2022-11-14T21:02:49-06:00 2021-12-31 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2021-01-01 237051021 SIGHTLIFE SIGH 2066828500 1200 6TH AVENUE 300 SEATTLE WA 98101 JOHN GEBHART CFO 2066828500 2022-11-14 1 JOHN GEBHART 999009999 MEGAN R RYAN P00737884 4254544919 2022-11-14 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z JAMES MCCORKLE 1200 6TH AVENUE 300 SEATTLE WA 98101 18051370 0 X SIGHTLIFE.ORG X 1969 WA WE SERVE AS A GLOBAL LEADER AND PARTNER TO ELIMINATE CORNEAL BLINDNESS. 9 7 195 8 0 0 2148723 3438392 14419037 14435469 40061 174794 25527 2715 16633348 18051370 545552 395636 0 0 13522933 13528453 0 0 700480 7734588 7051644 21803073 20975733 -5169725 -2924363 23044860 10297122 6973166 4987411 16071694 5309711 WE SERVE AS A GLOBAL LEADER AND PARTNER TO ELIMINATE CORNEAL BLINDNESS. 0 0 15110127 14413275 FOUNDED IN 1969, THE SIGHTLIFE EYE BANK IS THE ORGANIZATION'S MOST RECOGNIZED PROGRAM. TO DATE, SIGHTLIFE EYE BANK HAS PROVIDED CORNEAL TISSUE FOR APPROXIMATELY 36,294 SIGHT-RESTORING TRANSPLANTS AND HAS BECOME PROMINENT AS A LEADER AND PARTNER WITHIN THE EYE BANK COMMUNITY. AS ONE OF THE LEADING EYE BANKS IN THE WORLD, IT PROVIDES RECOVERY OF CORNEAL TISSUE FOR TRANSPLANT, DONATION SERVICES, RESEARCH SUPPORT AND FAMILY SUPPORT PROGRAMS. IT ALSO IS A SIGNIFICANT PROVIDER OF WHOLE EYE GLOBES AND SCLERA FOR RESEARCH INTO EYE DISEASES, WORKING TO MAKE THE ELIMINATION OF TREATABLE CORNEAL BLINDNESS A REALITY. 395636 395636 THE GLOBAL EYE BANK DEVELOPMENT INITIATIVE LEVERAGES OUR EXPERTISE AND RESOURCES TO ADDRESS WORLDWIDE CORNEA BLINDNESS BY PROMOTING THE GROWTH OF PROFESSIONAL EYE BANKS AROUND THE WORLD THAT ARE SCALABLE, SUSTAINABLE AND OF HIGH QUALITY. ESTABLISHED IN 2009, THIS INITIATIVE PROVIDES STRATEGIC, TECHNICAL AND FINANCIAL ASSISTANCE TO EYE BANK PARTNERS IN DEVELOPING COUNTRIES. 65564 22194 THE NORTHWEST LIONS FOUNDATION (NLF) IS AN OPERATING UNIT OF SIGHTLIFE. NLF OVERSEES THE LIONS COMMUNITY SERVICE PROGRAMS. THESE PROGRAMS INCLUDE THE LIONS HEALTH SCREENING UNIT, THE LIONS HEARING AID BANK, AND PROJECT SUPPORT & PATIENT CARE GRANTS. ADDITIONALLY, THE NLF PROVIDED MANY OTHERS WITH FINANCIAL ACCESS TO MEDICAL PROCEDURES AND HEARING AIDS. NLF SPONSORS VARIOUS FUNDRAISING INITIATIVES TO SUPPORT THESE PROGRAMS. 