Form FC-4 [See rule 17(1)] The Secretary to the Government of India, Ministry of Home Affairs, Foreigners Division (FCRA Wing) "First Floor NDCC-II Building," 1,JAI SINGH Road New Delhi - 110001
Subject: Account of Foreign Contribution for the year ending on the 31st March, 2017
1. Association FCRA registration number and name
(i). Number : 231660712 (ii). Name : SMILE FOUNDATION
2. Details of receipt and utilisation of foreign contribution : i. Foreign Contribution received in cash/kind(value):
a) Brought forward foreign contribution at the beginning of the 123896395.00 year(Rs.) b) Interest or other receipt during the year 7743307.00 c) Foreign Contribution received during the financial year i) Directly from a foreign source 146956466.00 ii) as transfer from a local source 0.00 d) Total Foreign Contribution (a+b+c) (Rs.) 278596168.00
*i.e. interest accured on foreign contribution, or any other income derived from foreign contribution, e.g. sale proceeds from assets created from contribution, or interest thereon during the year ii (a). Donor wise detail of foreign contribution received in excess of rupees 20,000:
Sl.No Name of donors Institutional/Individu Detail of the donor: Purposes for which Amount (Rs.) al official Address; received Email address; website address: 1 Wilde Ganzen Institutional HEUVELLAAN 36 Educational 18720151.00 1217 JN NETHERLANDS , Netherlands, Email Id: [email protected] , Website Address : 2 Anz Operations and Institutional RMZ WORLD Social 1140726.00 MinistryTechnology Pvt Ltd of HomeCAMPUS 5A Affairs GROUND FLOOR LEVELS 4 TO 9 SARJAPUR MARATHAHALLI OUTER RING ROAD DEVARABEESANAH ALLI 560103 BANGALORE , India, Email Id: [email protected] m, Website Address : 3 BAXTER Institutional ONE BAXTER PKWY Social 3330201.00 INTERNATIONAL DEERFIELD FOUNDATION ILLLINOIS USA 60015 , United States of America, Email Id: , Website Address :
FCRA Annual Returns for the financial year 2016-2017 has been Submitted on 29/12/2017 Page 1 of 7 Sl.No Name of donors Institutional/Individu Detail of the donor: Purposes for which Amount (Rs.) al official Address; received Email address; website address: 4 Accretive Health Institutional UNITECHINFOSPAC Educational 419150.00 Servies Pvt Ltd ESEZ3RDAND 4TH FLOOR BUILDINGNO 2 TOWERA SEC021 DUNDAHERAGURG AON HARYANA INDIA 122016 , India, Email Id: jaitondak@accretivehe alth.com, Website Address : 5 CNH Industrial India Institutional B1 207 2ND FLOOR Social 1296016.00 Pvt New Holland Fiat BOOMERANG India CHANDIVALI FARM NEAR CHANDIVALI STUDIO ANDHERI EAST MUMBAI , India, Email Id: [email protected] , Website Address : 6 Ericsson India Global Institutional 4TH FLOOR DHAKA Educational 19624528.00 Services Private HOUSE Limited WEA PUSA LANE KAROL BAGH NEW DELHI 110002 , India, Email Id: sakshi.muchate@ericss on.com, Website Address : 7 Ericsson India Pvt Ltd Institutional 4TH FLOOR DHAKA Educational 24309380.00 HOUSE WEA PUSA LANE KAROL BAGH NEW DELHI 110002 , India, Email Id: sumana.sarkar@ercisso n.com, Website Address : 8 CNH Industrial India Institutional B1 207 2ND FLOOR Educational 302715.00 Pvt New Holland Fiat BOOMERANG India CHANDIVALI FARM NEAR CHANDIVALI STUDIO ANDHERI EAST MUMBAI , India, Email Id: [email protected] , Website Address : 9 DEUTSCHE BANK Institutional CAPITAL C 70 Social 22869220.00 BANDRA KURLA COMPLEX Mumbai MAHARASHTRA , India, Email Id: , Website Address : 10 Bacardi India Private Institutional 805 808 TIME Educational 635062.00 Limited TOWER M G ROAD GURGAON Haryana , India, Email Id: , Website Address : 11 Charities Aid Institutional IREVNA DIVISION Social 2925877.00 Foundation THE OVAL Ministry of HomeNO 10 and 12 Affairs VENKAT NARAYANA ROAD T NAGAR CHENNAI , India, Email Id: krithika.ram@cafindia. org, Website Address : 12 FISGlobalBusniess Institutional 402 I PARK PLOT NO Educational 5685350.00 Solutions India Private 15 UDYOG VIHAR Limited PHASE IV GURGAON HARYANA INDIA 122016 , India, Email Id: [email protected] m, Website Address :
