| (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 |
||||||
| Calendar year (or fiscal year beginning in) | (a) 2021 | (b) 2022 | (c) 2023 | (d) 2024 | (e) 2025 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 121,417 | 81,701 | 102,012 | 103,293 | 78,675 | 487,098 |
| 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 | 121,417 | 81,701 | 102,012 | 103,293 | 78,675 | 487,098 |
| 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) .. | 190,000 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 297,098 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2021 | (b) 2022 | (c) 2023 | (d) 2024 | (e) 2025 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 121,417 | 81,701 | 102,012 | 103,293 | 78,675 | 487,098 |
| 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 | 487,098 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2021 | (b) 2022 | (c) 2023 | (d) 2024 | (e) 2025 | (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) 2021 | (b) 2022 | (c) 2023 | (d) 2024 | (e) 2025 | (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) |
||||
| 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) |
||||
| 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 | |
| 6Total annual distributions. Add lines 1 through 5. | 6 | |
|
7
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
7 | |
| 8 Distributable amount for 2025 from Section C, line 6 | 8 | |
| 9 Line 7 amount divided by Line 8 amount | 9 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2025 |
(iii) Distributable Amount for 2025 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2025 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2025 (reasonable cause required-- explain in Part VI).
See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2025: | ||||
| a From 2020....... | ||||
| b From 2021....... | ||||
| c From 2022....... | ||||
| d From 2023....... | ||||
| e From 2024....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2025 distributable amount | ||||
|
i
Carryover from 2020 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2025 from Section D, line 6: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2025 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2025, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2025. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2026. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2021..... | ||||
| b Excess from 2022..... | ||||
| c Excess from 2023..... | ||||
| d Excess from 2024..... | ||||
| e Excess from 2025..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
|---|---|
| Part I, Line 10. All transfers for charitable activities (Tax-Exempt purposes). | Grants and transfers made for construction and running of 100% Free Hospitals. 3rd Jan 2025, 1st of 3 transters, $1000 at N1,607.00/$1, N1,607,000.00, to Fr Emmanuel Bassey, via WorldRemit for salaries, drugs, imprest, maintenance. 2nd of 3 transters, $1000 at N1,616.107/$1, N1,616,107.00, to Fr Emmanuel Bassey, via WorldRemit for salaries, drugs, imprest, maintenance. 3rd of 3 transters, $1000 at N1,616.107/$1, N1,616,107.00, to Fr Emmanuel Bassey, via WorldRemit for salaries, drugs, imprest, maintenance. 13th Jan 2025. Transfer of $1,000 at N1,615.107/$1, N1,615,107.00, to Engr Andidiong and Mr Augustine Ndem for flight/logging/food/groundtransport to Lagos for purchase of generator. Transfer of $4007.99 ($4000,fee $7.99) at N1585/$1, N6,340,000.00, to Engr Andidiong via WesternUnion for logistics/VAT for brandnew 300 kVA Generator (N42,315,000) 1st Transfer of $5007.99 ($5000,fee $7.99) at N1585/$1, N7,925,000.00, to Engr Andidiong via WesternUnion for brandnew 300 kVA Generator (N42,315,000). 2nd Transfer of $5007.99 ($5000,fee $7.99) at N1585/$1, N7,925,000.00, to Engr Andidiong via WesternUnion for brandnew 300 kVA Generator (N42,315,000). 3rd Transfer of $5007.99 ($5000,fee $7.99) at N1566/$1, N7,830,000.00, to Engr Andidiong via WesternUnion for brandnew 300 kVA Generator (N42,315,000). 4th Transfer of $5007.99 ($5000,fee $7.99) at N1566/$1, N7,830,000.00, to Engr Andidiong via WesternUnion for brandnew 300 kVA Generator (N42,315,000). 5th Transfer of $3007.99 ($3000,fee $7.99) at N1566/$1, N4,698,000.00, to Engr Andidiong via WesternUnion for brandnew 300 kVA Generator (N42,315,000). 4th Feb 2025. 1st of 3 transters, $1000 at N1,550182/$1, N1,550,182.00, to Fr Emmanuel Bassey, via WorldRemit for salaries, drugs, imprest, maintenance. 