 NW 5TH STREET
MIAMI, FL 33128
65-0063921 501C3
0.
CANYONLANDS COMMUNITY HEALTH CARE
827 VISTA AVENUE
PAGE, AZ 86040
86-0350153 501C3
0.
CAPITAL CITY RESCUE MISSION FREE
259 S PEARL STREET
ALBANY, NY 12202
14-1368018 501C3
0.
CAPITAL PARK FAMILY HEALTH CENTER
2150 AGLER ROAD
COLUMBUS, OH 43224
31-1387838 501C3
0.
CAPITOL CITY FAMILY HEALTH CENTER
3140 FLORIDA BLVD.
BATON ROUGE, LA 70806
72-1395500 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
70
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
28,955.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
MEDICAL
FOR LOW-INCOME, UNINSURED
16,050.PURCHASED PRICE EQUIPMENT
PATIENTS
PURCHASED PRICE, PHARMACEUTICALS, SUPPORT FOR PEDICATRIC
ESTIMATED
MEDICAL SUPPLIES HEALTH SERVICES IN
474,276.WHOLESALE PRICE AND EQUIPMENT
CAMBODIA
SUPPORT TO US
PURCHASED PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
42,341.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
378.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
35,837.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
37,471.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PURCHASED PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
211,085.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
CAPSTONE RURAL HEALTH CENTER
5947 HIGHWAY 269
PARRISH, AL 35580
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
63-1276483 501C3
0.
ESTIMATED
26,438.WHOLESALE
CARBON MEDICAL SERVICE ASSOCIATION
305 CENTER STREET
EAST CARBON, UT 84520
87-0217443 501C3
0.
ESTIMATED
284.WHOLESALE
CARE CLINIC
239 ROBESON STREET
FAYETTEVILLE, NC 28301
56-1837010 501C3
0.
ESTIMATED
4,721.WHOLESALE
CARING HEALTH CENTER
1145 MAIN ST
SPRINGFIELD, MA 01103-2143
04-2620040 501C3
0.
ESTIMATED
378.WHOLESALE
CARITAS CLINICS
636 TAUROMEE AVENUE
KANSAS CITY, KS 66101
48-1009910 501C3
0.
ESTIMATED
7,720.WHOLESALE
CAROLINA FAMILY HEALTH CENTERS
303 E. GREEN STREET, BLDG. A
WILSON, NC 27893
58-2079819 501C3
0.
ESTIMATED
125,696.WHOLESALE
CASA ESPERANZA
618 CACIQUE STREET
SANTA BARBARA, CA 93103
77-0502754 501C3
0.
PURCHASED
ESTIMATED
35,558.WHOLESALE
CASTANER GENERAL HOSPITAL
ROAD #135 KM 64.2
CASTANER, PR 00631
66-0352014 501C3
0.
ESTIMATED
1,588.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
71
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
CASWELL FAMILY MEDICAL CENTER
439 US HWY 158 WEST
YANCEYVILLE, NC 27379
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
59-1812757 501C3
0.
ESTIMATED
5,267.WHOLESALE
CATAHOULA PARISH HOSPITAL DISTRICT
307 CHISUM STREET
SICILY ISLAND, LA 71368
72-0838896 501C3
0.
ESTIMATED
87,362.WHOLESALE
CATHERINE MCAULEY CLINIC
5514 HOHMAN AVENUE
HAMMOND, IN 46320
35-1835133 501C3
0.
ESTIMATED
51,489.WHOLESALE
CATHERINE'S CARE CENTER
224 CARRIER STREET NE
GRAND RAPIDS, MI 49505
20-3572418 501C3
0.
ESTIMATED
13,431.WHOLESALE
CATHOLIC CHARITIES
212 NINTH STREET SUITE 301
PITTSBURGH, PA 15222
25-1326213 501C3
0.
ESTIMATED
11,369.WHOLESALE
CATHOLIC CHARITIES
609 E. HALEY STREET
SANTA BARBARA, CA 93103
95-1690973 501C3
0.
PURCHASED
ESTIMATED
35,255.WHOLESALE
CEDAR RIVERSIDE PEOPLES CENTER
425 20TH AVENUE SOUTH
MINNEAPOLIS, MN 55454
41-0982430 501C3
0.
ESTIMATED
390.WHOLESALE
CELNA MEDICATION ACCESS PROGRAM
929 JOHNSTON STREET, SUITE B
ALEXANDRIA, LA 71301
02-0751416 501C3
0.
ESTIMATED
28,868.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
72
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
CENTER STREET COMMUNITY HEALTH
205 W. CENTER STREET
MARION, OH 43302
34-1751179 501C3
0.
ESTIMATED
21,307.WHOLESALE
CENTRAL CITY COMMUNITY
5233 BEVERLY BLVD.
LOS ANGELES, CA 90022
954492570
501C3
0.
ESTIMATED
39,710.WHOLESALE
CENTRAL CITY COMMUNITY CLINIC
5970 SOUTH CENTRAL AVENUE
LOS ANGELES, CA 90001
95-4492570 501C3
0.
ESTIMATED
59,232.WHOLESALE
CENTRAL CITY CONCERN/OLD TOWN
CLINI - 727 W BURNSIDE STREET PORTLAND, OR 97209
93-0728816 501C3
0.
ESTIMATED
57,155.WHOLESALE
CENTRAL FLORIDA
2400 STATE ROAD 415
SANFORD, FL 32771
59-1741286 501C3
0.
ESTIMATED
184,792.WHOLESALE
CENTRAL FLORIDA HEALTH CARE
936 E PARKER STREET
LAKELAND, FL 33801
59-1404594 501C3
0.
ESTIMATED
139,292.WHOLESALE
CENTRAL MISSISSIPPI HEALTH
SERVICES - 1134 WINTER STREET JACKSON, MS 39204
64-0426295 501C3
0.
PURCHASED
ESTIMATED
109,875.WHOLESALE
CENTRAL VIRGINIA HEALTH SERVICES
25892 JAMES MADISON HIGHWAY
NEW CANTON, VA 23123
54-0887287 501C3
0.
ESTIMATED
16,746.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
73
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
CENTRAL WASHINGTON FAMILY MEDICINE
1806 W. LINCOLN AVENUE
YAKIMA, WA 98902
57-1140982 501C3
0.
ESTIMATED
1,235.WHOLESALE PRICE
CENTRO DE SALUD DE LARES, INC.
CARR 111 KM 1.9
LARES, PR 00669
66-0426506 501C3
0.
ESTIMATED
67,123.WHOLESALE PRICE
CENTRO SAN VICENTE
8061 ALAMEDA
EL PASO, TX 79915
74-2505561 501C3
0.
ESTIMATED
54,676.WHOLESALE PRICE
CEREBRAL PALSY ASSOCIATIONS
2324 FOREST AVENUE
STATEN ISLAND, NY 10303
13-1623856 501C3
0.
ESTIMATED
1,904.WHOLESALE PRICE
CHAPA-DE INDIAN HEALTH PROGRAM
11670 ATWOOD ROAD
AUBURN, CA 95603
94-2583156 501C3
0.
ESTIMATED
4,498.WHOLESALE PRICE
501C3
0.
ESTIMATED
8,177.WHOLESALE PRICE
CHARLES TOWN HEALTH RIGHT
1212 N. MILDRED STREET
RANSON, WV 25439
55-0778553 501C3
0.
ESTIMATED
2,930.WHOLESALE PRICE
CHARLOTTESVILLE FREE CLINIC
1138 ROSE HILL DRIVE, STE. 200
CHARLOTTESVILLE, VA 22903
54-1610405 501C3
0.
ESTIMATED
10,575.WHOLESALE PRICE
CHARIS FAMILY CLINIC
23601 HWY 99 SUITE A
EDMONDS, WA 98026
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
74
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
CHARTER OAK HEALTH CENTER
21 GRAND STREET
HARTFORD, CT 06106
06-0986747 501C3
0.
ESTIMATED
18,069.WHOLESALE PRICE
CHASE BREXTON HEALTH CENTER
1001 CATHEDRAL STREET
BALTIMORE, MD 21201
52-1638592 501C3
0.
ESTIMATED
10,575.WHOLESALE PRICE
CHATHAM CARES COMMUNITY PHARMACY
112 VILLAGE LAKE ROAD
SILER CITY, NC 27344
41-2170926 501C3
0.
ESTIMATED
37,885.WHOLESALE PRICE
CHEROKEE HEALTH SYSTEMS
2018 WESTERN AVENUE
KNOXVILLE, TN 37921
62-0637925 501C3
0.
ESTIMATED
6,079.WHOLESALE PRICE
CHEROKEE HEALTH SYSTEMS
815 WEST FIFTH NORTH STREET
MORRISTOWN, TN 37814
62-0637925 501C3
0.
ESTIMATED
390.WHOLESALE PRICE
CHESPENN HEALTH SERVICES
2600 WEST 9TH STREET
CHESTER, PA 19013
23-7354899 501C3
0.
ESTIMATED
109,788.WHOLESALE PRICE
CHEYENNE CROSSROADS CLINIC
1504 STINSON AVENUE
CHEYENNE, WY 82001
74-2269474 501C3
0.
ESTIMATED
100,011.WHOLESALE PRICE
CHEYENNE HEALTH AND WELLNESS
CENTER - 2508 E. FOX FARM ROAD CHEYENNE, WY 82007
87-0718984 501C3
0.
ESTIMATED
101,252.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
75
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
CHILD HOPE INTERNATIONAL
PO BOX 3677
REDONDO BEACH, CA 90277
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
31-1811232 501C3
0.
CHILDREN AND COMMUNITY HEALTH
CENTE - 120 S. CENTRAL EXPRESSWAY,
SUITE 10 - MCKINNEY, TX 75070
20-0637782 501C3
0.
CHILDREN#S CLINIC FAMILY
455 EAST COLUMBIA STEET SUITE 201
LONG BEACH, CA 90806
95-1643332 501C3
0.
CHILDREN'S CLINIC FAMILY HEALTH
730 W. 3RD STREET
LONG BEACH, CA 90802
95-1643332 501C3
0.
CHILDREN'S COMMUNTIY CLINIC
27 NE KILLINGSWORTH STREET
PORTLAND, OR 97211
93-0811915 501C3
0.
CHINATOWN SERVICE CENTER
767 N. HILL ST. #200
LOS ANGELES, CA 90012
95-2918844 501C3
0.
CHIPPEWA VALLEY FREE CLINIC
421 GRAHAM AVENUE
EAU CLAIRE, WI 54701
39-1840231 501C3
0.
CHIRICAHUA COMMUNITY HEALTH
CENTERS - 1205 F STREET - DOUGLAS,
AZ 85607
86-0814898 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
76
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
PURCHASED PRICE, PHARMACEUTICALS,
ESTIMATED
MEDICAL SUPPLIES HAITI EARTHQUAKE
73,595.WHOLESALE PRICE AND EQUIPMENT
EMERGENCY RELIEF
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
92,917.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
11,502.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
3,473.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
10,575.WHOLESALE PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
PURCHASED PRICE,
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
14,445.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
68,308.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
28,598.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
CHIRICAHUA COMUNITY HEALTH CENTER
108 ARIZONA STREET
BISBEE, AZ 85603
86-0814898 501C3
0.
ESTIMATED
253,027.WHOLESALE
CHRIST CLINIC
5504 FIRST STREET
KATY, TX 77493
35-2179708 501C3
0.
ESTIMATED
63,854.WHOLESALE
CHRIST CLINIC
914 WEST CARLISLE AVENUE
SPOKANE, WA 99205
91-1435174 501C3
0.
ESTIMATED
29,350.WHOLESALE
CHRIST COMMUNITY FREE CLINIC
1 A STREET NW
AUBURN, WA 98002
20-3849881 501C3
0.
ESTIMATED
22,086.WHOLESALE
CHRIST COMMUNITY HEALTH SERVICES
3362 SOUTH 3RD STREET
MEMPHIS, TN 38109
62-1583270 501C3
0.
ESTIMATED
75,508.WHOLESALE
CHRISTIAN AID MINISTRIES
4464 STATE ROUTE 39
MILLERSBURG, OH 44654-9677
34-1344364 501C3
0.
PURCHASED
ESTIMATED
15,048,444.WHOLESALE
CHRISTIAN COMMUNITY ACTION
200 SOUTH MILL STREET
LEWISVILLE, TX 75057
23-7319371 501C3
0.
ESTIMATED
14,354.WHOLESALE
CHRISTIAN COMMUNITY CARE CLINIC
220 W. SOUTH STREET
BENTON, AR 72015
71-0829146 501C3
0.
ESTIMATED
5,678.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
77
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT LOW-INCOME
PRICE, PHARMACEUTICALS, PATIENTS IN CENTRAL
MEDICAL SUPPLIES AMERICA, HAITI EARTHQUAKE
PRICE AND EQUIPMENT
RELIEF
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
CHURCH HILL FREE CLINIC
401 RICHMOND STREET
CHURCH HILL, TN 37642
62-1388079 501C3
0.
ESTIMATED
18,893.WHOLESALE
CIALES PRIMARY HEALTH CARE
SERVICES - ROAD 149 KM 12.3 CIALES, PR 00638
66-0428120 501C3
0.
ESTIMATED
1,558.WHOLESALE
CIRCLE OF HEALTH INTERNATIONAL
90 COVENTRY WOOD ROAD
BOLTON, MA 01740
65-1213326 501C3
0.
PURCHASED
ESTIMATED
3,473.WHOLESALE
CITIZENS HEALTH CENTER
1650 N COLLEGE AVENUE
INDIANAPOLIS, IN 46202
35-1515887 501C3
0.
ESTIMATED
36,390.WHOLESALE
CLAIBORNE COUNTY FAMILY HEALTH
CENT - 2045 HIGHWAY 61 NORTH PORT GIBSON, MS 39150-4262
64-0651149 501C3
0.
PURCHASED
ESTIMATED
10,394.WHOLESALE
CLAY PRIMARY HEALTH CARE
122 CENTER STREET
CLAY, WV 25043
55-0630765 501C3
0.
ESTIMATED
18,386.WHOLESALE
CLEARWATER FREE CLINIC
707 N. FT. HARRISON AVENUE
CLEARWATER, FL 33755
59-1852871 501C3
0.
ESTIMATED
29,516.WHOLESALE
CLEAVER FAMILY WELLNESS CLINIC
4368 SANTA ANITA AVENUE
EL MONTE, CA 91731
95-1765149 501C3
0.
ESTIMATED
104,528.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
78
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
CLINCH RIVER HEALTH SERVICES
RR 1 BOX 20
DUNGANNON, VA 24245-9701
54-1030637 501C3
0.
ESTIMATED
378.WHOLESALE
CLINIC WITH A HEART INC
6040 VILLAGE DRIVE, SUITE 200
LINCOLN, NE 68516
20-2850139 501C3
0.
ESTIMATED
218.WHOLESALE
CLINICA DE SALUD DEL VALLE
440 AIRPORT BLVD., STE. A
SALINAS, CA 93905
94-2652757 501C3
0.
ESTIMATED
127,703.WHOLESALE
CLINICA DE SALUD FAMILIAR
9102 NE HIGHWAY 99
VANCOUVER, WA 98665
39-2074977 501C3
0.
PURCHASED
ESTIMATED
65,977.WHOLESALE
CLINICA MSR. OSCAR A ROMERO
123 S ALVARADO STREET
LOS ANGELES, CA 90057
95-4262479 501C3
0.
ESTIMATED
1,052,017.WHOLESALE
CLINICA PHARMACY
900 MAIN STREET
BRAWLEY, CA 92227
95-2657324 501C3
0.
ESTIMATED
6,359.WHOLESALE
CLINICAS DE SALUD DEL PUEBLO
1166 K STREET
BRAWLEY, CA 92227
95-2657324 501C3
0.
ESTIMATED
136,918.WHOLESALE
CLINICAS DEL CAMINO REAL
200 S. WELLS ROAD., STE. 100
VENTURA, CA 93004
95-2977147 501C3
0.
ESTIMATED
222,546.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
79
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
COASTAL FAMILY HEALTH CENTER
1046 DIVISION STREET
BILOXI, MS 39530
64-0592416 501C3
0.
COASTAL HEALTH ALLIANCE
3 6TH STREET
PT. REYES STATION, CA 94956
23-7117192 501C3
0.
COLUMBIA COUNTY VOLUNTEERS IN
310 EAST THIRD STREET
MIFFLINVILLE, PA 18631
20-5695518 501C3
0.
COLUMBIA RIVER COMMUNITY HEALTH
SER - 201 SW KINKADE ROAD BOARDMAN, OR 97818
20-1056268 501C3
0.
COMMON GROUND CLINIC
1400 TECHE STREET
NEW ORLEANS, LA 70114
20-3723007 501C3
0.
COMMUNICARE HEALTH CENTERS
1102 BARCLAY STREET
SAN ANTONIO, TX 78207
74-1724391 501C3
0.
COMMUNICARE HEALTH CENTERS
2051 JOHN JONES ROAD
DAVIS, CA 95617-1260
20-0859263 501C3
0.
COMMUNICARE HEALTH CENTERS
3066 E. COMMERCE STREET
SAN ANTONIO, TX 78220
74-1724391 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
80
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PURCHASED PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
225,758.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
852.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
7,821.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
41,424.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
7,932.WHOLESALE PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
9,253.WHOLESALE PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
454.WHOLESALE PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
8,936.WHOLESALE PRICE PHARMACEUTICALS PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
COMMUNITY ACITON PARTNERSHIP
3350 10TH STREET
GERING, NE 69341
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
47-0493594 501C3
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
0.
ESTIMATED
378.WHOLESALE
COMMUNITY ACTION COMMISSION
5638 HOLLISTER AVENUE, SUITE 230
GOLETA, CA 93117
95-2491790 501C3
0.
PURCHASED
ESTIMATED
17,542.WHOLESALE
COMMUNITY ACTION COMMITTEE
227 VALLEYVIEW DRIVE
WAVERLY, OH 45690
31-0718042 501C3
0.
ESTIMATED
14,479.WHOLESALE
COMMUNITY ACTION CORPORATION
700 FLOURNEY ROAD, SUITE 2A
ALICE, TX 78332
74-1679824 501C3
0.
PURCHASED
ESTIMATED
73,467.WHOLESALE
COMMUNITY CARE CENTER
2135 NEW WALKERTOWN ROAD
WINSTON SALEM, NC 27101
58-1403699 501C3
0.
ESTIMATED
93,701.WHOLESALE
COMMUNITY CARE CLINIC
52 AUNT DORA DRIVE
HIGHLANDS, NC 28741
65-1251915 501C3
0.
ESTIMATED
61,445.WHOLESALE
COMMUNITY CARE CLINIC
703 N. FIRST STREET
MCCALL, ID 83638
26-1375911 501C3
0.
ESTIMATED
4,929.WHOLESALE
COMMUNITY CARE CLINIC OF ROWAN
315 MOCKSVILLE AVENUE, STE. G
SALISBURY, NC 28144
56-1964773 501C3
0.
ESTIMATED
378.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
81
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE,
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
COMMUNITY CARE CLINIC-BOONE
141 HEALTH CENTER DRIVE
BOONE, NC 28607
20-8607858 501C3
0.
ESTIMATED
46,906.WHOLESALE PRICE
COMMUNITY CLINIC OF JOPLIN
701 S. JOPLIN STREET
JOPLIN, MO 64801
43-1643962 501C3
0.
ESTIMATED
62,081.WHOLESALE PRICE
COMMUNITY CLINIC OF RUTHERFORD
COUN - 127 E TRADE STREET - FOREST
CITY, NC 28043
56-2478341 501C3
0.
ESTIMATED
178,319.WHOLESALE PRICE
COMMUNITY CLINIC OF SHELBYVILLE
841 UNION STREET, SUITE 203
SHELBYVILLE, TN 37160
34-1974609 501C3
0.
ESTIMATED
72,267.WHOLESALE PRICE
COMMUNITY FREE CLINIC
249 MILL STREET
HAGERSTOWN, MD 21740
52-1772594 501C3
0.
ESTIMATED
5,288.WHOLESALE PRICE
COMMUNITY HEALTH ALLIANCE OF
1855 N. FAIR OAKS AVENUE, SUITE 200
PASADENA, CA 91103
95-4536824 501C3
0.
ESTIMATED
146,324.WHOLESALE PRICE
COMMUNITY HEALTH AND SOCIAL
5635 WEST FORT STREET
DETROIT, MI 48209
38-3094394 501C3
0.
ESTIMATED
145,522.WHOLESALE PRICE
COMMUNITY HEALTH AND WELLNESS
459 MIGEON AVENUE
TORRINGTON, CT 06790
56-2286940 501C3
0.
ESTIMATED
888.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
82
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
COMMUNITY HEALTH ASSOC OF
3919 N. MAPLE STREET
SPOKANE, WA 99205
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
91-1641797 501C3
0.
ESTIMATED
22,032.WHOLESALE
COMMUNITY HEALTH ASSOC. OF SPOKANE
9227 E MAIN AVENUE
SPOKANE, WA 99206
91-1641797 501C3
0.
ESTIMATED
343,836.WHOLESALE
COMMUNITY HEALTH CARE
10510 GRAVELLY LAKE DRIVE SW
LAKEWOOD, WA 98499
91-1349657 501C3
0.
ESTIMATED
75,349.WHOLESALE
COMMUNITY HEALTH CARE CENTER
115 4TH STREET SOUTH
GREAT FALLS, MT 59401
81-6001343 501C3
0.
ESTIMATED
77,128.WHOLESALE
COMMUNITY HEALTH CARE SYSTEMS,
INC. - 616 FERNCREST DRIVE SANDERSVILLE, GA 31082
58-2001101 501C3
0.
ESTIMATED
378.WHOLESALE
COMMUNITY HEALTH CENTER
228 ST. GEORGE STREET
GONZALES, TX 78629
74-1548089 501C3
0.
PURCHASED
ESTIMATED
128,170.WHOLESALE
COMMUNITY HEALTH CENTER
3011 N. MICHIGAN
PITTSBURG, KS 66762
75-3002264 501C3
0.
ESTIMATED
72,647.WHOLESALE
COMMUNITY HEALTH CENTER
338 MONTAGUE CITY RD
TURNERS FALLS, MA 01376-1830
04-3312968 501C3
0.
ESTIMATED
4,039.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
83
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
COMMUNITY HEALTH CENTER
4 COMMERCE LANE
CANTON, NY, NY 13617
16-1568985 501C3
0.
ESTIMATED
6,393.WHOLESALE PRICE
COMMUNITY HEALTH CENTER
8609 EVERGREEN WAY
EVERETT, WA 98208
91-1255170 501C3
0.
ESTIMATED
30,425.WHOLESALE PRICE
COMMUNITY HEALTH CENTER
928 N. GLENWOOD
TYLER, TX 75702
20-3663617 501C3
0.
ESTIMATED
78,131.WHOLESALE PRICE
COMMUNITY HEALTH CENTER OF LUBBOCK
1318 BROADWAY STREET
LUBBOCK, TX 79401
75-2424925 501C3
0.
ESTIMATED
378.WHOLESALE PRICE
COMMUNITY HEALTH CENTER OF
RICHMOND - 235 PORT RICHMOND
AVENUE - STATEN ISLAND, NY 10302
51-0567466 501C3
0.
ESTIMATED
90,263.WHOLESALE PRICE
COMMUNITY HEALTH CENTER, INC.
635 MAIN ST
MIDDLETOWN, CT 06457-2718
06-0897105 501C3
0.
ESTIMATED
14,170.WHOLESALE PRICE
COMMUNITY HEALTH CENTERS
1210 EAST PLANT STREET
WINTER GARDEN, FL 34787
59-3566234 501C3
0.
ESTIMATED
59,590.WHOLESALE PRICE
COMMUNITY HEALTH CENTERS
1706 WEST AGENCY ROAD
WEST BURLINGTON, IA 52655
42-1527584 501C3
0.
ESTIMATED
68,783.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
84
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
COMMUNITY HEALTH CENTERS
2180 JOHNSON AVENUE
SAN LUIS OBISPO, CA 93401
95-3253302 501C3
0.
ESTIMATED
601,911.WHOLESALE PRICE
COMMUNITY HEALTH CENTERS, INC.
12716 NE 36TH STREET
SPENCER, OK 73084
73-0930123 501C3
0.
ESTIMATED
111,151.WHOLESALE PRICE
COMMUNITY HEALTH CENTERS, INC.
1798 SOUTH WEST TEMPLE
SALT LAKE CITY, UT 84115
74-2412898 501C3
0.
ESTIMATED
67,453.WHOLESALE PRICE
COMMUNITY HEALTH CLINIC
103 BONNIE DRIVE
BUTLER, PA 16002
20-4852135 501C3
0.
ESTIMATED
14,425.WHOLESALE PRICE
COMMUNITY HEALTH CLINIC
2030 TECUMSEH ROAD
MANHATTAN, KS 66502
501C3
0.
ESTIMATED
1,906.WHOLESALE PRICE
COMMUNITY HEALTH CLINIC
2611 W. CHICAGO AVENUE
CHICAGO, IL 60622
36-3831793 501C3
0.
ESTIMATED
42,995.WHOLESALE PRICE
COMMUNITY HEALTH CLINIC
495 WEST 4TH STREET
DOVE CREEK, CO 81324
84-0674759 501C3
0.
ESTIMATED
12,808.WHOLESALE PRICE
COMMUNITY HEALTH CONNECTION
9912 E 21ST STREET
TULSA, OK 74129
04-3766364 501C3
0.
ESTIMATED
34,764.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
85
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
COMMUNITY HEALTH FOUNDATION
600 E. MCDONALD AVENUE
MAN, WV 25635
55-0488036 501C3
0.
ESTIMATED
19,472.WHOLESALE
COMMUNITY HEALTH IMPROVEMENT
CENTER - 2905 N. MAIN STREET DECATUR, IL 62526
37-0961830 501C3
0.
ESTIMATED
87,018.WHOLESALE
COMMUNITY HEALTH MINISTRY
903 SIXTH STREET
WAMEGO, KS 66547
75-2974854 501C3
0.
ESTIMATED
7,451.WHOLESALE
COMMUNITY HEALTH NET
1202 STATE STREET
ERIE, PA 16501
25-1490791 501C3
0.
ESTIMATED
57,428.WHOLESALE
COMMUNITY HEALTH OF SOUTH FLORIDA
10300 SW 216TH STREET
MIAMI, FL 33190
59-1372690 501C3
0.
PURCHASED
ESTIMATED
61,258.WHOLESALE
COMMUNITY HEALTH PARTNERS
126 S. MAIN STREET
LIVINGSTON, MT 59047
84-1420492 501C3
0.
ESTIMATED
23,894.WHOLESALE
COMMUNITY HEALTH PARTNERSHIP
205 W RANDOLPH ST STE 2222
CHICAGO, IL 60606-1814
36-3798678 501C3
0.
ESTIMATED
4,441.WHOLESALE
COMMUNITY HEALTH SERVICE AGENCY
4500 WESLEY STREET
GREENVILLE, TX 75401
75-1528614 501C3
0.
ESTIMATED
378.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
86
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
COMMUNITY HEALTH SERVICES
500 ALBANY AVENUE
HARTFORD, CT 06120
06-0863942 501C3
0.
ESTIMATED
7,370.WHOLESALE PRICE
COMMUNITY HEALTHCARE CENTER
3219 N HWY 67B
WALNUT RIDGE, AR 72476
71-0715998 501C3
0.
ESTIMATED
110,701.WHOLESALE PRICE
COMMUNITY MEDICAL AND DENTAL CARE
40 ROBERT PITT DRIVE
MONSEY, NY 10952
13-4009634 501C3
0.
ESTIMATED
2,846.WHOLESALE PRICE
COMMUNITY MEDICINE PHARMACY
1131 SALUDA STREET
ROCK HILL, SC 29730
57-0891008 501C3
0.
ESTIMATED
34,728.WHOLESALE PRICE
COMMUNITY OUTREACH CLINIC
208 S WATER STREET
SILVERTON, OR 97381
93-0281321 501C3
0.
ESTIMATED
32,788.WHOLESALE PRICE
COMMUNITY OUTREACH HEALTH CLINIC
W180 N8085 TOWN HALL ROAD
MENOMONEE FALLS, WI 53051
39-1743056 501C3
0.
ESTIMATED
10,168.WHOLESALE PRICE
COMMUNITY VOLUNTEERS IN MEDICINE
300 B LAWRENCE DRIVE
WEST CHESTER, PA 19380
23-2944553 501C3
0.
ESTIMATED
378.WHOLESALE PRICE
COMPASSIONATE CARE CLINIC
102 A AIRPORT ROAD
MILLEDGEVILLE, GA 31061
74-3157081 501C3
0.
ESTIMATED
33,364.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
87
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
COMPASSIONATE CARE OF SHELBY
COUNTY - 124 NORTH OHIO AVENUE SIDNEY, OH 45365
20-8479583 501C3
0.
ESTIMATED
22,335.WHOLESALE
COMPASSIONATE HEALTH CENTER, INC
740 N STATE ROAD 25
ROCHESTER, IN 46975
35-1771942 501C3
0.
ESTIMATED
474.WHOLESALE
COMPREHENSIVE COMMUNITY
801 S. CHEVY CHASE DRIVE, #20
GLENDALE, CA 91205
42-1553807 501C3
0.
PURCHASED
ESTIMATED
4,895.WHOLESALE
CONWAY COUNTY CHRISTIAN CLINIC
1208 WEST CHILDRESS STREET
MORRILTON, AR 72110
54-2109861 501C3
0.
ESTIMATED
1,206.WHOLESALE
CONWAY INTERFAITH CLINIC
830 NORTH CREEK DRIVE
CONWAY, AR 72032
41-2058756 501C3
0.