15571327 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 1 1 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 44 0 195 1 0 1 IN 0 0 0 0 0 0 0 0 0 0 X 9 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 WA CA AK OR X X BETTY VIAMONTES 8132891200 1410 N 21ST ST TAMPA FL 33605 CLAIRE BONILLA CEO THRU 10/21 40.00 0.10 X X 255311 0 21985 JAMES MCCORKLE COO 40.00 0.00 X X 171335 0 23956 JOHN GEBHART CFO, TREASURER 40.00 0.00 X X 203700 0 0 BILL LUNDIN CHAIR & NWLF DIRECTOR 15.00 0.00 X X 0 0 0 SANJAY CHHEDA VICE CHAIR 3.00 0.00 X X 0 0 0 SAPPHIRA GORADIA SECRETARY 3.00 0.00 X X 0 0 0 JANE RADY TREASURER 1.50 0.00 X X 0 0 0 MARJAN FARID DIRECTOR 1.50 0.00 X 0 0 0 RICHARD P FOX DIRECTOR THRU 09/21 1.50 0.00 X 0 0 0 AUDREY TALLEY ROSTOV MD DIRECTOR 1.50 0.00 X 0 0 0 CLIFFORD SLAINGER MD DIRECTOR 1.50 0.00 X 0 0 0 JOSIE NOAH CHIEF GLOBAL OFFICER 40.00 0.00 X 151482 0 21855 AMY PEARSON WALES SR VP OF COMMUNICATIONS THRU 12/21 40.00 0.00 X 157092 0 21985 KIMBERLY PHILLIPS SR DIRECTOR OF TECH SERVICES 40.00 0.00 X 172770 0 34443 ANDREA CROSSON SR DIRECTOR DONOR OPEARTIONS 40.00 0.00 X 107291 0 34443 STACEY BAKER DIRECTOR OF HUMAN RESOURCES 40.00 0.00 X 125580 0 11447 CHRISTY CHEEVER VP OF PHILANTHROPY 40.00 0.00 X 152044 0 10567 MANOJ GOUDA DATA AND SECURITY ARCHITECT 40.00 0.00 X 139296 0 34443 ROBERT MERKLE FP&A MANAGER 40.00 0.00 X 116930 0 16912 1752831 0 232036 13 0 1 0 BLOODWORKS NORTHWEST 921 TERRY AVE SEATTLE WA 981041239 BLOOD BANK 671718 SLALOM LLC 821 2ND AVE STE 1900 SEATTLE WA 981041526 CONSULTING 502275 DONOR NETWORK WEST (CTDN) 12667 ALCOSTA BLVD STE 500 SAN RAMON CA 945834427 ORGAN PROCUREMENT SERVICES 370438 LIFESOURCE 2225 W RIVER RD MINNEAPOLIS MN 554112228 ORGAN PROCUREMENT SERVICES 346839 EUROFINS DONOR & PRODUCT TESTING INC PO BOX 84900 CHICAGO IL 606894900 BLOOD TESTING, MEDICAL REVIEW 245911 19 2452561 985831 3438392 SIGHTLIFE EYE BANKS 900099 14413275 14413275 NW LIONS FOUNDATION 900099 22194 22194 14435469 173969 173969 825 0 825 825 825 CONTRACT REVENUES 900099 2715 2715 2715 18051370 14435469 0 177509 40000 40000 355636 355636 1235915 907532 274723 53660 9448040 6887067 2148643 412330 5595 -4770 10365 2064949 1615310 364132 85507 773954 565267 169871 38816 79750 79750 187779 187779 341412 211301 105468 24643 16766 8860 4715 3191 311292 189634 103763 17895 1155344 928593 177108 49643 658296 193096 465200 124859 109610 9964 5285 19872 3225 16647 7017 7017 428119 128897 299222 124236 124236 TISSUE PROCESSING 1844243 1844243 LAB SUPPLIES 1365357 1361703 3654 DUES & SUBSCRIPTIONS 118745 105216 13529 LIONS PROGRAM 65564 65564 202993 55343 138140 9510 20975733 15571327 4703926 700480 483756 1455026 5452800 3147157 65343 133558 3395650 1467778 202173 186071 329784 546120 7548271 5755105 2423847 1793166 1488855 0 7676715 0 1525937 1568246 23044860 10297122 2559998 1648247 556233 41666 2247500 1991143 1609435 1306355 6973166 4987411 X 14796192 3780064 1275502 1529647 16071694 5309711 