TY 2012 Form 990

- TIN:

Form990

Department of the Treasury
Internal Revenue Service

Return of Organization Exempt From Income Tax

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.

OMB No. 1545-0047

2012

Open to Public Inspection

A For the 2012 calendar year, or tax year beginning 01-01-2012 , 2012, and ending 12-31-2012

BCheck if applicable: Address change Name change Initial return Terminated Amended return Application pending

CName of organization
WELLSHARE INTERNATIONAL

Doing Business As

Number and street (or P.O. box if mail is not delivered to street address)
122 WEST FRANKLIN AVENUE
ROOM/SUITE 510

Room/suite

City or town, state or country, and ZIP + 4
MINNEAPOLIS, MN55404

D Employer identification number

41-1397062

E Telephone number

G Gross receipts $ 1,084,299

F Name and address of principal officer:
DIANA DUBOIS
122 WEST FRANKLIN AVENUE
MINNEAPOLIS,MN55404

Tax-exempt status: 501(c)(3) 501(c) ( ) LeftBullet

(insert no.) 4947(a)(1) or 527

Website:

WWW.WELLSHAREINTERNATIONAL.ORG

H(a)

Is this a group return for
affiliates? Yes No

H(b)

Are all affiliates included?

Yes No

If "No," attach a list. (see instructions)

H(c)

Group exemption number MediumBullet

K Form of organization: Corporation Trust Association Other MediumBullet

L Year of formation: 1979

M State of legal domicile: MN

Part I

Summary

1	Briefly describe the organization’s mission or most significant activities: TO IMPROVE THE HEALTH OF WOMEN, CHILDREN, AND THEIR COMMUNITIES AROUND THE WORLD.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	8
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	8
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ......	5	24
6	Total number of volunteers (estimate if necessary) .............	6	53
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,698,162	970,616
9	Program service revenue (Part VIII, line 2g) .........	123,700	108,766
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	673	448
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	52,349	4,469
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	1,874,884	1,084,299
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...		0
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	1,107,658	833,897
16a	Professional fundraising fees (Part IX, column (A), line 11e).....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 67,931
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	848,464	350,387
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,956,122	1,184,284
19	Revenue less expenses. Subtract line 18 from line 12.......	-81,238	-99,985
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	630,963	480,309
21	Total liabilities (Part X, line 26).............	87,169	36,500
22	Net assets or fund balances. Subtract line 21 from line 20.....	543,794	443,809

Part II

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.

Sign Here

	Signature of officer	Date

	Type or print name and title

Paid Preparer Use Only

Print/Type preparer's name

Preparer's signature

Date

Check if
self-employed

PTIN

Firm's name MediumBullet

Firm's EIN MediumBullet

Firm's address MediumBullet

Phone no.

May the IRS discuss this return with the preparer shown above? (see instructions) ............YesNo

For Paperwork Reduction Act Notice, see the separate instructions.

Cat. No. 11282Y

Form 990 (2012)

Page 2

Part III

Statement of Program Service Accomplishments

Check if Schedule O contains a response to any question in this Part III ...............

Briefly describe the organization’s mission: TO IMPROVE THE HEALTH OF WOMEN, CHILDREN, AND THEIR COMMUNITIES AROUND THE WORLD.

Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ...................... Yes No

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? ............................ Yes No

If “Yes,” describe these changes on Schedule O.

Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.