ESTIMATED
39,917.WHOLESALE
COPALIS BEACH MEDICAL CLINIC
3010 STATE ROUTE 109
COPALIS BEACH, WA 98535
91-1020139 501C3
0.
ESTIMATED
20,657.WHOLESALE
CORDELIA MARTIN HEALTH CENTER
313 JEFFERSON AVE
TOLEDO, OH 43604-1004
23-7272741 501C3
0.
ESTIMATED
378.WHOLESALE
CORNELL SCOTT-HILL HEALTH
400-428 COLUMBUS AVENUE
NEW HAVEN, CT 06519
06-0870990 501C3
0.
ESTIMATED
23,857.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
88
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE,
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
CORPUS CHRISTI METRO MINISTRIES
1919 LEOPARD STREET
CORPUS CRISTI, TX 78408
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
74-2642761 501C3
0.
ESTIMATED
12,706.WHOLESALE PRICE
COSSMA, INC-CIDRA
AVE. EL JIBARO, CARR 172 KM. 13.5
CIDRA, PR 00739-1330
66-0434923 501C3
0.
ESTIMATED
21,151.WHOLESALE PRICE
COVENANT COMMUNITY CARE
559 WEST GRAND BLVD
DETROIT, MI 48216
38-3533998 501C3
0.
ESTIMATED
86,865.WHOLESALE PRICE
COVENANT HOUSE HEALTH SERVICES
251 E BRINGHURST ST
PHILADELPHIA, PA 19144-1719
23-6405863 501C3
0.
ESTIMATED
2,203.WHOLESALE PRICE
COWLITZ FREE MEDICAL CLINIC
1952 9TH AVENUE
LONGVIEW, WA 98632
91-2016542 501C3
0.
ESTIMATED
2,135.WHOLESALE PRICE
CRAIG COUNTY HEALTH CENTER
226 MARKET STREET
NEW CASTLE, VA 24127
56-2569389 501C3
0.
ESTIMATED
18,782.WHOLESALE PRICE
CRISIS CONTROL MINISTRY
200 E. TENTH STREET
WINSTON SALEM, NC 27101
23-7348168 501C3
0.
ESTIMATED
17,188.WHOLESALE PRICE
CRISIS MINISTRIES
573 MEETING STREET
CHARLESTON, SC 29403
57-0789483 501C3
0.
ESTIMATED
26,735.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
89
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
CROSS ROAD MEDICAL CENTER
MILE 187 GLENN HWY
GLENNALLEN, AK 99588
92-0126047 501C3
0.
ESTIMATED
25,254.WHOLESALE PRICE
CROSS TIMBERS HEALTH CLINICS
1100 REYNOSA
DELEON, TX 76444
75-2113670 501C3
0.
ESTIMATED
271,797.WHOLESALE PRICE
CROSSROAD HEALTH CENTER
5 E. LIBERTY STREET
CINCINNATI, OH 45202
31-1321054 501C3
0.
ESTIMATED
646.WHOLESALE PRICE
CROSSROADS MEDICAL MISSION
1032 MAR WALT DRIVE, STE. 240
FT. WALTON BEACH, FL 32548
20-5518720 501C3
0.
ESTIMATED
4,821.WHOLESALE PRICE
CROSSROADS MEDICAL MISSION
300 W. VALLEY DRIVE
BRISTOL, VA 24201
54-2038877 501C3
0.
ESTIMATED
3,525.WHOLESALE PRICE
CROWLEY HOUSE OF HOPE CLINIC
208 N MAGNOLIA
CROWLEY, TX 76036
75-2625043 501C3
0.
ESTIMATED
5,993.WHOLESALE PRICE
CRUDEM FOUNDATION
362 SEWALL STREET
LUDLOW, MA 01056
43-1660199 501C3
0.
CURTIS V. COOPER PRIMARY HEALTH
106 E BROAD ST
SAVANNAH, GA 31401-2917
58-1136296 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
90
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
PURCHASED PRICE,
ESTIMATED
PHARMACEUTICALS, HAITI EARTHQUAKE
607,103.WHOLESALE PRICE MEDICAL SUPPLIES EMERGENCY RELIEF
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
10,094.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
CUSTER COUNTY
210 SOUTH WINCHESTER AVENUE, #136
MILES CITY, MT 59301
76-0728527 501C3
0.
ESTIMATED
10,155.WHOLESALE
DAMIAN FAMILY CARE CENTERS
137-50 JAMAICA AVENUE
JAMAICA, NY 11435
22-3433831 501C3
0.
ESTIMATED
27,254.WHOLESALE
DAUGHTERS OF CHARITY - CARROLLTON
3201 S. CARROLLTON AVENUE
NEW ORLEANS, LA 70118
72-1332678 501C3
0.
ESTIMATED
4,155.WHOLESALE
DAUGHTERS OF CHARITY - METAIRIE
111 N. CAUSEWAY BLVD
METAIRIE, LA 70001
72-1332678 501C3
0.
ESTIMATED
2,520.WHOLESALE
DAVID RAINES COMMUNITY HEALTH
CENTE - 1625 DAVID RAINES ROAD SHREVEPORT, LA 71107
58-2000630 501C3
0.
ESTIMATED
30,453.WHOLESALE
DAVIDSON MEDICAL MINISTRIES CLINIC
420 N. SALISBURY STREET
LEXINGTON, NC 27292
56-1746266 501C3
0.
ESTIMATED
149,935.WHOLESALE
DECORAH COMMUNITY FREE CLINIC
604 W. BROADWAY STREET
DECORAH, IA 52101
0.
ESTIMATED
3,313.WHOLESALE
0.
PURCHASED
ESTIMATED
83,284.WHOLESALE
20-1081005 501C3
DEL NORTE COMMUNITY HEALTH CENTER
550 E. WASHINGTON STREET, STE. 100
CRESCENT CITY, CA 95531
95-2671433 501C3
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
91
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
DENVER COMMUNITY HEALTH SERVICES
301 WEST 6TH AVENUE
DENVER, CO 80204
74-2480484 501C3
0.
ESTIMATED
4,276.WHOLESALE
DESERT SENTIA COMMUNITY HEALTH
410 MALACATE STREET
AJO, AZ 85321
86-0871311 501C3
0.
ESTIMATED
490.WHOLESALE
DETROIT HEALTH CARE FOR HOMELESS
20548 FENKELL STREET
DETROIT, MI 48223
38-2724796 501C3
0.
ESTIMATED
65,053.WHOLESALE
D'IBERVILLE FREE CLINIC
3409 BIG RIDGE ROAD
D'IBERVILLE, MS 39540
20-5231033 501C3
0.
PURCHASED
ESTIMATED
302,535.WHOLESALE
DIMOCK COMMUNITY HEALTH CENTER
55 DIMOCK STREET
ROXBURY, MA 02119
04-3487835 501C3
0.
ESTIMATED
48,432.WHOLESALE
DIRNE COMMUNITY HEALTH CENTER
1800 LINCOLN WAY #202
COEUR D'ALENE, ID 83814
94-3036820 501C3
0.
ESTIMATED
468.WHOLESALE
DISPENSARY OF HOPE
566 MAINSTREAM DRIVE
NASHVILLE, TN 37228
58-1716804 501C3
0.
ESTIMATED
35,829.WHOLESALE
DIVERSITY HEALTH CENTER, INC.
1113 EAST OGLETHORPE HIGHWAY
HINESVILLE, GA 31313
20-5746618 501C3
0.
ESTIMATED
7,932.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
92
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
DOWNEAST COMMUNITY
RR 2
LUBEC, ME 04652-9802
01-0514750 501C3
0.
ESTIMATED
16,744.WHOLESALE
DOWNRIVER COMMUNITY SERVICES
555 ST. CLAIR RIVER DRIVE
ALGONAC, MI 48044
38-2080825 501C3
0.
ESTIMATED
18,417.WHOLESALE
DOWNTOWN CLINIC
611 SOUTH SECOND STREET
LARAMIE, WY 82070
83-0326354 501C3
0.
ESTIMATED
6,443.WHOLESALE
DR. GARABED A. FATTAL
425 ROBINSON STREET
BINGHAMTON, NY 13901
16-6053710 501C3
0.
ESTIMATED
7,811.WHOLESALE
71-0566251 501C3
0.
PURCHASED
ESTIMATED
11,355.WHOLESALE
EAST ARKANSAS FAMILY HEALTH CENTER
215 EAST BOND AVENUE
WEST MEMPHIS, AR 72301
23-7128104 501C3
0.
ESTIMATED
7,491.WHOLESALE
EAST BAY COMMUNITY ACTION PROGRAM
19 BROADWAY
NEWPORT, RI 02840
05-0310024 501C3
0.
ESTIMATED
27,142.WHOLESALE
EAST GEORGIA HEALTHCARE CENTER
316 NORTH MAIN STREET
SWAINSBORO, GA 30401
58-2001607 501C3
0.
ESTIMATED
9,290.WHOLESALE
EARTH MISSION INC
608 S HICO ST
SILOAM SPRINGS, AR 72761
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
93
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
EAST HARTFORD COMMUNITY HEALTHCARE
94 CONNECTICUT BLVD
EAST HARTFORD, CT 06108
06-1416492 501C3
0.
ESTIMATED
15,111.WHOLESALE PRICE
EAST TEXAS BORDER HEALTH CLINIC
401 N. GROVE STREET, STE. A
MARSHALL, TX 75670
03-0538912 501C3
0.
ESTIMATED
22,014.WHOLESALE PRICE
EAST TEXAS COMMUNITY HEALTH
SERVICE - 1401 S. UNIVERSITY DRIVE
- NACOGDOCHES, TX 75961
75-2184369 501C3
0.
ESTIMATED
1,008.WHOLESALE PRICE
EAST VALLEY COMMUNITY HEALTH
CENTER - 420 S. GLENDORA AVENUE WEST COVINA, CA 91790
23-7068586 501C3
0.
ESTIMATED
135,578.WHOLESALE PRICE
EASTSIDE FAMILY DENTAL CLINIC
923 N. MILPAS STREET
SANTA BARBARA, CA 93103
95-3161581 501C3
0.
ESTIMATED
698.WHOLESALE PRICE
EASTSIDE HEALTH CENTER
1970 UNIVERSITY AVENUE
RIVERSIDE, CA 92507
33-0056551 501C3
0.
ESTIMATED
11,544.WHOLESALE PRICE
EBENEZER MEDICAL OUTREACH
1448 10TH AVENUE, SUITE 100
HUNTINGTON, WV 25701
55-0745033 501C3
0.
ESTIMATED
26,045.WHOLESALE PRICE
EISNER PEDIATRIC & FAMILY MEDICAL C
1530 S. OLIVE STREET
LOS ANGELES, CA 90015
95-1690966 501C3
0.
ESTIMATED
12,352.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
94
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
EL CENTRO DE CORAZON
5001 NAVIGATION BLVD.
HOUSTON, TX 77011
76-0442781 501C3
0.
ESTIMATED
378.WHOLESALE
EL DORADO COUNTY
4327 GOLDEN CENTER DRIVE
PLACERVILLE, CA 95667
42-1533531 501C3
0.
ESTIMATED
10,282.WHOLESALE
EL PROYECTO DEL BARRIO
20800 SHERMAN WAY
WINNETKA, CA 91306
95-2662606 501C3
0.
ESTIMATED
130,068.WHOLESALE
EL PROYECTO DEL BARRIO
8902 WOODMAN AVENUE
ARLETA, CA 91331
95-2662606 501C3
0.
ESTIMATED
2,761.WHOLESALE
ERIE FAMILY HEALTH CENTER
1701 W. SUPERIOR
CHICAGO, IL 60622
36-3088628 501C3
0.
ESTIMATED
51,299.WHOLESALE
ESCAMBIA COMMUNITY CLINICS, INC
2200 NORTH PALAFOX STREET
PENSACOLA, FL 32501
59-3105246 501C3
0.
PURCHASED
ESTIMATED
10,055.WHOLESALE
ESSENTIAL HEALTH CLINIC
266 W. MAIN
HILLSBORO, OR 97123
38-3672046 501C3
0.
ESTIMATED
22,989.WHOLESALE
ETOWAH BAPTIST CHARITY PHARMACY
18901 E. ETOWAH ROAD
NOBLE, OK 73068
73-1637078 501C3
0.
ESTIMATED
26,771.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
95
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
ETOWAH FREE COMMUNITY CLINIC
423 SOUTH 3RD STREET
GADSDEN, AL 35901
63-0369768 501C3
0.
ESTIMATED
162,052.WHOLESALE PRICE
EXCELTH FAMILY HEALTH CENTER
4560 NORTH BLVD., STE. 108
BATON ROUGE, LA 70806
72-1193464 501C3
0.
ESTIMATED
81,757.WHOLESALE PRICE
EXCELTH, INC.
1515 POYDRAS STREET, STE. 1070
NEW ORLEANS, LA 70112
72-1193464 501C3
0.
ESTIMATED
120,543.WHOLESALE PRICE
FAIR HAVEN COMMUNITY HEALTH CENTER
374 GRAND AVENUE
NEW HAVEN, CT 06513
06-0883545 501C3
0.
ESTIMATED
28,733.WHOLESALE PRICE
FAIRFAX MEDICAL FACILITIES, INC
212 NORTH MAIN STREET
FAIRFAX, OK 74637-3023
83-0410970 501C3
0.
ESTIMATED
43,848.WHOLESALE PRICE
FAITH CARE CLINIC
825 N. BELAIR ROAD
EVANS, GA 30809
13-4256432 501C3
0.
ESTIMATED
6,716.WHOLESALE PRICE
FAITH COMMUNITY PHARMACY
7033 BURLINGTON PIKE
FLORENCE, KY 41042
61-1378914 501C3
0.
ESTIMATED
7,894.WHOLESALE PRICE
FAMILIES FIRST
100 CAMPUS DRIVE, STE. 12
PORTSMOUTH, NH 03801
22-2757341 501C3
0.
ESTIMATED
99,930.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
96
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
FAMILY CARE HEALTH CENTER
401 HOLLY HILLS AVENUE
ST. LOUIS, MO 63111
23-7076112 501C3
0.
ESTIMATED
384,887.WHOLESALE PRICE
FAMILY CARE HEALTH CENTERS
4352 MANCHESTER AVENUE
ST LOUIS, MO 63110
23-7076112 501C3
0.
ESTIMATED
37,913.WHOLESALE PRICE
FAMILY CHRISTIAN HEALTH CENTER
31 WEST 155TH STREET
HARVEY, IL 60473
36-4346917 501C3
0.
ESTIMATED
14,853.WHOLESALE PRICE
FAMILY HEALTH - LA CLINICA
400 S. TOWNLINE ROAD
WAUTOMA, WI 54982
39-1181480 501C3
0.
ESTIMATED
764.WHOLESALE PRICE
FAMILY HEALTH CARE - BALDWIN
1615 MICHIGAN AVE
BALDWIN, MI 49304-7984
38-2053619 501C3
0.
ESTIMATED
5,301.WHOLESALE PRICE
FAMILY HEALTH CARE OF NORTHWEST
OHI - 140 FOX ROAD - VAN WERT, OH
45891
34-1977316 501C3
0.
ESTIMATED
36,710.WHOLESALE PRICE
FAMILY HEALTH CENTER
117 SOUTH 11TH AVENUE
LAUREL, MS 39440
64-0732896 501C3
0.
ESTIMATED
9,284.WHOLESALE PRICE
FAMILY HEALTH CENTER OF CLARK
1319 DUNCAN AVENUE
JEFFERSONVILLE, IN 47130
35-1842342 501C3
0.
ESTIMATED
12,773.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
97
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
FAMILY HEALTH CENTER OF WORCESTER
26 QUEEN STREET
WORCESTER, MA 01610
04-2485308 501C3
0.
ESTIMATED
1,024.WHOLESALE
FAMILY HEALTH CENTERS
2256 HEITMAN STREET
FORT MYERS, FL 33901
59-1741273 501C3
0.
ESTIMATED
12,170.WHOLESALE
FAMILY HEALTH CENTERS
525 W. JAY AVENUE
BREWSTER, WA 98812
91-1275011 501C3
0.
ESTIMATED
26,225.WHOLESALE
FAMILY HEALTH CENTERS OF BALTIMORE
631 CHERRY HILL ROAD
BALTIMORE, MD 21225
52-1118424 501C3
0.
ESTIMATED
1,666.WHOLESALE
FAMILY HEALTH CLINIC OF CARROLL
901 PRINCE WILLIAM ROAD, SUITE A
DELPHI, IN 46923
0.
ESTIMATED
58,720.WHOLESALE
26-1553382 501C3
FAMILY HEALTH INTERNATIONAL
2224 E NC HWY 54
DURHAM, NC 27713
23-7413005 501C3
0.
PURCHASED
ESTIMATED
19,950.WHOLESALE
FAMILY HEALTH PARTNERSHIP CLINIC
13707 WEST JACKSON STREET
WOODSTOCK, IL 60098
36-4277029 501C3
0.
ESTIMATED
163,983.WHOLESALE
FAMILY HEALTHCARE
1049 WESTERN AVENUE
CHILLICOTHE, OH 45601
31-1155352 501C3
0.
ESTIMATED
30,323.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
98
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
FAMILY HEALTHCARE CENTER
306 4TH STREET NORTH
FARGO, ND 58102
45-0430628 501C3
0.
ESTIMATED
546.WHOLESALE
FAMILY HEALTHCARE NETWORK
1107 W. POPLAR AVENUE
PORTERVILLE, CA 93257
94-2525145 501C3
0.
ESTIMATED
421.WHOLESALE
FAMILY MEDICAL CENTER
1300 CREASON ROAD
CORNING, AR 72422
71-0715998 501C3
0.
ESTIMATED
17,085.WHOLESALE
0.
PURCHASED
ESTIMATED
40,782.WHOLESALE
FAMILY ORIENTED PRIMARY HEALTH
CARE - 251 N. BAYOU STREET MOBILE, AL 36603
63-6001641 501C3
FAMILY SERVICE AGENCY OF SB
123 W. GUTIERREZ ST.
SANTA BARBARA, CA 93101
95-1644031 501C3
0.
PURCHASED
ESTIMATED
41,983.WHOLESALE
FEEDING AMERICA SAN DIEGO
9151 REHCO ROAD, SUITE B
SAN DIEGO, CA 92121
26-0457477 501C3
0.
ESTIMATED
178,546.WHOLESALE
FINGER LAKES MIGRANT
601B WASHINGTON ST
GENEVA, NY 14456
16-1581104 501C3
0.
ESTIMATED
2,411.WHOLESALE
FIRST BAPTIST MEDICAL/DENTAL
1607 CHERRY STREET
VICKSBURG, MS 39181
32-0134506 501C3
0.
ESTIMATED
1,001.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
99
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
FIRST CHOICE COMMUNITY HEALTHCARE
2001 N. CENTRO FAMILIAR SW
ALBUQUERQUE, NM 87105
85-0224409 501C3
0.
ESTIMATED
3,947.WHOLESALE PRICE
FIRST CHOICE PRIMARY CARE
770 WALNUT STREET
MACON, GA 31201
20-4391090 501C3
0.
ESTIMATED
88,597.WHOLESALE PRICE
FIRST NATIONS COMMUNITY
5608 ZUNI SE
ALBUQUERQUE, NM 87108
85-0336893 501C3
0.
ESTIMATED
116,086.WHOLESALE PRICE
FLATHEAD COMMUNITY HEALTH CENTER
1035 1ST AVENUE WEST
KALISPELL, MT 59901
81-6001361 501C3
0.
ESTIMATED
1,092.WHOLESALE PRICE
FLINT HILLS COMMUNITY CLINIC
401 HOUSTON ST.
MANHATTAN, KS 66502
20-2306015 501C3
0.
ESTIMATED
13,437.WHOLESALE PRICE
FLORIDA COMMUNITY HEALTH CENTERS
4450 SOUTH TIFFANY DRIVE
WEST PALM BEACH, FL 33407
65-0333637 501C3
0.
ESTIMATED
214,776.WHOLESALE PRICE
FOOD BANK OF THE ROCKIES
10700 EAST 45TH AVENUE
DENVER, CO 80239
84-0772672 501C3
0.
ESTIMATED
284,087.WHOLESALE PRICE
FOOD FOR THE POOR
6401 LYONS ROAD
COCONUT CREEK, FL 33073
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
59-2174510 501C3
0.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
100
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
PURCHASED PRICE, PHARMACEUTICALS,
ESTIMATED
MEDICAL SUPPLIES HAITI EARTHQUAKE
8,701,852.WHOLESALE PRICE AND EQUIPMENT
EMERGENCY RELIEF
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
FOOD SHARE INC.
4156 SOUTHBANK RD.
OXNARD, CA 93036-1002
77-0018162 501C3
0.
ESTIMATED
2,730.WHOLESALE
FOODBANK OF SOUTHERN CALIFORNIA
1444 SAN FRANCISCO AVENUE
LONG BEACH, CA 90813
95-3557056 501C3
0.
ESTIMATED
325,900.WHOLESALE
0.
PURCHASED
ESTIMATED
32,706.WHOLESALE
501C3
0.
PURCHASED
ESTIMATED
16,294.WHOLESALE
FOUR CORNERS PRIMARY CARE CENTER
5030 GEORGIA BELLE COURT
NORCROSS, GA 30093
20-5870972 501C3
0.
ESTIMATED
10,575.WHOLESALE
FOX CITIES COMMUNITY CLINIC
1814 N. APPLETON ROAD
MENASHA, WI 54952
20-2090446 501C3
0.
ESTIMATED
45,252.WHOLESALE
FRANKLIN C FETTER FAMILY HEALTH
CEN - 51 NASSAU STREET CHARLESTON, SC 29403
57-0604703 501C3
0.
ESTIMATED
91,663.WHOLESALE
0.
PURCHASED
ESTIMATED
20,066.WHOLESALE
FORT BEND FAMILY HEALTH CENTER
400 AUSTIN STREET
RICHMOND, TX 77469
FORT THOMPSON INDIAN
FORT THOMPSON IHS HEALTH CENTER
FORT THOMPSON, SD 57339
74-1951476 501C3
FRANKLIN PRIMARY HEALTH CENTER
1303 DR. MARTIN LUTHER KING JR. AVE
MOBILE, AL 36603
63-0695975 501C3
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
101
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
FREDERICKSBURG COMMUNITY
140 INDUSTRIAL LOOP, STE 100
FREDERICKSBURG, TX 78624
91-2129853 501C3
0.
ESTIMATED
38,337.WHOLESALE PRICE
FREE CLINIC OF CULPEPER
610 LAUREL STREET
CULPEPER, VA 22701
52-1366700 501C3
0.
ESTIMATED
10,845.WHOLESALE PRICE
FREE CLINIC OF GOOCHLAND
1800 SANDY HOOK ROAD, STE. 120
GOOCHLAND, VA 23063
20-2533136 501C3
0.
ESTIMATED
1,677.WHOLESALE PRICE
FREE CLINIC OF SHERIDAN COUNTY
1428 WEST 5TH STREET
SHERIDAN, WY 82801
20-1389307 501C3
0.
ESTIMATED
3,049.WHOLESALE PRICE
FREE CLINIC OF SIMI VALLEY
2060 TAPO STREET
SIMI VALLEY, CA 93063
23-7108154 501C3
0.
ESTIMATED
2,637.WHOLESALE PRICE
FREE CLINIC OF SW WASHINGTON
4100 PLOMONDON STREET
VANCOUVER, WA 98661
91-1707542 501C3
0.
ESTIMATED
95,535.WHOLESALE PRICE
FREE CLINICS OF HENDERSON COUNTY
841 CASE STREET
HENDERSONVILLE, NC 28792
56-2212024 501C3
0.
ESTIMATED
8,973.WHOLESALE PRICE
FREE MEDICAL CLINIC OF DARLINGTON C
203 GROVE STREET
DARLINGTON, SC 29532
58-2445265 501C3
0.
ESTIMATED
52,273.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
102
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL
FOR LOW-INCOME, UNINSURED
EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
FREE MEDICAL CLINIC OF DUBOIS
47 WEST LONG AVENUE
DUBOIS, PA 15801
25-1804763 501C3
0.
ESTIMATED
12,556.WHOLESALE PRICE
FREE MEDICAL CLINIC OF GREATER
CLEV - 12201 EUCLID AVENUE CLEVELAND, OH 44106
23-7078501 501C3
0.
ESTIMATED
63,212.WHOLESALE PRICE
FREE MEDICAL CLINIC OF THE OZARKS
118 N. THIRD STREET
BRANSON, MO 65616
73-1524435 501C3
0.
ESTIMATED
220.WHOLESALE PRICE
FRIENDS OF CHILDREN HEALTH CENTER
501 S. IDAHO STREET, #190
LA HABRA, CA 90631
33-0483197 501C3
0.
ESTIMATED
45,165.WHOLESALE PRICE
G. A. CARMICHAEL FAMILY HEALTH
CENTER - 1668 WEST PEACE STREET CANTON, MS 39046-0588
64-0580940 501C3
0.
ESTIMATED
299,030.WHOLESALE PRICE
GALVESTON COUNTY
2000 TEXAS AVENUE, SUITE 200
TEXAS CITY, TX 77590
76-0619014 501C3
0.
ESTIMATED
38,223.WHOLESALE PRICE
GARY COMMUNITY HEALTH CENTER
1021 W. FIFTH AVENUE
GARY, IN 46402
35-2048141 501C3
0.
ESTIMATED
37,014.WHOLESALE PRICE
GASTON FAMILY HEALTH SERVICES
991 W. HUDSON BLVD
GASTONIA, NC 28052
58-1958398 501C3
0.
ESTIMATED
46,512.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
103
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
GATEWAY COMMUNITY HEALTH CENTER
1515 PAPPAS
LAREDO, TX 78041
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
74-2553409 501C3
0.
ESTIMATED
3,135.WHOLESALE PRICE
GATEWAY FREE CLINIC
C/O VICTORY CENTER, 505 9TH AVENUE
CLINTON, IA 52732
42-1295127 501C3
0.
ESTIMATED
13,442.WHOLESALE PRICE
GATEWAY HEALTH CLINIC
310 E CHARLES STREET
MUNCIE, IN 47305
35-1327507 501C3
0.
ESTIMATED
38,050.WHOLESALE PRICE
GENERATIONS FAMILY HEALTH CENTER
1315 MAIN STREET
WILLIMANTIC, CT 06266
22-3158253 501C3
0.
ESTIMATED
8,642.WHOLESALE PRICE
GEORGIA HIGHLANDS MEDICAL SERVICES
260 ELM STREET
CUMMING, GA 30040
58-1338038 501C3
0.
ESTIMATED
16,744.WHOLESALE PRICE
GEORGIA MOUNTAINS HEALTH SERVICES
526 MADDOX DRIVE SUITE 101
ELLIJAY, GA 30540
58-1649042 501C3
0.
ESTIMATED
27,114.WHOLESALE PRICE
GEORGIA MOUNTAINS HEALTH SERVICES
75 BYPASS ROAD
MORGANTON, GA 30560
58-1649042 501C3
0.
ESTIMATED
158,728.WHOLESALE PRICE
GIVING CHILDREN HOPE
8332 COMMONWEALTH AVENUE
BUENA PARK, CA 90621
95-3464287 501C3
0.
ESTIMATED
3,875.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
104
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
MEDICAL
FOR LOW-INCOME, UNINSURED
EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
GLACIER COMMUNITY HEALTH CENTER
519 E. MAIN STREET
CUT BANK, MT 59427
GLENDALE COMMUNITY FREE HEALTH
CLIN - 134 N. KENWOOD STREET GLENDALE, CA 91206
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
77-0597067 501C3
87-0732581 501C3
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
0.
ESTIMATED
5,806.WHOLESALE
0.
PURCHASED
ESTIMATED
47,305.WHOLESALE
GLENS FALLS MEDICAL MISSIONARY
PO BOX 627
GLENS FALLS, NY 12801
14-1796439 501C3
0.
PURCHASED
ESTIMATED
4,320.WHOLESALE
GLIDE HEALTH SERVICES
330 ELLIS STREET
SAN FRANCISCO, CA 94102
94-1156481 501C3
0.
ESTIMATED
2,938.WHOLESALE
GLOBAL HEALTH PARTNERS
113 UNIVERSITY PLACE, 8TH FLOOR
NEW YORK, NY 10003
06-1691248 501C3
0.
GLOBUS RELIEF
1775 WEST 1550 SOUTH
SALT LAKE CITY, UT 84104
84-1369453 OTHER
0.
GLOUCESTER-MATHEWS FREE CLINIC
2276 GEORGE WASH. MEM. HWY.
HAYES, VA 23072
54-1875619 501C3
0.
GOD SAVES CORPORATION
4701 YOWELL LN
MARSHALL, VA 20115
48-1308166 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
105
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
144,326.WHOLESALE PRICE PHARMACEUTICALS PATIENTS IN CUBA
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
12,000.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
1,158.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PURCHASED PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
120,542.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
GOLDEN VALLEY HEALTH CENTERS
737 W. CHILDS AVENUE
MERCED, CA 95341
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
94-2196086 501C3
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
0.
ESTIMATED
643,332.WHOLESALE
GOLETA UNION SCHOOL DISTRICT
7421 MIRANO DR
GOLETA, CA 93117
77-0068725 GOVT ENTITY
0.
PURCHASED
ESTIMATED
7,902.WHOLESALE
GOOD FAITH CLINIC
711 COOK DRIVE
ATHENS, TN 37303
62-1624210 501C3
0.
ESTIMATED
29,430.WHOLESALE
GOOD NEIGHBOR COMMUNITY HEALTH
CLIN - 2282 EAST 32ND AVENURE COLUMBUS, NE 68601
13-4249732 501C3
0.