23044860 10297122 X -2924363 -37303 -27931 -7772386 X 0 1 X 1 0 X 1330004 2863026 1684436 2148723 3438392 11464581 20770746 20588633 20744865 14419037 14435469 90958750 22100750 23451659 22429301 16567760 17873861 102423331 1388079 1815742 110015 354430 30104 3698370 11217434 19610776 18910924 12741957 13308560 75789651 12605513 21426518 19020939 13096387 13338664 79488021 22935310 23869 697007 28334 36061 173969 959240 23869 697007 28334 36061 173969 959240 45719 467115 25527 2175 540536 22170338 24615781 22457635 16629348 18050005 103923107 0.22070 0.43150 0.00920 0.00610 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE - 2018 AMOUNT: $ 3,429. 2020 AMOUNT: $ -1,131. 2021 AMOUNT: $ 2,175. REIMBURSEMENTS - 2017 AMOUNT: $ 45,719. 2018 AMOUNT: $ 55,686. 2020 AMOUNT: $ 6,195. BO REFUND - 2018 AMOUNT: $ 408,000. UBI TAX REFUND - 2020 AMOUNT: $ 20,463. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5828328 4223828 1604500 1162270 989827 172443 557673 541450 16223 1793166 PERPETUAL TRUST 1370979 DEPOSITS 197267 1568246 EQUIPMENT LEASE LIABILITIES 75582 LEASE INCENTIVE LIABILITY 712205 RENT LIABILITY 518568 1306355 0 EAST ASIA AND THE PACIFIC 0 0 GLOBAL PROGRAM DEVELOPMENT TRAVEL, TRAINING AND CONSULTING PROVIDED TO PROMOTE EYE BANKING 311559 SOUTH ASIA 0 0 GLOBAL PROGRAM DEVELOPMENT TRAVEL, TRAINING AND CONSULTING PROVIDED TO PROMOTE EYE BANKING 42154 SOUTH AMERICA 0 0 GLOBAL PROGRAM DEVELOPMENT TRAVEL, TRAINING AND CONSULTING PROVIDED TO PROMOTE EYE BANKING 124 SUB-SAHARAN AFRICA 0 0 GLOBAL PROGRAM DEVELOPMENT TRAVEL, TRAINING AND CONSULTING PROVIDED TO PROMOTE EYE BANKING 15245 SUB-SAHARAN AFRICA 0 0 GRANTMAKING EYEBANK DEVELOPMENT AND CAPACITY 12326 SOUTH ASIA 0 0 GRANTMAKING EYEBANK DEVELOPMENT AND CAPACITY 343310 0 0 0 0 0 0 724718 0 724718 SOUTH ASIA SUPPORT EYE BANK DEVELOPMENT AND OPERATIONS 272550 WIRE TRANSFER 0 SUB-SAHARAN AFRICA SUPPORT EYE BANK DEVELOPMENT AND OPERATIONS 12326 WIRE TRANSFER 0 SOUTH ASIA SUPPORT OPERATIONS 21631 WIRE TRANSFER 0 SOUTH ASIA SUPPORT OPERATIONS 26036 WIRE TRANSFER 0 4 0 1 0 1 0 0 0 PART I, LINE 2: A MEMO OF UNDERSTANDING IS SIGNED BY SIGHTLIFE AND THE NON-US ENTITY DESCRIBING PERFORMANCE OBJECTIVES AND THE PROJECTED PAYMENT SCHEDULE. PERFORMANCE AGAINST THE OBJECTIVES IS MONITORED THROUGHOUT THE YEAR, INCLUDING REVIEW BY A SIGHTLIFE GLOBAL DIRECTOR AND APPROVAL BY THE CHIEF GLOBAL OFFICER. AS OBJECTIVES ARE ACHIEVED, PAYMENTS ARE MADE BY SIGHTLIFE TO THE NON-US ENTITY. PART I, LINE 3: PER FORM 990 INSTRUCTIONS, THE ACCRUAL METHOD OF ACCOUNTING WAS USED. PART III ACCOUNTING METHOD: SCHEDULE F, PART IV, LINE 1: FORM 926 IS NOT REQUIRED TO BE FILED BECAUSE THE TRANSFER TO A FOREIGN CORPORATION DOES NOT MEET THE REPORTING REQUIREMENTS IN THE IRC SEC. 6038(A)(1)(A). 