2014-02-13T13:29:12-06:00 2013-06-30 420714325 MCGLADREY LLP 1 S WACKER DRIVE STE 800 CHICAGO IL 60606 990 2012-07-01 237030455 Lions Clubs International Foundation LION 6305715466 300 West 22nd Street Oak Brook IL 605238842 Peter Lynch 6305715466 2014-02-13 1 Wayne Harder P00294296 3126343400 2012 2015-11-30 17:44:51Z LCIF Peter Lynch 300 West 22nd Street Oak Brook IL 605238842 93935460 0 X www.lcif.org X 1968 IL Lions Clubs International Foundation (LCIF) is the grant-making arm of Lions Clubs International. LCIF makes grants to support local Lions club projects in four key areas of service: saving sight, serving youth, providing disaster relief and meeting humanitarian needs. LCIF inspires giving from 1.35 million Lions club members in 208 countries and geographic areas, as well as government and corporate partners. Grants are awarded to support projects that are based on unique local needs as identified by local Lions clubs and their partners. LCIF awards an average of US$35 million annually. Lions club members utilize these funds to establish or support a number of activities including: schools, hospitals, mobile health screening vehicles, sight-saving surgeries, vaccination and routine immunization activities, camps and playgrounds for children with disabilities, medical missions, and other humanitarian projects that serve members of the community who are in greatest need. 40 40 0 46000 -111047 -111047 43326340 35613459 0 0 9265713 13445115 -211914 191210 52380139 49249784 49353323 37120031 0 0 3470952 3501708 0 0 3870753 8790793 8983003 61615068 49604742 -9234929 -354958 302179476 295300665 38165137 28175680 264014339 267124985 X Lions Clubs International Foundation (LCIF) is the grant-making arm of Lions Clubs International. LCIF makes grants to support local Lions clubs projects in four key areas of service: saving sight, serving youth, providing disaster relief, and meeting humanitarian needs. LCIF inspires giving from 1.35 million Lions clubs members in 208 countries and geographic areas, as well as government and corporate partners. Grants are awarded to support projects that are based on unique local needs as identified by local Lions clubs and their partners. LCIF awards an average of US$35 million annually; Lions club members utilize these funds to establish or support a number of activities including: schools, hospitals, mobile health screening vehicles, sight-saving surgeries, vaccination and routine immunization activities, camps and playgrounds for children with disabilities, medical missions, and other humanitarian projects that serve members of the community who are in greatest need. 0 0 9445984 7391955 According to international experts, 80% of all visual impairment can be avoided. SightFirst is the foundation program which aims to sustainably and systematically combat preventable blindness around the world. Through SightFirst, LCIF funds projects that build comprehensive eye care systems to fight the major causes of blindness and care for blind and visually impaired persons. The program supports high quality, sustainable projects that deliver eye care services, train personnel, develop infrastructure and/or provide rehabilitation and education in underserved communities. In summary, SightFirst has invested US$292 million in 1,115 projects in 102 countries, resulting in: - Over 7 million cataract surgeries - 251 million treatments for river blindness - Built or expanded 615 eye hospitals/clinics/wards - Management training for 275 facilities - Training of 683,000 ophthalmologists, ophthalmic nurses and community health workers 29719416 28233598 292359 As members of their community, Lions are uniquely positioned to identify local initiatives that will improve the lives of the people around them who are underserved and vulnerable. Each year Lions club members design and implement projects that improve the quality of life for people with disabilities, the elderly, the chronically ill, at-risk youth, and economically disadvantaged members of their communities. LCIF Humanitarian grants are combined with locally raised funds, typically supporting capital constructions or equipment needs. Humanitarian grants are also awarded to expand a social-emotional learning program, Lions Quest, which focuses on delivering life-skills training in educational settings for grades K - high school. More than 12.5 million students and 600,000 educators in 85 countries have been positively impacted through Lions Quest. In addition, LCIF develops global initiatives and partnerships based on common local needs. For example, through the Opening Eyes program with Special Olympics, Lions have screened the vision of more than 315,000 athletes in 85 different countries. Also, through involvement within the Measles Initiative and GAVI Alliance since 2010, Lions helped support the vaccination of millions of children in several countries. 1681475 804984 LCIF implements a grassroots model of disaster relief through Emergency and Major Catastrophe grants. These grants are immediately available to local Lions in areas affected by natural disasters, such as hurricanes, earthquakes, and floods, and can be used first for emergent needs and later for long-term reconstruction. Immediately after a disaster, Lions quickly assess the most urgent needs and use Emergency grant funds to deliver basics such as water, food, clothing and medicine. After immediate needs are met, Major Catastrophe funds are used to rebuild the lives of those affected by providing key infrastructure such as housing, schools, and other important community buildings. To date, more than 3,791 emergency grants have been awarded worldwide. 689492 689494 International service, international assistance and humanitarian award grants include research and humanitarian assistance on a global level. 