ESTIMATED
996.WHOLESALE
GOOD NEIGHBOR HEALTHCARE CENTER
190 HEIGHTS BLVD
HOUSTON, TX 77007
74-1746576 501C3
0.
ESTIMATED
20,275.WHOLESALE
GOOD NEWS CLINICS
810 PINE STREET
GAINESVILLE, GA 30501
58-2058853 501C3
0.
ESTIMATED
10,309.WHOLESALE
GOOD SAMARITAN
175 SAMARITAN DRIVE
JASPER, GA 30143
58-2576315 501C3
0.
ESTIMATED
16,222.WHOLESALE
GOOD SAMARITAN CARE CLINIC
501 WEST US HIGHWAY 60
MOUNTAINVIEW, MO 65548
56-2418664 501C3
0.
ESTIMATED
20,211.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
106
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
GOOD SAMARITAN CLINIC
418 GRAND PARK DRIVE, SUITE 311
PARKERSBURG, WV 26105
55-0708491 501C3
0.
ESTIMATED
3,966.WHOLESALE PRICE
GOOD SAMARITAN CLINIC
615 NORTH B STREET
FORT SMITH, AR 72901
71-0863639 501C3
0.
ESTIMATED
9,263.WHOLESALE PRICE
GOOD SAMARITAN CLINIC OF JACKSON
CO - 538 SCOTTS CREEK ROAD SYLVA, NC 28779
56-2266536 501C3
0.
ESTIMATED
892.WHOLESALE PRICE
GOOD SAMARITAN HEALTH CLINIC
312 WEST NEW YORK AVENUE
DELAND, FL 32720
30-0408193 501C3
0.
ESTIMATED
10,115.WHOLESALE PRICE
GOOD SAMARITAN HEALTH CLINIC
401 ARNOLD STREET NE, SUITE A
CULLMAN, AL 35055
20-0149215 501C3
0.
ESTIMATED
9,745.WHOLESALE PRICE
GOOD SAMARITAN HEALTH CLINIC
5334 ASPEN STREET
NEW PORT RICHEY, FL 34652
59-3072334 501C3
0.
ESTIMATED
7,586.WHOLESALE PRICE
GOOD SAMARITIAN HEALTH SERVICES
7600 SOUTH LEWIS AVE
TULSA, OK 74136
73-1559561 501C3
0.
ESTIMATED
83,925.WHOLESALE PRICE
GOOD SHEPHERD FREE MEDICAL CLINIC
245 HUMAN SERVICES ROAD
CLINTON, SC 29325
57-0996466 501C3
0.
ESTIMATED
12,738.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
107
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
GOOD SHEPHERD FREE MEDICAL CLINIC
307 NORTH BROAD STREET
CLINTON, SC 29325
57-0996466 501C3
0.
ESTIMATED
31,843.WHOLESALE PRICE
GRACE CLINIC
3180 W. CLEARWATER AVE.
KENNEWICK, WA 99336
77-0592408 501C3
0.
ESTIMATED
21,218.WHOLESALE PRICE
GRACE HILL NEIGHBORHOOD HEALTH
100 N TUCKER BLVD, SUITE 1100
ST. LOUIS, MO 63101
43-0817642 501C3
0.
ESTIMATED
32,671.WHOLESALE PRICE
GRACE MEDICAL CLINIC
211 SOUTH 8TH STREET
MAYFIELD, KY 42066
61-1351519 501C3
0.
ESTIMATED
36,591.WHOLESALE PRICE
GRACE OUTREACH TO HEALTH
610 SHADY BROOK DRIVE
GRAPEVINE, TX 76099
75-2195702 501C3
0.
ESTIMATED
16,137.WHOLESALE PRICE
GRACE UNITED METHODIST CHURCH
4105 JUNIUS STREET
DALLAS, TX 75246
14-1847977 501C3
0.
ESTIMATED
90,667.WHOLESALE PRICE
GRAND PRAIRIE CHARITABLE
115 N. ADAMS STREET
DEWITT, AR 72042
71-0851962 501C3
0.
ESTIMATED
14,075.WHOLESALE PRICE
GRAND PRAIRIE WELLNESS CENTER
1710 SMALL STREET
GRAND PRAIRIE, TX 75050
75-2877107 501C3
0.
ESTIMATED
2,756.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
108
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
GRANT PARK CLINIC
1340 BOULEVARD SE
ATLANTA, GA 30315
58-1577640 501C3
0.
ESTIMATED
182,859.WHOLESALE PRICE
GREAT BROOK VALLEY HEALTH CENTER
19 TACOMA STREET
WORCESTER, MA 01605
04-2513817 501C3
0.
ESTIMATED
7,932.WHOLESALE PRICE
GREAT RIVER CHARITABLE CLINIC
33 ARKANSAS STREET
BLYTHEVILLE, AR 72315
26-1092673 501C3
0.
ESTIMATED
15,630.WHOLESALE PRICE
GREAT SALT PLAINS HEALTH CENTER
400 S. OHIO
CHEROKEE, OK 73728
20-8787477 501C3
0.
ESTIMATED
25,992.WHOLESALE PRICE
GREATER BADEN MEDICAL SERVICES
9440 PENNSYLVANIA AVENUE
UPPER MARLBORO, MD 20772
52-0961414 501C3
0.
ESTIMATED
225,682.WHOLESALE PRICE
GREATER GREENWOOD UNITED MINISTRY
1404 EDGEFIELD STREET
GREENWOOD, SC 29646
57-1012393 501C3
0.
ESTIMATED
20,702.WHOLESALE PRICE
GREATER HICKORY COOPERATIVE
31 1ST AVENUE SE
HICKORY, NC 28602
56-0934855 501C3
0.
ESTIMATED
42,746.WHOLESALE PRICE
GREATER KILLEEN FREE CLINIC
309 N. SECOND STREET
KILLEEN, TX 76541
74-2724725 501C3
0.
ESTIMATED
13,689.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
109
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
GREATER PRINCE WILLIAM
4379 RIDGEWOOD CENTER DRIVE
WOODBRIDGE, VA 22192
83-0435138 501C3
0.
ESTIMATED
25,874.WHOLESALE PRICE
GREATER SIOUX COMMUNITY
338 1ST AVENUE NW
SIOUX CENTER, IA 51250
20-5896415 501C3
0.
ESTIMATED
2,697.WHOLESALE PRICE
GREATER TEXOMA HEALTH CLINIC
900 N. ARMSTRONG
DENISON, TX 75020
81-0584983 501C3
0.
ESTIMATED
127,741.WHOLESALE PRICE
GREEN CENTRAL COMMUNITY CLINIC
324 EAST 35TH STREET
MINNEAPOLIS, MN 55408
23-7113799 501C3
0.
ESTIMATED
640.WHOLESALE PRICE
GREEN RIVER MEDICAL CENTER
585 W. MAIN
GREEN RIVER, UT 84525
87-0409346 501C3
0.
ESTIMATED
20,454.WHOLESALE PRICE
GREENVILLE COMMUNITY HEALTH CENTER
4311 WESLEY STREET
GREENVILLE, TX 75401
75-1528614 501C3
0.
ESTIMATED
20,431.WHOLESALE PRICE
GREENVILLE FREE MEDICAL CLINIC
600 ARLINGTON AVENUE
GREENVILLE, SC 29601
57-0855205 501C3
0.
ESTIMATED
81,842.WHOLESALE PRICE
GRINNELL REGIONAL COMMUNITY
306 4TH AVENUE
GRINNELL, IA 50112
42-0933383 501C3
0.
ESTIMATED
881.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
110
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
GUADALUPE CLINIC
940 S. ST. FRANCIS
WICHITA, KS 67211
GUADALUPE HEALTH CENTER
310 N. EYE STREET
HARLINGEN, TX 78550
GUADALUPE SENIOR CENTER
4545 TENTH STREET
GUADALUPE, CA 93434
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
20-1285208 501C3
20-3463338 501C3
23-7440070 501C3
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
0.
ESTIMATED
71,723.WHOLESALE
0.
PURCHASED
ESTIMATED
62,075.WHOLESALE
0.
PURCHASED
ESTIMATED
4,030.WHOLESALE
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PRICE,
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
GUADALUPE UNION SCHOOL
4465 NINTH STREET
GUADALUPE, CA 93434
95-6000940 501C3
0.
PURCHASED
ESTIMATED
5,748.WHOLESALE
GULF COAST COMMUNITY MINISTRIES
3914 15TH STREET
GULFPORT, MS 39501
30-0225661 501C3
0.
ESTIMATED
18,322.WHOLESALE
GULF COAST HEALTH CENTER
2548 MEMORIAL BLVD.
PORT ARTHUR, TX 77640
76-0289927 501C3
0.
ESTIMATED
378.WHOLESALE
GULF COAST PATIENT WELLNESS
3890 BIENVILLE BLVD
OCEAN SPRINGS, MS 39564
64-0886153 501C3
0.
ESTIMATED
122,336.WHOLESALE
0.
PURCHASED PRICE, PHARMACEUTICALS, SUPPORT HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
783,097.WHOLESALE PRICE AND EQUIPMENT
PATIENTS IN GUYANA
GUYANA MEDICAL RELIEF INC.
P. O. BOX 451745
LOS ANGELES, CA 90045
LHA
95-4192121 501C3
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
111
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
H STREET CLINIC
1329 NORTH H STREET
SAN BERNARDINO, CA 92405
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
20-8191393 501C3
0.
HAIGHT ASHBURY FREE MEDICAL CLINIC
558 CLAYTON STREET
SAN FRANCISCO, CA 94117
94-6129071 501C3
0.
HAITI NURSING FOUNDATION
P. O. BOX 3008
ANN ARBOR, MI 48106-3008
26-0107365 501C3
0.
HAITIAN HEALTH AND
2320 NW 102ND PL
MIAMI, FL 33172
65-0627901 501C3
0.
HALLER LAKE CHRISTIAN HEALTH
CLINIC - 2150 N. 122ND STREET SEATTLE, WA 98133
33-1052418 501C3
0.
HAMILTON HEALTH CENTER
1821 FULTON STREET
HARRISBURG, PA 17102
23-1858363 501C3
0.
HANCOCK MEDICAL CENTER
149 DRINKWATER BLVD.
BAY ST. LOUIS, MS 39520
64-6011263 501C3
0.
HANNIBAL FREE CLINIC
711 GRAND AVENUE
HANNIBAL, MO 63401
14-1979983 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
112
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
84,866.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
8,723.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
PURCHASED PRICE,
ESTIMATED
PHARMACEUTICALS, HAITI EARTHQUAKE
741,430.WHOLESALE PRICE MEDICAL SUPPLIES EMERGENCY RELIEF
PURCHASED PRICE, PHARMACEUTICALS,
ESTIMATED
MEDICAL SUPPLIES HAITI EARTHQUAKE
239,745.WHOLESALE PRICE AND EQUIPMENT
EMERGENCY RELIEF
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
1,102.WHOLESALE PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
70,376.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
378.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
7,292.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
HARBOR COMMUNITY CLINIC
593 WEST 6TH STREET
SAN PEDRO, CA 90731
23-7103245 501C3
0.
ESTIMATED
33,670.WHOLESALE PRICE
HARDEMAN COUNTY
629 NUCKOLLS ROAD
BOLIVAR, TN 38008
58-1995646 501C3
0.
ESTIMATED
958.WHOLESALE PRICE
HARMONY HEALTH CLINIC
201 EAST ROOSEVELT ROAD
LITTLE ROCK, AR 72206
20-5691313 501C3
0.
ESTIMATED
25,632.WHOLESALE PRICE
HEALING HANDS MINISTRIES
7475 SKILLMAN, SUITE 103B
DALLAS, TX 75231
65-1259379 501C3
0.
ESTIMATED
17,306.WHOLESALE PRICE
HEALTH ACCESS WASHOE COUNTY
1055 S. WELLS AVENUE
RENO, NV 89502
88-0293149 501C3
0.
ESTIMATED
10,444.WHOLESALE PRICE
HEALTH ACCESS, INCORPORATED
489 WASHINGTON AVENUE
CLARKSBURG, WV 26301
55-0715066 501C3
0.
ESTIMATED
13,077.WHOLESALE PRICE
HEALTH ALLIANCE FOR THE UNINSURED
313 NE 50TH, SUITE 2
OKLAHOMA CITY, OK 73105
26-1789292 501C3
0.
ESTIMATED
56,868.WHOLESALE PRICE
HEALTH AND WELLNESS CENTER
1505 E. MAIN, SUITE A
STIGLER, OK 74462
20-0368759 501C3
0.
ESTIMATED
290,581.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
113
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
HEALTH CARE FOR THE HOMELESS
421 FALLSWAY
BALTIMORE, MD 21202
52-1576404 501C3
0.
ESTIMATED
12,320.WHOLESALE
HEALTH CARE FOR THE HOMELESS
711 W. CAPITOL DRIVE
MILWAUKEE, WI 53212
39-1353282 501C3
0.
ESTIMATED
72,752.WHOLESALE
HEALTH CARE NETWORK
904 STATE STREET
RACINE, WI 53404
42-1299913 501C3
0.
ESTIMATED
6,581.WHOLESALE
HEALTH CENTER OF SOUTHEAST TEXAS
401 E. CROCKETT STREET
CLEVELAND, TX 77327
56-2508501 501C3
0.
ESTIMATED
15,253.WHOLESALE
HEALTH FOR ALL
1328 A MEMORIAL DRIVE
BRYAN, TX 77802
74-2624477 501C3
0.
ESTIMATED
26,292.WHOLESALE
HEALTH FRONTIERS
44500 66TH AVENUE WAY
KENYON, MN 55946
34-1694322 501C3
0.
PURCHASED
ESTIMATED
22,282.WHOLESALE
HEALTH HELP (WHITE HOUSE CLINICS)
1010 MAIN STREET SOUTH
MCKEE, KY 40447
61-0843731 501C3
0.
ESTIMATED
18,885.WHOLESALE
HEALTH INTERVENTION SERVICES
15 ANDRE SE
GRAND RAPIDS, MI 49507
38-3273825 501C3
0.
ESTIMATED
7,544.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
114
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
HEALTH PARTNERS
3070 CRAIN HIGHWAY #101
WALDORF, MD 20601
52-1767044 501C3
0.
ESTIMATED
27,089.WHOLESALE PRICE
HEALTH PARTNERS FREE CLINIC
1300 NORTH COUNTY ROAD 25A
TROY, OH 45373
31-1596731 501C3
0.
ESTIMATED
2,316.WHOLESALE PRICE
HEALTH PROMOTION CENTER
4101 UNIVERSITY AVENUE
SAN DIEGO, CA 92105
95-3948691 501C3
0.
ESTIMATED
378.WHOLESALE PRICE
HEALTH REACH
804 E PARK AVENUE, SUITE 110
LIBERTYVILLE, IL 60048
36-3816410 501C3
0.
ESTIMATED
4,101.WHOLESALE PRICE
HEALTH REACH COMMUNITY CLINIC
400 EAST STATESVILLE AVENUE
MOORESVILLE, NC 28115
20-1020941 501C3
0.
ESTIMATED
34,571.WHOLESALE PRICE
HEALTH SERVICES
3060 MOBILE HIGHWAY
MONTGOMERY, AL 36108
30-0092712 501C3
0.
ESTIMATED
378.WHOLESALE PRICE
HEALTH SERVICES FOR THE HOMELESS
271 CAREW STREET
SPRINGFIELD, MA 01104
04-3398280 501C3
0.
ESTIMATED
20,891.WHOLESALE PRICE
HEALTH WEST - LAVA CLINIC
85 SOUTH 5TH WEST
LAVA HOT SPRINGS, ID 83246
82-0324100 501C3
0.
ESTIMATED
61,322.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
115
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
HEALTHCARE CONNECTION, INC.
1401 STEFFEN AVENUE
CINCINNATI, OH 45236
31-0822524 501C3
0.
ESTIMATED
65,032.WHOLESALE
HEALTHCARE FOR THE HOMELESS
20 PORTLAND STREET
PORTLAND, ME 04101
01-6000032 501C3
0.
ESTIMATED
378.WHOLESALE
HEALTHCARE FOR THE HOMELESS
2222 SIMON BOLIVAR AVENUE
NEW ORLEANS, LA 70113
72-6000969 501C3
0.
PURCHASED
ESTIMATED
30,012.WHOLESALE
HEALTHCARE FOR THE HOMELESS
2505 FANNIN STREET, 2ND FLOOR
HOUSTON, TX 77002
76-0260403 501C3
0.
ESTIMATED
69,687.WHOLESALE
HEALTHFINDERS COLLABORATIVE
706 DIVISION STREET
NORTHFIELD, MN 55057
20-1805262 501C3
0.
ESTIMATED
8,088.WHOLESALE
HEALTHLINK MEDICAL CENTER
1775 STREET ROAD
SOUTHAMPTON, PA 18966
23-2998708 501C3
0.
ESTIMATED
3,903.WHOLESALE
HEALTHNET OF JANESVILLE
23 W MILWAUKEE STREET
JANESVILLE, WI, WI 53548
39-1778804 501C3
0.
ESTIMATED
7,966.WHOLESALE
HEALTHPOINT FAMILY CARE
601 WASHINGTON AVENUE SUITE 300
NEWPORT, KY 41071
61-0729915 501C3
0.
ESTIMATED
58,390.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
116
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
HEALTHPOINT KENT PHARMACY
403 E. MEEKER
KENT, WA 98030
91-0884412 501C3
0.
ESTIMATED
2,721.WHOLESALE
HEALTHSOURCE OF OHIO
5400 DUPONT CIRCLE, SUITE A
MILFORD, OH 45150
31-0884250 501C3
0.
ESTIMATED
11,310.WHOLESALE
HEALTHY HORIZONS
17008 HWY 87
BOONVILLE, MO 65233
26-4591572 501C3
0.
ESTIMATED
28,851.WHOLESALE
HEALTHY OPTIONS CLINIC
3620 EAST SUNNYBROOK LANE
WICHITA, KS 67210
48-1206863 501C3
0.
ESTIMATED
4,356.WHOLESALE
HEALTHY START SANTA MARIA
708 S. MILLER ST
SANTA MARIA, CA 93454
95-3144808 GOVT ENTITY
0.
PURCHASED
ESTIMATED
8,635.WHOLESALE
HEART CITY HEALTH CENTER
236 SIMPSON AVENUE
ELKHART, IN 46635
35-1875364 501C3
0.
ESTIMATED
3,258.WHOLESALE
HEART OF TEXAS COMMUNITY HEALTH
CEN - 1600 PROVIDENCE DRIVE WACO, TX 76707
74-2867580 501C3
0.
ESTIMATED
5,433.WHOLESALE
HEARTLAND COMMUNITY HEALTH CLINIC
1701 W. GARDEN STREET
PEORIA, IL 61605
37-1270794 501C3
0.
ESTIMATED
7,491.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
117
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
HEARTLAND HEALTH OUTREACH
1015 W. LAWRENCE AVENUE
CHICAGO, IL 60640
36-3775696 501C3
0.
ESTIMATED
160,067.WHOLESALE PRICE
HELPING HANDS CLINIC
810 HARPER AVENUE
LENOIR, NC 28645
56-2076541 501C3
0.
ESTIMATED
21,018.WHOLESALE PRICE
HELPING HANDS HEALTH CLINIC
102 NORTH MAIN STREET
ELKTON, KY 42220
61-1362057 501C3
0.
ESTIMATED
552.WHOLESALE PRICE
HENRIETTA JOHNSON MEDICAL CENTER
601 NEW CASTLE AVENUE
WILMINGTON, DE 19801
20-1336340 501C3
0.
ESTIMATED
1,152.WHOLESALE PRICE
HIGH PLAINS COMMUNITY HEALTH
CENTER - 201 KENDALL DRIVE LAMAR, CO 81052
84-1244224 501C3
0.
ESTIMATED
13,525.WHOLESALE PRICE
HIGHLAND MEDICAL CENTER
120 JACKSON RIVER ROAD
MONTEREY, VA 24465
54-1652356 501C3
0.
ESTIMATED
2,281.WHOLESALE PRICE
HILL COUNTRY HEALTH & WELLNESS
CENT - 29632 HWY 299E - ROUND
MOUNTAIN, CA, CA 96084
94-2831597 501C3
0.
ESTIMATED
206.WHOLESALE PRICE
HINDS HOSPICE
1616 WEST SHAW AVENUE, SUITE B-6
FRESNO, CA 93711
77-0071360 501C3
0.
ESTIMATED
4,296.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
118
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
HO`OLA LAHUI HAWAI`I
3501 RICE STREET, #209
LIHUE, HI 96766
99-0250542 501C3
0.
ESTIMATED
1,763.WHOLESALE PRICE
HOLY ROSARY INTERNATIONAL
1313 A STREET
ANTIOCH, CA 94531
33-1148398 501C3
0.
ESTIMATED
180,120.WHOLESALE PRICE
501C3
0.
ESTIMATED
17,060.WHOLESALE PRICE
HOPE CLINIC
7001 CORPORATE DRIVE, STE. 120
HOUSTON, TX 77036
31-1756818 501C3
0.
ESTIMATED
28,238.WHOLESALE PRICE
HOPE FAMILY CARE CENTER, INC
270 WEST JACKSON STREET
CICERO, IN 46034-0713
20-1687708 501C3
0.
ESTIMATED
2,582.WHOLESALE PRICE
HOMELESS HEALTH CARE CENTER
717 EAST 11TH STREET
CHATTANOOGA, TN 37403
HOPE FOR HAITI FOUNDATION
PO BOX 4794
CARY, NC 27513
56-2157424 501C3
0.
HOPE MISSION RELIEF FOUNDATION
717 EAST COMPTON BLVD
RANCHO DOMINGUEZ, CA 90220
95-4208946 501C3
0.
HOPE WORLDWIDE
353 WEST LANCASTER AVENUE
WAYNE, PA 19087
04-3129839 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
119
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT HEALTH CENTERS
FOR LOW-INCOME PATIENTS
IN
PHARMACEUTICALS HAITI,PHILIPINES,VIETNAM
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
PURCHASED PRICE, PHARMACEUTICALS,
ESTIMATED
MEDICAL SUPPLIES HAITI EARTHQUAKE
541,467.WHOLESALE PRICE AND EQUIPMENT
EMERGENCY RELIEF
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL
FOR LOW-INCOME, UNINSURED
8,000.WHOLESALE PRICE EQUIPMENT
PATIENTS
SUPPORT HLTH CTRS FOR
PURCHASED PRICE, PHARMACEUTICALS, LOW-INCOME PATIENTS IN
ESTIMATED
MEDICAL SUPPLIES INDIA, HONDURAS, IVORY
906,693.WHOLESALE PRICE AND EQUIPMENT
COAST
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
HOPKINS COUNTY COMMUNITY CLINIC
638 N. FRANKLIN STREET
MADISONVILLE, KY 42431
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
06-1710391 501C3
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
0.
ESTIMATED
122,415.WHOLESALE
HORISONS UNLIMITED HEALTHCARE
164 B STREET
LIVINGSTON, CA 95334
72-1532350 501C3
0.
PURCHASED
ESTIMATED
865,581.WHOLESALE
HORIZON HEALTH CARE, INC.
208 SOUTH MAIN STREET
HOWARD, SD 57321
46-0341255 501C3
0.
ESTIMATED
136,911.WHOLESALE
HORIZON HEALTH CENTER
714 BERGEN AVE # 714
JERSEY CITY, NJ 07306-4802
22-1831695 501C3
0.
ESTIMATED
24,235.WHOLESALE
HOT SPRINGS HEALTH PROGRAM
590 MEDICAL PARK DRIVE
MARSHALL, NC 28753
56-0986537 501C3
0.
ESTIMATED
21,798.WHOLESALE
HOUSTON COMMUNITY HEALTH CENTERS
424 HAHLO
HOUSTON, TX 77020
76-0622208 501C3
0.
ESTIMATED
7,402.WHOLESALE
HOUSTON VOLUNTEER MEDICAL CLINIC
125 RUSSELL PARKWAY
WARNER ROBINS, GA 31088
20-1859450 501C3
0.
ESTIMATED
2,033.WHOLESALE
HOWARD COUNTY CHRISTIAN CLINIC
100 S. MAIN STREET
NASHVILLE, AR 71852
20-5772465 501C3
0.
ESTIMATED
11,796.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
120
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
HUDSON RIVER HEALTHCARE
1200 BROWN STREET, 4TH FLOOR
PEEKSKILL, NY 10566
13-2828349 501C3
0.
ESTIMATED
29,523.WHOLESALE PRICE
HUNGER SOLUTIONS MINNESOTA
555 PARK STREET, SUITE 420
ST. PAUL, MN 55103
36-3567366 501C3
0.
ESTIMATED
215,081.WHOLESALE PRICE
INDIAN HEALTH CENTER
1333 MERIDIAN AVENUE
SAN JOSE, CA 95125
94-2476242 501C3
0.
ESTIMATED
2,617.WHOLESALE PRICE
INDIAN HEALTH COUNCIL
50100 GOLSH ROAD
VALLEY CENTER, CA 92082
95-2506788 501C3
0.
ESTIMATED
774.WHOLESALE PRICE
501C3
0.
ESTIMATED
18,360.WHOLESALE PRICE
INHEALTH COMMUNITY WELLNESS FREE
CL - 109 E. BLUFF STREET BOSCOBEL, WI 53805
33-1170597 501C3
0.
ESTIMATED
71,439.WHOLESALE PRICE
INLAND BEHAVIORAL
1963 NORTH E STREET
SAN BERNARDINO, CA 92405
95-3246624 501C3
0.
ESTIMATED
13,269.WHOLESALE PRICE
INLAND EMPIRE COMMUNITY HEALTH
CENT - 18601 VALLEY BLVD BLOOMINGTON, CA 92316
33-0261639 501C3
0.
ESTIMATED
6,122.WHOLESALE PRICE
INGHAM COUNTY HEALTH DEPARTMENT
5303 S. CEDAR STREET
LANSING, MI 48911
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
121
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
INNIS COMMUNITY HEALTH CENTER
6450 LA HIGHWAY 1
INNIS, LA 70747
72-1505179 501C3
0.
INTERFAITH CLINIC
514 WEST FAULKNER STREET
EL DORADO, AR 71730
71-0236863 501C3
0.
INTERIOR COMMUNITY HEALTH CENTER
1606 23RD AVENUE
FAIRBANKS, AK 99701
92-0147354 501C3
0.
INTERNATIONAL CHILD CARE
3506 LOVERS LANE
KALAMAZOO, MI 49001
INTERNATIONAL HUMANITIES CENTER
PO BOX 923
MALIBU, CA 90265
35-6059274 501C3
0.
35-6059274 501C3
0.
INTERNTIONAL MEDICAL ALLIANCE
107 JUDITH DR
KNOXVILLE, TN 37920
31-1724114 501C3
0.
IRVING INTERFAITH CLINIC
1711 W. IRVING BLVD., SUITE. 115
IRVING, TX 75061
04-3821796 501C3
0.
ISABEL COMMUNITY CLINIC
118 N. MAIN STREET
ISABEL, SD 57633
46-0348705 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
122
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
77,464.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
15,536.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
87,528.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
PURCHASED PRICE, PHARMACEUTICALS
ESTIMATED
AND MEDICAL
HAITI EARTHQUAKE
191,243.WHOLESALE PRICE EQUIPMENT
EMERGENCY RELIEF
PURCHASED PRICE, PHARMACEUTICALS, SUPPORT HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME PATIENTS
13,771.WHOLESALE PRICE AND EQUIPMENT
IN GUATAMAULA
SUPPORT HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME PATIENTS
396,482.WHOLESALE PRICE MEDICAL SUPPLIES IN KENYA
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
5,527.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
52,619.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
ISLA VISTA YOUTH PROJECTS
6842 PHELPS ROAD
GOLETA, CA 93117
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
95-3007419 501C3
0.
ISLANDS COMMUNITY MEDICAL SERVICES
15 MEDICAL CENTER LOOP
VINALHAVEN, ME 04863
01-6012835 501C3
0.
ITHACA FREE CLINIC
225 S. FULTON STREET
ITHACA, NY 14850
0.
90-0192978 501C3
J/P HAITIAN RELIEF ORGANIZATION
149 S. BARRINGTON AVENUE #364
LOS ANGELES, CA 90049
27-1703237 501C3
0.
JACKSON COUNTY FREE HEALTH CLINIC
300 NORTH OSAGE
INDEPENDENCE, MO 64050
43-1585126 501C3
0.
JC LEWIS HEALTH CENTER OF UNION
MIS - 125 FAHM STREET - SAVANNAH,
GA 31401
58-0827524 501C3
0.
JEANIE SCHMIDT FREE CLINIC
13525 DULLES TECHNOLOGY DRIVE
HERNDON, VA 20172
71-0877944 501C3
0.
JEFFERSON COMMUNITY HEALTH
4028 US HWY 90W
AVONDALE, LA 70094
56-2439708 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
123
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PURCHASED PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
12,832.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
6,774.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
2,582.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
PURCHASED PRICE, PHARMACEUTICALS,
ESTIMATED
MEDICAL SUPPLIES HAITI EARTHQUAKE
5,959,842.WHOLESALE PRICE AND EQUIPMENT
EMERGENCY RELIEF
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
673.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
131,645.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
15,501.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
55,185.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
JEFFERSON COMPREHENSIVE HEALTH
225 COMMUNITY DRIVE
FAYETTE, MS 39069
64-0667610 501C3
0.
ESTIMATED
485,591.WHOLESALE
JERAULD COUNTY CLINIC
602 1ST STREET NE, SUITE 1
WESSINGTON SPRINGS, SD 57382
46-0341255 501C3
0.
