2014-04-11T11:28:57-05:00 2013-09-30 630721243 BORLAND BENEFIELD 2101 HIGHLAND AVE SUITE 500 BIRMINGHAM AL 35205 990 2012-10-01 630288847 LAKESHORE FOUNDATION LAKE 2053137413 4000 RIDGEWAY DRIVE BIRMINGHAM AL 35209 JEFF UNDERWOOD 2053137413 2014-04-09 1 JEFFREY D CHANDLER CPA P00764759 2058027212 2014-04-03 2012 2015-11-30 17:44:51Z JEFF UNDERWOOD 4000 RIDGEWAY DRIVE BIRMINGHAM AL 35209 19527336 0 X WWW.LAKESHORE.ORG X 1923 AL TO ENABLE PEOPLE WITH PHYSICAL DISABILITY AND CHRONIC HEALTH CONDITIONS TO LEAD HEALTHY, ACTIVE AND INDEPENDENT LIFESTYLES THROUGH PHYSCIAL ACTIVITY, SPORT, RECREATION AND RESEARCH. 39 31 142 246 0 0 1298999 2290392 1048513 929223 16219846 1118741 2304122 2279244 20871480 6617600 0 0 0 0 3926716 4502621 0 0 440765 3792830 3892181 7719546 8394802 13151934 -1777202 80876391 83218248 14109860 13120286 66766531 70097962 TO ENABLE PEOPLE WITH PHYSICAL DISABILITY AND CHRONIC HEALTH CONDITIONS TO LEAD HEALTHY, ACTIVE AND INDEPENDENT LIFESTYLES THROUGH PHYSCIAL ACTIVITY, SPORT, RECREATION AND RESEARCH. 0 0 2185127 506022 FITNESS, PERSONAL TRAINING AND AQUATICS - LAKESHORE FOUNDATION OFFERS MORE THAN 50 FITNESS AND AQUATICS CLASSES DESIGNED TO IMPROVE THE HEALTH AND WELL-BEING OF PEOPLE WITH A WIDE RANGE OF PHYSICAL DISABILITIES AND CHRONIC HEALTH CONDITIONS. LAKESHORE ALSO PROVIDES AN OPPORTUNITY FOR SELF-DIRECTED, INDIVIDUAL FITNESS AND AQUATICS WORKOUTS, AS WELL AS FEE-BASED PERSONAL TRAINING SERVICES. HEALTH PROMOTION ACTIVITIES INCLUDE PROGRAMS THAT ENCOURAGE FITNESS AND ENHANCE THE ABILITY TO LIVE A HEALTHY ACTIVE LIFE. HEALTH PROMOTION PROGRAMS ALSO PROVIDE INFORMATION ON NUTRITION AND THE EMPOWERMENT OF INDIVIDUALS TO TAKE PERSONAL OWNERSHIP OF HEALTH AND WELLNESS CHOICES. 3371192 347593 RECREATION, ATHLETICS, MILITARY AND TRAINING SITE PROGRAMS - LAKESHORE OFFERS YEAR-ROUND RECREATION PROGRAM FOR CHILDREN AND ADULTS, COMPETITIVE SPORTS TEAMS AND ATHLETIC EVENTS THAT PROVIDE AN OUTLET FOR COMPETITIVE DRIVE AND CONTRIBUTE TO PARTICIPATES HEALTH AND WELL-BEING. ATHLETICS AND RECREATION SUPPORTED 11 SPORTS INITIATIVES AND HOSTED 10 ATHLETIC COMPETITIONS. LAKESHORE ALSO OFFERS RESIDENTIAL SPORTS AND RECREATION CAMPS FOR RECENTLY INJURED U.S. MILITARY PERSONNEL AND THEIR FAMILY MEMBERS THAT HELP THEM REGAIN HEALTHY, ACTIVE AND INDEPENDENT LIVES. MILITARY PROGRAMS, INCLUDING ACCOMMODATIONS AND TRANSPORTATION, ARE PROVIDED AT NO COST TO INJURED MILITARY MEMBERS. AS AN OLYMPIC AND PARALYMPIC TRAINING SITE, LAKESHORE HOSTED 13 TRAINING CAMPS FOR ELITE LEVEL ATHLETES. 