2017-11-02T15:02:44-05:00 2017-06-30 410746749 CLIFTONLARSONALLEN LLP 201 N FRANKLIN ST SUITE 2500 TAMPA FL 33602 990 2016-07-01 591458151 LIONS EYE INSTITUTE FOR TRANSPLANT AND RESEARCH INC LION 8132891200 1410 N 21ST STREET NO 100 TAMPA FL 33605 JASON K WOODY PRESIDENT AND CEO 8132891200 2017-10-31 1 LAUREN BALLARD P01451787 8133842700 2017-10-30 67.137.57.251 2017-10-31 16:15:30 ED P 34711CE866C7812F6419C49FC34AA771683A6B38 D1ECA57A6B2E25FD1BF1F84BA5BB5DD4C2FC09DC 2016 2021-01-29 14:40:06Z JASON K WOODY 1410 N 21ST STREET NO 100 TAMPA FL 33605 26079656 0 X WWW.LIONSEYEINSTITUTE.ORG X 1973 FL RECOVERY, EVALUATION, AND DISTRIBUTION OF EYE TISSUE FOR TRANSPLANTATION AND RESEARCH 10 10 100 11 0 0 0 83150 7855186 11504976 625486 1974605 44890 28124 8525562 13590855 0 0 0 0 4191070 4710445 0 0 107027 4933601 6716634 9124671 11427079 -599109 2163776 19974212 24224207 845746 3595081 19128466 20629126 THE ORGANIZATION IS DEDICATED TO THE RECOVERY, EVALUATION AND DISTRIBUTION OF OCULAR TISSUE FOR TRANSPLANTATION, RESEARCH AND EDUCATION. 0 0 8157205 11504976 EYE TISSUE PROCUREMENT & PROCESSING - 7,354 EYES WERE RECOVERED; 6,154 WERE RECOVERED FOR TRANSPLANT INTENT; 1,200 EYES WERE USED IN RESEARCH. OF THE TISSUES PLACED BOTH DOMESTICALLY AND INTERNATIONALLY FOR TRANSPLANT SURGERY, LIONS EYE INSTITUTE FOR TRANSPLANT AND RESEARCH PROVIDED GRATIS AND REDUCED FEE TISSUE IN THE AMOUNT OF $1,218,519.60 906356 PUBLIC & PROFESSIONAL EDUCATION - INCREASED AWARENESS OF NEED FOR TISSUE PROCUREMENT WITH LONG TERM GOAL OF INCREASING THE NUMBER OF DONORS. 9063561 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 15 0 100 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 0 0 1 1 0 1 1 1 1 1 1 0 1 1 0 0 FL X AHARON YOKI 8132891200 1410 N 21ST STREET 100 TAMPA FL 33605 KIMBERLY MURRAY BOARD CHAIR 1.00 1.00 X X 0 0 0 JARRETT RIEGER VICE CHAIR 1.00 X X 0 0 0 DANIEL JAMES SCOTT TREASURER 1.00 X X 0 0 0 JAMES STEFAN SECRETARY 1.00 X X 0 0 0 BRIAN SPRINGER DIRECTOR 1.00 X 0 0 0 MARGIE FRANKLIN DIRECTOR 1.00 X 0 0 0 KEVIN SHUKU DIRECTOR 1.00 X 0 0 0 CHASE STOCKON DIRECTOR 1.00 1.00 X 0 0 0 MIKE SUAREZ DIRECTOR 1.00 X 0 0 0 JOSE VALIENTE DIRECTOR 1.00 X 0 0 0 JASON K WOODY PRESIDENT AND CEO 40.00 1.00 X 265539 0 36451 AHARON YOKI CFO 40.00 1.00 X 135570 0 11317 MITCHELL MCCARTNEY SCIENTIFIC DIRECTOR 40.00 X 177032 0 7778 ANDREW MULLINS DIRECTOR OF OCULAR SERVICE 40.00 X 142527 0 27703 720668 0 83249 4 0 1 0 CENTER FOR ORGAN RECOVERY AND EDUCATION 204 SIGMA DRIVE PITTSBURG PA 15238 TISSUE ACQUISITION 391987 SHUMAKER LOOP & KENDRICK 101 E KENNEDY BLVD 2800 TAMPA FL 33602 LEGAL SERVICES 381505 FORT WORTH EYE BANK 1010 W ROSEDALE ST FORT WORTH TX 76104 TISSUE ACQUISITION 343850 BAUSCH & LOMB INC 4395 COLLECTIONS