689492 689494 41536367 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0 0 1 1 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 1 16 0 1 0 1 1 1 IN JA TZ 0 0 0 0 0 0 0 0 X 40 40 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 AZ CA CO FL LA MA MD NY IL X Peter Lynch 6305715466 300 West 22nd St Oak Brook IL 605238842 Dr Wing-Kun Tam 20.00 20.00 X X 0 32100 0 Ichiro Takehisa 2.00 10.00 X X 0 0 0 Dr Tae-Young Kim 2.00 10.00 X X 0 0 0 Claudette Cornet 2.00 10.00 X X 0 0 0 Wayne A Madden 5.00 35.00 X 0 5190 0 Barry Palmer 5.00 35.00 X 0 13002 0 Joe Preston 5.00 35.00 X 0 0 0 Joaquim Antonio Cardoso Borralho 2.00 10.00 X 0 0 0 Marvin Chambers 2.00 10.00 X 0 0 0 Robert E Corlew 2.00 10.00 X 0 0 0 Dr Jagdish Gulati 2.00 10.00 X 0 0 0 Dave Hajny 2.00 10.00 X 0 0 0 Tsugumichi Hata 2.00 10.00 X 0 0 0 Mark Hintzmann 2.00 10.00 X 0 0 0 Pongsak Kedsawadevong 2.00 10.00 X 0 0 0 Carolyn A Messier 2.00 10.00 X 0 0 0 Joe Al Picone 2.00 10.00 X 0 0 0 Alan T Reiver 2.00 10.00 X 0 0 0 Brian E Sheehan 2.00 10.00 X 0 0 0 Junichi Takata 2.00 10.00 X 0 0 0 Klaus Tang 2.00 10.00 X 0 0 0 Carlos Valencia 2.00 10.00 X 0 0 0 Sunil Watawala 2.00 10.00 X 0 0 0 Benedict Ancar 2.00 10.00 X 0 0 0 Jaime Cepeda 2.00 10.00 X 0 0 0 Jui-Tai Chang 2.00 10.00 X 0 0 0 Kalle Elster 2.00 10.00 X 0 0 0 Stephen Glass 2.00 10.00 X 0 0 0 Judy Hankom 2.00 10.00 X 0 0 0 John Harper 2.00 10.00 X 0 0 0 Sangeeta Jatia 2.00 10.00 X 0 0 0 Sheryl Jensen 2.00 10.00 X 0 0 0 Stacey Jones 2.00 10.00 X 0 0 0 Donal Knipp 2.00 10.00 X 0 0 0 Sunil Kumar R 2.00 10.00 X 0 0 0 Kenneth Persson 2.00 10.00 X 0 0 0 H Hauser Weiler 2.00 10.00 X 0 0 0 Harvey Whitley 2.00 10.00 X 0 0 0 Clement Kusiak 2.00 10.00 X 0 0 0 Naresh Aggarwal 2.00 10.00 X 0 0 0 Peter Lynch 15.00 25.00 X 0 226049 62920 Rebecca Teel-Daou 40.00 X 0 123459 26034 Nathan Miles 40.00 X 0 122518 13569 0 522318 102523 2 0 1 0 World Health Organization 20 Avenue Appia 1211 Geneva 27 SZ Technical Support 520885 BrightKey 9050 Junction Drive Annapolis Junction MD 20701 Warehouse/Distribution 177959 Experis US Inc PO Box 905378 Charlotte NC 28290 Consulting Services 168777 Pavilion Advisory Group Inc 500 W Madison St Ste 2740 Chicago IL 60661 Investment Advisory Service 145000 Aptify Inc 7900 Westpark Drive Tysons Corner VA 22102 Consulting Services 121285 9 35613459 4861498 35613459 10373740 -111047 10484787 5825 5825 47306164 44234789 3071375 3071375 3071375 743246 450887 292359 292359 Currency Exchange Loss 900099 -111275 -111275 4301 4301 -106974 49249784 292359 -111047 13455013 10165352 10165352 26954679 26954679 2481753 771628 1109204 600921 418181 123086 189427 105668 387583 114080 175567 97936 214191 63044 97024 54123 54785 3463 23140 28182 64362 64362 535829 535829 1926499 1546817 214612 165070 229828 213922 15906 658972 64982 116628 477362 1395326 717289 292990 385047 97063 46341 28226 22496 37713 22518 13807 1388 Allocation of HQ Costs 2275164 716641 1318317 240206 Recognition 1718232 23351 18433 1676448 -10770 -10826 56 49604742 41536367 4197622 3870753 7275121 8657567 189001 51306 418418 438722 359405 260443 4195047 4036034 121705 159013 159269704 161179959 133484519 123227467 1061603 1326188 302179476 295300665 567093 375423 37330852 27555461 267192 244796 38165137 28175680 X 152827679 159999215 110686660 106625770 500000 500000 264014339 267124985 302179476 295300665 -354958 3465604 0 X 0 1 X 1 0 X 33382574 34315590 47694465 43326340 35613459 194332428 33382574 34315590 47694465 43326340 35613459 194332428 22499676 171832752 1009631 7648699 11071059 9018676 10379565 39127630 4301 4301 233464359 4649789 0.73600 0.78170 X Schedule A, Part II, Line 10, Explanation of Other Income: Miscellaneous Revenue - 2012 Amount: $ 4,301. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 562178 49130 12375 598933 572392 1864 12078 562178 564015 24627 16250 572392 410689 181580 28254 564015 500000 -74915 14396 410689 0.83480 0.16520 0 0 4195047 4036034 159013 159013 Commingled Trust Funds 97797045 F Hedge Funds 7758710 F Private Equity Funds 17671712 F 123227467 Charitable Gift Annuities 244796 244796 X 52134378 3465604 3465604 48668774 535829 45181 581010 49249784 49023732 0 49023732 535829 45181 581010 49604742 Description of Intended Use of Endowment Funds: Part V, Line 4: To fund the treatment and prevention of blindness in the state of Louisiana. Description of Uncertain Tax Positions Under FIN 48: Part X, Line 2: The Foundation has received a favorable determination letter from the Internal Revenue Service, stating that it is exempt from federal income taxes under the provisions of Section 501(c)(3) of the Internal Revenue Code of 1986 (IRC), except for income taxes pertaining to unrelated business income. The Financial Accounting Standards Board issued guidance that requires tax effects from uncertain tax positions to be recognized in the financial statements only if the position is more likely than not to be sustained if the position were to be challenged by a taxing authority. Management has determined that there are no material uncertain positions that require recognition in the financial statements. Additionally, no provision for income taxes is reflected in these financial statements, as the Foundations unrelated business taxable income was offset by the expenses directly connected with the conduct of the unrelated business, creating a net operating loss. There is no interest or penalties recognized in the financial statements. The tax years ended in 2009, 2010 and 2011 are still open to audit for both federal and state purposes. Part XI, Line 4b - Other Adjustments: Bank Fees 45,181. Part XII, Line 4b - Other Adjustments: Bank Fees 45,181. 1 Central America and the Caribbean 0 0 Program Services Grants 673349 East Asia and the Pacific 0 0 Program Services Grants 11203364 Europe (Including Iceland & Greenland) 0 0 Program Services Grants 2609631 Middle East and North Africa 0 0 Program Services Grants 131525 North America 0 0 Program Services Grants 1392242 Russia & the Newly Independent States 0 0 Program Services Grants 23004 South America 0 0 Program Services Grants 996354 South Asia 0 0 Program Services Grants 1985512 Sub-Saharan Africa 0 0 Program Services Grants 7939699 Europe (Including Iceland & Greenland) 0 0 Investments 7330116 0 0 0 0 0 0 19014981 15269815 34284796 Central America and the Carribbean Barbados Lions Children's Diabetes Prevention/Control Prog. 100000 Check Central America and the Carribbean San Pedro LC Island Academy 10000 Check Central America and the Carribbean Expand and Upgrade National Eye Clinic 56250 Check Central America and the Carribbean Cayman Islands Cancer Society Project 3000 Check Central America and the Carribbean Hurricane Relief 10000 Check Central America and the Carribbean Hurricane Relief 10000 Check Central America and the Carribbean Expand Medical Rehab Center 75000 Check Central America and the Carribbean Establish Low Vision Rehabilitation