FCRA Annual Returns for the financial year 2016-2017 has been Submitted on 29/12/2017 Page 2 of 7 Sl.No Name of donors Institutional/Individu Detail of the donor: Purposes for which Amount (Rs.) al official Address; received Email address; website address: 13 Open Text Institutional SUNDEWPROPERTI Educational 413361.00 Technologies India Pvt ESPVTLTDSEZUNIT Ltd NO3013RDLOORBLD G NO 4 MINDSPACEITPARK MADHAPUR HYDERABADANDH RA PRADESH INDIA 500081 , India, Email Id: [email protected] m, Website Address : 14 Pepsico India Pvt Ltd Institutional NO 54 LGF WORLD Educational 2500000.00 TRADE CENTRE BARAKHAMBA ROAD NEW DELHI 110001 , India, Email Id: poonam.kaul@pepsico. com, Website Address : 15 Philips Electronics Institutional 7 Justice Chandra Educational 3313500.00 India Limited Madhab Road Kolkata , India, Email Id: [email protected] m, Website Address : 16 Shinnyo IKKEIIKAI Institutional 1 2 13 SHIBASAKI Social 659995.00 CHO TACHIKAWA SHI TOKYO JAPAN 1900023 , India, Email Id: sugazawa.naoya.37@s hinnyo.org, Website Address : 17 Silicon Valley Institutional 2440 West El Camino Social 1263735.00 Community Real Suite 300 Mountain View California 94040 1498 , United States of America, Email Id: siliconvalleycf.org, Website Address : 18 Target International Institutional PO BOX 46009 Educational 2507344.00 FAHAHEEL KUWAIT , Kuwait, Email Id: Samiatha.manoharan@ target.com, Website Address : 19 United Health Group Institutional 309 Nirman Kendra Social 4000000.00 Information Services Premises Co op Soc Pvt Ltd Ltd Famous Studio Lane Dr Moses Road Mahalaxmi , India, Email Id: [email protected] om, Website Address : 20 Mitsubisti Eletronic Institutional PLOT NO 167-170 Educational 565315.00 Automotive India Pvt SECTOR 5 IMT Ltd ANESAR GURGAON HARYANA INDIA 122050 , India, Email Ministry of HomeId: , Website Address Affairs: 21 Fidelity Information Institutional S 405 LGF Educational 1462528.00 Services India Pvt Ltd GREATER KAILASH PART II NEW DELHI 110048 , India, Email Id: [email protected] m, Website Address : 22 BHAT Individual NA , India, Email Id: , Educational 100000.00 FAKHRUDDIN Website Address : ABBAS 23 CE HOEVE Institutional NA , India, Email Id: , Educational 37535.00 Website Address : 24 Charities Aid Institutional IREVNA DIVISION Educational 281460.00 Foundation THE OVAL NO 10 and 12 VENKAT NARAYANA ROAD T NAGAR CHENNAI , India, Email Id: krithika.ram@cafindia. org, Website Address : 25 Devl Hub Pro Institutional na , India, Email Id: na, Educational 763800.00 Website Address :
