FORMFC-6 - HelpAge India

17
FORMFC-6 [See Rule 17(1)] The Secretrary to the Government of India, Ministry of Home Affairs, FCRA Wing / Foreigners Division, "NDCC-II Building", Jai Singh Road, Off Parliament Street, New Delhi - 110001. Subject: Account of Foreign Contribution for the year ending on 31st March 2013 1. Association's Details: i) Name and Address (in Capital Letters) HELPAGE INDIA C-14, QUTAB INSTITUTIONAL AREA NEW DELHI-II0016 ii) Registration Number and Date [Under Foreign Contribution (Regulation) Act, 1976] 231650010 No.11/21022/83(14)/84 FCRA III APRIL, 1988 iii) Prior Permission Number and Date, if not Registered Not Applicable 553,618 iv) Nature of Association: Social Not Applicable v) Denomination in case of Religious Association: 2. (Amount in () ii) Interest earned on the foreign contribution during the year (a) In the designated bank account () 4,746,671 i) Total amount of foreign contribution received during the year - In Cash - In Kind [Estimated Value] 107,697,676 1,604,556 (b) On investments made (Fixed Deposit Receipt etc.) during the year or in the preceding years 111 . I~ .--:-:::-:--- "-g e I] ~~r,..." ....0;.. !lJ ,r ',91 :r: ( \'Ie,,", DC\\~\ ~ *\\ '* l "oO'\)) JJ <.. ) Qj .-y'I...~v,.)J,,(, 19ad 0" ~ U)~\l{ Gaeta ~e.\ O\\\c8 t c,,\e\ f\(\~~ \t\Q\a --- \,\e\9 rlJ ~ )4attUWiCherian Chief Executive Officer HelpAge India -

Transcript of FORMFC-6 - HelpAge India

Page 1: FORMFC-6 - HelpAge India

FORMFC-6[See Rule 17(1)]

The Secretrary to the Government of India,Ministry of Home Affairs,FCRA Wing / Foreigners Division,"NDCC-II Building",Jai Singh Road, Off Parliament Street,New Delhi - 110001.

Subject: Account of Foreign Contribution for the year ending on 31st March 2013

1. Association's Details:

i) Name and Address(in Capital Letters)

HELPAGE INDIAC-14, QUTAB INSTITUTIONAL AREANEW DELHI-II0016

ii) Registration Number and Date[Under Foreign Contribution(Regulation) Act, 1976]

231650010No.11/21022/83(14)/84 FCRA IIIAPRIL, 1988

iii) Prior Permission Number and Date,if not Registered

Not Applicable

553,618

iv) Nature of Association: Social

Not Applicablev) Denomination in case of ReligiousAssociation:

2.(Amount in ()

ii) Interest earned on the foreign contributionduring the year

(a) In the designated bank account

()4,746,671

i) Total amount of foreign contributionreceived during the year

- In Cash- In Kind [Estimated Value]

107,697,6761,604,556

(b) On investments made (Fixed DepositReceipt etc.) during the year or in thepreceding years

111 . I ~.--:-:::-:---"-ge I]~~r ,..."....•0;..

!lJ,r ',91:r: ( \'Ie,,", DC\\~\ ~ *\\'*l "oO'\)) JJ<.. ) Qj

.-y'I...~v,.)J,,(,19ad 0"~

U)~\l{Gaeta ~e.\O\\\c8t

c,,\e\ f\(\~~ \t\Q\a ---\,\e\9rlJ

~)4attUWiCherian

Chief Executive OfficerHelpAge India-

Page 2: FORMFC-6 - HelpAge India

3. I'urpose(s) for which foreign contribution has been received and utilised:

S. Previous Balance Receint Durina the Year Utilised BalanceNo. Purpose In Cash In Kind As Ist As 2nd/Subsequent

(Value) Recei ient Recei ient Places withIn Cash In Kind In Cash In Kind In Cash In Kind In Cash In Kind addresses of

(Value) (Value) (Value) (Value) specific activitiesI 2 3 4 5 6 7 8 9 10 11 12 13 14

(5+6+7+8)I Celebration of national events (Independence! Republic

day)!festivals etc. - - - - - - - - -2 TheatrefFilms - - - - - - - - -3 Maintenance of Places of Historical and Culturallmoortance - - - - - - - - - -4 Preservation of ancient/ tribal art forms - - - - - - -5 Research - - - - - - - - -6 Cultural shows - - - - - - -7 Setting up and running handicraft centre! cottage and Khadi

industry! social forestry projects - - - - - - - -8 Animal husbandry projects - - - - - - - -9 Income aeneration projects/schemes 250,000 - - - - - - - 250,000 -10 Micro-finance projects, including setting up banking co-

operatives and self-help groups - - 1,020,000 - 1,020,000 1,015,058 - 4,942 - List attached11 Auricultural activity - - - - - - - - , -12 Rural Development - - - - - - -13 Construction and maint-enance of school! colleze - - - - - -14 Construction and running of hostel for poor students - - -15 Grant of stipend! scholarship/assistance in cash and kind to poor!

deserving children - - - - - - -16 Purchase and supply of educational material-books notebooks - - - - - - - -17 Conductinu adult literacy oroarams - - - - - - - - -18 Education/Schools for the mentally challenged - - - - - - - -19 Non-formal education oroiects/coachina classes - - - - - - - - - -

20 Construction/Renair/ Maintenance of places of worship - - - - - - - -21 Religious schools! education of priests and preachers - - - - - - - -22 Publication and distribution of religious literature - - - - - -23 Reliuious functions - - - - - -24 Maintenance of priests! nreachers!other reliuious functionaries - - - - - -25 Construction/Running of hospital/dispensarv/clinic - - - - - - - - -26 Construction of community halls etc. - - - - - - - - - -27 Construction and Manaaement of old ace home 370,760 - 19,299 - 104,071 - 123,370 494,130 - - List attached28 Welfare of the aged! widows 7,917,089 - 75,526,929 - 258,423 - 75,785,352 72,200,871 11,501,570 List attached29 Construction and Management of Orphanage - - - - - - - -30 Welfare of the orphans - - - - -31 Construction and Management of dharamshalal shelter - - - -32 Holding of free medical/health/ family welfare!immunisation 3,688,587 - 7,364,789 7,364,789 7,898,056 3,155,320 - List attached33 Supply of free medicine, and medical aid, including hearing aids,

