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2 Form 99 (4) Page Part GLOBAL MPACT Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part m m m m m m m m m m m m m m m m m m m m m m m m Briefly descrie the organization's mission: GLOBAL MPACT BULDS PARTNERSHPS AND RESOURCES FOR THE WORLD'S MOST VULNERABLE PEOPLE. (CONTNUED ON SCHEDULE O) m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f "Yes," descrie these new services on Schedule O. m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization undertake any significant program services during the year which were not listed on the prior Form 99 or 99-EZ? Yes Did the organization cease conducting, or make significant changes in how it conducts, any program services? Yes f "Yes," descrie these changes on Schedule O. 4 Descrie the organization's program service accomplishments for each of its three largest program services, as measured y expenses. Section 5(c)() and 5(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported. 4a (Code: ) (Expenses $ 7,7,87. including grants of $,545,97. ) (Revenue $ 479,. ) CAMPAGN SOLUTONS. (SEE SCHEDULE O FOR CONTNUATON.) 4 (Code: ) (Expenses $,69,87. including grants of $,86,5. ) (Revenue $,64,. ) PARTNER SOLUTONS. (SEE SCHEDULE O FOR CONTNUATON.) 4c (Code: ) (Expenses $ including grants of $ ) (Revenue $ ) 4d Other program services (Descrie in Schedule O.) (Expenses $ including grants of $ ) (Revenue $ ) 4e Total program service expenses 4,7,94. 4E. Form 99 (4) 9V 7M //6 :9:55 AM V PAGE 4

3 GLOBAL MPACT Form 99 (4) Page Part V Checklist of Required Schedules a m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m s the organization required to complete Schedule B, Schedule of Contriutors (see instructions)? m m m m m m m m m Did the organization engage in direct or indirect political campaign activities on ehalf of or in opposition to candidates for pulic office? f "Yes," complete Schedule C, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m Section 5(c)() organizations. Did the organization engage in loying activities, or have a section 5(h) election in effect during the tax year? f "Yes," complete Schedule C, Part m m m m m m m m m m m m m m m m m m m m m m s the organization descried in section 5(c)() or 4947(a)() (other than a private foundation)? f "Yes," complete Schedule A s the organization a section 5(c)(4), 5(c)(5), or 5(c)(6) organization that receives memership dues, assessments, or similar amounts as defined in Revenue Procedure 98-9? f "Yes," complete Schedule C, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distriution or investment of amounts in such funds or accounts? f "Yes," complete Schedule D, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? f "Yes," complete Schedule D, Part m m m m m m m m m m Did the organization maintain collections of works of art, historical treasures, or other similar assets? f "Yes," complete Schedule D, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization report an amount in Part, line, for escrow or custodial account liaility; serve as a custodian for amounts not listed in Part ; or provide credit counseling, det management, credit repair, or det negotiation services? f "Yes," complete Schedule D, Part V m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? f "Yes," complete Schedule D, Part Vm m m m m m m m f the organization s answer to any of the following questions is "Yes," then complete Schedule D, Parts V, V, V,, or as applicale. a Did the organization report an amount for land, uildings, and equipment in Part, line? f "Yes," c d e f a a 4E. complete Schedule D, Part V m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization report an amount for investments-other securities in Part, line that is 5% or more of its total assets reported in Part, line 6? f "Yes," complete Schedule D, Part V m m m m m m m m m m m m m m m m m Did the organization report an amount for investments-program related in Part, line that is 5% or more of its total assets reported in Part, line 6? f "Yes," complete Schedule D, Part V m m m m m m m m m m m m m m m m m Did the organization report an amount for other assets in Part, line 5 that is 5% or more of its total assets reported in Part, line 6? f "Yes," complete Schedule D, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization report an amount for other liailities in Part, line 5? f "Yes," complete Schedule D, Part Did the organization s separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liaility for uncertain tax positions under FN 48 (ASC 74)? f "Yes," complete Schedule D, Part m m m m m m Did the organization otain separate, independent audited financial statements for the tax year? f "Yes," complete Schedule D, Parts and m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Was the organization included in consolidated, independent audited financial statements for the tax year? f "Yes," and if the organization answered "" to line a, then completing Schedule D, Parts and is optional m m m s the organization a school descried in section 7()()(A)(ii)? f "Yes," complete Schedule E Did the organization maintain an office, employees, or agents outside of the United States? m m m m m m m m m m m m Did the organization have aggregate revenues or expenses of more than $, from grantmaking, fundraising, usiness, investment, and program service activities outside the United States, or aggregate foreign investments valued at $, or more? f "Yes," complete Schedule F, Parts and V m m m m m m m m m m m Did the organization report on Part, column (A), line, more than $5, of grants or other assistance to or for any foreign organization? f "Yes," complete Schedule F, Parts and V m m m m m m m m m m m m m m m m m m m m m m Did the organization report on Part, column (A), line, more than $5, of aggregate grants or other assistance to or for foreign individuals? f "Yes," complete Schedule F, Parts and V m m m m m m m m m m m m m m m m Did the organization report a total of more than $5, of expenses for professional fundraising services on Part, column (A), lines 6 and e? f "Yes," complete Schedule G, Part (see instructions) m m m m m m m m m m m m m Did the organization report more than $5, total of fundraising event gross income and contriutions on Part V, lines c and 8a? f "Yes," complete Schedule G, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization report more than $5, of gross income from gaming activities on Part V, line 9a? f "Yes," complete Schedule G, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization operate one or more hospital facilities? f "Yes," complete Schedule H m m m m m m m f "Yes" to line a, did the organization attach a copy of its audited financial statements to this return? m m m m m m a c d e f a 4a a Yes Form 99 (4) 9V 7M //6 :9:55 AM V PAGE 5

4 GLOBAL MPACT Form 99 (4) Page 4 Part V Checklist of Required Schedules (continued) 4 a d 5 a a c a c m m m m m m m m m m Part, column (A), line? f Yes, complete Schedule, Parts and m m m m m m m m m m m m m m m m m m m m m m m m Did the organization report more than $5, of grants or other assistance to any domestic organization or domestic government on Part, column (A), line? f "Yes," complete Schedule, Parts and Did the organization report more than $5, of grants or other assistance to or for domestic individuals on Did the organization answer Yes to Part V, Section A, line, 4, or 5 aout compensation of the organization s current and former officers, directors, trustees, key employees, and highest compensated employees? f Yes, complete Schedule J m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization have a tax-exempt ond issue with an outstanding principal amount of more than $, as of the last day of the year, that was issued after Decemer,? f "Yes," answer lines 4 through 4d and complete Schedule K. f, go to line 5a m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization invest any proceeds of tax-exempt onds eyond a temporary period exception?m m m m m m m Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt onds? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization act as an "on ehalf of" issuer for onds outstanding at any time during the year? m m m m m m Section 5(c)(), 5(c)(4), and 5(c)(9) organizations. Did the organization engage in an excess enefit transaction with a disqualified person during the year? f Yes, complete Schedule L, Part m m m m m m m m m m m m s the organization aware that it engaged in an excess enefit transaction with a disqualified person in a prior year, and that the transaction has not een reported on any of the organization's prior Forms 99 or 99-EZ? f "Yes," complete Schedule L, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization report any amount on Part, line 5, 6, or for receivales from or payales to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? f "Yes," complete Schedule L, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, sustantial contriutor or employee thereof, a grant selection committee memer, or to a 5% controlled entity or family memer of any of these persons? f "Yes," complete Schedule L, Part m m m m m m m m m m m m m m m Was the organization a party to a usiness transaction with one of the following parties (see Schedule L, Part V instructions for applicale filing thresholds, conditions, and exceptions): A current or former officer, director, trustee, or key employee? f "Yes," complete Schedule L, Part V m m m m m m m A family memer of a current or former officer, director, trustee, or key employee? f "Yes," complete Schedule L, Part V m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m An entity of which a current or former officer, director, trustee, or key employee (or a family memer thereof) was an officer, director, trustee, or direct or indirect owner? f "Yes," complete Schedule L, Part Vm m m m m Did the organization receive more than $5, in non-cash contriutions? f "Yes," complete Schedule M m m m m Did the organization receive contriutions of art, historical treasures, or other similar assets, or qualified conservation contriutions? f "Yes," complete Schedule M m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization liquidate, terminate, or dissolve and cease operations? f "Yes," complete Schedule N, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization sell, exchange, dispose of, or transfer more than 5% of its net assets? f "Yes," complete Schedule N, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization own % of an entity disregarded as separate from the organization under Regulations sections.77- and.77-? f "Yes," complete Schedule R, Part m m m m m m m m m m m m m m m m m m m m Was the organization related to any tax-exempt or taxale entity? f "Yes," complete Schedule R, Part,, or V, and Part V, line m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization have a controlled entity within the meaning of section 5()()? m m m m m m m m m m m m m m f "Yes" to line 5a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 5()()? f "Yes," complete Schedule R, Part V, line m m m m m Section 5(c)() organizations. Did the organization make any transfers to an exempt non-charitale related organization? f "Yes," complete Schedule R, Part V, line m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? f "Yes," complete Schedule R, Part V m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 9? te. All Form 99 filers are required to complete Schedule O m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization complete Schedule O and provide explanations in Schedule O for Part V, lines and 4a 4 4c 4d 5a a 8 8c 9 4 5a Yes Form 99 (4) 4E. 9V 7M //6 :9:55 AM V PAGE 6