FCRA Annual Returns for the financial year 2016-2017 has been Submitted on 29/12/2017 Page 3 of 7 Sl.No Name of donors Institutional/Individu Detail of the donor: Purposes for which Amount (Rs.) al official Address; received Email address; website address: 26 Harman International Institutional na , India, Email Id: , Educational 200000.00 Website Address : 27 Open Text Institutional SUNDEWPROPERTI Social 1463130.00 Technologies India Pvt ESPVTLTDSEZUNIT Ltd NO3013RDLOORBLD G NO 4 MINDSPACEITPARK MADHAPUR HYDERABADANDH RA PRADESH INDIA 500081 , India, Email Id: [email protected] m, Website Address : 28 Siemens Industries Institutional E 20 IST AND 2ND Educational 13678664.00 Software India Pvt Ltd FLOOR HAUZ KHAS NEW DELHI 110016 , India, Email Id: anees.mohd@siemens. com, Website Address : 29 Siemens Industries Institutional E 20 IST AND 2ND Social 2863423.00 Software India Pvt Ltd FLOOR HAUZ KHAS NEW DELHI 110016 , India, Email Id: anees.mohd@siemens. com, Website Address : 30 SYNIVERSE Institutional DLF BUILDING NO 5 Educational 924960.00 TECHNOLOGIES TOWER A 15TH INDIA PRIVATE FLOOR PHASE III LIMITED DLF CITY GURGAON HARYANA , India, Email Id: , Website Address : 31 JK GROUP Individual NA , India, Email Id: , Educational 129972.00 Website Address : 32 KAVITA BHATIA Individual 1239 15TH MAIN Educational 100000.00 2ND STAGE BTM LAYOUT BANGALORE KARNATAKA INDIA , India, Email Id: [email protected] m, Website Address : 33 ALUE Singapore Individual 1 2 3 2B SECOND Educational 50000.00 FLOOR THE PAVILION 3392 2 MG ROAD GURGAON HARYANA , India, Email Id: , Website Address : 34 CMC CONSULTING Individual 31 RUE DE Educational 256641.00 SAS MONCEAU PARIS FRANCE 75008 , France, Email Id: , Website Address : 35 Conversant Software Individual na , India, Email Id: , Educational 29400.00 Development Website Address : Campaign MinistryManagement of Home Affairs 36 BAXTER Institutional ONE BAXTER PKWY Educational 20845.00 INTERNATIONAL DEERFIELD FOUNDATION ILLLINOIS USA 60015 , United States of America, Email Id: , Website Address : 37 BAXALTA Individual NA , India, Email Id: , Educational 150000.00 BIOSCIENCE Website Address : 38 U K ONLINE GIVING Individual NA , India, Email Id: , Educational 213371.00 FOUNDATION Website Address : 39 United Way of Institutional 309 Nirman Kendra Educational 760800.00 Mumbai Premises Co op Soc Ltd Famous Studio Lane Dr. E. Moses Road,Mahalaxmi Estate Mumbai , India, Email Id: nandita@unitedwaymu mbai.org, Website Address : 40 Prudential Process Institutional na , India, Email Id: na, Educational 973307.00 Management Services Website Address : 41 TIMOTHY HEWITT Individual NA , Australia, Email Educational 110134.00 Id: , Website Address : FCRA Annual Returns for the financial year 2016-2017 has been Submitted on 29/12/2017 Page 4 of 7 Sl.No Name of donors Institutional/Individu Detail of the donor: Purposes for which Amount (Rs.) al official Address; received Email address; website address: 42 NIKITA AGARWAL Individual ROUTE,DE CHAILLY Educational 30000.00 LA TOURE DE PEILZ WAADT,SWITZERL AND , Switzerland, Email Id: [email protected] m, Website Address : 43 VEDASHREE Individual 16 WOODMERE Educational 30000.00 PANTHULU ROAD WEST HARTFORD CT HARTFORD , United States of America, Email Id: [email protected], Website Address : 44 GAURI Individual 6041 RED WINESAP Educational 34000.00 KATHIRAVAN WAY DUBLIN OHIO USA , United States of America, Email Id: [email protected] m, Website Address : 45 VIDHI AGARWAL Institutional 1212 N LASALLE Educational 30000.00 DRIVE APT 1710 CHICAGO IL , United States of America, Email Id: Vidhiagarwal89@gmai l.con, Website Address : 46 BHAGIYABALAJI Individual 1425,S WOLF RD 208 Educational 30000.00 SOORA PROSPECT HEIGHTS THAMBAIYA IL USA 60070 , United LOGAIYAAN States of America, Email Id: [email protected] om, Website Address : 47 DIVYANSH ROBIN Individual DISCOVERY Educational 