ESTIMATED
584.WHOLESALE
JESSIE HOPKINS HINCHEE FOUND.
825 N. KELLOG AVE.
SANTA BARBARA, CA 93111
95-3489222 501C3
0.
PURCHASED
ESTIMATED
6,643.WHOLESALE
JF KAPNEK TRUST
936 DEWING AVE. SUITE E3
LAFAYETTE, CA 94549
23-7165692 501C3
0.
ESTIMATED
9,566.WHOLESALE
77-0339640 501C3
0.
PURCHASED
ESTIMATED
10,348.WHOLESALE
501C3
0.
ESTIMATED
1,592.WHOLESALE
JONESBORO CHURCH HEALTH CENTER
500 KITCHEN STREET
JONESBORO, AR 72401
71-0707863 501C3
0.
ESTIMATED
35,132.WHOLESALE
JORDAN HIGH SCHOOL
2265 EAST 103RD STREET
LOS ANGELES, CA 90056
75-3046480 501C3
0.
ESTIMATED
7,879.WHOLESALE
JOB SMART/GOOD HEARTED PEOPLE
1219 STATE STREET
SANTA BARBARA, CA 93101
JOHNSON CITY DOWNTOWN CLINIC
207 E. MYRTLE AVENUE
JOHNSON CITY, TN 37601
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
124
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
JORDAN VALLEY COMMUNITY
630 WEST KEARNEY
SPRINGFIELD, MO 65803
43-1602701 501C3
0.
ESTIMATED
2,846.WHOLESALE PRICE
JOSEPH P. ADDABBO FAMILY
6200 BEACH CHANNEL DRIVE
ARVERNE, NY 11692
06-1181226 501C3
0.
ESTIMATED
7,953.WHOLESALE PRICE
JOY-SOUTHFIELD COMMUNITY HEALTH
18917 JOY ROAD
DETROIT, MI 48228
38-3622930 501C3
0.
ESTIMATED
32,750.WHOLESALE PRICE
KANSAS CITY FREE HEALTH CLINIC
3515 BROADWAY
KANSAS CITY, MO 64111
43-0967292 501C3
0.
ESTIMATED
518.WHOLESALE PRICE
KATAHDIN VALLEY HEALTH CENTER
30 HOULTON STREET
PATTEN, ME 04765
23-7411014 501C3
0.
ESTIMATED
44,164.WHOLESALE PRICE
KATY TRAIL COMMUNITY HEALTH CENTER
821 WESTWOOD DRIVE
SEDALIA, MO 65301
43-1879853 501C3
0.
ESTIMATED
52,036.WHOLESALE PRICE
KEVIN'S COMMUNITY CENTER
153 SOUTH MAIN STREET
NEWTOWN, CT 06470
61-1436909 501C3
0.
ESTIMATED
2,203.WHOLESALE PRICE
KHEIR COMMUNITY CLINIC
3727 W. SIXTH STREET, STE. 200
LOS ANGELES, CA 90020
95-4074660 501C3
0.
ESTIMATED
63,346.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
125
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
KIAMICHI FAMILY MEDICAL CENTER
500 MAIN STREET
BATTIEST, OK 74722
45-0463188 501C3
0.
KOKUA KALIHI VALLEY
2239 N. SCHOOL STREET
HONOLULU, HI 96819
99-0149797 501C3
0.
KONBIT SANTE
P.O. BOX 11281
PORTLAND, ME 04104
01-0540292 501C3
0.
KOTN
3355 SOUTH PURDUE
OKLAHOMA CITY, OK 73179
73-1100380 501C3
0.
KUUMBA COMMUNITY HEALTH & WELLNESS
4910 VALLEY VIEW BOULEVARD NW
ROANOKE, VA 24012
54-1937830 501C3
0.
LA CASA FAMILY HEALTH CENTER
1521 WEST 13TH
CLOVIS, NM 88101
23-7429653 501C3
0.
LA CLINICA CRISTIANA
380 WILSON LAKE SHORES
MUSCLE SHOALS, AL 35661
20-1624284 501C3
0.
LA CLINICA DE LA RAZA
1515 FRUITVALE AVENUE
OAKLAND, CA 94601
94-1744108 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
126
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
1,214.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
2,582.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
PURCHASED PRICE, PHARMACEUTICALS,
ESTIMATED
MEDICAL SUPPLIES HAITI EARTHQUAKE
468,679.WHOLESALE PRICE AND EQUIPMENT
EMERGENCY RELIEF
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
625,669.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
1,926.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
12,539.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
44,088.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
66,474.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
LA ESPERANZA CLINIC
1610 S. CHADBOURNE
SAN ANGELO, TX 76903
74-2699762 501C3
0.
ESTIMATED
102,052.WHOLESALE
LA FAMILIA MEDICAL CENTER
1035 ALTO STREET
SANTA FE, NM 87501
85-0220875 501C3
0.
ESTIMATED
1,076.WHOLESALE
LA MAESTRA FAMILY CLINIC, INC.
4060 FAIRMOUNT AVENUE
SAN DIEGO, CA 92105
33-0473171 501C3
0.
ESTIMATED
110,364.WHOLESALE
LA RED HEALTH CENTER
505 W. MARKET STREET
GEORGETOWN, DE 19934
14-1850828 501C3
0.
ESTIMATED
76,843.WHOLESALE
LACKEY FREE CLINIC
1620 OLD WILLIAMSBURG ROAD
YORKTOWN, VA 23690
54-1850915 501C3
0.
ESTIMATED
1,383.WHOLESALE
LAFAYETTE COMMUNITY HEALTH
1317 JEFFERSON STREET
LAFAYETTE, LA 70501
72-1221982 501C3
0.
PURCHASED
ESTIMATED
64,225.WHOLESALE
LAGUNA BEACH COMMUNITY CLINIC
362 THIRD STREET
LAGUNA BEACH, CA 92651
95-2637633 501C3
0.
ESTIMATED
301,353.WHOLESALE
LAKE AREA FREE CLINIC
856 ARMOUR ROAD
OCONOMOWOC, WI 53066
39-2006388 501C3
0.
ESTIMATED
16,393.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
127
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
LAKE COUNTY FREE MEDICAL CLINIC
54 S. STATE STREET, SUITE 302
PAINESVILLE, OH 44077
34-1081191 501C3
0.
ESTIMATED
19,442.WHOLESALE PRICE
LAKE PRESTON CLINIC
709 4TH STREET SE
LAKE PRESTON, SD 57249
46-0341255 501C3
0.
ESTIMATED
10,145.WHOLESALE PRICE
LAKE SUPERIOR COMMUNITY
3600 TOWER AVENUE
SUPERIOR, WI 54880
23-7167576 501C3
0.
ESTIMATED
22,525.WHOLESALE PRICE
LARAMIE COUNTY CENTRALIZED
PHARMACY - 2600 E. 18TH STREET CHEYENNE, WY 82001
15-5671574 501C3
0.
ESTIMATED
3,235.WHOLESALE PRICE
LAS CLINICAS DEL NORTE
STATE ROAD 571 BUILDING 28
EL RITO, NM 87530
85-0249591 501C3
0.
ESTIMATED
23,268.WHOLESALE PRICE
LAS ISLAS MEDICAL GROUP
2400 SOUTH C STREET
OXNARD, CA 93033
77-0285222 501C3
0.
ESTIMATED
78,671.WHOLESALE PRICE
LAURENS COUNTY
1506 TELFAIR STREET
DUBLIN, GA 31021
20-1169232 501C3
0.
ESTIMATED
6,474.WHOLESALE PRICE
LAWNDALE CHRISTIAN HEALTH CENTER
3860 W. OGDEN AVENUE
CHICAGO, IL 60623
36-3308953 501C3
0.
ESTIMATED
18,853.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
128
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
LAWTON COMMUNITY HEALTH CENTER
3811 W GORE BLVD STE 6
LAWTON, OK 73505-6328
73-6061037 501C3
0.
ESTIMATED
68,018.WHOLESALE
LEE COUNTY COOPERATIVE CLINIC
530 W. ATKINS BLVD.
MARIANNA, AR 72360
71-0413798 501C3
0.
ESTIMATED
174,024.WHOLESALE
LEGACY COMMUNITY HEALTH SERVICES
215 WESTHEIMER ROAD
HOUSTON, TX 77006
76-0009637 501C3
0.
ESTIMATED
89,181.WHOLESALE
LEWISTOWN CLINIC
105 E QUINCY
LEWISTOWN, MO 63452
37-1206525 501C3
0.
ESTIMATED
924.WHOLESALE
LIFE NETWORK
185 S. PATTERSON AVE #C
SANTA BARBARA, CA 93111
77-0116380 501C3
0.
PURCHASED
ESTIMATED
4,919.WHOLESALE
LIFELONG MEDICAL CARE
2344 SIXTH STREET
BERKELEY, CA 94710
94-2502308 501C3
0.
ESTIMATED
331,356.WHOLESALE
LIGHTHOUSE MEDICAL MINISTRIES
2801 S. ROBINSON AVENUE
OKLAHOMA CITY, OK 73019
20-0503699 501C3
0.
ESTIMATED
1,170.WHOLESALE
LINCOLN COMMUNITY HEALTH CENTER
1301 FAYETTEVILLE STREET
DURHAM, NC 27707
56-1031244 501C3
0.
ESTIMATED
5,455.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
129
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
LISBON AND EAST LIVERPOOL
7880 LINCOLE PLACE
LISBON, OH 44432
34-6565185 501C3
0.
ESTIMATED
123,130.WHOLESALE PRICE
LITTLE RIVER MEDICAL CENTER
4303 LIVE OAK DRIVE
LITTLE RIVER, SC 29566
57-0672117 501C3
0.
ESTIMATED
149,452.WHOLESALE PRICE
LIVE OAK CLINIC OF BRAZOSPORT
796 S. BRAZOSPORT BLVD.
CLUTE, TX 77531
30-0395491 501C3
0.
ESTIMATED
8,762.WHOLESALE PRICE
LLOYD F. MOSS FREE CLINIC
1301 SAM PERRY BLVD.
FREDERICKSBURG, VA 22401
54-1677934 501C3
0.
ESTIMATED
4,075.WHOLESALE PRICE
LOLOMA FOUNDATION
549 ALBION STREET
SAN DIEGO, CA 92106
04-3702334 501C3
0.
LONE STAR COMMUNITY HEALTH CENTER
704 FM 2854
CONROE, TX 77301
30-0038860 501C3
0.
LONG VALLEY HEALTH CENTER
50 BRANSCOMB ROAD
LAYTONVILLE, CA 95454
94-2536128 501C3
0.
LONGVIEW WELLNESS CENTER
1107 E. MARSHALL AVENUE
LONGVIEW, TX 75061
75-2723993 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
130
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
PURCHASED PRICE, PHARMACEUTICALS, SUPPORT HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME PATIENTS
195,431.WHOLESALE PRICE AND EQUIPMENT
IN FIJI & SOLOMON ISLANDS
SUPPORT TO US
PURCHASED PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
71,687.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
26,057.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
983.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
LORAIN COUNTY FREE CLINIC
3323 PEARL AVENUE
LORAIN, OH 44055
34-1506180 501C3
0.
ESTIMATED
14,100.WHOLESALE PRICE
LORAIN COUNTY HEALTH & DENTISTRY
1800 LIVINGSTON AVENUE
LORAIN, OH 44052
34-1957404 501C3
0.
ESTIMATED
390.WHOLESALE PRICE
LOS ANGELES CHRISTIAN
311 WINSTON STREET
LOS ANGELES, CA 90013
95-4315734 501C3
0.
ESTIMATED
11,215.WHOLESALE PRICE
LOS ANGELES REGIONAL FOODBANK
1734 EAST 41ST STREET
LOS ANGELES, CA 90058-1502
95-3135649 501C3
0.
ESTIMATED
45,471.WHOLESALE PRICE
LOS BARRIOS UNIDOS COMMUNITY
CLINIC - 809 SINGLETON BLVD DALLAS, TX 75212
75-1378664 501C3
0.
ESTIMATED
97,541.WHOLESALE PRICE
LOUDOUN FREE CLINIC
224 B CORNWALL ST NW
LEESBURG, VA 20176-2701
20-2379419 501C3
0.
ESTIMATED
11,712.WHOLESALE PRICE
LOUISIANA PRIMARY CARE ASSOCIATION
4550 NORTH BOULVARD, SUITE 120
BATON ROUGE, LA 70806
72-1040949 501C3
0.
ESTIMATED
4,986.WHOLESALE PRICE
LOVELAND COMMUNITY HEALTH CENTER
450 N. CLEVELAND
LOVELAND, CO 80537
0.
ESTIMATED
73,352.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
84-0613289 501C3
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
131
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
LOW COUNTRY HEALTH CARE SYSTEM
333 REVOLUTIONARY TRAIL
FAIRFAX, SC 29827
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
58-2366697 501C3
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
0.
ESTIMATED
13,531.WHOLESALE
LOWER NINTH WARD HEALTH CLINIC
5228 ST. CLAUDE AVENUE
NEW ORLEANS, LA 70117
76-0834953 501C3
0.
PURCHASED
ESTIMATED
39,672.WHOLESALE
LOWNDES COUNTY PARTNERSHIP
205 WOODROW WILSON DRIVE
VALDOSTA, GA 31602
58-2405825 501C3
0.
ESTIMATED
13,234.WHOLESALE
LUBBOCK CHILDREN'S HEALTH CLINIC
1801 EAST 14TH STREET
LUBBOCK, TX 79403
75-0968315 501C3
0.
ESTIMATED
2,770.WHOLESALE
MAMOU HEALTH RESOURCES
300 SOUTH STREET
MAMOU, LA 70554
72-0949444 501C3
0.
ESTIMATED
56,039.WHOLESALE
59-1773262 501C3
0.
PURCHASED
ESTIMATED
10,394.WHOLESALE
MANCHESTER COMMUNITY HEALTH CENTER
145 HOLLIS STREET
MANCHESTER, NH 03101
02-0458174 501C3
0.
ESTIMATED
390.WHOLESALE
MANET COMMUNITY HEALTH CENTER
110 WEST SQUANTUM STREET
NORTH QUINCY, MA 02171
0.
ESTIMATED
5,288.WHOLESALE
MANATEE COUNTY RURAL
12294 US-301 NORTH
PARRISH, FL 34219
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
04-2646695 501C3
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
132
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
MANISTEE AREA COMMUNITY CLINIC
385 THIRD STREET
MANISTEE, MI 49660
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
26-1779673 501C3
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
0.
ESTIMATED
13,664.WHOLESALE
MANNA MEDICAL CLINIC
120 STREET A, SUITE A
PICAYUNE, MS 39466
20-1788094 501C3
0.
PURCHASED
ESTIMATED
73,648.WHOLESALE
MANTACHIE RURAL HEALTH CARE
5500 HWY 363
MANTACHIE, MS 38855
64-0646692 501C3
0.
ESTIMATED
20,582.WHOLESALE
MARGARET CRAMER FREE MEDICAL
CLINIC - 2725 MERLE HAY ROAD - DES
MOINES, IA 50310
83-0427180 501C3
0.
ESTIMATED
378.WHOLESALE
MARICOPA INTEGRATED HEALTH SYSTEM
2611 E. PIERCE STREET
PHOENIX, AZ 85008
86-0860701 501C3
0.
ESTIMATED
5,378.WHOLESALE
MARIN COMMUNITY CLINIC
300 PROFESSIONAL CENTER DRIVE
NOVATO, CA 94947
94-2237120 501C3
0.
ESTIMATED
63,452.WHOLESALE
MARIN COMMUNITY CLINICS
3110 KERNER BLVD
SAN RAFAEL, CA 94901
94-2237120 501C3
0.
ESTIMATED
25,392.WHOLESALE
MARTHA'S VILLAGE
83791 DATE AVENUE
INDIO, CA 92201
33-0777892 501C3
0.
ESTIMATED
72,185.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
133
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
MARTIN L KING JR CLINICA CAMPESINA
810 W MOWRY DRIVE
HOMESTEAD, FL 33030
59-1372690 501C3
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
0.
ESTIMATED
1,510.WHOLESALE
MARTIN LUTHER KING HEALTH CENTER
827 MARGARET PLACE, SUITE 201
SHREVEPORT, LA 71101
72-1079721 501C3
0.
PURCHASED
ESTIMATED
56,980.WHOLESALE
MARY HOWARD HEALTH CENTER
125 SOUTH 9TH STREET
PHILADELPHIA, PA 19107
23-7221025 501C3
0.
ESTIMATED
21,513.WHOLESALE
MARY'S CENTER FOR MATERNAL
2333 ONTARIO ROAD NW
WASHINGTON, DC 20009
52-1594116 501C3
0.
ESTIMATED
2,950.WHOLESALE
MARYSVILLE MEDICAL CLINIC
9710 STATE AVENUE
MARYSVILLE, WA 98270
91-1020139 501C3
0.
ESTIMATED
378.WHOLESALE
MATAGORDA EPISCOPAL
101 AVENUE F NORTH
BAY CITY, TX 77414
20-0537948 501C3
0.
ESTIMATED
55,605.WHOLESALE
MAT-SU HEALTH SERVICES
1363 WEST SPRUCE AVENUE
WASILLA, AK 99654
92-0089779 501C3
0.
ESTIMATED
4,356.WHOLESALE
MATTHEW 25 INC.
413 EAST JEFFERSON BLVD.
FORT WAYNE, IN 46802
35-1484951 501C3
0.
ESTIMATED
5,288.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
134
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
MAYVIEW COMMUNITY HEALTH CENTER
270 GRANT AVE
PALO ALTO, CA 94306-1911
94-2239648 501C3
0.
ESTIMATED
577.WHOLESALE PRICE
MCAULEY CLINIC
501 WALNUT STREET
OWENSBORO, KY 42301
61-1286361 501C3
0.
ESTIMATED
106,931.WHOLESALE PRICE
MCKINLEYVILLE
1644 CENTRAL AVENUE, STE. F
MCKINLEYVILLE, CA 95519
95-2671433 501C3
0.
ESTIMATED
4,911.WHOLESALE PRICE
MEADVILLE AREA FREE CLINIC
18483 BIRCH DRIVE
SAGERTOWN, PA 16433
31-1495552 501C3
0.
ESTIMATED
4,021.WHOLESALE PRICE
MEDICAL SERVICES AT ACS COMMUNITY
5045 W. FIRST AVENUE
DENVER, CO 80219
52-0643036 501C3
0.
ESTIMATED
103,530.WHOLESALE PRICE
501C3
0.
ESTIMATED
512.WHOLESALE PRICE
MEDLINK GEORGIA
11 CHARLIE MORRIS ROAD
COLBERT, GA 30628
58-1394645 501C3
0.
ESTIMATED
642,119.WHOLESALE PRICE
MEDSHARE INTERNATIONAL
3240 CLIFTON SPRINGS ROAD
DECATUR, GA 30034
58-2433968 501C3
0.
ESTIMATED
45,528.WHOLESALE PRICE
MEDICATION ASSISTANCE PROGRAM
1100 E WENDOVER AVENUE
GREENSBORO, NC 27405
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
135
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
MEDICAL
FOR LOW-INCOME, UNINSURED
EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
MEMPHIS HEALTH CENTER
360 E.H. CRUMP BLVD
MEMPHIS, TN 38126
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
62-0818892 501C3
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
0.
ESTIMATED
189,795.WHOLESALE
MEND MEDICAL CLINIC
10641 N SAN FERNANDO RD
PACOIMA, CA 91331
23-7306337 501C3
0.
PURCHASED
ESTIMATED
36,792.WHOLESALE
MENDOCINO COAST CLINICS
205 SOUTH STREET
FORT BRAGG, CA 95437
68-0262003 501C3
0.
ESTIMATED
378.WHOLESALE
MENDOCINO COMMUNITY HEALTH CLINIC,
333 LAWS AVENUE
UKIAH, CA 95482
68-0259045 501C3
0.
ESTIMATED
8,229.WHOLESALE
MERCE MEDICAL CENTER
1831 N FAYETTEVILLE STREET
ASHEBORO, NC 27203
56-1799394 501C3
0.
ESTIMATED
30,874.WHOLESALE
MERCER HEALTH RIGHT
RR2, BOX 378
BLUEFIELD, WV 24701
55-0702719 501C3
0.
ESTIMATED
8,660.WHOLESALE
MERCI CLINIC
1315 TATUM DRIVE
NEW BERN, NC 28560
56-2034052 501C3
0.
ESTIMATED
30,922.WHOLESALE
MERCY CORPS
45 SW ANKENY STREET
PORTLAND, OR 97204
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
91-1148123 501C3
0.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
136
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
PURCHASED PRICE, PHARMACEUTICALS, SUPPORT HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME PATIENTS
3,438,496.WHOLESALE PRICE AND EQUIPMENT
IN HONDURAS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
MERCY HEALTH CENTER
767 OGLETHORPE AVENUE
ATHENS, GA 30606
58-2603523 501C3
0.
ESTIMATED
28,516.WHOLESALE PRICE
METRO COMMUNITY PROVIDER NETWORK
3292 PEORIA STREET
AURORA, CO 80010
74-2477108 501C3
0.
ESTIMATED
13,747.WHOLESALE PRICE
METRO FAMILY PRACTICE
901 B WEST STREET
PITTSBURGH, PA 15221
25-1844246 501C3
0.
ESTIMATED
5,806.WHOLESALE PRICE
METROCREST FAMILY MEDICAL CLINIC
ONE MEDICAL PARKWAY, STE.140
FARMERS BRANCH, TX 75234
75-2616002 501C3
0.
ESTIMATED
117,921.WHOLESALE PRICE
MIAMI BEACH COMMUNITY HEALTH
CENTER - 710 ALTON ROAD - MIAMI
BEACH, FL 33139
59-1829984 501C3
0.
ESTIMATED
46,015.WHOLESALE PRICE
MID CITY
4305 UNIVERSITY AVENUE, #150
SAN DIEGO, CA 92105
95-2915400 501C3
0.
ESTIMATED
16,860.WHOLESALE PRICE
MID DELTA HEALTH SYSTEMS
401 MIDLAND STREET
CLARENDON, AR 72029
71-0638760 501C3
0.
ESTIMATED
130,996.WHOLESALE PRICE
MIDDLETOWN COMM HEALTH CENTER
14 GROVE STREET
MIDDLETOWN, NY 10940
14-1588402 501C3
0.
ESTIMATED
378.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
137
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
MIDLAND COMMUNITY
2500 DELANO AVENUE
MIDLAND, TX 79701
83-0358685 501C3
0.
ESTIMATED
29,649.WHOLESALE
MIDLAND COMMUNITY HEALTHCARE
SERVIC - 4214 ANDREWS HIGHWAY,
STE. 105 - MIDLAND, TX 78703
83-0358685 501C3
0.
ESTIMATED
20,566.WHOLESALE
MIDTOWN COMMUNITY HEALTH CENTER
2240 ADAMS AVENUE
OGDEN, UT 84401
87-0540039 501C3
0.
ESTIMATED
8,445.WHOLESALE
MIDUPPER CAPE
30 ELM AVENUE
HYANNIS, MA 02601
04-3516128 501C3
0.
ESTIMATED
53,432.WHOLESALE
MIGRANT EDUCATION PROGRAM
402 FARNEL ROAD SUITE D
SANTA MARIA, CA 93458-4960
95-6000940 501C3
0.
PURCHASED
ESTIMATED
12,792.WHOLESALE
MIGRANT HEALTH CENTER - WESTERN
CALLE RAMON E. BETANCES #392 SUR
MAYAGüEZ, PR 00680
66-0427801 501C3
0.
ESTIMATED
506.WHOLESALE
MILAN PUSKAR HEALTH RIGHT
341 SPRUCE STREET
MORGANTOWN, WV 26505
31-1118673 501C3
0.
ESTIMATED
73,751.WHOLESALE
MINERS COMMUNITY CLINIC INC.
1345 WHISPERING PINES LANE
GRASS VALLEY, CA 95945
68-0481006 501C3
0.
ESTIMATED
378.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
138
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
MINNIE HAMILTON HEALTH SYSTEM
186 HOSPITAL DRIVE
GRANTSVILLE, WV 26147
55-0629032 501C3
0.
ESTIMATED
1,464.WHOLESALE PRICE
MISSION ARLINGTON MEDICAL CLINIC
210 W. SOUTH STREET
ARLINGTON, TX 76010
75-2724385 501C3
0.
ESTIMATED
63,023.WHOLESALE PRICE
MISSION CITY COMMUNITY NETWORK
INC. - 15206 PARTHENIA STREET NORTH HILLS, CA 91343
95-4226189 501C3
0.
ESTIMATED
232,686.WHOLESALE PRICE
MISSION EAST DALLAS
2914 OATES DRIVE
DALLAS, TX 75228
72-2935803 501C3
0.
ESTIMATED
378.WHOLESALE PRICE
MISSION FORT WORTH
4401 VERMONT AVENUE
FORT WORTH, TX 76115
75-2720337 501C3
0.
ESTIMATED
635.WHOLESALE PRICE
MISSION LEXINGTON MEDICAL CLINIC
150 EAST HIGH STREET
LEXINGTON, KY 40507
20-2824933 501C3
0.
ESTIMATED
881.WHOLESALE PRICE
MISSION MEDICAL CLINIC
2125 E LASALLE
COLORADO SPRINGS, CO 80909
68-0506812 501C3
0.
ESTIMATED
6,401.WHOLESALE PRICE
MISSION NEIGHBORHOOD HEALTH CENTER
240 SHOTWELL ROAD
SAN FRANCISCO, CA 94110
94-2284365 501C3
0.
ESTIMATED
4,145.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
139
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
MISSION NEIGHBORHOOD RESOURCE
CENTE - 165 CAPP STREET - SAN
FRANCISCO, CA 94110
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
94-1408150 501C3
0.
ESTIMATED
67,397.WHOLESALE
MISSION OF MERCY
205 EAST SOUTHERN AVENUE, STE. 103
MESA, AZ 85210
86-0704883 501C3
0.
ESTIMATED
16,977.WHOLESALE
MISSION OF MERCY
22 S. MARKET STREET, STE. 6D
FREDERICK, MD 21701
86-0704883 501C3
0.
ESTIMATED
150,897.WHOLESALE
MISSION OF MERCY MOBILE
719 S. SHORELINE BLVD #103
CORPUS CHRISTI, TX 78401
86-0704883 501C3
0.
ESTIMATED
30,200.WHOLESALE
MISSIONARIES OF THE POOR
P.O. BOX 29893
ATLANTA, GA 30359
59-2824556 501C3
0.
PURCHASED
ESTIMATED
113,939.WHOLESALE
MISSOURI HIGHLANDS HEALTH CARE
110 SOUTH SECOND STREET
ELLINGTON, MO 63638
43-1068291 501C3
0.
ESTIMATED
53,128.WHOLESALE
MIXTECO INDIGENA COMMUNITY
520 WEST FIFTH STREET, SUITE B
OXNARD, CA 93030
30-0045901 501C3
0.
ESTIMATED
2,229.WHOLESALE
MOBILE C.A.R.E. FOUNDATION
3247 WEST 26TH STREET
CHICAGO, IL 60623
36-4203198 501C3
0.
ESTIMATED
7,932.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
140
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
MOBILE MEDICAL OFFICE
1522 THIRD STREET
EUREKA, CA 95501
68-0393522 501C3
0.
ESTIMATED
67,395.WHOLESALE
MONMOUTH FAMILY HEALTH CENTER
270 BROADWAY
LONG BRANCH, NJ 07740
20-0547132 501C3
0.
ESTIMATED
24,923.WHOLESALE
MONONGAHELA VALLEY ASSOC.
1322 LOCUST AVENUE
FAIRMONT, WV 26554
55-0419191 501C3
0.
ESTIMATED
378.WHOLESALE
MONROE MEDICAL CLINIC
17707 W. MAIN STREET, FIRST FLOOR
MONROE, WA 98272
91-1020139 501C3
0.
PURCHASED
ESTIMATED
54,423.WHOLESALE
MOREHOUSE COMMUNITY MEDICAL
CENTERS - 518 DURHAM STREET BASTROP, LA 71220
82-0579411 501C3
0.
ESTIMATED
80,035.WHOLESALE
MORTON COMPREHENSIVE HEALTH
1334 N LANSING AVE
TULSA, OK 74106-5907
73-1177858 501C3
0.
ESTIMATED
7,491.WHOLESALE
MOSCTHA USA
1660 HILLHURST AVE.
LOS ANGELES, CA 90027
27-1292581 501C3
0.
MOSES LAKE COMMUNITY HEALTH CENTER
605 COOLIDGE DRIVE
MOSES LAKE, WA 98837
91-1537371 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
141
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
PURCHASED PRICE, PHARMACEUTICALS,
ESTIMATED
MEDICAL SUPPLIES HAITI EARTHQUAKE
2,793,245.WHOLESALE PRICE AND EQUIPMENT
EMERGENCY RELIEF
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
77,807.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
MOTHER AND CHILD CENTER
6000 BOND AVENUE
CENTREVILLE, IL 62207
37-1305510 501C3
0.
ESTIMATED
25,851.WHOLESALE PRICE
MOTHER HEALTH INTERNATIONAL
8004 TREVOR PLACE
VIENNA, VA 22182
11-1111111 501C3
0.
ESTIMATED
242,401.WHOLESALE PRICE
MOTHERLAND HEALTH CLINIQUE
4040 YALE STREET
HOUSTON, TX 77018
31-1505974 501C3
0.
ESTIMATED
58,394.WHOLESALE PRICE
MOUNT VERNON
107 WEST FOURTH STREET
MOUNT VERNON, NY 10550
13-3315508 501C3
0.
ESTIMATED
9,180.WHOLESALE PRICE
MOUNTAIN COMPREHENSIVE
226 MEDICAL PLAZA LANE
WHITESBURG, KY 41858
61-0712406 501C3
0.
