2004 winter newsletter

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WWW.DIRECTRELIEF.ORG

Paid Advertising Insert

TOP RANKED IN EFFICIENCY,

ACCOUNTABILITY,AND LEADERSHIP BY:

THINGS YOU SHOULD KNOW ABOUTDIRECT RELIEF INTERNATIONAL’S FINANCES

2 INDEPENDENT ADVERTISING INSERT FINANCIALS NOVEMBER 25, 2004 WWW.DIRECTRELIEF.ORG

1. Leading Efficiency Among All U.S. Nonprofits: The November/December 2003 issue of Consumers Digest ranks the "Program Spending Efficiency" of Leading U.S. Charities. Direct Relief is one of only five charitable organizations nationwidethat received a 99 percent or better rating. Forbes magazine cited Direct Relief as one of only four U.S. charities with 100 percentefficiency ratings in its December 2003 review. Worth magazine named Direct Relief one of “America’s Best 100 Charities” for efficiency and quality of work in its December 2001/January 2002 edition. Charity Navigator gives Direct Relief its highest rating of four stars (see www.charitynavigator.org).

2. Strict Board Oversight and Governance: Direct Relief's operations are conducted in conformance with an annual operating budget that is vetted and approved by its 29-member Board of Directors, which includes: several former and currentCEOs/COOs or top executives of leading U.S. and international companies, MBAs from schools including Harvard and Stanford,executives with over 150 collective years in the investment business, and three accomplished attorneys. All Board members are unpaid and sign conflict-of-interest agreements. The Executive and Finance Committees meet monthly to review financial activities, investments, and overall programmatic performance.

3. Transparency: Direct Relief pioneered open Shareholders’ Meetings for all its investors (every person who has contributed money, material, or time to Direct Relief ) to brief them on how their investment was spent. Direct Relief’s audited financial statements, voluntarily certified by the CEO and Controller, and its IRS Form 990 (tax return) are published on Direct Relief’s website: www.directrelief.org.

4. Accountability: The Better Business Bureau’s Wise Giving Alliance certified Direct Relief as being in compliance with the “Standards for Charitable Accountability” – a rigorous 20-point program covering board governance and oversight, programeffectiveness, compliance with generally accepted accounting principles (GAAP), and fundraising techniques (see www.give.org).

5. Independent Audit: The Executive and Finance Committees retain and meet with an independent public accountingfirm that conducts the annual audit. They also meet with the auditor, independent of any staff including the CEO and Controller,to discuss findings. Direct Relief’s Controller is a Certified Public Accountant with over 15 years of professional experience,including significant work in the fields of nonprofit accounting and financial management.

6. Adherence to Nationwide Standards: Direct Relief is registered with the appropriate authority in every U.S. state thatrequires a registration for soliciting support or conducting operations. Direct Relief believes this is important as people increasinglyresearch organizations on the web and make online charitable donations.

7. Staff Compensation: The compensation of all Direct Relief staff members is benchmarked each year against a survey ofnonprofit compensation levels throughout Southern California, similar nonprofit organizations nationwide, and compensation dataavailable from the Bureau of Labor Statistics. All staff salaries, including that of the CEO, are consistent with those of the regionalnonprofit sector for similar positions. The CEO’s performance and compensation is reviewed annually by the Board of Director’scompensation committee.

8. Expanding Assistance and Increasing Productivity: From 1998 through 2003, Direct Relief has expanded its material assistance program by 236 percent (from $27.8 million to $93.6 million) while maintaining strict cost controls. In 1998,each dollar spent generated $14.30 in aid; in 2003 each dollar spent generated $30.92 in aid.

9. Board Leadership — Personal Financial Investment: In 2003, the volunteer Board of Directors and InternationalAdvisory Board contributed $800,000, enough to cover the vast majority of fundraising and administrative costs of the organization. Every member of the Board made a personal financial contribution to the organization.

10. Board Leadership — Strategic Planning: The Strategic Planning Committee of the Board prepares three-year plans containing measurable goals and objectives, which serve as the basis for the annual operating budget, staffing levels, andcapital investments.

11. Board Leadership — Future Financial Security: The Board has created a Board-designated Reserve Fund toensure future financial security. With a goal of obtaining and maintaining two years’ operating expenses, the Fund is intended tobalance current and future needs, provide annual support for operations, but not permanently restrict funds that may be requiredto provide humanitarian assistance.

12. Trusted by Leading Corporations: In 2004, product donations during the period January 1 to October 31 haveincreased 33 percent compared to 2003 levels from the same period – $81.4 million in 2003 vs. $108.2 million in 2004.

13. The Importance of Year-End Donations! Direct Relief typically receives more than one-third of its total contributions in the final eight weeks of the calendar year. Operating at a deficit for 50 weeks a year, the organization relies heavily on year-end contributions to meet annual operating expenses.

November 2004

Thank you for taking a moment to learn about Direct Relief International.

These pages explain how and where we perform our work, why we do it, the effects ithas on peoples’ lives, and what it costs. Also listed, with enormous gratitude, are thenames of our Board of Directors, Advisory Board, and the many generous peoplewhose contributions paid for not only the printing of this newsletter but everythingdescribed in it.

We all know the intrinsic value of health in our own lives and in those of the peoplewe love. However, figuring out how to pay for health services is a vexing challengethat even we Americans, living in the richest country on earth, still struggle with as a society.

For individuals and communities, poverty and poor health reinforce each other.Comprehensive international studies have confirmed what you probably already know – people who get sick tend to get poor, and people who are poor tend to getsick. With 40 percent of all people worldwide trying to live on less than two dollars a day, this dynamic is widespread, and it is tragic.

At Direct Relief, we are working to break this vicious cycle. We equip and providemedicines to trained, committed, and ethical healthcare leaders in developing countries. This enables them to stay engaged in their own countries and care for people who otherwise will go without. Since January of this year, we have suppliedenough specifically requested medical provisions to provide care for more than 13 million people.

Our international partners, in addition to providing much-needed clinical care, alsoare leaders in their own countries in the essential areas of public health education,disease prevention, and maternal and child heath. Direct Relief’s material supportallows them to direct whatever scarce resources they have to these high-impact programs that address the causes of poor health, not just treat the symptoms. We also are stepping up our work here at home, as described on page 4.

Although we are a nonprofit corporation, we are deeply committed to managing ourfinancial resources in the most efficient manner possible so we can help more peoplerealize better health – that’s our version of “profit,” and it’s a terrific incentive for us.For those who invest in our work, our ability to be more productive and help morepeople in a qualitatively better way is how we can increase the “shareholder value” of each dollar they contribute.

Direct Relief was recently ranked by the Chronicle of Philanthropy and the NonprofitTimes (NPT) as the largest international nonprofit organization in California and by the NPT as the 100th largest of all nonprofits in the entire United States. Ourgrowth has been possible because we have worked hard to spend our resources moreefficiently, not just to collect more money. Indeed, the majority of groups on the Top100 list spend more on fundraising alone than Direct Relief’s entire annual operatingbudget, about $3.1 million this year. Consumers Digest, Forbes, and Charity Navigatorrate Direct Relief as among the most efficient of all charitable organizations in theUnited States. Our website provides more extensive financial information, includingour tax returns and audited financial statements for the last three years.

The financial and business aspects of our organization are not our sole focus – helpingpeople is. But we want you to understand how we think about and spend any resourcethat is entrusted to us. The compassionate instincts of people are enormous and won-derful, which we are privileged to see every day. Our goal is to honor that compassionand generosity by making them count in the most pragmatic and meaningful way onbehalf of those who expressed them.

Your support makes a genuine difference in the lives of real people who face enormouschallenges and hardship. Please make a financial contribution if you can.

New Partnershipwith Bristol-MyersSquibbDirect Relief International and Bristol-Myers Squibb recently launched theMedical Mission Box Program, which supports traveling United States physicianson overseas medical trips. The program provides doctors with Bristol-Myers Squibbproducts for their work in underserved areasthroughout the world.

Direct Relief’s Chief Medical Officer andPharmacist, in consultation with Bristol-Myers Squibb, selected the contents of thebox, including a range of antibiotics, analgesics, and anti-fungals,which can be applied to a diverse population.

Dr. Richard O’Connor from Grand Rapids, Michigan recently participated in the program and returned from his trip to Swaziland with the following words, “The antibiotics you providedwere utterly phenomenal! We ran this clinic last year with out the MMB you provided, and we hadgreat difficulty achieving adequacy of treatment. Thank you! You made a huge difference in the livesof many real people.”