visual aids, familv planning aids etc. 1,502,691 8,664,241 - 8,664,241 6,953,130 - 3,213,802 - List attached34 Provision of aids such as Tricycles calipers etc. to the - - - - - - - - - -35 Treatmentl&:hahi.litation of persons suffering from leprosy - - - - - - - /-1 -36 Treat itallbo of drug addicts - - - - - - - . - I I -37

~~~oower TK:llI omen - - - - n - - I 1- -

38 QR \~.\ - - - f) - II ,--- - - I 11- -39 p/< « we. 1!lbdto the DOorneedy and destitute - ~- ~ - - 1- - 1/ ('7 - - 1/11 -J. \

40 R . of ilns of natural calamities 13,922,309 - 8,637,528 .JY....Ot"'X;'" }(Y~8,862 - ~a.< 10Ft ./ '11}739,296 - 10, - List attached41 H& t ril her disturbances - - - f/•.•..fb c - ',-c;» - - I - ~ - - .. - .- .--<" 10-

42 Di . l!!"b.fborewel - - ":) Nc'.~Dc 1111) ~ t- - I~~~T:;:{ Ir - - -43 Sanit 0 unitv toilets etc. - - - ~l* l 1'100 \} ) - -- - - - .-cT:.1

44 Vocationa - ailorine. motor reoairs computers etc. - - - ,<.., - J IlJ - -"'I~I~I • ClI' ••••Cl VIII~L - . c: .-~'Ye ~ O\\'~/I L-.I_I_ A __ '_-lI_ t IUICl

~

Page 3: FORMFC-6 - HelpAge India

Note:

I. A sum ofRs 1,443,405 from opening balance ofSL No. 42 [Digging of bore wells] has been transferred to opening balance ofSL No. 33. [Supply of free medicine, and medical aid, including hearing aids, visual aids, family planning aids etc.] based on approval obtained fromdonor to change the restricted cause for which the donation was received.

2. During the year utilisation ofRs 1,180,929 for Awareness about Acquired Immune Deficiency Syndrome (AIDS)! Treatment and rehabilitation of persons affected by AIDS [S.L NO 48] has been funded from Other Activities - General donation [S.L No. 56].

0,0~(; . ~Geet~hUr ~~ian

Chief Financial omcer ~';;'E;~~utI~~-OfficerHeipAge India HelpAge India

S. Previous Balance Receiot Durinz the Year Utili sed BalanceNo_ Purpose In Cash In Kind As 1st As 2nd!Subsequent

(Value) Recei rient Recei ient Places withIn Cash In Kind In Cash In Kind In Cash In Kjnd In Cash In Kind addresses of

(Value) (Value) (Value) (Value) snecific activities1 2 3 4 5 6 7 8 9 10 11 12 1.3 14

(5+6+7+8)

45 Awareness Camo!Seminar! Workshoo/Meetinz/ Conference 2,148,374 - 1,860,011 - - 1,860,011 2,339,367 - 1,669,018 List attached46 Providina free leaal aid! Running legal aid centre - - - - - - - - - -47 Holding sports meet - - - - - - - - -48 Awareness about Acquired Immune Deficiency Syndrome

(AIDS)! Treatment and rehabilitation of persons affected byAIDS - - 1,245,224 - 1,245,224 1,245,224 - List attached

49 Welfare of the physically and mentally challenged - - - -50 Welfare of the Scheduled Castes - - - - - -51 Welfare of the Scheduled Tribes - - - - -52 Welfare of the Other Backward Classes - - - - - - -53 Environmental programs - - - - - -54 Survey for socio-economic and other welfare programs - - - - - - - -55 Establishment exoenses -

i) Asset building(a) Establishment of

Comus fund and - - - - - -(b) Purchase ofland - - - - -

ii) Construction!ExtensionlMaintenance

,

of office administrativeand other buildings - - - - -

(iii) Payment of salaries!honorarium - - - - - -

iv) Publication ofnewsletterlliterature!books etc. - - - - - - - -

v) Other exoenses - - - - - -56 Activities other than those mentioned above

a) Interest 11,539,721 4,878,933 - 4,878,933 2,402,801 14,015,853 List attachedb) Reimbursement of exoenses - - - - - - - -c ) Foreicn Exchanae 219,931 - - - - 219,931d) Other Activities - General 4,088,057 - 3,359,655 1,604,556 - - 4,964,211 7,444,712 1,604,556 3,000 List attached

Fixed Assets - 101,061,097 - - - - 28,354,241 - 72,706,856

TOTAL: 45,647,519 101,061,097 107,697,676 1,604,556 5,300,289 - 114,602,521 113,732,645 29,958,797 44,912,839 72,706,856

Page 4: FORMFC-6 - HelpAge India

Helpage IndiaPlaces with addresses of specific activities

Attachment to point 3 of form FC-6

Address Amount Rs. Purpose PurposeMaheshwari Bhawan, High School Road Karjain Bazar Supaul, Supaul, Bihar, PIN:852131 1,015,058 Micro-finance projects, including setting up banking co-operatives and self-help 10

groups1,015,058

Tamaraikulam Elders Village Periyakankankuppam(Opp.RK ITI) Cuddalore-607002 19,299 Construction and Management of old age home 27Village Roungla, Patiala, Patiala, Punjab, PIN:147001 474,831 Construction and Management of old age home 27

494,130Abhaya Ashraya,Konaje,PO Assaigoli,Mangalore, DK Distt.,Karnataka - 574199 619,047 Welfare of the aged/ widows 28Adivasi Sewashram Trust,402-lshan Apartment,13/2, Snehlataganj, Indore, madhya ,Pradesh- 452003. 50,894 Welfare of the aged/ widows 28All India Children Care and Education ,Development Society,Railway Station,Azamgarh 276 001,Uttar Pradesh 855 Welfare of the aged/ widows 28

Anbalayam Day Care Centre YWCA, 1086, Poonamallee High Road Chennai 600084 Tamil Nadu 67,500 Welfare of the aged/ widows 28Banabasi Seva Samiti Balliguda Kandhamal 762103 Orissa 92,613 Welfare of the aged/ widows 28Bandra East Community Centre (BECC)341/A Siddharth Colony Bandra East Mumbai 400051 Maharashtra 42,368 Welfare of the aged/ widows 28Bani Mandir Khordanahala Sadhurhat South 24 Parganas West Bengal-743504 242,988 Welfare of the aged/ widows 28Bethany Colony Leprosy Association,lst Ward Bapatla,Guntur 522 101,Andhra Pradesh 140,842 Welfare of the aged/ widows 28Bharat Sevashram Sangha Barajuri via Ghatsila East Singhbum 832 303 Jharkhand 156,338 Welfare of the aged/ widows 28Bhartiya Jan Uthan Parishad,Quamruddinganj Biharshariff,Nalanda 803 101,Bihar 166,984 Welfare of the aged/ widows 28Bihar Gramin Vikas Parishad,sahebpur Kamal,Begusarai 851 217,Bihar 165,613 Welfare of the aged/ widows 28Blind People's Association,Dr Vikram Sarabhai,132 Ring Road, Jagdish Chowk, Surdas Marg,Vastrapur, Ahmedabad 380 81,000 Welfare of the aged/ widows 28015,GujaratC-14, Qutab Institutional Area, New Delhi, Delhi, Delhi, PIN:110016 41,239,397 Welfare of the aged/ widows 28Calcutta Metropolitan Institute of Gerontology, E/l, Sopan Kutir 53B,Dr S C Banerjee Road Kolkata-700010 76,247 Welfare of the aged/ widows 28Catholic Diocese of Belgaum,Belgaum Dio. Social Service Society Bishop House, BC-69, Camp, Belgaum, 590 001, Karnataka 419,227 Welfare of the aged/ widows 28

Cheru Resmi Centre,Valiathura,Trivandrum 695008 Kerala 100,597 Welfare of the aged/ widows 28Chetanalaya Divya Deepti Sadan 9-10 Bhai Vir Singh Marg New Delhi 110001 19,334 Welfare of the aged/ widows 28Child and Social Welfare Society Markandachak Bishnupur Bazar Midnapore West Bengal721144 297,310 Welfare of the aged/ widows 28CSI Mercy Home Madurai Ramnad ,CSICompound,Aruppukottai,PIN-626 lOl,Tamii Nadu 326,607 Welfare of the aged/ widows 28CSITirunelveli Diocese,c.S.1. Diocese,St.Thomas Road, Palayamkottai,Tirunelveli-627 002,Tamil Nadu 207,863 Welfare of the aged/ widows 28Daudnagar Organisation for Rural Development 2nd Floor, Chitkohra House, Dr Ashraf Lane,S.P. Verma Road Patna-800 165,685 Welfare of the aged/ widows 28001 BiharDayanand Sevashram Sangh,Village-Barbatpur,Block-Shahpur,District- Betul,Madhya Pradesh-460440 140,000 Welfare of the aged/ widows 28Don Bosco Beatitudes,49 Sundaram Street,Vyasarpadi,Chennai 600 039,Tamil Nadu 203,705 Welfare of the aged/ widows 28Ernakulam Social Service Society Providence Road, Ernakulam Kochi 682 018 38,921 Welfare of the aged/ widows 28Girijana Seema Welfare Association Chintoor Post, Chintoor Mandai Khammam Distt. Andhra Pradesh - 507126 181,187 Welfare of the aged/ widows --- 28

/(o.e IIJ~Grama Suyaraj 666, 6th Cross Shanmuga Nagar, Uyyakondan Thirumalai, 70,504 Welfare of the aged/ widows fI>-~'rr ....,e>' ~ 28Gyanyog Charitable Trust,Bilgram Road,Hardoi 241 001,Uttar Pradesh -- 99,455 Welfare of the aged/ widows 4 ::t:'( "",'tJ DCI" ) ~ ~ // 28HelpAge India - BhubaneshwarP,lot No. N3/120, IRCVillage, Nayapalli, Bhubaneswar- 751 015 <s\~GHi"> 28,746 Welfare of the aged/ widows ,-« l \\0 u i:h / 1/ ~ \ 28HelpAge India - Chennai, 3-C, Thiagaraja Complex, 853, Poonamallee High Road, Kilpauk, Chennai - 6.0'~o)d' ,,~'p\ 16,800 Welfare of the aged/ widows . ~ Akvv<\'<J J.fir (/I f/ J ...•..faHelpAge India, "NEELESHWARI", Plot No. 647-A, Sarwadharam, C-Sector, Kolar Road, Bhopal-46204~ ~. CHAR(!'t~U I~ 826 Welfare of the aged/ widows ~'X:> 'l.d .x ~~~ ~').sHelpage India, 180, Indira Nagar,Dehradun-248006 Uttrakhand I~ 11.ll\(1~1~1;) » 74,169 Welfare of the aged/ widows T V".......-;-;--. ~'-' . .•••O\'W~8Helpage India, 4th Floor, AGC Bose Road, Kolkata-700014 WB \U~\ /f};, 128,662 Welfareoftheaged/widowGeeta ~IC:HIIUI ___ ~\ •.••••.••AC'll'\.\ :.~ ~HelpAge India, C-14, Qutab Institutional Area, New Delhi-110016 '\.*'- ./*/ 13,636,985 Welfare of the aged/ widQl'l$,i",f nnancial omcer r'!n\8' •••.•_ ••~HELPAGEINDIA, H.NO. 1294 Sector 44 B Chandigarh-160047 Punjab -.........:....:_VVU\:.~ 142,805 Welfare of the aged/ widows • & India - "'v·•.. 28

Page 5: FORMFC-6 - HelpAge India