4a	(Code: ) (Expenses $ 516,794 including grants of $ ) (Revenue $ )
	DOMESTIC PROGRAMS: CENTER FOR SOMALI HEALTH - LAUNCHED IN FEBRUARY 2008, THE CENTER FOR SOMALI HEALTH IS AN INITIATIVE THROUGH WHICH WELLSHARE INTERNATIONAL PROVIDES TECHNICAL ASSISTANCE TO OTHER AGENCIES THAT SERVE THE SOMALI COMMUNITY IN THE AREAS OF PROGRAM IMPLEMENTATION, RESEARCH, EDUCATION AND TRAINING. THE CENTER PROVIDES THESE SERVICES THROUGH A FEE-FOR-SERVICE MODEL. IN ADDITION, THE 'CENTER' IS AN UMBRELLA TERM FOR ALL OF WELLSHARE'S SOMALI HEALTH PROGRAMS (SEE LIST BELOW). IN ITS SIXTH YEAR, THE CENTER WORKED WITH A VARIETY OF LOCAL AND STATE PUBLIC HEALTH AND COMMUNITY AGENCIES. SOMALI CHILD SPACING (FAMILY PLANNING) PROGRAM - THE SOMALI CHILD SPACING PROGRAM PROVIDES CULTURALLY APPROPRIATE REPRODUCTIVE HEALTH EDUCATION AND RESOURCES TO THE SOMALI COMMUNITY AND TO HEALTH CARE PROVIDERS. PRIMARY ACTIVITIES INCLUDE: 1) HOME VISITS AND COMMUNITY DIALOGUES CONDUCTED BY SOMALI COMMUNITY HEALTH WORKERS (CHWS) TO DISCUSS AND EDUCATE ABOUT THE BENEFITS OF CHILD SPACING AND REFERRALS TO REPRODUCTIVE HEALTH SERVICES; 2) DEVELOPMENT AND DISTRIBUTION OF VARIOUS REPRODUCTIVE HEALTH MATERIALS; AND 3) IN-SERVICE TRAININGS AND COMMUNITY FORUMS FOR HEALTH CARE PROFESSIONALS, EDUCATORS, AND OTHER SOCIAL SERVICE PROFESSIONALS WORKING WITH SOMALIS. IN 2012 THE SOMALI CHILD SPACING PROGRAM EXPANDED ITS EDUCATIONAL OUTREACH TO MEN BY CONTINUING TO EMPLOY A MALE CHW. THE PROJECT DISSEMINATED THOUSANDS OF COPIES OF EDUCATIONAL RESOURCES AND MATERIALS TO LOCAL COMMUNITY AGENCIES, HOSPITALS AND CLINICS, INCLUDING AN ANNUAL SOMALI HEALTH CALENDAR. THE CALENDARS WERE DISTRIBUTED TO OVER 6,000 SOMALI COMMUNITY MEMBERS. THE PROJECT ALSO EXPLORED FAMILY PLANNING PRACTICES IN A NEW REFUGEE COMMUNITY - THE KAREN COMMUNITY FROM BURMA. PROGRAMMING IS PLANNED TO BEGIN IN THE KAREN COMMUNITY STARTING IN THE SUMMER OF 2013. SMOKE FREE RIVERSIDE PLAZA RIVERSIDE PLAZA IS THE LARGEST MULTI-UNIT HOUSING FACILITY IN THE MIDWEST, AND IS HOME TO MORE THAN 6,000 PEOPLE, 70% OF WHOM ARE ETHNIC SOMALIS. IN 2011, WITH FUNDING FROM THE CITY OF MINNEAPOLIS, WELLSHARE WORKED WITH THE MANAGEMENT AND RESIDENTS OF RIVERSIDE PLAZA TO PASS SMOKE FREE POLICY FOR THE ENTIRE COMPLEX. IN 2012 WELLSHARE CONTINUED TO WORK WITH THE MANAGEMENT AND RESIDENTS OF RIVERSIDE PLAZA TO PREPARE THEM FOR THE IMPLEMENTATION OF THE SMOKE-FREE POLICY AT THE BEGINNING OF 2013. WELLSHARE DID THIS BY CREATING A VIDEO EXPLAINING THE HARMFULNESS OF SECOND HAND SMOKE AND THE SMOKE-FREE POLICY WHICH WAS BROADCAST THROUGH THE COMPLEX'S CLOSED CIRCUIT TV. IN ADDITION, WELLSHARE ORGANIZED A RESIDENT MEETING AND DISTRIBUTED INFORMATION ON DETAILS OF THE POLICY AND SMOKING CESSATION RESOURCES AT THE COMPLEX. IN 2013, WELLSHARE WILL CONTINUE TO SUPPORT RIVERSIDE PLAZA AFTER THE IMPLEMENTATION OF THE SMOKE-FREE POLICY HAS BEGUN, BY PROMOTING SMOKING CESSATION RESOURCES AND OFFERING THE FREEDOM FROM SMOKING PROGRAM ON SITE, AND CONDUCTING A SURVEY TO ASSESS RESIDENT REACTIONS TO THE POLICY. MINNEAPOLIS STATEWIDE HEALTH IMPROVEMENT PROGRAM - HEALTHY LIVING PROGRAM WELLSHARE PARTNERED WITH THE CITY OF MINNEAPOLIS TO PROMOTE HEALTHY RESOURCES IN NORTHEAST NEIGHBORHOODS OF MINNEAPOLIS TO INCREASE ACCESS BY EAST AFRICAN RESIDENTS IN THE AREA. IN 2012, WELLSHARE HELPED THREE CORNER STORES IN THE NEIGHBORHOOD CARRY FRESH PRODUCE, AND CREATED A LIST OF HEALTHY RESOURCES INCLUDING THE CORNER STORES, FARMERS MARKETS, FOOD SHELVES, PHYSICAL ACTIVITY RESOURCES, SMOKING CESSATION SERVICES, AND CLINICS THAT OFFER PREVENTIVE CARE. IN 2013, WELLSHARE WILL CONTINUE TO CONNECT THE EAST AFRICAN COMMUNITY TO THESE RESOURCES BY HOLDING TOURS, EVENTS, AND DEVELOPING A VIDEO TO PROMOTE THEM. HENNEPIN COUNTY SMOKE-FREE MULTI-UNIT HOUSING WELLSHARE WORKED TO PROMOTE SMOKE-FREE POLICY IN MULTI-UNIT HOUSING IN HOPKINS AND EDEN PRAIRIE, TWO SUBURBS/CITIES WEST OF MINNEAPOLIS. WELLSHARE DID THIS BY FINDING APARTMENT BUILDINGS WHERE MANY SOMALIS LIVE IN THESE TWO CITIES, CONNECTING WITH MANAGEMENT STAFF AND SOMALI RESIDENT REPRESENTATIVES AT THESE BUILDINGS, AND WORKING COLLABORATIVELY WITH THE ASSOCIATION FOR NON-SMOKERS OF MINNESOTA. MINNESOTA DEPARTMENT OF HEALTH ASTHMA PROJECT WELLSHARE SUPPORTED MDH'S ASTHMA PROGRAM, FUNDED BY HUD, BY RECRUITING CHILDREN WITH ASTHMA FROM SECTION 8 HOUSING, MANY OF THEM SOMALIS, TO PARTICIPATE IN THE PROGRAM. ONCE ENROLLED IN THE PROGRAM, FAMILIES RECEIVED HOME VISITS BY A NURSE, WHO EDUCATED THEM ABOUT SELF-MANAGEMENT OF ASTHMA, ASSESSED THEIR HOME ENVIRONMENT FOR POTENTIAL TRIGGERS OF ASTHMA, SUGGESTED ENVIRONMENTAL IMPROVEMENTS, AND PROVIDED PRODUCTS SUCH AS AN AIR PURIFIER, BED AND PILLOW ENCASEMENTS, AND AN ALLERGEN VACUUM CLEANER TO HELP REDUCE ASTHMA TRIGGERS IN THE HOME. GROWING UP HEALTHY AT RIVERSIDE PLAZA IN PARTNERSHIP WITH FAIRVIEW FOUNDATION AND THE WAY TO GROW ORGANIZATION (WELLSHARE IS A SUBCONTRACTOR ON THIS PROGRAM); WELLSHARE HAS ENGAGED EAST AFRICAN WOMEN WHO LIVE AT RIVERSIDE PLAZA TO DEVELOP THEIR LEADERSHIP SKILLS AND TO CREATE A PLAN TO PROMOTE THE HEALTH OF YOUNG CHILDREN AND THEIR MOTHERS WHO LIVE IN THE COMPLEX. THIS PLANNING PHASE OF THE PROJECT CULMINATED IN A FINAL MEETING IN WHICH THE WOMEN PRESENTED THEIR VIEWS ON THE NEED FOR ADDITIONAL HEALTH AND SAFETY MEASURES INCLUDING A SAFE GATHERING PLACE AS WELL AS THE NEED TO ADDRESS AIR QUALITY ISSUES. THE FUNDING TO ADDRESS THESE NEEDS HAS BEEN AWARDED BY BLUE CROSS AND BLUE SHIELD FOR 2013-2015. SOMALI HEALTH CARE INITIATIVE (SHCI) THIS INITIATIVE IS A PARTNERSHIP BETWEEN WELLSHARE INTERNATIONAL AND SEVERAL SOMALI-LED ORGANIZATIONS TO REDUCE HEALTH DISPARITIES IN THE SOMALI COMMUNITY IN MINNESOTA AND IS FUNDED BY THE MINNESOTA DEPARTMENT OF HEALTH'S ELIMINATING HEALTH DISPARITIES INITIATIVE (EHDI). THE INITIATIVE WORKS IN FIVE KEY HEALTH PRIORITY AREAS: BREAST AND CERVICAL CANCER, DIABETES, CARDIOVASCULAR DISEASE, HEALTHY YOUTH DEVELOPMENT, AND HIV/AIDS. ACTIVITIES CONDUCTED IN 2010 AND 2011 AS PART OF THE SOMALI HEALTH CARE INITIATIVE INCLUDE: 1) PRODUCTION OF A CULTURALLY SENSITIVE, SOMALI LANGUAGE DVD THAT PROVIDES ACCURATE NUTRITION AND WEIGHT MANAGEMENT INFORMATION TO PREGNANT AND POST-PARTUM WOMEN 2) CONTINUATION OF FITNESS PROGRAMS FOR SOMALI YOUTH AND THE EXPANSION OF SOMALI ELDERS EXERCISE CLASSES; AND 3) INTENSIVE TRAINING OF ALL OF WELLSHARE'S CHWS IN DIABETES PREVENTION AND MANAGEMENT, FOLLOWED BY EDUCATION AND OUTREACH ABOUT NUTRITION AND DIABETES IN THE COMMUNITY. DURING 2012, THE EDHI GRANT PROGRAM WORKED TO PREVENT DIABETES AMONG SOMALIS DIAGNOSED WITH OR AT RISK OF PRE-DIABETES. USING THE "I CAN PREVENT DIABETES" CURRICULUM (THE CDC'S NATIONAL DIABETES PREVENTION PROGRAM) FROM THE MINNESOTA DEPARTMENT OF HEALTH (MDH)'S DIABETES UNIT, WELLSHARE STAFF HAS WORKED TO TAILOR THE CURRICULUM TO BETTER SUIT THE NEEDS OF THE SOMALI COMMUNITY. THREE SECTIONS OF THE CLASSES WERE HELD, WITH ANOTHER THREE SECTIONS TAKING PLACE IN 2013. THE PROJECT WILL ALSO INCLUDE A SERIES OF VIDEOS REINFORCING THE MESSAGES FROM THE CLASSES, CONSULTATIONS WITH THE MDH-DIABETES UNIT TO DEMONSTRATE THE ADAPTATIONS, AND A RESOURCE FOR NON- SOMALI HEALTH CARE PROVIDERS TO BETTER SERVE THEIR PATIENTS. ONE OF THE MAJOR ACHIEVEMENTS IN 2012 WAS THE GROWTH OF THE SOMALI ELDER FITNESS PROGRAM. TWO FEMALE CLASS INSTRUCTORS PREVIOUSLY GRADUATED FROM AN ELDER FITNESS TEACHING PROGRAM, AND THEY TAILOR THE COURSES TO BE BOTH AGE AND CULTURALLY APPROPRIATE. IN 2013, IN COLLABORATION WITH THE SOMALI ELDERS CONNECTION PROJECT, A MALE INSTRUCTOR WILL BECOME CERTIFIED AND WELLSHARE WILL LAUNCH A TWICE-WEEKLY CULTURALLY APPROPRIATE FITNESS CLASSES FOR MALE PARTICIPANTS. THROUGH OUTREACH EFFORTS AND POSITIVE WORD-OF-MOUTH FROM PARTICIPANTS, THE PROGRAM WILL EXPAND TO AN ADDITIONAL LOCATION. THE COMMUNITY RESPONSE HAS BEEN OUTSTANDING - DEMAND FOR THE CLASSES CONTINUES TO RISE. WELLSHARE SOMALI STAFF IS WORKING TO ACCOMMODATE ALL INTERESTED INDIVIDUALS AND KEEP THE CLASSES FRESH AND FUN FOR PARTICIPANTS. SOMALI HEALTHY YOUTH INITIATIVE SOMALI YOUTH WELLNESS CLASSES PROMOTE HEALTHY LIFESTYLES AMONG SOMALI YOUTH THROUGH CULTURALLY APPROPRIATE FITNESS AND NUTRITION CLASSES. WELLSHARE SUPPORTS HEALTH CLASSES IN 2 CHARTER SCHOOLS WITH HIGH NUMBERS OF SOMALIS. THE INSTRUCTOR PROVIDES SEVERAL CREATIVE, INTERACTIVE AND CULTURALLY APPROPRIATE LESSONS, DESIGNED TO INCREASE HEALTHY BEHAVIORS. WELLSHARE WILL WORK WITH OVER 100 YOUTH THIS YEAR, THROUGH THESE PARTNERSHIPS. THE YOUNG ACHIEVERS OFFERS A CONSTRUCTIVE ENVIRONMENT FOR SOMALI YOUTH TO LEARN, DEVELOP CREATIVITY, INTERACT WITH POSITIVE ADULTS AND PREPARE FOR HIGHER EDUCATION WHILE SERVING THEIR COMMUNITY THROUGH PUBLIC HEALTH CAMPAIGNS. THIS PROGRAM IS CONDUCTED IN PARTNERSHIP WITH THE CONFEDERATION OF THE SOMALI COMMUNITY OF MINNESOTA AND FRANKLIN LIBRARY. THE GROUP IS INTENTIONALLY YOUTH LED AND OUR SOMALI STAFF FACILITATE THE YOUTH IN DEVELOPING CREATIVE PROJECTS TO SEND POSITIVE MESSAGES TO THEIR PEERS. THIS HAS INCLUDED VIDEOS ON HIV/AIDS AND NUTRITION, WHICH HAVE BEEN VIEWED BY MORE THAN 16,000 PEOPLE. T

