SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2016
Open to Public Inspection
Name of the organization
Plan International USA Inc
 
Employer identification number

13-5661832
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in the region (d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in the region		 (f) Total expenditures
for and investments
in the region
Sub-Saharan Africa 0 0 Grants N/A 447,552
Middle East 0 0 Grants N/A 107,466
Sub-Saharan Africa 0 0 Grants N/A 99,878
Sub-Saharan Africa 0 0 Grants N/A 74,816
Sub-Saharan Africa 0 0 Grants N/A 14,075
South Asia 0 0 Grants N/A 12,739
Sub-Saharan Africa 0 0 Grants N/A 9,000
South Asia 0 0 Grants N/A 8,500
Sub-Saharan Africa 0 0 Grants N/A 8,498
East Asia and Pacific 0 0 Grants N/A 8,492
Sub-Saharan Africa 0 0 Grants N/A 8,492
East Asia and Pacific 0 0 Grants N/A 8,490
Sub-Saharan Africa 0 0 Grants N/A 8,488
Middle East 0 0 Grants N/A 8,485
Europe 0 0 Grants N/A 8,468
North America 0 0 Grants N/A 8,000
Sub-Saharan Africa 0 0 Grants N/A 7,597
Sub-Saharan Africa 0 0 Grants N/A 7,200
Sub-Saharan Africa 0 0 Grants N/A 6,800
Europe 0 0 Grants N/A 4,720
Sub-Saharan Africa 0 0 Grants N/A 3,498
East Asia and Pacific 0 0 Grants N/A 2,400
Sub-Saharan Africa 0 0 Grants N/A 2,399
Sub-Saharan Africa 0 0 Grants N/A 2,399
Sub-Saharan Africa 0 0 Grants N/A 2,396
Sub-Saharan Africa 0 0 Grants N/A 2,008
Sub-Saharan Africa 0 0 Grants N/A 1,094
Sub-Saharan Africa 0 0 Grants N/A 1,000
Sub-Saharan Africa 0 0 Grants N/A 888
Sub-Saharan Africa 0 0 Grants N/A 746
3a Sub-total ..... 0 0 849,036
b Total from continuation sheets to Part I ... 0 0 37,548
c Totals (add lines 3a and 3b) 0 0 924,132
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2016
Schedule F (Form 990) 2016
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
Sub-Saharan Africa Orphans/Vuln childrn 447,552 Wire transfer      
Middle East Women's empowerment 107,466 Wire transfer      
Sub-Saharan Africa Child Re-integration 99,878 Wire transfer      
Sub-Saharan Africa Early childhood care 74,816 Wire transfer      
Sub-Saharan Africa Family planning 14,075 Wire transfer      
South Asia Family planning 12,739 Wire transfer      
Sub-Saharan Africa Family planning 9,000 Wire transfer      
South Asia Women's empowerment 8,500 Wire transfer      
Sub-Saharan Africa Women's empowerment 8,498 Wire transfer      
East Asia and Pacific Women's empowerment 8,492 Wire transfer      
Sub-Saharan Africa Women's empowerment 8,492 Wire transfer      
East Asia and Pacific Women's empowerment 8,490 Wire transfer      
Sub-Saharan Africa Women's empowerment 8,488 Wire transfer      
Middle East Women's empowerment 8,485 Wire transfer      
Europe Women's empowerment 8,468 Wire transfer      
North America Women's empowerment 8,000 Wire transfer      
Sub-Saharan Africa Family planning 7,597 Wire transfer      
Sub-Saharan Africa Youth Health Srvcs 7,200 Wire transfer      
Sub-Saharan Africa Family planning 6,800 Wire transfer      
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
19
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2016
Schedule F (Form 990) 2016Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2016
Schedule F (Form 990) 2016
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; do not file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; do not file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2016
Schedule F (Form 990) 2016
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
ReturnReference Explanation
Pt I Line 3 Col (F) The grant listed as item (1) under Part I, Line 3 is with Plan's partner on a project being conducted in Kenya where the primary role of the grantee organization is to provide technical leadership in the area of mentoring mothers. The Kenya office of grantee and its project staff work with Plan's Chief of Party ("CoP")and project team to plan and integrate their activities into project work plans. Activities are then jointly implemented by the grantee along with other Plan program staff. They submit monthly financial and quarterly accrual reports to Plan. Quarterly program performance reports are shared with the CoP, as are work plans, once they are agreed and finalized in-country. These documents are also tracked and reviewed by Plan.
Pt I Line 2 Details are provided below regarding the monitoring of
Pt I Line 2 grants and other assistance.
Pt I Line 3 Col (F) The grant listed as item (2) under Part I, Line 3 is with Plan's partner on our Global Women in Management program ("GWIM"). The role of the partner was to host and provide logistics for GWIM's Middle East Regional Workshop conducted in February 2017. Plan monitored this partner through regularly conducted teleconferences and then in person at the workshop. A final workshop report was also prepared by the partner, reviewed by Plan's management overseeing GWIM and is on file with Plan.
Pt I Line 3 Col (F) The grant listed as item (3) under Part I, Line 3 is with Plan's partner on a project being conducted in Central African Republic ("CAR"). The primary role of the grantee organization is to work to reunite children with their families (many of whom were separated by fighting in CAR) and helping reintegrate these children and families into their communities. Plan monitors the grantee thru the review of monthly financial and program performance reports as well as via field visits.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2016
Additional Data


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