Services 50675 Check Central America and the Carribbean Haiti Reconstruction: FONKOZE Project for Women 23250 Check Central America and the Carribbean Haiti: Montfort Institute for the Deaf 325174 Check Central America and the Carribbean Flood Relief 10000 Check East Asia and the Pacific Construct Residential Facility for Cancer Patients 75000 Check East Asia and the Pacific Equip Women's & Children's Hospital in Vietnam 50000 Check East Asia and the Pacific Equip Maternity Unit at Public Hospital in Australia 36584 Check East Asia and the Pacific Upgrade Community Hospital Kitchen 17708 Check yzhen - 01/13/14 05:25PM Worksheet Schedule F East Asia and the Pacific Fire Relief 10000 Check East Asia and the Pacific Flood Relief 10000 Check East Asia and the Pacific Flood Relief 10000 Check East Asia and the Pacific Establish Cerebral Palsy Center in Australia 48047 Check East Asia and the Pacific Purchase Mobile Hearing Screening Unit 75000 Check East Asia and the Pacific Murrindindi - Woodbourne Community Bus 11159 Check East Asia and the Pacific Construct Primary School in Cambodia 50000 Check East Asia and the Pacific Earthquake Relief 10000 Check East Asia and the Pacific Earthquake Relief 10000 Check East Asia and the Pacific Earthquake Relief 10000 Check East Asia and the Pacific Earthquake Relief 10000 Check East Asia and the Pacific Earthquake Relief 10000 Check East Asia and the Pacific Earthquake Relief 10000 Check East Asia and the Pacific Earthquake Relief 10000 Check East Asia and the Pacific Earthquake Relief 10000 Check East Asia and the Pacific Earthquake Relief 10000 Check East Asia and the Pacific Earthquake Relief 10000 Check East Asia and the Pacific Flood Relief 10000 Check East Asia and the Pacific Flood Relief 10000 Check East Asia and the Pacific Trachoma Control Program 1000000 Check East Asia and the Pacific Purchase & Equip Mobile Blood Donation Vehicle 75000 Check East Asia and the Pacific Cyclone Relief 10000 Check yzhen - 01/13/14 05:29PM Worksheet Schedule F East Asia and the Pacific Comprehensive Eye Care Program 934976 Check East Asia and the Pacific Equip Lions Dialysis Center 29220 Check East Asia and the Pacific National Focal Persons Training 353600 Check East Asia and the Pacific Flood Relief 10000 Check East Asia and the Pacific Flood Relief 10000 Check East Asia and the Pacific Eye Care System Development, Sulawesi 520292 Check East Asia and the Pacific Raab, Sulawesi 64130 Check East Asia and the Pacific Expand Leader Dog Training Facility in Japan 50000 Check East Asia and the Pacific Equip Center for Disabled Children 22500 Check East Asia and the Pacific Construct School in Laos 37500 Check East Asia and the Pacific Construct School in Thailand 32051 Check East Asia and the Pacific Construct Primary School in Nepal 30000 Check East Asia and the Pacific Construct Kindergarten in Vietnam 6044 Check East Asia and the Pacific Construct Elementary School in Philippines 29580 Check East Asia and the Pacific Japan Earthquake/Tsunami 2011 1000000 Check East Asia and the Pacific Japan Earthquake/Tsunami 2011 1000000 Check East Asia and the Pacific Earthquake Relief 10000 Check East Asia and the Pacific Japan Earthquake/Tsunami 2011 500000 Check East Asia and the Pacific Purchase Therapy Equipment for Disabled 19230 Check East Asia and the Pacific Purchase Medical Equipment for Rural Hospital in Thailand 10000 Check East Asia and the Pacific Equip Gunma Medical University 19231 Check East Asia and the Pacific Equip Three Schools for the Blind 18000 Check East Asia and the Pacific Purchase Ophthalmic Equipment for Hospital in Japan 14285 Check East Asia and the Pacific Equip Training Program for Girls in Cambodia 10000 Check East Asia and the Pacific Purchase Braille Equipment 12630 Check East Asia and the Pacific Flood Relief 10000 Check East Asia and the Pacific Flood Relief 10000 Check East Asia and the Pacific 2012 Japan Flooding 150000 Check East Asia and the Pacific Clean Water Project for Schools in Cambodia 29800 Check East Asia and the Pacific Sanitation Improvements for Schools in Laos 10000 Check East Asia and the Pacific Dental Mission to the Philippines 30000 Check East Asia and the Pacific Dental Mission to the Philippines 10000 Check East Asia and the Pacific Clean Water Project in Borneo 7500 Check East Asia and the Pacific Computers for Deaf & Hearing Impaired in Vietnam 10000 Check East Asia and the Pacific Expand Lions Quest 25000 Check East Asia and the Pacific Expand Lions Quest 25000 Check East Asia and the Pacific Expand Lions Quest 25000 Check East Asia and the Pacific Expand Lions Quest 25000 Check East Asia and the Pacific Expand Lions Quest 25000 Check East Asia and the Pacific Expand Lions Quest 25000 Check East Asia and the Pacific Expand Lions Quest 25000 Check East Asia and the Pacific Medical Mission to Bangladesh 10000 Check East Asia and the Pacific 38th Medical Mission to the Philippines 30000 Check East Asia and the Pacific Equip Nagasaki Eye Bank 63000 Check East Asia and the Pacific Purchase Transport Vehicle for Disabled 11025 Check East Asia and the Pacific Wildfire Relief 10000 Check East Asia and the Pacific Purchase Two Health Care Vehicles for Elderly & Disabled 39000 Check East Asia and the Pacific Purchase & Equip Oral Cancer Screening Unit 75000 Check East Asia and the Pacific Equip Home for the Elderly 75000 Check East Asia and the Pacific Equip Fire Department in Taiwan 75000 Check East Asia and the Pacific Renovate & Equip Recreation Lounge at Home for Seniors 75000 Check East Asia and the Pacific Flood Relief 10000 Check East Asia and the Pacific Typhoon Relief 10000 Check East Asia and the Pacific Typhoon Relief 10000 Check East Asia and the Pacific Typhoon Relief 10000 Check East Asia and the Pacific Taiwan Typhoon Morakot 29000 Check East Asia and the Pacific Purchase Car for Volunteer Fire Department 52000 Check East Asia and the Pacific Purchase Two Transport Vehicles for the Disabled 75000 Check East Asia and the Pacific Purchase Two Transport Vehicles for the Disabled 23350 Check East Asia and the Pacific Purchase Eight Transport Vehicles for the Disabled 75000 Check East Asia and the Pacific Mobile Recreation Service Vehicle for Seniors 75000 Check East Asia and the Pacific Purchase Transport Vehicle for the Disabled 38000 Check East Asia and the Pacific Purchase Transport Vehicle for Children 