To date, 53 physicians on medical trips to 25 different countries have participated in the program,providing over $1 million wholesale value worth of aid to patients, most of whom would otherwisehave never received treatment. Direct Relief is honored to have the opportunity to work withBristol-Myers Squibb to equip volunteer U.S. physicians with resources for people in need.

If you are a physician interested in participating in the program, please contact Damon Taugher [email protected], or visit our website at www.directrelief.org.

Thomas TighePresident & CEO

WWW.DIRECTRELIEF.ORG NOVEMBER 25, 2004 NEWS INDEPENDENT ADVERTISING INSERT 3

Direct Relief thanks Dr. Tuwanda Williamson for her two years of serviceleading Direct Relief’s Rio Beni Health Project in Bolivia. A University ofMichigan-trained physician fluent in Spanish, Dr. Williamson was inspiredto extend her initial six-month assignment into a two-year commitment.Dr. Williamson and the Rio Beni team she led provided health services for40,000 isolated villagers and trained two dozen health promoters,building upon the legacy of Dr. Lou Netzer, who began the program.Under challenging conditions and through countless river and 4-wheeldrive trips to conduct clinics, Dr. Williamson displayed an inspiring commitment, tremendous dedication, and boundless compassion.Congratulations Tuwanda, and our deepest heartfelt thanks!

DR. WILLIAMSON WITH CHILDREN AT DIRECT RELIEF’S RIO BENI PROJECT IN BOLIVIA

THINGS YOU SHOULD KNOWABOUT DIRECT RELIEF

INTERNATIONAL’S MEDICALASSISTANCE PROGRAMS

1. Our Approach: Direct Relief is nonsectarian and privately financed.Our medical assistance programs equip health professionals working inresource-poor communities to better meet the challenges of diagnosing,treating, and caring for people, without regard to politics, religion, gender,race, or ability to pay.

2. Our Partners: Direct Relief’s network of partners includes more than500 healthcare facilities and organizations located in over 65 countries.Partner facilities range from small rural outposts to large hospitals serving thousands each day. Local chapters of international service clubs,including Rotary International and Lions Clubs International, often arekey partners in providing financial support, references, and in-countrylogistical help.

3. How We Select Partners: Partner institutions and organizations areselected through a rigorous qualification process. The selection criteriainclude the extent of poverty in the region and disease burden, theknowledge and skill of the healthcare providers, and the quality of theservices provided. Priority is given to facilities focusing on HIV/AIDs andproviding educational and preventive care to mothers and children.

4. How We Help: Direct Relief provides medicines, nutritional supple-ments, medical supplies, and equipment to approved partners, matchingdonated products with items specifically requested by the facility’s medical staff. In the first ten months of 2004, Direct Relief has providedaid to over 13.2 million people through 356 shipments. Direct Relief professional staff includes a Chief Medical Officer, a Pharmacist, and aBiomedical Technician who review requests from partners to ensure thatall medical donations are appropriate for the level and type of healthcareservices being provided.

5. Why it Matters: Health has intrinsic value for every person, but it isalso essential for people to learn, work, and make a living. In developingcountries, financing health services is extremely difficult. Where patientsand governments lack funds and no private health insurance exists, notenough money is available to procure basic medical supplies and main-tain an adequately staffed health facility. The trained health professionalsin poor countries represent the most important part of the healthcareinfrastructure. Direct Relief’s support enables them to stay productivelyengaged and their patients to receive needed care.

6. Shared Investment and Self-Help: To ensure a shared stake in theassistance provided, each in-country partner is asked to assume responsi-bility for a small portion of the transport costs, usually from port-of-entryto in-country destination.

7. What We Do at Home: Our local and statewide programs include sup-plying medicines and supplies to free and community clinics; providingdental education, services, and dental kits to homeless and low-incomechildren and families; screening agricultural workers for communicablediseases; and tackling disaster preparedness on several levels.

8. Disaster Relief and Emergency Assistance: The same programmaticstandards apply whether providing ongoing assistance or disaster relief –we must know specifically what is required, who is responsible, how thematerial will be used, and whether there is a secure logistics channel.Following these principles, in 2004, Direct Relief responded to twenty-four small and large disasters around the globe.

9. Leading Companies Trust Us: Direct Relief works closely with thephilanthropic initiatives of dozens of healthcare companies, includingJohnson & Johnson, Merck, Pfizer, Abbott Laboratories, BD, Bristol-MyersSquibb, GlaxoSmithKline, and MidMark Corporation. For a complete list of our corporate partners, see page 10.

10. Our Experience and Qualifications: Direct Relief’s programmaticapproach has been refined by 57 years of experience. We are a licensedwholesale pharmacy, and our staff has vast experience in internationalhealth and development. Visit our website to see a complete list of ourcredentials and qualifications (www.directrelief.org).

4 INDEPENDENT ADVERTISING INSERT PROGRAM HIGHLIGHTS NOVEMBER 25, 2004 WWW.DIRECTRELIEF.ORG

Since its founding in 1948, Direct Relief International has focused, as its name suggests, on assistance to medically underserved areas internationally. Domestically, Direct Relief

has played a consistent supporting role to fill in gaps that arise in connection with natural disastersor exist among programs serving low-income persons. The organization’s strong working relation-ships with dozens of healthcare companies’ philanthropic initiatives, its status as a licensed pharmacy wholesaler, extensive medical inventories, and experience responding to natural disasters abroad led to its participating in emergency planning and mitigation efforts in its homecommunity of Santa Barbara and, in turn, statewide planning exercises.

Over the past year, Direct Relief’s core strengths as an organization became more relevant to specific health challenges that developed or worsened in our home community of Santa Barbaraand throughout the State of California. In response, Direct Relief has stepped up its efforts.

The six million people in California who lack health insurance account for approximately 13 percent of the estimated 45 million medically uninsured persons in the United States. Direct Relief’s home community of Santa Barbara County was found to have the highest rate of uninsured persons of any county in California in an extensive UCLA study released last year.The well-publicized state budget deficit constrains additional spending for health.

California’s network of nonprofit free and community clinics are a critical source of health services for uninsured persons. Over the past eleven months, Direct Relief has created a mechanism to supply these clinics with pharmaceutical products and supplies they need to care for uninsured persons.

Since December 2003, Direct Relief has provided more than $3.4 million wholesale of pharmaceuticals and supplies to 51 community and free clinics in California through more than 75 shipments. Consistent with longstanding practice, Direct Relief provides only materialthat is specifically requested by clinics, which are first screened to ensure appropriate licensing,reporting capacity, nonprofit status, and nondiscriminatory policies.

Direct Relief staff has worked closely with the consortia of nonprofit clinics and with pharmaceu-tical companies to develop an efficient process to expand this type of support to serve low income,uninsured persons in the State. A high percentage of the uninsured are “working poor” – personswho do not have insurance through their employment but whose incomes are too high to qualifyfor public health insurance (through which prescription medications and treatment are available).

Among the challenges that a low-income (or any) uninsured person typically confronts is payingmore to fill a prescription than would be paid by a public or private insurer that has negotiated a lower bulk rate. However, many pharmaceutical companies have programs through which low-income, uninsured persons may obtain needed prescriptions, and Direct Relief is working to see how these programs might be streamlined.

The clinic-support program also has provided dental instruments, general supplies, and over-the-counter medications, for which high demand exists. In addition to the expanded clinic-supportprogram, Direct Relief has coordinated free dental clinics for low-income children with severedental problems and expanded a disaster preparedness program for homebound persons, nursinghomes, and others who are particularly vulnerable in the event of a disaster. By the end of thisyear, Direct Relief also will provide 15,000 dental kits for low-income children and their familiesand distribute over 5,000 personal care kits (containing approximately $50 worth of basic hygienesupplies) to homeless and very low-income families.

Here at Home: Supporting Free and Community Clinics

PROPER DENTAL HYGIENE IS TAUGHT IN THE HEALTHY SMILES DENTAL PROGRAM.

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WWW.DIRECTRELIEF.ORG NOVEMBER 25, 2004 PROGRAM HIGHLIGHTS INDEPENDENT ADVERTISING INSERT 5

Atop priority of Direct Relief’s medical assistance programis the improvement of maternal and child health (MCH).