5 Form 99 (4) Page 5 Part V Statements Regarding Other RS Filings and Tax Compliance Check if Schedule O contains a response or note to any line in this Part V m m m m m m m m m m m m m m m m m m m m m Yes a a 4 c Did the organization comply with ackup withholding rules for reportale payments to vendors and reportale gaming (gamling) winnings to prize winners? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m c a Enter the numer of employees reported on Form W-, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered y this return m a 84 f at least one is reported on line a, did the organization file all required federal employment tax returns? 4a See instructions for filing requirements for FinCEN Form 4, Report of Foreign Bank and Financial Accounts (FBAR). 5a Was the organization a party to a prohiited tax shelter transaction at any time during the tax year? m m m m m m m m Did any taxale party notify the organization that it was or is a party to a prohiited tax shelter transaction? c f "Yes" to line 5a or 5, did the organization file Form 8886-T? m m m m m m m m m m m m m m m m m m m m m m m m m m m m 6a Does the organization have annual gross receipts that are normally greater than $,, and did the 7 a 8 9 a c d e f g h a a a a c 4 a Enter the numer reported in Box of Form 96. Enter -- if not applicale m Enter the numer of Forms W-G included in line a. Enter -- if not applicale m m m m m m m m m te. f the sum of lines a and a is greater than 5, you may e required to e-file (see instructions) Did the organization have unrelated usiness gross income of $, or more during the year? m m m f "Yes," has it filed a Form 99-T for this year? f "" to line, provide an explanation in Schedule O m m m m m m m 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 ank account, securities account, or other financial account)? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f Yes, enter the name of the foreign country: organization solicit any contriutions that were not tax deductile as charitale contriutions? m m m m m m m m m m m f "Yes," did the organization include with every solicitation an express statement that such contriutions or gifts were not tax deductile? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Organizations that may receive deductile contriutions under section 7(c). Did the organization receive a payment in excess of $75 made partly as a contriution and partly for goods and services provided to the payor? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f "Yes," did the organization notify the donor of the value of the goods or services provided? m m m m m m m m m m m m Did the organization sell, exchange, or otherwise dispose of tangile personal property for which it was required to file Form 88? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f "Yes," indicate the numer of Forms 88 filed during the year m m m m m m m m m m m m m m m m 7d Did the organization receive any funds, directly or indirectly, to pay premiums on a personal enefit contract? Did the organization, during the year, pay premiums, directly or indirectly, on a personal enefit contract? m m m m m f the organization received a contriution of qualified intellectual property, did the organization file Form 8899 as required? f the organization received a contriution of cars, oats, airplanes, or other vehicles, did the organization file a Form 98-C? Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained y the sponsoring organization have excess usiness holdings at any time during the year? m m m m m m m m m m m m m m m m m Sponsoring organizations maintaining donor advised funds. Did the sponsoring organization make any taxale distriutions under section 4966? m m m m m m Did the sponsoring organization make a distriution to a donor, donor advisor, or related person? m m m m m m m m m m Section 5(c)(7) organizations. Enter: nitiation fees and capital contriutions included on Part V, line m m m m m m m m m m a Gross receipts, included on Form 99, Part V, line, for pulic use of clu facilities m m m m Section 5(c)() organizations. Enter: Gross income from memers or shareholders m m m m m m m m m m m m m m m m m m m m m m m m m m a Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) m m m m m m m m m m m m m m m m m m m m m m m m m m m Section 4947(a)() non-exempt charitale trusts. s the organization filing Form 99 in lieu of Form 4? f "Yes," enter the amount of tax-exempt interest received or accrued during the year m m m m m Section 5(c)(9) qualified nonprofit health insurance issuers. s the organization licensed to issue qualified health plans in more than one state? m m m m m m m m m m m m m m m m m m a te. See the instructions for additional information the organization must report on Schedule O. Enter the amount of reserves the organization is required to maintain y the states in which 4E4. GLOBAL MPACT the organization is licensed to issue qualified health plans Enter the amount of reserves on hand m m m m m m m m m m m m m m m m m m m m m m m m m m m m m c Did the organization receive any payments for indoor tanning services during the tax year? m m m m m m m f "Yes," has it filed a Form 7 to report these payments? f "," provide an explanation in Schedule O m m m m m m a 4a 5a 5 5c 6a 6 7a 7 7c 7e 7f 7g 7h 8 9a 9 a a 4a 4 Form 99 (4) 9V 7M //6 :9:55 AM V PAGE 7