4b	(Code: ) (Expenses $ 297,788 including grants of $ ) (Revenue $ )
	INTERNATIONAL PROGRAMS: UGANDA CHILD SPACING PROGRAM AN AVERAGE UGANDAN WOMAN WILL HAVE 7 CHILDREN IN HER LIFETIME. A LACK OF KNOWLEDGE ABOUT AND ACCESS TO FAMILY PLANNING SERVICES CONTRIBUTES TO THIS HIGH FERTILITY, WHICH LEADS TO HIGH RATES OF MATERNAL AND INFANT MORTALITY. THERE IS A HIGH UNMET NEED FOR FAMILY PLANNING SERVICES IN UGANDA. WELLSHARE INTERNATIONAL ADDRESSED THESE HEALTH ISSUES THROUGH SEVERAL USAID FUNDED FLEXIBLE FUND PROJECTS (2006-2008 AND EXTENSIONS RECEIVED IN 2009, 2010, AND 2011) WHICH INTEGRATED SEVERAL PROGRAM STRATEGIES: EDUCATING AND MOBILIZING COMMUNITIES BY CONDUCTING OUTREACHES THROUGHOUT VILLAGES IN TWO DISTRICTS; TRAINING FAMILY PLANNING COMMUNITY HEALTH WORKERS, AND WORKING THROUGH FAMILY PLANNING IMPLEMENTATION TEAMS; AND BUILDING THE CAPACITY OF PUBLIC AND PRIVATE PROVIDERS, ALL TO IMPROVE FAMILY PLANNING KNOWLEDGE, ACCESS, AND QUALITY OF SERVICES. THE PROGRAMS, IMPLEMENTED IN SSEMBABULE AND MUBENDE DISTRICTS IN SOUTH-CENTRAL UGANDA. MAJOR ACHIEVEMENTS OVER THE LIFE OF PROJECT INCLUDE AN INCREASE OF CYP ACROSS BOTH DISTRICTS FROM 2,726.52 IN 2007 TO 17,789.29 IN 2011(TOTAL CYP OF 47,241.69). A TOTAL OF 428,099 BENEFICIARIES WERE REACHED (34,856 COUNSELED; 308,892 REACHED THROUGH HEALTH TALKS, 11,936 VIA FAMILY PLANNING OUTREACHES, 15,870 VIA FILM SHOWS, 1,063 WITH COMMUNITY-BASED DISTRIBUTION OF DMPA, AND 51,887 THROUGH OTHER SPECIAL EVENTS AND RADIO MESSAGES). USERS OF CONTRACEPTION INCREASED DRAMATICALLY, FROM 6,942 NEW USERS IN 2007 TO 21,429 IN 2010. IN 2011, THERE WERE 34,681 TOTAL USERS OF MODERN AND NATURAL METHODS ALONE. WELLSHARE STARTED A NEW FLEXIBLE FUND PROGRAM IN MARCH 2012, TO TRAIN COMMUNITY HEALTH WORKERS IN COMMUNITY-BASED DISTRIBUTION OF INJECTABLE CONTRACEPTIVES AND TO ASSIST OTHER ORGANIZATIONS IN SCALING UP THEIR EFFORTS TO DO THE SAME. TO DATE, THE PROJECT HAS TRAINED 48 VILLAGE HEALTH TEAM MEMBERS AND PROVIDED TECHNICAL ASSISTANCE (THROUGH A STRUCTURED LEARNING VISIT AND OTHER TECHNICAL ASSISTANCE) TO FOUR ORGANIZATIONS AROUND SETTING UP COMMUNITY-BASED FAMILY PLANNING PROGRAMS. WELLSHARE HOSTED A 'LESSONS LEARNED' MEETING FOR 31 NATIONAL FAMILY PLANNING STAKEHOLDERS WHICH FOCUSED ON SCALING UP COMMUNITY BASED ACCESS TO INJECTABLE CONTRACEPTIVES. UGANDA HIV/AIDS PROGRAM WELLSHARE INTERNATIONAL COMPLETED THE PARTNERING FOR POSITIVE LIVELIHOODS PROGRAM (PPLP) STARTED IN DECEMBER 2008 WITH FUNDING FROM PEPF ARIUSAID IN FEBRUARY 2012. THE PROGRAM, LOCATED IN SSEMBABULE AND MUBENDE DISTRICTS OF UGANDA'S CENTRAL REGION, WORKED TO IMPROVE HIV/AIDS CARE AND PREVENTION SERVICES THROUGH COLLABORATION WITH SIX LOCAL ORGANIZATIONS. THE THREE STRATEGIC OBJECTIVES INCLUDED: 1) INCREASING THE CAPACITY OF FAITH/COMMUNITY-BASED ORGANIZATIONS (F/CBOS) TO PROVIDE CARE AND SUPPORT ACTIVITIES TO PHA AND OVC THROUGH TWINNING PARTNERSHIPS; 2) PROMOTING BEHAVIOR CHANGE THAT REDUCES NEW HIV INFECTIONS BY IMPLEMENTING ABSTINENCE-ONLY AND OTHER SEXUAL PREVENTION ACTIVITIES, 3) REACHING ELIGIBLE ADULTS AND CHILDREN WITH "UMBRELLA" CARE SERVICES, INCLUDING HOME- BASED CARE, PSYCHOSOCIAL SUPPORT, NUTRITION AND AGRICULTURE SUPPORT AND LEGAL/HUMAN RIGHTS ADVOCACY. A KEY CROSSCUTTING OBJECTIVE IS TO STRENGTHEN LINKAGES AMONG CARE, PREVENTION AND TREATMENT PROGRAMS. WELLSHARE ACHIEVED ALL OF ITS PEPF AR TARGETS OVER THE LIFE OF PROJECT. AMONG THE PROJECT ACHIEVEMENTS, WELLSHARE AND FIVE F/CBO PARTNERS REACHED A CUMULATIVE 11,143 ADULTS LIVING WITH HIV/AIDS ADULTS AND ORPHANS AND VULNERABLE CHILDREN WITH A CORE PACKAGE OF HOME BASED CARE, NUTRITION AND PSYCHOSOCIAL SUPPORT SERVICES THROUGH HOME VISITS BY 601 TRAINED VOLUNTEER COMMUNITY CAREGIVERS, SUPERVISED BY 77 TRAINED TRAINERS OF TRAINERS (TOTS). A TOTAL OF 1,455 ORPHANS AND VULNERABLE CHILDREN RECEIVED SCHOOL UNIFORMS AND SUPPLIES AND 8,405 HOME BASED CARE KITS WERE PROVIDED TO PEOPLE LIVING WITH HIV/AIDS HOUSEHOLDS AND COMMUNITY CAREGIVERS. AN INTEGRATED NUTRITIONAL INTERVENTION WITH FOOD SECURITY SUPPORT THROUGH KITCHEN GARDENS, NUTRITION ASSESSMENT, FOOD PREPARATION, REFERRALS AND PROMOTION OF BEST PRACTICES IN INFANT AND YOUNG CHILD FEEDING WAS PROVIDED TO 10,131 CLIENTS. A TOTAL OF 177 CAREGIVERS WERE TRAINED IN PREPARATION OF A LOCALLY AVAILABLE COMPLEMENTARY FOOD KITOOBERO AND 405 KITCHEN GARDENS WERE ESTABLISHED AS A RESULT OF THE PROJECT EFFORTS. THROUGH ITS IMPLEMENTING PARTNER, MAPLA Y, (WHICH FOCUSES ON YOUTH), THE PROJECT REACHED 8,012 YOUTH WITH ABSTINENCE AND/OR 'BE FAITHFUL' MESSAGES, AND 1,652 PARENTS WERE REACHED WITH PARENT-CHILD COMMUNICATION MESSAGES OVER THE LIFE OF PROJECT. THE PROPORTION OF YOUNG PEOPLE WHO HAD EVER HAD SEXUAL INTERCOURSE IN MUBENDE DROPPED FROM 57% AT BASELINE AND TO 35% AT END OF PROJECT, WHILE IN SSEMBABULE IT DECREASED FROM 49% AT BASELINE TO 34% AT END OF PROJECT. WELLSHARE CONDUCTED OVER 271 CAPACITY BUILDING ACTIVITIES WITH ITS SIX PARTNERS. TANZANIA SURVIVE AND THRIVE GROUPS PROJECT AFTER COMPLETION OF ITS FIVE-YEAR, USAID-FUNDED TANZANIA CHILD SURVIVAL PROJECT IN KARATU, WELLSHARE SUBCONTRACTED A NEW PROJECT TO ITS NEWLY FORMED AFFILIATE, WELLSHARE TANZANIA, TO IMPLEMENT SURVIVE AND THRIVE GROUPS IN BARIADI DISTRICT, SIMIYU REGION. WITH FUNDING FROM THE WEYERHAEUSER FOUNDATION, THE PROJECT REACHED GROUPS OF YOUNG SINGLE MOTHERS IN SIX VILLAGES (MALAMBO, OLD MASWA, MAHAHA, NYANGOKOLWA, BUBALE AND NKOLOLO) TO FORM SURVIVE AND THRIVE GROUPS. A TOTAL OF 163 INDIVIDUALS WERE TRAINED IN VILLAGE COMMUNITY BANKING. ALL OF THE SURVIVE AND THRIVE GROUPS STARTED GROUP-LEVEL INCOME GENERATION ACTIVITIES AND A NUMBER OF THE SURVIVE AND THRIVE GROUP PARTICIPANTS ALSO STARTED INDIVIDUAL-LEVEL INCOME GENERATION ACTIVITIES. GROUP AND INDIVIDUAL ACTIVITIES INCLUDE GARDENING, SELLING VEGETABLES AND FRUITS, SELLING PEANUTS, KEEPING CHICKENS, AND WEAVING HAIR. ALL START-UP FUNDS WERE RAISED THROUGH THE PARTICIPANTS THEMSELVES, LEADING TO FUTURE SUSTAINABILITY OF THE MODEL AND THE SMALL BUSINESS ACTIVITIES. IN ADDITION, WELLSHARE TRAINED 13 TRADITIONAL BIRTH ATTENDANTS AND 12 SURVIVE AND THRIVE GROUP PARTICIPANTS TO PROVIDE LEADERSHIP AND HEALTH EDUCATION TO THE GROUPS. HEALTH TOPICS INCLUDED EXCLUSIVE BREASTFEEDING, FAMILY PLANNING, PREVENTION OF MOTHER-TO-CHILD TRANSMISSION OF HIV, MALARIA, CHILD DEVELOPMENT AND NUTRITION.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses814,582

