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) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 42,096 | 73,128 | 57,798 | 121,417 | 81,701 | 376,140 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | 0 | 0 | 0 | 0 | 0 | 0 |
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | 0 | 0 | 0 | 0 | 0 |
| 4 | Total. Add lines 1 through 3 | 42,096 | 73,128 | 57,798 | 121,417 | 81,701 | 376,140 |
| 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) .. | 120,000 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 256,140 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 42,096 | 73,128 | 57,798 | 121,417 | 81,701 | 376,140 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 0 | 0 | 0 | 0 | 0 | 0 |
| 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.).. | 0 | 0 | 0 | 0 | 0 | 0 |
| 11 | Total support. Add lines 7 through 10 | 376,140 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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 2022 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-2022 |
(iii) Distributable Amount for 2022 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2022 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2022: | ||||
| a From 2017....... | ||||
| b From 2018....... | ||||
| c From 2019....... | ||||
| d From 2020....... | ||||
| e From 2021....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2022 distributable amount | ||||
|
i
Carryover from 2017 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2022 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2022 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2022, 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 2022. 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 2023. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2018..... | ||||
| b Excess from 2019..... | ||||
| c Excess from 2020..... | ||||
| d Excess from 2021..... | ||||
| e Excess from 2022..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| 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 10 | All transfers for charitable activities. 1. 5th Jan, 2022. Transfer of $3037 (fee $37) at N560 per $1 (N1,680,000.00) to Admin Manager John Ikpeme, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos, for salaries, drugs, upgrades at JUHRI Afua. 2. 31st Jan, 2022. Transfer of $4037 ($4000,fee $37) at N567 per $1, N2,268,000.00 to Engr Eze Eze, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos, for construction at 2nd Site, Esuk Mbat. 3. 31st Jan, 2022. Transfer of $2020 ($2000,fee $20) at N567 per $1 (N1,134,000.00) to Engr Eze Eze, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos, for construction at 2nd Site, Esuk Mbat. 4. 4th Feb, 2022. Transfer of $3037 (fee $37) at N567 per $1 (N1,701,000.00, less N15,000 tip, N1,686,000) to Admin Manager John Ikpeme, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos, for salaries, drugs, upgrades at JUHRI Afua. 5. 23rd Feb, 2022. Transfer of $4037 ($4000,fee $37) at N570 per $1, N2,280,000.00 (less N15K tip) to Engr Eze Eze, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos, for construction at 2nd Site, Esuk Mbat. 6. 23rd Feb, 2022. Transfer of $3037 ($3000,fee $37) at N570 per $1, N1,710,000.00 to Engr Eze Eze, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos, for construction at 2nd Site, Esuk Mbat. 7. 23rd Feb, 2022. Transfer of $3037 ($3000,fee $37) at N573 per $1, N1,719,000.00 to Engr Eze Eze, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos, for construction at 2nd Site, Esuk Mbat. 8. 3rd March, 2022. Transfer of $3037 (fee $37) at N573 per $1 (N1,719,000.00) to Admin Manager John Ikpeme, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos, for salaries, drugs, upgrades at JUHRI Afua. 9. 16th March, 2022. Transfer of $4022 ($4000,fee $22) at N575 per $1, N2,300,000.00 (less N15K tip) to Engr Eze Eze, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos, for construction at 2nd Site, Esuk Mbat. 10. 16th March, 2022. Transfer of $4022 ($4000,fee $22) at N57 per $1, N2,300,000.00 to Engr Eze Eze, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos, for construction at 2nd Site, Esuk Mbat. 11. 18th March, 2022. Transfer of $2020 ($2000,fee $20) at N575 per $1, N1,150,000.00 to Engr Eze Eze, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos, for construction at 2nd Site, Esuk Mbat. 12. 2nd April, 2022. Transfer of $4022 ($4000,fee $22) at N582 per $1, N2,328,000.00 (N15K tip, N2,313,000) to Admin Manager John Ikpeme, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos, for roof repairs (Mar 23rd storm damage), salaries, drugs, imprest, upgrades at JUHRI Site 1, Afua 13. 