2nd of 3 transters, $1000 at N1,564.809/$1, N1,564,809.00, to Fr Emmanuel Bassey, via WorldRemit for salaries, drugs, imprest, maintenance. 3rd of 3 transters, $1000 at N1,556.93/$1, N1,556,930.00, to Fr Emmanuel Bassey, via WorldRemit for salaries, drugs, imprest, maintenance. 4th March 2025. Transfer of $3,007.99 ($3000,fee $7.99) at N1,495.00/$1, N4,485,000.00, to Fr Emmanuel Bassey, via WesternUnion for salaries, drugs, imprest, maintenance, medical outreach. 3rd April. Transfer of $3,007.99 ($3000,fee $7.99) at N1,569.00/$1, N4,707,000.00, to Fr Emmanuel Bassey, via WesternUnion for salaries, drugs, imprest, maintenance. Transfer of $2007.99 ($2000,fee $7.99) at N1569/$1, N3,138,000.00, to Engr Andidiong via WesternUnion for logistics/VAT for commissioning new 300 kVA gen and preps for CT installation. 3rd May 2025. Transfer of $4,007.99 ($4000,fee $7.99) at N1,606/$1, N6,424,000.00, to Fr Emmanuel Bassey, via WesternUnion for salaries, drugs, imprest, maintenance, and preps for 7th and 3rd Annivs 1st of 2 Transfers of $5007.99 ($5000,fee $7.99) at N1603/$1, N8,015,000.00, to Engr Andidiong via WesternUnion for 4 Hisense AC units, Philip Engineers, for transfer of CT scanner to Cancer Center. 2nd of 2 Transfers of $5007.99 ($5000,fee $7.99) at N1603/$1, N8,015,000.00, to Engr Andidiong via WesternUnion for 4 Hisense AC units, Philip Engineers, for transfer of CT scanner to Cancer Center. Transfer of $1,006.49 ($1000,fee $6.49) at N1,601.00/$1, N1,601,000.00, to Fr Emmanuel Bassey, via WesternUnion for 7th and 3rd Anniv Celebrations. 5th June 2025. Transfer of $3,007.99 ($3000,fee $7.99) at N1,606/$1, N4,818,000.00, to Fr Emmanuel Bassey, via WesternUnion for salaries, drugs, imprest, maintenance for June. 5th July 2025. Transfer of $1,006.49 ($1000,fee $6.49) at N1,530/$1, N1,530,000.00, to Fr Emmanuel Bassey, via WesternUnion for salaries, drugs, imprest, maintenance for July. Transfer of $1,006.49 ($1000,fee $6.49) at N1,530/$1, N1,530,000.00, to Fr Emmanuel Bassey, via WesternUnion for salaries, drugs, imprest, maintenance for July. Transfer of $1,006.49 ($1000,fee $6.49) at N1,530/$1, N1,530,000.00, to Fr Emmanuel Bassey, via WesternUnion for salaries, drugs, imprest, maintenance for July. Transfer of $4,007.99 ($4000,fee $6.49) at N1,533/$1, N6,132,000.00, to Fr Emmanuel Bassey, via WesternUnion for purchase of our 3rd Ultrasound Scanner. 4th August 2025. Transfer of $3,007.99 ($3000,fee $7.99) at N1,535/$1, N4,605,000.00, to Fr Emmanuel Bassey, via WesternUnion for salaries, drugs, imprest, maintenance for August. 3rd Sept 2025. 1st Transfer of $3,007.99 ($3000,fee $7.99) at N1,532/$1, N4,596,000.00, to Fr Emmanuel Bassey, via WesternUnion for salaries, drugs, imprest, maintenance for Sept. 1st Transfer of $2,007.99 ($2000,fee $7.99) at N1,515/$1, N3,030,000.00, to Fr Emmanuel Bassey, via WesternUnion for maintenance at Sites 1 and 2. 3rd Oct 2025. 1st Transfer of $3,007.99 ($3000,fee $7.99) at N1,445/$1, N4,335,000.00, to Fr Emmanuel Bassey, via WesternUnion for salaries, drugs, imprest, maintenance for Oct. 2nd Transfer of $2,007.99 ($2000,fee $7.99) at N1,483/$1, N2,996,000.00, to Fr Emmanuel Bassey, via WesternUnion upgrades/maintenance. 3rd Nov 2025. 1st Transfer of $3,007.99 ($3000,fee $7.99) at N1,446/$1, N4,338,000.00, to Fr Emmanuel Bassey, via WesternUnion for salaries, drugs, imprest, maintenance for Nov. 2nd Transfer of $2,007.99 ($2000,fee $7.99) at N1,444/$1, N2,888,000.00, to Fr Emmanuel Bassey, via WesternUnion upgrades/maintenance. 3rd Dec 2025. 1st Transfer of $3,007.99 ($3000,fee $7.99) at N1,435/$1, N4,306,968.00, to Fr Emmanuel Bassey, via WesternUnion for salaries, drugs, imprest, maintenance for Dec. 2nd Transfer of $4,000.00 at N1,453/$1, N5,813,472.00, to Fr Emmanuel Bassey, via WesternUnion purchase of new laptops/upgrades/maintenance. |
| Part I, Line 16 | Website, Cloud-Storage. 1/9/2025 DP NonWF Bus Pymt $3 X 12 = 36 1/21/2025 Wix.com Recurring 7.20 X 2 = 14.4 14.4 2/10/2025 Direct Pay Monthly Base $10 x 12 = 120 120 3/18/2025 Wix.com Recurring 8.4 X10 = 84 84 5/15/2025 Simple 990 Filing of 990EZ to IRS 90 5/19/2025 DropBox for Hospital_Patient_Files 199 12/19/2025 Annual Domain Wix.Com 33.9 12/30/2025 Annual Website Wix.Com 204 TOTAL OTHERS (Wix.Com, Bank Charges, Dropbox) 781.3 |
| Software ID: | |
| Software Version: |