CENTER DR CHICAGO IL 60693 TISSUE MEDIA 313400 CONSTRUCTION SERVICES INC 1907 W KENNEDY BLVD TAMPA FL 33606 CONSTRUCTION 301765 10 83150 83150 TISSUE PROCESSING FEES 900099 11504976 11504976 11504976 262243 262243 28124 0 28124 28124 28124 14200063 1100 12488801 0 1711262 1100 1712362 1712362 13590855 11504976 0 2002729 491207 125004 366203 3399108 3006546 285535 107027 72774 72774 444754 367712 77042 302602 242082 60520 374943 374943 33830 33830 40746 40746 685953 661503 24450 114250 85687 28563 297584 93199 204385 236082 188866 47216 198382 58935 139447 119967 98923 21044 196076 167467 28609 20328 20328 383014 4241 378773 111359 27732 83627 LAB SUPPLIES & EXPENSES 1641282 1641282 IMPORT ACQUISITION FEES 1367983 1367983 EYE TRANSPORTATION 591782 591782 RESEARCH AND PUBLIC EDU 61906 61906 241167 199937 41230 11427079 9063561 2256491 107027 12624 13031 248949 731526 1167446 2341390 48598 79801 78500 87397 7997335 2672210 4864111 5325125 12960367 13682142 296926 1672852 296691 290943 19974212 24224207 819407 1533834 26339 191871 1869376 845746 3595081 X 19128466 20629126 19128466 20629126 19974212 24224207 X 2163776 -638258 -24858 X 0 1 X 1 0 X 20300 169343 83150 272793 6326322 6939201 7396492 7855186 11504976 40022177 6346622 7108544 7396492 7855186 11588126 40294970 0 2981281 2759398 2599742 2576738 2824602 13741761 2981281 2759398 2599742 2576738 2824602 13741761 26553209 349043 370439 516546 518235 290367 2044630 349043 370439 516546 518235 290367 2044630 389 389 6696054 7478983 7913038 8373421 11878493 42339989 0.62710 0.94630 0.04830 0.05370 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2012 AMOUNT: $ 389. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 905718 905718 3600978 1356894 2244084 1880726 708681 1172045 1338527 504374 834153 271386 102261 169125 5325125 X PART X, LINE 2: THE ORGANIZATION HAS ADOPTED THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. AS A RESULT, THE ORGANIZATION RECOGNIZED NO LIABILITY FOR UNRECOGNIZED TAX BENEFITS. X X X 0 0 0 0 0 0 0 0 0 JASON K WOODY PRESIDENT AND CEO 265539 0 0 0 0 0 21235 0 15216 0 301990 0 0 0 MITCHELL MCCARTNEY SCIENTIFIC DIRECTOR 177032 0 0 0 0 0 6141 0 1637 0 184810 0 0 0 ANDREW MULLINS DIRECTOR OF OCULAR SERVICE 142527 0 0 0 0 0 4273 0 23430 0 170230 0 0 0 FORM 990, PART VI, SECTION A, LINE 1 THERE SHALL BE AN EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS COMPRISED OF THE OFFICERS, NAMELY THE CHAIRPERSON, VICE-CHAIRPERSON, SECRETARY, TREASURER, AND UP TO TWO (2) OTHER DIRECTORS SELECTED BY THE CHAIRPERSON, AND THE PRESIDENT SHALL BE INCLUDED AS A NON-VOTING ADVISORY MEMBER. THE EXECUTIVE COMMITTEE SHALL MEET AT THE CALL OF THE PRESIDENT, OR BY THE CHAIRPERSON, AS REQUIRED TO TAKE CARE OF ANY MATTER