26th April, 2022. Transfer of $4022 ($4000,fee $22) at N585 per $1, N2,340,000.00 (less N15K tip) to Engr Eze Eze, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos, for construction at 2nd Site, Esuk Mbat. 14. 29th April, 2022. Transfer of $2005 ($2000,fee $5) at N585 per $1, N1,170,000.00 to Engr Eze Eze, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos, for construction at 2nd Site, Esuk Mbat. 15. 4th May, 2022. Transfer of $3032 (fee $32) at N585 per $1 (N1,755,000.00) to Admin Manager John Ikpeme, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos, for salaries, drugs, upgrades at JUHRI Afua. 16. 9th May, 2022. Wire Transfer of $5045 (fee $$45) to Dr Tayo Denton as direct forex to Engr Eze, at N585 per $1, N2,925,000 for construction at JUHRI Site 2 17. 13th May, 2022. Wire Transfer of $10,045 (fee $$45) to Dr Tayo Denton as direct forex to Engr Eze, at N587 per $1, N5,870,000 for construction and commissioning expenses at JUHRI Site 2 18. 2nd June, 2022. Transfer of $4037 ($4000,fee $37) at N598 per $1, for $2,900 (N1,734,200) and N575 per $1 for $1,100 (N632,500) due to lower denominations, (total N2,366,700) to Engr Eze Eze, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos, for medical equipment at 2nd Site, Esuk Mbat. 19. 2nd June, 2022. Transfer of $2020 ($2000,fee $20) at N598 per $1, N1,196,000.00 to Admin Manager John Ikpeme, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos) for salaries, drugs, imprest, upgrades at JUHRI Site 1, Afua 20. 3rd June, 2022. Transfer of $8074 ($8000,fee $7) at N602 per $1, N4,816,000 (less N15,000 tip, N4,801,000, to Engr Eze Eze, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos, for construction at 2nd Site, Esuk Mbat. 21. 8th June, 2022. Transfer of $2020 ($2000,fee $20) at N600 per $1, N1,200,000.00 to Enr Eze, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos) for construction at JUHRI Site 2 22. 17th June, 2022. Transfer of $1020 ($1000,fee $20) at N602 per $1, N602,000.00 to Admin Manager, Mr John Ikpeme, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos) for reimbursement of Mr Ola (N300,000) and purchases during Commissioning of JUHRI Site 2 23. 3rd July, 2022. Transfer of $2005 ($2000,fee $5) at N610 per $1, N1,220,000.00 to Enr Eze, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos) for construction/debt reduction at JUHRI Site 2 24. 3rd July, 2022. Transfer of $4022 ($4000,fee $22) at N610 per $1, N2,440,000.00 (less N15,000 tip to Mr Gbotosho) to Admin Manager, Mr John Ikpeme, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos) for salaries, drugs, imprest, lab supplies at JUHRI Sites 1 and 2 25. 4th Aug, 2022. Transfer of $4027 ($4000,fee $27) at N620 per $1, $3000 (N1,860,000, less N15K tip to Mr Gbotosho, N1845,000) to Admin Manager, Mr John Ikpeme, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos) for salaries, drugs, imprest, lab supplies at JUHRI Sites 1 and 2, and $1000 (N620,000) to Engr Eze for debt reduction/upgrade at JUHRI Site 2 26. 5th Sept, 2022. Transfer of $4018 ($4000,fee $18) at N697 per $1, $3000 (N2,091,000, less N25K tip to Mr Gbotosho, N2,076,000) to Admin Manager, Mr John Ikpeme, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos) for salaries, drugs, imprest, lab supplies at JUHRI Sites 1 and 2, and $1000 (N697,000) to Engr Eze for debt reduction/upgrade at JUHRI Site 2 27. 4th Oct, 2022. Transfer of $4032 ($4000,fee $32) at N723 per $1, $3000 (N2,169,000, less N15K tip to Mr Gbotosho, N2,154,000) to Admin Manager, Mr John Ikpeme, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos) for salaries, drugs, imprest, lab supplies at JUHRI Sites 1 and 2, and $1000 (N723,000) to Engr Eze for debt reduction/upgrade at JUHRI Site 2 28. 3rd Nov, 2022. Wire Transfer of $8045 (fee $45) to Dr Tayo Denton as direct forex, with $5000 to Engr Eze, at N795 per $1, N3,975,000 for upgrades/construction at JUHRI Site 2 and $3000 to Admin Manager John Ikpeme (N2,385,000.00) for salaries, drugs, imprest, etc at both sites 29. 2nd Dec 2022. Wire Transfer of $4045 (fee $45) to Dr Tayo Denton as direct forex, at N735 per $1, N3,975,000 for for salaries, drugs, imprest, etc at both sites |
| Part I, Line 16 | Payments to Wix.com for Annual Domain fee ($49) and Monthly Domain fee ($6), 12 months, $72, for the Friends of JUHRI website. |
| Part II, Line 26 | Total liabilities. The $6010 is loan payable. The loan was obtained to ensure Commissioning of JUHRI Site 2 with donated 640 slice CT scanner transported to the Site. All three directors approved of the loan, from a long time JUHRI Supporter, Mr Kenneth Essien. |
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| Software Version: |