Worldwide, an ongoing crisis exists. According to the WorldHealth Organization, every minute a woman dies from compli-cations related to pregnancy and childbirth – 1,600 each day,more than 600,000 each year, with more than 99 percent ofthe cases occurring in developing countries.

A hundred-fold difference in lifetime risk of dying during preg-nancy exists between the world's poorest and richest countries.Nearly 11 million children die each year – about 18 eachminute – the majority from easily preventable or treatable conditions. Moreover, the areas where maternal and child mortality is highest have the highest birthrates, addingimmense social pressures on top of enormous human tragedy.

There are many low-cost, highly-effective interventions thatcan significantly reduce life-threatening medical conditions.These include improved nutrition, birth preparedness, safedelivery, management of complications, and prevention of unintended pregnancies.

The major causes of maternal deaths are preventable by instituting basic care, providing adequate medical supplies, and creating effective referral systems. Similarly, it is estimatedthat up to 70 percent of all newborn deaths are preventablewith simple interventions during pregnancy, proper basic infantcare, and the presence of trained birth attendants.

The United Nations has made safeguarding maternal healthand reducing child mortality two of the eight MillenniumDevelopment Goals. These goals have been broadly agreed

upon by U.N. members, including the United States, and serveas the organizing framework for much of the governmental andprivate assistance efforts focused on developing countries.

The pervasiveness of the problem along with the great impactthat simple, inexpensive interventions can make has led DirectRelief to focus on maternal and newborn health issues, makingincreased efforts towards these issues as one of the primary goalsof our Strategic Plan. Direct Relief supports the efforts of on-the-ground MCH clinicians and projects by providingextensive assistance to maternity hospitals, women’s clinics,pediatric facilities, midwifery programs, and maternal and childhealth outreach projects. In 2003, approximately 25 percent of our partner organizations conducted special MCH programs.Our material assistance has included prenatal and pediatricmultivitamins, infant baby warmers and scales, OB/GYN surgical and delivery kits, examination and delivery tables, and health education posters.

Direct Relief believes that local providers have the best knowledge of health needs and the greatest access to and trustof the community. Our selection of MCH projects is based onthe partner’s ability to provide both the services needed andthe strength of its outreach, prevention, and education efforts.Direct Relief also considers during selection the specific challenges of each population including: high incidence ofunplanned pregnancies, high mortality rates among women of childbearing age and their newborn, prevalence of sexuallytransmitted diseases, high incidence of nutrient deficiencies,little or no access to health facilities, and lack of governmentsupported health care because of regional isolation.

While modest compared to the enormity of needs that exist in MCH care, Direct Relief’s material assistance to innovativeindigenous programs is essential to their success. In addition toenabling these partners to care for women and children whoneed services, our goal is to help their programs serve as modelsfor clinical services and outreach in their respective countries.

Mothers and Children:Why Their Health is Key

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SAMBURU MOTHER HOLDING HER NEWBORN BABY, KENYATIBETAN MOTHER AND CHILD

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MULTIVITAMINS: AN EFFECTIVE, LOW-COST INTERVENTION

Malnutrition and micronutrient deficiencies are closely associated with many of the most significant and damaging health problems affecting the majority of people living in the developing world. A recent study published in the July 2004 issue of the New England Journalof Medicine found that multivitamin supplements delay the progression of HIV disease and provide an effective, low-cost means of delaying the initiation of antiretroviral therapy in HIV-infected women.

In 2004, Direct Relief received its largest donation of vitamins in its 56-year history – 44 million multivitamins donated by Global Partnersfor Development. The initial shipments of vitamins were supplied – along with medicines, pharmaceutical products, medical supplies andequipment – to Direct Relief’s health-partner organization in Haiti, Jamaica, and Cambodia. Most of the vitamins will be furnished toDirect Relief-supported health programs in Africa. In total, the vitamins’ once-a-day formulation will provide over 120,000 persons a full year’s supply of vitamins.

A fghanistan’s three decades of conflict and Taliban rulevirtually destroyed its entire health system. Hospitals

and clinics were leveled, medical supplies exhausted, andmost of Afghanistan’s modest ranks of healthcare profes-sionals fled the constantinsecurity and chaos.

Since the fall of the Talibanin 2001, Direct Relief hasworked to help the Afghanpeople rebuild their healthcare system. Today,Afghanistan is reopeninghospitals, training newhealth professionals, and,with our help, restockingfacilities with the pharma-ceuticals, medical supplies,and equipment critical forproviding care to patients.Direct Relief is currently providing ongoing support to four Afghan-run non-gov-ernmental organizations that collectively operate 13 healthposts, 16 health centers, and two hospitals. Over the lastyear, we have donated 18 tons of medical goods throughnine separate air and ocean freight shipments, with awholesale value of over $1.3 million.

Direct Relief's focus has been on improving women’s and children's health. According to the World Bank, over 16,000 Afghan women die each year from pregnancy-related complications, making Afghanistan the

second-deadliest place togive birth in the world. Themajority of child-bearingwomen have no skilled assistance during delivery,and two thirds of districtshave no maternal and child health services at all,according to UNICEF. The World HealthOrganization found thatabout half of all Afghanchildren under five arestunted due to malnutrition,and about 25 percent of children die before their fifth birthday, mostly frompreventable illnesses.

As this newsletter goes to print, three 20-foot containersloaded with exam tables, multivitamins, bandages, gauze, and other essential medical supplies from Direct Relief are making the 7,500 mile journey to Afghanistan.

KELLY DARNELL, Program Officer

6 INDEPENDENT ADVERTISING INSERT PROGRAM HIGHLIGHTS NOVEMBER 25, 2004 WWW.DIRECTRELIEF.ORG

DR. LAILA AND CHILDREN AT THE DIRECT RELIEF-SUPPORTED MACROYAN CLINIC IN KABUL

LAUGHING BROTHER AND SISTER IN KABUL KATHLEEN RAFIQ

Afghanistan: After the Headlines Fade

AFGHANISTAN: 2004 HIGHLIGHTSIn the past year, Direct Relief’s supporters have enabled us to:

• Improve the Health of Children in Kabul: In 2004, Direct Relief provided funds to build the Macroryan Clinic in Kabul and thenequipped the facility. The clinic provides primary care, immunizations, well-child exams, and prenatal and postnatal care free of chargeto a community of over 600 orphans and 5,000 families.

• Make Childbirth Safer for Mothers and Children: Direct Relief has continued its ongoing support to the four maternal and childhealth clinics run by the Afghan Institute for Learning (AIL). Staffed and operated by Afghan women, each AIL clinic treats approximately 1,500 women and children and delivers over 100 babies a month. To combat the high rates of maternal mortality, AILalso coordinates a six month midwife training program for approximately 100 midwives twice a year. Direct Relief has supplied each clinic with items such as delivery tables, OB/GYN delivery instruments, baby scales, infant vitamin drops, and prenatal vitamins, as wellas a midwife kit for each graduate of the midwife training program.

• Reopen the Doors to Health Care in the Bamyan Province: Direct Relief restocked the Bamyan Hospital, which was looted andclosed in 1998, and this year reopened its services to the public. This nonprofit referral hospital is the primary care provider for the400,000 people living in the Bamyan province. Over the past year, the number of patients seen at the facility has risen from 100 to 240per day. The majority of patients are women and children seeking care for pregnancy-related trauma, acute respiratory infection, diarrheal disease, measles, malaria, car accidents, and landmine-related injuries. Direct Relief has donated hospital beds, mattresses, examtables, baby scales, OB/GYN delivery instruments, stethoscopes, children’s and infant’s Tylenol, pre-natal vitamins, and antibiotics.

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"Working as a health service provider

in Afghanistan has always been stressful,

especially considering the enormous demand

for drugs and supplies that are essential

to meet the needs of the poor people.

There has been a climate of doubt as to whether

one could achieve good results. The support

from Direct Relief with drugs, equipment,

and other materials has filled a lot of gaps and

brought about hope for the future.

There has been a dramatic improvement

in the quality of hospital services from which

a lot of Afghans are benefiting.”

– Dr. SisawoAdministrator for the Bamyan Hospital

MOTHER AND CHILD AT A HEALTH CENTER IN BAMYAN

Kelly Darnell has been a Program Officer at Direct Relief for five years. She previously served as a healthcare educatorwith the Peace Corps in Cote d’Ivoire, West Africa and is a certified EMT.

