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      <FactsAndCircumstancesTestTxt>Milstein Medical Asian American Partnership (MMAAP) Foundation satisfied the requirements of the "facts-and-circumstances" test for 2024 and maintained a continuous and bona fide program to solicit public contribution. Foundation leadership conducted regular activities/events to maintain and attract support from governmental or other publicly oriented organizations by proving that the: (1) MMAAP Foundation's scope of fundraising activities is growing and expanding. (2) MMAAP Foundation relies on limited sources or amount of support, while expanding our solicitation program and/or activities. (3) Facts and circumstances of the MMAAP Foundation's case can be analyzed in accordance with our nature and purpose. (4) MMAAP Foundation's public support is derived from a representative number of individuals, corporations, and foundations. (5) MMAAP Foundation's governing body represents the broad interests of the public rather than the private interests of a selected number of donors. (6) MMAAP Foundation provides funds for scientific discovery and research for the benefit of the general public on a continuing basis. (7) MMAAP Foundation's activities are appealing to persons having some broad common interest or purpose. MMAAP is registered with Network for Good, Charity Navigator, and Candid. In 2024, the Foundation earned Candid's Transparency Recognition and ranked in the top five percent of philanthropic organizations for financial accountability.To foster long term relationships with hundreds of constituents, MMAAP sustained a robust donor communications program. We celebrated the Lunar New Year by sending personalized greeting cards to all donors and friends of the foundation and launched our annual appeal campaign in the fall to solicit unrestricted gifts from past and prospective supporters. Throughout the year, we developed and distributed multimedia collateral to support our fundraising effort both in English and Chinese, including videos, brochures, folders, banners, and other exhibit materials, to highlight MMAAP's mission and project opportunities, and we sent holiday and year end mailings to reinforce our appreciation for ongoing support.Throughout the year, MMAAP leadership amplified the Foundation's profile by presenting at a series of major national and international conferences, both online and in person. MMAAP President Dr. Sean Leng delivered keynote presentations and participated in roundtable discussions at the following conferences: " The Academic Conference on Clinical and Scientific Research in Geriatric Medicine, Guangzhou Geriatric Hospital (in-person)" The Guangzhou Senior Nursing Home Academic Seminar (in-person)" The Nanchang University Medical Seminar (online)" The China Biopharmaceutical Lecture Series (hosted by BioTrialMed) (online)" The 4th Interdisciplinary Innovation Conference on Medical Meteorology and Environment (online)" The Shanghai Hospital Management Training Course (organized by Johns Hopkins International Medical Department) (in-person)" The Guangzhou Senior Nursing Home Academic Seminar (in-person)" The Zhongshan Geriatric Medicine Forum (in-person)" The Jinan University Scientific Research Lecture Series (in-person)" The 2024 China Geriatric Medicine &amp; Senior Industry Conference (online)" The "Ruiheng Distinguished Scholars Hall," Tianjin University (in-person)These appearances not only raised awareness of MMAAP's mission but also generated invaluable connections with clinicians, key opinion leaders, and philanthropists in the geriatric fieldBeyond conference outreach, MMAAP engaged strategic partners and its Advisory Board to extend fundraising reach. Foundation representatives participated actively in American Skin Association board meetings and committees, presenting MMAAP's initiatives and soliciting grant-opportunity guidance from Dr. Emma Guttman and Dr. Mark Lebwohl. Dialogue with pharmaceutical industry leaders-including Pfizer, Sanofi, and Johnson &amp; Johnson, etc., helped explore new avenues of support.We attended webinars hosted China Institute, Committee of 100 and similar organizations to fostered relationships with influential experts. We also tailored detailed briefing materials and strategic plan updates for Advisory Board members, including Mr. Steve Orlins of the National Committee on U.S. China Relations, Mr. Mike Hodin of the Global Coalition on Aging, Dr. Gerald Lazarus, and Dr. Pablo Rubinstein, to leverage their networks in support of MMAAP's goals. Targeted outreach to the J.T. Tai and Ping Y. Tai Foundations, accompanied by personalized pledge form mailings, yielded several promising prospects. MMAAP also invited Lester Ross of WilmerHale to join its Board of Directors, which led to multiple discussions about partnership opportunities. In parallel, tailored presentations were delivered to Victoria Hsu of the J.T. Tai Foundation and Michael J. Duffalo of the Ping Y. Tai Foundation, followed by outreach letters and pledge forms to maintain momentum.By the end of 2024, MMAAP's leadership had invested over 400 hours in strategic planning to expand the donor base, and the Foundation had initiated its fall annual appeal campaign, reaching out to both previous and prospective supporters for unrestricted contributions. Since its founding, the MMAAP Foundation has awarded nearly 70 Fellowship and Research Project Awards to support the work of exceptional Chinese scientists and investigators from prestigious Chinese institutions. 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        <ExplanationTxt>Pre- Approval: The Board of directors will review the foreign charitable organization's exempt purpose to determine whether they are analogous to the foundation's own exempt purposes and are within the purposes described in Section 170(c)(2) of the Internal Revenue Code. The foreign charitable organization should provide an IRS determination letter recognizing it as an organization described in IRC Section 501(c)(3) that is not a private foundation, or, an affidavit of its equivalency to, or an opinion of counsel that it is equivalent to, a US public charity (IRC Section 501(c)(3)tax-exempt, Section 509(a)(1), 509(a)(2) or 509(a)(3) public charity). The Board of Directors will confirm that none of the foreign charitable organization, it's officers, directors, and trustees, and any organizations and individuals that control it are listed on the Treasury Department's Office of Foreign Assets Control (OFAC) list of Specifically Designated Nationals. Grant agreements: The Board of Directors shall satisfy its fiduciary duty to insure that funds under its control are used solely for charitable purposes by exercising and documenting sufficient discretion and control over the use of funds it grants to each foreign charitable organization. The Foundation requires written grant agreements with each foreign charitable organization. Each of the agreements includes the following requirements regarding monitoring the use of funds: Periodic reports from the foreign grantee with accountings or line item financial reports sufficiently detailed to enable the Foundation to account for the use of the funds. Requires the foreign grantee to maintain records of receipts and expenses and make its books and records available to the Foundation at reasonable times. Requires the foreign grantee to provide written narrative and financial reports until the grant funds have been expended. The reports should describe use of the funds,compliance with the terms of the grant agreement, and progress made in accomplishing the purposes of the grant. Requires the foreign grantee to repay any funds not used for the grant's purpose. Requires that the grant funds be used only for public charitable purposes and does not allow the use of the funds to influence the outcome of any specific public election or to undertake any activity for a non-charitable purpose.</ExplanationTxt>
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        <ExplanationTxt>The Board of directors wil review the charitable organization's exempt purpose to determine whether they are analogous to the foundation's own exempt purposes and are within the purposes described in Section 170(c)(2) of the Internal Revenue Code. The charitable organization should provide an IRS determination letter recognizing it as an organization described in IRC Section 501(c)(3) that is not a private foundation or an affidavit of its equivalency. The grantee must provide annual written narrative and financial reports at the end of each of the grantee's accounting periods until the grant funds have been fully expended. Reports should describe use of the funds, compliance with the terms of the grant agreement, progress made in accomplishing the purpose of the grant.</ExplanationTxt>
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        <ExplanationTxt>Governing documents are available upon request.</ExplanationTxt>
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