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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>14500</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>32217</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>652610</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAWN LONG</PersonNm>
        <TitleTxt>SENIOR VP, COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>378770</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>14500</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>9493</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>402763</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JONATHAN STEINER</PersonNm>
        <TitleTxt>VP OF FINANCE, CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>306062</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>14500</DeferredCompRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT RELIEF FOUNDATION DOES NOT HAVE ANY PAID EMPLOYEES, AND, THEREFORE, DOES NOT HAVE A REQUIREMENT TO HAVE A COMPENSATION POLICY. THE CEO, COO &amp; CFO ARE OFFICERS, BUT ARE NOT COMPENSATED BY DIRECT RELIEF FOUNDATION. THEY ARE COMPENSATED BY DIRECT RELIEF, A RELATED ORGANIZATION, WHICH HAS IN PLACE A COMPENSATION POLICY THAT INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, ANALYSIS OF COMPARABILITY DATA, AND DOCUMENTATION OF THE DECISION-MAKING PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>ARTICLE V, SECTION 2.5 B OF THE DIRECT RELIEF FOUNDATION BYLAWS STATES THAT THE DIRECT RELIEF BOARD HAS THE POWER TO APPOINT THE TRUSTEES OF DIRECT RELIEF FOUNDATION. SINCE SOME TRUSTEES OF THE DIRECT RELIEF FOUNDATION ARE ALSO MEMBERS OF THE DIRECT RELIEF BOARD, THE ORGANIZATION DOES HAVE SOME MEMBERS WHO HAVE THE POWER TO APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>ARTICLE XI OF THE DIRECT RELIEF FOUNDATION BYLAWS STATES THAT THE BYLAWS MAY ONLY BE ALTERED, AMENDED OR REPEALED, AND NEW BYLAWS MAY ONLY BE ADOPTED, BY A MAJORITY OF THE DIRECT RELIEF BOARD PRESENT AT ANY MEETING OF THE DIRECT RELIEF BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT RELIEF FOUNDATION'S CHIEF FINANCIAL OFFICER DISTRIBUTES A COPY OF THE FINAL VERSION OF THE 990 TO ALL CURRENT TRUSTEES, REQUESTING THEY REVIEW THE 990 PRIOR TO FILING. THE TRUSTEES ARE ASKED TO REVIEW AND ARE GIVEN AN OPPORTUNITY TO RAISE ISSUES AND REQUEST CLARIFICATIONS, IF ANY. ONCE THIS PROCESS IS COMPLETE AND TRUSTEE APPROVAL IS OBTAINED, THE 990 IS FILED. DOCUMENTATION OF THE DISTRIBUTION TO THE TRUSTEES, AS WELL AS THEIR RESPONSES AND QUESTIONS, IF ANY, ARE MAINTAINED BY THE CHIEF FINANCIAL OFFICER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>WITHIN THIRTY (30) DAYS OF THE BEGINNING OF EACH FISCAL YEAR, ALL TRUSTEES, OFFICERS AND TRUSTEE COMMITTEE MEMBERS MUST COMPLETE A DISCLOSURE FORM REGARDING POSSIBLE CONFLICTS OF INTEREST. DISCLOSURE IS ALSO REQUIRED OF A TRUSTEE, OFFICER, EMPLOYEE AND TRUSTEE COMMITTEE MEMBER AT ANY TIME WHEN THE INTEREST OF SUCH PERSON (OR MEMBER OF HIS OR HER FAMILY) COULD AFFECT THE ACTIVITIES, PROPERTY, EMPLOYEES, OR SERVICES OF DIRECT RELIEF, OR INVOLVES ANY POTENTIAL CONFLICT OF INTEREST AS MORE SPECIFICALLY DEFINED IN DIRECT RELIEF'S CONFLICT OF INTEREST POLICY IN THE BYLAWS. WHEN A TRUSTEE, OFFICER, OR TRUSTEE COMMITTEE MEMBER HAS A CONFLICT OF INTEREST OR POTENTIAL CONFLICT OF INTEREST IN A PROPOSED TRANSACTION, THAT INDIVIDUAL SHALL RECUSE HIMSELF OR HERSELF (I.E., LEAVE THE ROOM), AND SHALL NOT PARTICIPATE IN THE DELIBERATION ON THE MERITS OF THE PROPOSAL OR THE VOTE. IN ALL CASES, THE EXISTENCE AND NATURE OF THE RELATIONSHIP OR THE CONFLICT OF INTEREST DISCLOSED, THE INTERESTED PERSON'S RECUSAL, AND THE VOTE OF THE OTHER TRUSTEES IS REFLECTED IN THE MINUTES OF THE MEETING OF THE TRUSTEES OR APPLICABLE TRUSTEE COMMITTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT RELIEF FOUNDATION DOES NOT HAVE ANY PAID EMPLOYEES, AND, THEREFORE, DOES NOT HAVE A REQUIREMENT TO HAVE A COMPENSATION POLICY. THE CEO, COO &amp; CFO ARE OFFICERS, BUT ARE NOT COMPENSATED BY DIRECT RELIEF FOUNDATION. THEY ARE COMPENSATED BY DIRECT RELIEF, A RELATED ORGANIZATION, WHICH HAS IN PLACE A COMPENSATION POLICY THAT INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, ANALYSIS OF COMPARABILITY DATA, AND DOCUMENTATION OF THE DECISION-MAKING PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT RELIEF FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FORM 990 AVAILABLE TO THE PUBLIC THROUGH ITS RELATED ORGANIZATION'S WEBSITE, DIRECT RELIEF, AT WWW.DIRECTRELIEF.