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“Since the opening of AIL’s clinic in Mir Bacha Kot,

the overall health of the women has improved.

The health education efforts and hygiene materials

distributed have been a great help and made great

improvements, especially the health education for

women on disease prevention and reproductive

health. With basic health services like these,

the health of rural Afghan women

can be improved throughout Afghanistan.”

– Sakeena YacoobiDirector of the Afghan Institute for Learning (AIL)

WWW.DIRECTRELIEF.ORG NOVEMBER 25, 2004 PROGRAM HIGHLIGHTS INDEPENDENT ADVERTISING INSERT 7

Tanzania:Notes from the Field CHRISTIENNE DURBIN, Program Officer

Tanzania is ranked by the U.N. as one of the poorestcountries in the world. It is a country of 35 million

people, about the same population as California in an arearoughly twice California’s size. Few resources exist to combatAIDS, malaria, and malnutrition, which are widespread. The current life expectancy at birth is just 44 years.

In July of 2004, I visited Direct Relief partner KaragweDevelopment and Relief Services (KADERES), a Tanzanian non-governmental organization working in the country’sextreme northwestern corner. This area is home to coffeeand banana farmers who eke out a living barely above subsis-tence. At the time of my visit, the rate paid by coffee brokersfor a kilo of coffee was about two U.S. cents.

KADERAS was established in 1997 to assist villagers livingin this resource-poor and isolated area. The organizationworks to improve the quality and availability of healthcareservices by supporting over 30 medical facilities locatedthroughout the district. Its goals include reducing infant andmaternal mortality rates, decreasing the rate of HIV/AIDSinfection, providing comprehensive reproductive health services, and immunizing all children less than one year ofage in a catchment area of over 190,000 people. It also buildsdispensaries in villages that lack any medical services.

Since 1999, Direct Relief has been providing KADERESmedical material for use in its network of healthcare facilities. Over 55,000 patients have benefitted from DirectRelief’s donations of medicines, nutritional supplements,medical supplies, and medical equipment.

During mystay, I visitedseven of theDirect Relief-supported health centers and dispen-saries. One of these facilities was the NkwendeRural Health Center, which serves a population ofmore than 100,000 people. Each day over 100 patients, manyof whom must walk over 20 kilometers, come to the Centerfor consultations and treatment.

Direct Relief partnered with U.S.-based Global Partners forDevelopment to support Nkwenda’s initiative to reducematernal and child mortality by equipping the facility’snewly constructed, and only, operating theatre. The nearestsurgical facility is 43 kilometers away, and over the past threeyears there have been 45 maternal deaths from ruptureduterus and post-partum hemorrhage attributable to late referral due to distance and poor transportation. A functioning operating room will drastically reduce maternal and infant mortality rates.

Our Tanzanian partners were enormously gracious hosts andtheir commitment is inspiring. Leonard Kachebonaho,KADERES Executive Secretary explained the importance ofDirect Relief’s work in Tanzania: “The donations of medical

materials by Direct Relief have augmented the provision ofhealth services in Karagwe District and have helped us in ourfight to reduce the high maternal and child mortality rates.Bless you for what you are doing for us.”

The most recent assistance shipment to KADERES contained emergency supplies for the Nkwenda Rural HealthCenter in response to damage due to a destructive storm.KADERES-supported clinics are the sole source of healthcare for tens of thousands of hardworking people inTanzania, and Direct Relief plans to continue to support its outstanding work. Tanzania confronts many obvious problems in health. It is a privilege to work with one of the solutions.

Christienne Durbin served as an HIV/AIDs health educatorin Liberia with the Peace Corps and as a public health official in the US before joining Direct Relief International.She is one of two program officers for Africa and alsoadministers Direct Relief’s domestic program for Vulnerable Populations.

PROGRAM OFFICER CHRISTIENNE DURBIN ADDRESSES THE STAFF OF KADERES IN KARAGWE, TANZANIA.

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DAN SMITH, Senior Program Officer

In September 2004, torrential rains from tropical stormJeanne hit Haiti and the Dominican Republic, causing vast

damage as swollen rivers flooded towns and landslides wipedout entire neighborhoods. In the final reckoning, the floodsand storms killed a staggering 2,000 people and left another300,000 homeless and without work. The damage, devastat-

ing in its own right, was evenmore tragic considering thatthe island had not even begunto recover from deadly floodsthree months earlier.

Direct Relief quickly respondedto both storms with medicalaid. In June, in response to thefirst floods, Direct Relief sup-plied two tons of specificallyrequested medical aid, includ-ing Johnson & Johnson “disaster modules,” which contain analgesics, first aidsupplies, and personal careitems. The assistance alsoincluded antibiotics fromBristol-Myers Squibb and

STADA Pharmaceutical oral rehydration salts, dermatologi-cal agents, antiparasitic medicines, and multivitamins.

In July, I was able to follow-up on our initial emergency sup-port when I visited Haiti and the Dominican Republic, meet-ing with the Social-Cultural Movement for Haitian Workers(MOSCTHA), our partner in this relief endeavor. Dr. JosephCherubin, MOSCTHA’s director, and I traveled to Jimani in the Dominican Republic, where MOSCTHA operates amobile medical van that travels across the border into Haiti.

Even then, before the more severe September storms, Haitiwas in a state of devastation and was receiving minimal helpfrom the outside world. Haiti is the poorest country and has the highest rate of infant mortality in the Western hemisphere. Four of five people among Haiti’s six millioninhabitants live in abject poverty, and the life expectancy is only 46 years.

Despite the well-publicized damage to the country, there was little evidence of support from aid organizations, eitherdomestic or international, in many of the towns that we visit-ed. I was impressed by MOSCTHA’s response to the crisisamidst all the need and disarray. Having worked on theHaiti-Dominican Republic border for almost 20 years andbeing run by Haitian nationals, MOSCTHA’s knowledge of the area and its communities was an obvious strength.

Haiti is a difficult country in which to work. During thesedisasters a temporary appointed council, assembled after theFebruary collapse of the Aristide government, was function-ing as the central government. In this situation, without gov-ernment safeguards to ensure security of disaster aid, a trustedin-country partner like MOSCHTHA on the ground wascritical to deliver a fast and targeted response.

In September, Direct Relief relied on this tested partnershipin responding to tropical storm Jeanne. Direct Relief airfreighted over 100,000 tablets of antibiotics, analgesics, firstaid supplies, multivitamins, dermatological agents, and surgi-cal supplies to Santo Domingo, where MOSCTHA receivedDirect Relief's donation and again crossed the Haitian borderin its van in order to work directly with its establishedHaitian partners on the ground there.

We are planning more aid to Haiti in the coming months.Even as the news coverage of these horrific disasters fadesaway, Direct Relief is committed to assisting the flood victims in Haiti as the long-term implications of this natural disaster continue to unfold.

Dan Smith, M.A., is Direct Relief’s Senior Program Officer for Latin America. He has worked for the agency for seventeen years.

A HAITIAN GIRL CARRIES WATERAT A REFUGEE CAMP IN JIMANI

Haiti: Notes from the Field

“The current life expectancy at birth is just 44 years.”