Address Amount Rs. Purpose PurposeHELPAGEINDIA, H.NO. 42, ANANDA NAGAR, SIXMILE GUWAHATI - 781022, 55,227 Welfare of the aged/ widows 28HelpAge India, H/N.42, Anandanagar Sixmile, Guwahati-781022 2,400 Welfare of the aged/ widows 28Helpage India, House NO.212 First Floor,Road No2 Patliputra Colony Patna-800013 690 Welfare of the aged/ widows 28Helpage India, Plot No 3 Shiv Marg,Civillines Jaipur-302006 Rajasthan 68,905 Welfare of the aged/ widows 28Helpage India, Plot NO.3 Shiv Marg Behind Raj Bhawan,Civillines, Jaipur-302006 Rajasthan 181,000 Welfare of the aged/ widows 28Helpage India, Plot No647 A,Sarwadharam, C Sector Kolar Road, Bhopal-462042 MP 148,221 Welfa re of the aged/ widows 28HelpAge India, Vishokanand Ashram, ViII. &. P.O. Ganj, Distt. Bijnor, Uttar Pradesh-246401 58,500 Welfa re of the aged/ widows 28Helpage India,407,4th floor, Mistry Chamber, Khanpur,Ahmedabad, Gujrat pin-380001 199,340 Welfare of the aged/ widows 28HelpAge India,House No. 1294,Sector 44-B,Chandigarh (Punjab) PIN-160047 9,201 Welfare of the aged/ widows 28HelpAge India,Plot No.- 9, G-l Suraj Nagar (West),Yamuna Path,Civillines, Jaipur, Rajasthan,PIN-335513 205,800 Welfare of the aged/ widows 28Helpage Indian, House No 1342 Plot No21, House Board Colony,Porvorim,Bardez,Goa-403521 98,000 Welfare of the aged/ widows 28Helpage Indian, No13 Aurobindo Street Pondicherry-605001 80,679 Welfare of the aged/ widows 28Helpage Indian,Plot NoN3/120,IRC Village,Nayapalli, Bhubaneshwar-751015 Odissa 227,423 Welfare of the aged/ widows 28Holy Angels Convent Kamaraj Road Kumbakonam 612001 Tamil Nadu 347,547 Welfare of the aged/ widows 28Home for Aged and Handicapped,Untkhana,Medical College Road,Nagpur 440 009,Maharashtra 151,158 Welfare of the aged/ widows 28Home for the Aged (D.M. Convent),Pilankalai,Mekkamandapam PO,Kanyakumari 629 166,Tamil Nadu 565,684 Welfare of the aged/ widows 28House of Providence,Providence Road,Ernakulam,Cochin 18,Kerala 546,540 Welfare of the aged/ widows 28Human Action for Rural Development (HARD),D.No: 1-1-199/A/l,Opposite lane of Allahabad Bank ,Chikkadpalli, 178,386 Welfare of the aged/ widows 28Hyderabad 500 020,Andhra PradeshHuman Action for Rural Development ,D.No: 1-1-199/A/1,Opposite lane of Allahabad Bank 15,238 Welfare of the aged/ widows 28Kottayam Social Service Society Chaithanya Thellakom 686016 Kerala 55,745 Welfare of the aged/ widows 28Lohardaga Gram Swarajya Sansthan,Near Block Office, Main Office,Lohardaga - 835302, Jharkhand 215,694 Welfare of the aged/ widows 28Mahila Mandali,Station Road,Chirala 523 155,Prakasam District,Andhra Pradesh 78,629 Welfare of the aged/ widows 28Manav Kalyan 5eva Samiti,Karai,Tehsil Chopal,Shimla 171 211,Himachal Pradesh 581,283 Welfare of the aged/ widows 28Manav seva sansthan(SEVA) Vikas Nagar Colony P.O. Fertilizers, Bargadwa , Gorakhpur (U.P.) 273007 16,191 Welfare of the aged/ widows 28Manav Sewa Kendra C-33/45-C-27, Chhittupur Varanasi 221002 Uttar Pradesh 99,281 Welfare of the aged/ widows 28Manavlok,Dhapad Office,P 0 Box 23, Ring Road,Ambajogai, Beed 431517,Maharashtra 104,756 Welfare of the aged/ widows 28Mandra lions Club 5aradapalli Baghmundih Purulia 723 152 West Bengal 173,623 Welfare of the aged/ widows 28Mandra Unnayan Samsad Mandra Hooghly 712 301 West Bengal 178,213 Welfa re of the aged/ widows 28Nabarun 5eva Niketan,Pulsita,P S Kolaghat,Midnapore, 721154,West Bengal 178,213 Welfare of the aged/ widows 28Nava Jyothi Youth Club,N.Z.B. Road, Ramayampet, District Medak - 502101 221,878 Welfa re of the aged/ widows If '" 28Niranjana Old Age Home Atmaramasramam 10-10-21, Gowthami Nagar Kovvuru, W G Dist. 534 350 Andhra Pradesh 614,905 Welfare of the aged/ widows 0, J)CA 28l:...•..•.."rOCD Service Society St Francis Xavier Church Kothagudem, Khammam 507 101 Andhra Pradesh 64,358 Welfare of the aged/ widows ~oP.ta t""~":"dl"Ar 28People's Cultural Centre (PECUq House No VII-M-13 Sailashree Vihar Bhubaneswar 751 021 Orissa 167,200 Welfare of the aged/ widows ""':'.& c::tnaOO\a\ \01' 28Poona Blind Men's Association,82, Rasta Peth,Pune 411 013,Maharashtra 329,587 Welfare of the aged/ widows ~nl'" .. 1•.•.6..08 \OQiVo _ 28Priyadarshani Gramin & Adivasi Sevabhavi Sanstha Sangam Society At. Ghulewadi Taluka Sangamner District Ahmednagar 69,455 Welfare of the aged/ widows ' .- 28422605 Maharashtra ~Rabgayling Tibetan Family Welfare Association PO Gurupura 571188,Dist. Mysore,Karnataka 98,388 Welfare of the aged/ widows ,//;..~~ ":..).,'!O/.:~ 28Rajasthan Mahila Kalyan Mandal,"Viswamitra Ashram",Vill.: Chachiyaw 123,528 Welfare of the aged/ widows ,_Ib, _I\'~' /l 28Rashtriya Seva Samithi Annamaiah Marg, AIR Bypass Road Tirupati 517 501 Andhra Pradesh -- 228,278 Welfare of the aged/ widows , -(l'Ic,:",,()\\) ; /1/ 28/"',,1'" <, •Sandhi Niketan Shikshan Sanstha Wadgaon Taluka Mukhed District Nanded, 431 715 Maharashtra ~~/ --:..:1.~ 57,588 Welfare of the aged/ widows \ir\. ) r~ III/! 28SANDS Sunny Side Suviseshapuram Ittamozhi (Via) 627 652 Tamil Nadu I~t, ,,{ ,\ 212,020 Welfare of the aged/ widows ~.:'Y.o'-'''()\';// (I L ...• ~ 28Share and Care Children's Welfare Society 28, Arumugam Street Sembiam, Perambur Chennai 600011 ~L'nl TS ;) 62,542 Welfare of the aged/ widows - ~

~O 28~\ I=R~~'l,1hN 1'\I".At

Shramik Bharti,392, Vikas Nagar,Lakhanpur Kanpur 208 024 Uttar Pradesh \7"- / / 167,057 Welfare of the aged/ widows ............-tJt&.'\\ IV _,1\\'19 v 28Shrimati Narsabai Mahila Mandai At Post: Wadgaon Tal: Mukhed Dist Nanded 431719 Maharashtra Stat~ ,.y~\ y,'/ 42,368 Welfa re of the aged/ widows 1""'\9\ t:.""'~..•A \00\ '" 28--.-- - \-\

Page 6: FORMFC-6 - HelpAge India

Address

28Sir Syed Group of Schools (SSGS),Duva-71/1-C,Diamond Harbour Road,Kidderpore, Kolkata 700 023,West BengalPurposeAmount Rs.

167,128 Welfa re of the aged/ widows

580,907 Welfare of the aged/ widows102,961 Welfare of the aged/ widows

405,245 Welfare of the aged/ widows213,976 Welfare of the aged/ widows315,828 Welfare of the aged/ widows

97,277 Welfa re of the aged/ widows

181,115 Welfare of the aged/ widows336,737 Welfare of the aged/ widows

--424,317 Welfare of the aged/ widows103,765 Welfare of the aged/ widows455,635 Welfare of the aged/ widows688,054 Welfare of the aged/ widows227,263 Welfare of the aged/ widows

--76,152 Welfare of the aged/ widows

162,133 Welfare of the aged/ widows15,412 Welfare of the aged/ widows

144,571 Welfare of the aged/ widows278,403 Welfare of the aged/ widows165,685 Welfare of the aged/ widows

224,500 I Welfare of the aged/ widows

Sisters of the Destitute Anpakam Home for the Aged Munchirai, Puthukkadai KK District, 629 171 Tamil NaduSisters of the Destitute,Kongerpalayam,St Joseph's Dispensary,23 Kongerpalayam Road, Vaniputhur,T N Palayam, Gobi,Erode,Tamii Nadu-638457

Sneha lllam.c/o St Charles Convent,Thiruvaliuvar Nagar, Thanakkankulam PO Madurai 625 006 Tamil NaduSociety for Advancement of Village ,Economy ,Dhaman,P 0 Larji,Kuliu 175 122,Himachal PradeshSociety for Development & Environment Protection (DEEP)Sayawan, PO KuniharDistrict Solan H.P. 173207Society for Education in Values & Action (SEVA)291, Pushpak,Samarthnagar,Aurangabad 431001 Maharashtra

Purpose

2828

28282828

St Anthony's Health Centre Gollapudi Vijayawada Rural 521225 Andhra Pradesh

28St Antony's Home for the Aged Society of Sisters of Charity-Gerosa Nilayam, Kattur Kattur P OTrichy 1, 620 019,Tamil Nadu28

28

St Joseph's Home for the Aged & Destitute,Podanur P O,Coimbatore Dt, 641 023,Tamil NaduSt Joseph's Home for the Aged Porta Vaddo Siolim Bardez 403 517 GoaSt Joseph's Home Pullazhy,Olarikara,P 0 Pullazhy,Trichur 680 004,KeralaSt Joseph's Prashanth Nivas Jeppoo Mangalore 575 002 KarnatakaSt Vincent de Paul Society Anantapur Home for the Aged PO No 29, Bangalore Highway, Ananthapur 515001 AndhraPradesh

28

282828

28

The Association for Social Development Suhruth Sadan Chunangamvely Aluva 683 105 Kerala

~The Mercy Home,64, Halls Road, Kilpauk,Chennai - 600010Tirupati Mahila Gram Udyog Kendra C-2782 Raja Ji Puram Lucknow 17 Uttar Pradesh

Universal Service Organisation,At - B. Devadala, Post - Komotalapeta Rayagada Dist.Odisha-765001 /' (}'7' \Tollygunge Homes c/o East India Charitable Trust 51 Chowringhee Road Kolkata 700071 West Bengal .. \\ ,;-

Voluntary Association for Rural Reconstruction & Appropriate Technology At :Boulakani, PO Baradang Via: MohakalparaDist :Kendrapara 754 224 Orissa

- tlJ)~,..et10 •••

28

28282828

Women's Organisation for Managing Economic & Educational Needs (WOMEN) 12-1-604/A/l Syed Ali Guda Hyderabad500028 Andhra Pradesh

28(jt:)~-- ~~~\{\~t'\C \9-

,..n\e\' .."A \t'\d\Young Women's Christian Association (YWCA)lO, Sansard Marg New Delhi 110010 111,014 Welfare of the aged/ widows .••. \,,\ew"" 28

3272,200,871

Blind People's Association,Vikram Sarabhai Road, Vastrapur Ahmedabad-380015 Gujarat 32

Arogyavaram Eye Hospital & Contact Lens Clinic,Sompeta- 532284 Srikakulam Distt, Andhra Pradesh 320,000 Holding of free/medical/health/ family welfare/immunisation camps35,000 Holding of free/medical/health/ family welfare/immunisation camps

C-14, Qutab Institutional Area, New Delhi, Delhi, Delhi, PIN:110016Chaitanya Seva Trust C/o. Bhaktivedanta Hospital,Sector 1, Shrishti Complex Mira Road(E). Thane Dist-401107Maharashtra

88,000 Holding of free/medical/health/ family welfare/immunisation camps 3232