6 Form 99 (4) Page 6 Part V Governance, Management, and Disclosure For each "Yes" response to lines through 7 elow, and for a "" response to line 8a, 8, or elow, descrie the circumstances, processes, or changes in Schedule O. See instructions. Check if Schedule O contains a response or note to any line in this Part V Section A. Governing Body and Management a a Enter the numer of voting memers of the governing ody at the end of the tax year m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f there are material differences in voting rights among memers of the governing ody, or if the governing ody delegated road authority to an executive committee or similar committee, explain in Schedule O. Enter the numer of voting memers included in line a, aove, who are independent m m m m m any other officer, director, trustee, or key employee? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m supervision of officers, directors, or trustees, or key employees to a management company or other person? Did the organization make any significant changes to its governing documents since the prior Form 99 was filed? m m Did the organization ecome aware during the year of a significant diversion of the organization's assets? Did the organization have memers or stockholders? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m one or more memers of the governing ody? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m stockholders, or persons other than the governing ody? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did any officer, director, trustee, or key employee have a family relationship or a usiness relationship with Did the organization delegate control over management duties customarily performed y or under the direct Did the organization have memers, stockholders, or other persons who had the power to elect or appoint Are any governance decisions of the organization reserved to (or suject to approval y) memers, 8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year y the following: a The governing ody? m m m m m m m m m m m m m m m m m m m m m m m m m m m m 8a Each committee with authority to act on ehalf of the governing ody? m m m m m m m m m m m m m m m m m m m m m m 8 9 s there any officer, director, trustee, or key employee listed in Part V, Section A, who cannot e reached at the organization's mailing address? f "Yes," provide the names and addresses in Schedule O m m m m m m m m m m m 9 Section B. Policies (This Section B requests information aout policies not required y the nternal Revenue Code.) a a a 4 5 c a 6a Did the organization have local chapters, ranches, or affiliates? m m m m m m m m m m m m m m m m m m m m m m m m m m f "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and ranches to ensure their operations are consistent with the organization's exempt purposes? m m m Has the organization provided a complete copy of this Form 99 to all memers of its governing ody efore filing the form? m Descrie in Schedule O the process, if any, used y the organization to review this Form 99. Did the organization have a written conflict of interest policy? f "," go to line m m m m m m m m m m m m m m m m rise to conflicts? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m descrie in Schedule O how this was done m m m m m m m m Did the organization have a written whistlelower policy? m m m m m m m m m m m m Did the organization have a written document retention and destruction policy? m m m m m m m m m m m m m m m m m m Were officers, directors, or trustees, and key employees required to disclose annually interests that could give Did the organization regularly and consistently monitor and enforce compliance with the policy? f "Yes," Did the process for determining compensation of the following persons include a review and approval y independent persons, comparaility data, and contemporaneous sustantiation of the delieration and decision? The organization's CEO, Executive Director, or top management official m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Other officers or key employees of the organization f "Yes" to line 5a or 5, descrie the process in Schedule O (see instructions). Did the organization invest in, contriute assets to, or participate in a joint venture or similar arrangement with a taxale entity during the year? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicale federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements? m m m m m m m m m m m m m m m m m m m m m m m m m List the states with which a copy of this Form 99 is required to e filed ATTACHMENT Section C. Disclosure Section 64 requires an organization to make its Forms (or 4 if applicale), 99, and 99-T (Section 5(c)()s only) availale for pulic inspection. ndicate how you made these availale. Check all that apply. Own wesite Another's wesite Upon request Other (explain in Schedule O) Descrie in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements availale to the pulic during the tax year. State the name, address, and telephone numer of the person who possesses the organization's ooks and records: MARK MLLGAN, MNG DR-FNANCE 99 N FARFA ST # ALEANDRA, VA Form 99 (4) 4E4. GLOBAL MPACT V 7M //6 :9:55 AM V PAGE 8 a a 7 a a a c 4 5a 5 6a 6 Yes Yes

