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
2011
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
381,505,122
430,589,202
206,306,610
137,944,310
241,274,318
1,397,619,562
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..
381,505,122
430,589,202
206,306,610
137,944,310
241,274,318
1,397,619,562
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)..
704,638,026
6
Public Support. Subtract line 5 from line 4.
692,981,536
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
7
Amounts from line 4..
381,505,122
430,589,202
206,306,610
137,944,310
241,274,318
1,397,619,562
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
348,341
206,644
98,324
122,299
111,293
886,901
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..
85,461
92,403
15,438
79,962
34,806
308,070
11
Total support (Add lines 7 through 10).
1,398,814,533
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
49.540 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
55.000 %
16a
33 1/3% support test—2011.
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—2010.
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—2011.
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—2010.
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(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 2011 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2010 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2011.
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—2010.
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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2011
Additional Data
Software ID:
11000144
Software Version:
2011v1.5
-
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
2011
Open to Public Inspection
Name of the organization
MAP International Inc
Employer identification number
36-2586390
Identifier
Return Reference
Explanation
Schedule G, Line 2, Column V
Per Agreement with L.W. Robbins, MAP pays a monthly payment of $20,833 for fundraising fees.Any postage, printing or other expenses are billed at actual cost. Totals for Year Ending September 30, 2012 are listed belowFundraising Fees $250,000 Postage, Printing, Misc $311,216Total Paid L.W. Robbins $561,216
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.
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 81% and 84% of the total gifts in kind received for the years ended September 30, 2012 and 2011, 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 percent for the years ended September 30, 2012 and 2011 respectively.For items not listed in Redbook, MAP utilizes other published resources and inputs and reduced said values by an average of fifty percent, respectively, for the years ended September 30, 2012 and 2011. 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 102 countries. These health care 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 652 tons of medicines and medical supplies, worth 204 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. 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 2012.Liberia: MAP Liberia's Buruli Ulcer Control and Total Health Village began this year.Ghana: MAP Ghana conducted a training course on early detection of Buruli Ulcer & BU wound care for over 566 health professionals and community health workers. Over 1,300 people attended a day of Buruli ulcer education and identification in March. A new partnership for Kobedi is underway with Integris Health and the Israel Idonije Foundation. Community members in Kobedi have almost completed the construction of the new clinic. Work on the Community Based Health Planning & Services Clinic (CHPS) project with local support from the Infanta Malaria Prevention Foundation was completed in 2012. OTHER PROGRAM SERVICES 6: Cote d'Ivoire: 36 villages in Bouake and 40 villages in Bouna have been certified as Open Defecation Free (ODF) due to MAP's encouragement and training in Community Led Total Sanitation (CLTS) initiatives. Eight years after MAP International first enter Taabo, Mister Ada Kouakou still remembers, the reason why he has decided to become a community health workers. Though MAP International Buruli Ulcer control pilot project is over, Ada Kouakou has never stopped working for its community. He still walks throughout the streets of its village looking for BU cases and still refers them to the nearby clinic to receive free treatment. In 2012 over 26,377 school children were provided with deworming tablets by MAP Cote d'Ivoire. 2103 latrines in Bouake and 2,237 latrines in Bouna have been built, allowing over 30,000 people with access to safe water. The projects are on hold until further funding become available. MAP International Cote d'Ivoire has supported the treatment of more than 50% of Buruli Ulcer cases detected in the country by providing medicines and healh care.Kenya: In the Esonorua Maternal and Child Health project, MAP organized a community dialogue day which included discussions about sanitation, immunizations, and clean water. Immunizations were provided through the health center for children under 5, many of whom had never received any form of immunization. Over 40 operations for Lymphatic Filariasis in the Total Health Villages of Burangi and Kilonga, relieving affected community members of a painful and stigmatizing disease. MAP Kenya has the capacity to perform many more operations in the future with more funding (each operation costs $250). In May, the Burangi Community experienced severe flooding that resulted in a loss of animals, houses, stored food, and caused physical and psychological damage to 3,890 people. MAP Kenya was swift to provide relief by sourcing medical and non-medical supplies, treating 500 people for wounds and diseases, and providing life-jackets for people to safely cross the flooded river. In the Kagwa Total Health Village community members are engaged in Community Led Total Sanitation (CLTS) efforts, and have built 99 new pit latrines. They work tirelessly in an effort to be declared an Open Defecation Free Zone. The new Health Facility in Burangi is under the final stages of completion. Uganda Latrines have been constructed for the girls to use at the school in Abala. In the Kacheri program community members are engaged in access road construction, building fuel efficient stoves, microwatershed development, and watering 28,000 trees planted with World Food Programme support. Through the Horn of Africa Drought Crisis Response program, over 25,000 children have been screened for malnutrition, HIV/AIDS and/or malaria in 18 districts. Additionally, over 38,000 HIV/AIDS & malaria test kits were supplied to the district health centers. Indonesia MAP Indonesia provided health care services to 2,424 people and health education for 1,503 people through the Tello Mobile Clinic. 46 people in the Tello Island THV received Sawyer water filters in exchange for cleaning the public facilities. This year, the Tanah Masa Island project has been added to the Tello Mobile Clinic program (TMC). This program will impact villages where there has traditionally been extremely limited access to health information and services. OTHER PROGRAM SERVICES 7: Haiti: The communities of Bohoc, Maliarette, and Cercady have experienced great progress over the last year through the Total Health Village (THV) program. Work in the communities has been primarily focused on investing in community Leadership Councils, health and sanitation programming, and improving the quality of 10 seed assessments and the Holistic World View Analysis (HWVA). Honduras A three-day training was organized in partnership with TearFund UK to train leaders in the Garifuna community on strategic planning and organizational governance. Nine leaders from different communities were in attendance. Activities like this continue to create trust and confidence between MAP and the Garifuna community. The Total Health Villages at Nueva Armenia & Nuevo Amanecer have now been trained and prepared to mitigate damage from flooding and earthquakes. A small dispensary is now in place and functioning.Bolivia Through the CUBE program, four sex offenders were taken to trial last month for their crimes. Children and adolescents at CUBE continued healing through occupational therapy and therapeutic groups. Multiple workshops about human-rabies and dog rabies were implemented with the participation of all the villages of Chilimarca and Villa. MAP Bolivia achieved a big success in the Learning from the Differences: Community Based Rehabilitation program. After three years of advocacy with the Educational Department, an agreement was signed allowing the inclusion of children with disabilities into the schools. MAP Bolivia with 26 victims of sexual violence, celebrated the national day in solidarity in late July. They now feel confident to participate in different therapies and in the social activities helping to regain control over their lives. 722 individuals participated in workshops to gain awareness about sexual violence in Bolivia. The Chilimarca Health Clinic provided medical consultations and treatment to over 2,170 people in 2012.Ecuador: The Tungurahua volcano erupted in December, affecting many communities where MAP works. MAP Ecuador distributed 280 masks that will protect those affected from inhaling ash from the eruption. These masks are being distributed by disaster committees trained by MAP and the Ministry of Health. MAP Ecuador has been training communities about the advantages of safe water as well as correct use and maintenance of Sawyer Water Filters. The 350 filters received by MAP Ecuador are being distributed in marginalized, hard-to-reach communities with very little access to clean water. MAP Ecuador's 3 Total Health Villages are part of 22 villages in "Project 350", which includes training, education, and distribution of 350 Sawyer water filters. This month, the MAP team monitored the use of the filters. The initial families who received the filters are showing success and significant improvements in health. Water consumption has increased at the household level and has increased by more than 40% with benefits including providing the children with better access to safe water.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.