33133 Check East Asia and the Pacific Purchase Mobile Vision Screening Vehicle for Seniors & Child 75000 Check East Asia and the Pacific Purchase Transport Vehicle for the Elderly Disabled 75000 Check East Asia and the Pacific Purchase Two Ambulances for Seniors 75000 Check East Asia and the Pacific Purchase Vehicle for Down Syndrome Center 20000 Check East Asia and the Pacific Purchase & Equip Mobile Vision Screening Vehicle 75000 Check East Asia and the Pacific Purchase & Equip Mobile Vision Screening Vehicle 75000 Check East Asia and the Pacific Purchase Two Transport Vehicles for Seniors 20333 Check East Asia and the Pacific Purchase Transport Vehicle for Elderly and Disabled 38800 Check East Asia and the Pacific Purchase Transport Vehicle for Dialysis Patients 39750 Check East Asia and the Pacific Construct Cancer Center in New Zealand 75000 Check East Asia and the Pacific Christchurch Earth - Transitional Facility at So. Brighton 55250 Check East Asia and the Pacific Equip Ferrymead LC Eyeglass Recycling Center 4500 Check East Asia and the Pacific 2012 Philippines Flooding 100000 Check East Asia and the Pacific Expand Lions Quest 100000 Check East Asia and the Pacific J & J Sight for Kids - Philippines 50000 Check East Asia and the Pacific Eye Care System Development, Bulacan & Bataan Provinces 174474 Check East Asia and the Pacific Tornado Relief 5000 Check East Asia and the Pacific Typhoon Relief 5000 Check East Asia and the Pacific Typhoon Relief 5000 Check East Asia and the Pacific Typhoon Relief 5000 Check East Asia and the Pacific Typhoon Relief 5000 Check East Asia and the Pacific Typhoon Relief 5000 Check East Asia and the Pacific Typhoon Relief 10000 Check East Asia and the Pacific Typhoon Relief 10000 Check East Asia and the Pacific Typhoon Relief 5000 Check East Asia and the Pacific Expand Lions Quest 90000 Check East Asia and the Pacific Equip School for Disabled Children 50000 Check East Asia and the Pacific Expand Daegu Disabled Center 74600 Check East Asia and the Pacific Construct Elementary School in the Philippines 75000 Check East Asia and the Pacific Construct Elementary School in the Philippines 75000 Check East Asia and the Pacific Purchase Surgical Equipment for Busan Hu Clinic 63044 Check East Asia and the Pacific Equip Eye Clinic in Busan 67505 Check East Asia and the Pacific Purchase Arturoscopy Equipmnet for Welfare Center Hospital 31780 Check East Asia and the Pacific Flood Relief 10000 Check East Asia and the Pacific Clean Water Project in Borneo 8500 Check East Asia and the Pacific Construct Homes in Vietnam 45000 Check East Asia and the Pacific Equip Lions Sight Center inside University Hospital 75000 Check East Asia and the Pacific Equip Lions Sight Center 75000 Check East Asia and the Pacific Typhoon Relief 10000 Check East Asia and the Pacific Typhoon Relief 10000 Check East Asia and the Pacific Typhoon Relief 10000 Check East Asia and the Pacific Typhoon Relief 10000 Check East Asia and the Pacific Typhoon Relief 10000 Check East Asia and the Pacific Typhoon Relief 10000 Check East Asia and the Pacific Typhoon Relief 10000 Check East Asia and the Pacific Typhoon Relief 10000 Check East Asia and the Pacific Typhoon Relief 10000 Check East Asia and the Pacific Purchase Transport Vehicle for Disabled and Elderly 48856 Check East Asia and the Pacific Purchase/Equip Mobile Kitchen to feed the elderly & disabled 45000 Check East Asia and the Pacific Purchase/Equip Mobile Kitchen to feed the elderly & disabled 75000 Check East Asia and the Pacific Purchase Mobile Bath Unit and Mobile Laundry Unit 57500 Check East Asia and the Pacific Purchase Transport Vehicle for the Disabled 43000 Check East Asia and the Pacific Purchase Transport Vehicle for the Disabled and Elderly 55000 Check East Asia and the Pacific Support National Eye Care Network 552585 Check East Asia and the Pacific Equip Phrae Hospital in Thailand 60000 Check East Asia and the Pacific 2011 Thailand Flooding 48105 Check East Asia and the Pacific 2011 Thailand Flooding 51375 Check East Asia and the Pacific Flood Relief 10000 Check East Asia and the Pacific 2011 Thailand Flooding 16320 Check East Asia and the Pacific J & J Sight for Kids - Thailand 49000 Check East Asia and the Pacific Eye Care System Development 465512 Check Europe Expand Primary School for Orphans in Burkina Faso 27778 Check Europe Flood Relief 10000 Check Europe Expand Hospital at Mballing Leprosy Village in Senegal 75000 Check Europe Equip Institute for Visually Impaired in Bhutan 25000 Check Europe Equip Neonatal Ward at Hospital in Ruse 57600 Check Europe Expand Lions Quest 99750 Check Europe Lions Ophthalmology Educational Centre Training Program 27000 Check Europe Equip Maternity in Bosnia/Herzegovina 75000 Check Europe Build Bore Wells in Kenya 33650 Check Europe Construct High School in Senegal 57808 Check Europe Construct School, Library, and Well in Madagascar 9700 Check Europe Equip Hospital with Pediatric Equipment 75000 Check Europe Clean Water Project in Burkina Faso 9500 Check Europe Construct/Equip Health Clinic 25755 Check Europe Expand Lions Quest 100000 Check Europe Construct Dispensary in Burma 14375 Check Europe Construct & Equip School in Rwanda 37221 Check Europe Flood Relief 10000 Check Europe Flood Relief 10000 Check Europe Establish Low Vision & Retinopathy of Prematurity 35811 Check Europe Flood Relief 10000 Check Europe Earthquake Relief 10000 Check Europe Kennels for Limbiate Guide Dog Center 75000 Check Europe Construct Center for Orphans in Burkina Faso 13000 Check Europe Expand Residence for Disabled 39047 Check Europe South Mantova Earthquake Reconstruction Projects 65789 Check Europe Renovate School Library Destroyed in 2012 Earthquake 75000 Check Europe Purchase Braille Typewriters for School in Brazil 10000 Check Europe Solar Lights for Congo-Kinshasa 10000 Check Europe Equip Oncologic Rehab Clinic 67164 Check Europe Equip Lions Sight Center 74463 Check Europe Construct Hospital in Kerala India 60000 Check Europe Water Well Project in Tanzania 30000 Check Europe Clean Water and Sanitation Project in Benin 5162 Check Europe Hearing Aids for Children in Albania 5000 Check Europe Expand Lions Quest 100000 Check Europe President Madden's Visit to the Vatican 10000 Check Europe Humanitarian Award 2013 239059 Check Europe Expand Lions Quest 100000 Check Europe USAID Matching