,\-,

Form FC-4

[See rule l7(1)]The Secretary to the Government of India,

Ministry of Home Affairs,

Foreigners Division (FCR,A Wing)

"First Floor NDCC-ll Building,"

I.JAI SINGH Road

NewDelhi -ll000l

subject: Account ofForeign contribution for the year ending on the 3lst March, 20lg

l. Association FCRA registration number and name

(i). Number : 052870086

(ii). Name : C.S.l. Madhya Kerala Diocese

2, Details ofreceipt and utilisation offoreign contribution :

i. Foreign Contribution received in cash/kind(value):

l*;;,,r;?i"'iiiii.

*i.e. interest accured on foreign contribution, or any q{pr income derived from foreign contribution, e.g. sale proceeds from assetscreated from contribution, or interest thereon during,,lft]t

-------ar

,

ii (a). Donor wise detail offoreign contribution received in excess ofrupees 20,000:

a).pro.ught forward floreign conhibution at the beginning of theyear(Rs.)

4M7710.04 i;.,i|:a.:: : i 1!:i

b) lnterest or other receipt during the year* 164568.00 --------T----c) Forgign Contribution received during the financial year

i) Directly from a foreign source 703 l9J:7.63

ii) as transfer from a local source 713&A79rtl

d) Total Foreign Contribution (a+b+c) (Rs.) 188t247s.48

Sl,No Name ofdonors Instfrrtional/Individunl

Detail ofthe donor:official Address;Email address;website address:

Purposes for whichreceived

Amount (Rs,)

CSI Congr.dgafioiilfDplla;"',;, ,''q , -,aa:t.

lnstitutional DALLAS LTNIEDSTATES OFAMERICA, UnitedStates of America,Email Id: , WebsiteAddress :

Social I 92603 00

) ,Emmanuel CSI ChurchAtlanta

lnstitutional Atlanta , United StatesolAmerica, Email Id: ,Website Address :

Religious 96244.00

3 CSI Jubilee MemorialChurch ofNew York

lnstitutional NEW YORK, UnitedStates of America,Email Id: , WebsiteAddress :

Social 4lr35s0

4 CSI Jubelia MemoChurch ofNew York

Institutional NEW YORK, UnitedStates of America,Email Id: , WebsiteAddress :

Economic 9s712.30

5 Jacob George Individual 901 7 Boyview cove DrHouston Tx 77054,United States ofAmerica, Email Id; ,

Website Address :.

Economic 53945.00

6 Mission of Mercy lnstitutional CALCUTTA,lndia,Email ld: , WebsiteAddress :

Economic 347656.48

7 CSI Synod Institutional CHENNA.IEmail td: .Address :

, India,Website

Social 30000.00

FCRA Annual Returns for the financial year 2017-2018 has been submitted 0n 0g/06/201 8 Page 1 of 6

\*J

L-

Sl,No Name ofdonors Institutional/lndividual

Detail ofthe donor:official Address;Email addresslwebsite address:

Purposes for whlchreceived

Amounl (Rs.)

8 CSI malayalamCongregation ofGreater USA

Institutional IJNITED STATES OFAMERICA, UnitedStates oiAmerica,Email Id: , WebsiteAddress :

Economic 104975. r0

9 Mission of Mercy Institutional CALCUTTA,lndia,Email Id: . WebsiteAddress :

Economic 348206.86

t0 KNH Synod lnstitutional INDIA,India, Emailld: , Website Address :

Economic 5%594.00

il KNH Synod Institutional INDIA ,lndia, EmailId: , Website Address

Economic 254e53.00

t2 CSI Congregation ofDallas

Institutional DALLAS UNITEDSTATES OFAMERICA. UniredStates of America,Email Id: ;WebsireAddress :

Economic 31s77.24

t3 John Cherian Chacko Individual Kuwait, Kuwait, EmailId: , Website Address :

Economic 25000.00

t4 Emmanuel CSI ChurchAtlanta

Institutional Atlanta, Untted statesof America, Email ld:Website Address :

Religious ,*dfu+,ig'a <r!i, #:.