Form 990 (2012)

Page 3

Part IV

Checklist of Required Schedules

Yes

Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule A Click to see attachment

........................

Yes

Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment

...

Yes

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..........

Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part II........

Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part III............................

Did the organization maintain any donor advised funds or any similar funds or accounts for which 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 Click to see attachment

........................

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 Click to see attachment

...

Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment

....................

Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; 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 Click to see attachment

..............

Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part V Click to see attachment

......

If the organization’s answer to any of the following questions is "Yes," then 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. Click to see attachment

...................

11a

Yes

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 Click to see attachment

.......

11b

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 Click to see attachment

.......

11c

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 Click to see attachment

............

11d

Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X Click to see attachment

11e

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 (ASC 740)? If “Yes,” complete Schedule D, Part X Click to see attachment

.........................

11f

Yes

12a

Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII Click to see attachment

.................

12a

Yes

Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment

12b

Yes

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?.....

14a

Yes

Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV......... Click to see attachment

14b

Yes

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, Parts II and IV Click to see attachment

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, Parts III and IV... Click to see attachment

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 (see instructions)....

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...................

20a

Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H....

20a

If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return?

20b

Form 990 (2012)

Page 4

Part IV

Checklist of Required Schedules (continued)

Did the organization report more than $5,000 of grants and other assistance to any government or organization 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.......................

24a

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................

24a

Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...

24b

Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................

24c

Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...

24d

25a

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........

25a

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...................

25b

Was a loan to or by a current or former officer, director, trustee, key employee, highest 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 employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? 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 ..........................

28a

A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV.....................

28b

An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV...

28c

Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M.. Click to see attachment

Yes

Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............. Click to see attachment

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, Part II, III, or IV, and Part V, line 1........................

35a

Did the organization have a controlled entity within the meaning of section 512(b)(13)?

35a

If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2...

35b

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 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............

Yes

Form 990 (2012)

Page 5

Part V

Statements Regarding Other IRS Filings and Tax Compliance

Check if Schedule O contains a response to any question in this Part V ...............

Yes

Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..

Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .

Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................

Yes

Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................

If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)

Yes

Did the organization have unrelated business gross income of $1,000 or more during the year?...

If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....

At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................

Yes

If "Yes," enter the name of the foreign country: MediumBullet

TZ
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.

Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..

Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............

Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...

If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................

Organizations that may receive deductible contributions under section 170(c).

Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................

If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....

Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................

If “Yes,” indicate the number of Forms 8282 filed during the year ....

Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................

Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..

If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................

If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................

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?............

Sponsoring organizations maintaining donor advised funds.

Did the organization make any taxable distributions under section 4966?..........

Did the organization make a distribution to a donor, donor advisor, or related person?.......

Section 501(c)(7) organizations. Enter:

Initiation fees and capital contributions included on Part VIII, line 12 ...

10a

Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities

10b

Section 501(c)(12) organizations. Enter:

Gross income from members or shareholders .........

11a

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

If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................

12b

Section 501(c)(29) qualified nonprofit health insurance issuers.

Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.

13a

Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....

13b

Enter the amount of reserves on hand ............

13c

14a

Did the organization receive any payments for indoor tanning services during the tax year?.....

14a

If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..

14b

Form 990 (2012)

Page 6

Part VI

Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.

Check if Schedule O contains a response to any question in this Part VI ...............

Section A. Governing Body and Management

Yes

Enter the number of voting members of the governing body at the end of the tax year .....................

If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.

Enter the number of voting members included in line 1a, above, who are independent ...................

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? .................

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? .

Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................

Did the organization become aware during the year of a significant diversion of the organization’s assets? .

Did the organization have members or stockholders? ................

Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................

Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................

Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:

The governing body? .........................

Yes

Each committee with authority to act on behalf of the governing body? ............

Yes

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

10a

Did the organization have local chapters, branches, or affiliates? ............

10a

If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?

10b

11a

Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................

11a

Yes

Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....

12a

Did the organization have a written conflict of interest policy? If “No,” go to line 13.......

12a

Yes

Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................

12b

Yes

Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................

12c

Yes

Did the organization have a written whistleblower policy? ...............

Yes

Did the organization have a written document retention and destruction policy? .........

Yes

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?

The organization’s CEO, Executive Director, or top management official ...........

15a

Yes

Other officers or key employees of the organization ................

15b

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? ......................

16a

If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............

16b

Section C. Disclosure

List the States with which a copy of this Form 990 is required to be filed MediumBullet

Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.

Own website Another's website Upon request Other (explain in Schedule O)

Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.

State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBullet

ORGANIZATION122 W FRANKLIN AVE SUITE 510MINNEAPOLISMN55404 (612) 230-3250

Form 990 (2012)

Page 7

Part VII

Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors

Check if Schedule O contains a response to any question in this Part VII ...............

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.
RoundBullet

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, if any. 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, or 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.

Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(1) EVA ANDERSON........................................................................ DIRECTOR	.......................	X		0	0	0
(2) DAVID JONES........................................................................ DIRECTOR	.......................	X		0	0	0
(3) LIBAN GEDI........................................................................ DIRECTOR	.......................	X		0	0	0
(4) DR CRISPIN SEMAKULA........................................................................ DIRECTOR	.......................	X		0	0	0
(5) DIANA DUBOIS........................................................................ EXEC DIRECTO	50.00 .......................		X	99,083	0	0
(6) MICHAEL SHANNON MD........................................................................ PRES, MEDICA	.......................		X	0	0	0
(7) LOIS DIRKSEN........................................................................ VICE PRESIDE	.......................		X	0	0	0
(8) PETER MUSIMAMI........................................................................ SECRETARY	.......................		X	0	0	0
(9) ROY LAFAYETTE........................................................................ TREASURER	.......................		X	0	0	0

Form 990 (2012)

Page 8

Part VII

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)						(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	99,083

Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet

Yes

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 ..............

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...........................

Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........

Section B. Independent Contractors

Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization

Form 990 (2012)

Page 9

Part VIII

Statement of Revenue

Check if Schedule O contains a response to any question in this Part VIII ..............

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e		745,496

f	All other contributions, gifts, grants, and similar amounts not included above1f		225,120

g	Noncash contributions included in lines 1a-1f:$		26,161
h	Total. Add lines 1a-1f.......			970,616
			Business Code
2a	FEE FOR SERVICE REVENUE			108,766	108,766
b
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			108,766
3	Investment income (including dividends, interest, and other similar amounts).......			448			448
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss)..........
8a	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..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	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
11a	MISCELLANEOUS			4,469	4,469
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			4,469
12	Total revenue. See Instructions......			1,084,299	113,235		448

Form 990 (2012)

Page 10

Part IX

Statement of Functional Expenses

Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.		(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	99,083	3,963	81,248	13,872
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	734,814	635,543	52,394	46,877
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......
10	Payroll taxes ...........
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	52,992	26,045	24,835	2,112
12	Advertising and promotion ....	673	673
13	Office expenses .......	82,800	46,608	32,775	3,417
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	55,739	12,850	42,889
17	Travel ............	42,317	37,250	4,863	204
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....
20	Interest ...........	60	2	58
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	21,813		21,813
23	Insurance ..............	11,127	965	10,162
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	DONATED SUPPLIES	26,161	7,504	18,657
b	TRAINING & RESEARCH	22,294	22,173	81	40
c	MISCELLANEOUS	13,750	7,877	4,973	900
d	MEETINGS & WORKSHOPS	13,321	11,292	1,618	411
e	All other expenses	7,340	1,837	5,405	98
25	Total functional expenses. Add lines 1 through 24e	1,184,284	814,582	301,771	67,931
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Form 990 (2012)

Page 11


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing .............			118,472	1	88,948
2	Savings and temporary cash investments .........			199,194	2	19,999
3	Pledges and grants receivable, net ...........			188,970	3	266,563
4	Accounts receivable, net .............			62,054	4	65,321
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............				8
9	Prepaid expenses and deferred charges ..........			11,175	9	7,084
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	167,774
b	Less: accumulated depreciation .....	10b	135,380	51,098	10c	32,394
11	Investments—publicly traded securities ..........				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........				15
16	Total assets. Add lines 1 through 15 (must equal line 34)......			630,963	16	480,309
17	Accounts payable and accrued expenses .........			81,816	17	36,500
18	Grants payable .................				18
19	Deferred revenue ................			5,353	19
20	Tax-exempt bond liabilities .............				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................				25
26	Total liabilities. Add lines 17 through 25.........			87,169	26	36,500
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			285,935	27	333,496
28	Temporarily restricted net assets ...........			257,859	28	110,313
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			543,794	33	443,809
34	Total liabilities and net assets/fund balances ........			630,963	34	480,309

Form 990 (2012)

Page 12

Part XI

Reconcilliation of Net Assets

Check if Schedule O contains a response to any question in this Part XI ...............

Total revenue (must equal Part VIII, column (A), line 12) ............

1,084,299

Total expenses (must equal Part IX, column (A), line 25) ............

1,184,284

Revenue less expenses. Subtract line 2 from line 1 ..............

-99,985

Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..

543,794

Net unrealized gains (losses) on investments ...............

Donated services and use of facilities .................

Investment expenses .....................

Prior period adjustments .....................

Other changes in net assets or fund balances (explain in Schedule O) ........

Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))

443,809

Part XII

Financial Statements and Reporting

Check if Schedule O contains a response to any question in this Part XII ..............

Yes

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?

If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

Were the organization’s financial statements audited by an independent accountant?

Yes

If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

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?

Yes

If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.

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

Form 990 (2012)

Form 990, Special Condition Description:

Special Condition Description

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

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. right arrow

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

WELLSHARE INTERNATIONAL

Employer identification number

41-1397062

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

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, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

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 331/3% 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 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.)

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.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

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)

Yes

and (iii) below, 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	(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 monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2012

Page 2

Part II

Support Schedule for Organizations Described in Sections 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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....	2,047,553	2,205,076	2,764,682	1,698,162	970,616	9,686,089
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	2,047,553	2,205,076	2,764,682	1,698,162	970,616	9,686,089
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)..						313,637
6	Public support. Subtract line 5 from line 4.						9,372,452

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
7	Amounts from line 4..	2,047,553	2,205,076	2,764,682	1,698,162	970,616	9,686,089
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	300	335	350	673	448	2,106
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 assets (Explain in Part IV.)..		935	3,421	52,349	4,469	61,174
11	Total support (Add lines 7 through 10).						9,749,369

Gross receipts from related activities, etc. (see instructions) ..................

455,828

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........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)) .........

96.130 %

Public support percentage for 2011 Schedule A, Part II, line 14 ...............

96.480 %

16a

33 1/3% support test—2012. 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 ....................... right arrow

33 1/3% support test—2011. 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 ..................... right arrow

17a

10%-facts-and-circumstances test—2012. 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 ..................................................... right arrow

10%-facts-and-circumstances test—2011. 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 ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2012

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 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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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.)..

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............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2011 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2011 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2012. 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 ........ right arrow

33 1/3% support tests—2011. 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 ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 4

Part IV

Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2012

Name of the organization

WELLSHARE INTERNATIONAL

Employer identification number

41-1397062

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (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

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% 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, total 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 total 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 ......................... Arrow Bullet

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 Part I, 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).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 2

Name of organization WELLSHARE INTERNATIONAL

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 3

Name of organization WELLSHARE INTERNATIONAL

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 4

Name of organization
WELLSHARE INTERNATIONAL

Employer identification number

41-1397062

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

WELLSHARE INTERNATIONAL

Employer identification number

41-1397062

Part I

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
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

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 No

In Part XIII, 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

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

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 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2012

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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 the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................
b	Buildings ................
c	Leasehold improvements ............
d	Equipment ................	167,774	135,380	32,394
e	Other .................
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				32,394

Schedule D (Form 990) 2012

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram 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. (Column (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.

1.(a) Description of liability		(b) Book value
Federal income taxes









Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)
2. Fin 48 (ASC 740) Footnote. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................

Schedule D (Form 990) 2012

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1	1,084,299
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3	1,084,299
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5	1,084,299

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements ...........		1	1,184,284
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3	1,184,284
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5	1,184,284

Part XIII

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 lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
LIABILITY UNDER FIN 48 FOOTNOTE	SCHEDULE D, PAGE 3, PART X	MANAGEMENT HAS EVALUATED AND DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2012. TAX RETURNS FOR THE PAST THREE YEARS REMAIN OPEN FOR EXAMINATION BY TAX JURISDICTIONS.

Schedule D (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization
WELLSHARE INTERNATIONAL

Employer identification number

41-1397062

Part I

General Information on Activities Outside the United States. Complete if the organization answered “Yes” 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? ...................................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside
the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	UGANDA	1	6	PROGRAM SERVICES	HEALTHCARE	268,773
	TANZANIA	1	4	PROGRAM SERVICES	HEALTHCARE	29,015















3a	Sub-total .....	2	10			297,788
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	2	10			297,788

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2012

Schedule F (Form 990) 2012

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. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

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 .... MediumBullet

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2012

Schedule F (Form 990) 2012Page 3

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.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2012

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2012

Page 5

Part V

Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

Identifier	ReturnReference	Explanation
ACTIVITIES PER REGION	SCHEDULE F, PAGE 1, PART I, LINE 3	UGANDA 268,773 0 TANZANIA 29,015 0

Schedule F (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

WELLSHARE INTERNATIONAL

Employer identification number

41-1397062

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( SUPPLIES,TRAVEL )	X	6	26,161	FAIR MARKET VALUE
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...