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AFGHANISTAN TOTAL SUPPORT: $1,299,529Partners: Afghan Coordination of Humanitarian Assistance– Farah Province, Afghan Health and Development Services– Kandahar Province, Afghan Humanitarian GoalsAssociation – Kabul, Afghan Institute for Learning –Kabul/Jalalabad/Herat, Bamyan Province Referral Hospital –Bamyan, Jamaludin Wardak Clinic – Onkai Village,Macroryan Medical Clinic – Kabul

ARMENIA TOTAL SUPPORT: $439,797Partners: Angioneurology Clinic & Research Center –Yerevan, Health Ministry of Armenia – Yerevan

BANGLADESH TOTAL SUPPORT: $511,839Partner: Shidhulai Swanirvar Sangstha – Dhaka

BOLIVIA TOTAL SUPPORT: $474,321Partners: Organizacion Panamericana de Salud – La Paz,Proyecto de Salud del Rio Beni – Rurrenabaque

CAMBODIA TOTAL SUPPORT: $848,115Partners: Angkor Hospital for Children – Siem Reap,Mongkul Borei Hospital – Mongkul Borei, SihanoukHospital Center – Phnom Penh

CAMEROON TOTAL SUPPORT: $681,000Partners: Fraternity Medical Center – Buea, Mamfe GeneralHospital – Mamfe, Quality Healthcare Unit – Yaounde

CHINA TOTAL SUPPORT: $19,731Partners: Love without Borders – Shanton, Shangye CharityHospital – Ganzi County, Tibetan Healing Fund – Kumbum

COLOMBIA TOTAL SUPPORT: $52,638Partner: Club Rotario de Medellin – Medellin

CONGO, D.R. TOTAL SUPPORT: $7,777Partner: Boma Ophthalmic Hospital – Boma

CUBA TOTAL SUPPORT: $3,515Partner: Martin Luther King Center – Havana

DOMINICAN REPUBLIC TOTAL SUPPORT: $710,235Partners: Batey Relief Alliance – Santo Domingo, GlobalLinks – Santo Domingo, Health Care Education Partnership– Santo Domingo, Movimiento Socio Cultural Para LosTrabajadores Hatianos – Jimani, Patronato BeneficoOriental, Inc. – La Romana

EL SALVADOR TOTAL SUPPORT: $4,876,138Partners: Clinica Maria Madre de los Pobres – San Salvador,Committee for the Reconstruction of Communities –Suchitoto, Fundacion Nuevos Horizontes Para Los Pobres –Ciudad Delgado, Fundacion Salvadorena (FUSAL) – SanSalvador, Secretaria Nacional de la Familia / FUDEM – SanSalvador

ESTONIA TOTAL SUPPORT: $186,770Partner: Nursing Home Consortium – Parnu

ETHIOPIA TOTAL SUPPORT: $635,531Partners: Addis Ababa Fistula Hospital – Addis Ababa,AlShaday Children's Village – Mekelle, Free MethodistWorld Mission Health Center – Addis Ababa

FIJI TOTAL SUPPORT: $33,982Partner: Loloma Foundation – Beqa Island

GHANA TOTAL SUPPORT: $273,061Partner: Jehovah Rapha Health Care Foundation MotokaClinic – Accra, Korle-Bu Teaching Hospital – Accra,Maranatha Maternity and Clinic – Kumasi

GUATEMALA TOTAL SUPPORT: $7,901,701Partners: Adonai International Ministries – Canilla, ATomorrow for Children Foundation/ Unidad Nacional deOncologia Pediatrica – Guatemala City, Caritas ArquidioCesana – Guatemala City, DOCARE International Mission– San Andres Itzapa, Llano Verde Clinic – Guatemala City,Order Of Malta – Guatemala City, Santa Rosa MedicalClinic – Guatemala City, Xela Aid – Quetzaltenango

GUYANA TOTAL SUPPORT: $1,392,654Partners: Bartica Hospital – Bartica, Berbice RiverHealthcare Project – Georgetown, Davis Memorial Hospital– Georgetown, Linden Hospital – Linden, MahaiconyDistrict Hospital – Mahaicony, New Amsterdam Hospital –New Amsterdam, Port Mourant Hospital – Port Mourant,St. Joseph's Mercy Hospital – Georgetown

HAITI TOTAL SUPPORT: $1,245,201Partners: Arcachon Hospital/ Food for the Poor – Port-Au-Prince, Christian Aid Ministries – Titanyen, New HopeMinistries – Cap Haitien, Project Haiti – Cap-Haitien, St.Ignatius Medical Mission – Beaumont

HONDURAS TOTAL SUPPORT: $105,919Partners: Brigada de Salud / Honduras Relief Effort –Tegucigalpa, Escuela Agricola Panamericana Zamorano –Tegucigalpa, Hacienda Cristo Salva – Santa Barbara

INDIA TOTAL SUPPORT: $358,221Partners: Hyderabad Eye Institute – Hyderabad, Pasam Trust– Kodaikanal, Society for Service to Voluntary Agencies –Mumbai, Wanless Hospital – Miraj

INDONESIA TOTAL SUPPORT: $241,617Partners: Hobawawi Medical Clinic – Desa Rua, RumahSakit Moripa, RSD and Karitas Hospitals – Sumba Barat,Yayasan Bumi Setat Birthing Center – Bali

O U R I N T E R N AT I O N A L P A R T N E R SIn the first nine months of 2004, Direct Relief partnered with healthcare projects and facilities in 51 countries to provide medical assistance. The total wholesale value of this support was over $59 million.

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WWW.DIRECTRELIEF.ORG NOVEMBER 25, 2004 OUR PARTNERS INDEPENDENT ADVERTISING INSERT 9

IRAN TOTAL SUPPORT: $400,100Partners: Red Crescent Society of Mazandaran Province–Bam/Chaloos

IRAQ TOTAL SUPPORT: $6,232,643Partners: Army/ AF Medics – Balad, Freedom and PeaceTrust / Iraq MH – Nazirieh

JAMAICA TOTAL SUPPORT: $11,821,702Partners: Falmouth Hospital – Falmouth, Food for the Poor– Spanish Town, Jamaica Humanitarian Dental Mission –St.James, Missionaries of the Poor – Kingston

KENYA TOTAL SUPPORT: $532,585Partners: Alice Nursing Home – Nairobi, Crescent MedicalAid – Nairobi, Kapkoi Mission Health Center – Eldoret,Waso Medical Services –Isiolo

LAOS TOTAL SUPPORT: $1,157Partners: Mahosot Hospital – Vientiane, Muang SingHospital –Muang Sing

LIBERIA TOTAL SUPPORT: $765,961Partners: Christian Aid Ministries – Monrovia, ELWAHospital – Monrovia

MALAWI TOTAL SUPPORT: $341,285Partners: Montfort Hospital – Nchalo, Queen ElizabethCentral Hospital – Blantyre, Trinity Hospital – Limbe

MEXICO TOTAL SUPPORT: $219,473Partners: AeroMedicos of Santa Barbara – Cadeje, Centro deSalud Rural Bucerias – Bucerias, Centro de Salud TodosSantos – Todos Santos, Juarez Eye Center – Ciudad Juarez,Potter's Clay –Ensenada

NEPAL TOTAL SUPPORT: $5,226Partner: Tibetan Refugee Reception Center – Kathmandu

NICARAGUA TOTAL SUPPORT: $7,271,193Partners: American Nicaraguan Foundation/MINSA –Managua, Caritas de Nicaragua – Managua, NicaraguanChildren's Fund – Puerto Cabezas, Wisconsin/NicaraguaPartners of the Americas – Managua

NIGERIA TOTAL SUPPORT: $174,801Partners: Antof Rural Resource Center – Oron, St. Gerard'sCatholic Hospital – Kaduna

PAKISTAN TOTAL SUPPORT: $171,362Partner: Bethania Hospital – Sialkot

PERU TOTAL SUPPORT: $1,340,959Partners: Arzobispado de Lima – Lima, Carcel San Juan deLurigancho – Lima, Hospital Cayetano Heredia – Piura,Hospital de Apoyo Puquio – Puquio, Hospital Regional deAyacucho – Ayacucho, ISPTR – Iquitos

PHILIPPINES TOTAL SUPPORT: $2,694Partners: Dr. Jose Locsin Memorial Hospital – Silay City

ROMANIA TOTAL SUPPORT: $1,110,899Partner: Christian Aid Ministries Romania – Floresti

SENEGAL TOTAL SUPPORT: $250,966Partners: Clinique Seydina Issa Rouhou Laye – Dakar,USAID Senegal/Partner Health Centers – Countrywide

SIERRA LEONE TOTAL SUPPORT: $2,500Partner: Ndegbormei Development Organization – Freetown

SOUTH AFRICA TOTAL SUPPORT: $13,963Partner: Tshisimane Healing Center – Soutpansberg

SOUTH KOREA TOTAL SUPPORT: $9,691Partner: St. John of God Clinic – Kwang-Ju

TANZANIA TOTAL SUPPORT: $539,017Partners: Health Department/ KADERES – Karagwe -Kagera, Sumbawanga Regional Hospital –Sumbawanga

TOGO TOTAL SUPPORT: $1,664Partner: Baptist Hospital of Togo – Tsico

UGANDA TOTAL SUPPORT: $223,132Partners: East Africa Medical Mission – Kampala, St. Mary'sClinic Solidale – Kabale

UKRAINE TOTAL SUPPORT: $112,409Partner: Rohatyn Central District Hospital – Rohatyn