100000.00 PANDEY GARDENS,DUBAI- UAE , United Arab Emirates, Email Id: divyesh.pandey@gmail .com, Website Address : 48 RANA MAJUMDER Individual ARUNDHATINAGAR Educational 96000.00 KALITILA BHATTAPUKUR AGARATALA WEST TRIPURA 799003 , India, Email Id: brain1212000@yahoo. co.in, Website Address : 49 SITARAM GEDDAM Individual 3035 E RUBY HILL Educational 30000.00 DR PLEASNTON CA USA , United States of America, Email Id: [email protected], Website Address : 50 PREETY SHREE Individual 2031 19 TH PL W , Educational 30000.00 United States of Ministry of HomeAmerica, Email Id: Affairs [email protected] m, Website Address :
(b). Cumulative purpose-wise amount of all foreign contribution donation received :
Sl.No Purpose Amount 1 Educational 105144142.00 2 Social 41812324.00
(iii). Details of Utilization of foreign contribution:
a. Total Utilization* for projects as per aims and 216493683.00 objectives of the association (Rs.) b. Total Administrative Exprenses as provided in Rule 3039044.00 5, FCRA 2011 (Rs.) c. Total invested in term deposits(Rs.) 760869.00 Total Purchase of fresh assets(Rs.) 96391.00 Total utilzation in the year(Rs.) (a+b+c+d) 219629118.00
FCRA Annual Returns for the financial year 2016-2017 has been Submitted on 29/12/2017 Page 5 of 7
* It is affirmed that the utilisation of foreign contribution is not in contravention of the provisions contained in proviso to Sction 9(e) and Section 12(4)(f) of the Act which states that the acceptance of foreign contribution is not likely to affect prejudically.
(A) the soverignty and integrity of india; or.
(B) the security, strategic, scientific or echnomic interest of the state; or
(C) the public interest; or
(D) freedom or fairness of election to any legistature; or
(E) friendly relations with any foreign state; or
(F) harmony between religious, racial, social, lingusitic or relgional groups, castes or communities
iv. Balance of unutilized foreign contribution, in 58206182.00 cash/bank, at the end of the year(Rs.) : v. Total number of foreigner working(salaried/ in 0.00 honorary capacity. :
3. (a) Details of designated Fc bank account for receipt of Foreign Contribution ( As on 31st March of the year ending):
Sl.No Name of Bank Branch Address( With IFSC Code Account No pincode) 1 I.D.B.I. Bank 1/6 SIRI FORT IBKL0000010 XXXXXXXXXXX0063 INSTITUTIONAL AREA,KHEL GAON MARG,, KHEL GAON, Delhi, Delhi
3. (b) Details of all utilization bank accounts for utilization of Foregin Contribution (As on 31st March of the year ending)
Sl.No Name of Bank Branch Address( With IFSC Code Account No pincode) 1 I.D.B.I. Bank 1/6 SIRI FORT IBKL0000010 XXXXXXXXXXX0063 INSTITUTIONAL AREA,KHEL GAON MARG,, KHEL GAON, Delhi, Delhi
Declaration
Ministry of Home Affairs I hereby declare that the above particulars furnished by me are true and correct
I also affirm that the receipt of foreign contribution and its utilization have not been violative of any of the provisions of the Foreign Contribution (Regulation) Act, 2010, rules, notifications/ orders issued there under from time to time and the foreign contribution was utilized for the purpose(s) for which the association was granted registration/ prior permission by the Central Government.
Signature of the Cheif Functionary
FCRA Annual Returns for the financial year 2016-2017 has been Submitted on 29/12/2017 Page 6 of 7 Ministry of Home Affairs
FCRA Annual Returns for the financial year 2016-2017 has been Submitted on 29/12/2017 Page 7 of 7