Yes

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 the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2012)

Page 2

Part II

Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Identifier	Return Reference	Explanation

Schedule M (Form 990) (2012)

Additional Data

Software ID:
Software Version:

- 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.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

WELLSHARE INTERNATIONAL

Employer identification number

41-1397062

Identifier	Return Reference	Explanation
FIRST ACCOMPLISHMENT DESCRIPTION	FORM 990, PAGE 2, PART III, LINE 4A	RESOURCES TO THE SOMALI COMMUNITY AND TO HEALTH CARE PROVIDERS. PRIMARY ACTIVITIES INCLUDE: 1) HOME VISITS AND COMMUNITY DIALOGUES CONDUCTED BY SOMALI COMMUNITY HEALTH WORKERS (CHWS) TO DISCUSS AND EDUCATE ABOUT THE BENEFITS OF CHILD SPACING AND REFERRALS TO REPRODUCTIVE HEALTH SERVICES; 2) DEVELOPMENT AND DISTRIBUTION OF VARIOUS REPRODUCTIVE HEALTH MATERIALS; AND 3) IN-SERVICE TRAININGS AND COMMUNITY FORUMS FOR HEALTH CARE PROFESSIONALS, EDUCATORS, AND OTHER SOCIAL SERVICE PROFESSIONALS WORKING WITH SOMALIS. IN 2012 THE SOMALI CHILD SPACING PROGRAM EXPANDED ITS EDUCATIONAL OUTREACH TO MEN BY CONTINUING TO EMPLOY A MALE CHW. THE PROJECT DISSEMINATED THOUSANDS OF COPIES OF EDUCATIONAL RESOURCES AND MATERIALS TO LOCAL COMMUNITY AGENCIES, HOSPITALS AND CLINICS, INCLUDING AN ANNUAL SOMALI HEALTH CALENDAR. THE CALENDARS WERE DISTRIBUTED TO OVER 6,000 SOMALI COMMUNITY MEMBERS. THE PROJECT ALSO EXPLORED FAMILY PLANNING PRACTICES IN A NEW REFUGEE COMMUNITY - THE KAREN COMMUNITY FROM BURMA. PROGRAMMING IS PLANNED TO BEGIN IN THE KAREN COMMUNITY STARTING IN THE SUMMER OF 2013. SMOKE FREE RIVERSIDE PLAZA RIVERSIDE PLAZA IS THE LARGEST MULTI-UNIT HOUSING FACILITY IN THE MIDWEST, AND IS HOME TO MORE THAN 6,000 PEOPLE, 70% OF WHOM ARE ETHNIC SOMALIS. IN 2011, WITH FUNDING FROM THE CITY OF MINNEAPOLIS, WELLSHARE WORKED WITH THE MANAGEMENT AND RESIDENTS OF RIVERSIDE PLAZA TO PASS SMOKE FREE POLICY FOR THE ENTIRE COMPLEX. IN 2012 WELLSHARE CONTINUED TO WORK WITH THE MANAGEMENT AND RESIDENTS OF RIVERSIDE PLAZA TO PREPARE THEM FOR THE IMPLEMENTATION OF THE SMOKE-FREE POLICY AT THE BEGINNING OF 2013. WELLSHARE DID THIS BY CREATING A VIDEO EXPLAINING THE HARMFULNESS OF SECOND HAND SMOKE AND THE SMOKE-FREE POLICY WHICH WAS BROADCAST THROUGH THE COMPLEX'S CLOSED CIRCUIT TV. IN ADDITION, WELLSHARE ORGANIZED A RESIDENT MEETING AND DISTRIBUTED INFORMATION ON DETAILS OF THE POLICY AND SMOKING CESSATION RESOURCES AT THE COMPLEX. IN 2013, WELLSHARE WILL CONTINUE TO SUPPORT RIVERSIDE PLAZA AFTER THE IMPLEMENTATION OF THE SMOKE-FREE POLICY HAS BEGUN, BY PROMOTING SMOKING CESSATION RESOURCES AND OFFERING THE FREEDOM FROM SMOKING PROGRAM ON SITE, AND CONDUCTING A SURVEY TO ASSESS RESIDENT REACTIONS TO THE POLICY. MINNEAPOLIS STATEWIDE HEALTH IMPROVEMENT PROGRAM - HEALTHY LIVING PROGRAM WELLSHARE PARTNERED WITH THE CITY OF MINNEAPOLIS TO PROMOTE HEALTHY RESOURCES IN NORTHEAST NEIGHBORHOODS OF MINNEAPOLIS TO INCREASE ACCESS BY EAST AFRICAN RESIDENTS IN THE AREA. IN 2012, WELLSHARE HELPED THREE CORNER STORES IN THE NEIGHBORHOOD CARRY FRESH PRODUCE, AND CREATED A LIST OF HEALTHY RESOURCES INCLUDING THE CORNER STORES, FARMERS MARKETS, FOOD SHELVES, PHYSICAL ACTIVITY RESOURCES, SMOKING CESSATION SERVICES, AND CLINICS THAT OFFER PREVENTIVE CARE. IN 2013, WELLSHARE WILL CONTINUE TO CONNECT THE EAST AFRICAN COMMUNITY TO THESE RESOURCES BY HOLDING TOURS, EVENTS, AND DEVELOPING A VIDEO TO PROMOTE THEM. HENNEPIN COUNTY SMOKE-FREE MULTI-UNIT HOUSING WELLSHARE WORKED TO PROMOTE SMOKE-FREE POLICY IN MULTI-UNIT HOUSING IN HOPKINS AND EDEN PRAIRIE, TWO SUBURBS/CITIES WEST OF MINNEAPOLIS. WELLSHARE DID THIS BY FINDING APARTMENT BUILDINGS WHERE MANY SOMALIS LIVE IN THESE TWO CITIES, CONNECTING WITH MANAGEMENT STAFF AND SOMALI RESIDENT REPRESENTATIVES AT THESE BUILDINGS, AND WORKING COLLABORATIVELY WITH THE ASSOCIATION FOR NON-SMOKERS OF MINNESOTA. MINNESOTA DEPARTMENT OF HEALTH ASTHMA PROJECT WELLSHARE SUPPORTED MDH'S ASTHMA PROGRAM, FUNDED BY HUD, BY RECRUITING CHILDREN WITH ASTHMA FROM SECTION 8 HOUSING, MANY OF THEM SOMALIS, TO PARTICIPATE IN THE PROGRAM. ONCE ENROLLED IN THE PROGRAM, FAMILIES RECEIVED HOME VISITS BY A NURSE, WHO EDUCATED THEM ABOUT SELF-MANAGEMENT OF ASTHMA, ASSESSED THEIR HOME ENVIRONMENT FOR POTENTIAL TRIGGERS OF ASTHMA, SUGGESTED ENVIRONMENTAL IMPROVEMENTS, AND PROVIDED PRODUCTS SUCH AS AN AIR PURIFIER, BED AND PILLOW ENCASEMENTS, AND AN ALLERGEN VACUUM CLEANER TO HELP REDUCE ASTHMA TRIGGERS IN THE HOME. GROWING UP HEALTHY AT RIVERSIDE PLAZA IN PARTNERSHIP WITH FAIRVIEW FOUNDATION AND THE WAY TO GROW ORGANIZATION (WELLSHARE IS A SUBCONTRACTOR ON THIS PROGRAM); WELLSHARE HAS ENGAGED EAST AFRICAN WOMEN WHO LIVE AT RIVERSIDE PLAZA TO DEVELOP THEIR LEADERSHIP SKILLS AND TO CREATE A PLAN TO PROMOTE THE HEALTH OF YOUNG CHILDREN AND THEIR MOTHERS WHO LIVE IN THE COMPLEX. THIS PLANNING PHASE OF THE PROJECT CULMINATED IN A FINAL MEETING IN WHICH THE WOMEN PRESENTED THEIR VIEWS ON THE NEED FOR ADDITIONAL HEALTH AND SAFETY MEASURES INCLUDING A SAFE GATHERING PLACE AS WELL AS THE NEED TO ADDRESS AIR QUALITY ISSUES. THE FUNDING TO ADDRESS THESE NEEDS HAS BEEN AWARDED BY BLUE CROSS AND BLUE SHIELD FOR 2013-2015. SOMALI HEALTH CARE INITIATIVE (SHCI) THIS