ESTIMATED
164,000.WHOLESALE PRICE
MOUNTAIN FAMILY COMMUNITY HEALTH
CE - 1905 BLAKE AVENUE SUITE 101 GLENWOOD SPRINGS, CO 81601
84-0742145 501C3
0.
ESTIMATED
3,769.WHOLESALE PRICE
MOUNTAIN FAMILY HEALTH CENTERS
1905 BLAKE STREET, STE. 101
GLENWOOD SPRINGS, CO 81601
84-0742145 501C3
0.
ESTIMATED
5,288.WHOLESALE PRICE
MOUNTAIN HEALTH & COMMUNITY
SERVICE - 1620 ALPINE BLVD, SUITE
119 - ALPINE, CA 91901
33-0164420 501C3
0.
ESTIMATED
774.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
142
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
MOUNTAIN HEALTH & COMMUNITY
SERVICE - 31115 HIGHWAY 94 CAMPO, CA 91906
33-0164420 501C3
0.
ESTIMATED
52,572.WHOLESALE PRICE
MOUNTAIN HOME CHRISTIAN CLINIC
421 WEST WADE AVENUE
MOUNTAIN HOME, AR 72653
71-0835511 501C3
0.
ESTIMATED
39,768.WHOLESALE PRICE
MOUNTAIN PARK HEALTH CENTER
2702 NORTH 3RD STREET, SUITE 4020
PHOENIX, AZ 85004
86-0498020 501C3
0.
ESTIMATED
7,357.WHOLESALE PRICE
MOUNTAIN VALLEYS HEALTH CENTERS
554-850 MEDICAL CENTER DRIVE
BIEBER, CA 96009
94-2533006 501C3
0.
ESTIMATED
13,257.WHOLESALE PRICE
MOUNTAINLANDS COMMUNITY
215 W 100 NORTH
PROVO, UT 84601-4433
87-0515716 501C3
0.
ESTIMATED
11,897.WHOLESALE PRICE
M-POWER MINISTRIES
4022 FOURTH AVENUE S
BIRMINGHAM, AL 35222
31-1639601 501C3
0.
ESTIMATED
1,592.WHOLESALE PRICE
MT. ABRAM REGIONAL HEALTH CENTER
25 DEPOT STREET
KINGFIELD, ME 04947
22-3109713 501C3
0.
ESTIMATED
2,141.WHOLESALE PRICE
MT. ENTERPRISE
106 W. RUSK STREET
MOUNT ENTERPRISE, TX 75681-0489
43-2016287 501C3
0.
ESTIMATED
298,982.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
143
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
MT. VERNON MEDICAL CLINIC
1400 N. LAVENTURE ROAD
MOUNT VERNON, WA 98273
91-1020139 501C3
0.
ESTIMATED
378.WHOLESALE PRICE
MUSKINGUM VALLEY HEALTH CENTER
716 ADAIR AVENUE
ZANESVILLE, OH 43701
20-8814374 501C3
0.
ESTIMATED
107,912.WHOLESALE PRICE
MUSLIM COMMUNITY CENTER
7600 GLENVIEW DRIVE
RICHLAND HILLS, TX 78180
75-2580088 501C3
0.
ESTIMATED
49,038.WHOLESALE PRICE
N.E.W. COMMUNITY CLINIC
622 BODART STREET
GREEN BAY, WI 54301
39-1200636 501C3
0.
ESTIMATED
408,731.WHOLESALE PRICE
N.E.W. HEALTH PROGRAMS
P.O. BOX 808
CHEWELAH, WA 99109
91-1053847 501C3
0.
ESTIMATED
1,368.WHOLESALE PRICE
NARANJA HEALTH CENTER
13805 SW 264TH STREET
MIAMI, FL 33032
59-1372690 501C3
0.
ESTIMATED
7,205.WHOLESALE PRICE
NATIONAL HEALTH SERVICES
2101 SEVENTH STREET
WASCO, CA 93280
95-3218000 501C3
0.
ESTIMATED
19,426.WHOLESALE PRICE
NATIONAL HEALTH SERVICES, INC.
659 SOUTH CENTRAL VALLEY HIGHWAY
SHAFTER, CA 93263
95-3218000 501C3
0.
ESTIMATED
21,151.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
144
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
NATIVE AMERICAN HEALTH CENTER
160 CAPP STREET
SAN FRANCISCO, CA 94110
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
23-7135928 501C3
0.
NATIVE AMERICAN HEALTH CENTER
3124 INTERNATIONAL BLVD., STE. 200
OAKLAND, CA 94601
23-7135928 501C3
0.
NATURE COAST
300 S. MAIN STREET
BROOKSVILLE, FL 34601
51-0512308 501C3
0.
NEAR NORTH HEALTH SERVICE
CORPORATI - 1276 N. CLYBOURN CHICAGO, IL 60610
36-3197647 501C3
0.
NEIGHBORHOOD HEALTHCARE ESCONDIDO - 460 NORTH ELM STREET ESCONDIDO, CA 92025
95-2796316 501C3
0.
NEIGHBORHOOD HEALTHCARE
425 N. DATE STREET, SUITE 203
ESCONDIDO, CA 92025
95-2796316 501C3
0.
NEW COVENANT BAPTIST CHURCH
2233 12TH STREET
LAKE CHARLES, LA 70601
47-0942513 501C3
0.
NEW HEIGHTS CLINIC
8000 NE 58TH AVENUE
VANCOUVER, WA 98665
91-0864632 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
145
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PURCHASED PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
59,631.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
7,950.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
3,714.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
25,747.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
70,126.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
19,547.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
14,172.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
42,096.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
NEW HOPE CLINIC
201 W. BOILING SPRING RD
SOUTHPORT, NC 28461
31-1614379 501C3
0.
ESTIMATED
13,434.WHOLESALE PRICE
NEWARK COMMUNITY HEALTH CENTERS
101 LODLOW STREET
NEWARK, NJ 07114
22-2747589 501C3
0.
ESTIMATED
84,114.WHOLESALE PRICE
NEWHOPE CLINIC
41 S. COURT STREET
OWINGSVILLE, KY 40360
61-1363437 501C3
0.
ESTIMATED
23,900.WHOLESALE PRICE
NHAN HOA
14221 EUCLID STREET, STE. H
GARDEN GROVE, CA 92843
33-0477323 501C3
0.
ESTIMATED
66,744.WHOLESALE PRICE
NICARAGUAN CHILDREN'S FUND
850 ASPEN CIRCLE
OXNARD, CA 93030
95-4383539 501C3
0.
501C3
0.
NOMAD FOUNDATION
307 E OJAI AVE STE 103
OJAI, CA 93023
20-8170046 501C3
0.
NORTH BENTON COUNTY HEALTH CARE
15921 BOUNDARY DRIVE
ASHLAND, MS 38603
64-0686443 501C3
0.
NINTH STREET MINISTRIES FREE
CLINIC - 811 PORT ARTHUR AVENUE MENA, AR 71953
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
146
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
PURCHASED PRICE,
SUPPORT HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME PATIENTS
20,792.WHOLESALE PRICE PHARMACEUTICALS IN NICARAGUA
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
1,260.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PURCHASED PRICE,
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
4,389.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
10,779.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
NORTH BY NORTHEAST COMMUNITY
3030 NE MLK
PORTLAND, OR 97221
72-1618287 501C3
0.
ESTIMATED
3,966.WHOLESALE PRICE
NORTH CENTRAL TEXAS
200 EASTSIDE DRIVE
WICHITA FALLS, TX 76307
75-2429644 501C3
0.
ESTIMATED
3,055.WHOLESALE PRICE
NORTH COUNTY HEALTH SERVICES
150 VALPREDA ROAD
SAN MARCOS, CA 92069
95-2847102 501C3
0.
ESTIMATED
386,727.WHOLESALE PRICE
NORTH DALLAS SHARED MINISTRIES
2875 MERRELL ROAD
DALLAS, TX 75229
75-1908563 501C3
0.
ESTIMATED
378.WHOLESALE PRICE
NORTH EAST MEDICAL SERVICES
1520 STOCKTON STREET
SAN FRANCISCO, CA 94133
94-1722562 501C3
0.
ESTIMATED
10,021.WHOLESALE PRICE
NORTH FLORIDA MEDICAL CENTERS,
INC. - 535 JOHN KNOX ROAD TALLAHASSEE, FL 32303
59-1915144 501C3
0.
ESTIMATED
282,533.WHOLESALE PRICE
NORTH HUDSON COMMUNITY
5301 BROADWAY
WEST NEW YORK, NJ 07093
22-1818699 501C3
0.
ESTIMATED
21,818.WHOLESALE PRICE
NORTHEAST ALABAMA HEALTH SERVICES
309 TAYLOR ST
SCOTTSBORO, AL 35768-2421
63-0760576 501C3
0.
ESTIMATED
1,185.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
147
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
NORTHEAST MISSISSIPPI HEALTH CARE
12 E. BRUNSWICK
BYHALIA, MS 38611
64-0620763 501C3
0.
ESTIMATED
28,261.WHOLESALE PRICE
NORTHEAST MISSOURI HEALTH COUNCIL
314 E. MCPHERSON STREET
KIRKSVILLE, MO 63501
43-1606173 501C3
0.
ESTIMATED
637,937.WHOLESALE PRICE
NORTHEAST VALLEY HEALTH
CORPORATION - 1600 SAN FERNANDO
ROAD - SAN FERNANDO, CA 91340
23-7120632 501C3
0.
ESTIMATED
25,432.WHOLESALE PRICE
NORTHEASTERN OKLAHOMA
127 E. MAIN
HULBERT, OK 74441
73-1622831 501C3
0.
ESTIMATED
8,905.WHOLESALE PRICE
NORTHEASTERN RURAL HEALTH CENTER
1850 SPRING RIDGE DRIVE
SUSANVILLE, CA 96130
94-2492609 501C3
0.
ESTIMATED
378.WHOLESALE PRICE
NORTHERN GREENBRIER HEALTH CLINIC
RT 9 SINKING CREEK ROAD
WILLIAMSBURG, WV 24991
55-0593134 501C3
0.
ESTIMATED
59,138.WHOLESALE PRICE
NORTHERN NECK FREE HEALTH CLINIC
51 WILLIAM B GRAHAM COURT
KILMARNOCK, VA 22482
54-1679279 501C3
0.
ESTIMATED
31,574.WHOLESALE PRICE
NORTHERN OSWEGO COUNTY
61 DELANO ST
PULASKI, NY 13142-1400
23-7036393 501C3
0.
ESTIMATED
378.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
148
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
NORTHERN OSWEGO COUNTY HEALTH
61 DELANO STREET
PULASKI, NY 13142
16-1022661 501C3
0.
ESTIMATED
126,581.WHOLESALE PRICE
NORTHSHORE HEALTH CENTER
3564 SCOTTSDALE STREET
PORTAGE, IN 46368
35-2152940 501C3
0.
ESTIMATED
13,591.WHOLESALE PRICE
NORTHWEST ARKANSAS FREE HEALTH
CENT - 10 SOUTH COLLEGE AVENUE FAYETTEVILLE, AR 72701
58-1691790 501C3
0.
ESTIMATED
9,795.WHOLESALE PRICE
NORTHWEST BUFFALO
155 LAWN AVENUE
BUFFALO, NY 14207
16-1294447 501C3
0.
ESTIMATED
3,708.WHOLESALE PRICE
NORTHWEST COLORADO
745 RUSSELL ST
CRAIG, CO 81625-2019
84-0910590 501C3
0.
ESTIMATED
378.WHOLESALE PRICE
NORTHWEST HEALTH SERVICES
2303 VILLAGE DRIVE
ST. JOSEPH, MO 64506
43-1323669 501C3
0.
ESTIMATED
429,103.WHOLESALE PRICE
NORTHWEST LOUISIANA INTERFAITH
PHAR - 1725 ELIZABETH STREET SHREVEPORT, LA 71101
72-1479289 501C3
0.
ESTIMATED
40,991.WHOLESALE PRICE
NORWALK COMMUNITY HEALTH CENTER
121 WATER ST
NORWALK, CT 06854-3013
06-1436620 501C3
0.
ESTIMATED
3,109.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
149
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
NOVA SCRIPTS CENTRAL
6400 ARLINGTON BLVD. SUITE 120
FALLS CHURCH, VA 22042
65-1275162 501C3
0.
ESTIMATED
9,329.WHOLESALE
OAKHURST MEDICAL CENTERS,INC.
770 VILLAGE SQUARE DR
STONE MOUNTAIN, GA 30083-3380
58-1413957 501C3
0.
ESTIMATED
3,022.WHOLESALE
OCEAN HEALTH INITIATIVES
500 RIVER AVENUE SUITE 200
LAKEWOOD, NJ 08701
06-1691342 501C3
0.
ESTIMATED
22,823.WHOLESALE
OCRM HEALTH CARE & SERVICES
1421 EDINGER AVENUE, STE. B
TUSTIN, CA 92780
33-0906866 501C3
0.
PURCHASED
ESTIMATED
169,820.WHOLESALE
OCRM HEALTH CARE SERVICES
ONE HOPE DRIVE
TUSTIN, CA 92782
33-0906866 501C3
0.
ESTIMATED
142,101.WHOLESALE
OHIO HILLS HEALTH SERVICES
101 EAST MAIN STREET
BARNESVILLE, OH 43713
34-1192599 501C3
0.
ESTIMATED
7,408.WHOLESALE
OILED WILDLIFE CARE NETWORK
ONE SHIELDS AVENUE
DAVIS, CA 95616
94-6036490 501C3
0.
ESTIMATED
4,829.WHOLESALE
ONEWORLD COMMUNITY HEALTH CENTER
4920 SOUTH 30TH STREET, STE. 103
OMAHA, NE 68107
47-0548990 501C3
0.
ESTIMATED
35,145.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
150
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
ONSLOW COMMUNITY OUTREACH
600 COURT STREET
JACKSONVILLE, NC 28540
56-1705813 501C3
0.
ESTIMATED
39,809.WHOLESALE PRICE
OPEN BIBLE MEDICAL CLINIC
824 SOUTH UNION BLVD
COLORADO SPRINGS, CO 80910
84-1345520 501C3
0.
ESTIMATED
4,939.WHOLESALE PRICE
OPEN DOOR CLINIC OF URBAN
1390 CAPITAL BLVD
RALEIGH, NC 27603
58-1422700 501C3
0.
ESTIMATED
17,614.WHOLESALE PRICE
OPEN DOOR COMMUNITY
670 NINTH ST., SUITE 203
ARCATA, CA 95521
95-2671433 501C3
0.
ESTIMATED
74,443.WHOLESALE PRICE
OPEN DOOR COMMUNITY HEALTH CENTERS
760 15TH STREET
ARCATA, CA 95521
95-2671433 501C3
0.
ESTIMATED
69,897.WHOLESALE PRICE
OPEN DOOR FAMILY MEDICAL CENTERS
165 MAIN STREET
OSSINING, NY 10562
13-2813103 501C3
0.
ESTIMATED
14,982.WHOLESALE PRICE
OPEN DOOR FAMILY MEDICAL CENTERS
5 GRACE CHURCH STREET
PORT CHESTER, NY 10573
13-2813103 501C3
0.
ESTIMATED
2,768.WHOLESALE PRICE
OPEN DOOR/BMH HEALTH CENTER
905 S. WALNUT STREET
MUNCIE, IN 47302
35-2018494 501C3
0.
ESTIMATED
127,659.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
151
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
OPEN M FREE CLINIC
941 PRINCETON STREET
AKRON, OH 44311
03-0605432 501C3
0.
ESTIMATED
6,246.WHOLESALE
OPERATION CARE, INC.
802 WASHINGTON STREET
SHELBYVILLE, KY 40065
61-1211189 501C3
0.
ESTIMATED
5,303.WHOLESALE
OPERATION SAMAHAN
10737 CAMINO RUIZ
SAN DIEGO, CA 92126
95-3008798 501C3
0.
ESTIMATED
19,930.WHOLESALE
OPTIMUS HEALTH CARE
982 E. MAIN STREET
BRIDGEPORT, CT 06608
06-0972166 501C3
0.
ESTIMATED
8,805.WHOLESALE
OPTIMUS HEALTHCARE
727 HONEYSPOT ROAD
STRATFORD, CT 06615
06-0972166 501C3
0.
ESTIMATED
4,441.WHOLESALE
ORANGE COUNTY FREE CLINIC
450 NORTH MADISON AVENUE
ORANGE, VA 22960
25-1922019 501C3
0.
ESTIMATED
2,450.WHOLESALE
OUR HEALTH CLINIC
201 S EVANS
UVALDE, TX 78801
74-2269739 501C3
0.
ESTIMATED
6,537.WHOLESALE
0.
PURCHASED
ESTIMATED
12,792.WHOLESALE
OUR LADY OF GUADALUPE
227 N. NOPAL ST
SANTA BARBARA, CA 93103
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
95-2158892 501C3
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
152
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
OUTPATIENT MEDICAL CENTER
1640 BREAZEALE SPRINGS STREET
NATCHITOCHES, LA 71457
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
72-0828785 501C3
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
0.
ESTIMATED
85,230.WHOLESALE
OUTREACH HEALTH SERVICES
130 N. HIGH STREET
SHUBUTA, MS 39360
64-0736857 501C3
0.
PURCHASED
ESTIMATED
751,064.WHOLESALE
OUTSIDE IN
1132 SW 13TH AVENUE
PORTLAND, OR 97205
93-0567549 501C3
0.
ESTIMATED
25,701.WHOLESALE
OVER SIXTY HEALTH CENTER
3260 SACRAMENTO STREET
BERKELEY, CA 94702
94-2502308 501C3
0.
ESTIMATED
1,057.WHOLESALE
OZANAM CHARITABLE PHARMACY
571 DAUPHIN STREET
MOBILE, AL 36602
72-1386236 501C3
0.
PURCHASED
ESTIMATED
47,756.WHOLESALE
PALM BEACH ATLANTIC
901 S. FLAGLER DR.
WEST PALM BEACH, FL 33401
59-1092732 501C3
0.
ESTIMATED
21,950.WHOLESALE
PALMETTO HEALTH COUNCIL
547 PONCE DE LEON AVENUE, SUITE 20
ATLANTA, GA 30308
58-1307597 501C3
0.
ESTIMATED
445,838.WHOLESALE
PANCARE OF FLORIDA, INC.
431 WEST OAK AVENUE
PANAMA CITY, FL 32401
0.
ESTIMATED
612,666.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
91-2189932 501C3
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
153
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
PARISH NURSING
2323 DE LA VINA STREET SUITE 104
SANTA BARBARA, CA 93102
95-1644629 501C3
0.
PARK DUVALLE COMMUNITY HEALTH
CENTE - 3015 WILSON AVENUE LOUISVILLE, KY 40211
61-0666209 501C3
0.
PARKIN MEDICAL CLINIC
1740 CHURCH STREET
PARKIN, AR 72373
58-1666179 501C3
0.
PARTNERS FOR HEALING
109 W. BLACKWELL STREET
TULLAHOMA, TN 37388
62-1834800 501C3
0.
PARTNERS IN HEALTH
888 COMMONWEALTH AVENUE, 3RD FLOOR
BOSTON, MA 02215
04-3567502 501C3
0.
PARTNERS INTERNATIONAL
1117 E. WESTVIEW CT
SPOKANE, WA 99218
94-1393427 501C3
0.
PARTNERSHIP HEALTH CENTER
323 W. ALDER
MISSOULA, MT 59802
36-3843543 501C3
0.
PASADENA HEALTH CENTER
908 SOUTHMORE AVE, SUITE 100
PASADENA, TX 77502
20-0462905 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
154
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PURCHASED PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
9,929.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
181,684.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
21,161.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
33,379.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
PURCHASED PRICE, PHARMACEUTICALS,
ESTIMATED
MEDICAL SUPPLIES HAITI EARTHQUAKE
3,604,881.WHOLESALE PRICE AND EQUIPMENT
EMERGENCY RELIEF
PURCHASED PRICE, PHARMACEUTICALS, SUPPORT HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME PATIENTS
290,512.WHOLESALE PRICE AND EQUIPMENT
IN SENIGAL
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
21,419.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
48,370.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
PATRONATO BENéFICO ORIENTAL
2600 S.W. THIRD AVENUE, SUITE 600
MIAMI, FL 33129
52-1273588 501C3
0.
PCC COMMUNITY WELLNESS CENTER
14 WEST LAKE STREET
OAK PARK, IL 60302
36-3828320 501C3
0.
PEACH TREE CLINIC
6000 LINDHURST AVENUE, SUITE 500
MARYSVILLE, CA 95901
68-0371679 501C3
0.
PEDIPLACE
502 S. OLD ORCHARD, STE. 126
LEWISVILLE, TX 75067
75-2512752 501C3
0.
PENINSULA COMMUNITY
230 E MARYDALE AVENUE, SUITE 3
SOLDOTNA, AK 99669-7648
92-0177803 501C3
0.
PENINSULA COMMUNITY HEALTH
SERVICES - 616 SIXTH STREET BREMERTON, WA 98337
94-3079770 501C3
0.
PENINSULA INSTITUTE
4714 MARSHALL AVE
NEWPORT NEWS, VA 23607-2247
54-1083954 501C3
0.
PENOBSCOT COMMUNITY HEALTH CARE
103 MAINE AVENUE
BANGOR, ME 04401
01-0514750 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
155
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PURCHASED PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
19,320.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
6,593.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
378.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
39,873.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
16,469.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
7,719.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
11,897.WHOLESALE PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
128,600.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
PEOPLES COMMUNITY HEALTH CLINIC
905 FRANKLIN STREET
WATERLOO, IA 50703
42-1058629 501C3
0.
ESTIMATED
10,413.WHOLESALE PRICE
PEOPLE'S HEALTH & WELLNESS CLINIC
553 N. MAIN STREET
BARRE, VT 05641
03-0343290 501C3
0.
ESTIMATED
1,763.WHOLESALE PRICE
PEOPLE'S HEALTH CENTER
1021 NORTH 27TH STREET
LINCOLN, NE 68503
41-2056863 501C3
0.
ESTIMATED
62,612.WHOLESALE PRICE
PEOPLE'S HEALTH CENTERS
5701 DELMAR BLVD.
ST. LOUIS, MO 63112
43-1036785 501C3
0.
ESTIMATED
7,491.WHOLESALE PRICE
PEOPLE'S HEALTH CLINIC
650 ROUND VALLEY DRIVE
PARK CITY, UT 84068
87-0638042 501C3
0.
ESTIMATED
1,649.WHOLESALE PRICE
PERCISION VALLEY FREE CLINIC
268 RIVER STREET
SPRINGFIELD, VT 05156
03-0364846 501C3
0.
ESTIMATED
1,243.WHOLESALE PRICE
PERRY COUNTY MEDICAL CENTER, INC.
115 EAST BROOKLYN STREET
LINDEN, TN 37096-0916
62-1027042 501C3
0.
ESTIMATED
359,007.WHOLESALE PRICE
PERSON FAMILY MEDICAL CENTER
702 NORTH MAIN STREET
ROXBORO, NC 27573
58-1387324 501C3
0.
ESTIMATED
54,701.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
156
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
PERUVIAN AMERICAN MEDICAL SOCIETY
6488 TAMERLANE DR
BLOOMFIELD, MI 48322
51-0168976 501C3
0.
PETALUMA HEALTH CENTER
1301 SOUTHPOINT BLVD
PETALUMA, CA 94954
68-0437840 501C3
0.
PHILADELPHIA DEPARTMENT OF PUBLIC
500 S BROAD ST
PHILADELPHIA, PA 19146-1613
23-6003047 GOVT ENTITY
0.
PHILADELPHIA HEALTH MANAGEMENT
CORP - 260 S BROAD ST PHILADELPHIA, PA 19102-5021
23-7221025 501C3
0.
PHILOS HEALTH
126 2ND AVE APT 5
SAN FRANCISCO, CA 94118
20-1267910 501C3
0.
PHMC HEALTH CONNECTION
1035 W. BERKS STREET
PHILADELPHIA, PA 19122
23-7221025 501C3
0.
PHOENIX CHILDREN'S HOSPITAL
1919 E. THOMAS ROAD
PHOENIX, AZ 85016
74-2421549 501C3
0.
PIEDMONT HEALTH SERVICES
299 LLOYD STREET
CARRBORO, NC 27510
56-0952737 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
157
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
PURCHASED PRICE, PHARMACEUTICALS, SUPPORT HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME PATIENTS
972,136.WHOLESALE PRICE AND EQUIPMENT
IN PERU
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
74,614.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
207,532.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
10,579.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
PURCHASED PRICE, PHARMACEUTICALS, SUPPORT HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME PATIENTS
245,718.WHOLESALE PRICE AND EQUIPMENT
IN THE PHILIPINES
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
1,603.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
19,281.WHOLESALE PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
160,028.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
PINE STREET FREE CLINIC
1114 INGRAM STREET
CONWAY, AR 72032
56-2293128 501C3
0.
ESTIMATED
468.WHOLESALE PRICE
PINES HEALTH SERVICES
74 ACCESS HIGHWAY
CARIBOU, ME 04736
01-0376890 501C3
0.
ESTIMATED
157,947.WHOLESALE PRICE
PLAINFIELD HEALTH CENTER
1700 MYRTLE AVENUE
PLAINFIELD, NJ 07063
22-1927742 501C3
0.
ESTIMATED
378.WHOLESALE PRICE
PLAINS MEDICAL CENTER
820 FIRST STREET
LIMON, CO 80828
84-1125934 501C3
0.
ESTIMATED
44,368.WHOLESALE PRICE
PLANET CARE
801 CEDAR STREET
BERKELEY, CA 94710
80-0035287 501C3
0.
ESTIMATED
20.WHOLESALE PRICE
PLANO CHILDREN'S MEDICAL CLINIC
1407 14TH STREET
PLANO, TX 75074
75-2391166 501C3
0.
ESTIMATED
19,972.WHOLESALE PRICE
POHNPEI COMMUNITY HEALTH CENTER
KOLONIA POHNPEI FM
HAWAII, HI 96941
501C3
0.
ESTIMATED
378.WHOLESALE PRICE
POINT REYES COMMUNITY HEALTH
CENTER - 3 SIXTH STREET - POINT
REYES STATION, CA 94956
68-0172541 501C3
0.
ESTIMATED
15,863.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
158
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
POTTER'S CLAY
WESTMONT COLLEGE
MONTECITO, CA 93108
95-1684793 501C3
0.
POTTER'S VESSEL MINISTRIES
1300 AUSTIN AVENUE
WACO, TX 76701
01-0573158 501C3
0.
PREMIER COMMUNITY HEALTHCARE GROUP
37912 CHURCH AVENUE
DADE CITY, FL 33525
59-1964612 501C3
0.
PRESTON-TAYLOR
725 N. PIKE STREET
GRAFTON, WV 26354
55-0665614 501C3
0.
PRIMARY CARE HEALTH SERVICES
7227 HAMILTON AVENUE
PITTSBURGH, PA 15208
25-1300356 501C3
0.
PRIMARY CARE OF SOUTHWEST GEORGIA
360 COLLEGE ST
BLAKELY, GA 39823-2554
31-1840668 501C3
0.
PRIMARY HEALTH CARE
600 EAST 14TH STREET
DES MOINES, IA 50316
42-1350092 501C3
0.
PRIMARY HEALTH CARE CENTER OF DADE
13570 N. MAIN STREET
TRENTON, GA 30752
58-1410404 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
159
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
PURCHASED PRICE,
SUPPORT HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME PATIENTS
11,900.WHOLESALE PRICE MEDICAL SUPPLIES IN MEXICO
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
378.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
292,020.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
154,032.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
3,765.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
3,084.WHOLESALE PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
6,373.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
4,169.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
PRIMARY HEALTH CARE, INC.
9943 HICKMAN RD STE 105
URBANDALE, IA 50322-5304
42-1350092 501C3
0.
ESTIMATED
18,744.WHOLESALE PRICE
PRIMARY HEALTH SERVICES CENTER
2913 BETIN AVENUE
MONROE, LA 71201
72-1347028 501C3
0.
ESTIMATED
66,417.WHOLESALE PRICE
PROGRAM FOR HEALTH CARE
DGIM 933W, 200 LOTHROP STREET
PITTSBURGH, PA 15213
11-3708851 501C3
0.
ESTIMATED
3,788.WHOLESALE PRICE
PROJECT HOPE,INC.
439 CLINTON STREET
CAMDEN, NJ 08103
20-4133180 501C3
0.
ESTIMATED
390.WHOLESALE PRICE
PROJECT HOSPITALITY OUTREACH
25 CENTRAL AVENUE
STATEN ISLAND, NY 10301
13-3234441 501C3
0.
ESTIMATED
4,165.WHOLESALE PRICE
PROJECT MEDISHARE
3200 NW 119TH STREET
MIAMI, FL 33167-2900
65-0965848 501C3
0.
PROJECT RECOVERY
133 E. HALEY STREET
SANTA BARBARA, CA 93101
95-1878858 501C3
0.
PROJECT VIDA HEALTH CENTER
3607 RIVERA AVE
EL PASO, TX 79905-2415
68-0541648 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
160
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
PURCHASED PRICE, PHARMACEUTICALS,
ESTIMATED
MEDICAL SUPPLIES HAITI EARTHQUAKE
2,676,835.WHOLESALE PRICE AND EQUIPMENT
EMERGENCY RELIEF
SUPPORT TO US
PURCHASED PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
7,289.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
378.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
PROVIDENCE COMMUNITY HEALTH
CENTERS - 375 ALLENS AVENUE PROVIDENCE, RI 02905
05-0368134 501C3
0.