'rS"'$ll?r"

31527.24

l5 Mr. Robin Thomas lndividual UAE, United ArabEmirates, Email Id:Website Address : U,Il.flhi---

25000.00

l6 CSI Church Toronto Institutional Toranto, Canada,Email ld: , Websitg$g;i,,1,,Address: %.:.

ftonffiic 1M762.00

t7 CSI Church Sharjah Institutional Sharjah,5 5 A StreeffiUniled AragrEmiratef,Email ld: , SkffsireAddres6,4-;+-:

Economic 75000 00 q.

l8 CSI Congregation ofHudson Valley

Institutional UNFEESTATES OFAM&RIeh. united*ffiEs"bf America.Emsll ld: . websiteAdllress

Economic 3t761.24

l9 CSI Christ Church 'Pennsylvania, United

States of America,Email ld: , WebsiteAddress :

Social 47869.36

20 CSI Christ Church Instituffiaa#

"fl,@,

Pennsylvania, UnitedStates of America,Email Id: , WebsiteAddress :

Economic 31874.24

2t CSI Congregarion d '4

Hudson Valley

*,ffii "*

lnsffitional united States ofAmerica . United Statesof America, Email Id: ,

Website Address :

Economic 63865.48

22 Institutional LINITED STATES OFAMERICA, UnitedSt&tes of America,Email Id: , WebsiteAddress :

Economic 80182.60

23 re Sffinanuel CSI Churchhttc

Institutional USA , United States ofAmerica, Email Id: ,Website Address :

Economic 40223.80

24 CSI Jubilee MemorialChurch of New York

Institutional NEW YORK. UnitedStates of America,Email Id. , WebsiteAddress :

Economic 503479 l0

25 CSI malayalamCongregation ofGreater USA

Institutional UNITED STATES OFAMERICA, UnitedStates of America,Email ld: , WebsiteAddress :

Economic 958s7.72

26 Mission of Mercy lnstitutional CALCUTTA,lndia,Email Id: , WebsiteAddress :

Economic 353 I 49.51

27 CSI Church Toronto Institutional Toranto . Canada,'Email td: , WebsiteAddress :

Economic I 38379.56

28 CSI Christ Church lnstitutional Pennsylvania, UnitedStates of America,Email ld: . WebsiteAddress :

Economic 99t77 50

29 Marthoma ChurchAlbany INC New York

lnstitutional New York , UnitedStates oflAmerica,Email Id: , WebsiteAddress :

Economic 3t979.23

FCRA Annual Returns for the financial year 2017-p019 has been submitted on 08/06/2018 Page 2 of 6

Sl.No Name ofdonorc Institutional/Individual

Detail of the donor:oflicial Address;Emril addresslwebsite address:

Purposes for whichreceived

Amounl (Rs,)

30 CSI malayalamCongregation ofGreater USA

Institutional LNITED STATES OFAMERICA, UnitedStates of America,Email ld: , WebsiteAddress :

Religious 36489.25

3l Mission of Mercy Institutional CALCUT?A,lndia,Email Id: , WebsiteAddress :

Economic 350333. r 0

32 CSI Church Bahrain InstitutionBl Rd No 2801 ManamaBahrain , Bahrain,Email ld: , WebsiteAddress :

Social 100000.00

33 KNH Synod lnstitutional INDIA, India, EmailId: , Website Address

Economic 254953.OO

34 CSI Christ Church Institutional Pennsylvania, UnitedStates of America,Email ld: , WebsiteAddress :

Religious 63222 4s

35 KNH Synod lnstitutional INDIA,lndia, EmailId: , Website Address :

Social I 80000.00

36 Mission of Mercy Institutional CALCUTTA,lndia,Email Id: , WebsiteAddress :

Economic ,.. ij 379940.00

37 St James ParishSulanate of Oman

lnstitutional Oman , United ArabEmirates, Email ld: ,

Website Address :

Religieup

iriii;; lil:

24%t.00

38 CSI St. James Parish Institutional Muscat, Oman, Emailld: , Website Addr&r;.,

Economic 72225:M

39 CSI Church ofPennsylvania USA

Institutional PENNSYLVANIAUnited States ofAmerica. Email Id:Website Address:

