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1 l Form WOu-CL Department of the Treasury I n te rnal R evenu e Se rvi ce Short Form Return of Organization Exempt From Income Tax Under section 51(c ), 527, or 4947( a)(1) of the Internal Revenue Code (except black lung benefit trust or pnvate foundation) Sponsoring organizations of donor advised funds and controlling organizations as defined in section 512(b)(13) must file Form 99 All other organizations with gross receipts less than $1,, and total assets less than $2,5, at the end of the year may use this form The organization may have to use a copy of this return to satisfy state reporting requirements OMB No nnno ccj u u A For the 28 calendar year, or tax year beginning, 28, and ending, 2 B Check if applicable Please C Name of organization D Employer identificationpnumber q Address change use IRS I MTX tr4 t'11p f4 Ott- ^"IE LTA pa4l-r s 1 NC ^"^ label or o (^ O Z q Name change punt or Number and street (or P box, if mail is not delivered to street ad rgss Room/suite E Telephone number q Initial return typ e. C/O O 4.1C1L b-te4 - HGTDN -+ S Q -- - C- t ^ q Termination see (-^ it 2-) So Specific q Amended return City or town, state or country, and ZIP + 4 F Group Exemption q App ication pending eons ^E t NEtiYO'2K t Nom/ 1(3 -I Number G66 A Ir- rm Section 51(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts must attach G Accounting method q Cash [v'accrual a completed Schedule A (Form 99 or 99-EZ). Other (specify) lo- VO) m to to H Check. ' if the organization is not I Website : (A required to attach Schedule B (Form 99, J Organization type (check only one)- V51(c) (3 ) 4 (Insertno) q 4947(a)(1) or q EZ, or 99-PF) K Check q if the organization is not a section 59(a)(3) supporting organization and its gross receipts are normally not more than $25, A return is not required, but if the organization chooses to file a return, be sure to file a complete return L Add lines 5b, 6b, and 7b, to line 9 to determine gross receipts, if $1,, or more, file Form 99 instead of Form 99-EZ $ Revenue, Expenses, and Chan ges in Net Assets or Fund Balances (See the instructions for Part I. 1 Contributions, gifts, grants, and similar amounts received age{' 2 Program service revenue including government fees and contracts Membership dues and assessments Investment income a Gross amount from sale of assets other than inventory.... 5a b Less: cost or other basis and sales expenses b _ c Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) (attach schedule). 5c 6 Special events and activities (complete applicable parts of Schedule G). If any amount is from gaming, check here q > a Gross revenue (not including $ of contributions cc reported on line 1) a b Less: direct expenses other than fundraising expenses b c Net income or (loss) from special events and activities (Subtract line 6b from line 6a). 6c 7a Gross sales of inventory, less returns and allowances a b Less: cost of goods sold b c Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a)... 7c 8 Other revenue (describe ) 8 9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6c, 7c, and t$ O$'^ 1 Grants and similar amounts paid (attach schedule) Benefits paid to or for members N 12 Salaries, other compensation, and employee benefits r- 13 Professional fees and other payments to independent contractors c 14 Occupancy, rent, utilities, and maintenance Printing, publications, postage, and shipping Other expenses (describe ) Total expenses. Add lines 1 through $ Excess or (deficit) for the year (Subtract line 17 from line 9) Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with _ end-of-year figure reported on prior year's return) , 19 ' 2 Other changes in net assets or fund balances (attach explanation ) Net assets or fund balances at end of year. Combine lines 18 through HMM Balance Sheets. If Total assets on line 25, column (B) are $2,5, or more, file Form 99 instead of Form 99-EZ. 11 (See the instructions for Part II.) (A) Beginning of year (B) End of year 22 Cash, savings, and investments Land and buildings Other assets (describe ) Total assets Total liabilities (describe Net assets or fund balances ( line 27 of column (B) must ag ree with line 21 ). 27 For Privacy Act and Paperwork Reduction Act Notice, see the Instruction for Form 99. Cat No Form 99-tL (28) 1

2 Form 99-EZ (28) Page 2 lj^ Statement of Prog ram Service Accom p lishments (See the instructions for Part III. Expenses What is the organization's primary exempt purpose? PO"AMON S of MkDtC4NE Tb-TKC (Required for 51(c)(3) and (4) organizations Describe what was achieved in carrying out the organization's exempt purposes. In a clear and co manner, and 4947(a)(1) trusts; describe the services provided, the number of persons benefited, or other relevant information for each program title. optional for others ) 28 _pqvjrz\ooj d,f F"crToVi±4J& Ptv) M4P I TC- CS L4aLA41^ 4 I#j w^ Yk^' _ S ACT. SA'Po w 'T1D -ttite- t^ t ru 1 si AY o F tic ^M ) i^ -fhe. AS rre cte N-^iE QAr^gtA kpv o -9y--- A,, Grants $ \ 8 If this amount includes foreig n g rants, check here ---- t" 28a 31 ID$ Grants $ If this amount includes forei g n grants, check here q 29a Grants $ If this amount includes foreig n g rants, check here q 3a 31 Other program services (attach schedule) (Grants $ - If this amount includes foreig n g rants, check here q 31a 32 Total program service expenses (add lines 28a through 31 a) Lj^ List of Officers, Directors, Trustees, and Key Employees. List each one even if not compensated (See the Instructions for Part IV.) Title and average (a ) Name and address (bh ours p er week devoted to position It1N'^How^7 GtJnIN Jk e')(l6 S,S' C-X v (c) Compensation Of not paid, enter --.) (d) Contributions to employee benefit plans & deferred compensation Dt \ trio.j 2 Pia. wf rc -..- (e) Expense account and other allowances W 1.411RG Qi K. %/2.. ft i a- PeL L,) ( k 12 ^'4l 1) )NNe tt-j tls Eks: 1unE't %JAL D t tie^ e- o Ho.IQ- pe& J r - Form 99-EZ (28)

