Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
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.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
MAP International Inc
Employer identification number
36-2586390
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% 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.)
10
11
e
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).
f
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
..................................................
g
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)
Yes
No
and (iii) below, the governing body of the 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)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
393,384,583
381,505,122
430,589,202
206,306,610
137,944,310
1,549,729,827
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
0
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
4
Total. Add lines 1 through 3..
393,384,583
381,505,122
430,589,202
206,306,610
137,944,310
1,549,729,827
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)..
697,135,739
6
Public Support. Subtract line 5 from line 4.
852,594,088
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
393,384,583
381,505,122
430,589,202
206,306,610
137,944,310
1,549,729,827
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
219,628
348,341
206,644
98,324
122,299
995,236
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
63,203
85,461
92,403
15,438
79,962
336,467
11
Total support (Add lines 7 through 10).
1,551,061,530
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 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
54.970 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
56.230 %
16a
33 1/3% support test—2010.
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
......................
b
33 1/3% support test—2009.
If the organization did not check the 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—2010.
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—2009.
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) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
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.
7a
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)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
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 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2010.
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—2009.
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) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
10000105
Software Version:
2010v3.2
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
MAP International Inc
Employer identification number
36-2586390
Identifier
Return Reference
Explanation
Form 990, Part VI, Section B, Line 15
An annual self evaluation is completed by the CEO and presented to the Executive Committee and to the Board of Directors. On a tri-annual basis the executive committee completes an evaluation and presents to Board. In Executive session the Board decides as to any changes in compensation based on availability of funds, merit, and survey's. Survey's of other non-profit salaries are also completed on tri-annual basis.
Form 990, Part V, Line 4b
Bolivia, Ecuador, Ghana, Honduras, Kenya, Cote d'Ivoire, Uganda, Indonesia
Form 990, Part 1, Line 8
MAP determines estimated fair value in accordance with fair value measurement accounting standards using research for a sample of the top 100 items received. The items are evaluated based on their nature (whether generic or branded pharmaceuticals), their quantity, and their source (including whether or not they are FDA approved) using average sales price information and using an exit price notion in the primary or most advantageous market. The research is reviewed by senior management and approved by the board of directors. The top 100 items received by wholesale value constituted 84% and 88% of the total gifts in kind received for the years ended September 30, 2011 and 2010, respectively. For remaining inventory items, the researched fair value of the top 100 items is compared with data published in the Redbook, published by Thomson PDR, which provides Average Wholesale Price (AWP). Recognizing that AWP is more reflective of a list price rather than market based transaction prices, MAP has applied the differential with Redbook AWP identified in the top 100 study to extrapolate to all other donated items resulting in a discount applied to AWP values of fifty and thirty percent for the years ended September 30, 2011 and 2010 respectively.For items not listed in Redbook, MAP utilizes other published resources and inputs and reduced said values by an average of fifty and thirty percent, respectively, for the years ended September 30, 2011 and 2010. For non-FDA deworming medicines MAP uses an average of international market price to determine fair value.
Form 990, Part VI, Line 19
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
Financial and governing documents are made available on our web site to the public. Conflict of Interest policy is available on our internal intranet site for employees, and is made available the public at their request.
Form 990, Part VI, Line 12c
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
In its routine internal audit/internal control procedures, each MAP office and the internal audit team from MAP's International Office will:a. Review reports regarding the Conflict of Interest Questionnairesb. Receive disclosures of potentially conflicting transactions.c. Review proposed transactions to determine whether they meet the above described standards.d. Perform and annual review of potential and known transactions through annual Conflict of Interest Questionnaires completed by each relevant staff member.e. Keep written records of its review of potential or known conflicting transactions.f. Review its local office Conflict of Interest Policy and involve the appropriate group in making changes as needed.The Board's Audit Committee will perform an annual review of any issues brought forward of potential and known transactions through the annual conflict of interest questionnaires completed by each board member and each relevant staff member.
Form 990, Part VI, Line 11
Form 990, Part VI, Line 11: Form 990 Review Process
990 is reviewed and approved by members of the Audit Committee, presentation and recommendation for approval is then submitted to complete Board of Directors.
Form 990, Part VI, Line 3
Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company
Teamwork Services, Inc. is a professional employment organization and has authority over all payroll, employee benefits, and other employment related issues.