Grant-Vision, Health & Academic Performance 250000 Check Europe Flood Relief 10000 Check Europe Diabetes Medical Mission to Albania 9720 Check Europe Vocational Training for the Blind 18869 Check Europe Equip Athletic Field at School for Disabled 10255 Check Europe Expand Lions Quest 25000 Check Europe Equip Center for Blind Children 19171 Check Europe Expand Lions Quest 25000 Check Europe Flood Relief 10000 Check Europe Equip Two Rural Schools in Bolivia 8180 Check Europe Swedish Lions Tents Program 75000 Check Europe Expand School for Disabled 75000 Check Europe Establish Education and Training Center in Rural Turkey 28971 Check Europe Low Vision Capacity Building, Training, & Education Program 84833 Check Europe Lions World Sight Day 2012 75000 Check Europe Onko Day - Purchase Transport Van for Cancer Center 70000 Check Middle East and North Africa Literacy Program for Children/Aga Khan 35000 Check Middle East and North Africa Cancer Screening Equipment for Medical Clinics 41000 Check Middle East and North Africa Malaika III: Construct School for Children w/Downs 55525 Check North America Expand Guide Dog Facility 75000 Check North America Renovate House for Families of Sick Children 63822 Check North America Diabetes Education & Screening Program 118000 Check North America Renovate Home for Disabled 75000 Check North America Establish Lions Education Center at Camp Huronda 75000 Check North America Purchase Equipment for Integrated Operating Room 75000 Check North America Cataract Surgery Equipment for Swan Valley 35300 Check North America Equip Eye Center with Ultrasound 60000 Check North America Equip Hospital with Ophthalmologic Camera 25000 Check North America Equip Hospital with CT Scanner 60000 Check North America Equip Pediagtric Ophthalmology Dept. 35000 Check North America Flood Relief 10000 Check North America Flood Relief 10000 Check North America Support Ophthalmology Exam Lane at Hospital 22750 Check North America Purchase Retinal Laser for Thunder Bay 67800 Check North America Retinal Camera for Hospital Hotel Dieu de Levis 27040 Check North America Ophthalmology Sedation Room at Sicks Kids Hospital 75000 Check North America Hurricane Relief 10000 Check North America Diabetic Retinopathy Program, Nuevo Leon 155600 Check North America IEF Training Program 306930 Check North America Storm Relief 10000 Check Russia and Neigheboring States Purchase Low Vision Aids for Orphanage 23004 Check South America Playground for Disabled Children 59794 Check South America Flood Relief 5000 Check South America Flood Relief 10000 Check South America Upgrade San Jose Munipal Hospital, Campana 63460 Check South America Flood Relief 5000 Check South America Raab, Three Departments 89920 Check South America Surgical Equipment for Cancer Patients 75000 Check South America Flood Relief 10000 Check South America Flood Relief 10000 Check South America Flood Relief 10000 Check South America Flood Relief 10000 Check South America Expand Lions Quest 25000 Check South America Expand Lions Quest 25000 Check South America Expand Lions Quest 25000 Check South America Expand Lions Quest 25000 Check South America Expand Lions Quest 87699 Check South America Diabetic Retinopathy Program, Minas Gerais 72000 Check South America Windstorm Relief 10000 Check South America Windstorm Relief 10000 Check South America Windstorm Relief 10000 Check South America Equip Classroom for Blind 32778 Check South America Flood Relief 10000 Check South America Flood Relief 10000 Check South America Expand Lions Quest 99778 Check South America Tornado Relief 10000 Check South America Flood Relief 10000 Check South America Flood Relief 10000 Check South America Equip Loja Lions Medical Center 57611 Check South America Expand Diabetes Clinic 73414 Check South America Equip Computer Center 9900 Check South America Flood Relief 10000 Check South America Tornado Relief 10000 Check South America Flood Relief 10000 Check South America Landslide Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Cyclone Relief 5000 Check South Asia Cyclone Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Equip Dhaka Progressive Lions Eye Hospital, Narsingdi 38227 Check South Asia Tornado Relief 5000 Check South Asia Construct School for Disabled at Kinnigoli 61139 Check South Asia Expand Physiotherapy College for the Disabled 75000 Check South Asia Expand Lions School 60000 Check South Asia Expand Lions School Mirzapur 50000 Check South Asia Equip Pune Lions Dialysis Center 55000 Check South Asia Upgrade Kartar Singh Hospital 60000 Check South Asia Equip Lions Medical Clinic 30000 Check South Asia Equip Lions Dialysis Center 15000 Check South Asia Equip Siliguri Lions Blood Bank 75000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 10000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 30000 Check South Asia MCAT Himalayan Flood 100000 Check South Asia CLTS Foundation - Health & Sanitation 15260 Check South Asia Expand Lions Quest 100000 Check South Asia Upgrade Lions Eye Bank 50000 Check South Asia Lions Diabetic Retinopathy Skills Transfer Training Program 135450 Check South Asia Upgrade Lions Eye Hospital, Sangli 10000 Check South Asia Enhance Low Vision Rehabilitation, Andra Pradesh 112225 Check South Asia Purchase Blood Donation Van 40000 Check South Asia Construct Primary School 45000 Check South Asia Wildfire Relief 10000 Check South Asia Nepal Measles Rubella Campaign - Phase 3 68000 Check South Asia Sight for Kids - Nepal 11880 Check South Asia Sight for Kids - Nepal 23760 Check South Asia 2012-13 Cataract Screening & Surgery Program 57500 Check South Asia 2012-13 Cataract Screening & Surgery Program 115000 Check South Asia 2012-13 Cataract Screening & Surgery Program 86250 Check South Asia 2012-13 Cataract Screening & Surgery Program 86250 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia Flood Relief 5000 Check South Asia SightFirst Hospital, Hendala, Operating Costs 7071 Check South Asia 2012-13 Cataract Screening & Surgery Program 127500 Check South Asia 2012-13 Cataract Screening & Surgery Prograom 30000 Check South Asia Windstorm Relief 5000 Check Sub-Saharan Africa Expand the Guisma Primary School in Burkina Faso 48913 Check Sub-Saharan Africa Expand the Ilpece Health Center in Burkina Faso 60630 Check yzhen - 01/13/14 05:42PM Worksheet Schedule F Sub-Saharan Africa National Onchocerciasis Control Program 