Helpage India,407,4th floor, Mistry Chamber, Khanpur,Ahmedabad, Gujrat pin-380001 I 1,812,000 I Holding of free/medical/health/ family welfare/immunisation camps I 32Helpage Indian, Plot NO.647-A Sarwadharma, C-Sector Kolar Road, Bhopal-462042 MP I 51,169 I Holding of free/medical/health/ family welfare/immunisation camps I 32Helpage Indian,l13, Royal Corner No 1 & 2 Lal Bagh Road Banglore-560027 Karnataka I 200,779 I Holding of free/medical/health/ family welfare/immunisation camps I 32Jyotipunj Eye Hospital & Charitable Trust, 2, 3 RIICOShoping Center Malviya Nagar, Jaipur Rajasthan-302017 I 960,000 I Holding of free/medical/health/ family welfare/immunisation camps I 32Little Flower Hospital And Research Centre, P.B. No.23, Angamally, Ernakulam, Kerala-683572 I 1,267,908 I Holding of free/medical/health/ family welfare/immunisation camps I 32Rotary Eye Institute,Smt. Lilaben Mohanlal Shah Eye Hospital, Dhuhia Talao, Navsari, Gujarat - 396 445 ~-........ I 720,000 I Holding of free/medical/health/ famUy \¥elfare/immunisation camps ~ 32Sankara Eye Hospital, No.1, Third Cross Street,Sri Sankara Nagar, Pammal,Chennai - 600 075, T.N. 7-.\ ~4'5J 88,000 I Holding of free/medical/health/ family(VJelfare/immunisation camp~,,~~~,,:.e~~ 32Shri Kanchi Kamakoti Medical Trust,153, West Ponnurangam Road, R.S. Puram, Coimbatore, Tamil Nad 720,000 Holding of free/medical/health/ fami

Tulsi Eye Hospital, Happy Home Colony,Near General Vaidya Nagar,Nasik Puna Road,Nasik -422011 ( 12,000 Holding of free/medical/health/ fam

Venu Charitable Society 1/31, Sheikh Sarai Institutional Area Ph.II New Delhi 110017 727,200 Holding of free/medical/he

808,000 Holding of free/medical/health/ family welfare/immunisation camps

Vivekananda Mission Asram P.O. :Chattanyapur (Haldia) Distt.: Purba Medinipur, W.B.721638 ~ I 88,000THolding offree/medica!1heal isation camps I 32

Page 7: FORMFC-6 - HelpAge India

Address Amount Rs. Purpose Purpose

7,898,056HELPAGEINDIA 113, ROYALCORNERNO.1 & 2 ,LAL BAGH ROAD, BANGALORE-560027 (KARNATAKA) 1,306,803 Supply of free medicine, and medical aid, including hearing aids, visual aids, 33

family planning aids etcHELPAGEINDIA NEAR BARMER CENTRALCO-OPRATIVEBANK,UDAANIYON KA VAAS. GUDAMALANI,BARMER (RAJ.) INDIA 3,399,051 Supply of free medicine, and medical aid, including hearing aids, visual aids, 33PIN-344031 family planning aids etcHelpage India, 3/129 Vikas Nagar,Lucknow-226022 UP 267,075 Supply of free medicine, and medical aid, including hearing aids, visual aids, 33

family planning aids etcHELPAGEINDIA, 4, PARAMHANSA DEB ROAD, CHETLA,KOLKATA- 700 027, WEST BENGAL 2,333 Supply of free medicine, and medical aid, including hearing aids, visual aids, 33

family planning aids etcHELPAGEINDIA, GF-5 MAHABOOBA COMPLEX, 9TH STREETMAHASAKTHI NAGAR, BHARATHI NAGAR, RAMANTHAPURAM- 164,480 Supply of free medicine, and medical aid, including hearing aids, visual aids, 33

623503 family planning aids etcHELPAGEINDIA,2-2-3/A/AS, PREMA SAI APTS., BESIDESATI, SHIVAM ROAD,DD COLONY, HYDERABAD-500007, ANDHRA 114,862 Supply of free medicine, and medical aid, including hearing aids, visual aids, 33

PRADESH family planning aids etcHELPAGEINDIA,34-A/44 GURUCHAYA,MANISH NAGAR,ANDHERI (W),MUMBAI-400053 278,873 Supply of free medicine, and medical aid, including hearing aids, visual aids, 33

family planning aids etcHELPAGEINDIA,A-WING. FLAT-9, PARISHRAM CO-OP HOUSING SOCIETY,NARENDRANAGAR, OPP HANUMAN 24,480 Supply of free medicine, and medical aid, including hearing aids, visual aids, 33MANDIR,NAGPUR-440 015, MAHARASHTRA, family planning aids etcHELPAGEINDIA,NO. 34-A/44, GURUCHHAYA MAN ISH NAGAR,P.O. AZAD NAGAR, ANDHERI (WEST), MUMBAI-400 053 1,168,747 Supply of free medicine, and medical aid, including hearing aids, visual aids, 33

family planning aids etcHELPAGEINDIA,PLOT NO. 0-21, KASTURBAHOUSING SOCIETY,OPP.DR. BELSAREHOSPITAL,VISHRANT-WADI, PUNE-411 114,380 Supply offree medicine, and medical aid, including hearing aids, visual'aids, 33

015 family planning aids etcVILLAGE HERIA ARARAM CHAK,PO: HERIA, DIST- PURBA MIDNAPORE, WEST BENGAL- 721430 112,047 Supply offree medicine, and medical aid, including hearing aids, visual aids, 33

family planning aids etc6,953,131

Balbhadrapur, Jhanjharpur Madhubani, Madhubani, Bihar, PIN:847227 Trichy-620 102. 3,136,646 Relief/Rehabilitation of victims of natural calamities 40Helpage India,TEV,Periya kankanankuppam,Subauppa lavadi Post Cudda lore-607002 233,095 Relief/Rehabilitation of victims of natural calamities 40

Maheshwari Bhawan, High School Road Karjain Bazar Supaul, Supaul, Bihar, PIN:852131 7,075,811 Relief/Rehabilitation of victims of natural calamities 40

Shey Village, Leh Jadakh, Jammu & Kashmir, PIN: 194104 1,293,744 Relief/Rehabilitation of victims of natural calamities 4011,739,296

C-14, Qutab Institutional Area, New Delhi, Delhi, Delhi, PIN:110016 1,321,661 Awareness Camp/Seminar/ Workshop/Meeting/ Conference 45

Helpage India,TEV,Periya kankanankuppam,Subauppa lavadi Post Cudda lore-607002 1,017,706 Awareness Camp/Seminar/ Workshop/Meeting/ Conference 452,339,367

H.NO.3-174, Kapavaram Road Korukondafvlvl]., Rajahmundry, Kurnool, Andhra Pradesh, PIN:533289 2,426,153 Awareness about Acquired Immune Deficiency Syndrome (AIDS)/ Treatment 48and rehabilitation of persons affected by AIDS

2,426,153

C-14, Qutab Institutional Area, New Delhi, Delhi, Delhi, PIN:110016 8,666,584 Activities other than those mentioned above 568,666,584

Grand Total 112,717,588

-- ~.~~Gaeta M~t1lUr I

Chief Financial OfficerHelpAge India _

Page 8: FORMFC-6 - HelpAge India

NAME AND ADDRESS OF THE

DESIGNATED BRANCH OF THE BANKAND ACCOUNT NUMBER (AS r.B~A~N~K~:S~T~A~N~D~A~RD~C~HA~R~T~E~R~ED~BA~N~K~--------------------------------------------------------------------~

SPECIFIED IN THE APPLICATION FOR 1- _REGISTRATION/PRIOR PERMISSION 0 BRANCH: SANSAD MARG

PERMITIED BY THE CENTRAL

GOVERNMENT)

4 A/C NO. 52510070171 (EARLIER: 0ISBI-23758707)

ADDRESS: 10, SANSAD MARG

NEW DELHI- 110001

DONORWISE RECEIPTS OF FOREIGN CONTRIBUTION

AMOUNT

(IN RUPEES)

S. NO. INSTITUTION/INDIVIOUAL! I NAME(S) AND

OTHER DONORS AODRESS(ES)

4

- DATE AND MONTH

OF RECEIPT

PURPOSE(S)

2 I 3

_.

FROM INSTITUTIONAL DONORS: IBOSCH LTD

POST BOX NO. 3000

HOSUR ROAD, ADUGODI

BANGALORE

INDIA

ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 20-Dec-12

5 612,000

BOSTON SCIENTIFIC INDIA PVT LTD

35,0008TH FLOOR, TOWER-A,

AWARENESS CAMP/SEMINAR/ WORKSHOP/MEETING/

CONFERENCE

AWARENESS CAMP/SEMINAR/ WORKSHOP/MEETING/

CONFERENCE

AWARENESS CAMP/SEMINAR/ WORKSHOP/MEETING/

CONFERENCE

BUILDING NO-5, DLF CYBER CITY

GURGAON

INDIA

8-0ct-12.8-0ct-12

8-Nov-12

35,000

31,000

1,779,692

CAIRN INDIA LTD. SUPPLY OF FREE MEDICINE, AND MEDICAL AID, INCLUDING

HEARING

SUPPLY OF FREE MEDICINE, AND MEDICAL AID, INCLUDING

HEARING

HOLDING OF FREE/MEDICAL/HEALTH/ FAMILY

WELFARE/IMMUNISATION

SUPPLY OF FREE MEDICINE, AND MEDICAL AID, INCLUDING

HEARING

3 & 4TH FLOOR, ORCHID PLAZA,

SECTOR-54, SUNCITY

GURGAON

INDIA

10-Dec-12

1-Feb-13

16-Apr-12

31-Mar-13

2,768,774

804,420

985,272

HEIDELBERG PROMINENT FLUID CONTROLS

INDIA PVT LTD

2/2, MES ROAD, YESHWANTHPUR

BANGALORE

INDIA

WELFARE OF THE AGED/ WIDOWS 100,0007-Jan-13

INDUSIND BANK LTD

CYBER CITY, DLF-II

BLDG NO.10, TOWER-B

GURGAON

INDIA

ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 58,80012-Feb-13

NESTLE INDIA

M-5A, CONNAUGHT CIRCUS,

NEW DELHI

INDIA

ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 12,00027-Sep-12

AGE UK AWARENESS ABOUT ACQUIRED IMMUNE DEFICIENCY

SYNDROME (AIDS)/

1,245,224

207-221

PENTONVILLE ROAD

LONDON

UNITED KINGDOM

29-Nov-12

CHARITIES AID FOUNDATION

84,100A- 85, FIRST FLOOR,

SUPPLY OF FREE MEDICINE, AND MEDICAL AID, INCLUDING

HEARING

SUPPLY OF FREE MEDICINE, AND MEDICAL AID, INCLUDING

HEARING

SUPPLY OF FREE MEDICINE, AND MEDICAL AID, INCLUDING

HEARING

SUPPLY OF FREE MEDICINE, AND MEDICAL AID, INCLUDING

HEARING

SUPPLY OF FREE MEDICINE, AND MEDICAL AID, INCLUDING

HEARING

SUPPLY OF FREE MEDICINE, AND MEDICAL AID, INCLUDING

HEARING

ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE

ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE

ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE

EAST OF KAILASH

NEW DELHI

INDIA

8-0ct-12

25-Jul-12

26-Jun-12

30-Apr-12

8-Jan-13

8-Mar-13

2-May-12

28-Nov-12

5-Mar-13

245,800

86,300

549,700

1,000

266,075

76,602

30,619

12,600

1800 DIAGONAL ROAD STE 150 23,687

CHARITIES AID FOUNDATION AMERICA SUPPLY OF FREE MEDICINE, AND MEDICAL AID, INCLUDING

HEARING

SUPPLY OF FREE MEDICINE, AND MEDICAL AID, INCLUDING

HEARING

ALEXANDRIA

UNITED STATES

30-Aug-12

22-May-12

25,091

CORDAID RELIEF/REHABILITATION OF VICTIMS OF NATURAL CALAMITIES

1,166,062

RELIEF/REHABILITATION OF ~CTI~S OF NATURAL CALAMITIES 1,755,304

RELIEF/REHAB~TI~?S OF N-'!TURAL CALAMITIES ew Che n ,500

~eeta Mathur Chief Exec\ItlV8 OffIcerChief Fmanclel Officer Hel Age India

HelpAge India P

2512 CB

LUTHERSE BURGWAL 10 ~

~9~,,1]0/.THE HAGUE q;.'< rr "',~

tx: (' ocll") .••.\,\c\N )NETHERLANDS it ~ "OO'''} Cb

\. ..J. ()~I...,-,,-,.J ,\'ead 0~

RELIEF/REHABILITATION OF VICTIMS OF NATURAL CALAMITIES

-

2-Jul-12

pr-12

427,524

Page 9: FORMFC-6 - HelpAge India

S.NO. INSTITUTION/INOIVIOUAL! NAME(S) AND PURPOSE(S) DATE AND MONTH AMOUNT

OTHER DONORS ADDRESS(ES) OF RECEIPT (IN RUPEES)

1 2 3 4 5 6

EMBASSY OF JAPAN CONSTRUCTION AND MANAGEMENT OF OLD AGE HOME 31-Mar-13 104,071

PLOT NO.4&5,

50-G SHANTIPATH, CHANAKYAPURI

NEW DELHI -GIZ MICRO-FINANCE PROJECTS, INCLUDING SETTING UP BANKING 29-0ct-12 680,000

AMTSGERICH FRANKFURT CO-OPERATIVES AND SELF-HELP GROUPS 30-Nov-12 340,000

AM MAIN EINTRAGUNGS, NR. HRB

FRANKFURT

GERMANY

GOLDMAN SACHS SERVICES PVT LTD HOLDING OF FREE/MEDICAL/HEALTH/ FAMILY 21-May-12 35,000