1145597 75608 RESEARCH - LAKESHORE FOUNDATION'S RESEARCH DEPARTMENT CONDUCTS APPLIED RESEARCH AND PROGRAM EVALUATION ON THE EFFECTIVENESS OF PHYSICAL ACTIVITY PROGRAMS IN PROMOTING HEALTH AND QUALITY OF LIFE, IMPROVING FUNCTIONAL INDEPENDENCE, AND PREVENTING SECONDARY CONDITIONS IN PEOPLE WITH PHYSICAL DISABILITIES. RESEARCH ACTIVITIES INCLUDE PHYSIOLOGICAL TESTING, QUALITATIVE STUDIES (E.G. SURVEYS), AND PROGRAM EVALUATION. RESEARCH OUTCOMES INCLUDE IMPROVEMENTS IN HEALTH RELATED QUALITY OF LIFE, REDUCTION IN SECONDARY HEALTH CONDITIONS, AND INCREASED COMMUNITY PARTICIPATION. THROUGH PROFESSIONAL PUBLICATIONS, CONFERENCES AND COLLABORATIVE EFFORTS, EVIDENCE-BASED PROGRAMS AND MODELS IN PHYSICAL ACTIVITY FOR PEOPLE WITH PHYSICAL DISABILITIES ARE SHARED WORLDWIDE. 6701916 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 0 0 1 46 0 1 142 1 0 0 0 0 0 1 1 0 0 0 0 X 39 31 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X CATHY C MILLER 2053137413 4000 RIDGEWAY DRIVE BIRMINGHAM AL 35209 ANDRE TAYLOR 0.70 X X 0 0 0 CATHERINE SLOSS JONES 0.70 X X 0 0 0 WALTER M BEALE JR 1.00 X X 0 0 0 PETER T WORTHEN 0.80 X X 0 0 0 WILLIAM P ACKER III 0.50 X 0 0 0 TOM ANGELILLO 0.50 X 0 0 0 SLADE BLACKWELL 0.20 X 0 0 0 DUNCAN BLAIR 0.20 X 0 0 0 JAY BRANDRUP 0.50 X 0 0 0 DELL BROOKE 0.30 X 0 0 0 ROBERT O BURTON 0.30 X 0 0 0 THOMAS N CARRUTHERS JR 0.60 X 0 0 0 LINDA COLEMAN 0.20 X 0 0 0 ROBERT M COUCH 0.50 X 0 0 0 DERROL DAWKINS MD 0.20 X 0 0 0 GARRY L GAUSE 0.30 X 0 0 0 BRENDA HACKNEY 0.50 X 0 0 0 WILL HANCOCK 0.60 X 0 0 0 BILL HORTON 0.50 X 0 0 0 GREG JOHNSTON 0.50 X 0 0 0 CARRIE KURLANDER 0.20 X 0 0 0 BENNY LARUSSA JR 0.50 X 0 0 0 JAMES E LIVINGSTON 0.20 X 0 0 0 SCOTT MCBRAYER 0.20 X 0 0 0 ROBERT MCKENNA PHD 0.50 X 0 0 0 AIMEE B MCLAIN MD 0.20 X 0 0 0 AUBREY S MILLER 0.20 X 0 0 0 JEAN H MILLER 0.30 X 0 0 0 ANNE M OBERHEU MD 0.20 X 0 0 0 MICHAEL PATTERSON 0.60 X 0 0 0 ANN M PURDY 0.50 X 0 0 0 TOM SHUFFLEBARGER 0.50 X 0 0 0 GRAHAM SISSON JR 0.20 X 0 0 0 ROBERT SPOTSWOOD 0.50 X 0 0 0 MICHAEL E STEPHENS 0.60 X 0 0 0 ROBERT A WASON IV 0.50 X 0 0 0 JOEL T WELKER 0.20 X 0 0 0 LINDA WILDER 0.20 X 0 0 0 TERRI Q WILLIAMS 0.50 X 0 0 0 JEFF UNDERWOOD 40.00 X 234295 0 15042 CATHY MILLER 40.00 X 150341 0 14033 BETH CURRY 40.00 X 145755 0 12797 530391 0 41872 3 0 1 0 HEALTHSOUTH LAKESHORE HOSPITAL 3800 RIDGEWAY DRIVE BIRMINGHAM AL 35209 PROFESSIONAL SERVICE/MAINTENANCE CONTRAC 288807 PS SITE MANAGEMENT 108 ROYAL CHASE DRIVE PELHAM AL 35124 LANDSCAPING 144890 UNIVERSITY OF ALABAMA AT BIRMINGHAM 1530 3RD AVENUE SOUTH BIRMINGHAM AL 35294 EVALUATION OF INJURED MILITARY PROGRAMS 107013 3 3300 236984 150000 1106466 793642 90115 2290392 MEMBERSHIP DUES 713940 839731 839731 ATHLETICS 713940 26735 26735 ATHLETIC EVENTS 713940 17590 17590 TRAINING SITE 713940 17512 17512 RECREATION 713940 14935 14935 12720 12720 929223 1056934 1056934 2750422 413606 2336816 2336816 