﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2024v5.2">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2025-08-01T09:31:46-05:00</ReturnTs>
    <TaxPeriodEndDt>2024-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>371574855</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>CORRIGAN KRAUSE</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>191 AMERICAN BLVD SUITE 201</AddressLine1Txt>
        <CityNm>WESTLAKE</CityNm>
        <StateAbbreviationCd>OH</StateAbbreviationCd>
        <ZIPCd>44145</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990EZ</ReturnTypeCd>
    <TaxPeriodBeginDt>2024-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>920344628</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>CLEFT CARE INTERNATIONAL</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>CLEF</BusinessNameControlTxt>
      <PhoneNum>6146797999</PhoneNum>
      <USAddress>
        <AddressLine1Txt>PO BOX 82558</AddressLine1Txt>
        <CityNm>COLUMBUS</CityNm>
        <StateAbbreviationCd>OH</StateAbbreviationCd>
        <ZIPCd>43202</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>CASEY BROWN</PersonNm>
      <PersonTitleTxt>PRESIDENT</PersonTitleTxt>
      <PhoneNum>6146797999</PhoneNum>
      <SignatureDt>2025-07-16</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>1</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>ALBERT S HARSAR CPA</PreparerPersonNm>
      <PTIN>P00598344</PTIN>
      <PhoneNum>4404710800</PhoneNum>
      <PreparationDt>2025-07-16</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2024</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="5">
    <IRS990EZ documentId="RetDoc1234200001" referenceDocumentId="RetDoc1051800001 RetDoc2278000001">
      <MethodOfAccountingCashInd>X</MethodOfAccountingCashInd>
      <WebsiteAddressTxt>WWW.CLEFT.CARE</WebsiteAddressTxt>
      <Organization501c3Ind referenceDocumentId="RetDoc1039100001">X</Organization501c3Ind>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <GrossReceiptsAmt>196221</GrossReceiptsAmt>
      <InfoInScheduleOPartIInd>X</InfoInScheduleOPartIInd>
      <ContributionsGiftsGrantsEtcAmt>196031</ContributionsGiftsGrantsEtcAmt>
      <OtherRevenueTotalAmt>190</OtherRevenueTotalAmt>
      <TotalRevenueAmt>196221</TotalRevenueAmt>
      <GrantsAndSimilarAmountsPaidAmt>72732</GrantsAndSimilarAmountsPaidAmt>
      <FeesAndOtherPymtToIndCntrctAmt>2350</FeesAndOtherPymtToIndCntrctAmt>
      <OtherExpensesTotalAmt>1214</OtherExpensesTotalAmt>
      <TotalExpensesAmt>76296</TotalExpensesAmt>
      <ExcessOrDeficitForYearAmt>119925</ExcessOrDeficitForYearAmt>
      <NetAssetsOrFundBalancesBOYAmt>34167</NetAssetsOrFundBalancesBOYAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <NetAssetsOrFundBalancesEOYAmt>154092</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIInd>X</InfoInScheduleOPartIIInd>
      <CashSavingsAndInvestmentsGrp>
        <BOYAmt>34177</BOYAmt>
        <EOYAmt>154090</EOYAmt>
      </CashSavingsAndInvestmentsGrp>
      <OtherAssetsTotalDetail>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>2</EOYAmt>
      </OtherAssetsTotalDetail>
      <Form990TotalAssetsGrp>
        <BOYAmt>34177</BOYAmt>
        <EOYAmt>154092</EOYAmt>
      </Form990TotalAssetsGrp>
      <SumOfTotalLiabilitiesGrp>
        <BOYAmt>10</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </SumOfTotalLiabilitiesGrp>
      <NetAssetsOrFundBalancesGrp>
        <BOYAmt>34167</BOYAmt>
        <EOYAmt>154092</EOYAmt>