WELFARE/IMMUNISATION

CRYSTAL DOWNS EMBASSY PARK

BANGALORE

UNITED STATES

HDFC LTD. AWARENESS CAMP/SEMINAR/ WORKSHOP/MEETING/ 25-May-12 750,000

CONFERENCE

H T PAREKH MARG, 169,.

BACKBAY RECLAMATION, CHURCHGATE

MUMBAI

INDIA

HELPAGE CANADA HOlDING OF FREE/MEDICAL/HEALTH/ FAMILY 29-0ct-12 180,000

WELFARE/IMMUNISATION

1300 CARLING AVENUE,

SUITE 205, ON

OTTAWA

CANADA,HELPAGE INDIA ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 31-Mar-13 4,878,933

C-14, QUTAB INSTITUTIONAL AREA, NEW DELHI

INDIA

I HELPAGE INTERNATIONAL SUPPLY OF FREE MEDICINE, AND MEDICAL AID, INCLUDING 1-Jun-12 1,848,750

HEARING

PO BOX 32832 AWARENESS CAMP/SEMINAR/ WORKSHOP/MEETING/ 30-Jul-12 998,670

! CONFERENCE

LONDON WELFARE OF THE AGED/ WIDOWS 30-Apr-12 42,090,398

I UNITED KINGDOM WELFARE OF THE AGED/ WIDOWS 14-Feb-13 33,218,754

HOLDING OF FREE/MEDICAl/HEALTH/ FAMILY 7-Nov-12 4,346,196

WELFARE/IMMUNISATIONI ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 19-Nov-12 1,700,237

IBM INDIA PVT. LTD. ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 21-Aug-12 150,000

DLF SILOKHERA, NATIONAL HIGHWAY 8,

SECTOR - 30,

GURGAON

INDIA

MCLEOD RUSSELINDIA LIMITED ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 4-Dec-12 15,000

4, MANGOE LANE SURENDRA

MOHAN GHOSH SARAN I

KOLKATA

INDIA

SERCO GLOBAL SERVICES ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 4-0ct-12 20,000

PLOT NO. 408,

UDYOG VIHAR PHASE - III,

GURGAON

INDIA

SETH MADANLALL PALRIWALA FOUNDATION HOLDING OF FREE/MEDICAl/HEALTH/ FAMILY 21-Jun-12 10,000

WELFARE/IMMUNISATION

C-245 DEFENCE COLONY HOLDING OF FREE/MEDICAL/HEALTH/ FAMILY 26-Sep-12 1,112

WELFARE/IMMUNISATION

NEW DELHI

INDIA

SETH MADANLALL PALRIWALA FOUNDATION WELFARE OF THE AGED/ WIDOWS 8-May-12 165,000

C-245 DEFENCE COLONY WELFARE OF THE AGED/ WIDOWS 28-Mar-13 211,200

NEW DELHI HOLDING OF FREE/MEDICAl/HEALTH/ FAMILY 8-May-12 880,000

WELFARE/IMMUNISATION

INDIA HOLDING OF FREE/MEDICAL/HEALTH/ FAMILY 28-Mar-13 1,056,000

WELFARE/IMMUNISATION

UNITED WAY OF MUMBAI ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 8-Mar-13 291,067

309, NIRMAN KENDRA,

FAMOUS STOUDIO LANE, DR. E. MOSES

ROAD,

MAHAlAXMI ESTATE,

MUMBAI

WORLD BANK ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 27-Jul-12 54,691

y,. S\'NGH <s 70 LODHI STATE ()~;::; -1U'U' NEW DELHI

~ r~CHEED~ INDIA

IS Ace ' NTS); Isssnrss '"'''''"''' ~ ~g ~"""" '"" ':~""~~"

~a_~0. FR -4316N r;: B 7 EXTENSION, 16 A, 1ST FLOO ~e"rr-~ ,~) ~ & . ~ alia"-"7 V:J SAFDARJUNG ENCLAVE IN -\'t atnU e'l'J ~n \\\Oe* * NEW DELHI ~ *[ ow () 1111) ~ Geeta ur a 0\J \'1e 0I\IE~\..~\ ~ <. 1100 G ) *

~.:~L'-'-v,",jo,/) ChieI_ F.tn~ncl~1?~Icer C~\e\.~~=~Qe\t\d\&~~

Page 10: FORMFC-6 - HelpAge India

S. NO. INSTITUTION/INDIVIDUAL/ NAME(S) AND PURPOSE(S) DATE AND MONTH AMOUNT

OTHER DONORS ADDRESS(ES) OF RECEIPT (IN RUPEES)

1 2 3 4 5 6

INDIA

INDIAN SCHOOLAL WADI AL KABIR ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 11-Feb-13 51,424

AL WADI AL KABIR, SULTANATE OF OMAN ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 21-Jan-13 87,902-

OMAN

GOOGLE INC. ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 21-Mar-13 1,604,556. 1600 AMPHITHEATRE PARKWAY [Received in kind)

MOUNTAIN VIEW, CA 94043-1351

UNITED STATES

TOTAL (I) 113,834,107

2 FROM INDIVIDUAL DONOR(S),

ABOVE RUPEES ONE LAC:

TOTAL (II)

3 FROM INDIVIDUAL DONOR(S), ABHISHEK JOSHI ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 29-Jan-13 2,780

BELOW RUPEES ONE LAC: 112, VIBHUSHA BUNGLOWS, ..,NR- HOMEOPATHY COLLEGE,

BOPAL-GHUMA ROAD, AHMEDABAD

I INDIA

ADELE SANTOLO ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 5-Dec-12 1,290

I4500, ALHAM BRA, DR,

APT, 374, DAVIS

CALIFORNIA

I UNITED STATES

AKHIL CHOPRA ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 9-Nov-12 1,500

I NOT AVAILABLE

VICTORIA

AUSTRALIAI ALKAAMIN ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 9-Nov-12 8,673

7 ENTON PLACE HOUNSLOW TW3PE ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 30-Nov-12 4,364

I LONDON

UNITED KINGDOM

~AMAR SINGHAL ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Sep-12 2,000

7330, GALLAGHER DRIVE APT

148 EDINA

I MINNESOTA

UNITED STATES

IAM EYA KASHALKAR ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Sep-12 1,394

UNITED STATES

AMIT KUMAR JAGGI ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Sep-12 5,467

I 60, SWEET OAK COURT,

BRAMPTON, CANADA, L6Y3S3

I ONTARIO

CANADA

AMITLAUD ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 31-Mar-13 5,000I 14/696 PLENTY ROAD

RESERVIOR VIC

I VICTORIA

NEW ZEALAND

ANGELICA WELSH ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 5-Dec-12 1,548I

2108, SANDER STREET,

WOODLAND

CALIFORNIA

UNITED STATES

ANIL TEJWANI ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 31-Mar-13 5,000I

NOT AVAILABLE

NEW DELHI, UNITED KINGDOM

ANM 792, ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 17-0ct-12 3,000

INOT AVAILABLE

AFGHANISTAN

ANM 833 ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Sep-12 500

CANADA

ANM 840. ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 9-Nov-12 16,127

NOT AVAILABLE

UNITED STATES

ANM 863 ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 30-Nov-12 1,094

NOT AVAILABLE

UNITED STATES

ANM 923 ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 29-Jan-13 500

UNITED STATES

ANM 924 ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 29-Jan-13 500

UNITED STATES-. ANM-803 ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Feb-13 148

S\~GH « UNITED STATES ~~0 -1<5' ANM-804 ~ ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-F~-l/3 2,502~ (.P.

ANM-812 6, p-..ge /I)~ tJlEN,!IONED ABOVE~CHED 0ACTIVITIES OTHER THAN THOSE Y!i~, 1,063

I~ACCO NTS ~ NOT AVAILABLE 0'~rr~",~~ HOLDING OF ~MEDICAL/H LTH/ FAMILY 14- 1 425

0- FR ~316N if} ~ :x:[ NeWDeIhl) *l ' WELFARE/1M NIS~~ ~: 1-~5CANADA '" n16) • ACTIVITIES 0 H H liON ED ABOVE 14- r-1

"* * ~ ~\"~>J ••l~v0J ~AAt~ "" '::~.: Ot\\CetI\ICW DE.\.~ !\A!=I th I I r~~

HelpAge India .-. ~e\p~g' ---

Page 11: FORMFC-6 - HelpAge India

S.NO. INSTITUTION/INDIVIDUAL! NAME(S) AND PURPOSE(S) DATE AND MONTH AMOUNT

OTHER DONORS ADDRESS(ES) OF RECEIPT (IN RUPEES)

1 2 3 4 5 6

ANM-834 HOLDING OF FREE/MEDICAL/HEALTH/ FAMILY 26-Sep-12 1,200

WELFARE/IMMUNISATION CAMPS

UNITED KINGDOM ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Sep-12 300

ANM-835 - ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Sep-12 55

UNITED STATES

ANM-853 ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 18-Jan-13 2,000

UNITED STATES

ANONYMOUS ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 24-May-12 500

NOT AVAILABLE

NEW YORK

UNITED STATES

ANONYMOUS ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 18-May-12 500

NOT AVAILABLE

CANADA

ANTONIO ENCARNACAO ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Jun-12 277

85, MAIN ST PORT .WASHINGTON

UNITED STATES

ARAVIND MONDERTY ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 9-Nov-12 1,000

F-3, SRI SATYA SURYA ENe. 80-26-19

PILLIVARI ST

RAJAHMUNDRY

UNITED KINGDOM

ARNAB DE ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 5-Jan-13 10,000

#08-03 SOMMERVILLE PARK,

75 FARRE DRIVE

SINGAPORE

SINGAPORE

ARTHUR W . PRESTON ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 6-Mar-13 4,088

81,CLIFFE END ROAD

LONGWOOD, HUDDERSFIELD

HUDDERSFIELD

UNITED KINGDOMI ARUN KUMAR RANGASAMY ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 18-May-12 2,500

503,5TH FLOOR

DAR AL SHIFAA PHARMACY BUILDING

ABU DHABI

SAU DI ARABIA

ARVIND S. KUMATHE ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 5-Dec-12 1,290

8269, GYPSY STAR WAY,

SACRAMENTO

CALIFORNIA

UNITED STATES

AVANISH GIRl ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Sep-12 278

1880 COWELL BOULEVARD

DAVIS

CALIFORNIA

UNITED STATES

BARBARA L. P OHLENDORF ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 5-Dec-12 2,580

218, HUERTA

Pl. 756 -5420, DAVIS

CALIFORNIA

UNITED STATES

BARBARA RENZI ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 5-Dec-12 1,290

9033 ROSEWOOD DR,

SACRAMENTO,

CALIFORNIA

UNITED STATES

BEATRIX DUTTA ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Sep-12 6,000

P-109,

CHITTARANJAN PARK

NEW DELHI

INDIA

BIJENDRA PARUI ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 11-Jul-12 1,386

655 SOUTH FAIR OAKS AVENUE

APT NO-K- 306 SUNNYWALE

CALIFORNIA

UNITED STATES

BRADLEY J. FLAMM ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 5-Dec-12 1,806

45 W GRAVERS LN.,

PHILADELPHIA

PITTSBURGH

UNITED STATES

BRIAN K SCHROTH ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 30-Nov-12 1,290-~~N~GHri

1727, COLORADO LN

DAVIS,-, -10'CALIFORNIA 0r j)~ V' .--.

(~CHA~ED ~ UNITED STATES .#.:" ("\P. I J~ 11 II, •..~ ACCO NTS :;; "'0'" M."W" r;>~-: rrr "'~, xcnvmss m",~oV"""o"OA'O" ~OV-12 ~,2900. FRN-4316N iii 2773, TORONIA WAY :t ( DC\\'~) t: V ~

~.O-;7 0)SACRAMENTO ~ f l'\c'IJ o~() 5 Geeta atl'1Ur ~ Ch~(\a

* *1'EWDE.\..~ CALIFORNIA .•• l ~~o J QJ ' e'N .. 011\08r~ ~ •..•,-,v ..-<~~~Chief Fmanclal Officer ..,..,.,••cu\\'l~~© \-\

Page 12: FORMFC-6 - HelpAge India

S.NO. INSTITUTION/INDIVIDUAL/ NAME(S) AND PURPOSE(S) DATE AND MONTH AMOUNT

OTHER DONORS ADDRESS(ES) OF RECEIPT (IN RUPEES)

1 2 3 4 5 6

UNITED STATES

