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) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 73,128 | 57,798 | 121,417 | 81,701 | 102,012 | 436,056 |
| 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 | 73,128 | 57,798 | 121,417 | 81,701 | 102,012 | 436,056 |
| 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) .. | 142,000 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 294,056 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 73,128 | 57,798 | 121,417 | 81,701 | 102,012 | 436,056 |
| 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 | 436,056 | |||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (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) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (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 2023 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-2023 |
(iii) Distributable Amount for 2023 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2023 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2023: | ||||
| a From 2018....... | ||||
| b From 2019....... | ||||
| c From 2020....... | ||||
| d From 2021....... | ||||
| e From 2022....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2023 distributable amount | ||||
|
i
Carryover from 2018 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2023 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2023 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2019..... | ||||
| b Excess from 2020..... | ||||
| c Excess from 2021..... | ||||
| d Excess from 2022..... | ||||
| e Excess from 2023..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
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| Part I, Line 10 | All transfers for charitable activities (Tax-Exempt purposes). 1. 4th Jan, 2023. Wire Transfer of $8049 (fee $49) to Dr Tayo Denton as direct forex, $2000 returned 30th Jan), with $3000 to Engr Eze, at N725 per $1, N2,175,000 00 for upgrades/construction at JUHRI Site 2 and $3000 to Admin Manager John Ikpeme (N2,175,000.00) for salaries, drugs, imprest, etc at both sites. 2. 30th Jan 2023. Transfer of $2017 (fee $17) from returned amount (Dt Tayo) to complete $8000 approved) to Engr Eze for continuation of construction. Mr Olaoluwa obtained N740/$1, N1,480,000 (his tip, N15,000) so Engr Eze got N1,465,000 to complete $5000 approved for construction Jan/Feb at Site 2. 3. 2nd Feb, 2023. Transfer of $3036.99 (fee 36.99) to Fr Emmanuel Bassey, Welfare Manaer, via Whatsapp, through Mr Olaoluwa Gbotosho for salaries, drugs, imprest at Sites 1 and 2 for Feb (N748/$1, N2,2444,000, tip N15,000 so N2,229,000 sent to Fr Emmanuel). 4. Wire Transfer of $3000 to Dr Tayo Denton (via Olubusola Akinlawon) as direct forex to Fr Emmanuel Bassey at N743/$1, so N2,229,000, for salaries, drugs, imprest, etc at Sites 1 and 2 March 5. 6th March, 2023. Transfer of $2004.99 ($2000,fee $4.99) to Engr Eze through Mr Olaoluwa, see next for details 6. 6th March, 2023. Transfer of $3021.99 ($3000,fee $21.99) at N744/$1, for total of $5000 approved, N3,720,000, less N15,000 tip, N3,705,000, to Engr Eze Eze, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos, for construction at 2nd Site, Esuk Mbat. 7. 14th March, 2023. Transfer of $1015.49, ($1000, fee 15.99) servicing and prep/ use of Ambulance at 16th special public outreach, 23rd March, 2023) at N740/1$, so N740,000 through Mr Olaoluwa 8. 3rd April, 2023. Wire Transfer of $3000 ($3030, fee $30) to Dr Tayo Denton (via Olubusola Akinlawon) as direct forex to Fr Emmanuel Bassey at N740/$1, so N2,220,000, for salaries, drugs, imprest, etc at Sites 1 and 2 March 9. 2nd May, 2023. Wire Transfer of $3000 to Dr Tayo Denton (via Olubusola Akinlawon) as direct forex to Fr Emmanuel Bassey at N730/$1, so N2,190,000, for salaries, drugs, imprest, etc at Sites 1 and 2 10. 2nd May, 2023. Transfer of $4036.99 ($4000,fee $36.99) to Engr Eze through Mr Olaoluwa, see next for details 11. 2nd May, 2023. Transfer of $2019.99 ($2000,fee $19.99) at N733/$1, for total of $6000 approved, N4,398,000, to Engr Eze Eze, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos, for construction at 2nd Site, Esuk Mbat and maintenance at Site 1 in view of 5th Anniv. 