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A, LINE 1(A) AND SCHEDULE J, PART II:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION REPORTED HERE IS THAT PAID BY DIRECT RELIEF, A RELATED TAX-EXEMPT ORGANIZATION, FOR THE CALENDAR YEAR 2022, IN LINE WITH THE FORM 990 REQUIREMENTS. THE COMPENSATION OF THE CEO, COO &amp; CFO IS DETERMINED SOLELY BY THE BOARD OF DIRECTORS OF DIRECT RELIEF. FUNDS COVERING 100% OF THE COMPENSATION OF DIRECT RELIEF'S PRESIDENT &amp; CEO WAS PROVIDED BY DIRECT RELIEF FOUNDATION THROUGH REGULAR BOARD-APPROVED TRANSFERS OF FUNDS TO DIRECT RELIEF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART X, LINE 25, OTHER LIABILITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT RELIEF FOUNDATION ACCRUES THE AMOUNTS PAYABLE TO DIRECT RELIEF ON AN ANNUAL BASIS. THE BALANCE DUE AS OF JUNE 30, 2023 CONSISTS OF THE FOLLOWING: PRIOR YEAR APPROVED TRANSFERS (A) $(3,551,490) CURRENT YEAR APPROVED TRANSFERS (3,032,326) ACTUAL TRANSFERS TAKEN 5,775,713 ---------------- TOTAL AMOUNT RECEIVABLE AS OF JUNE 30, 2023: $(808,103) (A) APPROVED TRANSFERS THAT ARE NOT TAKEN BY THE END OF EACH YEAR ARE CARRIED FORWARD TO BE TAKEN IN FUTURE YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNRELATED BUSINESS REVENUE - PASSTHROUGH ENTITIES -3,674.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>DIRECT RELIEF</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>6100 WALLACE BECKNELL ROAD</AddressLine1Txt>
          <CityNm>SANTA BARBARA</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>93111</ZIPCd>
        </USAddress>
        <EIN>951831116</EIN>
        <PrimaryActivitiesTxt>PROVIDES MEDICINES, EQUIPMENT AND SUPPLIES TO UNDERSERVED POPULATIONS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>DIRECT RELIEF INTERNATIONAL SOUTH AFRICA</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <ForeignAddress>
          <AddressLine1Txt>52 CORLETT DRIVE WANDERERS OFFICE P</AddressLine1Txt>
          <CityNm>ILLOVO</CityNm>
          <ProvinceOrStateNm>JOHANNESBURG</ProvinceOrStateNm>
          <CountryCd>SF</CountryCd>
          <ForeignPostalCd>2196</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>COORDINATION OF MEDICAL SUPPORT TO AFRICAN DOCTORS AND MEDICAL CLINICS</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>SF</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>DIRECT RELIEF</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>DIRECT RELIEF MEXICO</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <ForeignAddress>
          <AddressLine1Txt>AV PASEO DE LA REFORMA 300 - PISO</AddressLine1Txt>
          <CityNm>CUAUHTEMOC DISTRITO FEDERAL</CityNm>
          <CountryCd>MX</CountryCd>
          <ForeignPostalCd>6600</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>COORDINATION OF MEDICAL SUPPORT TO MEXICAN DOCTORS AND MEDICAL CLINICS</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>MX</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>DIRECT RELIEF</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART V:</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT RELIEF FOUNDATION MAINTAINS CUSTODY OF THE BOARD RESTRICTED INVESTMENT FUND (BRIF), WHICH IS A BOARD DESIGNATED ENDOWMENT. DIRECT RELIEF FOUNDATION WAS FORMED AS A SUPPORTING ORGANIZATION OF DIRECT RELIEF. THE FOUNDATION IS ORGANIZED TO OPERATE SOLELY AND EXCLUSIVELY TO SUPPORT, BENEFIT, OR CARRY OUT THE PURPOSES OF DIRECT RELIEF. THE PURPOSE OF THE BRIF IS TO PROVIDE A RESERVE FOR CURRENT AND FUTURE OPERATIONS OF DIRECT RELIEF. THE BRIF ALSO PROVIDES FUNDING TO PAY FOR ALL OF DIRECT RELIEF'S FUNDRAISING EXPENSES AND SOME MANAGEMENT AND GENERAL EXPENSES. FOR THE YEAR ENDED JUNE 30, 2023, THE TRUSTEES OF DIRECT RELIEF FOUNDATION APPROVED TO PROVIDE FUNDS TO DIRECT RELIEF TO COVER ALL OF DIRECT RELIEF'S FUNDRAISING EXPENSES AS WELL AS 100% OF THE COMPENSATION OF DIRECT RELIEF'S PRESIDENT &amp; CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART V:</FormAndLineReferenceDesc>
        <ExplanationTxt>100% OF BEQUESTS, IRREVOCABLE TRUSTS, INSURANCE POLICIES, ANNUITIES, ETC. RECEIVED BY DIRECT RELIEF ARE TRANSFERRED TO DIRECT RELIEF FOUNDATION, UNLESS OTHERWISE SPECIFIED BY THE DONOR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