CATHY COLEMAN ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 11-Jul-12 558

NOT AVAIlABLE

CALIFORNIA -UNITED STATES

CHANDRA MOHAN MEENA MOHAN ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 31-Mar-13 15,921

15517 SONORA ST

TUSTIN

CALIFORNIA

UNITED STATES

CHANDRAKANT K RAO ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 5-Dec-12 2,632

4685, HIXON CIR

CARMICHAEL,

CALIFORNIA

UNITED STATES

CITY BANK AWARENESS CAMP/SEMINAR/ WORKSHOP/MEETING/ 7-N.ov-12 10,341

CONFERENCE

NOT AVAIlABLE

NEW JERSEY

UNITED STATES

DAVID HAAG ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 9-Nov-12 1,053

159 PINE AVE EAST MEDAL

NEW YORK

UNITED STATES

DENNIS POINIER ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 18-May-12 500

457 FRONT

ONTARIO

CANADA

DEVANG DESAI HOLDING OF FREE/MEDICAL/HEALTH/ FAMILY 26-Sep-12 8,640

WELFARE/IMMUNISATION CAMPS

26, SIMEI STREET 1, #03-02, ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Sep-12 2,160

MELVILLE PARK - S

SINGAPOREI SINGAPORE

DEVASIS GHOSE ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 28-Mar-13 5,000

NOT AVAIlABLE

NEW YORK

UNITED STATES

DINESH VASANJIBHAI MISTRY ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 18-Jan-13 7,000

20 A 24, TAKSHllA

OFF MAHAKALI CAVES ROAD, ANDHERI EAST,

MUMBAI

INDIA

E. R. BYRON ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 5-Dec-12 2,580, 1516 NINTH ST.

SACRAMENTO

CALIFORNIA

UNITED STATES

ELIZABETH COURTNEY ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 5-Dec-12 1,290

4336, SU RITA ST,

SACRAMENTO,

CALIFORNIA

UNITED STATES

EVELYN CAROLINA RODRIGUEZ ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 17-Aug-12 16,662

33060, PROCCTER AND GAMBLE GULF

BUILDING GET-7,

JUNCTIN 12, JEBEL All FREE ZONE AREA P.O.

BOX-33060

DUBAI

UNITED ARAB EMIRATES

FARlA KAUFMAN ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 17-Aug-12 3,006

2724, 18TH ST. SACRAMENTO

CALIFORNIA

UNITED STATES

G. N. GANDHI ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 5-Dec-12 2,632

751, MORRIS WAY

SACRAMENTO

CALIFORNIA

UNITED STATES

GARY KERNICK ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 3-Dec-12 5,161

3755 VIRGUSELL ClR,

CARMICHAEL

CALIFORNIA-'<- S\NGH cfUNITED STATES

.;: -10' GAURANG DESAI MD ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 1(;~' 2,632

~CH~RED tG 354, ClAYDON WAY .-

{9, l/vGSACRAMENTO ~~e (I)IY.'I~ACC TANTS§;I CALIFORNIA q;.~rr~"""-:<$> .~<!J.. FRN-4316N ;:;: UNITED STATES r::rf \,,\(\\\11).., , /--

'7 0GOLDMAN SACH~ (\\00\0) 'J :~~~UCf./tIiE~LlH~r~THf FAMILY ~ ~ne\'~\~* * -jlcl )Q)tltfW DE.\.~\ ~ ;;':"'-'V.J~\\~"iJ ~hlef F!nan~IJlIrnH/_ •• t-J\a\';.~~~\i\\"e?~-

~ a \-\e'l>

Page 13: FORMFC-6 - HelpAge India

S.NO. INSTITUTION/INDIVIDUAL/ NAME(S) AND PURPOSE(S) DATE AND MONTH AMOUNT

OTHER DONORS ADDRESS(ES) OF RECEIPT (IN RUPEES)

1 2 3 4 5 6

POBOX NO-3527, ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 12-Apr-12 752

PRINCETON

NEW JERSEY

UNITED STATES -GURPREET OBEROI ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 17-0ct-12 2,217

204 E, 60TH ST

NEW YORK

UNITED STATES

HERR N. ANTHONY ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 9-Nov-12 14,190

NOT AVAILABLE

SWIT2ERLAND

HOAVU ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 31-Mar-13 1,631

450 E OKEEFE ST, APT-27

PALO ALTO

CALIFORNIA

UNITED STATES

INDRAJEET SHEDGE ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 30-Nov-12 806

10 SAMATA SOCIETY, 1ST FLOOR, ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 22-Mar-13 540

ASHOK NAGAR, BHOSALE NAGAR,

SHIVAJINAGAR,

PUNE

UNITED STATES

JANKEE KHAMBHAUTA ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 5-Jan-13 5,233

28 HARTE ROAD

HOUNSLOW, MIDDLESEX TWN 4LD

LONDAON

UNITED KINGDOM

JASPREET SINGH ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 17-Aug-12 552

1 RIVER COURT, APT.610,

NEW JERSEY

UNITED STATES

JENNIFER MCKEE ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 18-May-12 500

18350 NAPA ST NO-4I NEW YORK

UNITED STATES

JENO GARRY ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Sep-12- 558

4 EARL ROWE CRT, RR 3,

ALLISTON, ON, L9R 1V3

ONTARIO

CANADA

KATHLEENJ.COVENTRY ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 5-Dec-12 1,290

12RAINBOWS END

HILLSBORO,

NEW HAMPSHIRE

UNITED STATES

KIAT CHEOK 001 ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 18-May-12 4,000

ROOM NO-315

BAPUJIINTERNATIONAL HOSTEL

MCC BL BLOCK, KUALA LUMPUR

MALAYSIA

KIRAN R. LONG-lYE ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 5-Dec-12 44,072

1216, GENESEE CT

CARMICHAWEL

CALIFORNIA

UNITED STATES

KISHOR BHAI MAGANBHAI PATEL ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 9-Nov-12 100

NOT AVAILABLE

SWIT2ERLAND

KUHN DRAINER ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 21-Aug-12 11,084

HINTERDER EICH STR-25

SCHALLABACH

GERMANY

KULDEEP KSHIRSAGAR ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 31-Mar-13 9,959

C-108 RUTURANG APPT

NEAR PARANJPE SCHOOL. KOTHRUD

PUNE

INDIA

LAUREL A. KARREN ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 30-Nov-12 2,580

339, UNIVERSITY AVE.,

DAVIS,

CALIFORNIA

UNITED STATES

LUV MITTAL ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 17-Aug-12 14,370

AVENUE DE MAl 134_.'-0s\NGH cf

BRUSSELS

BELGIUM r.;; "1J'Ul

MADHAVI LATHA PADAKA

xcnvmrs 0,""'"" ;;JJ'O"' °,"0" (!i-n ~ 5,000~CH=ED Cf, 105 VARS FERN DALE A I~ e 1,,0'-I~ACCO NTS);:) KODIHALLI HAL II ST t-~rr~,"" ~, ,~

" (, .iafhllr -.••l.cII-ft"~ FRN-4316N ;;: BANGALORE ~ ::r: ( NeW DeIhl) * ..•..•.~. Lrl

\"Q~ti\Cef--;7 0)INDIA ( "n O~() ) ",a* *4'EWDc\...0- MADHU RAJU ~. '- ) fJ ACTIVI\:!E? q:niEt THAN ~H~Stmrc!i~ED ABOVE ~~,,~~~' ~d\a 538'X '-\.,........,.....,J . CJ Chief F nanc a-

~

Page 14: FORMFC-6 - HelpAge India

S.NO. INSTITUTION/INDIVIDUAL/ NAME(S) AND PURPOSE(S) DATE AND MONTH AMOUNT

OTHER DONORS ADDRESS(ES) OF RECEIPT (IN RUPEES)

1 2 3 4 5 6

NEW YORK

UNITED STATES

MADHUSUDAN SUNKARA ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 11-Jul-12 4,849

34313 FRANCE WAY..

FERMONT

CALIFORNIA

UNITED STATES

MANASI KAKADE ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 7-Mar-13 1,616

10516 BASTILLE LANE

APT-2010RIANDO

FLORIA

UNITED STATES

MARl S. GOLUB ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 30-Nov-12 5,161

108, CLUNIE DR

SACRAMENTO

CALIFORNIA

UNITED STATES.

MARIA MONTE CRUZ FALEIRO HOLDING OF FREE/MEDICAL/HEALTH/ FAMILY 12/09/2012 4,640

WELFARE/IMMUNISATION CAMPS

VICTORIA ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 12/09/2012 1,160

AUSTRALIA

MATCHING GIFT CENTER ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 30-Jul-12 6,540

P.O.BOX NO- 9002, STURAT

FLORIDA

UNITED STATES

MATCHING GIFT PROGRAM ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 29-May-12 7,879

POBOX NO-7067 ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 29-Jun-12 11,955

PRINCETON

NEW JERSEY

UNITED STATES

MINII VISHAL SHAH ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 5-Jan-13 1,097

64 E ETTRICK TERRACE APT C4,

RUTHERFORD,

NEW JERCY

UNITED STATES

MOHANTY MAHESHWARY ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 9-Nov-12 523

124 SNOWDRIFT TRL

ROUND ROCK

NEW JERSEY

UNITED STATES

MOHIT CHANDAN HOLDING OF FREE/MEDICAL/HEALTH/ FAMILY 26-Sep-12 4,000

WELFARE/IMMUNISATION CAMPS

ICELAND ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Sep-12 1,000

MUDIT SAXENA ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 9-Nov-12 500

PO BOX 4449, ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 11-Jul-12 500

BURDUBAI, ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Sep-12 500

DUBAI

UNITED ARAB EMIRATES

MUTHURAMAN S. IYER ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 30-Nov-12 2,632

5029, BRANDON OAKS, LN

CARMICHAEL,

CALIFORNIA

UNITED STATES

NAND LAL ARORA ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 22-Mar-13 5,000

10 SAMATA SOCIETY, 1ST FLOOR

ASHOK NAGAR, BHOSALE NAGAR,

SHIVAJINAGAR

PUNE

INDIA

NEIL M. DUBROVSKY ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 5-Dec-12 2,787

2724, 18TH STREET,

SACRAMENTO

CALIFORNIA

UNITED STATES

NISH CRUZ ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 18-May-12 5,000

6/137 FORD STREET, IVANHOE, ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Feb-13 5,000

VIC 3079 HOLDING OF FREE/MEDICAL/HEALTH/ FAMILY 26-Feb-13 4,400

WELFARE/IMMUNISATION CAMPS

VICTORIA ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Feb-13 1,100

AUSTRALIA ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 11-Jul-12 5,000

NISHA CRUZ HOLDING OF FREE/MEDICAL/HEALTH/ FAMILY 24-May-12 4,000

WELFARE/IMMUNISATION CAMPS

5/263, CANTERBURY ROAD ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 24-May-12 1,000-- HEATHMONT

'<'- S\~GH tS VICTORIA

;; -1U'u> AUSTRALIA

# CHA~ED 'f, NISHA MONTE CRUZ "0'"'"or'''~Mm'''""''''~' 26Jjep-12 4,560-- WELFARE/IMMUNISATION CAMPS r:(~ ACC ANTS> I 7/6, WILLGILSON COURTOA I~ InO'~ ~"''''' 0,""'"'~" M'''' '"0"

!~e~~ ~

1,140~ FRN-4316N ;:;; VICTORIA 9.lr,....~...,,'l i IVITIES OTHER THA T OS~ 1: E ABOVE- ~NO:-'7 0 i" ~\\\C tVITIES OT~ THA t S ~BOVE* * AUSTRALIA C2J ( ~ \)C . )

~!\lEV'" Dt'\.~ AUSTRALIA :::c S ~c ,(\ ()\\) ( Q) • ea· .~ .• \.. j:'..~.J Chief Financ,~' '::~•••....•' ~a:\~~~c\l\\'19 '":'",-\.,.....--'0"