7 GLOBAL MPACT Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and ndependent Contractors Form 99 (4) Page 7 Part V Section A. Check if Schedule O contains a response or note to any line in this Part V m m m m m m m m m m m m m m m m m m m m m m Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees a Complete this tale for all persons required to e listed. Report compensation for the calendar year ending with or within the organization's % tax year. List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -- in columns (D), (E), and (F) if no compensation was paid. % List all of the organization's current key employees, if any. See instructions for definition of "key employee." List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportale compensation (Box 5 of Form W- and/or Box 7 of Form 99-MSC) of more than $, from the organization and any related organizations. % List all of the organization's former officers, key employees, and highest compensated employees who received more than $, of reportale compensation from the organization and any related organizations. % List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $, of reportale compensation from the organization and any related organizations. List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest compensated employees; and former such persons. Check this ox if neither the organization nor any related organization compensated any current officer, director, or trustee. (C) (A) (B) Position (D) (E) (F) Name and Title Average hours per week (list any (do not check more than one ox, unless person is oth an officer and a director/trustee) hours for related organizations elow dotted line) ndividual trustee or director nstitutional trustee Officer Key employee Highest compensated employee Former Reportale compensation from the organization (W-/99-MSC) Reportale compensation from related organizations (W-/99-MSC) Estimated amount of other compensation from the organization and related organizations () STEVE POLO BOARD CHARMAN. () NANCY KELLY BOARD VCE CHARMAN. () JAMES KANUCH, CPA BOARD SECRETARY/TREASURER. (4) TMOTHY BLOECHL BOARD MEMBER. (5) JOSEPH CRUP BOARD MEMBER. (6) KENNETH FLESHMAN BOARD MEMBER. (7) MOUHAMED DJALO BOARD MEMBER. (8) PETER GRANT BOARD MEMBER. (9) STAN HARRELL BOARD MEMBER. () KAREN JOHNSON BOARD MEMBER. () MARYON DAVES LEWS BOARD MEMBER. () DAVD WU BOARD MEMBER. () RABH TORBAY BOARD MEMBER. (4) MAURCO VVERO. BOARD MEMBER Form 99 (4) 4E4. 9V 7M //6 :9:55 AM V PAGE 9

8 GLOBAL MPACT Form 99 (4) Page 8 Part V Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (A) (B) (C) (D) (E) (F) Name and title Average hours per week (list any hours for related organizations elow dotted line) Position (do not check more than one ox, unless person is oth an officer and a director/trustee) ndividual trustee or director nstitutional trustee Officer Key employee Highest compensated employee Su-total m m m m m m m m m m m m m m m m m m m m m m m m m c Total from continuation sheets to Part V, Section A m m m m m m m m m m m m m m m m m m m m m m m m m m m m d Total (add lines and c) Former Reportale compensation from the organization (W-/99-MSC) Reportale compensation from related organizations (W-/99-MSC) Total numer of individuals (including ut not limited to those listed aove) who received more than $, of reportale compensation from the organization Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee on line a? f "Yes," complete Schedule J for such individual m m m m m m m m m m m m m m m m m m m m m m m m m m 4 For any individual listed on line a, is the sum of reportale compensation and other compensation from the organization and related organizations greater than $5,? f Yes, complete Schedule J for such individual m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 4 5 Did any person listed on line a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? f Yes, complete Schedule J for such person m m m m m m m m m m m m m m m m 5 Section B. ndependent Contractors Complete this tale for your five highest compensated independent contractors that received more than $, of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. Estimated amount of other compensation from the organization and related organizations ( 5) EDWARD ZELLEM. BOARD MEMBER ( 6) SCOTT JACKSON 4. PRESDENT AND CEO 87,54. 45,84. ( 7) CAROL REG. BOARD MEMBER ( 8) KATHRYN COMPTON. BOARD MEMBER ( 9) PERRE FERRAR. BOARD MEMBER ( ) STANLEY BERMAN 4. FORMER CHEF FNANCAL OFFCER 8,684. 7,88. ( ) ANN CANELA 4. VP, PARTNER SOLUTONS 67,776.,85. ( ) JOSEPH METTMANO 4. VP FOR MARKETNG&CAMPAGN MGMT 64,748. 5,6. ( ) VCTORA ADAMS 4. EEC DR, CFC-OVERSEAS 5,8. 9,659. ( 4) MARK MLLGAN 4. MANAGNG DR, FNANCE 7,9. 8,9. ( 5) CHRSTNE SOW 4. EEC DR, GLOBAL HEALTH COUNC 5,5.,7.,47,695. 9,89.,47,695. 9,89. Yes ATTACHMENT (A) Name and usiness address (B) Description of services (C) Compensation Total numer of independent contractors (including ut not limited to those listed aove) who received more than $, in compensation from the organization 4 4E55. Form 99 (4) 9V 7M //6 :9:55 AM V PAGE

