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      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <PurposeOfGrantTxt>Educational grants and scholarships</PurposeOfGrantTxt>
        <CashGrantAmt>5000</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Electronic Wire</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Educational grants and scholarships</PurposeOfGrantTxt>
        <CashGrantAmt>8197</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Electronic Wire</MannerOfCashDisbursementTxt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsToOrgOutsideUSGrp>
      <Total501c3OrgCnt>6</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>Research grant</TypeOfAssistanceTxt>
        <RegionTxt>Middle East and North Africa</RegionTxt>
        <RecipientCnt>1</RecipientCnt>
        <CashGrantAmt>10000</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Electronic wire</MannerOfCashDisbursementTxt>
      </ForeignIndividualsGrantsGrp>
      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>Research grant</TypeOfAssistanceTxt>
        <RegionTxt>South America</RegionTxt>
        <RecipientCnt>2</RecipientCnt>
        <CashGrantAmt>5750</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Electronic wire</MannerOfCashDisbursementTxt>
      </ForeignIndividualsGrantsGrp>
      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>Research grant</TypeOfAssistanceTxt>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <RecipientCnt>1</RecipientCnt>
        <CashGrantAmt>4695</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Electronic wire</MannerOfCashDisbursementTxt>
      </ForeignIndividualsGrantsGrp>
      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>Research grant</TypeOfAssistanceTxt>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <RecipientCnt>1</RecipientCnt>
        <CashGrantAmt>5000</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Electronic wire</MannerOfCashDisbursementTxt>
      </ForeignIndividualsGrantsGrp>
      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>Research grant</TypeOfAssistanceTxt>
        <RegionTxt>South Asia</RegionTxt>
        <RecipientCnt>16</RecipientCnt>
        <CashGrantAmt>19681</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Electronic wire</MannerOfCashDisbursementTxt>
      </ForeignIndividualsGrantsGrp>
      <TransferToForeignCorpInd>0</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>0</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>0</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The ISSM monitors the use of grant funds outside the U.S. through similar financial controls as US grants, with additional oversight where activities are conducted in collaboration with regional or local partners. Grant funds are allocated based on pre-approved budgets and, where applicable, managed through joint agreements that clearly define responsibilities and permitted use of funds. Expenses are only reimbursed or paid upon receipt of proper supporting documentation (such as invoices/receipts), and funds are tracked per project or meeting. Regular budget monitoring, financial reporting, and post-activity reconciliation ensure that funds are used as intended. In cases of joint meetings or partnerships, financial oversight is shared through steering committees.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Sexual Medicine Society of North America</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>14305 Southcross Drive Suite 100</AddressLine1Txt>
          <CityNm>Minneapolis</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55406</ZIPCd>
        </USAddress>
        <RecipientEIN>943298855</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Sexual Medicine Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>International Society for the Study of Women's Sexual Health</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>14305 Southcross Drive Suite 100</AddressLine1Txt>
          <CityNm>Minneapolis</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55406</ZIPCd>
        </USAddress>
        <RecipientEIN>611421087</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>8194</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Sexual Medicine Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>2</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The ISSM monitors the use of grant funds in the U.S. through centralized financial management, clear budget approval, and strict documentation requirements. Grant funds are allocated based on pre-approved budgets and tracked separately per project or program. All expenses require proper supporting documentation (such as invoices/receipts) before payment is made, and regular budget monitoring and reconciliation ensure funds are used as intended.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Management and operational duties are delegated to Status Plus, a Netherlands based management company.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>ISSM has the following types of members: full members, associate members and honorary members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>A nominating committee shall be formed for each election. The nominating committee shall be chaired by the immediate past-president of the Society. The nominating committee shall consist of all past-presidents plus one member from each Regional Society. Each Regional Society shall determine whether its representative to the nominating committee shall be elected by members of the Regional Society or shall by appointed by its Board of Directors. The term of office of each Regional Society representation shall be two years. The nominating committee shall nominate one candidate for each open position. In addition to the candidates nominated by the nominating cmmittee, any member of the Society who is not delinquent of dues or ineligible by law to serve as a company director in the State of California may be nominated for election by presenting to the Secretary General a petition for nomination signed by any 20 full members of the Society. There will not be nominations from the floor during the biennial meetings of members. In an election at the biennial meeting of the members, the candidate for each office receiving the most votes shall be elected.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>Any action that may be taken at any regular or special meeting of members may be taken without a meeting. If an action is taken without a meeting, the Society must distribute a written ballot to every member entitled to vote on the matter. The ballot must state the proposed action, provide an opportunity to specify approval or disapproval of any proposal, and provide a reasonable time within which to return the ballot to the Society. Such ballot may be taken by electronic transmission but only for a matter referred by the Board of Directors. Approval by written ballot is valid only when the number of votes cast by ballot within the time period specified equals or exceeds the quorum required to be present at a meeting authorizing the action, and the number of approvals equals or exceeds the number of votes that would be required to approve at a meeting at which the total number of votes cast was the same as the number of votes cast by ballot.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is reviewed by the Executive Committee for errors and omissions before it is filed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All officers, directors and key staff are required to sign a statement annually disclosing any possible conflicts of interest. The Organization monitors compliance to the best of its ability.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>ISSM is under a Board reviewed/approved management agreement.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is available on GuideStar website, www.guidestar.org. Other documents are available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c:</FormAndLineReferenceDesc>
        <ExplanationTxt>The process has not changed from prior year.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>