~~~

Page 15: FORMFC-6 - HelpAge India

S.NO. INSTITUTION/INDIVIDUAL/ NAME(S) AND PURPOSE(S) DATE AND MONTH AMOUNT

OTHER DONORS ADDRESS(ES) OF RECEIPT (IN RUPEES)

1 2 3 4 5 6

NITA DAVIDSON ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 5-Dec-12 2,580

714-21ST ST,

SACRAMENTO

CALIFORNIA -UNITED STATES

NITIN AGARWAL ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 5-Jan-13 27,160

1151 SONORA AVE,

APT 317 GLENDALE

CALIFORNIA

UNITED STATES

PANKAJ LAUI ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Sep-12 11,182

56, MOUNT PARAN ROAD

NWATLANTA

NWATLANTA

UNITED STATES

PARTH RASKAPUR ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Feb-13 5,413

330 DARTMOUTH ROAD.

CHESTER SPRING,

PENISISYLVANIA

UNITED STATES

PAUL PEABODY HOLDING OF FREE/MEDICAL/HEALTH/ FAMILY 26-Sep-12 4,442

WELFARE/IMMUNISATION CAMPS

8 VAN HOUTEN ST NYACK ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Sep-12 1,111

NEW YORK

UNITED 5TATES

PEGGY A TAYLOR ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 5-Dec-12 1,032

1007, BENDITA CT

DAVIS

CALIFORNIA

UNITED STATES

POND ANDREW ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 18-May-12 10,000

42 ORCHARD ST,

JAMAICA PLAIN

JAMAICA PLAIN

UNITED STATES

PRASANA VUMMUDI HOLDING OF FREE/MEDICAL/HEALTH/ FAMILY 26-Feb-13 800

WELFARE/IMMUNISATION CAMPS

15 FRIMLEY DRIVE SLOUGH ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Feb-13 200

SL1 SFL ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 7-Mar-13 2,508

LONDON

UNITED KINDOM

PRAVEEN KUMAR JAYARAMAN ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 30-Nov-12 2,632