WHICH MAY ARISE AND WHICH IS TOO URGENT TO WAIT UNTIL THE NEXT SCHEDULED BOARD MEETING. FORM 990, PART VI, SECTION A, LINE 6 MEMBERSHIP IN THIS CORPORATION SHALL BE COMPOSED OF ALL PARTICIPATING LIONS CLUBS IN LIONS DISTRICT 35-R WHICH ARE CHARTERED BY, AND ARE IN GOOD STANDING WITH, THE INTERNATIONAL ASSOCIATION OF LIONS CLUBS. THE BOARD OF DIRECTORS MAY ELECT HONORARY MEMBERS BY AN UNANIMOUS VOTE OF THE DIRECTORS PRESENT AT A DULY CONSTITUTED MEETING. HONORARY MEMBERSHIP MAY BE CONFERRED ONLY UPON PERSONS OR INSTITUTIONS PROMINENT IN THE FIELD OF WORK FOR WHICH THIS CORPORATION WAS ORGANIZED, OR TO PERSONS OR INSTITUTIONS WHO, OR WHICH, HAVE MADE A SUBSTANTIAL CONTRIBUTION IN MONEY OR SERVICES TO THE WORK OF THIS CORPORATION. SUCH HONORARY MEMBERS SHALL BE ENTITLED TO ALL PRIVILEGES OF REGULAR MEMBERS EXCEPT THE RIGHT TO VOTE OR HOLD OFFICE. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS WILL REVIEW THE RETURN IN DETAIL WITH THE PREPARER, AND THEN THEY WILL EMAIL A COPY OF THE RETURN TO EVERY BOARD MEMBER TO DISCUSS AT THE BOARD MEETING PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE CHAIRPERSON OR PRESIDENT (IN THE CASE OF AN ACTUAL OR POSSIBLE CONFLICT OF A PRINCIPAL OFFICER), OR TO THE BOARD OR COMMITTEE WITH BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, THE INTERESTED PERSON (IN THE CASE OF A DIRECTOR OR COMMITTEE MEMBER) SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IN THE CASE OF A CONFLICT BY A PRINCIPAL OFFICER, THE PRINCIPAL OFFICER SHALL HAVE NO INVOLVEMENT IN THE DECISION WHETHER TO GO FORWARD WITH THE CONTEMPLATED TRANSACTION OR ARRANGEMENT. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE INSTITUTE CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE INSTITUTE'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE INSTITUTE AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION OF THE CEO IS DICTATED BY THE EXISTING EMPLOYMENT CONTRACT. THE BOARD OF DIRECTORS DETERMINE THAT THE CEO'S SALARY IS APPROPRIATE RELATED TO COMPARABLE POSITIONS IN SIMILAR ORGANIZATIONS. ALL DELIBERATIONS AND DECISIONS REGARDING COMPENSATION ARE DOCUMENTED IN THE MINUTES. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND 990 ARE AVAILABLE UPON REQUEST OR ON A PUBLIC WEBSITE. FORM 990, PART XI, LINE 9: BAD DEBT EXPENSE -24,858. LIONS EYE INSTITUTE FOR TRANSPLANT AND RESEARCH FOUNDATION INC 1410 N 21ST ST TAMPA FL 33605 010843838 RAISE FUNDS TO SUPPORT SIGHT RELATED EDUCATION, TREATMENT, RESEARCH ETC. FL 501(C)(3) LINE 7 N/A 1 0 0 1 1 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 LIONS EYE INSTITUTE FOR TRANSPLANT AND RESEARCH FOUNDATION INC D 285444 CASH PAID LIONS EYE INSTITUTE FOR TRANSPLANT AND RESEARCH FOUNDATION INC C 83150 CASH PAID