INITIATIVE IS A PARTNERSHIP BETWEEN WELLSHARE INTERNATIONAL AND SEVERAL SOMALI-LED ORGANIZATIONS TO REDUCE HEALTH DISPARITIES IN THE SOMALI COMMUNITY IN MINNESOTA AND IS FUNDED BY THE MINNESOTA DEPARTMENT OF HEALTH'S ELIMINATING HEALTH DISPARITIES INITIATIVE (EHDI). THE INITIATIVE WORKS IN FIVE KEY HEALTH PRIORITY AREAS: BREAST AND CERVICAL CANCER, DIABETES, CARDIOVASCULAR DISEASE, HEALTHY YOUTH DEVELOPMENT, AND HIV/AIDS. ACTIVITIES CONDUCTED IN 2010 AND 2011 AS PART OF THE SOMALI HEALTH CARE INITIATIVE INCLUDE: 1) PRODUCTION OF A CULTURALLY SENSITIVE, SOMALI LANGUAGE DVD THAT PROVIDES ACCURATE NUTRITION AND WEIGHT MANAGEMENT INFORMATION TO PREGNANT AND POST-PARTUM WOMEN 2) CONTINUATION OF FITNESS PROGRAMS FOR SOMALI YOUTH AND THE EXPANSION OF SOMALI ELDERS EXERCISE CLASSES; AND 3) INTENSIVE TRAINING OF ALL OF WELLSHARE'S CHWS IN DIABETES PREVENTION AND MANAGEMENT, FOLLOWED BY EDUCATION AND OUTREACH ABOUT NUTRITION AND DIABETES IN THE COMMUNITY. DURING 2012, THE EDHI GRANT PROGRAM WORKED TO PREVENT DIABETES AMONG SOMALIS DIAGNOSED WITH OR AT RISK OF PRE-DIABETES. USING THE "I CAN PREVENT DIABETES" CURRICULUM (THE CDC'S NATIONAL DIABETES PREVENTION PROGRAM) FROM THE MINNESOTA DEPARTMENT OF HEALTH (MDH)'S DIABETES UNIT, WELLSHARE STAFF HAS WORKED TO TAILOR THE CURRICULUM TO BETTER SUIT THE NEEDS OF THE SOMALI COMMUNITY. THREE SECTIONS OF THE CLASSES WERE HELD, WITH ANOTHER THREE SECTIONS TAKING PLACE IN 2013. THE PROJECT WILL ALSO INCLUDE A SERIES OF VIDEOS REINFORCING THE MESSAGES FROM THE CLASSES, CONSULTATIONS WITH THE MDH-DIABETES UNIT TO DEMONSTRATE THE ADAPTATIONS, AND A RESOURCE FOR NON- SOMALI HEALTH CARE PROVIDERS TO BETTER SERVE THEIR PATIENTS. ONE OF THE MAJOR ACHIEVEMENTS IN 2012 WAS THE GROWTH OF THE SOMALI ELDER FITNESS PROGRAM. TWO FEMALE CLASS INSTRUCTORS PREVIOUSLY GRADUATED FROM AN ELDER FITNESS TEACHING PROGRAM, AND THEY TAILOR THE COURSES TO BE BOTH AGE AND CULTURALLY APPROPRIATE. IN 2013, IN COLLABORATION WITH THE SOMALI ELDERS CONNECTION PROJECT, A MALE INSTRUCTOR WILL BECOME CERTIFIED AND WELLSHARE WILL LAUNCH A TWICE-WEEKLY CULTURALLY APPROPRIATE FITNESS CLASSES FOR MALE PARTICIPANTS. THROUGH OUTREACH EFFORTS AND POSITIVE WORD-OF-MOUTH FROM PARTICIPANTS, THE PROGRAM WILL EXPAND TO AN ADDITIONAL LOCATION. THE COMMUNITY RESPONSE HAS BEEN OUTSTANDING - DEMAND FOR THE CLASSES CONTINUES TO RISE. WELLSHARE SOMALI STAFF IS WORKING TO ACCOMMODATE ALL INTERESTED INDIVIDUALS AND KEEP THE CLASSES FRESH AND FUN FOR PARTICIPANTS. SOMALI HEALTHY YOUTH INITIATIVE SOMALI YOUTH WELLNESS CLASSES PROMOTE HEALTHY LIFESTYLES AMONG SOMALI YOUTH THROUGH CULTURALLY APPROPRIATE FITNESS AND NUTRITION CLASSES. WELLSHARE SUPPORTS HEALTH CLASSES IN 2 CHARTER SCHOOLS WITH HIGH NUMBERS OF SOMALIS. THE INSTRUCTOR PROVIDES SEVERAL CREATIVE, INTERACTIVE AND CULTURALLY APPROPRIATE LESSONS, DESIGNED TO INCREASE HEALTHY BEHAVIORS. WELLSHARE WILL WORK WITH OVER 100 YOUTH THIS YEAR, THROUGH THESE PARTNERSHIPS. THE YOUNG ACHIEVERS OFFERS A CONSTRUCTIVE ENVIRONMENT FOR SOMALI YOUTH TO LEARN, DEVELOP CREATIVITY, INTERACT WITH POSITIVE ADULTS AND PREPARE FOR HIGHER EDUCATION WHILE SERVING THEIR COMMUNITY THROUGH PUBLIC HEALTH CAMPAIGNS. THIS PROGRAM IS CONDUCTED IN PARTNERSHIP WITH THE CONFEDERATION OF THE SOMALI COMMUNITY OF MINNESOTA AND FRANKLIN LIBRARY. THE GROUP IS INTENTIONALLY YOUTH LED AND OUR SOMALI STAFF FACILITATE THE YOUTH IN DEVELOPING CREATIVE PROJECTS TO SEND POSITIVE MESSAGES TO THEIR PEERS. THIS HAS INCLUDED VIDEOS ON HIV/AIDS AND NUTRITION, WHICH HAVE BEEN VIEWED BY MORE THAN 16,000 PEOPLE. TO DATE, 'THE YOUNG ACHIEVERS' HAVE A 100% HIGH SCHOOL GRADUATION RATE, AND THE MAJORITY OF ALUMNI ARE CURRENTLY ATTENDING COLLEGE. IN 2011, THIS GROUP RECEIVED AN AWARD AT THE SOMALI ENTERTAINMENT AWARDS FOR BEST YOUTH GROUP. SOMALI ELDERS CONNECTION PROJECT THROUGH THE SOMALI ELDERS CONNECT PROJECT, WELLSHARE COMMUNITY HEALTH WORKERS BUILD COMMUNITY CONNECTIONS FOR ELDERS, AND SUPPORT THEM IN ACCESSING THE HEALTH SYSTEM. WELLSHARE PROVIDES HOME VISITS FOR SENIORS TO HELP THEM UNDERSTAND THEIR HEALTH NEEDS, AND BY DOING SO, CONNECT THEM TO THE APPROPRIATE SERVICES. OUR STAFF OFFERS ONGOING FITNESS AND SOCIAL CONNECTEDNESS GROUPS ON HEALTH TOPICS WITH COMMUNITY PARTNERS, PRIMARILY SENIOR HOUSING UNITS AND ADULT DAY CENTERS. WELLSHARE SOM
SECOND ACCOMPLISHMENT DESCRIPTION	FORM 990, PAGE 2, PART III, LINE 4B	DISTRICTS; TRAINING FAMILY PLANNING COMMUNITY HEALTH WORKERS, AND WORKING THROUGH FAMILY PLANNING IMPLEMENTATION TEAMS; AND BUILDING THE CAPACITY OF PUBLIC AND PRIVATE PROVIDERS, ALL TO IMPROVE FAMILY PLANNING KNOWLEDGE, ACCESS, AND QUALITY OF SERVICES. THE PROGRAMS, IMPLEMENTED IN SSEMBABULE AND MUBENDE DISTRICTS IN SOUTH-CENTRAL UGANDA. MAJOR ACHIEVEMENTS OVER THE LIFE OF PROJECT INCLUDE AN INCREASE OF CYP ACROSS BOTH DISTRICTS FROM 2,726.52 IN 2007 TO 17,789.29 IN 2011(TOTAL CYP OF 47,241.69). A TOTAL OF 428,099 BENEFICIARIES WERE REACHED (34,856 COUNSELED; 308,892 REACHED THROUGH HEALTH TALKS, 11,936 VIA FAMILY PLANNING OUTREACHES, 15,870 VIA FILM SHOWS, 1,063 WITH COMMUNITY-BASED DISTRIBUTION OF DMPA, AND 51,887 THROUGH OTHER SPECIAL EVENTS AND RADIO MESSAGES). USERS OF CONTRACEPTION INCREASED DRAMATICALLY, FROM 6,942 NEW USERS IN 2007 TO 21,429 IN 2010. IN 2011, THERE WERE 34,681 TOTAL USERS OF MODERN