9335 LEE HWY, APT. 612

FAIRFAX,

VIRGINIA

UNITED STATES

RACHEL BHOT ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 17-0ct-12 5,000

FLAT NO 7, COURT VIEW,126 ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Sep-12 5,000

M K ROAD CHURCHGATE

MUMBAI

UNITED KINGDOM

RAGHAVENDRA VADREVU ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Jun-12 1,073

105, OXFORD CREEK ROAD

NORTH CAROLINA

UNITED STATES

RAGHURAM KARAVADI ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 27-0ct-12 10,675

1540 SPY GLASS HILL NE

NEW JERSEY

UNITED STATES

RAMANATHAN PRADHEEP ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 18-May-12 1,000

ZUBAI FURNISHIN G LLC

P.O. BOX-2107

MUSCAT

OMAN

RASHMI SWARUP ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 31-Mar-13 28,691

24 CHITRA VIHAR

NEW DELHI

CANADA

RESEARCH WORKS LTO ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 31-Mar-13 1,607

219A HATFIELD ROAD, ST ALBANS

AL 14TB

LONDON

UNITED KINGDOM

RITESH PAREKH. ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Sep-12 1,300-- 4 JULIEN PLACE ASHFORD KENT

~S\NGH <i TN240UH

~ r-~ -1d"u> UNITED KINGDOM

~CHA~ED ~ s. Y. GAITONDE . TIES OTHER THAN T~C3MENTI~OVE

>~2,632

I~ ACCO NTS); 4387 VIRGUSELL ClR, \,\C 18 ~'

~t~ FRN-4316N ;;: CARMICHAEL e>;..,>~(\) Gaeta Mafuur-"7 V:> CALIFORNIA i-cr

~* * UNITED STATES a.f ~~,,<!;'<> 5,g Il ,..""••f Flnanclal Offlcer ....• at"-vEWD'C.\..~~~' J'~ HelpAge \nOill _' /'

cn\et E~~~~:\nd\a- •..•vv..J 0

~

,at

Page 16: FORMFC-6 - HelpAge India

S.NO. INSTITUTION/INDIVIDUAL/ NAME(S) AND PURPOSE(S) DATE AND MONTH AMOUNT

OTHER DONORS ADDRESS(ES) OF RECEIPT (IN RUPEES)

1 2 3 4 5 6

SAI CUMARASAMY HOLDING OF FREE/MEDICAL/HEALTH/ FAMILY 26-Sep-12 1,850

WELFARE/IMMUNISATION CAMPS

43 RATHMAR DRIVE, ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Sep-12 953

MANUREWA, - ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Sep-12 463

AUCKLAND

NEW ZEALAND

SAMANTHA WHITE ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 5-Jan-13 43,608

HOUSE NO-126-130, HILLS ROAD

CAMBRIDGE, CB2 IRE

LONDAON

UNITED KINGDOM

SAPAN SHARMA ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Feb-13 2,680

WEST BERLIN HOLDING OF FREE/MEDICAL/HEALTH/ FAMILY 26-Feb-13 2,144

WELFARE/IMMUNISATION CAMPS

UNITED STATES ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Feb-13 536

SATISH SEETHARAM ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 22-Mar-13 2,000

70, GURU KRUPA ,1ST CROSS.

ANJANYE NAGAR BSK 3RD STAGE ~BANGALORE

INDIA

SEBASTIAN VENTURA ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 9-Nov-12 2,115

SCHILLER 152 DEPOT 8

NEW JERSEY

MEXICO

SELINA FERNANDES ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Jun-12 4,023

10296, DAYSTAR COU RT

COLUMBIA (MD)

UNITED STATES

SENTHIL. NATHAN ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Sep-12 2,000

2/3, BELMONT AVENUE

AUSTRALIA

AUSTRALIA

SHANTHI CHELLAPPAN ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 30-Nov-12 10,000

27, ROSSALL ROAD,

LONDON

UNITED KINGDOM

SHANTHI IYER ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 5-Dec-12 1,290

CALIFORNIA

UNITED STATES

SHARANYA SITARAMAN ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 11-Jul-12 8,724

1 RHU CROSS $10-08 COSTA RHU

SINGAPORE

SINGAPORE

SHASHANK VENGSARKAR HOLDING OF FREE/MEDICAL/HEALTH/ FAMILY 26-Sep-12 6,019

WELFARE/IMMUNISATION CAMPS

PO BOX 262766, ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Sep-12 1,505

DUBAI

UNITED ARAB EMIRATES

SHUSHILKUMAR DEVNAN ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 30-Nov-12 25,000

8125 VIA ROSA ORLANDO

FLORIDA

UNITED KINGDOM

SMRITI KALA ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 18-Jan-13 5,542

55 RUTLAND ST, TORONTO ONTARIO

M6N 5G1

TORONTO

UNITED KINGDOM

SOBHA KOLLIPARA ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 11-Jul-12 2,857

4031 WINDING,

CREEK ROAD, SACRAMENTO

CALIFORNIA

UNITED STATES

SOUGANTHI TIROUNADANE CONSTRUCTION AND MANAGEMENT OF OLD AGE HOME 7-Nov-12 19,299

NOT AVAILABLE

PARIS

FRANCE

SOWMYA SUBRAMANYAPPA ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 30-Nov-12 2,000

FLAT NO- G1, VIBHAV HOMES NO- 1189,

CHANDRA LAYOUT,

BANGALORE

SRAVAN KONDA ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 9-Nov-12 6,097

1-5-69/2, MUSHEERABAD

HYDERABAD

- UNITED STATES

~S\'NGH <1 SRIJIT NAIR ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 24-May-12 1,000

.;::: -1o>u> POBOX NO- 54238

~CHiRED <f> DUBAI o ~ ()I~ ACC TANTS;; ) UNITED ARAB EMIRATES

SRINIVAS LAKKAVAJJALA tt;;, OTHER THAN THO~~E9-No(V~~<.£l.FR 4316N ;;:

1401 BRITHTON TOWR LOKHANDWAL '-.<:;>\>--~~~~~ tnU'-"7 '"

* * COMP Q;,r )~ G t a urt1ICWDc.\.0 ANDHERI WEST ~ J:(1'-1 fN nelll\ ~ * t ee a .•a_u.asW Chanan- 1 -+< ~ ,,00,1j) fChlef Financial Officer Ch\et Execut\Ve Ofl\C4 1

~ )} ••,-,v.J_~~~~ HelpAge India ..•. _ , •• _._ A •••• \nd\ar

Page 17: FORMFC-6 - HelpAge India

INSTITUTION/INDIVIDUAL!

OTHER DONORS

NAME(S) AND

ADDRESS(ES)S.NO.

32

MUMBAI

UNITED STATES

PURPOSE(S)

4

DATE AND MONTH

OF RECEIPT

5

AMOUNT

(IN RUPEES)

6

1,123SUBROTO ROY

18, COLONIAL COURT CHESHIRE -

CORORADO

UNITED STATES

ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 26-Jun-12

SUNDEEP LAL

12 HOPECREST PLACE

BRAMPTONON

CANADA

ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 9-Nov-12 1,360

SUSAN L MAKRIS

6548,ORLAND,STREET,

FALLS, CHURCH,

VIRGINIA

UNITED STATES

ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 5-Dec-12 2,580

TANJOO PIN TAN HENG

NO.102,ASTRA HEIGHTS,8- 2-602/41/A

ZEHRA NAGAR, BANJARA HILLS

HYDERABAD

MALAYSIA

ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 9-Nov-12. 6,000

TEJ N. PANDEY

151, MIDDLETON WAY,

SACRAMENTO

CALIFORNIA

UNITED STATES

ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 5-Dec-12 5,161

TEJAS SHAH

60 QUEENSBERRY ST.,

BOSTON MA

MASSACHUSETIS

UNITED KINGDOM

ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE

ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE

30-Nov-12

9-Nov-12

1,077

1,080

THE SHAMDASANI FOUNDATION

P.O.BOX 97764, T S T,

HONG KONG

HONG KONG

ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 31-0ct-12 2,500

THOMAS RAUSS

GERMANY

1,290UMA RAMANATHAN

460 BRENNEN ClR,

EOSEVILLE, CA

CALIFORNIA

UNITED STATES

ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE

ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE

26-Sep-12

5-Dec-12

3,000

UMESH DESAI

5809, BOTIOMLEY PLACE, GLEN ALLEN

VIRGINIA

UNITED STATES

ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 31-Mar-13 5,264

V. K. DORAI

111, ADDISON PL

SUGARLAND

TEXAS

UNITED STATES

ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 29-Jan-13 2,580

VIKAS KAPOOR

519 ALLIANCE CIRCLE CARY

NORTH CAROLINA

UNITED STATES

ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 9-Nov-12 5,286

WILLIAM HINSHAW

LANGE RUETII 15

MASSACHUSETIS

UNITED STATES

ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE 11-Jul-12 8,626

YAMINI DURVASULA 1,932

P.O. BOX-41785

CEDAR CONSULTING, LEVEL-25

EMIRATES OFFICE TOWERS

SHEIKH ZAYED ROAD

DUBAI

UNITED ARAB EMIRATES

HOLDING OF FREE/MEDICAL/HEALTH/ FAMILY

WELFARE/IMMUNISATION CAMPS

ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE

ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE

ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE

ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE

ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE

ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE

ACTIVITIES OTHER THAN THOSE MENTIONED ABOVE

12-Sep-12

12-Sep-12

17-Aug-12

18-May-12

24-May-12

26-Sep-12

30-Nov-12

11-Jul-12

484

2,420

2,216

2,341

3,0232,405

3,025

DECLARATION

SIGNATURE OF THE CHIEF F Cherian(NAME OF THE CHIEF F AfY~cutlv9 Officer

SEALOF ASSO

TOTAL (III)

GRAND TOTAL (I) + (II) +(111)

M91PAQ8 UIUICI

768,414

114,602,521