      </NetAssetsOrFundBalancesGrp>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <PrimaryExemptPurposeTxt>CLEFT CARE INTERNATIONAL WAS FORMED WITH THE INTENTION TO ISSUE GRANTS OF FUNDS AND GOODS TO SUPPORT THE IMPORTANT WORK OF FOREIGN NON-GOVERNMENTAL ORGANIZATIONS AROUND THE WORLD THAT PROVIDE COMPREHENSIVE CLEFT CARE TO CHILDREN IN NEED. OUR VISION IS FOR EVERY CHILD TO BE FREE TO GROW, LEARN, PURSUE EDUCATION, COMMUNICATE, AND THRIVE. THE SCOPE OF OUR WORK IS TO SUPPORT THROUGH GRANTS OF FUNDS AND GOODS THE COMPREHENSIVE CARE OF CHILDREN AND ADULTS BORN WITH CLEFT LIP AND PALATE. SPECIFICALLY, WE SEEK TO SUPPORT ORGANIZATIONS AROUND THE WORLD WHO PERFORM SURGERIES AND PROVIDE COMPREHENSIVE PRE- AND POST-SURGICAL CARE TO THOSE WITH NO FINANCIAL MEANS TO PURSUE THE CARE THEMSELVES.</PrimaryExemptPurposeTxt>
      <ProgramSrvcAccomplishmentGrp>
        <DescriptionProgramSrvcAccomTxt>SURGERY: MANY LOW-INCOME COUNTRIES FACE A SHORTAGE OF SURGEONS WHO SPECIALIZE IN PERFORMING CLEFT LIP AND PALATE REPAIR. AND EVEN WHERE SURGEONS ARE AVAILABLE, REPARATIVE SURGERY IS OUT OF REACH FOR MANY FAMILIES WITHOUT THE MEANS TO PAY FOR SURGERY AND ALL THE COSTS THAT SURROUND IT. TEAMS OF VOLUNTEER SURGEONS, ANESTHESIOLOGISTS, NURSES, AND OTHER HEALTHCARE PROFESSIONALS REGULARLY TRAVEL TO LOW-INCOME COUNTRIES TO PROVIDE THEIR SERVICES FOR FREE, BUT THERE ARE STILL SEVERAL COSTS FOR THE SURGERY, INCLUDING FACILITY FEES, THE COST OF SUPPLIES AND MEDICATION, AND OTHER COSTS SUCH AS TRANSPORTING AND HOUSING THE FAMILY FROM THEIR OFT-DISTANT HOMES TO THE LOCATION OF THE SURGERY. CLEFT CARE INTERNATIONAL SUPPORTS PROGRAMS THAT ORGANIZE, COORDINATE, AND EXECUTE SURGICAL CLEFT MISSIONS.</DescriptionProgramSrvcAccomTxt>
        <GrantsAndAllocationsAmt>0</GrantsAndAllocationsAmt>
        <ProgramServiceExpensesAmt>38147</ProgramServiceExpensesAmt>
      </ProgramSrvcAccomplishmentGrp>
      <ProgramSrvcAccomplishmentGrp>
        <DescriptionProgramSrvcAccomTxt>SPEECH THERAPY: CLOSING THE LIP AND THE PALATE MAKES A BIG DIFFERENCE IN THE LIVES OF CHILDREN WITH CLEFT. HOWEVER, THIS DOES NOT COMPLETELY RESOLVE THE PROBLEM. EVERY CHILD BORN WITH AN OPEN PALATE NEEDS SPEECH THERAPY AFTER CLOSING THIS PALATE. BECAUSE OF THE STRUCTURAL DIFFERENCES OF THE FACE AND MOUTH ASSOCIATED WITH CLEFT LIP AND PALATE, CHILDREN DEVELOP INSECURITY AND AVOIDANCE BEHAVIORS IN SPEAKING SITUATIONS WITHIN THEIR COMMUNITIES. THIS LEADS TO ISOLATION, FEARS AND ANXIETIES WHICH IMPACT THEIR SOCIAL PARTICIPATION. CLEFT CARE INTERNATIONAL SUPPORTS PROGRAMS PROVIDING SPEECH THERAPY SERVICES TO CHILDREN AND ADULTS BORN WITH CLEFT.</DescriptionProgramSrvcAccomTxt>
        <GrantsAndAllocationsAmt>0</GrantsAndAllocationsAmt>
        <ProgramServiceExpensesAmt>38148</ProgramServiceExpensesAmt>
      </ProgramSrvcAccomplishmentGrp>
      <TotalProgramServiceExpensesAmt>76295</TotalProgramServiceExpensesAmt>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>RACHEL MEBUS</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>5.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
        <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>MATTHEW HAMILTON</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>5.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
        <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>CASEY BROWN</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>10.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
        <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <InfoInScheduleOPartVInd>X</InfoInScheduleOPartVInd>
      <ActivitiesNotPreviouslyRptInd>0</ActivitiesNotPreviouslyRptInd>
