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) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 270,301 | 218,707 | 227,407 | 311,712 | 269,374 | 1,297,501 |
| 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 | 270,301 | 218,707 | 227,407 | 311,712 | 269,374 | 1,297,501 |
| 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. | 1,297,501 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 270,301 | 218,707 | 227,407 | 311,712 | 269,374 | 1,297,501 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | -98 | 451 | 671 | 760 | 1,379 | 3,163 |
| 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.).. | 33,371 | 3,283 | 1,500 | 731 | 4,673 | 43,558 |
| 11 | Total support. Add lines 7 through 10 | 1,344,222 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (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) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (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 0.015 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 0.035 | 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 | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2020 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2020 |
(iii) Distributable Amount for 2020 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2020 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2020: | ||||
| a From 2015....... | ||||
| b From 2016....... | ||||
| c From 2017....... | ||||
| d From 2018....... | ||||
| e From 2019....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2020 distributable amount | ||||
|
i
Carryover from 2015 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2020 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2020 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2020, 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 2020. 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 2021. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2016..... | ||||
| b Excess from 2017..... | ||||
| c Excess from 2018..... | ||||
| d Excess from 2019..... | ||||
| e Excess from 2020..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | 20011566 |
| Software Version: | 2020v4.0 |
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 | Public Health Messaging & Education: Because of past education and extensive training in matters of preventative health and basic health care, Empower Tanzania was able to dispatch a team of more than 60 Community Health Workers, Community Health Educators, and Birth Attendants to deliver crucial health information on the front line of our overall response to Coronavirus pandemic. The women were ready to use their past training to become the first responders in 2020. 50,000 flyers were distributed in the 31 wards where they live with accurate COVID-19 information to government offices, healthcare facilities, public markets, motorcycle taxi stands, bus stops, community organizations, churches, mosques, businesses, and other prominent locations throughout the Same District. This information was also distributed electronically on social media channels and via WhatsApp. Staff continued to find innovative ways to spread important public health information throughout the region: with the support of the District Executive Director (DED) and the District Medical Officer (DMO), Empower Tanzania staff rented a vehicle and a sound system and logged hundreds of miles in three different districts spreading accurate public health information. The announcement covered the all wards in the districts of Rombo, Mwanga, and Same. Volunteers and staff in the US and Tanzania worked together to create and send a Power Point presentation and succinct data on COVID-19 in Swahili to hundreds in government leadership, social workers, educators, healthcare providers, police, religious leaders, other NGOs, community leaders, Rotarians, and all other Tanzania contacts. The document included a description of the disease, modes of transmission, symptoms, and prevention and care measures. These items were also shared with radio, newspaper, and television media. Reproductive Health Relationships Program (RHRP): The RHRP pilot is now complete except for data analysis, but the teachers continue their student education, demonstrating the ongoing cost-free sustainability of the program. A proposed three-year scale-up of the Reproductive Health & Relationships Program will enable it to encompass all the remaining 64,542 students and 2,022 teachers in the 234 schools of Same District, Tanzania, including government, Catholic, Lutheran and Islamic schools. Monthly newsletters for the RHRP teachers and students continue to be produced by staff and volunteers to provide updates, share stories, and answer questions Beyond Gender-Based Violence turning Fair Trade Program: Though production was limited in 2020 due to the communal nature of creation and the risks of COVID-19, a fair trade committee worked diligently on a brand and logo system (pictured left), research and development, customer discovery, and a viable business plan that will ensure the future success of this social enterprise. Farming Programs: Empower Tanzania invested in six acres of verdant farmland in Kirinjiko and staff in Tanzania has begun to develop this land as a center for training farmer-entrepreneurs. With funds raised in 2020, they will soon invite local farmers to reimagine ways of producing food and increasing crop yields through modern techniques. With the right infrastructure and education, farmers in Tanzania can grow enough nutritious food to feed their families and communities, preventing hunger and malnutrition and prompting investment in education and in their communities. Throughout 2020, we raised nearly $15,000 to launch this program, which will lead to giant gains in crop production, better health, and stronger communities. Phase One: Build a pavilion used for classes and to house market stalls to sell product. Phase Two: Train groups of 10?100 local farmers on modern methods, hybrid seed and fertilizer, and other best practices that will allow them to earn more income, feed more people, and be more productive with their land. Water Projects: Throughout 2020, staff worked on repairing a broken down water source in the village of Ruvu, which is home to over 3,000 people. Although the main problem with the existing Ruvu water source was the broken windmill, the survey done by technicians and the local government water engineer found many other damaged pieces to the system. After months of planning and work, they expect a re-engineered system and access to clean water in 2021. Education Programs: The SAME LEARNING CENTER (SLC) continues to make an impact on the most vulnerable children in and around Same Town. Programming was paused while schools closed during the pandemic, but students and their families were still visited by staff who provided with food and supply relief. Once the Tanzanian government re-opened schools, students of the SLC resumed twice-weekly afterschool meetings and Saturday morning sessions where they to received tutoring in English by our staff of English teachers, along with nutritious meals, snacks, other support services. Empower Tanzania provides each student in the program with a school uniform, shoes, and stationary. We also provide other basic necessities monthly like soap, shoe-polish, toothpaste, oil gel, and menstrual pads. Along with academic tutoring, other life skills like gardening, sports and games, cooking, computers, phone skills, personal hygiene, self-defense techniques, balanced diet, and mathematics are taught. In addition, we help students struggling with mental health issues by giving them the care and assistance they needed to succeed academically. |
| Software ID: | 20011566 |
| Software Version: | 2020v4.0 |