9 GLOBAL MPACT Form 99 (4) Page 8 Part V Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (A) (B) (C) (D) (E) (F) Name and title Average hours per week (list any hours for related organizations elow dotted line) Position (do not check more than one ox, unless person is oth an officer and a director/trustee) ndividual trustee or director nstitutional trustee Officer Key employee Highest compensated employee Former Reportale compensation from the organization (W-/99-MSC) Reportale compensation from related organizations (W-/99-MSC) Estimated amount of other compensation from the organization and related organizations ( 6) RENEE ACOSTA 4. FORMER PRESDENT (SEE SCH O) 8,. Su-total m m m m m m m m m m m m m m m m m m m m m m m m m c Total from continuation sheets to Part V, Section A m m m m m m m m m m m m m m m m m m m m m m m m m m m m d Total (add lines and c) Total numer of individuals (including ut not limited to those listed aove) who received more than $, of reportale compensation from the organization Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee on line a? f "Yes," complete Schedule J for such individual m m m m m m m m m m m m m m m m m m m m m m m m m m 4 For any individual listed on line a, is the sum of reportale compensation and other compensation from the organization and related organizations greater than $5,? f Yes, complete Schedule J for such individual m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 4 5 Did any person listed on line a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? f Yes, complete Schedule J for such person m m m m m m m m m m m m m m m m 5 Section B. ndependent Contractors Complete this tale for your five highest compensated independent contractors that received more than $, of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. Yes (A) Name and usiness address (B) Description of services (C) Compensation Total numer of independent contractors (including ut not limited to those listed aove) who received more than $, in compensation from the organization 4E55. Form 99 (4) 9V 7M //6 :9:55 AM V PAGE

10 GLOBAL MPACT Statement of Revenue Form 99 (4) Page 9 Part V Contriutions, Gifts, Grants and Other Similar Amounts Program Service Revenue Other Revenue a Check if Schedule O contains a response or note to any line in this Part V m m m m m m m m m m m m m m m m m m m m m m m m Federated campaigns Memership dues m m m m m m m m m m c Fundraising events d Related organizations e Government grants (contriutions)m m f All other contriutions, gifts, grants, and similar amounts not included aove m f g ncash contriutions included in lines a-f: $ h Total. Add lines a-f m m m m m m m m m m m m m m m m m m a c d 6a a c d e Business Code e f All other program service revenue g Total. Add lines a-f m m m m m m m m m m m m m m m m m m and other similar amounts) m m m m m m m m m m m m m m m ncome from investment of tax-exempt ond proceeds Royalties m m m m m m m m m m m m m m m m m m m m m m m m (i) Real (ii) Personal Gross rents m m m m m Less: rental expenses m c Rental income or (loss) m m d Net rental income or (loss) m m m m m m m m m m m m m m nvestment income (including dividends, interest, 4 5 7a Gross amount from sales of assets other than inventory m m m m m m m Less: cost or other asis (i) Securities (ii) Other and sales expenses 66,7. c Gain or (loss),86. d Net gain or (loss) m m m m m m m m m m m m m m m m m m m m 8a of contriutions reported on line c). See Part V, line 8 m a Less: direct expenses m m m m m m m m m m c Net income or (loss) from fundraising events m m m m m m m Gross income from gaming activities. See Part V, line 9 m a Less: direct expenses m m m m m m m m m m c Net income or (loss) from gaming activities m m m m m m m Gross sales of inventory, less returns and allowances a Less: cost of goods sold m m m m m m m m m c Net income or (loss) from sales of inventorym m m m m m m m 9a a a c Gross income from fundraising events (not including $ Miscellaneous Revenue d All other revenue e Total. Add lines a-d Total revenue. See instructions m m m m m m m m m m m m m 4E5. 5,86,7. 8,,49. Business Code m m m m m m m m m m m m m m m m m m m m (A) Total revenue 4,,9. (B) Related or exempt function revenue (C) Unrelated usiness revenue ADV SVCS/PR GR/REL REV 999,666,66.,64,. 5,65. MEMBER STATE REGSTRATON 999 9,85. 9,85. COOPERATVE ADVERTSNG ,6. 87,6. 669,8.,45,76. (D) Revenue excluded from tax under sections ,95. 6,95.,86.,86. 45,56,54.,,. 5,65. 7,769. Form 99 (4) 9V 7M //6 :9:55 AM V PAGE

11 GLOBAL MPACT Part Statement of Functional Expenses Section 5(c)() and 5(c)(4) organizations must complete all columns. All other organizations must complete column (A). Form 99 (4) Page Check if Schedule O contains a response or note to any line in this Part m m m m m m m m m m m m m m m m m m m m m m m m Do not include amounts reported on lines 6, 7, 8, 9, and of Part V. Grants and other assistance to domestic organizations and domestic governments. See Part V, line m m m m Grants and other assistance to domestic individuals. See Part V, line m m m m m m m m m Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part V, lines 5 and 6 m m m m m 4 Benefits paid to or for memers m m m m m m m m m 5 Compensation of current officers, directors, trustees, and key employees m m m m m m m m m m 6 Compensation not included aove, to disqualified persons (as defined under section 4958(f)()) and persons descried in section 4958(c)()(B) m m m m m m 7 Other salaries and wages m m m m m m m m m m m m 8 Pension plan accruals and contriutions (include 9 section 4(k) and 4() employer contriutions) Other employee enefits Payroll taxes m m m m m m m m m m m m m m m m m m Fees for services (non-employees): a Management Legal c Accounting d Loying e Professional fundraising services. See Part V, line 7 m f g a c d m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m nvestment management fees m m m m m m m m m Other. (f line g amount