818119 Check Sub-Saharan Africa Mectizan Donation SF Onchocerciasis Program 2561250 Medicine FMV Sub-Saharan Africa Mectizan Donation SF Onchocerciasis Program 2280000 Medicine FMV Sub-Saharan Africa Maltra Support Activities 2012 - 13 24000 Check Sub-Saharan Africa Upgrade Alert Bebre-Berhan & Bahir-Dar Hosptital 154288 Check Sub-Saharan Africa Onchocerciasis Control Program 250000 Check Sub-Saharan Africa Trachoma Control Program 500000 Check Sub-Saharan Africa Flurometholone Therapy Trial, University of Pennsylvania 100000 Check Sub-Saharan Africa World Immunization Week 2013 Activities 50000 Check Sub-Saharan Africa Lions - Habitat Homes (Ivory Coast) 49500 Check Sub-Saharan Africa Braille Equipment for Kenya 10000 Check Sub-Saharan Africa Famine Relief in Turkana 75000 Check Sub-Saharan Africa Kenya Measles Campaign 85850 Check Sub-Saharan Africa Stoma Care Pilot Projects 5000 Check Sub-Saharan Africa Implement Lions Quest 25000 Check Sub-Saharan Africa Cyclone Relief 10000 Check Sub-Saharan Africa Educational Supplies for Refugees 50000 Check Sub-Saharan Africa Routine Immunization Awareness Project 8000 Check Sub-Saharan Africa World Immunization Week 2013- Mali 21000 Check Sub-Saharan Africa Flood Relief 5000 Check Sub-Saharan Africa Flood Relief 10000 Check Sub-Saharan Africa Niger Measles Campaign 20000 Check Sub-Saharan Africa Construct Home for Cancer Patients 75000 Check Sub-Saharan Africa Flood Relief 10000 Check Sub-Saharan Africa Flood Relief 10000 Check Sub-Saharan Africa Flood Relief 25000 Check Sub-Saharan Africa Expand Lions Quest 25000 Check Sub-Saharan Africa Flood Relief 10000 Check Sub-Saharan Africa Flood Relief 10000 Check Sub-Saharan Africa Flood Relief 5000 Check Sub-Saharan Africa Flood Relief 10000 Check Sub-Saharan Africa Expand Lions Quest 100000 Check Sub-Saharan Africa Upgrade Morogoro Regional Hospital's Eye Clinic 210000 Check Sub-Saharan Africa Trichiasis Screening & Surgery Trial 73109 Check Sub-Saharan Africa Implement Lions Quest 40340 Check Sub-Saharan Africa Landslide Relief 5000 Check Sub-Saharan Africa Landslide Relief 10000 Check Sub-Saharan Africa Expand Lions Quest 99700 Check 404 1 0 1 1 1 1 Procedure for Monitoring Grants Outside the U.S.: Schedule F, Part I, Line 2: Grant awards are subject to board approval and recipients must meet requirements necessary to receive said grant. LCIF staff monitors the requirements on a regular basis to ensure all awards are proper. After grants are disbursed in part or in full, the recipient must provide an interim or final report, which includes financial documentation of the use of grant funds and local matching funds and a narrative of the actions taken in developing the project. The interim or final report is reviewed and approved by the district governor in office and the grant administrator. The report is then reviewed and approved by the district cabinet before submission to LCIF. 1 Alabama Lions Sight Conservation Association 152 Trailing Vine Lane Harvest AL 35749 631237866 501 (c) (3) 72000 STANDARD LCI Multiple District 34 152 Trailing Vine Lane Harvest AL 35749 630340851 501 (c) (4) 30000 STANDARD Lions USA Eye Research Institute PO Box 1022 Gulf Shores AL 365471022 311472961 501 (c) (4) 50000 STANDARD Phoenix Barangay Lions Club 7625 W Keim Drive Glendale AZ 85303 860867634 501 (c) (4) 8800 INTERNATIONAL ASSISTANCE Phoenix Phil-Am Lions Club 1105 S 115th Dr Avondale AZ 85323 860591596 501 (c) (4) 10000 INTERNATIONAL ASSISTANCE LCI District 4-L6 655 Berkshire Place Escondido CA 920275218 455600847 501 (c) (4) 7500 STANDARD Lions District 4-L5 PO Box 1845 Helendale CA 92342 237410017 501 (c) (4) 72975 STANDARD LCI District 4-C1 12394 Angora Drive Redding CA 96003 237327243 501 (c) (4) 14078 STANDARD Lion's Clubs District 65E 3307 Modesto Drive Pueblo CO 08105 841318157 501 (c) (4) 10000 EMERGENCY LCI District 6-C 7687 Pennsylvania Dr Littleton CO 801222823 237313425 501 (c) (4) 8000 INTERNATIONAL ASSISTANCE Ensight Skills Center Inc 3570 E 12th Ave Denver CO 80206 742246004 501 (c) (4) 200050 SIGHT Lions Club District 6SE 5627 Aventura Way Pueblo CO 81005 841318157 501 (c) (4) 10000 DESIGNATED Int'l Assoc of Lions Clubs Dist 23-C 92 Young Street East Hampton CT 06424 061051190 501 (c) (4) 10000 EMERGENCY CT Lions Dist 23-A Administration Acct 118 Ramapoo Road Ridgefield CT 06877 061419705 501 (c) (4) 6000 EMERGENCY LCI District 23-A 118 Ramapoo Road Ridgefield CT 06877 061419705 501 (c) (4) 10000 DESIGNATED Special Olympics 1133 19th Street NW Washington DC 20036 520889518 501 (c) (3) 1000000 VISION SCREENINGS FOR PARTICIPATING CHILDREN United Nations Foundation 1800 Massachusetts Ave NW Washington DC 20036 582368165 501 (c) (3) 1042268 MEASLES INITIATIVE United Nations Foundation 1800 Massachusetts Ave NW Washington DC 20036 582368165 501 (c) (3) 1400000 MEASLES INITIATIVE United Nations Foundation 1800 Massachusetts Ave NW Washington DC 20036 582368165 501 (c) (3) 1000000 MEASLES INITIATIVE United Nations Foundation 1800 Massachusetts Ave NW Washington DC 20036 582368165 501 (c) (3) 400000 MEASLES INITIATIVE United Nations Foundation 1800 Massachusetts Ave NW Washington DC 20036 582368165 501 (c) (3) 850000 MEASLES INITIATIVE United Nations Foundation 1800 Massachusetts Ave NW Washington DC 20036 582368165 501 (c) (3) 400000 MEASLES INITIATIVE United Nations Foundation 1800 Massachusetts Ave NW Washington DC 20036 582368165 501 (c) (3) 714840 MEASLES INITIATIVE District 35-L Lions 5062 Harbour Dr Oxford FL 34484 237330297 501 (c) (4) 10000 EMERGENCY Lions Club of GA District 18-A 2662 Whitehurst Dr Marietta GA 30062 237148615 501 (c) (4) 10000 EMERGENCY LCI District 9-NW PO Box 33 Manson IA 50563 421118869 501 (c) (4) 10000 STANDARD LCI District 39-E 151 Trail Creek Rd Pocatello ID 83204 237076670 501 (c) (4) 10000 EMERGENCY The Chicago Lighthouse for the Blind 906 Dunlop Avenue Forest Park IL 60130 362169139 501 (c) (3) 42500 STANDARD District 1-A Lions Club 906 Dunlop Avenue Forest Park IL 601302059 366106638 501 (c) (4) 10000 DESIGNATED LCI District 1-J 111 Sunbury Road South Elgin IL 60177 233107617 501 (c) (4) 6400 STANDARD LQ Community Partners Not yet determined 300 W 22nd Street Oak Brook IL 60523 200000 EXPANSION OF LIONS QUEST CORE 4 LCI District 1-H 520 Westwood Blvd Canton IL 61520 510248960 501 (c) (4) 10000 DESIGNATED LCI District 1-K 311 W Virginia Avenue Normal IL 61761 