AND NATURAL METHODS ALONE. WELLSHARE STARTED A NEW FLEXIBLE FUND PROGRAM IN MARCH 2012, TO TRAIN COMMUNITY HEALTH WORKERS IN COMMUNITY-BASED DISTRIBUTION OF INJECTABLE CONTRACEPTIVES AND TO ASSIST OTHER ORGANIZATIONS IN SCALING UP THEIR EFFORTS TO DO THE SAME. TO DATE, THE PROJECT HAS TRAINED 48 VILLAGE HEALTH TEAM MEMBERS AND PROVIDED TECHNICAL ASSISTANCE (THROUGH A STRUCTURED LEARNING VISIT AND OTHER TECHNICAL ASSISTANCE) TO FOUR ORGANIZATIONS AROUND SETTING UP COMMUNITY-BASED FAMILY PLANNING PROGRAMS. WELLSHARE HOSTED A 'LESSONS LEARNED' MEETING FOR 31 NATIONAL FAMILY PLANNING STAKEHOLDERS WHICH FOCUSED ON SCALING UP COMMUNITY BASED ACCESS TO INJECTABLE CONTRACEPTIVES. UGANDA HIV/AIDS PROGRAM WELLSHARE INTERNATIONAL COMPLETED THE PARTNERING FOR POSITIVE LIVELIHOODS PROGRAM (PPLP) STARTED IN DECEMBER 2008 WITH FUNDING FROM PEPF ARIUSAID IN FEBRUARY 2012. THE PROGRAM, LOCATED IN SSEMBABULE AND MUBENDE DISTRICTS OF UGANDA'S CENTRAL REGION, WORKED TO IMPROVE HIV/AIDS CARE AND PREVENTION SERVICES THROUGH COLLABORATION WITH SIX LOCAL ORGANIZATIONS. THE THREE STRATEGIC OBJECTIVES INCLUDED: 1) INCREASING THE CAPACITY OF FAITH/COMMUNITY-BASED ORGANIZATIONS (F/CBOS) TO PROVIDE CARE AND SUPPORT ACTIVITIES TO PHA AND OVC THROUGH TWINNING PARTNERSHIPS; 2) PROMOTING BEHAVIOR CHANGE THAT REDUCES NEW HIV INFECTIONS BY IMPLEMENTING ABSTINENCE-ONLY AND OTHER SEXUAL PREVENTION ACTIVITIES, 3) REACHING ELIGIBLE ADULTS AND CHILDREN WITH "UMBRELLA" CARE SERVICES, INCLUDING HOME- BASED CARE, PSYCHOSOCIAL SUPPORT, NUTRITION AND AGRICULTURE SUPPORT AND LEGAL/HUMAN RIGHTS ADVOCACY. A KEY CROSSCUTTING OBJECTIVE IS TO STRENGTHEN LINKAGES AMONG CARE, PREVENTION AND TREATMENT PROGRAMS. WELLSHARE ACHIEVED ALL OF ITS PEPF AR TARGETS OVER THE LIFE OF PROJECT. AMONG THE PROJECT ACHIEVEMENTS, WELLSHARE AND FIVE F/CBO PARTNERS REACHED A CUMULATIVE 11,143 ADULTS LIVING WITH HIV/AIDS ADULTS AND ORPHANS AND VULNERABLE CHILDREN WITH A CORE PACKAGE OF HOME BASED CARE, NUTRITION AND PSYCHOSOCIAL SUPPORT SERVICES THROUGH HOME VISITS BY 601 TRAINED VOLUNTEER COMMUNITY CAREGIVERS, SUPERVISED BY 77 TRAINED TRAINERS OF TRAINERS (TOTS). A TOTAL OF 1,455 ORPHANS AND VULNERABLE CHILDREN RECEIVED SCHOOL UNIFORMS AND SUPPLIES AND 8,405 HOME BASED CARE KITS WERE PROVIDED TO PEOPLE LIVING WITH HIV/AIDS HOUSEHOLDS AND COMMUNITY CAREGIVERS. AN INTEGRATED NUTRITIONAL INTERVENTION WITH FOOD SECURITY SUPPORT THROUGH KITCHEN GARDENS, NUTRITION ASSESSMENT, FOOD PREPARATION, REFERRALS AND PROMOTION OF BEST PRACTICES IN INFANT AND YOUNG CHILD FEEDING WAS PROVIDED TO 10,131 CLIENTS. A TOTAL OF 177 CAREGIVERS WERE TRAINED IN PREPARATION OF A LOCALLY AVAILABLE COMPLEMENTARY FOOD KITOOBERO AND 405 KITCHEN GARDENS WERE ESTABLISHED AS A RESULT OF THE PROJECT EFFORTS. THROUGH ITS IMPLEMENTING PARTNER, MAPLA Y, (WHICH FOCUSES ON YOUTH), THE PROJECT REACHED 8,012 YOUTH WITH ABSTINENCE AND/OR 'BE FAITHFUL' MESSAGES, AND 1,652 PARENTS WERE REACHED WITH PARENT-CHILD COMMUNICATION MESSAGES OVER THE LIFE OF PROJECT. THE PROPORTION OF YOUNG PEOPLE WHO HAD EVER HAD SEXUAL INTERCOURSE IN MUBENDE DROPPED FROM 57% AT BASELINE AND TO 35% AT END OF PROJECT, WHILE IN SSEMBABULE IT DECREASED FROM 49% AT BASELINE TO 34% AT END OF PROJECT. WELLSHARE CONDUCTED OVER 271 CAPACITY BUILDING ACTIVITIES WITH ITS SIX PARTNERS. TANZANIA SURVIVE AND THRIVE GROUPS PROJECT AFTER COMPLETION OF ITS FIVE-YEAR, USAID-FUNDED TANZANIA CHILD SURVIVAL PROJECT IN KARATU, WELLSHARE SUBCONTRACTED A NEW PROJECT TO ITS NEWLY FORMED AFFILIATE, WELLSHARE TANZANIA, TO IMPLEMENT SURVIVE AND THRIVE GROUPS IN BARIADI DISTRICT, SIMIYU REGION. WITH FUNDING FROM THE WEYERHAEUSER FOUNDATION, THE PROJECT REACHED GROUPS OF YOUNG SINGLE MOTHERS IN SIX VILLAGES (MALAMBO, OLD MASWA, MAHAHA, NYANGOKOLWA, BUBALE AND NKOLOLO) TO FORM SURVIVE AND THRIVE GROUPS. A TOTAL OF 163 INDIVIDUALS WERE TRAINED IN VILLAGE COMMUNITY BANKING. ALL OF THE SURVIVE AND THRIVE GROUPS STARTED GROUP-LEVEL INCOME GENERATION ACTIVITIES AND A NUMBER OF THE SURVIVE AND THRIVE GROUP PARTICIPANTS ALSO STARTED INDIVIDUAL-LEVEL INCOME GENERATION ACTIVITIES. GROUP AND INDIVIDUAL ACTIVITIES INCLUDE GARDENING, SELLING VEGETABLES AND FRUITS, SELLING PEANUTS, KEEPING CHICKENS, AND WEAVING HAIR. ALL START-UP FUNDS WERE RAISED THROUGH THE PARTICIPANTS THEMSELVES, LEADING TO FUTURE SUSTAINABILITY OF THE MODEL AND THE SMALL BUSINESS ACTIVITIES. IN ADDITION, WELLSHARE TRAINED 13 TRADITIONAL BIRTH ATTENDANTS AND 12 SURVIVE AND THRIVE GROUP PARTICIPANTS TO PROVIDE LEADERSHIP AND HEALTH EDUCATION TO THE GROUPS. HEALTH TOPICS INCLUDED EXCLUSIVE BREASTFEEDING, FAMILY PLANNING, PREVENTION OF MOTHER-TO-CHILD TRANSMISSION OF HIV, MALARIA, CHILD DEVELOPMENT AND NUTRITION.
FINANCIAL ACCOUNTS IN FOREIGN COUNTRIES	FORM 990, PART V, LINE 4B	TANZANIA, UGANDA
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	REVIEWED BY BOARD OF DIRECTORS PRIOR TO FILING.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	MONITORED AND ENFORCED BY BOARD OF DIRECTORS ANNUALLY.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	APPROVED BY BOARD OF DIRECTORS ANNUALLY.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If “Yes,”the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If “Yes,” the organizationmay be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................	Yes	No