Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 16,723,012 | 16,461,433 | 12,781,545 | 15,525,805 | 20,939,302 | 82,431,097 |
| 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 | 16,723,012 | 16,461,433 | 12,781,545 | 15,525,805 | 20,939,302 | 82,431,097 |
| 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.) | 82,431,097 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 16,723,012 | 16,461,433 | 12,781,545 | 15,525,805 | 20,939,302 | 82,431,097 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 57,160 | 65,747 | 77,857 | 92,252 | 156,269 | 449,285 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 57,160 | 65,747 | 77,857 | 92,252 | 156,269 | 449,285 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 6,958 | 5,802 | 12,760 | |||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 79,323 | 69,130 | 1,679 | 8,571 | 158,703 | |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 16,859,495 | 16,596,310 | 12,861,081 | 15,625,015 | 21,109,944 | 83,051,845 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2018 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2018 |
(iii) Distributable Amount for 2018 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2018 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2018: | ||||
| a From 2013....... | ||||
| b From 2014....... | ||||
| c From 2015....... | ||||
| d From 2016....... | ||||
| e From 2017....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2018 distributable amount | ||||
|
i
Carryover from 2013 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2018 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2018 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2019. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2014...... | ||||
| b Excess from 2015..... | ||||
| c Excess from 2016..... | ||||
| d Excess from 2017..... | ||||
| e Excess from 2018..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
|---|---|
| PART III, LINE 12 | MISCELLANEOUS 158,703 |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4B | IN 2018, ASSIST INTERNATIONAL'S PARTNERSHIP WITH WORLD VISION, COMMUNITY:ASSIST, CONTINUED TO GROW. THROUGH THE PARTNERSHIP, A LARGE WAREHOUSE WHOLESALER DONATES ITEMS WHICH ARE DISTRIBUTED TO THOSE IN NEED BOTH LOCALLY AND INTERNATIONALLY. THROUGH THIS PARTNERSHIP, ASSIST INTERNATIONAL DISTRIBUTED 5.9 MILLION WORTH OF GOODS TO OVER 70 PARTNERS IN 2018. ASSIST INTERNATIONAL HAS BEEN ABLE TO RESPOND TO MANY VICTIMS OF THE 2018 CALIFORNIA WILDFIRES IN ADDITION TO DISTRIBUTING GOODS TO ORPHANAGES AND HUMANITARIAN OUTREACHES. . IN 2018, GOODS WERE DISTRIBUTED INTERNATIONALLY TO 11 COUNTRIES: DOMINICAN REPUBLIC, EL SALVADOR, MALAWI, MEXICO, NICARAGUA, NIGERIA, ROMANIA, RWANDA, UKRAINE, UGANDA AND VENEZUELA. LOCALLY, GOODS WERE DISTRIBUTED TO 15 COUNTIES INCLUDING 32 CITIES IN THE SF BAY AREA AND CENTRAL VALLEY. IN 2018, 3476 PALLETS OF DONATED ITEMS WERE DISTRIBUTED TO THE HOMELESS, THE ELDERLY, SURVIVORS OF DOMESTIC VIOLENCE AND TRAFFICKING, CRISIS PREGNANCY CENTERS, CHILDREN RECOVERING FROM HEART DISEASE, IMPOVERISHED FAMILIES, FOSTER CHILDREN, ORPHANAGES AND CALIFORNIA FIRE VICTIMS. |