3 S Form 99-EZ (28) Page 3 43 Other Information (Note the statement requirements in the instructions for Part VI.) 33 Did the organization engage in any activity not previously reported to the IRS? If "Yes," attach a detailed description of each activity Were any changes made to the organizing or governing documents but not reported to the IRS? If "Yes," attach a conformed copy of the changes If the organization had income from business activities, such as those reported on lines 2, 6a, and 7a (among others), but not reported on Form 99 -T, attach a statement explaining your reason for not reporting the income on Form 99-T. a Did the organization have unrelated business gross income of $1, or more or section 633 (e) notice, reporting, 3 and proxy tax requirements? a b If "Yes," has it filed a tax return on Form 99-T for this year? b Was there a liquidation, dissolution, termination, or substantial contraction during the year? If "Yes," complete applicable parts of Schedule N a Enter amount of political expenditures, direct or indirect, as described in the instructions. 37a o b Did the organization file Form 112-POL for this year? b 3 38a Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made in a prior year and still unpaid at the start of the period covered by this return?.. 3 b If "Yes," complete Schedule L, Part II and enter the total amount involved. 38b 39 Section 51(c)(7 ) organizations. Enter: a Initiation fees and capital contributions included on line a b Gross receipts, included on line 9, for public use of club facilities b 4a Section 51 (c )(3) organizations Enter amount of tax imposed on the organization during the year under: section 4911 ; section 4912 ; section 4955 b Section 51 (c)(3) and (4) organizations. Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year? If "Yes," complete Schedule L. Part I c Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and d Enter amount of tax on line 4c reimbursed by the organization e All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? If "Yes," complete Form 8886-T e 3 41 List the states with which a copy of this return is filed. NC^J 1oa-K 42a The books are in care of STE.V!`o^ QJ^ I ER Telephone no (Z!z) ^^ X53 / Located at Do- _-a`cw- tle, ^+rvg^ o ^ i-satct.^ C^F^ 666 FT" ACJC ZIP + 4 b At any time during the calendar year, did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial Yes No account)? b 3 If "Yes," enter the name of the foreign country: See the instructions for exceptions and filing requirements for Form TD F , Report of Foreign Bank and Financial Accounts. At any time during the calendar year, did the organization maintain an office outside of the U.S.? If "Yes," enter the name of the foreign country: 42c 3 Section 4947(a)(1) nonexempt charitable trusts filing Form 99-EZ in lieu of Form 141 -Check here and enter the amount of tax-exempt interest received or accrued during the tax year b Yes No 3 44 Did the organization maintain any donor advised funds? If "Yes," Form 99 must be completed instead of Form 99-EZ Is any related organization a controlled entity of the organization within the meaning of section 512(b)(13)? If "Yes," Form 99 must be co mpleted instead of Form 99-EZ Form 99-EZ (28)

4 Form 99-EZ (28) Page 4 Section 51(c )(3) organizations only. All section 51(c)(3) organizations must answer questions and complete the tables for lines 5 and Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to Yes No candidates for public office? If "Yes," complete Schedule C, Part I Did the organization engage in lobbying activities? If "Yes," complete Schedule C, Part II Is the organization operating a school as described in section 17(b)(1)(A)(II)? If "Yes," complete Schedule E 48 49a Did the organization make any transfers to an exempt non-charitable related organization? a b If "Yes," was the related organization(s) a section 527 organization? b 5 Complete this table for the five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $1, of compensation from the organization. If there is none, enter "None." (a) Name and address of each employee paid more than $1, (b) Title and average hours per week devoted to position (c) Compensation ( d) Contributions to mployee benefit plans & deferred compensation (e) Expense account and other allowances - ^ Total number of other employees paid over $1, 51 Complete this table for the five highest compensated independent contractors who each received more than $1, of compensation from the organization. If there is none, enter "None."

5 International Health a"i PartnersW International Health Partners Inc 666 Fifth Avenue New York, New York EIN Number Form 99-EZ 28 Schedule - Part 1 Line 1 Grants, and similar amounts paid On June 1, 28, Merck & Co. shipped 18 units of Pepcid to IHP as a donation for Myanmar disaster. The Wholesale Valuation, as advised by Merck & Co. was $318,84. This was the first donation to IHP and was provided due to the very good linkages that IHP directors have with the specialist emergency teams on the ground in Myanmar. The product was shipped to London and then transported through the international humanitarian aid corridor via Bangkok to Yangon. IHP distributed the donation across the disaster area in partnership with the emergency medical teams of ADRA, Merlin, Streets Kids Rescue and the Myanmar Medical Association. IHP also donated a small portion of the products, with the agreement of Merck & Co., to the Department of Health and Social Welfare in Banjul, The Gambia. Class of Activity Distribution Location Amount Organisations Address ( of country Office/ Parent Organisation) Humanitarian Myanmar $ 297,257 Collaborative WHO grant Disaster, Health Cluster venture Yangon/Rangoon of & Ayerwadi Delta World Health Organisation ADRA International Streets Kids Rescue Merlin 12A Floor, Traders Hotel, 223 Sule Pagoda Rd Kyauktada Township, 11182, Yangon, Myanmar 1251 Old Columbia Pike, Silver Spring, MD 294, USA 43 Times Square, High Street, Sutton, Surrey, SM1 1LF, UK 12th Floor, 27 Old Street, London, EC1V 9NR, UK Humanitarian Gambia $ 2,827 Department of Health & Secretary of State g rant Social Welfare The Quadran g le, Ban j ul, The Gambia

13 Professional fees and other payments to independent contractors... 13 7,000... 14 20,358

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