2336816 12478696 300 12401146 16043 77550 -15743 61807 61807 14567 236984 77918 -63351 -63351 1200 1023 177 177 VENDING REVENUE 900099 4090 4090 1512 1512 5602 6617600 935002 0 3392206 X 572263 191704 343158 37401 3204057 2178203 770125 255729 726301 450403 214982 60916 41780 41780 27454 27454 1750 1750 60530 60530 460959 160271 292568 8120 116940 79550 15917 21473 192762 81088 94566 17108 625378 1587228 -977990 16140 412754 396380 14021 2353 75539 56290 14605 4644 467968 457130 5860 4978 943487 921638 11814 10035 118661 118661 MINOR EQUIPMENT 125661 88889 36602 170 REPAIRS AND MAINTENANCE 125205 760 124445 MAINTENANCE CONTRACTS 42159 587 41304 268 EQUIPMENT RENTAL AND RE 12784 12290 494 40410 37755 1225 1430 8394802 6701916 1252121 440765 300 300 1101117 1455600 168450 2600 255812 204587 1540 2688 12813 66624 48828495 26423622 22803702 22404873 56279624 58832170 253033 248806 80876391 83218248 786956 941024 1186401 789527 12106161 11358774 30342 30961 14109860 13120286 X 66012091 69622396 635787 355813 118653 119753 66766531 70097962 80876391 83218248 -1777202 5108633 0 X X 0 1 X 1 1 1 X 912083 2032395 1588602 1298999 2290392 8122471 912083 2032395 1588602 1298999 2290392 8122471 95127 8027344 4251842 3787144 3917293 3486953 3807356 19250588 236525 57386 35487 21008 20169 370575 27743634 0.28930 0.28810 X 1. TEN PERCENT OF SUPPORT REQUIREMENT: LAKESHORE FOUNDATION HAS MET THE REQUIREMENT OF AT LEAST 10% OF TOTAL SUPPORT COMING FROM THE PUBLIC AND GOVERNMENT SINCE FISCAL YEAR 2007. THE PUBLIC SUPPORT PERCENTAGE FOR FISCAL YEAR ENDING SEPTEMBER 30, 2013 WAS 28.93%. THROUGH INCREASED FUNDRAISING EFFORTS, LAKESHORE FOUNDATION WILL CONTINUE TO STRIVE TO INCREASE PUBLIC SUPPORT IN FUTURE YEARS.2. ATTRACTION OF PUBLIC SUPPORT REQUIREMENT: LAKESHORE FOUNDATION ENGAGES IN A VARIETY OF CONTINUOUS FUNDRAISING EFFORTS TO ATTRACT NEW AND ADDITIONAL PUBLIC AND GOVERNMENTAL SUPPORT. LAKESHORE FOUNDATION MAINTAINS A DEVELOPMENT STAFF FOR THE SOLICITATION OF GIFTS AND GRANTS FROM THE GENERAL PUBLIC, CORPORATIONS, FOUNDATIONS, OTHER PUBLIC CHARITIES AND GOVERNMENT AGENCIES. THE DEVELOPMENT STAFF INCLUDES A FULL-TIME DIRECTOR OF DEVELOPMENT, FULL-TIME ASSOCIATE DIRECTOR OF DEVELOPMENT (GRANTS WRITER), FULL-TIME COORDINATOR OF SPECIAL EVENTS, FULL-TIME DEVELOPMENT SPECIALIST AND A PART-TIME DEVELOPMENT ASSISTANT. LAKESHORE FOUNDATION REGULARLY MEETS WITH CURRENT AND PROSPECTIVE DONORS, SPEAKS AT MEETINGS, HOLDS FUND-RAISING EVENTS, WRITES GRANT PROPOSALS AND USES DIRECT MAIL SOLICITATION TO OBTAIN CHARITABLE GIFTS.3. ADDITIONAL FACTORS TO BE CONSIDERED: (A) SOURCES OF SUPPORT: LAKESHORE FOUNDATION'S REVENUE IS DERIVED FROM A NUMBER OF SOURCES, INCLUDING CONTRIBUTIONS