| FORM 990, PAGE 2, PART III, LINE 4C | SIGNIFICANT PROGRESS WAS MADE IN 2018 IN THE ESTABLISHMENT OF THE FRAMEWORK FOR A NEW PUBLIC PRIVATE PARTNERSHIP BETWEEN AI MEDICAL OXYGEN PRODUCTION, PLC AND TWO TARGET HOSPITALS IN THE AMHARA REGION OF ETHIOPIA. THE PPP IS A SOCIAL BUSINESS ENTERPRISE STRATEGY THAT BRINGS TOGETHER, FOREIGN INVESTMENT DOLLARS, REGIONAL GOVERNMENT FUNDING AND LOCAL HOSPITAL FUNDING TO FORM A BUSINESS MODEL THAT IS ABLE TO PRODUCE MEDICAL OXYGEN, SELL IT AT A REDUCED COST TO HEALTH CENTERS WITHIN THE AMHARA REGION OF ETHIOPIA AND GENERATE ENOUGH REVENUE IN THE PROCESS TO MAKE THE PPP PROGRAM SUSTAINABLE. IN 2018, AI MEDICAL OXYGEN PRODUCTION, PLC WAS OFFICIALLY GRANTED AN OPERATING LICENSE IN ETHIOPIA, AND A SIGNIFICANT MILESTONE WAS ACHIEVED WHEN THE AMHARA REGIONAL HEALTH BUREAU WORKED WITH THE ETHIOPIAN PARLIAMENT TO PASS NEW LEGISLATION IN THE COUNTRY THAT WOULD ESTABLISH A FRAMEWORK FOR ETHIOPIAN BUSINESSES TO ENTER INTO PUBLIC PRIVATE PARTNERSHIPS WITH INTERNATIONAL INVESTORS. THIS IS WIDELY VIEWED AS A BREAKTHROUGH FOR THE COUNTRY OF ETHIOPIA. FURTHERMORE, THE OXYGEN PRODUCTION PLANTS HAVE BEEN MANUFACTURED AND SHIPPED TO ETHIOPIA AND THE LOCAL ETHIOPIAN HOSPITALS ARE COMPLETING CONSTRUCTION OF THE NEW BUILDINGS THAT WILL HOUSE THE MEDICAL OXYGEN PRODUCTION FACILITIES. IN-COUNTRY MANAGEMENT STAFF HAVE BEEN HIRED AND TECHNICIANS ARE BEING TRAINED TO OPERATE THE OXYGEN PLANTS ONCE THEY ARE COMPLETED. THERE IS A GROWING EXCITEMENT WITHIN THE MINISTRY OF HEALTH AS THEY ANTICIPATE THE LAUNCH OF THE MEDICAL OXYGEN BUSINESS. AS THE OXYGEN PRODUCTION BUSINESS MODEL COMES TO LIFE, MANY WITHIN THE GOVERNMENT ARE CONSIDERING HOW THIS SUSTAINABLE BUSINESS MODEL ALONG WITH THE PPP PLATFORM CAN IMPACT OTHER HEALTHCARE NEEDS THAT WILL IMPACT THE LIVES OF PEOPLE IN ETHIOPIA. |
| FORM 990, PAGE 2, PART III, LINE 4D | SINCE BEGINNING IN 1990, ASSIST INTERNATIONAL HAS BEEN COMMITTED TO PROVIDING ORPHANED AND VULNERABLE CHILDREN WITH HOPE, HEALTH, AND OPPORTUNITY. THROUGH ORPHAN VILLAGE PARTNERSHIPS, CHILDREN HAVE BEEN GIVEN FAMILIES, HEALTHCARE, AND EDUCATION IN ROMANIA, THAILAND, UGANDA, RWANDA, KENYA, AND MORE. CURRENTLY, A NEW ORPHAN VILLAGE IS BEING DEVELOPED IN THE REMOTE TOWN OF ATIAK, UGANDA. THE VILLAGE IS ON SCHEDULE TO BE COMPLETED IN 2019 WITH 10 HOMES, A SCHOOL, AND A MEDICAL CLINIC. OUR EXPERIENCE AND EFFICIENCY HAVE ALLOWED US TO SIGNIFICANTLY INCREASE OUR CAPACITY TO REACH ORPHANED AND VULNERABLE CHILDREN. AN EXAMPLE IS OUR ORPHAN PARTNERSHIP WITH AOET IN JINJA, UGANDA. AOET FOCUSES ON ORPHANED CHILDREN AFFECTED BY HIV/AIDS. UPON FIRST PARTNERING WITH THE ORGANIZATION IN 2007, THEY WERE REACHING FEWER THAN 300 CHILDREN, SINCE THEN, 4,681 CHILDREN WERE REACHED ANNUALLY; AN INCREASE OF OVER 4,381 SINCE OUR PARTNERSHIP BEGAN. |
| FORM 990, PART V, LINE 4B | ETHIOPIA |
| FORM 990, PAGE 6, PART VI, LINE 2 | RALPH SUDFELD CHARLENE PAGETT BOARD PRESID BOARD SEC. IN-LAWS |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE AUDIT COMMITTEE AND BOARD OF DIRECTORS REVIEWS THE 990 BEFORE FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | MONITORING IS DONE FROM THE OFFICE OF THE PRESIDENT |
| FORM 990, PAGE 6, PART VI, LINE 15A | BOARD REVIEWS AND APPROVES COMPENSATION |
| FORM 990, PAGE 6, PART VI, LINE 15B | BOARD REVIEWS AND APPROVES COMPENSATION |
| FORM 990, PAGE 6, PART VI, LINE 19 | DOCUMENTS REQUIRED BY LAW TO BE AVAILABLE FOR PUBLIC INSPECTION ARE AVAILA BLE UPON REQUEST DURING REGULAR BUSINESS HOURS AT THE LOCATION OF RECORDS. |
| Software ID: | |
| Software Version: |