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        </ContributorBusinessName>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REVISED ITS BYLAWS TO CLARIFY AND UPDATE MEMBERSHIP ELIGIBILITY CRITERIA. UNDER THE NEW PROVISIONS, THE BOARD OF DIRECTORS HAS SOLE DISCRETION AND RESPONSIBILITY FOR REVIEWING MEMBERSHIP APPLICATIONS AND APPROVING NEW MEMBER ORGANIZATIONS. A CAP WAS INTRODUCED ON THE NUMBER OF FOR-PROFIT MEMBERS ALLOWED WITHIN THE ORGANIZATION. THE BYLAWS ALLOW FOR THE TERMINATION OF MEMBERSHIP DUE TO FAILURE TO COMPLY WITH THE ORGANIZATION'S CODE OF CONDUCT OR NONPAYMENT OF DUES. ADDITIONALLY, THE TERMS OF SERVICE FOR OFFICERS AND DIRECTORS WERE EXTENDED FROM TWO YEARS TO THREE YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBER ORGANIZATIONS SHALL BE OPEN TO ORGANIZATIONS THAT ACTIVELY PARTICIPATE IN AND UPHOLD THE GOALS AND INTERESTS OF THE G4 ALLIANCE. MEMBER ORGANIZATIONS MUST BE WILLING TO PROVIDE THEIR SUPPORT TO THE CAUSE OF THE ALLIANCE AND MUST DEMONSTRATE A CLEAR INTEREST, UNDERSTANDING, EXPERIENCE OR EXPERTISE IN THE FIELD OF GLOBAL SURGERY OR IN EFFORTS TO STRENGTHEN HEALTH SYSTEMS, PARTICULARLY TOWARDS IMPROVING SURGICAL, OBSTETRIC, TRAUMA AND ANESTHESIA CARE. PARTICIPATION IN THE G4 ALLIANCE WILL BE OPEN TO ANY ORGANIZATION, INCLUDING INSTITUTIONS, NON-GOVERNMENTAL ORGANIZATIONS, NON-PROFIT ORGANIZATIONS, PRIVATE, INTERNATIONAL AND INTERGOVERNMENTAL ORGANIZATIONS, PROFESSIONAL SOCIETIES, UNIVERSITIES, HOSPITALS, MINISTRIES AND DEPARTMENTS OF HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PERMANENT COUNCIL WILL BE COMPRISED OF ONE REPRESENTATIVE FROM EACH OF THE MEMBER ORGANIZATIONS OF THE G4 ALLIANCE. THE PERMANENT COUNCIL ELECTS THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAY BE DISSOLVED ONLY WITH AUTHORIZATION OF ITS BOARD OF DIRECTORS GIVEN AT A SPECIAL MEETING CALLED FOR THAT PURPOSE, AND WITH THE SUBSEQUENT APPROVAL BY NO LESS THAN TWO THIRDS (2/3) VOTE OF THE MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PREPARED FORM 990 IS REVIEWED BY THE MEMBERS OF THE GOVERNING BODY BEFORE THE RETURN IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY ALL DIRECTORS AND OFFICERS COMPLETE AND SIGN A STATEMENT THAT PROVIDES INFORMATION REGARDING THEIR INTERESTS AND THOSE OF THEIR FAMILY MEMBERS THAT COULD GIVE RISE TO CONFLICTS. THE MEMBERS OF THE GOVERNING BODY MAKE DETERMINATIONS OF WHETHER A CONFLICT EXISTS AND REVIEW ACTUAL CONFLICTS. ANY PERSON WITH A CONFLICT IS PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS IN THE TRANSACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE G4 ALLIANCE ENGAGED AN INDEPENDENT EXECUTIVE RECRUITMENT FIRM TO REVIEW THE COMPENSATION PACKAGE AND MAKE RECOMMENDATIONS BASED ON A COMPARISON ASSESSMENT. THE G4 ALLIANCE ALSO HAD ITS PRO BONO LEGAL FIRM REVIEW COMPENSATION BASED ON COMPARABLE POSITIONS IN THE SAME GEOGRAPHIC REGION AND BASED ON EXPERIENCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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    </IRS990ScheduleO>
  </ReturnData>
</Return>