ESTIMATED
160,483.WHOLESALE PRICE
PUEBLO COMMUNITY HEALTH CENTER
310 COLORADO AVENUE
PUEBLO, CO 81004
84-0921521 501C3
0.
ESTIMATED
11,115.WHOLESALE PRICE
PUYALLUP MEDICAL CLINIC
10217 125TH STREET CT. E.
PUYALLUP, WA 98374
91-1020139 501C3
0.
ESTIMATED
927.WHOLESALE PRICE
QUEENSCARE FAMILY CLINICS
1300 N. VERMONT AVENUE #505
LOS ANGELES, CA 90027
95-3702136 501C3
0.
ESTIMATED
31,829.WHOLESALE PRICE
RAMBO MEMORIAL HEALTH CENTER
711 MAIN STREET
ZANESVILLE, OH 43701
31-4379516 501C3
0.
ESTIMATED
7,675.WHOLESALE PRICE
RANCHO LOS AMIGOS NATIONAL
7601 EAST IMPERIAL HWY
DOWNEY, CA 90242
95-6000927 OTHER
0.
ESTIMATED
17,639.WHOLESALE PRICE
RAPHAEL COMMUNITY FREE CLINIC
1807 WATER STREET
KERRVILLE, TX 78028
74-2819628 501C3
0.
ESTIMATED
205,735.WHOLESALE PRICE
RAPHAEL HEALTH CENTER
401 EAST 34TH STREET
INDIANAPOLIS, IN 46205
35-1948768 501C3
0.
ESTIMATED
12,467.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
161
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
RAPIDES PRIMARY HEALTH CARE CENTER
1217 WILLOW GLEN RIVER ROAD
ALEXANDRIA, LA 71302
72-1252422 501C3
0.
ESTIMATED
30,952.WHOLESALE
RAVENSWOOD FAMILY HEALTH
1798 BAY ROAD, SUITE A
EAST PALO ALTO, CA 94303-1611
0.
ESTIMATED
19,037.WHOLESALE
0.
PURCHASED
ESTIMATED
17,368.WHOLESALE
0.
PURCHASED
ESTIMATED
269,038.WHOLESALE
REAL MEDICINE INC.
11628 SANTA MONICA BLVD
SANTA MONICA, CA 90025
REDWOOD COAST MEDICAL SERVICES
46900 OCEAN DRIVE
GUALALA, CA 95445
94-3372130 501C3
20-2897266 501C3
94-2395606 501C3
REDWOODS RURAL HEALTH CENTER
101 WEST COAST ROAD
REDWAY, CA 95560
94-2337367 501C3
0.
PURCHASED
ESTIMATED
112,182.WHOLESALE
REFUAH HEALTH CENTER, INC.
728 N MAIN ST
SPRING VALLEY, NY 10977-1960
13-3652555 501C3
0.
ESTIMATED
378.WHOLESALE
REGENCE HEALTH NETWORK
200 S. TYLER
AMARILLO, TX 79101
75-1414940 501C3
0.
ESTIMATED
54,453.WHOLESALE
RICHLAND COMMUNITY
120 CLARKSON STREET
EASTOVER, SC 29044
57-0944745 501C3
0.
ESTIMATED
8,650.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
162
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
RICHLAND COMMUNITY HEALTH CARE
1520 LAUREL STREET
COLUMBIA, SC 29201
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
57-0944745 501C3
0.
ESTIMATED
6,610.WHOLESALE PRICE
RICHMOND AREA HIGH BLOOD PRESSURE C
1200 WEST CARY STREET
RICHMOND, VA 23220
52-1303481 501C3
0.
ESTIMATED
390.WHOLESALE PRICE
RICHMOND CLINIC
3930 SE DIVISION
PORTLAND, OR 97202
20-2222618 501C3
0.
ESTIMATED
958.WHOLESALE PRICE
RINCON HEALTH CENTER
CALLE MUñOZ RIVERA #28
RINCóN, PR 00677
66-0428488 501C3
0.
ESTIMATED
958.WHOLESALE PRICE
RISING SUN HEALTH CENTER
500 ADAMS AVENUE
PHILADELPHIA, PA 19120
23-7221025 501C3
0.
ESTIMATED
562.WHOLESALE PRICE
RITTER CENTER
16 RITTER STREET
SAN RAFAEL, CA 94901
94-2675517 501C3
0.
ESTIMATED
22,704.WHOLESALE PRICE
RIVER CITY MEDICAL CLINIC
1021 E. WASHINGTON AVENUE
NORTH LITTLE ROCK, AR 72114
71-0786539 501C3
0.
ESTIMATED
2,060.WHOLESALE PRICE
RIVER VALLEY PRIMARY CARE SERVICES
9755 WEST ST HWY 22
RATCLIFF, AR 72951
86-1082670 501C3
0.
ESTIMATED
518.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
163
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
RIVERSTONE HEALTH CLINIC
123 S 27TH ST
BILLINGS, MT 59101-4200
35-2332179 501C3
0.
ESTIMATED
28,220.WHOLESALE PRICE
RIVERTON COMMUNITY HEALTH CENTER
511 NORTH 12TH STREET E, SUITE B
RIVERTON, WY 82501
86-1176653 501C3
0.
ESTIMATED
55,000.WHOLESALE PRICE
RIVERVIEW HEALTH SERVICES
722 REYNOLDS AVENUE
KANSAS CITY, KS 66101
48-1072716 501C3
0.
ESTIMATED
89,312.WHOLESALE PRICE
RKM PRIMARY CARE
11990 JACKSON STREET
CLINTON, LA 70722
72-1443732 501C3
0.
ESTIMATED
138,627.WHOLESALE PRICE
ROANE COUNTY FAMILY HEALTH CARE
146 WILLIAMS DRIVE
SPENCER, WV 25276
55-0627933 501C3
0.
ESTIMATED
6,195.WHOLESALE PRICE
ROANOKE CHOWAN
113 HERTFORD COUNTY HIGH ROAD
AHOSKIE, NC 27910
42-1638714 501C3
0.
ESTIMATED
378.WHOLESALE PRICE
ROBESON HEALTH CARE CORPORATION
1211 S. WALNUT STREET
FAIRMONT, NC 28340
58-1622664 501C3
0.
ESTIMATED
4,402.WHOLESALE PRICE
ROBESON HEALTH CARE CORPORATION
402 NORTH PINE STREET SUITE C
LUMBERTON, NC 28358
58-1622664 501C3
0.
ESTIMATED
17,389.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
164
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
ROC MEDICAL CLINIC
7710 NE TENTH STREET
OKLAHOMA CITY, OK 73127
73-1565487 501C3
0.
ESTIMATED
27,460.WHOLESALE PRICE
ROCKBRIDGE AREA FREE CLINIC
25 NORTHRIDGE LANE
LEXINGTON, VA 24450
54-1642220 501C3
0.
ESTIMATED
477.WHOLESALE PRICE
ROSA CLARK FREE MEDICAL CLINIC
210 SOUTH OAK STREET
SENECA, SC 29678
58-6076010 501C3
0.
ESTIMATED
88,841.WHOLESALE PRICE
ROTACARE FREE CLINIC
2400 GRANT ROAD PARG 20
MOUNTAIN VIEW, CA 94040
77-0328720 501C3
0.
ESTIMATED
24,488.WHOLESALE PRICE
ROTACARE BAY AREA
P.O. BOX 18430
SAN JOSE, CA 95158-8430
77-0328723 501C3
0.
ESTIMATED
12,701.WHOLESALE PRICE
ROTACARE FREE CLINICS - SAN JOSE
21512 ALMADEN ROAD
SAN JOSE, CA 95120
77-0328720 501C3
0.
ESTIMATED
6,831.WHOLESALE PRICE
RURAL HEALTH
513 N. MAIN STREET
ANNA, IL 62906
37-1056692 501C3
0.
ESTIMATED
3,393.WHOLESALE PRICE
RURAL HEALTH CARE, INC.
1302 RIVER STREET
PALATKA, FL 32177
59-1792958 501C3
0.
ESTIMATED
25,127.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
165
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
RURAL MEDICAL SERVICES
3885 HWY 411
DANDRIDGE, TN 37725
62-1102683 501C3
0.
ESTIMATED
210,524.WHOLESALE
RUTLAND FREE CLINIC
145 STATE STREET
RUTLAND, VT 05701
83-0427544 501C3
0.
ESTIMATED
23,716.WHOLESALE
SABAN FREE CLINIC
8405 BEVERLY BLVD.
LOS ANGELES, CA 90048
95-2539105 501C3
0.
ESTIMATED
121,325.WHOLESALE
SACRAMENTO COMMUNITY
3950 INDUSTRIAL BLVD
WEST SACRAMENTO, CA 95691-3480
68-0400624 501C3
0.
ESTIMATED
504.WHOLESALE
SAFER ALTERNATIVES
8015 FREEPORT BLVD.
SACRAMENTO, CA 95832
94-3390723 501C3
0.
ESTIMATED
18,856.WHOLESALE
SAINT JOSEPH'S MERCY CARE SERVICES
424 DECATUR STREET NE
ATLANTA, GA 30312
58-1752700 501C3
0.
ESTIMATED
378.WHOLESALE
SAINT VINCENTS SANTA BARBARA
4200 CALLE REAL
SANTA BARBARA, CA 93110
95-1643367 501C3
0.
PURCHASED
ESTIMATED
12,578.WHOLESALE
SALEM MEDICAL CENTER
1275 HAWTHORN ROAD
SALEM, IL 62881
37-1158318 501C3
0.
ESTIMATED
2,612.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
166
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
SALINA HEALTH EDUCATION FOUNDATION
651 E. PRESCOTT
SALINA, KS 67401
48-0858197 501C3
0.
SALTVILLE MEDICAL CENTER
308 WEST MAIN STREET
SALTVILLE, VA 24370
54-2046110 501C3
0.
SALUD FAMILY HEALTH CENTERS
1115 SECOND STREET
FORT LUPTON, CO 80601
84-0613540 501C3
0.
SALVADORAN AMERICAN HUMANITARIAN
2050 CORAL WAY, SUITE 600
MIAMI, FL 33145
59-2339140 501C3
0.
SALVATION ARMY - SANTA BARBARA
432 CHAPALA STREET
SANTA BARBARA, CA 93101
94-1156347 501C3
0.
SALVATION ARMY MEDICAL CLINIC
622 W. WOOLEY ROAD
OXNARD, CA 93032-0752
94-1156347 501C3
0.
SAMARITAN HOMELESS CLINIC
41 CATHERINE STREET
DAYTON, OH 45402
13-1053698 501C3
0.
SAMUEL DIXON FAMILY HEALTH CENTER
30257 SAN MARTINEZ ROAD
CASTAIC, CA 91384
95-4278726 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
167
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
378.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
124,853.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
31,726.WHOLESALE PRICE PHARMACEUTICALS PATIENTS
PURCHASED PRICE, PHARMACEUTICALS, SUPPORT HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME PATIENTS
3,779,387.WHOLESALE PRICE AND EQUIPMENT
IN EL SALVADOR
SUPPORT TO US
PURCHASED PRICE,
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
5,728.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL
FOR LOW-INCOME, UNINSURED
16,589.WHOLESALE PRICE EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
7,988.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
175,551.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
SAN DIEGO FAMILY CARE
4290 POLK AVENUE
SAN DIEGO, CA 92105
95-2915400 501C3
0.
ESTIMATED
44,942.WHOLESALE PRICE
SAN DIEGO FAMILY CARE
6973 LINDA VISTA ROAD
SAN DIEGO, CA 92111
95-2700856 501C3
0.
ESTIMATED
684.WHOLESALE PRICE
SAN FRANCISCO
1550 BRYANT STREET, STE. 450
SAN FRANCISCO, CA 94103
94-2897258 501C3
0.
ESTIMATED
294.WHOLESALE PRICE
SAN FRANCISCO FREE CLINIC
4900 CALIFORNIA STREET
SAN FRANCISCO, CA 94118
94-3186248 501C3
0.
ESTIMATED
60,815.WHOLESALE PRICE
SAN JOSE CLINIC
2615 FANNIN
HOUSTON, TX 77002
76-0373703 501C3
0.
ESTIMATED
47,638.WHOLESALE PRICE
SAN JOSE FOOTHILL
660 SINCLAIR DRIVE
SAN JOSE, CA 95116
77-0440944 501C3
0.
ESTIMATED
14,239.WHOLESALE PRICE
SAN JOSE FOOTHILL FAMILY COMMUNITY
2680 SOUTH WHITE RD., SUITE 170
SAN JOSE, CA 95148
77-0440944 501C3
0.
ESTIMATED
176,084.WHOLESALE PRICE
SAN YSIDRO HEALTH CENTER
4004 BEYER BLVD.
SAN YSIDRO, CA 92173
0.
ESTIMATED
179,316.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
95-2801772 501C3
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
168
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
SANTA BARABARA COUNTY
2125 CNETERPOINTE PKWY
SANTA MARIA, CA 93455
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
95-6002833 GOVT ENTITY
0.
GOVT ENTITY
0.
SANTA BARBARA COUNTY PUBLIC HEALTH
315 CAMINO DEL REMEDIO
SANTA BARBARA, CA 93110
95-6002833 GOVT ENTITY
0.
SANTA BARBARA FOODBANK
4554 HOLLISTER AVENUE
SANTA BARBARA, CA 93110
77-0169214 501C3
0.
SANTA BARBARA NEIGHBORHOOD CLINICS
628 W. MICHELTORENA STREET
SANTA BARBARA, CA 93101
77-0496382 501C3
0.
SANTA BARBARA NEIGHBORHOOD CLINICS
915 N. MILPAS STREET
SANTA BARBARA, CA 93103
77-0496382 501C3
0.
SANTA BARBARA RESCUE MISSION
535 E. YANONALI STREET
SANTA BARBARA, CA 93103
95-6134270 501C3
0.
SANTA BARBARA STREET MEDICINE
200 NORTH LA CUMBRE ROAD, SUITE F
SANTA BARBARA, CA 93110
33-1210731 501C3
0.
SANTA BARBARA COUNTY
4410 CATHEDRAL OAKS RD.
SANTA BARBARA, CA 93110
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
169
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PURCHASED PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
9,929.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PURCHASED PRICE,
CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
323,937.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PURCHASED PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
158,244.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
8,413.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
4,995.WHOLESALE PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
PURCHASED PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
255,874.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PURCHASED PRICE,
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
7,013.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PURCHASED PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
18,870.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
SAVE THE CHILDREN
54 WILTON ROAD
WESTPORT, CT 06880
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
06-0726487 501C3
0.
SAVUSAVU COMMUNITY FOUNDATION
921 FRONT STREET, SUITE 200
SAN FRANCISCO, CA 94111
20-1038213 501C3
0.
SB COUNTY OFFICE OF EDUCATION
3970 LA COLINA ROAD, RM. 6
SANTA BARBARA, CA 93160
95-6000940 GOVT ENTITY
0.
SCOTLAND COMMUNITY HEALTH CLINIC
1405-B WEST BLVD.
LAURINBURG, NC 28352
20-2841940 501C3
0.
SCRANTON PRIMARY HEALTH CARE
CENTER - 959 WYOMING AVENUE SCRANTON, PA 18509
23-2024511 501C3
0.
SEA-MAR COMMUNITY HEALTH CENTER
1040 S HENDERSON STREET
SEATTLE, WA 98108-4720
91-1020139 501C3
0.
SEATTLE INDIAN HEALTH BOARD
611 12TH AVENUE S
SEATTLE, WA 98144
91-0869056 501C3
0.
SEATTLE PHARMACY
8800 14TH AVENUE S
SEATTLE, WA 98108
91-1020139 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
170
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PURCHASED PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
103,754.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
PURCHASED PRICE, PHARMACEUTICALS, SUPPORT FOR
ESTIMATED
MEDICAL SUPPLIES CLINICS/HEALTH CENTERS IN
1,105,940.WHOLESALE PRICE AND EQUIPMENT
FIJI
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
6,468.PURCHASED PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
19,823.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
107,314.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PURCHASED PRICE,
CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
121.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
21,362.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
17,248.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
SEBASTOPOL MEDICAL CLINIC
1490 HWY 487
SEBASTOPOL, MS 39359
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
64-0610471 501C3
0.
SEE INTERNATIONAL
6950 HOLLISTER AVE SUITE 250
GOLETA, CA 93117
31-1682275 501C3
0.
SEMO HEALTH NETWORK
200 SOUTHLAND DRIVE
SIKESTON, MO 63801
43-1253101 501C3
0.
SHACKELFORD COUNTY
2802 W. WALKER STREET, STE. 400
BRECKENRIDGE, TX 76424
75-2541970 501C3
0.
SHACKELFORD COUNTY
725 PATE STREET
ALBANY, TX 76430
75-2541970 501C3
0.
SHALOM FREE CLINIC
1190 E. FIRST AVENUE
CHICO, CA 95926
71-1023304 501C3
0.
SHALOM HEALTH CARE CENTER
3400 LAFAYETTE ROAD
INDIANAPOLIS, IN 46222
06-1645027 501C3
0.
SHARE OUR SELVES FREE MEDICAL
1550 SUPERIOR AVENUE
COSTA MESA, CA 92627
95-3222316 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
171
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
9,920.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
PURCHASED PRICE, PHARMACEUTICALS SUPPORT TO US
ESTIMATED
AND MEDICAL
CLINICS/HEALTH CENTERS
930.WHOLESALE PRICE EQUIPMENT
FOR VARIOUS COUNTRIES
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
20,930.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
34,442.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
14,297.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
30,564.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
390.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
62,821.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
SHASTA COMMUNITY HEALTH CENTER
1035 PLACER STREET
REDDING, CA 96001
68-0165855 501C3
0.
SHAWNEE COUNTY HEALTH AGENCY
1615 SW 8TH AVENUE
TOPEKA, KS 66606
48-6028759 501C3
0.
SHAWNEE HEALTH SERVICE
PO BOX 577
CARTERVILLE, IL 62918-0577
37-0966854 501C3
0.
SHED FOUNDATION
1234 FERRELO RD
SANTA BARBARA, CA 93102
56-2462704 501C3
0.
SHELTER HEALTH SERVICES
534 SPRATT STREET
CHARLOTTE, NC 28206
20-3041985 501C3
0.
SHEPHERDS HOPE
ONE CHILDREN'S WAY SLOT 512-12
LITTLE ROCK, AR 72202
20-8811505 501C3
0.
SHOSHONE COMMUNITY HEALTH CLINIC
114 W. RIVERSIDE AVENUE
KELLOGG, ID 83837
82-0498125 501C3
0.
SIERRA HEALTH CENTER - MODESTO
1801 TULLY ROAD STE # F
MODESTO, CA 95350
95-3447973 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
172
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
378.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
24,084.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
3,866.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
PURCHASED PRICE, PHARMACEUTICALS, SUPPORT FOR
ESTIMATED
MEDICAL SUPPLIES CLINICS/HEALTH CENTERS IN
434,735.WHOLESALE PRICE AND EQUIPMENT
TANZANIA
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
19,381.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
12,834.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
51,299.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
61,765.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
SIERRA HEALTH CENTER-FULLERTON
501 S. BROOKHURST ROAD
FULLERTON, CA 92833
95-3447973 501C3
0.
ESTIMATED
32,688.WHOLESALE PRICE
SIOUXLAND COMMUNITY HEALTH CENTER
1021 NEBRASKA STREET
SIOUX CITY, IA 51105
42-1374894 501C3
0.
ESTIMATED
2,304.WHOLESALE PRICE
SISKIYOU COMMUNITY HEALTH CLINIC
125 NE MANZANITA AVENUE
GRANTS PASS, OR 97526
93-0628804 501C3
0.
ESTIMATED
1,720.WHOLESALE PRICE
SMITH HOUSE HEALTH CARE CENTER
39 FARRELL ROAD
WILLSBORO, NY 12996
22-2148818 501C3
0.
ESTIMATED
10,575.WHOLESALE PRICE
SMITH MEDICAL CLINIC
116 BASKERVILL DRIVE
PAWLEYS ISLAND, SC 29585
57-0786699 501C3
0.
ESTIMATED
32,853.WHOLESALE PRICE
SNAKE RIVER COMMUNITY CLINIC
215 TENTH STREET
LEWISTON, ID 83501
31-1726460 501C3
0.
ESTIMATED
32,184.WHOLESALE PRICE
SONOMA VALLEY COMMUNITY HEALTH
CENT - 430 W. NAPA STREET STE F SONOMA, CA 95476
68-0286382 501C3
0.
ESTIMATED
3,062.WHOLESALE PRICE
SOUTH BAY FAMILY HEALTHCARE CENTER
23430 HAWTHORNE BLVD., STE. 210
TORRANCE, CA 90505
23-7049937 501C3
0.
ESTIMATED
102,475.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
173
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
SOUTH CENTRAL FAMILY HEALTH CENTER
4425 S. CENTRAL AVENUE
LOS ANGELES, CA 90011
95-3877793 501C3
0.
ESTIMATED
140,861.WHOLESALE
SOUTH COUNTY COMMUNITY CLINIC
101 PINE MANOR DRIVE
CONROE, TX 77385
75-2634623 501C3
0.
ESTIMATED
13,065.WHOLESALE
SOUTH GEORGIA
1462 CLIFTON ROAD, SUITE 280
ATLANTA, GA 30322
58-0566256 501C3
0.
ESTIMATED
11,229.WHOLESALE
SOUTH OF MARKET HEALTH CENTER
551 MINNA STREET
SAN FRANCISCO, CA 94103
23-7304921 501C3
0.
ESTIMATED
2,723.WHOLESALE
SOUTH PLAINS RURAL HEALTH
1000FM 300
LEVELLAND, TX 79336
75-2123252 501C3
0.
PURCHASED
ESTIMATED
294,946.WHOLESALE
SOUTHEAST LANCASTER HEALTH
SERVICES - 625 S. DUKE STREET LANCASTER, PA 17602
23-2160896 501C3
0.
ESTIMATED
230,471.WHOLESALE
SOUTHEAST MISSISSIPPI RURAL
5488 US HWY 49
HATTIESBURG, MS 39401
64-0625076 501C3
0.
PURCHASED
ESTIMATED
539,244.WHOLESALE
SOUTHEAST MISSOURI HEALTH NETWORK
421 LINE STREET
NEW MADRID, MO 63869
43-1253101 501C3
0.
ESTIMATED
54,639.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
174
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
SOUTHERN ILLINOIS HEALTHCARE
2041 GOOSE LAKE ROAD
SAUGET, IL 62206
37-1158318 501C3
0.
ESTIMATED
14,262.WHOLESALE PRICE
SOUTHERN JERSEY
1 N. WHITE HORSE PIKE
HAMMONTON, NJ 08037
22-2159336 501C3
0.
ESTIMATED
378.WHOLESALE PRICE
SOUTHERN TRINITY HEALTH SERVICES
153-A VAN DUZEN ROAD
MAD RIVER, CA 95552
94-2507342 501C3
0.
ESTIMATED
848.WHOLESALE PRICE
SOUTHWEST COMMUNITY HEALTH CENTER
751 B LOMBARDI COURT
SANTA ROSA, CA 95407
68-0365296 501C3
0.
ESTIMATED
29,994.WHOLESALE PRICE
SOUTHWEST COMMUNITY HEALTH CENTER
7754 SW CAPITOL HWY
PORTLAND, OR 97219
74-3050497 501C3
0.
ESTIMATED
4,344.WHOLESALE PRICE
SOUTHWEST COMMUNITY HEALTH CENTER
968 FAIRFIELD AVENUE
BRIDGEPORT, CT 06605
06-1023013 501C3
0.
ESTIMATED
2,665.WHOLESALE PRICE
SOUTHWEST GENERAL NEIGHBORHOOD
18697 BAGLEY ROAD
MIDDLEBURG HEIGHTS, OH 44130
34-1455135 501C3
0.
ESTIMATED
5,880.WHOLESALE PRICE
SOUTHWEST UTAH
168 NORTH 100 EAST
ST. GEORGE, UT 84770
35-2163112 501C3
0.
ESTIMATED
14,014.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
175
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
SOUTHWEST VIRGINIA
319 FIFTH AVENUE
SALTVILLE, VA 24370-0729
54-2046110 501C3
0.
SPRING BRANCH
1615 HILLENDAHL, SUITE 100
HOUSTON, TX 77055
30-0198705 501C3
0.
SRI SATHYA SAI WORLD FOUNDATION
1220 OAKLAWN RD
ARCADIA, CA 91006
20-4536634 501C3
0.
SSTAR FALL RIVER
386 STANLEY STREET
FALL RIVER, MA 02720
04-2604426 501C3
0.
ST PETERSBURG FREE CLINIC
863 THIRD AVENUE N
ST PETERSBURG, FL 33701
23-7208280 501C3
0.
ST VINCENT DE PAUL CHARITABLE
PHARM - 1125 BANK ST. CINCINNATI, OH 45214
30-0272954 501C3
0.
ST. ANNA'S MEDICAL MISSION
1313 ESPLANADE AVENUE
NEW ORLEANS, LA 70116
72-0631881 501C3
0.
ST. ANTHONY FREE MEDICAL CLINIC
150 GOLDEN GATE AVENUE
SAN FRANCISCO, CA 94102
94-1513140 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
176
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
235,870.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
4,994.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
PURCHASED PRICE, PHARMACEUTICALS,
ESTIMATED
MEDICAL SUPPLIES HAITI EARTHQUAKE
1,531,503.WHOLESALE PRICE AND EQUIPMENT
EMERGENCY RELIEF
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
4,677.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
22,763.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
87,622.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
543.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
47,133.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
ST. BONIFACE HAITI FOUNDATION
400 N. MAIN STREET
RANDOLPH, MA 02368
04-3067595 501C3
0.
ST. CHARLES COMMUNITY HEALTH
CENTER - 843 MILLING AVENUE LULING, LA 70070
47-0852944 501C3
0.
ST. CHARLES HEALTH COUNCIL
602 WEST MORGAN AVENUE, SUITE 3
PENNINGTON GAP, VA 24277
23-7319768 501C3
0.
ST. CROIX REGIONAL FAMILY HEALTH
136 MILL STREET
PRINCETON, ME 04668
01-0467073 501C3
0.
ST. GABRIEL EASTSIDE
5760 MONTICELLO STREET
ST. GABRIEL, LA 70776
72-1241592 501C3
0.
ST. JAMES-SANTEE FAMILY HEALTH
CENT - 1189 TIBWIN ROAD MCCLELLANVILLE, SC 29458
57-0722653 501C3
0.
ST. JOHN'S WELL CHILD AND FAMILY
CE - 5701 S. HOOVER STREET - LOS
ANGELES, CA 90037
95-4067758 501C3
0.
ST. JOSEPH HOSPITAL OF
1100 W STEWART DRIVE
ORANGE, CA 92868
95-1643359 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
177
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
PURCHASED PRICE, PHARMACEUTICALS,
ESTIMATED
MEDICAL SUPPLIES HAITI EARTHQUAKE
675,127.WHOLESALE PRICE AND EQUIPMENT
EMERGENCY RELIEF
SUPPORT TO US
PURCHASED PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
91,122.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
390.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
43,138.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
32,714.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
134,912.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
332,445.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
11,094.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
ST. JOSEPH MOBILE HEALTH CLINIC
1450 MEDICAL CENTER DRIVE, SUITE 3
ROHNERT PARK, CA 94928
68-0365296 501C3
0.
ESTIMATED
16,241.WHOLESALE PRICE
ST. JOSEPH SOCIAL WELFARE BOARD
904 S. 10TH, SUITE A
ST. JOSEPH, MO 64503
80-0308973 501C3
0.
ESTIMATED
107,128.WHOLESALE PRICE
ST. LUKE'S CLINIC
132 SEYMOUR AVENUE
JACKSON, MI 49202
32-0038675 501C3
0.
ESTIMATED
53,873.WHOLESALE PRICE
ST. LUKE'S FREE MEDICAL CLINIC
162 N. DEAN STREET
SPARTANBURG, SC 29302
57-0943232 501C3
0.
ESTIMATED
21,525.WHOLESALE PRICE
ST. MARTIN'S HEALTHCARE SERVICES
1359 SOUTH RANDOLPH STREET
GARRETT, IN 46738
20-8609620 501C3
0.
ESTIMATED
104,076.WHOLESALE PRICE
ST. MARY'S HEALTH CLINICS
1884 RANDOLPH AVENUE
ST. PAUL, MN 55105
41-1760632 501C3
0.
ESTIMATED
2,203.WHOLESALE PRICE
ST. MARYS HEALTH WAGON
119 NUMBER TEN STREET
CLINCHO, VA 24226
04-3739083 501C3
0.
ESTIMATED
48,057.WHOLESALE PRICE
ST. THOMAS CLINIC
600 PAUL HAND BOULEVARD
FRANKLIN, IN 46131
35-1449379 501C3
0.
ESTIMATED
17,386.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
178
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
ST. THOMAS COMMUNITY HEALTH CENTER
1020 ST. ANDREW STREET
NEW ORLEANS, LA 70130
14-1958494 501C3
0.
ST. VINCENT COMMUNITY CLINIC
TWO ST. VINCENT CIRCLE
LITTLE ROCK, AR 72205
71-0502872 501C3
0.
ST. VINCENT DE PAUL CLINIC
420 W. WATKINS STREET
PHOENIX, AZ 85003
86-0096789 501C3
0.
ST. VINCENT DE PAUL HEALTH CENTER
1384 GREENE STREET
AUGUSTA, GA 30901
58-2060572 501C3
0.
ST. VINCENT DE PAUL PHARMACY
1647 CONVENTION STREET
BATON ROUGE, LA 70802
72-1290447 501C3
0.