Form 990, Part III, Line 4d
Form 990, Part III, Line 4d : Other Program Services Description
OTHER PROGRAM SERVICES 4: For further information on the MAP International Medical Fellowship and Travel Pack Programs, please visit our website at www.map.org OTHER PROGRAM SERVICES 5: MAP International provided medicines and medical supplies to hospitals, clinics, and short-term medical missions in poor communities in 119 countries. These healthcare provisions included antibiotics, anti-malaria drugs, wound care supplies, de-worming medicines, over the counter pain relievers, allergy and respiratory medicines, sutures and other medical supplies and pharmaceutics.MAP provided 482 tons of medicines and medical supplies, worth 155 million in wholesale value. In addition to shipments to hospitals and clinics, much of the product was used in MAP's Travel Pack program. This program allows medical professionals making short-term medical mission trips to poor communities throughout the developing world to take a 'clinic in a box' with them. Travel Packs with approximately $11,000 worth of pre-selected medicines and custom orders with medicines specifically requested by the traveling teams were taken into 74 countries during this year.In addition to our medicines program, MAP International has field offices in 8 countries where our local staff work with communities to promote health, prevent disease, and provide treatment. One of our signature programs is the Total Health Village (THV) which is an integrated community health program designed to facilitate self-empowerment among communities so that they have the ability to improve their quality of life and solve problems on their own. Below are significant achievements in MAP Country office programs during 2011. OTHER PROGRAM SERVICES 6: Cote d'Ivoire: MAP Cote d'Ivoire played a key role, along with The Carter Center and UNICEF, in eradicating Guinea Worm disease from Cote d'Ivoire. In 2011, over 1,825,300 children were treated for intestinal worms with medicines provided through MAP's IHP program After the election crisis in late 2010, many Ivorians were displaced from their homes. MAP began working in Duekoue, an IDP site in Cote d'Ivoire, to improve water and sanitation, and provide medicines and health care. Kenya: MAP International and Genesis World Mission hosted a unique two week medical camp at Burangi Primary School August 8th - 18th, 2011 that integrated Maternal Child Health services like reproductive health (family planning), growth monitoring and child immunization with basic services and screenings. Health talks along with psychiatric counseling services were offered in this camp that was also hailed by health officials for offering high quality drugs. The community was involved in the camp planning and execution. A total of 1,763 patients attended the camp. Performed 30 operations for Lymphatic Filariasis in the Total Health Villages of Burangi and Kilonga, relieving affected community members of a painful and stigmatizing disease.Indonesia: MAP Indonesia provided health care services to 1,160 people and health education for 1,030 people through the Tello Mobile Clinic. Started the Lahusa Cluster THV and the Tello Island cluster THV programs which will impact a total of 19 villages where there has traditionally been extremely limited access to health information and services.Ghana: In partnership with St. Theresa's Hospital, MAP Ghana organized health campaigns to inform people on identification, prevention, treatment, and control of Buruli Ulcer. These talks sensitized over 15,000 people to Buruli Ulcer in 2011. In the Tumiamayenko Total Health Village, MAP Ghana supported three existing and functioning village savings and loans associations in the community during meetings and established another association for women in the community. An amount of GHC 1,636.50 (USD 1,091.00) has been mobilized within a period of 3 months. Honduras: Trained 69 health promoters in HIV/AIDS, child abuse prevention, disease prevention and basic treatment over three regions. Distributed 200 medicated malaria bednets to the Nueva Armenia THV. During the distribution the community was tested for the prevalence of malaria and trained on use of the bednets. 800 more nets will be distributed in the coming months. OTHER PROGRAM SERVICES 7: Haiti: In 2011, a Total Health Village cluster of three villages is in the early planning stages. MAPs heavy relief efforts of 2010 are now transitioning to long-term community health programs.Bolivia: MAP is generating a massive movement in Bolivia through supporting victims of sexual violence. During this 2011 year 293 cases of victims of sexual violence were assisted with multidisciplinary support (social, physiological and legal). Lawyers had to go through very complicated processes to bring sex offenders to justice and to guarantee sentencing. 25 sex offenders were detained and 20 trials took place with 17 convictions. On August 9th around 3000 people from organizations, the police force, government authorities, students from universities and schools, and people from the society in general joined MAP International's efforts by marching the Solidarity Walk and thereby expressing their commitment to fight against sexual violence. Children in the Chilimarca school have become change agents in families and in the community of Chilmarca. The students understand a holistic concept of health, including a control over health determinants, the need for safe environments, and even the importance of advocacy to change the government and society at large to promote health for all. In the August 2011 more than 70 teachers from rural areas came to MAP to learn about the educational strategies and alternative materials to be used in their school programs to foster critical thinking skills and facilitate children's development of skills for life.Ecuador: In May the leaders of the Apatug community organized a nutrition fair where they hosted produce exchanges, explained to visitors the pressing need of greater food security and complete nutrition, and the progress they had made in their own community toward these goals. Over 1,500 people were in attendance at the fair, including other NGOs, students from American universities, and government representatives. In the Valle del Toachi Total Health Village, the community has been motivated and mobilized to build a health house as a central meeting space and a place for health promoters to work. The community is using a unique material-sand filled plastic bottles-to build the house, and the entire community has been participating in collecting and filling the bottles. In May 2011, the Tungurahua volcano erupted again, affecting over 2,000 families. MAP has been working in partnership with the Government to train the affected communities on first aid, providing emotional support to victims, and disaster response strategies. MAP also provided 400 masks to the community to protect their health in the aftermath of the eruptions when ash was still heavy in the air. Uganda: In the famine prone North Eastern district of Kotido, MAP has improved food security of about 2,000 households by supporting the production of 346 acres of groundnuts, 359 acres of sorghum, 9 acres of simsim, 27 acres of cassava and 23 acres of sunflower. This will reduce the incidence of famine in the area. 45,000 neem tree seedlings are also under the community's care as they grow to improve the ecosystem. In Amuru and Gulu, the Maternal and Child Health component has provided Ante Natal Care services to more than 900 pregnant mothers and improved skilled-birth attendance at health from just under 10% to 42% currently. Immunization of infants has also been improved as a key component in the integrated management of childhood illnesses. Through these efforts, numerous lives of mothers and children have been saved.Liberia: Two programs will begin in 2012 in Liberia; Buruli Ulcer Control and a Total Health Village
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.