AND GRANTS, INVESTMENT AND RENTAL INCOME, AND PROGRAM FEES. THE SOURCES OF CONTRIBUTIONS ARE DIVERSE, INCLUDING INDIVIDUALS, CORPORATIONS, FOUNDATIONS, GRANTS FROM OTHER PUBLIC CHARITIES, GOVERNMENTAL GRANTS, INCOME FROM FUND RAISING EVENTS AND GIFTS-IN-KIND. DURING LAKESHORE FOUNDATION'S FISCAL YEAR ENDING SEPTEMBER 30, 2013, 556 DONORS CONTRIBUTED APPROXIMATELY $2,290,000 TO THE ORGANIZATION. DURING LAKESHORE FOUNDATION'S FISCAL YEAR ENDING 2004, 204 DONORS CONTRIBUTED APPROXIMATELY $626,000 TO THE ORGANIZATION. THESE FACTS DEMONSTRATE A SIGNIFICANT INCREASE IN PUBLIC SUPPORT OVER THE PAST NINE YEARS AND THAT DONORS ARE FROM A BROAD BASE OF CONTRIBUTORS RATHER THAN FROM MEMBERS OF A SINGLE FAMILY OR A FEW FAMILIES. (B) REPRESENTATIVE GOVERNING BODY: THE LAKESHORE FOUNDATION BOARD OF DIRECTORS CONSISTS OF 39 MEN AND WOMEN REPRESENTING A BROAD CROSS SECTION OF THE GENERAL COMMUNITY AND THE CONSTITUENCY SERVED BY THE ORGANIZATION. 64% OF LAKESHORE'S DIRECTORS ARE AFRICAN AMERICAN, FEMALE, INDIVIDUALS WITH A DISABILITY OR PARENTS OF A CHILD WITH A DISABILITY. DIRECTORS INCLUDE CORPORATE, GOVERNMENTAL AND INSTITUTIONAL REPRESENTATIVES, AS WELL AS RETIREES AND CIVIC LEADERS. THE AGE RANGE OF DIRECTORS IS 40'S TO 80'S. THE BOARD INCLUDES PEOPLE WITH A VARIETY OF PROFESSIONAL QUALIFICATIONS, INCLUDING EXPERTISE IN THE AREAS OF BUSINESS, FINANCE, HEALTH CARE, LAW, AND COMMUNICATIONS.(C) PROVIDING SERVICES FOR THE BENEFIT OF THE GENERAL PUBLIC: LAKESHORE FOUNDATION SERVES CHILDREN AND ADULTS WITH PHYSICAL DISABILITIES AND CHRONIC HEALTH CONDITIONS SUCH AS, BUT NOT LIMITED TO, SPINAL CORD INJURIES, STROKES, AMPUTATIONS, ARTHRITIS, MULTIPLE SCLEROSIS, DIABETES, CEREBRAL PALSY AND DISABLING BIRTH CONDITIONS. OUR MISSION IS BASED ON THE FACT THAT PHYSICAL ACTIVITY IS ESSENTIAL FOR INDIVIDUALS WITH PHYSICAL DISABILITIES TO LEAD HEALTHY, ACTIVE, AND INDEPENDENT LIVES. LAKESHORE'S ADAPTED RECREATION, SPORT, FITNESS AND AQUATICS PROGRAMS SERVE PEOPLE LOCALLY, NATIONALLY AND INTERNATIONALLY.THE WORK OF LAKESHORE FOUNDATION FALLS INTO THREE BROAD CATEGORIES: PROGRAMS, RESEARCH AND EDUCATION. MAJOR PROGRAMS CONDUCTED BY LAKESHORE FOUNDATION INCLUDE ITS DAILY FITNESS AND AQUATICS CLASSES, RECREATIONAL AND COMPETITIVE SPORTS PROGRAMS, AFTER SCHOOL PROGRAMS, SUMMER AND DAY CAMPS FOR YOUTH AND OUTDOOR BASED RECREATION ACTIVITIES. FULL OR PARTIAL SCHOLARSHIPS, BASED ON DEMONSTRATED FINANCIAL NEED, ARE AWARDED TO INDIVIDUALS AND FAMILIES TO ENSURE THAT FINANCIAL RESOURCES ARE NOT A BARRIER TO PARTICIPATION IN LAKESHORE'S PROGRAMS. IN 2003, LAKESHORE FOUNDATION WAS DESIGNATED BY THE UNITED STATES OLYMPIC COMMITTEE AS AN OFFICIAL U.S. OLYMPIC AND PARALYMPIC TRAINING SITE PROVIDING