November 7, 2019 Dear Reader: For 18 years, the Clinton Foundation has worked to advance President Clinton’s commitment to “Putting People First.” Every day, our programs strive to create economic opportunity, improve public health, and inspire civic engagement and service. Our work began with the establishment of the Clinton Presidential Center in Little Rock, and grew into programs to unlock economic opportunity in communities across the U.S. and lower the cost of HIV/AIDS treatment around the globe. In the years that followed, the Clinton Foundation became a pioneer in convening leaders and building strategic partnerships to generate global philanthropic commitments that have improved millions of lives. In 2018, the Clinton Foundation continued this tradition of impact and innovation, operating programs that are helping people around the world and expanding with new projects and approaches to some of the most pressing challenges of our time. For example:  The Clinton Global Initiative launched the Action Network on Post-Disaster Recovery, which helps communities in the Caribbean address hurricane preparedness and recovery, and supports resiliency projects in the region;  The Clinton Foundation’s Opioid Response Network started convening faith leaders in Little Rock, Houston, and Jacksonville and creating processes to help communities of faith reduce stigma and provide resources to people suffering from substance use disorders; and  Too Small to Fail, the Clinton Foundation’s early child literacy program, launched and expanded campaigns in New Orleans and San Francisco, adding to the dozens of communities nationwide where we reach parents and caregivers to promote talking, reading, and singing to children to promote brain development. Our 2018 Impact Magazine provides more details about our work last year, including our farming and development programs in Africa and Latin America; our efforts to fight climate change and develop scalable energy projects; the new classes of Presidential Leadership Scholars and Clinton Global Initiative University; and work by the Alliance for a Healthier Generation (an independent, related charity) to promote healthy eating and exercise habits among children and young adults. As an operating foundation, we rely on donations to make our work possible. One of our top priorities is to be good stewards of our donors’ support, and we continue to push each of our programs to expand impact while operating effectively and efficiently. We also continue to receive high ratings from independent charity evaluators. We are steadfast in our commitment to the people and communities we serve in the U.S. and around the world, and to continuing to address the urgent challenges ahead. Sincerely, Kevin Thurm Chief Executive Officer