237124894 501 (c) (4) 10000 DESIGNATED LCI District 25-D 5 Cool Creek Circle Carmel IN 46033 310949232 501 (c) (4) 10000 INTERNATIONAL ASSISTANCE LCI Multiple District 25 4550 Manning Road Indianapolis IN 46228 237007876 501 (c) (4) 7500 STANDARD LCI District 25-F 9152 Key Lane Clermont IN 46234 455330969 501 (c) (4) 12500 STANDARD Wanatah Lions Club 504 Legion Road Wanatah IN 46390 356042110 501 (c) (4) 17605 STANDARD LCI District 25-C 11179 S 100 E Battle Ground IN 479208012 454380265 501 (c) (4) 10000 INTERNATIONAL ASSISTANCE Multiple District 17 222 North Meridian Valley Center KS 67147 480942086 501 (c) (4) 100000 EXPANSION OF LIONS QUEST CORE 4 Mayfield Seadalia Wingo Kidsight 206 Park Place West Cadiz KY 42211 310919835 501 (c) (4) 5500 STANDARD Lions Charities of District 8-S 4220 Haring Road Metairie LA 70006 720855731 501 (c) (4) 10000 EMERGENCY District 8-N Lions 23033 Treakle Lane Zachary LA 70791 900620515 501 (c) (4) 10000 EMERGENCY LCI District 8-L 216 W Lake Road Benton LA 71006 720928468 501 (c) (4) 12655 STANDARD LCI MD-33 PO Box 201 Chartley MA 02712 830504460 501 (c) (4) 60000 STANDARD LCI District 22-C 4435 Morningwood Dr Olney MD 20832 237050709 501 (c) (4) 49900 STANDARD LCI District 22-C 4435 Morningwood Dr Olney MD 208322835 856019118 501 (c) (4) 54399 STANDARD LCI District 22-B PO Box 613 Hebron MD 21830 521151659 501 (c) (4) 10000 EMERGENCY Leader Dogs for the Blind 1039 S Rochester Road Rochester Hills MI 483073115 381366931 501 (c) (3) 21665 DESIGNATED LCI District 5M-8 708 4th Avenue S Princeton MN 55371 411390009 501 (c) (4) 10000 EMERGENCY Missouri Lions District 26-M3 15 Bear Creek Wentzville MO 63385 262780017 501 (c) (4) 10000 DESIGNATED Children's Center for the Visually Impaired 8004 Woods Road Orrick MO 64077 900602744 501 (c) (4) 75000 STANDARD Vision Rehabilitation Center of the Ozarks 1661 West Elfindale Street Springfield MO 65807 430836997 501 (c) (3) 39745 SIGHT LCI District 30-M 1215 Park Center Dr Clarksdale MS 386143442 646027945 501 (c) (4) 10000 DESIGNATED The Lions of MS District 30-S 1316 Hardy Street Hattiesburg MS 39401 262492853 501 (c) (4) 10000 DESIGNATED The Lions of MS District 30-S 87122 Golf Club Drive Diamond Head MS 39525 646027945 501 (c) (4) 10000 EMERGENCY Multiple District 37 Lions 2469 N 15 Road Worden MT 59088 237052652 501 (c) (4) 29440 STANDARD Montana Lions Forest Fire Relief 1210 Lynn Avenue Billings MT 59102 270661984 501 (c) (4) 10000 EMERGENCY LCI District 37-N 100 Shelter View Ct Kalispell MT 599018950 810490321 501 (c) (4) 10000 DESIGNATED Int'l Association of Lions Clubs Dist 31-J 312 Agona Street Manteo NC 27954 237331676 501 (c) (4) 10000 EMERGENCY LCI District 38-O 2006 S 138th Street Omaha NE 68144 460637028 501 (c) (4) 75000 STANDARD LCI District 38-I 421 A Street Shelton NE 68822 477020960 501 (c) (4) 10000 EMERGENCY Int'l Assoc of Lions Clubs MD 16-A 86 Park Row Wallington NJ 07057 226146750 501 (c) (4) 10000 EMERGENCY Lions District 16-E 625 Westminster Ave Elizabeth NJ 07208 10000 EMERGENCY NJ Lions District 16-C 3099 E Landis Ave Vineland NJ 08361 223054474 501 (c) (4) 10000 EMERGENCY Lions District 16-D 21 Hardley Drive Cranbury NJ 08512 222566265 501 (c) (4) 10000 EMERGENCY LCI MD-16 1 Holmes Road Cranbury NJ 085123307 226108297 501 (c) (4) 250000 DESIGNATED New Jersey Lions District 16-B 1740 Baltimore Ave Whiting NJ 08759 061791723 501 (c) (4) 10000 EMERGENCY South Jersey Eye Center 400 Chambers Avenue Camden NY 08103 223054474 501 (c) (4) 151632 SIGHT LCI District 20-R1 30 Young Avenue Croton on Hudson NY 105203021 133876120 501 (c) (4) 75000 STANDARD LC of District 20-K1 Int'l Brooklyn-Queens NY 40 East 55th Street Brooklyn NY 11203 113388295 501 (c) (4) 10000 EMERGENCY LCI District 20-K1 40 East 55th Street Brooklyn NY 112032602 166099328 501 (c) (4) 250000 DESIGNATED Lions Clubs of NY State & Bermuda Inc 441 Hegeman Avenue Brooklyn NY 11207 166099328 501 (c) (4) 100000 DESIGNATED Lions Clubs of NY State & Bermuda Inc 441 Hegeman Avenue Brooklyn NY 11207 166099328 501 (c) (4) 50000 DESIGNATED LCI District 20-Y1 PO Box 2117 Liverpool NY 13089 073467727 501 (c) (4) 12500 STANDARD LCI District 20-E1 PO Box 24 Little Genesee NY 147540024 160743906 501 (c) (4) 21500 STANDARD Ohio Lions District 13-G 505 Newport Avenue Uhrichsville OH 44683 510173256 501 (c) (4) 75000 STANDARD District 13-B 107 E Main Street 5 Ashland OH 44805 341196352 501 (c) (4) 75000 STANDARD LCI District 3-H 1140 NW 83rd St Oklahoma OK 73114 237339220 501 (c) (4) 10000 DESIGNATED Oklahoma Lions District 3L 4717 NW Cheryl Blvd Lawton OK 73505 237301801 501 (c) (4) 10000 DESIGNATED District 3-O Lions 14347 S Toledo Bixby OK 74008 383780835 501 (c) (4) 10000 EMERGENCY Lions of OK MD 3 INC 215 W McElroy Rd Ste 4 Stillwater OK 74075 237050631 501 (c) (4) 100000 DESIGNATED Oregon Lions Sight and Hearing Foundation 1410 SW Morrison St Portland OR 972051930 936041506 501 (c) (3) 60420 STANDARD District 36-O Lions Clubs 461 High Street North Monmouth OR 97361 237048601 501 (c) (4) 5000 INTERNATIONAL ASSISTANCE LCI District 36-G 68357 Summerville Road Summerville OR 97876 930776349 501 (c) (4) 75000 STANDARD LCI District 14-M 136 North Gallatin Ave Uniontown PA 15401 251737416 501 (c) (4) 20642 STANDARD PA Lions Beacon Lodge Camp 228 S Bedford St Bedford PA 15522 231409662 501 (c) (3) 23495 STANDARD Meadville Lions Club 13301 N Watson Run Rd Conneaut Lake PA 16310 256037655 501 (c) (4) 18333 DESIGNATED LCI District 14-T 146 S 2nd Street Dillsburg PA 17019 237305046 501 (c) (4) 23186 STANDARD LCI District 14-P 830 Cottonwood Drive Malvera PA 19355 237158136 501 (c) (4) 44500 STANDARD Lions District 32-C 228 Heatherwood Rd Marion SC 29571 300327084 501 (c) (4) 10000 DESIGNATED LCI District 2-E2 Box 607 Colleyville TX 76034 237389237 501 (c) (4) 10000 DESIGNATED LCI District 2-E2 Box 607 Colleyville TX 76034 237389237 501 (c) (4) 22898 STANDARD District 2-X3 54-A W Elm Street Hillsboro TX 766452036 237291235 501 (c) (4) 10000 DESIGNATED LCI District 2-A3 PO Box 562 Donna TX 78537 237151923 501 (c) (4) 10710 STANDARD Texas Lions Eyeglass Recycling Center 401 N Colorado Suite 100 Midland TX 79702 237309776 501 (c) (4) 10000 INTERNATIONAL ASSISTANCE District 24A Lions Administration 5933 Fairview Woods Dr Fairfax Station VA 22039 900066687 501 (c) (4) 30000 INTERNATIONAL ASSISTANCE LCI District 19-G 9116 NE 21st Court Vancouver WA 