VENEZUELA TOTAL SUPPORT: $25,843Partner: Turimiquire Foundation – Cumana

WEST BANK/GAZA TOTAL SUPPORT: $360,860Partners: American Near East Refugee Aid – Jerusalem, St.John Eye Hospital – Jerusalem, West Bank & Gaza HealthFacilities – West Bank/Gaza

ZAMBIA TOTAL SUPPORT: $557,080Partner: St. Francis Katete Hospital – Katete

ZIMBABWE TOTAL SUPPORT: $528,719Partner: J.F. Kapnek Charitable Trust – Avondale

A NURSE PERFORMS A WELL-BABY EXAM IN EL SALVADOR.A YOUNG GIRL IN THE DEMOCRATIC REPUBLIC OF CONGO

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President's Council - ($5,000+)

OUR CORPORATE PARTNERSDirect Relief depends on the generosity of many corporations to provide the medical product we send around the world. We would like to thank the following companies that supported us during the first three quarters of 2004:

Ministers of Health - ($2,500+)AnonymousMr. and Mrs. Stephen AdamsMr. and Mrs. Ralph J. BegleyMr. and Mrs. Arnold BelloweMr. and Mrs. Jerry BiggsMr. Charles M. BlitzChristian Aid MinistriesMr. and Mrs. Jim ClendenenThe Lillian H. & C. W. Duncan FoundationMr. and Mrs. Christopher EberEl Capitan Ranch, LLC/

Mr. and Mrs. Roger HimovitzMr. and Mrs. Brooks FirestoneMr. and Mrs. William H. Freudenstein, IIIG.I. Trucking CompanyMr. Erle HolmMrs. Alice W. HutchinsJoseph E. & Gina Laun Jannotta FoundationMr. John JohnsonJoshua L. Mailman Charitable TrustMr. Wesley H. KelmanMr. and Mrs. Ralph Kiewit, Jr.Mr. and Mrs. Andrew Klavan

Mr. Larry Koppelman and Mrs. Nancy Walker Koppelman

Dr. Ralph KuonThe Marilyn & Bob Laurie Foundation, Inc.Mr. Robert LieffMr. and Mrs. William R. LindsayMr. and Mrs. John MacomberMr. and Mrs. Emmett McDonoughMr. Steven McDonoughOrganon InternationalMr. and Mrs. Everett PachnerPacific Capital Bancorp/ Santa Barbara Bank

and TrustMr. and Mrs. Austin H. Peck, Jr.PiattiMr. and Mrs. Daniel Randopoulos/

Metson MarineMr. and Mrs. David RasmussenMr. and Mrs. J. P. RostonMs. Lee ThomasU.S. Trust Company, N.A.Westmont College

3M PharmaceuticalsAbbott LaboratoriesAccutome, Inc.Advanced Medical OpticsAlcon Laboratories, Inc.Allergan, Inc.American Society for MicrobiologyAnsell Healthcare IncorporatedAntioch CompanyAstra TechAventis Pharmaceuticals, Inc.Bausch & Lomb Surgical CompanyBC Group InternationalBC Medical ProductsBDBeiersdorf Inc. Bristol-Myers Squibb CompanyCodman & ShurtlefConMedCrosstex InternationalDen-Mat CorporationDon Wilson CompanyEast West AssociatesEthex CorporationEthicon, Inc.FedExFine Science Tools Inc.Five Star Supplies Co.Forest PharmaceuticalsFNC Medical CorporationGlaxoSmithKlineGlobal Brand Marketing Inc.Global Medical AssistanceGlobal Partners for DevelopmentHavel's IncorporatedHenry Schein, Inc.Huntsville Emergency Medical Hy Cite CorporationJanssen Pharmaceutica, Inc.Johnson & JohnsonJohnson & Johnson ConsumerKendall Healthcare, TycoKimberly-Clark CorporationKing Pharmaceuticals, Inc.K.V. Pharmaceutical, Corp.LabEssentials, Inc.

Lane Instrument Corp.Lombart InstrumentLW Scientific, Inc.McKesson Medical-SurgicalMcNeil Consumer & Specialty Medical Innovations, Inc.Medline Industries, Inc.Mentor CorporationMerck & Company, Inc.MicroflexMidmark CorporationNellcorNexxus Products CompanyOhio State University Medical

SchoolOmron Healthcare, Inc.Onyx MedicalOrtho-McNeil Pharmaceutical, Inc.Owens and Minor Corp.Pfizer Consumer HealthcareProctor & GamblePurdue Pharma, L.P.Redwood Bio TechReichert Ophthalmic InstrumentsRespironics, Inc.Shaman BotanicalsSpenco Medical CorporationSTADA Pharmaceuticals, Inc.Sunstar ButlerSurgistar, IncTanita Corporation of America, Inc.Tea Tree TherapyTempur-Pedic, Inc.Tenet Healthcare FoundationTEVA Pharmaceuticals USATextilease MediqueThe McGraw-Hill CompaniesThe National Pediculosis

Assoc., Inc.Tronex International, Inc.U. S. Surgical Corporation, TycoValleylab Inc., TycoVanguardVitaminerals, Inc.Watson Pharmaceuticals, Inc.Western Scientific Co.

World Health Envoy - ($10,000+ )AnonymousAmerican Jewish World ServiceAnticouni & Associates/ Mr. Bruce AnticouniThe Archstone PartershipsMr. and Mrs. Thomas J. CusackEiting FoundationEstonian Am. Fund for Economic Edu., In.FedExGlobal Partners for DevelopmentGuyana Medical ReliefDr. and Mr. Roger W. Higgins/ Higgins-

Trapnell Family Foundation

Izumi FoundationMr. James Jackson/ The Ann Jackson

Family FoundationKind World FoundationMSST FoundationNational Philanthropic Trust DAFNichols Foundation, Inc.Mr. and Mrs. Donald E. PetersenMr. and Mrs. Pete Schmidt-PetersenMr. and Mrs. John W. SweetlandAlice Tweed Tuohy FoundationMr. and Mrs. James Villanueva

OUR FINANCIAL INVESTORS:

Anonymous (2)Capital Group Co. Charitable Fnd.

Mr. and Mrs. Killick Datta

Hy Cite CorporationPfizer, Inc.

Mr. and Mrs. Harold Simmons

Global Emissaries:($25,000+)

Ambassador of Health($100,000 +)

AnonymousBabette L. Roth Irrevocable Trust

Santa Barbara Vintners' Foundation

Consul General($50,000+)

The Antioch CompanyMrs. Sheila Johnson BrutschBush Hospital Foundation

Mr. and Mrs. Jon B. LovelaceMr. and Mrs. C. William Schlosser

Please remember us inyour will or estate plan.

We would also like to thank the many individuals, clinics, and hospitalsthat donated medical products to help people in need worldwide.

AnonymousAbbott Laboratories FundMr. and Mrs. John H. AdamsAmigos Del Peru Foundation, Inc.Aventis Pharmaceuticals, Inc.Mr. and Mrs. William J. BaileyMr. and Mrs. Philip M. BattagliaMr. and Mrs. Robert BleckerBristol-Myers Squibb CompanyHenry W. Bull FoundationCox CommunicationsFriends of Magic Moments Children, Inc.Mr. and Mrs. Joseph Hardin, Jr.Mr. and Mrs. S. Roger HorchowMr. and Mrs. Derk HunterHutton FoundationInamedMr. and Mrs. Richard Johnson

Ms. Frances E. KentThe Kingsley Foundation/

Mr. and Mrs. Laurence K. MillerMr. Barry KravitzMs. Nancy M. Lessner Mr. and Mrs. Michael M. McCarthyMontecito Rotary ClubMrs. Caroline Power Kindrish TrustPacifiCare FoundationMr. Alan R. Porter and Ms. Brenda BlalockMr. and Mrs. Michael E. PulitzerMr. and Mrs. Denis SananSanta Barbara FoundationMr. and Mrs. Richard SchallMr. and Mrs. Paul H. TurpinUkrainian Civic Center, Inc.Dr. and Mrs. Thomas A. Weber

WWW.DIRECTRELIEF.ORG NOVEMBER 25, 2004 OUR INVESTORS INDEPENDENT ADVERTISING INSERT 11

General Assembly - ($500+)AnonymousDr. Denis C. AdlerAerotech Heat Treating Co.Mr. and Mrs. Bernard L. AlbertAll-Around Irrigation/