ST. VINCENT DE PAUL VILLAGE
1501 IMPERIAL AVENUE
SAN DIEGO, CA 92101
33-0492302 501C3
0.
ST. VINCENT DEPAUL COMMUNITY
21450 GIBRALTER DRIVE
PORT CHARLOTTE, FL 33952
65-0958642 501C3
0.
ST. VINCENT DEPAUL COMMUNITY
502 GRAMMONT STREET
MONROE, LA 71201
90-0014479 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
179
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PURCHASED PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
23,829.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
35,523.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
67,572.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
768.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
378.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
19,582.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
16,987.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
1,076.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
ST. VINCENT`S HOUSE CLINIC
2817 POST OFFICE STREET
GALVESTON, TX 77550
74-1384864 501C3
0.
ESTIMATED
32,438.WHOLESALE
STAYWELL HEALTH CENTER
80 PHOENIX AVENUE
WATERBURY, CT 06702-1516
22-3160873 501C3
0.
ESTIMATED
1,332.WHOLESALE
STERLING AREA HEALTH CENTER
725 E STATE ST
STERLING, MI 48659-9548
38-2205859 501C3
0.
ESTIMATED
97,820.WHOLESALE
STO-ROX FAMILY HEALTH CENTER
710 THOMPSON AVENUE
MCKEES ROCKS, PA 15136
25-1222792 501C3
0.
ESTIMATED
390.WHOLESALE
STOUT STREET CLINIC PHARMACY
2100 BROADWAY
DENVER, CO 80205
84-0951575 501C3
0.
ESTIMATED
234.WHOLESALE
SU CLINICA FAMILIAR
1706 TREASURE HILLS BLVD
HARLINGEN, TX 78550
74-2357970 501C3
0.
PURCHASED
ESTIMATED
10,055.WHOLESALE
SUFFOLK COUNTY DEPARTMENT
225 RABRO DRIVE
HAUPPAUGE, NY 11788
11-6000464 GOVT ENTITY
0.
ESTIMATED
21,151.WHOLESALE
SUMTER FAMILY HEALTH CENTER
1278 N. LAFAYETTE DRIVE
SUMTER, SC 29150
57-1095992 501C3
0.
ESTIMATED
71,168.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
180
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
SUNRISE COMMUNITY HEALTH
1028 FIFTH AVENUE
GREELEY, CO 80631
84-0613289 501C3
0.
ESTIMATED
1,655.WHOLESALE
SUNRISE MONFORT FAMILY CLINIC
2930 11TH AVENUE
EVANS, CO 80538
84-0613289 501C3
0.
ESTIMATED
70,156.WHOLESALE
SUNSET COMMUNITY HEALTH CENTER
2060 W. 24TH STREET
YUMA, AZ 85364
86-0893305 501C3
0.
ESTIMATED
13,869.WHOLESALE
SUNSHINE COMMUNITY HEALTH CENTER
34300 TALKEETNA SPUR ROAD
TALKEETNA, AK 99676
92-0117838 501C3
0.
ESTIMATED
65,837.WHOLESALE
SWLA CENTER FOR HEALTH SERVICES
2000 OPELOUSAS STREET
LAKE CHARLES, LA 70601
72-1015384 501C3
0.
PURCHASED
ESTIMATED
148,974.WHOLESALE
SWOPE HEALTH SERVICES CENTRAL
3801 BLUE PARKWAY
KANSAS CITY, MO 64130
43-0957840 501C3
0.
ESTIMATED
108,832.WHOLESALE
TACOMA ADULT TREATMENT CENTER
1415 CENTER STREET
TACOMA, WA 98409
91-1020139 501C3
0.
PURCHASED
ESTIMATED
3,996.WHOLESALE
TACOMA MEDICAL CLINIC
1112 S CUSHMAN AVENUE
TACOMA, WA 98405
91-1020139 501C3
0.
ESTIMATED
1,847.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
181
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PRICE,
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
TAMPA COMMUNITY HEALTH CENTER
1229 EAST 131ST AVENUE
TAMPA, FL 33612
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
59-2420282 501C3
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
0.
ESTIMATED
378.WHOLESALE
TAMPA COMMUNITY HEALTH CENTER
1502 EAST FOWLER
TAMPA, FL 33682
59-2420282 501C3
0.
PURCHASED
ESTIMATED
107,024.WHOLESALE
TARZANA TREATMENT CENTER
8330 RESEDA BLVD
NORTHRIDGE, CA 91324
94-2219349 501C3
0.
ESTIMATED
224,919.WHOLESALE
TECHE ACTION CLINIC
1115 WEBER STREET
FRANKLIN, LA 70538
72-6073441 501C3
0.
PURCHASED
ESTIMATED
55,251.WHOLESALE
TEEN XPRESS
1401 SLIGH BLVD.
ORLANDO, FL 32806
59-2244943 501C3
0.
ESTIMATED
5,732.WHOLESALE
TERRY REILLY HEALTH SERVICES
223 16TH AVENUE NORTH
NAMPA, ID 83687
82-0300537 501C3
0.
ESTIMATED
4,653.WHOLESALE
0.
PURCHASED
ESTIMATED
117,911.WHOLESALE
0.
PURCHASED
ESTIMATED
98,247.WHOLESALE
THE ADVENT CHRISTIAN CHURCH, INC.
11211 SW 102ND AVENUE
MIAMI, FL 33176
THE BURNED CHILDREN CARE
FOUNDATION - 9130 SUNSET DRIVE MIAMI, FL 33173
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
59-2376716 501C3
03-0427321 501C3
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
182
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
THE CHILDREN'S CLINIC
2790 ATLANTIC AVENUE
LONG BEACH, CA 90806
95-1643332 501C3
0.
ESTIMATED
189,496.WHOLESALE
THE CHILDREN'S CLINIC
320 LAKE ST
OAK PARK, IL 60302
36-9002074 501C3
0.
ESTIMATED
10,613.WHOLESALE
THE CHRISTIAN HEALTH CENTER
501 WEST MAIN, PMB #233
HEBER SPRINGS, AR 72543
71-0852792 501C3
0.
ESTIMATED
21,885.WHOLESALE
THE CHURCH ON THE WAY
14800 SHERMAN WAY
VAN NUYS, CA 91405
95-2818293 501C3
0.
PURCHASED
ESTIMATED
96,547.WHOLESALE
THE CLINIC
143 CHURCH STREET
PHOENIXVILLE, PA 19460
23-3072363 501C3
0.
ESTIMATED
2,328.WHOLESALE
THE COMMUNITY FREE CLINIC
528 A LAKE CONCORD ROAD
CONCORD, NC 28025
58-2131301 501C3
0.
ESTIMATED
2,032.WHOLESALE
THE COMMUNITY HEALTH CENTER
2823 NORTH AUSTRALIAN AVENUE
WEST PALM BEACH, FL 33407
26-3611337 501C3
0.
ESTIMATED
378.WHOLESALE
0.
PURCHASED
ESTIMATED
228,280.WHOLESALE
THE EFFORT COMMUNITY HEALTH CENTER
1820 J STREET
SACRAMENTO, CA 95811
94-1713704 501C3
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
183
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
THE FINGER LAKES MIGRANT
14 MAIDEN LANE
PENN YAN, NY 14527-1205
16-1581104 501C3
0.
THE FREE CLINIC AND PHARMACY
144 DUCKWORTH AVENUE
BREVARD, NC 28712
43-1980011 501C3
0.
THE GOOD SAMARITAN MEDICAL CLINIC
520 COLLEGE STREET
COLUMBUS, MS 39701
64-0926626 501C3
0.
THE GRANT FOUNDATION
P.O. BOX 81046
PITTSBURGH, PA 15217
25-1017587 501C3
0.
THE HOPE PROJECT
157 WALL STREET
TENAHA, TX 75974
32-0086739 501C3
0.
THE MEDINA HEALTH MINISTRY
425 WEST LIBERTY SUITE 1
MEDINA, OH 44256
30-0092944 501C3
0.
THE NEIGHBORHOOD CHRISTIAN CLINIC
1929 W. FILLMORE
PHOENIX, AZ 85009
86-0839580 501C3
0.
THE OPEN DOOR CLINIC
130 WEST CENTRAL
CHIPPEWA FALLS, WI 54729
20-3673759 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
184
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
2,203.WHOLESALE PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
8,034.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
4,284.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
PURCHASED PRICE, PHARMACEUTICALS,
ESTIMATED
MEDICAL SUPPLIES HAITI EARTHQUAKE
2,174,853.WHOLESALE PRICE AND EQUIPMENT
EMERGENCY RELIEF
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
64,546.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
24,301.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
59,727.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
7,021.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
THE SAMARITAN CENTER
200 NW THIRD AVENUE
VISALIA, CA 93291
91-2160467 501C3
0.
THE SHAREWOOD PROJECT
136 HARRISON AVENUE
BOSTON, MA 02111
04-2103634 501C3
0.
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
43,642.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
378.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
THE SUMBA FOUNDATION
26271 GLEN CANYON DR
LAGUNA HILLS, CA 92653
91-2168923 501C3
0.
THE WORLD FAMILY
11 JONES WAY
LARKSPUR, CA 94939
32-0084828 501C3
0.
THIRD STREET FAMILY HEALTH
SERVICES - 600 W. THIRD STREET MANSFIELD, OH 44906
34-1753919 501C3
0.
THOMAS E. LANGLEY MEDICAL CENTER
1425 SOUTH US 301
SUMTERVILLE, FL 33585
59-1664577 501C3
0.
THUNDERMIST HEALTH CENTER
450 CLINTON STREET, 1ST FL.
WOONSOCKET, RI 02895
05-0355097 501C3
0.
PURCHASED PRICE, PHARMACEUTICALS, SUPPORT FOR
ESTIMATED
MEDICAL SUPPLIES CLINICS/HEALTH CENTERS IN
30,659.WHOLESALE PRICE AND EQUIPMENT
INDONESIA
SUPPORT TO US
PURCHASED PRICE,
CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
197,089.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
37,656.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PURCHASED PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
111,598.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
42,792.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
0.
PURCHASED PRICE,
SUPPORT FOR
ESTIMATED
CLINICS/HEALTH CENTERS IN
160,762.WHOLESALE PRICE PHARMACEUTICALS KENYA
MATIBABU FOUNDATION
PO BOX 1028
OAKLAND, CA 94602
LHA
20-1102853 CH
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
185
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
TIBURCIO VASQUEZ HEALTH CENTER,
INC - 33255 9TH ST - UNION CITY,
CA 94587-2137
23-7118361 501C3
0.
ESTIMATED
378.WHOLESALE
TIFT COMMUNITY HEALTH CENTER
2735 S. CENTRAL AVENUE
TIFTON, GA 31794
58-1705285 501C3
0.
ESTIMATED
21,144.WHOLESALE
TOTAL HEALTH CARE
1501 DIVISION STREET
BALTIMORE, MD 21217
23-7267007 501C3
0.
ESTIMATED
18,885.WHOLESALE
TOWNHALL II MEDICAL CLINIC
155 N. WATER
KENT, OH 44240
34-1091439 501C3
0.
ESTIMATED
9,091.WHOLESALE
TRANSITION HOUSE
425 E. COTA STREET
SANTA BARBARA, CA 93101
77-0099755 501C3
0.
PURCHASED
ESTIMATED
9,234.WHOLESALE
TREASURE COAST COMMUNITY HEALTH
12196 COUNTY ROAD 512
FELLSMERE, FL 32948
59-3219191 501C3
0.
ESTIMATED
5,288.WHOLESALE
TRI CITY HEALTH PARTNERSHIP
318 WALNUT STREET
ST. CHARLES, IL 60174
36-4475369 501C3
0.
ESTIMATED
378.WHOLESALE
TRI COUNTY MEDICAL CENTER
53 MULBERRY STREET
FRISCO CITY, AL 36445
63-1056564 501C3
0.
ESTIMATED
82,413.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
186
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
TRI STATE BIRD RESCUE
110 POSSUM HOLLOW ROAD
NEWARK, DE 19711
51-0265807 501C3
0.
ESTIMATED
306.WHOLESALE
TRIAD HEALTH SYSTEMS
872 US 42 WEST
WARSAW, KY 41095
20-8963925 501C3
0.
ESTIMATED
172,787.WHOLESALE
TRI-AREA COMMUNITY HEALTH
14558 DANVILLE PIKE
LAUREL FORK, VA 24352
54-1112330 501C3
0.
ESTIMATED
2,172.WHOLESALE
TRI-CITY HEALTH CENTER
39500 LIBERTY STREET
FREMONT, CA 94538
23-7255435 501C3
0.
ESTIMATED
1,648.WHOLESALE
TRI-COUNTY COMMUNITY HEALTH CENTER
3331 EASY STREET
DUNN, NC 28334
58-1319204 501C3
0.
ESTIMATED
17,574.WHOLESALE
TRI-COUNTY MEDICAL CENTER, INC.
316 S MAIN ST
EVERGREEN, AL 36401-3313
63-1056564 501C3
0.
PURCHASED
ESTIMATED
320,177.WHOLESALE
TRINITY CLINIC OF CALVIN
312 CANADIAN STREET
CALVIN, OK 74531
61-1351519 501C3
0.
ESTIMATED
36,030.WHOLESALE
TRINITY NEIGHBORHOOD HEALTH CENTER
1615 6TH AVENUE
TACOMA, WA 98405
94-3119474 501C3
0.
ESTIMATED
23,795.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
187
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
TRI-STATE MEDICAL GROUP, INC.
400 NORTH 17TH STREET
KEOKUK, IA 52632
42-1435525 501C3
0.
ESTIMATED
113,420.WHOLESALE
TULARE COMMUNITY HEALTH CLINIC
1101 NORTH CHERRY STREET
TULARE, CA 93274
77-0465378 501C3
0.
ESTIMATED
60,321.WHOLESALE
TURIMIQUIRE FOUNDATION INC
33 RICHDALE AVENUE
CAMBRIDGE, MA 02140
04-3286660 501C3
0.
PURCHASED
ESTIMATED
8,279.WHOLESALE
TWIN CITY MEDICAL CENTER
2195 EUCLID AVENUE, SUITE 6
BRISTOL, VA 24201
54-2046110 501C3
0.
ESTIMATED
14,036.WHOLESALE
UBI CARITAS
4450 HIGHLAND AVENUE
BEAUMONT, TX 77705
76-0558225 501C3
0.
ESTIMATED
144,829.WHOLESALE
UCI FAMILY HEALTH CENTER
800 N. MAIN STREET
SANTA ANA, CA 92701
95-2226406 501C3
0.
ESTIMATED
8,376.WHOLESALE
UCR STUDENT RUN HEALTH CLINIC
3504 MISSION INN AVE
RIVERSIDE, CA 92501
23-7433570 501C3
0.
ESTIMATED
2,203.WHOLESALE
UMMA COMMUNITY CLINIC
711 W. FLORENCE AVENUE
LOS ANGELES, CA 90044
95-4666712 501C3
0.
ESTIMATED
100,093.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
188
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
UMPQUA COMMUNITY HEALTH CENTER
150 KENNETH FORD DRIVE
ROSEBURG, OR 97470
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
93-1070304 501C3
0.
ESTIMATED
99,261.WHOLESALE PRICE
501C3
0.
ESTIMATED
13,466.WHOLESALE PRICE
46-0387557 501C3
0.
ESTIMATED
768.WHOLESALE PRICE
UNITED AMERICAN INDIAN INVOLVEMENT
1125 W. SIXTH STREET, STE. 103
LOS ANGELES, CA 90017
95-2917933 501C3
0.
ESTIMATED
44,759.WHOLESALE PRICE
UNA HEALTH
2858 PINE STREET
UNADILLA, GA 31091
UNION COUNTY HEALTH FOUNDATION
204 EAST MAIN STREET
ELK POINT, SD 57025
UNITED ARMENIAN FUND
111 NORTH JACKSON STREET
GLENDALE, CA 91206
95-4247860 501C3
0.
UNITED COMMUNITY AND FAMILY
47 TOWN STREET
NORWICH, CT 06360
22-3357504 501C3
0.
UNITED COMMUNITY HEALTH CENTER
450 MOOSA BLVD, STE. E
EUNICE, LA 70535
72-0564845 501C3
0.
UNITED COMMUNITY HEALTH CENTER
715 WEST MILWAUKEE STREET
STORM LAKE, IA 50588
30-0225826 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
189
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
PHARMACEUTICALS, SUPPORT FOR
ESTIMATED
MEDICAL SUPPLIES CLINICS/HEALTH CENTERS IN
320,890.WHOLESALE PRICE AND EQUIPMENT
ARMENIA
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
2,221.WHOLESALE PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
258,011.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
5,288.WHOLESALE PRICE PHARMACEUTICALS PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
UNITED MEDICAL CENTER 1
2525 VETERANS BLVD
EAGLE PASS, TX 78852
74-1993570 501C3
0.
ESTIMATED
7,840.WHOLESALE PRICE
UNITED WAY-SANTA BARBARA
320 E. GUTIERREZ STREET
SANTA BARBARA, CA 93101
95-1641968 501C3
0.
1,483.PURCHASED PRICE
UNIVERSITY OF AKRON COMMUNITY
209 CARROLL STREET SUITE 116
AKRON, OH 44325
34-6002920 501C3
0.
ESTIMATED
18,042.WHOLESALE PRICE
UNIVERSITY OF MIAMI
1601 NW 12TH AVENUE
MIAMI, FL 33136
13-3468427 501C3
0.
ESTIMATED
7,500.WHOLESALE PRICE
UPHAM'S CORNER HEALTH CENTER
415 COLUMBIA ROAD
DORCHESTER, MA 02125
04-3344542 501C3
0.
ESTIMATED
1,680.WHOLESALE PRICE
UPPER VALLEY COMMUNITY HEALTH
SERVI - 20 NORTH 3RD EAST - SAINT
ANTHONY, ID 83445
82-0527562 501C3
0.
ESTIMATED
105,190.WHOLESALE PRICE
URBAN MINISTRIES OPEN DOOR CLINIC
P.O. BOX 26476
RALEIGH, NC 27611
58-1422700 501C3
0.
ESTIMATED
378.WHOLESALE PRICE
VALLEY AIDS COUNCIL
418 E. TYLER AVENUE, STE. A
HARLINGEN, TX 78550
74-2512591 501C3
0.
ESTIMATED
3,733.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
190
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
VALLEY COMMUNITY CLINIC
6801 COLDWATER CYN AVENUE
NORTH HOLLYWOOD, CA 91605
23-7050082 501C3
0.
ESTIMATED
84,909.WHOLESALE
VALLEY FAMILY HEALTH CARE
1441 NE 10TH AVENUE
PAYETTE, ID 83661
82-0371383 501C3
0.
ESTIMATED
58,888.WHOLESALE
VALLEY HEALTH TEAM, INC.
21890 COLORADO AVENUE
SAN JOAQUIN, CA 93660
94-2217261 501C3
0.
ESTIMATED
83,027.WHOLESALE
VALLEY HEALTHCARE SYSTEMS
1315 DELAUNAY AVENUE, SUITE 201
COLUMBUS, GA 31901
58-1999205 501C3
0.
ESTIMATED
2,846.WHOLESALE
VANCOUVER MEDICAL CLINIC
7410 E DELAWARE LANE
VANCOUVER, WA 98664
91-1020139 501C3
0.
ESTIMATED
37,259.WHOLESALE
VENICE FAMILY CLINIC
604 ROSE AVENUE
VENICE, CA 90291
95-2769432 501C3
0.
PURCHASED
ESTIMATED
590,378.WHOLESALE
VERMILLION-PARKE
777 S MAIN ST STE 100
CLINTON, IN 47842-2493
20-8998983 501C3
0.
ESTIMATED
378.WHOLESALE
VIDA Y SALUD HEALTH CENTER
308 CESAR CHAVEZ AVENUE
CRYSTAL CITY, TX 78839
74-1715419 501C3
0.
ESTIMATED
2,702.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
191
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
VILLAGE HEALTH WORKS USA
3 PROSPECT ST
HANOVER, NH 03755
45-0545435 501C3
0.
VINE HILL CLINIC
601 BENTON AVENUE
NASHVILLE, TN 37204
62-1438461 501C3
0.
VIOLA STARTZMAN FREE CLINIC
1874 CLEVELAND ROAD
WOOSTER, OH 44691
34-1758151 501C3
0.
VISIONS YOUTH TREATMENT CENTER
1603 EAST ILLINOIS
BELLINGHAM, WA 98226
91-1020139 501C3
0.
VISITATION HOSPITAL FOUNDATION
PO BOX 210270
NASHVILLE, TN 37221
62-1774851 501C3
0.
VISTA COMMUNITY CLINIC
1000 VALE TERRACE DRIVE
VISTA, CA 92084
95-2815615 501C3
0.
VNA OF FOX VALLEY HEALTH CENTERS
400 HIGHLAND AVENUE
AURORA, IL 60560
36-2182095 501C3
0.
VOLUNTEERS IN MEDICINE
190 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
20-3531527 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
192
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PURCHASED PRICE,
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
1,217.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
3,141.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
23,806.WHOLESALE PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
970.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
PURCHASED PRICE, PHARMACEUTICALS,
ESTIMATED
MEDICAL SUPPLIES HAITI EARTHQUAKE
1,249,868.WHOLESALE PRICE AND EQUIPMENT
EMERGENCY RELIEF
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
7,869.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
1,699.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
24,001.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
VOLUNTEERS IN MEDICINE
2140 NORTH 4TH STREET
ST. CHARLES, MO 63301
43-1791543 501C3
0.
ESTIMATED
39,939.WHOLESALE PRICE
VOLUNTEERS IN MEDICINE
41 EAST DUVAL STREET
JACKSONVILLE, FL 32202
75-3002172 501C3
0.
ESTIMATED
30,251.WHOLESALE PRICE
VOLUNTEERS IN MEDICINE
909 GEORGIANA STREET
PORT ANGELES, WA 98362
01-0590704 501C3
0.
ESTIMATED
378.WHOLESALE PRICE
VOLUNTEERS IN MEDICINE CLINIC
2260 MARCOLA ROAD
SPRINGFIELD, OR 97477
93-1276816 501C3
0.
ESTIMATED
33,046.WHOLESALE PRICE
VOLUNTEERS IN MEDICINE CLINIC
417 SE BALBOA AVENUE
STUART, FL 34994
65-1115793 501C3
0.
ESTIMATED
4,406.WHOLESALE PRICE
VOLUNTEERS IN MEDICINE OF
BARTHOLOM - 836 JACKSON STREET COLUMBUS, IN 47201
35-1907774 501C3
0.
ESTIMATED
5,807.WHOLESALE PRICE
VOLUNTEERS IN MEDICINE, HILTON
HEAD - 15 NORTHRIDGE DRIVE HILTON HEAD, SC 29926
57-0959206 501C3
0.
ESTIMATED
76,733.WHOLESALE PRICE
WAIANAE COAST
86-260 FARRINGTON HIGHWAY
WAIANAE, HI 96792
99-0256258 501C3
0.
ESTIMATED
17,626.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
193
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
WAIKIKI HEALTH CENTER
277 OHUA AVENUE
HONOLULU, HI 96815
99-0159253 501C3
0.
ESTIMATED
390.WHOLESALE PRICE
WAIMANALO HEALTH CENTER
41-1347 KALANIANAOLE HIGHWAY
WAIMANALO, HI 96795
99-0273205 501C3
0.
ESTIMATED
96,851.WHOLESALE PRICE
WALLACE MEDICAL CONCERN
254 NW BURNSIDE ROAD
GRESHAM, OR 97030
93-0853709 501C3
0.
ESTIMATED
11,321.WHOLESALE PRICE
WALNUT STREET COMMUNITY
24 N. WALNUT STREET
HAGERSTOWN, MD 21740
02-0575163 501C3
0.
ESTIMATED
3,935.WHOLESALE PRICE
WATER STREET CLINICS
210 S. PRINCE STREET
LANCASTER, PA 17603
23-6004676 501C3
0.
ESTIMATED
33,815.WHOLESALE PRICE
WATERMAN COMMUNITY PRIMARY HEALTH
2300 KURT STREET
EUSTIS, FL 32726
59-3140669 501C3
0.
ESTIMATED
5,732.WHOLESALE PRICE
WATERTOWN AREA CARES CLINIC
415 SOUTH 8TH STREET
WATERTOWN, WI 53094
39-1971262 501C3
0.
ESTIMATED
390.WHOLESALE PRICE
WATTS HEALTHCARE CORPORATION
10300 COMPTON AVENUE
LOS ANGELES, CA 90002
75-3046480 501C3
0.
ESTIMATED
3,117.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
194
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
WAYNE COMMUNITY HEALTH CENTER
128 SOUTH 300 WEST
BICKNELL, UT 84715
94-2943609 501C3
0.
ESTIMATED
3,474.WHOLESALE PRICE
WEBSTER CITY FREE CLINIC
1440 E. SECOND STREET
WEBSTER CITY, IA 50595
42-1522554 501C3
0.
ESTIMATED
27,591.WHOLESALE PRICE
WEST ALABAMA MENTAL HEALTH BOARD
1401 HIGHWAY 80 E
DEMOPOLIS, AL 36732
63-0588645 501C3
0.
ESTIMATED
378.WHOLESALE PRICE
WEST CECIL HEALTH CENTER, INC.
PO BOX 99
CONOWINGO, MD 21918-0099
20-5860113 501C3
0.
ESTIMATED
1,322.WHOLESALE PRICE
WEST COUNTY HEALTH CENTERS, INC.
14045 MILL STREET
GUERNEVILLE, CA 95446-1449
23-7310613 501C3
0.
ESTIMATED
33,288.WHOLESALE PRICE
WEST OAKLAND HEALTH COUNCIL
700 ADELINE STREET
OAKLAND, CA 94607
94-1667294 501C3
0.
ESTIMATED
103,585.WHOLESALE PRICE
WEST SIDE COMMUNITY HEALTH
SERVICES - 153 CESAR CHAVEZ STREET
- ST. PAUL, MN 55107
23-7156236 501C3
0.
ESTIMATED
930.WHOLESALE PRICE
WEST VIRGINIA HEALTH RIGHT
1520 WASHINGTON STREET E.
CHARLESTON, WV 25311
0.
ESTIMATED
284,634.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
31-1066881 501C3
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
195
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
WESTERN BERKS FREE
480 BIG SPRING ROAD
ROBESONIA, PA 19551
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
01-0742666 501C3
0.
ESTIMATED
378.WHOLESALE PRICE
WESTERN MAINE FAMILY HEALTH CENTER
80 MAIN STREET
LIVERMORE FALLS, ME 04254
01-6023664 501C3
0.
ESTIMATED
34,041.WHOLESALE PRICE
WESTERN SIERRA MEDICAL CLINIC
209 NEVADA STREET
DOWNIEVILLE, CA 95936
94-2279011 501C3
0.
ESTIMATED
10,457.WHOLESALE PRICE
WESTERN TIDEWATER FREE CLINIC
2019 MEADE PARKWAY
SUFFOLK, VA 23434
26-3302837 501C3
0.
ESTIMATED
3,966.WHOLESALE PRICE
WESTMINSTER FREE CLINIC
2103 MONTROSE AVENUE, STE. E
MONTROSE, CA 91020
77-0563241 501C3
0.
ESTIMATED
21,529.WHOLESALE PRICE
WESTMORELAND MEDICAL CENTER
18849 KINGS HWY
MONTROSS, VA 22520
54-0887287 501C3
0.
ESTIMATED
5,880.WHOLESALE PRICE
WESTSIDE FAMILY HEALTH CENTER
1711 OCEAN PARK BLVD
SANTA MONICA, CA 90405
95-2931931 501C3
0.
ESTIMATED
283,890.WHOLESALE PRICE
WESTSIDE FREE MEDICAL CLINIC
CAMP ALDERSGATE
LITTLE ROCK, AR 72205
71-0236871 501C3
0.
ESTIMATED
2,934.WHOLESALE PRICE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
196
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
WHATLEY HEALTH SERVICES, INC.
2731 M. L. KING, JR. BLVD
TUSCALOOSA, AL 35401
63-0727781 501C3
0.
ESTIMATED
51,824.WHOLESALE
WHEELING HEALTH RIGHT
61-29TH STREET
WHEELING, WV 26003
31-1149085 501C3
0.
ESTIMATED
83,649.WHOLESALE
WHITEFORD AND COAN CLINIC
35 WHITEFOORD AVE SE
ATLANTA, GA 30317
58-2180056 501C3
0.
ESTIMATED
5,508.WHOLESALE
WHITMAN WALKER CLINIC
1701 14TH STREET NW
WASHINGTON, DC, DC 20009
52-1122122 501C3
0.
ESTIMATED
1,086.WHOLESALE
WHITTIER STREET HEALTH CENTER
1125 TREMONT STREET
ROXBURY, MA 02120
04-2619517 501C3
0.
ESTIMATED
378.WHOLESALE
WILL BRIDGE SANTA BARBARA
1215 E. MONTECITO STREET
SANTA BARBARA, CA 93103
57-1194195 501C3
0.
PURCHASED
ESTIMATED
6,247.WHOLESALE
WILL COUNTY COMMUNITY HEALTH
CENTER - 1106 NEAL AVENUE JOLIET, IL 60433
36-3971168 501C3
0.
ESTIMATED
61,675.WHOLESALE
WILLIAM F. RYAN COMMUNITY HEALTH
CE - 110 WEST 97TH STREET - NEW
YORK, NY 10025
13-2884976 501C3
0.
ESTIMATED
2,072.WHOLESALE
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
197
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE PHARMACEUTICALS PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE,
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
WILMINGTON COMMUNITY CLINIC
1009 N. AVALON BLVD.
WILMINGTON, CA 90744
95-3137803 501C3
0.
