Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and 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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 303,087 | 270,301 | 218,707 | 227,407 | 311,712 | 1,331,214 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | 0 | |||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 4 | Total. Add lines 1 through 3 | 303,087 | 270,301 | 218,707 | 227,407 | 311,712 | 1,331,214 |
| 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).. | 0 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 1,331,214 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 303,087 | 270,301 | 218,707 | 227,407 | 311,712 | 1,331,214 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 1,448 | -98 | 451 | 671 | 760 | 3,232 |
| 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.).. | 550 | 33,371 | 3,283 | 1,500 | 731 | 39,435 |
| 11 | Total support. Add lines 7 through 10 | 1,373,881 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 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): |
|||||
| 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 2019 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-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, 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 2019. 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 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | 19009923 |
| Software Version: | 2019v5.0 |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | Leslie Klipsch, communications independent contractor, is married to Jake Klipsch and her father-in-law is Frank Klipsch, both of whom are voting board members of the organization. Should any votes or decisions relating to services provided by Leslie Kilpsch be brough before the board, the related members abstain from voting. |
| Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company | Country Director, Elibariki Kisimbo Health Programs Manager, Efrancia Nzota Health Programs Coordinator, Catherine Wales Water and Agriculture Programs Manager, Joseph Kimbwereza Education Programs Coordinator, Yoeza Mnzava |
| Form 990, Part VI, Line 11b: Form 990 Review Process | Members of the Executive Committee receive a draft copy of the Form 990 for review and discussion prior to filing. The Board of Directors also receive a draft copy of the Form 990 to review prior to filing. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | The Board of Directors are provided with a copy of the Conflict of Interest Policy upon joining the Board and are asked to disclose any potential conflicts. Any identified conflicts are reviewed by the Board, and members are prohibited from participating in deliberations and decisions on transactions where they are in potential conflict. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | An annual report is published on the Organization's website and the website states that bylaws, policies, and financial information are available upon request. Meetings are also open to the general public. |
| Form 990, Part III, Line 4a Statement of Program Accomplishments | PROGRAM ACCOMPLISHMENT - HEALTH INITIATIVES (Continued) The CHAP program has trained 34 Maasai women in 21 Maasai villages to serve as Community Health Workers who provide health education, timely life-saving treatments, patient referrals to healthcare facilities, disease surveillance and prevention, and vital events registration. The program began in 2014, now includes 34 Maasai men, and has provided life-saving health education, healthcare services, and hospital referrals to thousands of Maasai community members. The Improving Women?s Health Program was established in 2013 and trained 33 Community Health Educators (CHEs) in various health topics and social concepts. Using battery-operated pico projectors and videos produced by Empower Tanzania, these women continue to give at least 12 presentations per month to the community members in their political ward of Same District reaching over 21,000 people each month. The Reproductive Health and Relationships Program was established in 2018 and aims to (1) reduce the high pregnancy rate of Same District school girls, (2) lower the incidence of STDs (including HIV) in school children and young adults, (3) delay the age of sexual debut in Same District students, (4) improve the knowledge and attitudes of students about reproductive health and relationships. ETI holds annual trainings and in 2019 408 teachers were trained in this curriculum, with 19 participating schools throughout Same District, reaching 10,544 students in primary and secondary schools. Monthly newsletters are also distributed to families in Swahili and in 2019 the program has reached 10,544 Primary & Secondary Participants, with over 11,000 views of the newsletter. The newsletters, curriculum, as well as videos are available on Empower Tanzania?s website for anyone to view. After two years of culturally appropriate counseling, 100 survivors of gender based violence were trained on fabric and reusable menstrual pad production. Further education focused on supply acquisition, quality, marketing, and production techniques. Payments were made to each group for their production and some groups earned over $500 for several months of work! Most entrepreneurs sell fabrics and reusable menstrual pad (RMP) kits at local markets. Tanzania sales of RMP kits are increasing through schools, private purchases, and other NGOs. This program continues to grow and to improve the quality of life and financial security of the remaining 99 survivors-turned entrepreneurs. |
| Form 990, Part III, Line 4b Statement of Program Accomplishments | PROGRAM ACCOMPLISHMENT - CHILDREN'S EDUCATION (Continued) The Most Vulnerable Children's Club provides a hot and nutritious meal each Saturday, and instruction in basic life skills such as hygiene and nutrition, gardening, and animal husbandry. The Same Learning Center offers enhanced English instruction to 60 students from five primary schools in the area of Same Town, with the goals of increasing the academic success of the underserved, impoverished students of government schools in the Same Region by providing English language tutoring and academic support, and increasing the number of students who pass the Standard 7 exam and move on to secondary school. Donors also provide uniforms, shoes, and workbooks for primary school, enabling children to attend school during the week and changing the course of their lives forever. |
| Form 990, Part III, Line 4c Statement of Program Accomplishments | PROGRAM ACCOMPLISHMENT - ECONOMIC EMPOWERMENT (Continued) In 2019, the Integrated Farming Program prospered in the village of Lambo thanks to the participation of 33 farmers. Five farmers received modern sheep, five farmers received modern goats, and 23 farmers received seeds and were trained in growing amaranth with expertise lent by Empower Tanzania's Country Director. Two new plots of land were also purchased, which will generate income through growth, harvest, and sale of crops. Also in 2019, Empower Tanzania completed a project ensuring that the community of Nadaruru has a functioning water system complete with solar panels, storage tanks, and seven distribution points. This has provided access to clean water for over 1,500 people. The community of Njiro, a previous water project site, worked together to raise funds and increase their number of distribution points and increased from 5 to 16, brining clean water to more people in their community. |
| Schedule D, Part X - Other Liabilities | The organization received a donation during the fiscal year, which was later determined to be refundable. This is a one-off occurrence for the organization and amounts have been adjusted to properly show this donation as payable to a donor at fiscal year-end and is not included in the contributions for 2019. |
| Software ID: | 19009923 |
| Software Version: | 2019v5.0 |