Economic 20855S.38..i's

40 KNH Synod lnstitutional Economic 258038.00

4t Mission of Mercy Institutional 0.$L-GIJTTA . lndia.Email Id: , WebsiteAdress:

Economic 353458 63

42 KNH Synod Institutional {NDIA,India, EmailId: , Website Address

Economrc 207638,00

41 CSI St. James Parish Muscat , Oman, Emarlld: , Website Address :

Economic 8234 I {X)

44 St Peters CSI Church Los Angles , UnitedStates of America,Email ld: , WebsiteAddress :

Economic | 33879.45

45 Mission of MercV:,,"lnstitlitional CALCUTTA,lndia,

Email Id: , WebsiteAddress :

Economic 345247.89

46 KNH Syno0 lnstitutional INDIA ,lndia, Emailld: , Website Address :

Economic 8 t459.00

47 KNH Synod' Institutional INDIA , India, Emailld: " Website Address :

Economic 2|80t 00

48 CSI Christ Church. lnstitutional Pennsylvania, UnitedStates of America,Email ld: , WebsiteAddress :

Economic 8338t.06

49 CSI Christ Church Institutional Pennsylvania, UnitedStates of America,Email Id: , WebsiteAddress :

Social 3t874 24

50 CSI Christ Church Institutional Pennsylvania, UnitedStates of America.Email ld: . WebsiteAddress :

Economic 3t874.24

5l CSI malayalamCongregation ofGreater USA

Institutional L'NITED STATES OFAMERICA, UnitedStates of America,Email Id: , WebsiteAddress :

Eeonomic 31846.24

52 CSI malayalamCongregation ofGreater USA

Institutional UNITED STATES OFAMERICA, UnitedStates of America,Email Id: , WebsiteAddress :

Economic 38239. l 6

53 CSI Church of DallasUSA

Institutional DALLAS, UnitedStates oi-America,Email ld: , WebsiteAddress :

Economic 31846.24

FCRA Annual Returns for the financial year 2017-zo1a has been submitted on 08/06/201 8 Page 3 of 6

\.

Sl,No Name ofdonors lnstitutional/IndividuAI

Detail ofthe donor:ofliciat Address;Email address;website address:

Purposes for whichreceived

Amounl (Bs,)

54 CSI Church of DallasUSA

Institutional DALLAS, UnitedStates oIAmerica,Email Id: , WebsiteAddress :

Economic t85352.52

55 KNH Synod Institutional INDIA ,lndia, EmailId: , Website Address

Economic 8 1459,00

56 Mission of Mercy lnstitutionat CALCUTTA, lndia.Email Id; , WebsiteAddress :

Economic 352447.00

57 InstitutionalFederation of N-America

Jlu r\atD Ave, trankllnSquare,NY I l0l0,USA , United States ofAmerica, Email Id: ,website Address :

Economic 64388.30

58 St Thomas CSI Church Institutisnal Houston, United Statesof America, Email Id: ,Website Address :

Economic

Economic

64488.30

59 KNH Synod Institutional INDIA,lndia, EmailId: , Website Address

814s9.00

60 CSI Jubilee MemorialChurch ofNew York

lnstitutional NEW YORK, UniredStates of America,Email Id: , WebsiteAddress :

Economic .rs,

*4F'4%"4o9#, "-utr

155464.44

6t CSI Christ Church Institutional Pennsylvania, UnitedStates of America,Email Id: , WebsiteAddress :

95975,00

62 KNH Synod Institutional INDIA,India, Emfril:ld: , Website Addr&sj

Etonomic l 57238.00

63 Bishop And SewellLLP

Institutional 59-60 Russell SquarffiBIoomsbu116. lqndon '

wClB aH&$iuledKingdffir$oitld: .Web#AEitress:

Socral 171238.00 q.

64 CSI Parish Dubai Institutional Economic 200000.00

65 CSI Christ Church tnrtit tiod ffi

"Pennsylvania, United'States of America,Email Id: , WebsiteAddress :

Economic 7958 I .60

66 KNH Synod Fund Institumre ry INDIA,lndia, Emailld: , Website Address :

Economic I54153.00

67 Mission of Mercy CALCUTTA,lndia.Email Id: , WebsireAddress :

Economic 346702.88

68 Mission olMercffi "

,* d1ffi,Jnstlfutional CALCUTTA. India.