ESTIMATED
64,755.WHOLESALE
WIRT COUNTY
1301 ELIZABETH PIKE
ELIZABETH, WV 26143
31-0942184 501C3
0.
ESTIMATED
2,773.WHOLESALE
WIRT COUNTY HEALTH SERVICES ASSN.
606 WASHINGTON STREET
RAVENSWOOD, WV 26164
31-0942184 501C3
0.
ESTIMATED
38,148.WHOLESALE
WOMEN OF MEANS, INC.
148 LINDEN STREET, SUITE 208
WELLESLEY, MA 02482
04-3487205 501C3
0.
ESTIMATED
11,028.WHOLESALE
WOMEN'S CLINIC
9911 W. PICO BLVD., #500
LOS ANGELES, CA 90035
95-2800022 501C3
0.
ESTIMATED
29.WHOLESALE
20-0776090 501C3
0.
PURCHASED
ESTIMATED
202,657.WHOLESALE
501C3
0.
ESTIMATED
5,450.WHOLESALE
WOMEN'S HEALTH CONNECTIONS
412 SOUTH MAIN
LINDALE, TX 75771
WORKING PEOPLE'S FREE CLINIC
1543 MCGINNIS STREET
ALEXANDRIA, LA 71301
WORLD CARES CENTER
520 8TH AVENUE
NEW YORK CITY, NY 10018
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
41-2024802 501C3
0.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
198
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
PRICE MEDICAL SUPPLIES PATIENTS
PURCHASED PRICE, PHARMACEUTICALS,
ESTIMATED
MEDICAL SUPPLIES HAITI EARTHQUAKE
341,270.WHOLESALE PRICE AND EQUIPMENT
EMERGENCY RELIEF
Schedule I-1 (Form 990) 2009
K
SCHEDULE I-1
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
2009
Open to Public
Inspection
Employer identification number
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Grants and Other Assistance to Governments and Organizations in the United States (Schedule I (Form 990), Part II.)
(a) Name and address of
organization or government
(b) EIN
(c) IRC section
if applicable
(d) Amount of
cash grant
WORLD WIDE VILLAGE INC.
616 SIMS AVENUE
ST. PAUL, MN 55130
41-2014011 501C3
0.
YAKIMA NEIGHBORHOOD HEALTH
SERVICES - 12 SOUTH 8TH STREET YAKIMA, WA 98901
91-0928817 501C3
0.
YORK COUNTY COMMUNITY ACTION
32 PATRIOT LANE
SANFORD, ME 04073
01-0481805 501C3
0.
ZUFALL HEALTH CENTER
17 SOUTH WARREN STREET
DOVER, NJ 07801
22-3125397 501C3
0.
THE INSTITUTE FOR FAMILY HEALTH
16 E 16TH STREET
NEW YORK, NY 10003-3105
13-3273402 501C3
0.
LHA
OMB No. 1545-0047
Continuation Sheet for Schedule I (Form 990)
Attach to Form 990 to list additional information for
Schedule I (Form 990), Part II or Part III.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932241 02-01-10
199
(e) Amount of
non-cash
assistance
(f) Method of
valuation
(book, FMV,
appraisal, other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
SUPPORT TO US
PURCHASED PRICE, PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
110,834.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
28,176.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
PHARMACEUTICALS, FOR LOW-INCOME, UNINSURED
8,202.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
SUPPORT TO US
PHARMACEUTICALS, CLINICS/HEALTH CENTERS
ESTIMATED
MEDICAL SUPPLIES FOR LOW-INCOME, UNINSURED
29,449.WHOLESALE PRICE AND EQUIPMENT
PATIENTS
SUPPORT TO US
CLINICS/HEALTH CENTERS
ESTIMATED
FOR LOW-INCOME, UNINSURED
378.WHOLESALE PRICE MEDICAL SUPPLIES PATIENTS
Schedule I-1 (Form 990) 2009
DIRECT RELIEF INTERNATIONAL
Supplemental Information
Schedule I (Form 990) 2009
Part IV
95-1831116
Page 2
IT COMES TO THE MONITORING OF OUR SUPPORT OF GRANTEES IN EMERGENCY
RESPONSE SITUATIONS.
Schedule I (Form 990) 2009
932291 04-24-09
200
SCHEDULE J
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
| Complete if the organization answered "Yes" to Form 990,
Part IV, line 23.
| Attach to Form 990. | See separate instructions.
DIRECT RELIEF INTERNATIONAL
Questions Regarding Compensation
OMB No. 1545-0047
2009
Open to Public
Inspection
Employer identification number
95-1831116
Yes
No
1a Check the appropriate box(es) if the organization provided any of the following to or for a person listed in Form 990,
Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
First-class or charter travel
Housing allowance or residence for personal use
Travel for companions
Payments for business use of personal residence
Tax indemnification and gross-up payments
Health or social club dues or initiation fees
Discretionary spending account
Personal services (e.g., maid, chauffeur, chef)
b If any of the boxes on line 1a are checked, did the organization follow a written policy regarding payment or
reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain ~~~~~~~~~~~
2 Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers, directors,
trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ~~~~~~~~~~~~~~~~~~~~~
3
1b
2
Indicate which, if any, of the following the organization uses to establish the compensation of the organization's
CEO/Executive Director. Check all that apply.
X Compensation committee
X Written employment contract
X Compensation survey or study
Independent compensation consultant
X Form 990 of other organizations
X Approval by the board or compensation committee
During the year, did any person listed in Form 990, Part VII, Section A, line 1a, with respect to the filing
organization or a related organization:
a Receive a severance payment or change-of-control payment?~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
b Participate in, or receive payment from, a supplemental nonqualified retirement plan? ~~~~~~~~~~~~~~~~~~~~
c Participate in, or receive payment from, an equity-based compensation arrangement?~~~~~~~~~~~~~~~~~~~~
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
4
4a
4b
4c
X
X
X
Only section 501(c)(3) and 501(c)(4) organizations must complete lines 5-9.
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation
contingent on the revenues of:
X
5a
a The organization? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
X
5b
b Any related organization? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
If "Yes" to line 5a or 5b, describe in Part III.
6 For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation
contingent on the net earnings of:
X
6a
a The organization? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
X
6b
b Any related organization? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
If "Yes" to line 6a or 6b, describe in Part III.
7 For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed payments
X
7
not described in lines 5 and 6? If "Yes," describe in Part III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
8 Were any amounts reported in Form 990, Part VII, paid or accrued pursuant to a contract that was subject to the
X
8
initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe in Part III ~~~~~~~~~~~~~~
9 If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in
9
Regulations section 53.4958-6(c)? •••••••••••••••••••••••••••••••••••••••••••••
LHA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule J (Form 990) 2009
5
932111
02-02-10
201
DIRECT RELIEF INTERNATIONAL
95-1831116
Schedule J (Form 990) 2009
Part II Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space is needed.
Page 2
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the instructions, on row (ii).
Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(B) Breakdown of W-2 and/or 1099-MISC compensation
(i) Base
compensation
(A) Name
BHUPI SINGH
THOMAS E. TIGHE
PAUL THOMPSON
932112 02-02-10
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
215,104.
0.
247,600.
0.
159,410.
0.
(ii) Bonus &
incentive
compensation
0.
0.
0.
0.
0.
0.
(iii) Other
reportable
compensation
10,000.
0.
0.
0.
15,000.
0.
202
(C)
Retirement and
other deferred
compensation
738.
0.
11,458.
0.
0.
0.
(D)
Nontaxable
benefits
11,068.
0.
13,360.
0.
10,308.
0.
(E)
Total of columns
(B)(i)-(D)
236,910.
0.
272,418.
0.
184,718.
0.
(F)
Compensation
reported in prior
Form 990 or
Form 990-EZ
310,794.
0.
366,187.
0.
0.
0.
Schedule J (Form 990) 2009
SCHEDULE J-2
(Form 990)
OMB No. 1545-0047
2009
Continuation Sheet for Form 990
| Attach to Form 990 to list additional information for Form 990, Part VII, Section A, line 1a.
Open to Public
Department of the Treasury
Inspection
Internal Revenue Service
| See the Instructions for Form 990.
Name of the Organization
Employer Identification number
SHERRY VILLANUEVA
COMMITTEE CHAIR
GARY TOBEY
DIRECTOR
BHUPI SINGH
EXECUTIVE VP & CFO
THOMAS E. TIGHE
CHIEF EXECUTIVE OFFICER
PAUL THOMPSON
CHIEF OF PROGRAMS
ANN MAXWELL
CHEIF OPERATING OFFICER
ANTHOULA RANDOPOULOS
VP, DEVELOPMENT
ROSS COMSTOCK
DIRECTOR OF IT
SARAVANAN SELVARAJ
SAP APPLICATIONS MANAGER
(D)
Reportable
compensation
from
the
organization
(W-2/1099-MISC)
(F)
Estimated
amount of
other
compensation
from the
organization
and related
organizations
5.00 X
0.
0.
0.
2.00 X
0.
0.
0.
40.00
X
225,104.
0.
11,806.
40.00
X
247,600.
0.
24,818.
40.00
X X
174,410.
0.
10,308.
40.00
X
106,383.
0.
5,404.
40.00
X
117,228.
0.
15,374.
40.00
X
107,284.
0.
15,139.
40.00
X
116,846.
0.
9,173.
LHA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932201 02-02-10
(E)
Reportable
compensation
from related
organizations
(W-2/1099-MISC)
Former
Highest compensated employee
Key employee
(C)
Position
(check all that apply)
Officer
(B)
Average
hours
per
week
Individual trustee or director
(A)
Name and title
Institutional trustee
Part I
DIRECT RELIEF INTERNATIONAL
95-1831116
Continuation of Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
203
Schedule J-2 (Form 990) 2009
SCHEDULE M
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
Noncash Contributions
J
OMB No. 1545-0047
2009
Complete if the organizations answered "Yes" on Form
990, Part IV, lines 29 or 30.
J Attach to Form 990.
DIRECT RELIEF INTERNATIONAL
Types of Property
Art - Works of art ~~~~~~~~~~~~~
Art - Historical treasures ~~~~~~~~~
Art - Fractional interests ~~~~~~~~~~
Books and publications ~~~~~~~~~~
Clothing and household goods ~~~~~~
Cars and other vehicles ~~~~~~~~~~
Boats and planes ~~~~~~~~~~~~~
Intellectual property ~~~~~~~~~~~
Securities - Publicly traded ~~~~~~~~
Securities - Closely held stock ~~~~~~~
Securities - Partnership, LLC, or
trust interests ~~~~~~~~~~~~~~
Securities - Miscellaneous ~~~~~~~~
Qualified conservation contribution Historic structures ~~~~~~~~~~~~
Qualified conservation contribution - Other~
(a)
Check if
applicable
X
(b)
Number of
contributions
Open to Public
Inspection
Employer identification number
95-1831116
(c)
Revenues reported on
Form 990, Part VIII, line 1g
29
(d)
Method of determining
revenues
140,709. FMV
Real estate - Residential ~~~~~~~~~
Real estate - Commercial ~~~~~~~~~
Real estate - Other ~~~~~~~~~~~~
Collectibles ~~~~~~~~~~~~~~~~
Food inventory ~~~~~~~~~~~~~~
X
147 323,313,648.
Drugs and medical supplies ~~~~~~~~
Taxidermy ~~~~~~~~~~~~~~~~
Historical artifacts ~~~~~~~~~~~~
Scientific specimens ~~~~~~~~~~~
Archeological artifacts ~~~~~~~~~~
Other J
(
)
Other J
(
)
Other J
(
)
Other J
(
)
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgment ~~~~
29
FMV
0
Yes No
30a During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it must hold for
at least three years from the date of the initial contribution, and which is not required to be used for exempt purposes for
X
the entire holding period? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 30a
b If "Yes," describe the arrangement in Part II.
X
31 Does the organization have a gift acceptance policy that requires the review of any non-standard contributions? ~~~~~~
31
32a Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
X
contributions? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 32a
b If "Yes," describe in Part II.
33 If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,
describe in Part II.
LHA
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Schedule M (Form 990) 2009
932141
03-12-10
204
OMB No. 1545-0047
Supplemental Information to Form 990
SCHEDULE O
(Form 990)
2009
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
| Attach to Form 990.
Department of the Treasury
Internal Revenue Service
Name of the organization
DIRECT RELIEF INTERNATIONAL
Open to Public
Inspection
Employer identification number
95-1831116
FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:
DIRECT RELIEF INTERNATIONAL PROVIDES MEDICAL ASSISTANCE TO IMPROVE THE
QUALITY OF LIFE FOR PEOPLE AFFECTED BY POVERTY, DISASTER, AND CIVIL
UNREST AT HOME AND THROUGHOUT THE WORLD. WE WORK TO STRENGTHEN THE
IN-COUNTRY HEALTH EFFORTS OF OUR PARTNERS BY PROVIDING ESSENTIAL
MATERIAL RESOURCES, MEDICINES, SUPPLIES AND EQUIPMENT.
FORM 990, PART VI, SECTION B, LINE 11: DIRECT RELIEF INTERNATIONAL'S CHIEF
FINANCIAL OFFICER DISTRIBUTES A COPY OF THE FINAL VERSION OF THE 990 TO ALL
CURRENT BOARD MEMBERS REQUESTING THEY REVIEW THE 990 PRIOR TO FILING. THE
BOARD MEMBERS ARE GIVEN AN OPPORTUNITY AND ASKED TO REVIEW, RAISE ISSUES
AND REQUEST CLARIFICATIONS, IF ANY. ONCE THIS PROCESS IS COMPLETE AND BOARD
APPROVAL IS OBTAINED, THE 990 IS FILED.
DOCUMENTATION OF THE DISTRIBUTION
TO THE BOARD AND THE RESPONSES AND QUESTIONS, IF ANY, ARE MAINTAINED BY THE
CHIEF FINANCIAL OFFICER.
FORM 990, PART VI, SECTION B, LINE 12C: WITHIN THIRTY (30) DAYS OF THE
BEGINNING OF EACH FISCAL YEAR ALL DIRECTORS, OFFICERS AND BOARD COMMITTEE
MEMBERS MUST COMPLETE A DISCLOSURE FORM REGARDING POSSIBLE CONFLICTS OF
INTEREST.
DISCLOSURE IS ALSO REQUIRED OF A DIRECTOR, OFFICER, EMPLOYEE AND
BOARD COMMITTEE MEMBER AT ANY TIME WHEN THE INTEREST OF SUCH PERSON (OR
MEMBER OF HIS OR HER FAMILY) COULD AFFECT THE ACTIVITIES, PROPERTY,
EMPLOYEES, OR SERVICES OF DIRECT RELIEF, OR INVOLVES ANY POTENTIAL CONFLICT
OF INTEREST AS MORE SPECIFICALLY DEFINED IN DIRECT RELIEF'S CONFLICT OF
INTEREST POLICY.
LHA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932211
02-03-10
205
Schedule O (Form 990) 2009
SCHEDULE O
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
OMB No. 1545-0047
Supplemental Information to Form 990
2009
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
| Attach to Form 990.
DIRECT RELIEF INTERNATIONAL
Open to Public
Inspection
Employer identification number
95-1831116
WHEN A DIRECTOR, OFFICER, BOARD COMMITTEE MEMBER OR EMPLOYEE HAS A CONFLICT
OF INTEREST OR POTENTIAL CONFLICT OF INTEREST IN A PROPOSED TRANSACTION,
THAT INDIVIDUAL SHALL RECUSE HIMSELF OR HERSELF (I.E., LEAVE THE ROOM), AND
SHALL NOT PARTICIPATE IN THE DELIBERATION ON THE MERITS OF THE PROPOSAL OR
THE VOTE. IN ALL CASES, THE EXISTENCE AND NATURE OF THE RELATIONSHIP OR THE
CONFLICT OF INTEREST DISCLOSED, THE INTERESTED DIRECTOR'S RECUSAL, AND THE
VOTE OF THE OTHER DIRECTORS IS REFLECTED IN THE MINUTES OF THE MEETING OF
THE BOARD OR APPLICABLE BOARD COMMITTE
FORM 990, PART VI, SECTION B, LINE 15: THE COMPENSATION COMMITTEE OF THE
BOARD OF DIRECTORS OVERSEES ALL COMPENSATION MATTERS ON BEHALF OF THE BOARD
OF DIRECTORS. THE COMPENSATION COMMITTEE REVIEWS COMPENSATION BENCHMARKING
ANALYSIS AND MAKES RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE REGARDING
COMPENSATION PAID TO EXECUTIVE STAFF AND OTHER KEY STAFF POSITIONS AS THEY
MAY DETERMINE ARE APPROPRIATE. THE BENCHMARKING REVIEW INCLUDES A
COMPARATIVE ANALYSIS OF COMPENSATION PAID BY DIRECT RELIEF TO COMPENSATION
PAID BY LOCAL, SECTOR, AND NATIONAL NONPROFIT ORGANIZATIONS AS WELL AS
LOCAL FOR-PROFIT ENTITIES. DECISIONS REGARDING EXECUTIVE STAFF'S
COMPENSATION ARE THE SOLE RESPONSIBILITY OF THE BOARD OF DIRECTORS.
NO
MEMBER OF THE STAFF, INCLUDING THE CHIEF EXECUTIVE OFFICER AND THE CHIEF
FINANCIAL OFFICER, IS A MEMBER OF THE BOARD OF DIRECTORS, AND THE BOARD OF
DIRECTORS MAY NOT DELEGATE THE AUTHORITY TO SET EXECUTIVE COMPENSATION TO A
MEMBER OF THE EXECUTIVE STAFF. COMPENSATION OF THE CHIEF EXECUTIVE OFFICER
AND CHIEF FINANCIAL OFFICER WAS LAST REVIEWED BY THE COMPENSATION COMMITTEE
AND THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS IN JUNE 2010.
LHA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932211
02-03-10
206
Schedule O (Form 990) 2009
SCHEDULE O
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
OMB No. 1545-0047
Supplemental Information to Form 990
2009
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
| Attach to Form 990.
DIRECT RELIEF INTERNATIONAL
Open to Public
Inspection
Employer identification number
95-1831116
FORM 990, PART VI, SECTION C, LINE 19: DIRECT RELIEF MAKES ITS GOVERNING
DOCUMENTS, CONFLICT OF INTEREST POLICY, WHISTLEBLOWER POLICY, COMPENSATION
POLICY, DONATION POLICY, AND ITS FINANCIAL STATEMENTS AND FORM 990S (BOTH
GOING BACK TO FY 2000) AVAILABLE TO THE PUBLIC ON ITS PUBLIC WEBSITE.
FORM 990, PART IX, LINE 10:
THERE HAVE BEEN NO CHANGES IN THE AUDIT PROCESS IN THE CURRENT YEAR.
FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION'S MISSION:
BY PROVIDING ESSENTIAL MATERIAL RESOURCES - MEDICINES, SUPPLIES AND
EQUIPMENT, DIRECT RELIEF INTERNATIONAL STRENGTHENS THE HEALTH EFFORTS
OF OUR OVER 250 INTERNATIONAL PARTNERS IN 60 COUNTRIES AND OVER 1,000
NONPROFIT CLINICS AND COMMUNITY HEALTH CENTERS IN THE UNITED STATES.
ALL THE PROGRAMS ARE PROVIDED IN A NON-DISCRIMINATORY MANNER, WITHOUT
REGARD TO POLITICAL AFFILIATION, RELIGIOUS BELIEF, OR ETHNIC IDENTITY.
DIRECT RELIEF PLACES A HIGH PRIORITY ON IMPROVING THE HEALTH OF WOMEN
AND CHILDREN BY WORKING WITH PROGRAMS EMPHASIZING MATERNAL AND CHILD
HEALTH. DIRECT RELIEF ALSO FOCUSES ON PROVIDING ASSISTANCE FOR PRIMARY
CARE HEALTH CLINICS, COMBATING HIV/AIDS THROUGH STRENGTHENING THE
HEALTH INFRASTRUCTURE AND CAPACITY OF HEALTH PARTNERS WORLDWIDE,
FURNISHING ASSISTANCE FOR SPECIAL INITIATIVES, AND RESPONDING TO
DISASTERS.
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS:
DIRECT RELIEF INTERNATIONAL PROVIDES MEDICAL ASSISTANCE TO IMPROVE THE
LHA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932211
02-03-10
207
Schedule O (Form 990) 2009
(Form 990)
2009
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
| Attach to Form 990.
Department of the Treasury
Internal Revenue Service
Name of the organization
OMB No. 1545-0047
Supplemental Information to Form 990
SCHEDULE O
DIRECT RELIEF INTERNATIONAL
Open to Public
Inspection
Employer identification number
95-1831116
QUALITY OF LIFE FOR PEOPLE VICTIMIZED BY POVERTY, DISASTER, AND CIVIL
UNREST AT HOME AND THROUGHOUT THE WORLD. DURING THE LAST FISCAL YEAR,
WE WORKED TO STRENGTHEN THE IN-COUNTRY HEALTH EFFORTS OF OUR 244
INTERNATIONAL PARTNERS IN 60 COUNTRIES FURNISHING APPROXIMATELY 35
MILLION PRESCRIPTIONS AND OVER 1,050 NONPROFIT CLINICS AND COMMUNITY
HEALTH CENTERS PROVIDING APPROXIMATELY 12 MILLION PRESCRIPTIONS IN THE
UNITED STATES. DIRECT RELIEF IS NON-SECTARIAN, NON-GOVERNMENTAL, AND
APOLITICAL. ALL THE PROGRAMS ARE PROVIDED IN A NON-DISCRIMINATORY
MANNER, WITHOUT REGARD TO POLITICAL AFFILIATION, RELIGIOUS BELIEF, OR
ETHNIC IDENTITY.
IN ORDER TO STRENGTHEN FRAGILE HEALTH SYSTEMS, DIRECT
RELIEF PLACES A HIGH PRIORITY ON ASSISTING HEALTH PARTNERS WHO FOCUS ON
WOMEN AND CHILDREN. OTHER KEY SUPPORT AREAS INCLUDE PROVIDING
ASSISTANCE TO HEALTH PARTNERS WHO PROVIDE BASIC HEALTH SERVICES,
COMBATING HIV/AIDS, AND RESPONDING TO DISASTERS.
FORM 990, PARTVII, SECTION A, LINE 1(A) SCHEDULE J-2 PART 1 AND PART II:
THE COMPENSATION REPORTED HERE IS FOR THE CALENDAR YEAR 2009 IN LINE
WITH THE FORM 990 REQUIREMENTS OF REPORTING COMPENSATION PAID OR EARNED
FOR THE CALENDAR YEAR ENDING WITH OR WITHIN THE ORGANIZATION'S TAX
YEAR.
STAFF COMPENSATION IS GOVERNED BY ORGANIZATIONAL POLICY AND IS
AVAILABLE FOR REFERENCE ON OUR WEBSITE AT
(HTTP://WWW.DIRECTRELIEF.ORG/OURFINANCES/TRANSPARENCYANDACCOUNTABILITY/
COMPENSATIONPHILOSOPHY.ASPX)
LHA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932211
02-03-10
208
Schedule O (Form 990) 2009
SCHEDULE O
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
OMB No. 1545-0047
Supplemental Information to Form 990
2009
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
| Attach to Form 990.
DIRECT RELIEF INTERNATIONAL
Open to Public
Inspection
Employer identification number
95-1831116
EXECUTIVE STAFF COMPENSATION IS DETERMINED SOLELY BY THE BOARD OF
DIRECTORS. COMPENSATION PAID TO THE CEO, CFO, AND OTHER STAFF ENGAGED
IN FUNDRAISING OR GENERAL MANAGEMENT FUNCTIONS WAS PAID ENTIRELY FROM
THE DIRECT RELIEF FOUNDATION, WHICH TRANSFERRED FUNDS TO DIRECT RELIEF
INTERNATIONAL.
SCHEDULE R, PART V, LINE 2A (2):
FUNDING PROVIDED BY DIRECT RELIEF FOUNDATION TO PAY FOR ALL OF DIRECT
RELIEF INTERNATIONAL'S FUNDRAISING, MANAGEMENT AND GENERAL EXPENSES
WHICH INCLUDES THE FULL COMPENSATION OF THE CEO, CFO, FUNDRAISING AND
ADMINISTRATIVE PERSONNEL AND CERTAIN CAPITAL EXPENDITURES.
SCHEDULE R, PART V, LINE 2A (1):
100% OF BEQUESTS, IRREVOCABLE TRUSTS, INSURANCE POLICIES, ANNUITIES,
ETC., ARE TRANSFERRED TO THE DIRECT RELIEF FOUNDATION, UNLESS OTHERWISE
SPECIFIED BY THE DONOR. ADDITIONALLY AT THE END OF EACH FISCAL YEAR
DIRECT RELIEF INTERNATIONAL MAY TRANSFER ANY SURPLUS THAT MAY RESULT
FROM OPERATIONS OF THAT FISCAL YEAR.
FORM 990, PAGE 10, PART IX, LINE 24A:
THE $12,645,522 INVENTORY ADJUSTMENT WAS DUE TO THE REQUIRED
DESTRUCTION OF EXPIRED DONATED PRODUCT.
FORM 990, PART VI, LINE 17, LIST OF STATES RECEIVING COPY OF FORM 990:
AL, AK, AR, AZ, CA, CO, CT, FL, GA, HI, IL, KS, KY, MA, MD, ME, MI, MN,
MO, MS, NC, ND, NH, NJ, NM, NY, OH, OK, OR, PA, RI, SC, TN, UT, VA, WA,
LHA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932211
02-03-10
209
Schedule O (Form 990) 2009
SCHEDULE O
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Supplemental Information to Form 990
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
| Attach to Form 990.
DIRECT RELIEF INTERNATIONAL
OMB No. 1545-0047
2009
Open to Public
Inspection
Employer identification number
95-1831116
WV, WI
LHA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932211
02-03-10
210
Schedule O (Form 990) 2009
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Part I
Employer identification number
95-1831116
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(b)
Primary activity
(c)
Legal domicile (state or
foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt
organizations during the tax year.)
(a)
Name, address, and EIN
of related organization
DIRECT RELIEF FOUNDATION - 20-5983698
27 SOUTH LA PATERA LANE
GOLETA, CA 93117
(b)
Primary activity
(c)
Legal domicile (state or
foreign country)
TO OPERATE SOLELY AND
EXCLUSIVELY FOR THE BENEFIT
OF DIRECT RELIEF INTL.
CALIFORNIA
LHA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932161
02-04-10
2009
Open to Public
Inspection
DIRECT RELIEF INTERNATIONAL
(a)
Name, address, and EIN
of disregarded entity
Part II
OMB No. 1545-0047
Related Organizations and Unrelated Partnerships
| Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
| See separate instructions.
| Attach to Form 990.
211
(d)
Exempt Code
section
501(C)(3)
(e)
Public charity
status (if section
501(c)(3))
TYPE I
(f)
Direct controlling
entity
N/A
Schedule R (Form 990) 2009
Schedule R (Form 990) 2009
Part III
DIRECT RELIEF INTERNATIONAL
Page 2
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related
organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN
of related organization
Part IV
95-1831116
(b)
Primary activity
(c)
Legal domicile
(state or
foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income
(related, unrelated,
excluded from tax under
sections 512-514)
(f)
Share of total
income
(g)
Share of
end-of-year
assets
(h)
Disproportionate allocations?
Yes
No
(i)
(j)
General or
Code V-UBI
amount in box managing
20 of Schedule partner?
K-1 (Form 1065) Yes No
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related
organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN
of related organization
932162 07-21-10
(b)
Primary activity
(c)
Legal domicile
(state or
foreign
country)
212
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total
income
(g)
Share of
end-of-year
assets
(h)
Percentage
ownership
Schedule R (Form 990) 2009
Schedule R (Form 990) 2009
Part V
DIRECT RELIEF INTERNATIONAL
95-1831116
Page 3
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
1 During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
b Gift, grant, or capital contribution to other organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
c Gift, grant, or capital contribution from other organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
d Loans or loan guarantees to or for other organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
e Loans or loan guarantees by other organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1a
1b
1c
1d
1e
f
g
h
i
Sale of assets to other organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Purchase of assets from other organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Exchange of assets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Lease of facilities, equipment, or other assets to other organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1f
1g
1h
1i
X
X
X
X
j
k
l
m
n
Lease of facilities, equipment, or other assets from other organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Performance of services or membership or fundraising solicitations for other organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Performance of services or membership or fundraising solicitations by other organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Sharing of facilities, equipment, mailing lists, or other assets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Sharing of paid employees ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1j
1k
1l
1m
1n
X
X
X
X
X
o Reimbursement paid to other organization for expenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
p Reimbursement paid by other organization for expenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1o
1p
X
X
q Other transfer of cash or property to other organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
r Other transfer of cash or property from other organization(s) •••••••••••••••••••••••••••••••••••••••••••••••••••••••••
2 If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
1q
1r
X
X
(a)
Name of other organization(s)
(b)
Transaction
type (a-r)
Yes
X
X
No
X
X
X
(c)
Amount involved
(1)
DIRECT RELIEF FOUNDATION - SEE SCHEDULE O
C
4,895,531.
(2)
DIRECT RELIEF FOUNDATION - SEE SCHEDULE O
B
575,987.
(3)
(4)
(5)
(6)
932163 02-04-10
213
Schedule R (Form 990) 2009
Schedule R (Form 990) 2009
Part VI
DIRECT RELIEF INTERNATIONAL
95-1831116
Page 4
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue)
that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN
of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Are all partners
section 501(c)(3)
organizations?
Yes
No
(e)
Share of end-ofyear assets
(f)
Disproportionate
allocations?
Yes
No
(g)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(h)
General or
managing
partner?
Yes
No
Schedule R (Form 990) 2009
932164
02-04-10
214