      <ChgMadeToOrgnzngDocNotRptInd>0</ChgMadeToOrgnzngDocNotRptInd>
      <OrganizationHadUBIInd>0</OrganizationHadUBIInd>
      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
      <OrganizationDissolvedEtcInd>0</OrganizationDissolvedEtcInd>
      <DirectIndirectPltclExpendAmt>0</DirectIndirectPltclExpendAmt>
      <MadeLoansToFromOfficersInd>0</MadeLoansToFromOfficersInd>
      <TaxImposedUnderIRC4911Amt>0</TaxImposedUnderIRC4911Amt>
      <TaxImposedUnderIRC4912Amt>0</TaxImposedUnderIRC4912Amt>
      <TaxImposedUnderIRC4955Amt>0</TaxImposedUnderIRC4955Amt>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <TaxImposedOnOrganizationMgrAmt>0</TaxImposedOnOrganizationMgrAmt>
      <TaxReimbursedByOrganizationAmt>0</TaxReimbursedByOrganizationAmt>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <StatesWhereCopyOfReturnIsFldCd>OH</StatesWhereCopyOfReturnIsFldCd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>CASEY BROWN</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>101 OLENTANGY STREET</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43202</ZIPCd>
        </USAddress>
        <PhoneNum>6146797999</PhoneNum>
      </BooksInCareOfDetail>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <DonorAdvisedFndsInd>0</DonorAdvisedFndsInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <TanningServicesProvidedInd>0</TanningServicesProvidedInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>0</LobbyingActivitiesInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>0</TrnsfrExmptNonChrtblRltdOrgInd>
      <PartVIOfCompOfHghstPdEmplTxt>NONE</PartVIOfCompOfHghstPdEmplTxt>
      <PartVIHghstPdCntrctProfSrvcTxt>NONE</PartVIHghstPdCntrctProfSrvcTxt>
      <FiledScheduleAInd>1</FiledScheduleAInd>
    </IRS990EZ>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus1YearAmt>84795</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>196031</CurrentTaxYearAmt>
        <TotalAmt>280826</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <Total509Grp>
        <CurrentTaxYearMinus1YearAmt>84795</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>196031</CurrentTaxYearAmt>
        <TotalAmt>280826</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>280826</PublicSupportTotal509Amt>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus1YearAmt>7</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>190</CurrentTaxYearAmt>
        <TotalAmt>197</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus1YearAmt>84802</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>196221</CurrentTaxYearAmt>
        <TotalAmt>281023</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99930</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99990</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleO documentId="RetDoc1051800001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION: CASH BACK AWARD. AMOUNT: 190.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION: OFFICE EXPENSES. AMOUNT: 1,164. DESCRIPTION: REGULATORY FEES. AMOUNT: 50. TOTAL TO FORM 990-EZ, LINE 16: 1,214.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION: CREDIT CARD. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION: CREDIT CARD. BEG. OF YEAR AMOUNT: 10. END OF YEAR AMOUNT: 0.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <TransferPrsnlBnftContractsDecl documentId="RetDoc2278000001">
      <DeclarationDesc>THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.</DeclarationDesc>
    </TransferPrsnlBnftContractsDecl>
  </ReturnData>
</Return>