12. 3rd May, 2023. Transfer of $4936.99 ($4900,fee $36.99) to Mr Ken Essien as debt repayment through Mr Olaoluwa, see next for details 13. 3rd May, 2023. Transfer of $2019.99 ($2000,fee $19.99) at N733/$1, for total of $6900 approved, N5,057,700.00 (less tip of N57,700) to Mr Ken Essien via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos, as repayment of N5M loan 14. 2nd June, 2023. Transfer of $1017.99 ($1000,fee $17.99) at N745/$1, N745,000 to Fr Emmanuel Bassey, through Mr Olaoluwa Gbotosho for BDC at Lagos, for 5th and 1st Anniv activities at Site 1 and Site 2 15. 2nd June, 2023. Wire Transfer of $3000 to Dr Tayo Denton (via Olubusola Akinlawon) as direct forex to Fr Emmanuel Bassey at N745/$1, so N2,235,000.00 for salaries, drugs, imprest, etc at Sites 1 and 2 16. 3rd July, 2023. Wire Transfer of $3000 to Dr Tayo Denton (via Olubusola Akinlawon) as direct forex to Fr Emmanuel Bassey at N768/$1, so N2,304,000.00 for salaries, drugs, imprest, etc at Sites 1 and 2 17. 5th July, 2023. Transfer of $1017.99 ($1000,fee $17.99) at N768/$1, N768,000 to Fr Emmanuel Bassey, through Mr Olaoluwa Gbotosho for BDC at Lagos, for 5th and 1st Anniv activities at Site 1 and Site 2 18. 5th July, 2023. Transfer of $4036.99 ($4000,fee $36.99) at N768/$1, N3,072,000, less N20,000 tip, N3,052,000, to Engr Eze Eze, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos, for construction at 2nd Site, Esuk Mbat. 19. 3rd August, 2023. Wire Transfer of $3000 to Dr Tayo Denton (via Olubusola Akinlawon) as direct forex to Fr Emmanuel Bassey at N855/$1, so N2,565,000.00 for salaries, drugs, imprest, etc at Sites 1 and 2 20. 8th August, 2023. Transfer of $1017.99 ($1000,fee $17.99) at N890/$1, N890,000 (less N20,000 tip, so N870,000) to Fr Emmanuel Bassey, through Mr Olaoluwa Gbotosho for BDC at Lagos, for 5th and 1st Anniv activities at Site 1 and Site 2 21. 3rd Sept, 2023. Wire Transfer of $3000 to Dr Tayo Denton (via Olubusola Akinlawon) as direct forex to Fr Emmanuel Bassey at N910/$1, so N2,730,000.00 for salaries, drugs, imprest, etc at Sites 1 and 2 22. 4th Sept, 2023. Transfer of $2019.99 ($2000,fee $19.99) at N910/$1, N1820,000 (less N20,000 tip, so N1800,000, with N910,000 to Engr Eze and N890,000 to Fr Emmanuel Bassey, through Mr Olaoluwa Gbotosho for BDC at Lagos, for running of Site 1 and Site 2. 23. 3rd October, 2023. Wire Transfer of $3000 to Dr Tayo Denton (via Olubusola Akinlawon) as direct forex to Fr Emmanuel Bassey at N985.853/$1, so N2,957,550.00 for salaries, drugs, imprest, etc at Sites 1 and 2 24. 3rd October, 2023. Wire Transfer of $2500 to Dr Tayo Denton as direct forex for items extra items in 20 ft container with donated 640-slice CT scanner (Medrad Stellant Dual head Injector $2,500) 25. 14th October, 2023. Wire Transfer of $540 to Dr Tayo Denton as direct forex for items extra items in 20 ft container with donated 640-slice CT scanner (IVY Biomedical EMG Machine N200,000;Dell mobile monitor, N40,000; Patient Chairs (6), N240,000, Drip stands (3) N60,000; Total: N540,00), at N985.853/$1 26. 2nd Nov, 2023. Wire Transfer of $3000 to Dr Tayo Denton (via Olubusola Akinlawon) as direct forex to Fr Emmanuel Bassey at N1,165/$1, so N3,495,000.00 for salaries, drugs, imprest, etc at Sites 1 and 2 27. 6th Nov, 2023. Transfer of $3036.99 ($3000,fee $36.99) at N1000/$1, N3,000,000, less N20,000 tip, N2,980,000, to Engr Eze Eze, via Western Union, then Mr Olaoluwa Gbotosho for BDC at Lagos, for completion of painting and maintenance work at both sites. 28. 3rd Dec 2023. Wire Transfer of $3000 to Dr Tayo Denton (via Olubusola Akinlawon) as direct forex to Fr Emmanuel Bassey at N1,148.736/$1, so N3,447,500.00 for salaries, drugs, imprest, etc at Sites 1 and 2 29. 11th Dec 2023. Transfer of $3022.98 ($3000,fee $22.98) at N1150/$1, N3,450,000, toFr Emmanuel Bassey, via BoxyPay, for purchase of 2 new microscopes and accessories for both sites. |
| Part I, Line 16 | Part 1, Line 16. Payments to Wix.com for Annual Domain fee ($49) and Monthly Domain fee ($6 x3 months = $18, and $7.2 X 9 months = $64.8, total $125, for the Friends of JUHRI website. |
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| Software Version: |