Carpinteria SawMs. Sao AnashMr. and Mrs. Stanley AndersonMs. Louise Andrae and Mr. Karl

GrimmMr. and Mrs. Kurt R. AnkerDr. and Mrs. Gilbert L. AshorMr. and Mrs. Victor K. Atkins, Jr.Mr. and Mrs. Joseph W. BaileyMs. Ann Behringer and

Mr. David FriedmanMr. Merle E. Betz, Jr.Mrs. Stella P. BoileauMr. and Mrs. James C. BonewaldMr. and Mrs. Micah BradyMrs. Arthur L. BrownMr. and Mrs. Roland BryanMr. and Mrs. John P. Buccieri

Capital Financial ServicesMs. Trudi G. CareyMr. Joe CarrisalesMr. and Mrs. Chris Centrella/

Rocky Inc. FilmsMrs. Virginia V. ChennellChicago TitleMs. Carnzu A. ClarkMr. Mark ColemanMr. and Mrs. William R. CowellMr. and Mrs. Gordon Crary, Jr.Ms. Nancy J. CriggerMr. and Mrs. James G. P. Dehlsen/

The Dehlsen FoundationMr. Ricky W. DoakMr. and Mrs. Rodney M. DurhamMr. Dean FergusonMr. and Mrs. Richard P. FitzgeraldForester CommunicationsMr. and Mrs. Jeff FreyMr. Daniel J. GaineyMr. and Mrs. John GerngrossMrs. Lillis D. GibsonMr. Paul F. GlennGlens Falls Medical Missionary

Mr. and Mrs. Christopher P. GortonMr. Elliot GottfurchtMr. and Mrs. Randall GreerMr. and Mrs. Michael GrobsteinMr. and Mrs. Dan GuntherMrs. Nancy GunzbergMr. and Mrs. John C. HancockMr. Douglas H. HarrisMr. and Mrs. Montgomery R. HesterIntri - Plex Technologies, Inc.Mr. Daniel F. JanssenJonathan and Eileen Winters TrustMr. and Mrs. Frederic G. KayserMr. William KimbleMr. and Mrs. William KohlMr. Christopher P. KonradDr. Raymond G. KubischDr. Dorothy F. Largay and

Mr. Wayne E. RosingMs. Pamela A. LaVigne and

Dr. Matthew V. TirrellMr. Steve Leider/Leider GroupMrs. Jean Thompson LeonardMr. David LevinDr. and Dr. William A. Loe, Jr.

Mr. Lawrence LuMr. and Mrs. Steve LyonsMr. M. Reza MashayekiMs. Corinne MaylandMs. Estelle MeadoffMr. John C. MeierMerck Partnership for GivingMr. Karl MetzenbergMr. D. John MillerMr. Leonard G. MonkMontecito LandscapeMs. Jan M. MontgomeryMs. Jan N. MooneyMr. and Mrs. Richard F. Morgan, IIIMr. and Mrs. David MorrisMr. John MulderMs. Marian Naretto and

Mr. John SowdenMr. and Mrs. Larry OberlanderParagon Mortgage Corp., Inc./

Mr. Terre LapmanPaso Robles Rotary Service, Inc.Mr. and Mrs. William H. PaxtonPenfield and Smith Engineers Inc.Mr. and Mrs. Donald Petroni

Mr. Trey PinnerMrs. Sue PohlsMs. Anthoula Randopoulos/

Pierpont Bay RealtyMr. George Relles and

Ms. BL BorovayMrs. Jane C. RieffelMr. and Mrs. Rick Roney/

The Roney Family FoundationRotary Club of Santa Barbara SunriseMr. and Mrs. Michael RoyceMrs. Carol SawyerScott Thomas EnterprisesMr. Al SecundaMr. and Mrs. James L. ShobeMr. and Mrs. Stanley ShumanMs. Kate SilsburyMr. and Mrs. Kenneth R. Simpson, Jr.Mrs. Henry E. SingletonMr. and Mrs. Jan E. SmitMs. Marion B. SmithSony Pictures EntertainmentMr. Robert A. SorichSt. John Student ParishMr. and Mrs. Bart M. Stevens

Ms. Dee StoneMr. Ray StriblingMs. Rowena J. TaylorThe Territory AheadTicor Title CompanyMrs. Patricia M. TigheMr. Steven J. Tribble and

Ms. Pamela K. HallUnitarian Society of Santa BarbaraUniversity of California at

Santa BarbaraMrs. Carol Lapham ValentineMs. Emilia VargasVillage PropertiesMr. and Mrs. Lawrence B. WallinDr. and Mrs. Donald E. WebbWest End Partners, Inc.Mr. and Mrs. Charles W. WhitingDr. Robert G. WilliamsWine Cask/ Mr. Douglas MagerumMrs. C. W. YoukerMr. and Mrs. Neil Zuehlke

Donors to the 2004 Santa Barbara Vintners' Foundation Wine AuctionAmik OutpostAndrew Murray VineyardsMr. and Mrs. Bruce AnticouniAu Bon ClimatBarcliff and BairMr. and Mrs. Philip BattagliaBedford Thompson Winery and

VineyardMr. Josh Brown of BouchonBryant and Sons, Ltd.CalabasasCambriaCarhatt VineyardsCarina Cellars

Mr. and Mrs. Jim ClendenenClyde Beatty ProductionsCold HeavenCold Springs TavernCommunity Bank of Santa MariaConsilience WineryCooking School of AspenMr. Tom Dittmer and Ms. Sandy HillEpiphany CellarsFess Parker Wine Country Inn

and Spa Fess Parker Winery FibulaMr. and Mrs. Brooks FirestoneFirestone Vineyards

Foley EstatesFood and Wine MagazineFoxen VineyardMr. and Mrs. Edward GaylordMr. Dan GehrsMr. Jim GlinesGlobal Brand Marketing, Inc.Mr. Gray HartleyHotel Bel-AirJ. Kerr WinesMr. Larry Koppelman and

Mrs. Nancy Walker KoppelmanJackson Family FarmsJaffurs Wine CellarsLac Seul Airways

Lafond Winery Lauren Yater of Yater's SurfboardsLimoLinkLos Olivos GroceryMantagna Bar and GrillMr. and Mrs. Mark MattinglyMC SwannMelville Winery Meridian VineyardsMondial and Quantum RestaurantsMr. Charles T. MungerMr. and Mrs. Robert NakasoneNew West CateringOak Savanna VineyardMr. and Mrs. Frank Ostini

Dr. Joseph ParentPolachecks's JewelersQupe WineryMr. and Mrs. Monty RobertsRusack VineyardsSalt TradersMr. and Mrs. Denis SananSanford Winery and VineyardsMr. and Mrs. C. William SchlosserMr. and Mrs. Jim SlaughtDr. Bill Morton SmithMr. and Mrs. Tim SniderStaples, Inc.Ms. Heidi StillwellStoplman Vineyards

Sunstone WinerySurf-n-Wear Santa BarbaraTAZThe Architectural Foundation of

Santa BarbaraThe Four Seasons Biltmore The Hitching PostThe Territory AheadUpstairs at Pierre LaFondMr. and Mrs. King WilliamsMr. and Mrs. Rex WilliamsWillow Creek BistroWinchester Canyon Gun ClubMr. and Mrs. Jonathan Winters

Diplomat's Corps - ($1,000+)AnonymousMr. and Mrs. Stewart L. AbercrombieAlpaca Breeders of Southern

CaliforniaMr. and Mrs. Bruce AnticouniMr. and Mrs. Lee A. AsseoMr. William AtkinsAutomatic Data Processing, Inc.B & B FoundationBaillon Family FoundationMr. and Mrs. Jeffrey BarbakowBDMrs. Nancy Berendsen-DunnMs. Sylvia BlackMr. and Mrs. Wiley Blair, IIILeland F. Blatt Family FoundationMr. and Mrs. Russell S. BockMr. and Mrs. Mario BorgatelloMrs. Barbara BradleyMs. Shelly BungeMr. William S. BurtnessMrs. Eunice ButlerDr. and Mrs. Manuel L. CarlosMr. and Mrs. Timothy P. CaseyMrs. Virginia Castagnola-Hunter/

GVRG Castagnola FamilyFoundation

Mr. and Mrs. Michael EugeneChapman

Ms. Denise Chedester andMr. Kenneth Hughes

Cox CommunicationsMr. William DavidgeDr. Shirley E. DearbornMrs. Elizabeth B. Denison/