Email Id: , WebsiteAddress :

Economic 50680t 59

69 *"N'ffP* Institutional CALCUTTA,India,Email Id: , WebsiteAddress :

Economic 3484 I 9.39

70

%'

lVtrpod MarcusS$ftnakalayil

,:+

Individual UNITED ARABEMIRATES, UnitedArab Emirates, EmailId: . Website Address r

Social 36700.00

7l CSI MalayalamCongregation ofGreater UsA

Institutional UNITED STATE OFAMERICA, UnitedStates oiAmerica,Email Id: , WebsiteAddress :

Economic I 183676.t6

72 CSI MalayalamCongregation ofGreater USA

Institutional I.JNITED STATES OFAMERICA, UnitedStates of America,Email ld: . WebsiteAddress :

Economic 843774.72

73 Mission of Mercy Institutional CALCUTTA, lndia,Email Id; . WebsiteAddress :

Economic 370823.48

74 Mrs. Rachel EvenBosewell

Individual UK. United Kingdom,Email ld: , WebsiteAddress :

Social 440409.00

75 St Thomas CSI Church lnstitutional Houston, United Statesof America, Email Id: ,Website Address :

Economic 234483.00

76 CSI Synod Institutional CHENNAI ,lndia,Email Id: , WebsiteAddress :

Social 351 100.00

FCRA Annual Returns for the financial year 2o1T-zo1g has been submitted on 0g/06/2018 Page 4 of 6

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(b). cumulative purpose-wise amount of all foreign contribution donation received

(iii). Details of Utilization of foreign contribution:

r. Total Utilization* for projects as per aimi endobjectives of the rssociation (Rs,)

15921 164.09

b. Totel Administrrtive Exprenses as provided in Rules, FCRA 20ll (Rs.)

2179.50

c, Total invested in term deposits(Rs.) 0.00d.Total Purchase of fresh assets(Rs.) 0.00Total utilzation in the yea(Rs.) (e+b+d) 15923343.59 ,r;.,1, , E

(A) the soverignty and integrity of india; or.. ..,- -:::

(B) the security, strategic, scientific or echnomic interestof the statel or

(C) the public interest; or

,. .f; rk, iLl

r It is affirmed that the utilisation of foreign contribution is not in contravention "r,h;ffirt\;;s contained in proviso to Sctjon 9(e) and

Section l2(4X0 of the Act which states that the acceptance of foreign contribution,is ro'&lk"ty to affect prejudically. i '' ''' "---

(D) fuedom or faimess of election to an$ffitature; or

(E) tiiendly relations with any fhf state; or,,,,

(F) harmony between reJigious. racial. social. lingusitic or relgional groups. castes or communities

''r'ln L:

iv. Balance of 2859r31.89

0.00

cash/bank, at the

3' (a) Details ofdesignated Fc bank account for receipt ofForeign Contribution ( As on 3lst March ofthe year ending):

3. (b) Details of all utilization bank accounts for utilization of Foregin Contribution (As on 3lst March of the year ending)

Detail ofthe donor:official Address;Email addresslwebsite address:

United States ofAmerica, United Statesof America, Email Id: .Website Address :

Sl.No Purpose AmountI Economic 5595082.402 Religious 287423.97J Social fi494n.26

Sl,No Name of Bank Branch Address( Withplncode)

IFSC Code Account No

CENTRAL BANK OFINDIA

KOTTAYAM KERALAKOTTAYAM KERALA68600I, KOTTAYAM,Kerala, Kottayam

c8IN0280955 xxxxxx96t 7

Sl.No Name of Bank Branch Address( Withplncode)

IFSC Code Account No

CENTRAL BANK OFINDIA

KOTTAYAM KERALAKOTTAYAM KERALA68600I, KOTTAYAM,Kerala, Kottayam

cBIN02809ss xxxxxx96lT

FCRA Annual Returns for the financiat year 2017-2e18 has been submitted on 08/06/2018 Page 5 of 6

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so mehtion wu truted regirrration/ prior prmisrion by ttc centnl

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FCRA Annual Retums for the financial year 201 7-2018 has been Submitted on 0g106/201g

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