1 VISION FOR INDEPENDENCE CENTER 311 N 4TH ST SUITE 104 YAKIMA WA 98901 205900432 501(C)(3) 6500 0 GENERAL SUPPORT. NORTHWEST ASSOCIATION FOR BLIND ATHLETES PO BOX 65265 VANCOUVER WA 98665 260244283 501(C)(3) 7000 0 GENERAL SUPPORT. PACIFIC UNIVERSITY COLLEGE OF OPTOMETRY LIONS LOW VISION CLINIC 2214 EAST 13TH ST VANCOUVER WA 98661 930386892 501(C)(3) 7500 0 GENERAL SUPPORT. 3 0 PART I, LINE 2: FOR GRANTS MADE FOR OR ON BEHALF OF PATIENTS, AN APPLICATION IS PRESENTED TO THE PHILANTHROPY COMMITTEE OF THE NORTHWEST LIONS FOUNDATION (NLF) FOR CONSIDERATION. EACH APPLICATION IS CONSIDERED ON ITS MERITS AND IN CONJUNCTION WITH THE OVERALL APPROVED BUDGETARY LEVEL. AFTER APPROVAL, THE COMMITTEE RECOMMENDS APPROVAL OF EACH GRANT TO THE NLF BOARD OF TRUSTEES. COSTS ARE USUALLY SHARED BETWEEN THE SPONSORING LIONS CLUBS AND NLF. ORGANIZATIONAL GRANTS ARE CONSIDERED ON A CASE BY CASE BASIS AND MONITORED VIA ANNUAL REPORTS FROM SUPPORTED ORGANIZATIONS. X X X X X X 0 0 0 0 0 0 0 0 0 CLAIRE BONILLA CEO THRU 10/21 255311 0 0 0 0 0 0 0 21985 0 277296 0 0 0 KIMBERLY PHILLIPS SR DIRECTOR OF TECH SERVICES 146770 0 0 0 26000 0 0 0 34443 0 207213 0 0 0 JOHN GEBHART CFO, TREASURER 203700 0 0 0 0 0 0 0 0 0 203700 0 0 0 JAMES MCCORKLE COO 171335 0 0 0 0 0 0 0 23956 0 195291 0 0 0 AMY PEARSON WALES SR VP OF COMMUNICATIONS THRU 12/21 155540 0 0 0 1552 0 0 0 21985 0 179077 0 0 0 MANOJ GOUDA DATA AND SECURITY ARCHITECT 139296 0 0 0 0 0 0 0 34443 0 173739 0 0 0 JOSIE NOAH CHIEF GLOBAL OFFICER 133330 0 0 0 18152 0 0 0 21855 0 173337 0 0 0 CHRISTY CHEEVER VP OF PHILANTHROPY 152044 0 0 0 0 0 0 0 10567 0 162611 0 0 0 FORM 990, PART 1, LINE 6: THE HEALTH SCREENING VAN REQUIRES VOLUNTEER HELP TO PROCESS EYE, HEARING, GLAUCOMA AND DIABETES TESTS DURING EACH DAY THE VAN IS SCHEDULED FOR A SCREENING VISIT. VOLUNTEERS IN THE SPOKANE AREA TRANSPORT DONATED TISSUE TO AND FROM THE AIRPORT. VOLUNTEERS SUBMIT, REVIEW AND APPROVE PATIENT CARE GRANTS FOR SIGHT AND HEARING AIDS. THE NUMBER OF VOLUNTEERS ALSO INCLUDES THE UNCOMPENSATED BOARD AND COMMITTEE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE SIGHTLIFE FORM 990 IS DEVELOPED BY INTERNAL STAFF WITH THE ASSISTANCE OF AN INDEPENDENT ACCOUNTING FIRM. THE DOCUMENT IS THEN REVIEWED BY THE ORGANIZATION'S MANAGEMENT, FOLLOWED BY A REVIEW BY THE ORGANIZATION'S FINANCE/AUDIT COMMITTEE CHAIR FOR REVIEW AND APPROVAL, THE DOCUMENT IS THEN PROVIDED TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C ALL NEW SIGHTLIFE EMPLOYEES