The Denison Family FoundationMr. and Mrs. Steven M. DraghiMr. and Mrs. James N. EbrightMr. and Mrs. Robert EgenolfMr. and Mrs. Ted EwingMr. and Mrs. Warren S. FarrellMr. and Mrs. Maurice FisherJames A. & Jane C. Folger

FoundationMr. and Mrs. Dennis ForsterMr. James G. Frost and Ms. Karen

LeachMr. and Mrs. John G. GableMs. Monica GallagherGartnerMr. and Mrs. Edward GaylordMr. Allen GershoMr. Allan Ghitterman and

Ms. Susan RoseMr. and Mrs. Richard GodfreyMr. and Mrs. Steven R. Gumins

Mr. Richard E. HaasMr. and Mrs. Thomas J. HarrimanMr. and Mrs. Robert Harter, Jr.Mr. and Mrs. Stanley C. HatchMs. Rachael Himovitz/

Pattis Family FoundationMrs. Adelaide Hixon/

The Allequash FoundationMr. Linus HoMr. Gerhart HoffmeisterMr. Stanley HubbardIndigo Systems CorporationMs. Lygia M. IonnitiuInvestment Group of Santa Barbara/

Mr. and Mrs. Timothy BlissMr. and Mrs. Norman B. JohnsonMs. Judith JonesMrs. Sylvia KarczagMr. and Mrs. Edward KeelingMr. David L. KennellMr. Amir-Hossein KhodadoustMr. and Mrs. Stephen W. KizerDr. and Mrs. Joseph B. KoepfliMr. L. W. Lane, Jr.Mrs. Francis D. LarkinMr. and Mrs. Ilan M. LeviMr. and Mrs. Donald J. Lewis, Jr.Ms. Andree LindowMr. Peter Lion

Mr. and Mrs. Frederick V. MaisonMr. Frederick Mansfield and

Ms. Janelle VegaMr. and Mrs. Calvin MarbleDr. Kim MargolinMrs. Kathleen E. McCarthyMrs. C. B. McFieMr. Robert McPhillips and

Ms. Barbara EdmisonMontecito Bank & TrustMr. and Mrs. J. Roger MorrisonMr. and Mrs. Mark A. MoseleyMr. Daniel MudgeDr. C.A. MunchMr. and Mrs. Gary L. NettNorth Carolina Korean

Presbyterian ChurchNorthern Trust BankMr. and Mrs. Arthur NovakOn Your Feet Project/Ethan JohnsonThe Pacer Foundation/

Mrs. Barbara Hunter FosterThe Paulist Center CommunityMr. Melvin E. PearlMr. and Mrs. Richard J. PearsonMr. and Mrs. Stephen W. PerryMr. and Mrs. Wesley PoulsonMr. E. Bryson PowellMr. and Mrs. Alexander M. Power

Pro Packing, Inc./ Mr. CharlesDeMarais

Mr. and Mrs. Richard J. RamsdenMr. and Mrs. Byron S. ReynoldsMr. Michael RiedelDr. and Mrs. Paul A.

RiemenschneiderRobert K. and Barbara J. Straus

FoundationThe Roberts Bros. Foundation/Mr.

and Mrs. Richard H. RobertsRotary Club Of Chatswood, Inc.Saint Matthew Church

Project XELA-AIDThe Sallie Mae FundSanta Barbara Middle SchoolMr. George E. SchoellkopfMrs. June H. SchuerchMs. Tonia SimonMr. Bruce SmithHon. David Smyser Mrs. Edward SpauldingMr. Ankur SrivastavaThe Fredric E. Steck Family

FoundationMr. Sanu K. ThomasThe Tighe Family Rev. Trust/

Mrs. Louise Tighe

Ms. Mary P. Tighe and Mr. AndrewLiepman

Mr. and Mrs. Thomas TigheMs. Adelle TiltonTissue Banks InternationalMr. James TrowbridgeMr. and Mrs. Kenneth W. TwiggUnited Armenian FundUnited Voluntary ServicesUnited Way of Santa Barbara CountyMr. and Mrs. Stephen W. VaughanThe American Society of the

Most Venerable Order of theHospital of St. John

Washington Women's FoundationMr. Steven A. WeintraubMr. and Mrs. Howard WhiteMr. and Mrs. Vern WilliamsMrs. William H. WilsonMr. and Mr. Jefferson WoesteMr. and Mrs. Peter WolcottMr. and Mrs. William J. Woods, Jr.Working AssetsMs. Birge K. Zimmermann and

Mr. Kenneth R. GoodearlDr. and Mrs. Tuenis D. Zondag

Combined Federal Campaign – Workplace GivingEric D. AndersohnJo R. AndersonDoreen AngleroGirlyn F. ArganzaLouie L. AshD. AzevedoBetzaida BaileyDavid C. BeiselJanice BeyerKathie M. BirdsellRobert G. BolinskyImelda D. Borromeo

Jody L. Boydston-JohnsonRyan BradleyMelanie A. BransonMary BrennanRose Burgess-ElyMelodie CampbellMaqunne CantwellRichard ChelletteEdward L. ConleyNicola CraverClifford L. CrenshawJon D. CurdBilly Dale

Stephen R. DalzellCharles M. DavenportKristen M. DayPeter DennisonKimberly J. DesimoneRoger F. EhlertNestor M. Fajota, JrDavid FeleskyJohn H. FlackGlenn FolletteEric D. GoodmanJordan G. GrantMichael L. Hall

Patricia P. HarlowCharles M. HeydaTodd J. HooverErin E. HornJerry L. HudgensGreg HunterDeborah R. JohnsonDavid R. JohnsonSuzanne E. KimballGottfried KofiJonathan LowerPaul LuthyLawrence Madlock

Stephen A. MatthewsGraeme L. MenefyW J. MorelandWalid G. MouradBruce W. MurraySteven M. NelsonMichael OkinAnn P. OliverDeborah S. OlsenRobert OlsonJohn OrchardDavid A. OrtegaDenise A. Oyler

Paul M. PainterDeborah S. PalladiniAnnie Q. PangelinanStephanie PappasEdward PedersenAnna L. PetersDavid G. PfisterMarion B. PorciunculaGeorge PowellSteven PrestonKenneth W. ProctorScott M. RaulandReg Reisenbichler

David W. RobinsonMelodie RothwellAaron R. SmithDaniel SotoTiffani L. SparksScott SparksJean A. SteffenDonna StienstraKatherine ThorntonAndrew TongKenneth T. TotaRichard D. TroxelMarijke I. Van Der Heide

Fernando E. VazquezSally A. VogtS. Salman WastiSteven M. WeinsteinHarold WeissMark C. WelchJulie A. WhiteJames A. WilsonMarion M. WilsonAlexander WitkowskiFeigian Zong

JANUARY 1, 2004 THROUGH SEPTEMBER 31, 2004

PRESIDENT & CEO Thomas Tighe

ADVISORY BOARD

CHAIRMAN Frank N. MagidHon. Henry E. Catto • Lawrence R. GlennE. Carmack Holmes, M.D. • S. Roger Horchow • Stanley S. HubbardJon B. Lovelace • Hon. John D. Macomber • Donald E. PetersenRichard L. Schall • John W. Sweetland

BOARD OF DIRECTORS

CHAIRMAN Nancy SchlosserVICE-CHAIR Denis SananTREASURER William BurtnessSECRETARY Stanley C. Hatch

Carolyn P. Amory-Peck, St. J. • Bruce Anticouni, Esq. • Gilbert L. Ashor, M.D. Philip Battaglia, Esq. • Frederick P. Burrows • Morgan ClendenenKillick S. Datta • Thomas H. Dittmer • Wilton A. Doane, M.D.Ernest H. Drew • Catherine B. Firestone • Louise GaylordRichard D. Godfrey • Bert Green, M.D. • Peter O. Johnson, Sr.Richard Johnson • Larry Koppelman • Nancy M. LessnerDon Lewis, M.D. • Alixe G. Mattingly • Robert C. NakasoneJim Shattuck • Paul H. Turpin • Sherry Villanueva

PRESIDENT EMERITUS Sylvia KarczagDIRECTOR EMERITUS Dorothy Adams

27 S. La Patera LaneSanta Barbara, CA 93117-3214(805) 964-4767 • www.directrelief.org

No calories. Big smile. Great gift.

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