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)
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(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 134,655 | 51,992 | 65,028 | 72,102 | 69,314 | 393,091 |
| 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 | 134,655 | 51,992 | 65,028 | 72,102 | 69,314 | 393,091 |
| 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. | 393,091 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 134,655 | 51,992 | 65,028 | 72,102 | 69,314 | 393,091 |
| 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.).. | 82 | 258 | 296 | 2 | 2,518 | 3,156 |
| 11 | Total support. Add lines 7 through 10 | 396,247 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (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) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (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 on 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) |
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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 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 2021 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-2021 |
(iii) Distributable Amount for 2021 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2021 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2021: | ||||
| a From 2016....... | ||||
| b From 2017....... | ||||
| c From 2018....... | ||||
| d From 2019....... | ||||
| e From 2020....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2021 distributable amount | ||||
|
i
Carryover from 2016 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2021 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2021 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2021, 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 2021. 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 2022. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2017..... | ||||
| b Excess from 2018..... | ||||
| c Excess from 2019..... | ||||
| d Excess from 2020..... | ||||
| e Excess from 2021..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| Part II, line 10 | | S.No:, Amount:, Description:| 1, $2515, IRS Refund of the Taxes and Penalty paid in 2021.| 2, $3, Small Interest payment from Schwab Account| |
| Part II, line 10 | | S.No:, Year:, Amount:, Description:| 1, 2020, $2, Interest from Banks| 2, 2019, $296, Interest from Banks| 3, 2018, $258, Interest from Banks| 4, 2017, $82, Interest from Banks| |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Part I, line 8 | | Other Revenues:, Amount:| IRS Refund of the Taxes and Penalty paid in 2021., $2515| Small Interest payment from Schwab Account, $3| |
| Part I, line 10 | | Activity:, Grantee Name:, Grantee Address:, Amount:, Relationship:| Free subsidized treatment to underprivileged patients in ICU with black fungus infections as well as patients in the free Covid-19 care center in Hyderabad India, Center for Development and Empowerm, "Dr. No. 13-0-13 Main Road Surya Rao Peta Kakinada Andhra Pradesh 533001,India", $7900.00, None| Renovation and expansion of the elderly home run by FOKE Friends of Kolkota Elderly Kolkota India, Friends of Kolkota Elderly FOKE, "Studio Plaza 74 CSN Banerjee Road Kolkota 700014 India", $8000.00, None| Leadership training for 100 girls from villages as part of Girls Icon program of Milaan Foundation to empower adoscent girls in India, Milaan Foundation, "45W635 S Serosun Farms Lane Hampshire ILlinois 60140", $4500.00, None| Strengthening Girl Child Education in Remote Tribal Regions of Odisha India, Agragamee, "At PO Kashipur Dist. Rayagada Odisha India", $10000.00, None| Donated food towards breakfast for 60 residents at Life Moves homeless shelter at San Jose USA, Life Moves Homeless Shelter, "358 N Montgomery St San Jose CA 95110", $124.00, None| Boda Girls Program in rural Kenya of Tiba Foundation the US based fundraising arm of the Matibabu Foundation. The aim of the program is to improve access to healthcare education and self-employment for women in Kenya. It will empower a community of women by providing training on driving boda bodas motorcycles that are the primary source of transport in the area and supporting women to create businesses as healthcare workers on Boda Boda's. Boda Girls will give free rides to the hospital fo, Tiba Foundation, "344 2oth St #9D Oakland CA 94612", $7000.00, None| Provide educational assistance to 21 visually impaired students in Odisha India from impoverished background with the goal of improving their self-esteem and empowering them to be self-sufficient., Saheed Yuba Sangha, "At-Trutiapada Po-Bolagarh Dist-Khordha Odisha India", $3997.00, None| |
| Part I, line 16 | | Other Expenses:, Amount:| website maintenance paypal expenses payment to payment platforms Postages Bank fees and other misc expenses, $581.00| |
| Program Service Accomplishments (Part III),line 1 | | Explanation:| Milaan Foundation | Leadership training for 100 girls from villages as part of Girls Icon program of Milaan Foundation to empower adoscent girls in India | Dr. No. 13-0-13 Main Road Surya Rao Peta Kakinada Andhra Pradesh 533001,India | Project Cost: $7900 Agragamee | Strengthening Girl Child Education in Remote Tribal Regions of Odisha India | Studio Plaza 74 CSN Banerjee Road Kolkota 700014 India | Project Cost: $8000 CEDOW | Free subsidized treatment to underprivileged patients in ICU with black fungus infections as well as patients in the free Covid-19 care center in Hyderabad India | 45W635 S Serosun Farms Lane Hampshire ILlinois 60140 | Project Cost: $4500 FOKE | Renovation and expansion of the elderly home run by FOKE Friends of Kolkota Elderly Kolkota India | At PO Kashipur Dist. Rayagada Odisha India | Project Cost: $10000 Life Moves Homeless Shelter | Donated food towards breakfast for 60 residents at Life Moves homeless shelter at San Jose USA | 358 N Montgomery St San Jose CA 95110 | Project Cost: $128.95 Tiba Foundation | Boda Girls Program in rural Kenya of Tiba Foundation the US based fundraising arm of the Matibabu Foundation. The aim of the program is to improve access to healthcare education and self-employment for women in Kenya. It will empower a community of women by providing training on driving boda bodas motorcycles that are the primary source of transport in the area and supporting women to create businesses as healthcare workers on Boda Boda's. Boda Girls will give free rides to the hospital for all women and girls and provide health and self-esteem education and menstrual supplies to girls at schools and in the community. | 344 2oth St #9D Oakland CA 94612 | Project Cost: $7000 Saheed Yuba Sangha | Provide educational assistance to 21 visually impaired students in Odisha India from impoverished background with the goal of improving their self-esteem and empowering them to be self-sufficient. | At-Trutiapada Po-Bolagarh Dist-Khordha Odisha India | Project Cost: $3997.06 |
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