98665 237312560 501 (c) (4) 6300 INTERNATIONAL ASSISTANCE LCI - District 19-F PO Box 329 Mabton WA 98935 203783096 501 (c) (4) 50000 STANDARD LCI District 27-A1 3612 Roosevelt Road Kenosha WI 53142 391447361 501 (c) (4) 30000 INTERNATIONAL ASSISTANCE WV Division of Justice and Community Services 612 Harrison Street Harrisville WV 263621341 550729970 Government Entity 12480 DESIGNATED LCI District 29-I P O Box 41 Mount Storm WV 26739 311077296 501 (c) (4) 75000 STANDARD 8 83 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Grant awards are subject to board approval and recipients must meet requirements necessary to receive said grant. LCIF staff monitors the requirements on a regular basis to ensure all awards are proper. After grants are disbursed in part or in full, the recipient must provide an interim or final report, which includes financial documentation of the use of grant funds and local matching funds and a narrative of the actions taken in developing the project. The interim or final report is reviewed and approved by the district governor in office and the grant administrator. The report is then reviewed and approved by the district cabinet before submission to LCIF. X X 1 1 0 0 0 0 0 0 0 0 0 Peter Lynch 0 216743 0 8840 0 466 0 43754 0 19166 0 288969 0 0 Part I, Line 1a First Class Airfare 1. First class airfare is authorized for Executive Officers, due to their extensive travel requirements, and is not taxable to them. 2. First class airfare is authorized for Past International Presidents and their companions for roundtrip travel exceeding 10 hours and is taxable to them. Travel for Companions Travel expenses for a companion accompanying an Executive Officer, International Director, Past International President, Past International Director, Board appointee or official speaker to speaking assignment(s), board meeting(s) or international convention will be reimbursed according to Lions Clubs International Foundation's general reimbursement rules if the companion is present at scheduled Lions Clubs International Foundation functions and events and will not be taxable to them. Reimbursement will not be provided if the companion does not attend scheduled functions and events. Part I, Line 3 Lions Clubs International Foundation's Salary Administration (note: salary review is administered by Lions Clubs International on behalf of Lions Clubs International Foundation.) 1.Salary surveys are conducted periodically to assure the salary ranges and salary increase figures used are comparable to salaries paid by the existing labor market. 2.A performance review of the senior executive administrator is conducted annually by the Lions Clubs International Executive Committee. 3.Salary increase and/or bonus for the senior executive administrator shall be determined individually by the Executive Committee. 4.In fiscal year 2009-2010, Lions Clubs International engaged an outside consultant to thoroughly review job description, salary, and local market conditions. X 1 20248 FMV X 2 4841250 Invoice Cost 0 1 0 Third Party Use: Part I, Line 32b: Prior to the acceptance of any gift by LCIF appropriate inquiry shall be made and special consideration shall be given to the nature of the gift and whether it is in keeping with the mission of LCIF. Form 990, Part VI, Section B, line 11 1.The Lions Clubs International Treasurer and Lions Clubs International Foundation Financial Analyst are responsible for the timely preparation of the Form 990. The Lions Clubs International Foundation Division Manager and Senior Executive Administrator also review. 2.The completed Form 990 will be provided to the Lions Clubs International Foundation Executive Committee of the Board of Trustees via a secure FTP site. All questions and concerns will be addressed by staff of Lions Clubs International Foundation prior to filing. Form 990, Part VI, Section B, line 12c Annual Submission: By Board Policy, each member of the Board of Trustees, including appointees, key management personnel, and employees in sensitive positions are required to submit an annual statement acknowledging the Conflict of Interest policy and their individual compliance. The annual statement is submitted to the Lions Clubs International Finance and Headquarters Operation Committee for review. Procedures: 1.In connection with any actual or possible conflicts of interest, the interested person (an individual that has a direct or indirect financial interest) must disclose the existence of his or her financial interest and must be given the opportunity to disclose all material facts to the directors and members of committees with board delegated powers considering the proposed transaction or arrangement. 2.After disclosure of the financial interest and all material facts, and after any discussion with the interested person, he/she 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. 3.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 association's best interest and for its own benefit and whether the transaction is fair and reasonable to the association and shall make its decision as to whether to enter into the transaction or arrangement in conformity with such determination. Lions Clubs International Foundation's Salary Administration (note: salary review is administered by Lions Clubs International on behalf of Lions Clubs International Foundation.) 1.Salary surveys are conducted periodically to assure the salary ranges and salary increase figures used are comparable to salaries paid by the existing labor market. 2.A performance review of the executive director is conducted annually by the Lions Clubs International Executive Committee. 3.Salary increase and/or bonus for the executive director shall be determined individually by the Executive Committee. 4.In fiscal year 2009-2010, Lions Clubs International engaged an outside consultant to thoroughly review job description, salary, and local market conditions. Form 990, Part VI, Section C, line 19 Lions Clubs International Foundation's section of the board policy manual and audited financial statements are available by using the search engine on the website at www.lcif.org The International Association of Lions Clubs 300 W 22nd Street Oak Brook IL 60523 361263962 Service Organization IL 501(c)(4) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 Lions Club International P 5672547 Cost