ATHLETES WITH ACCESS TO SPORTS SCIENCE, ON-SITE HOUSING AND DINING, AND TRAINING SERVICES. ATHLETES TRAINING AT LAKESHORE INCLUDE USA TEAMS OF WHEELCHAIR RUGBY, GOALBALL, WHEELCHAIR BASKETBALL, AND OTHERS. IN ADDITION TO TRAINING ACTIVITIES, LAKESHORE HOSTS COMPETITIVE EVENTS FOR DEVELOPMENTAL, NATIONAL AND INTERNATIONAL TEAMS.SINCE 2006, LAKESHORE'S LIMA FOXTROT PROGRAMS SERVE INJURED MILITARY PERSONNEL AND THEIR FAMILIES FROM ACROSS THE NATION THROUGH ADAPTED SPORT AND RECREATION CAMPS AT NO COST TO THE PARTICIPANTS. THE LAKESHORE FOUNDATION/UAB RESEARCH COLLABORATIVE IS A WORLD-CLASS RESEARCH PROGRAM IN PHYSICAL ACTIVITY, HEALTH PROMOTION AND DISABILITY LINKING LAKESHORE'S EXTRAORDINARY PROGRAMS WITH UAB'S RESEARCH EXPERTISE. THE UNIQUE COLLABORATIVE ESTABLISHES LAKESHORE AS THE NATIONAL AND INTERNATIONAL LEADER IN PROMOTING EVIDENCE BASED SCIENCE AND PRACTICE IN PHYSICAL ACTIVITY, SPORT, HEALTH PROMOTION AND DISABILITY.LAKESHORE IS HOME TO THE NATIONAL CENTER ON HEALTH, PHYSICAL ACTIVITY AND DISABILITY (NCHPAD). THIS FEDERALLY FUNDED CENTER PROMOTES LEADERSHIP, TRAINING, WELLNESS AND PHYSICAL ACTIVITY ACROSS THE UNITED STATES. NCHPAD PROVIDES EDUCATIONAL SERVICES TO THE PUBLIC THROUGH DISTRIBUTION OF EDUCATIONAL MATERIALS. SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2008 AMOUNT: $ 205,707. 2009 AMOUNT: $ 38,696. 2010 AMOUNT: $ 6,227. 2011 AMOUNT: $ 6,004. 2012 AMOUNT: $ 5,602. MISCELLANEOUS INCOME - PATIENTS - 2008 AMOUNT: $ 140. 2009 AMOUNT: $ 0. 2010 AMOUNT: $ 0. 2011 AMOUNT: $ 0. 2012 AMOUNT: $ 0. OTHER INCOME FROM GIFTS FOR BENEFITS RECD - 2008 AMOUNT: $ 30,678. 2009 AMOUNT: $ 18,690. 2010 AMOUNT: $ 29,260. 2011 AMOUNT: $ 15,004. 2012 AMOUNT: $ 14,567. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 0 0 1 1750 1750 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: INDIRECT MEMBERSHIP IN LOBBYING ORGANIZATION 8112434 120172 128716 731922 7629400 8343667 268356 88830 588419 8112434 8683333 460759 68823 869248 8343667 8524046 3118565 138453 3097731 8683333 11013391 642037 231306 3362688 8524046 0.94000 0.02000 0.04000 0 0 16176 195000 211176 6886809 26812888 13562815 20136882 3173258 1339724 3444069 1068913 6624090 2277629 8170715 731004 998892 504029 1246023 256898 22404873 TOTAL CORPORATE OBLIGATIONS - LEHMAN BROTHERS 65000 F HEDGE FUNDS AND ALTERNATIVE INVESTMENTS 1997718 C OTHER ALTERNATIVE INVESTMENTS 7149368 F REGIONS TRUST CASH SWEEP 549566 F EQUITY MUTUAL FUNDS 23932440 F BALANCED MUTUAL FUNDS 1058674 F FIXED INCOME MUTUAL FUNDS 5788900 F INTERNATIONAL MUTUAL FUNDS 18290504 F 58832170 OTHER (INVESTMENT MGRS FEES, ANNUITY) 12716 RUGBY 18245 30961 X DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: PERMANENT ENDOWNMENT