exceeds % of line 5, column (A) amount, list line g expenses on Schedule O.) Advertising and promotion m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Office expenses nformation technology Royalties Occupancy Travel Payments of travel or entertainment expenses for any federal, state, or local pulic officials Conferences, conventions, and meetings nterest Payments to affiliates Depreciation, depletion, and amortization nsurance m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Other expenses. temize expenses not covered aove (List miscellaneous expenses in line 4e. f line 4e amount exceeds % of line 5, column (A) amount, list line 4e expenses on Schedule O.) e All other expenses 5 Total functional expenses. Add lines through 4e 6 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a comined educational campaign and fundraising solicitation. Check here if following SOP 98- (ASC 958-7) m m m m m m m (A) (B) (C) (D) Total expenses Program service Management and Fundraising expenses general expenses expenses 4,7,6. 4,7,6. Form 99 (4) 4E5.,5,4.,5,4. 6,9.,89. 59,95.,95. 4,45,78.,49,58.,69,69.,8. 8,47. 87,946.,6. 6, ,6. 6,8. 99,6. 65,6. 9,98.,576. 9,756. 5, ,. 97,854. 8,44. 6,94. 9,654. 9, ,68.,8. 74,64.,5.,5. 54,99. 54, ,89. 78,. 8,75., ,959. 8,49. 5, ,57. 9,65. 4,97. 66,65. 7,49.,55.,976.,59. 98, ,. 66,5. 45,4. 76,95. 6,959. 6,675. 7,7. 6,886. 6,886. 4,6. 4,6. 49,55. 49,55. 45,49,54. 4,7,94.,948, ,856. 9V 7M //6 :9:55 AM V PAGE

12 Form 99 (4) Page Part Balance Sheet Check if Schedule O contains a response or note to any line in this Part m m m m m m m m m m m m m m m m m m m m m (A) (B) Beginning of year End of year Assets Liailities Net Assets or Fund Balances m m m m m m m m m m m m m m m m m m m m m m m m m m m Cash - non-interest-earing Savings and temporary cash investments Pledges and grants receivale, net Accounts receivale, net m m m m m m m m m m m m m m m m m m m m m m m m m m m m Loans and other receivales from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part of Schedule L m m m m m m m m m m m m m m m m m m m m m m m m m Loans and other receivales from other disqualified persons (as defined under section 4958(f)()), persons descried in section 4958(c)()(B), and contriuting employers and sponsoring organizations of section 5(c)(9) voluntary employees' eneficiary organizations (see instructions). Complete Part of Schedule L tes and loans receivale, net nventories for sale or use m m m m m m m m m m m m m m m m m m m m m m m m m m m m Prepaid expenses and deferred charges a Land, uildings, and equipment: cost or GLOBAL MPACT m m m m m m m m m m m m m m m m m m m m other asis. Complete Part V of Schedule D a Less: accumulated depreciation m m m m m nvestments - pulicly traded securities m m m m m nvestments - other securities. See Part V, line m nvestments - program-related. See Part V, line ntangile assets m m m m m m m m m Other assets. See Part V, line m m m m m m m m m m m m m m Total assets. Add lines through 5 (must equal line 4) Accounts payale and accrued expenses Grants payale m m Deferred revenue m m m m m Tax-exempt ond liailities m m m m m m m m m m m m m m m m m m m m m m m Escrow or custodial account liaility. Complete Part V of Schedule D m m m m Loans and other payales to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons. Complete Part of Schedule L.,974,.,68,9. 4, ,5,54. 9,6, ,778. 5, ,.,488,7.,8,5.,456,984. c,6,65.,,44. 69,496. 9,96,8. 667,49. 88, ,86,95. 5,95. 5,76,9.,, ,. m m m m m m m m m m m m m m m m Secured mortgages and notes payale to unrelated third parties Unsecured notes and loans payale to unrelated third parties Other liailities (including federal income tax, payales to related third parties, and other liailities not included on lines 7-4). Complete Part of Schedule D m m m m m m m m m m m m m m Total liailities. Add lines 7 through 5 m m m m m m m m m m m m m m m m m m m m Organizations that follow SFAS 7 (ASC 958), check here and complete lines 7 through 9, and lines and 4. Unrestricted net assets m m m m m Temporarily restricted net assets Permanently restricted net assets m m m m m m m m m m m m m m m m m m m m m m m m Organizations that do not follow SFAS 7 (ASC 958), check here and complete lines through 4. Capital stock or trust principal, or current funds m m m m m m m m Paid-in or capital surplus, or land, uilding, or equipment fund m m m m Retained earnings, endowment, accumulated income, or other funds Total net assets or fund alances m m m m m m Total liailities and net assets/fund alances m m m m m m m m m m m m m m m m m m 94,46. 8,64. 4,958, ,64,76.,59,4. 6 9,94,7. 5,856, ,856, ,856,695. 9,96,8. 4 5,856,695. 5,76,9. Form 99 (4) 4E5. 9V 7M //6 :9:55 AM V PAGE 4

13 Form 99 (4) Page Part Part GLOBAL MPACT Reconciliation of Net Assets Check if Schedule O contains a response or note to any line in this Part m m m m m m m m m m m m m m Total revenue (must equal Part V, column (A), line ) Total expenses (must equal Part, column (A), line 5) Revenue less expenses. Sutract line from line m m m m m m m m m m m m m m m m m m m m m Net assets or fund alances at eginning of year (must equal Part, line, column (A)) 4 Net unrealized gains (losses) on investments 5 Donated services and use of facilities 6 nvestment expenses m m 7 Prior period adjustments m m m m m m m m m m m m m m m m m m m m m m m m 8 Other changes in net assets or fund alances (explain in Schedule O) m m m m m m m m m m m m m m m m 9 Net assets or fund alances at end of year. Comine lines through 9 (must equal Part, line, column (B)) m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Financial Statements and Reporting Check if Schedule O contains a response or note to any line in this Part m m m m m m m m m m m m m m m m m m m Accounting method used to prepare the Form 99: Cash Accrual Other f the organization changed its method of accounting from a prior year or checked "Other," explain in Schedule O. a Were the organization's financial statements compiled or reviewed y an independent accountant? m m m m m m a f "Yes," check a ox elow to indicate whether the financial statements for the year were compiled or reviewed on a separate asis, consolidated asis, or oth: Separate asis Consolidated asis Both consolidated and separate asis Were the organization's financial statements audited y an independent accountant? m m m m m m m m m m m m m m f "Yes," check a ox elow to indicate whether the financial statements for the year were audited on a separate asis, consolidated asis, or oth: Separate asis Consolidated asis Both consolidated and separate asis c f "Yes" to line a or, does the organization have a committee that assumes responsiility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? f the organization changed either its oversight process or selection process during the tax year, explain in Schedule O. a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f "Yes," did the organization undergo the required audit or audits? f the organization did not undergo the required audit or audits, explain why in Schedule O and descrie any steps taken to undergo such audits. 45,56,54. 45,49,54. 86,9. 5,856, ,9. 5,856,695. c a Yes Form 99 (4) 4E54. 9V 7M //6 :9:55 AM V PAGE 5

14 SCHEDULE A Pulic Charity Status and Pulic Support OMB (Form 99 or 99-EZ) Complete if the organization is a section 5(c)() organization or a section 4947(a)() nonexempt charitale trust. À¾µ Department of the Treasury Attach to Form 99 or Form 99-EZ. Open to Pulic nternal Revenue Service nformation aout Schedule A (Form 99 or 99-EZ) and its instructions is at nspection Name of the organization Employer identification numer GLOBAL MPACT Part Reason for Pulic Charity Status (All organizations must complete this part.) See instructions. The organization is not a private foundation ecause it is: (For lines through, check only one ox.) 4 A church, convention of churches, or association of churches descried in section 7()()(A)(i). A school descried in section 7()()(A)(ii). (Attach Schedule E.) A hospital or a cooperative hospital service organization descried in section 7()()(A)(iii). A medical research organization operated in conjunction with a hospital descried in section 7()()(A)(iii). Enter the hospital's name, city, and state: 5 An organization operated for the enefit of a college or university owned or operated y a governmental unit descried in section 7()()(A)(iv). (Complete Part.) A federal, state, or local government or governmental unit descried in section 7()()(A)(v). An organization that normally receives a sustantial part of its support from a governmental unit or from the general pulic descried in section 7()()(A)(vi). (Complete Part.) A community trust descried in section 7()()(A)(vi). (Complete Part.) An organization that normally receives: () more than / % of its support from contriutions, memership fees, and gross receipts from activities related to its exempt functions - suject to certain exceptions, and () no more than / % of its support from gross investment income and unrelated usiness taxale income (less section 5 tax) from usinesses acquired y the organization after June, 975. See section 59(a)(). (Complete Part.) An organization organized and operated exclusively to test for pulic safety. See section 59(a)(4). An organization organized and operated exclusively for the enefit of, to perform the functions of, or to carry out the purposes of one or more pulicly supported organizations descried in section 59(a)() or section 59(a)(). See section 59(a)(). Check the ox in lines a through d that descries the type of supporting organization and complete lines e, f, and g. (A) a c d e f g Type. A supporting organization operated, supervised, or controlled y its supported organization(s), typically y giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part V, Sections A and B. Type. A supporting organization supervised or controlled in connection with its supported organization(s), y having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part V, Sections A and C. Type functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part V, Sections A, D, and E. Type non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distriution requirement and an attentiveness requirement (see instructions). You must complete Part V, Sections A and D, and Part V. Check this ox if the organization received a written determination from the RS that it is a Type, Type, Type functionally integrated, or Type non-functionally integrated supporting organization. Enter the numer of supported organizations m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Provide the following information aout the supported organization(s). (i) Name of supported organization (ii) EN (iii) Type of organization (descried on lines -9 aove or RC section (see instructions)) (iv) s the organization listed in your governing document? Yes (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions) (B) (C) (D) (E) Total For Paperwork Reduction Act tice, see the nstructions for Form 99 or 99-EZ. 4E. Schedule A (Form 99 or 99-EZ) 4 9V 7M //6 :9:55 AM V PAGE 6