ARE REQUIRED TO REVIEW AND ACKNOWLEDGE COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. EACH OFFICER, DIRECTOR AND KEY EMPLOYEE IS REQUIRED TO ANNUALLY REVIEW AND AFFIRM COMPLIANCE WITH THE POLICY. AN OFFICER OR DIRECTOR IS EXPECTED TO REPORT ANY MATERIAL ACTUAL OR POTENTIAL CONFLICT TO THE FULL BOARD OF DIRECTORS FOR THEIR DETERMINATION AND ENFORCEMENT. LIKEWISE, ANY ACTUAL OR POTENTIAL CONFLICT ON BEHALF OF A SIGHTLIFE EMPLOYEE WILL BE COMMUNICATED TO EXECUTIVE MANAGEMENT FOR INVESTIGATION AND RESOLUTION. IF A CONFLICT EXISTS, THE OFFICER OR TRUSTEE SHALL RECUSE THEMSELVES FROM VOTING ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE SIGHTLIFE CEO IS REVIEWED AND SET ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. FACTORS INCLUDE A COMPREHENSIVE PERFORMANCE FEEDBACK ASSESSMENT AND A REVIEW OF MARKET DATA. INDEPENDENT CONSULTANTS ARE ALSO ENGAGED PERIODICALLY, THE LAST BEING IN APRIL 2018. THE SIGHTLIFE CEO IS RESPONSIBLE FOR SETTING AND REVIEWING THE COMPENSATION OF THE ORGANIZATION'S SENIOR MANAGEMENT. FACTORS CONSIDERED INCLUDE MARKET COMPENSATION DATA, PERIODIC INDEPENDENT COMPENSATION ANALYSIS AND INDIVIDUAL PERFORMANCE AGAINST OPERATIONAL OBJECTIVES. FORM 990, PART VI, SECTION C, LINE 19 SIGHTLIFE PROVIDES PUBLIC ACCESS TO ITS GOVERNING DOCUMENTS AND FINANCIAL INFORMATION THROUGH ITS WEBSITE. INFORMATION IS ALSO MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF PERPETUAL TRUST -95,671. 2020 LOSS IN EQUITY INVESTMENT -6,992,878. 2021 LOSS IN EQUITY INVESTMENT -683,837. AUDIENT LLC 1200 6TH AVENUE SUITE 300 SEATTLE WA 98101 201893196 PROVIDES HEARING AIDS FOR LOW INCOME PATIENTS WA 0 0 SIGHTLIFE CORNEAL SOLUTIONS LLC 1200 6TH AVENUE SUITE 300 SEATTLE WA 98101 604019115 HOLDING COMPANY WA 0 0 SIGHTLIFE NORTHWEST LIONS ENDOWMENT 1200 6TH AVENUE SUITE 300 SEATTLE WA 98101 412189873 TO SUPPORT THE CHARITABLE AND LIONS ACTIVITIES OF SIGHTLIFE WA 501(C)(3) LINE 12A, I SIGHTLIFE 1 SIGHTLIFE INDIA C-11 QUTUB INSTITUTIONAL AREA NEW DELHI DELHI IN 110016 ASSIST THE DEVELOPMENT AND GROWTH OF EYE BANKS IN INDIA IN 501(C)(3) SIGHTLIFE 1 SIGHTLIFE CANADA SOCIETY 1200 WATERFRONT CENTRE VANCOUVER BRITISH COLUMBIA CA V7X1T2 PROMOTE GLOBAL DVLPMT OF ORGS WHO PROVIDE CORNEAL TRANSPLANT CA SIGHTLIFE C 1.00000 1 SIGHTLIFE ADVISORY PRIVATE LIMITED C1-404 UNIWORLD CITY WEST SECTOR GURGAON IN 122001 ASSIST THE DVLPMT AND GROWTH OF EYE BANKS IN INDIA IN SIGHTLIFE C 0.99990 1 CORNEAL SOLUTIONS LTD SUITE 1605 JARDINE HOUSE 1 CONNAU CENTRAL HK OPERATE PROGRAMS OVERSEAS HK N/A C 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 1 SIGHTLIFE INDIA R 272550 CASH