Project Description Region: North America Country: Mexico Location: La Cuesta/Mezcala Total Budget: $91,753 Area of Focus: Disease prevention and treatment View Online Proposal Form The purpose of Global Grant 2682537 is to restore and equip a public healthcare clinic in La Cuesta. La Cuesta is an indigenous village located between the towns of Mezcala and San Pedro Itzicán in the state of Jalisco, Mexico. The total population in the area surrounding La Cuesta is approximately 14,000 people. The native villages along the north shore of Lake Chapala are underserved. In addition to the routine illnesses; obesity, diabetes, heart disease and cancer, the area is known to be the epicenter for kidney disease - listed as the worst in the world for end stage renal failure, on a per capita basis. The need for additional healthcare services has long been recognized and a clinic was built in La Cuesta about 8 years ago. This building was part of a private practice that subsequently closed. When the practice did not sell and the terms of the land use agreement were not being met; the land and structure on it returned to the original indigenous property holder. This occurred in the spring of 2025. In July 2025, the community approached The Chapala Sunrise Rotary Club and asked for help to re-open the health clinic in La Cuesta. The Chapala Sunrise Rotary Club seized the opportunity because it fit well with the club's plans to carry our existing healthcare projects in additional indigenous communities. The Club has ongoing projects in Diabetes awareness and prevention, Nutrition, Cardiology and Dentistry. We have a Global Grant for Kidney Transplants grant that serves many patients in this area. The ability to follow up with recipients locally and to serve the patients early in their diagnosis will possibly prevent the need for dialysis or surgery. The Chapala Sunrise Rotary Club has always worked closely with the local communities and enjoys a strong working relationship with the regional government in Poncitlán. In order to make this dream a reality, the Club reached out to the State of Jalisco Secretary of Health Director for Region IV and asked for assistance. The Director of Health immediately saw the potential and was fully aware of the need. An agreement was reached with the Health Department to fully staff the facility with doctors and support personnel. The staff will include: primary care doctors, nurses, a psychologist, a nutritionist and a fulltime dentist. They will provide medical support staff, equipment and building maintenance personnel as well. The local government and the Chapala Sunrise Rotary Club will restore the building to meet the State standards for a regional "Casa De Salud". Primary Host Partner District: 4140 Rotary Club of: Chapala Sunrise Primary Contact: Karl Dyer Email: w.karl.dyer@gmail.com Primary International Partner District: 5150 Rotary Club of: South San Francisco Primary Contact: Matteo Rizzo Email: doubletz@comcast.net Project Status Need $33,606 This project needs to receive some pledges to go to the next level. Please check the "Financing" tab to see the list of current pledges. Once the amount pledged is equal to the project budget, the status of the project will be automatically changed to "Fully Pledged". Click here to pledge support for this project. Project listed for the 2025-26 Rotary Year. The TRF Grant application number is #2682537.

Proposed Financing Existing Contributions Towards This Project Date Cash DDF Total South San Francisco (5150) 13-Oct-25 $40,000 $2,671 $42,671 Chapala Sunrise (4140) 30-Dec-25 $11,000 $0 $11,000 Winnipeg West (5550) 30-Dec-25 $2,340 $0 $2,340 Remaining Amount to Raise Additional Club Contribution (Needed) - Add a contribution $33,606 - $33,606 Amount Requested from The Rotary Foundation - $2,136 $2,136 Total $91,753 Note: as of July 1, 2015 there is a 5% additional support fee for cash contributions. This fee does not appear in the financials above because it does not apply if the funds are sent directly to the project account (without going through TRF, and therefore without Paul Harris credit). Clubs sending their cash contribution to TRF must be aware they will have to send an additional 5%.

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History Log Entries 13-Oct-25 System Entry System Entry: Creation of project page. 9-Dec-25 System Entry System Entry: Pledge of $6,000 by Karl Dyer of the Rotary Club of Chapala Sunrise, District 4140. 11-Dec-25 by Karl Dyer System Entry: Pledge of $72,746 by Karl Dyer of the Rotary Club of Chapala Sunrise, District 4140. 11-Dec-25 by Karl Dyer System Entry: Project is now "Fully Pledged". 11-Dec-25 by Karl Dyer System Entry: Pledge of $5,000 by Karl Dyer of the Rotary Club of Chapala Sunrise, District 4140. 11-Dec-25 by Karl Dyer System Entry: Project reverted to "Published". 30-Dec-25 by Karl Dyer System Entry: Pledge of $6,000 by Karl Dyer of the Rotary Club of Chapala Sunrise, District 4140. 30-Dec-25 by Karl Dyer System Entry: Pledge of $2,340 by Ernie Halligan of the Rotary Club of Winnipeg West, District 5550.