FOR SCHOLARSHIPS - $119,753 PROGRAM EXPENSES - $355,813 BOARD DESIGNATED FUNDS FOR RESEARCH ACTIVITIES - $7,153,834 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE LAKESHORE FOUNDATION AND THE LAKESHORE SUPPORT ORGANIZATION ACCOUNT FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH THE ACCOUNTING STANDARDS CODIFICATION (ASC). THE LAKESHORE FOUNDATION AND THE LAKESHORE SUPPORT ORGANIZATION HAVE DETERMINED THAT THEY DO NOT HAVE ANY TAX POSITIONS AT SEPTEMBER 30, 2013, THAT THEY WOULD BE UNABLE TO SUBSTANTIATE. TAX RETURNS FOR THE LAKESHORE FOUNDATION AND THE LAKESHORE SUPPORT ORGANIZATION WERE FILED THROUGH THE FISCAL YEAR ENDED SEPTEMBER 30, 2013. TAX RETURNS FOR THE LAKESHORE FOUNDATION AND THE LAKESHORE SUPPORT ORGANIZATION FOR THE FISCAL YEAR 2010 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION. AMAZING RACE 34539 34539 1850 2023 2427 A HERO'S WELCOME 216880 202445 14435 13801 3600 54158 1 132 132 59 251551 236984 14567 1850 15824 3600 56644 77918 -63351 X X X X X 0 0 0 0 0 0 0 0 0 JEFF UNDERWOOD 186607 0 47688 0 0 0 5877 0 10179 0 250351 0 0 0 CATHY MILLER 132872 0 17469 0 0 0 4932 0 10115 0 165388 0 0 0 BETH CURRY 131555 0 14200 0 0 0 4211 0 9601 0 159567 0 0 0 A THE MEDICAL CLINIC BOARD OF THE CITY OF HOMEWOOD 636001295 437891BW3 2005-09-08 9214345 REFUNDING OF BONDS ISSUED 11/10/1999 0 0 0 B THE MEDICAL CLINIC BOARD OF THE CITY OF HOMEWOOD 636001295 437891CP7 2009-09-29 6493527 REFUNDING OF BONDS ISSUED 11/15/2000 0 0 0 A 3085000 9214345 182276 9032069 2001 0 1 1 1 B 1295000 6493527 25000 128107 6340420 2001 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 1 0 0 0 0 0 1 B 0 1 1 0 0 0 0 0 1 A 1 B 1 BALCH AND BINGHAM BD MEMBER - BEALE, WALTER M., PARTNER 41059 LEGAL FEES 0 BALCH AND BINGHAM BD MEMBER - BEALE, WALTER M., PARTNER 16001 BOND ISSUE COSTS 0 HEALTHSOUTH INC BD MEMBER - WILDER, LINDA, PRESIDENT SOUTHEAST REGIONS HEALTHSOUTH CORP 1863789 RENTAL INCOME FROM HEALTHSOUTH HOSPITAL 0 HEALTHSOUTH INC BD MEMBER - WILDER, LINDA, PRESIDENT SOUTHEAST REGIONS HEALTHSOUTH CORP 275115 SERVICES FROM HEALTHSOUTH HOSPITAL 0 BLUE CROSS AND BLUE SHIELD BD MEMBERS - PATTERSON, MICHAEL ASSOC COUNSEL , & OBERHEU, ANNE MEDICAL DIR 327073 HEALTH INSURANCE COVERAGE FOR EMPLOYEES 0 REGIONS BANK BD MEMBER - HORTON, BILL EXECUTIVE VICE PRES, REGIONS FINANCIAL CORPORATION 41299 INVESTMENT SERVICES 0 REGIONS BANK BD MEMBER - HORTON, BILL EXECUTIVE VICE PRES, REGIONS FINANCIAL CORPORATION 1225805 BOND AND INTEREST PAYMENTS AND BOND TRUSTEE FEES 0 KINETIC COMMUNICATIONS BD MEMBER - BRANDRUP, JAY 1975 WEBSITE 0 EBSCO MEDIA BD MEMBER - BROOKE, DELL 12795 PRINTING 0 AT&T BD MEMBER - WILLIAMS, TERRI, REGIONAL DIRECTOR AT&T ALABAMA 29123 PHONE AND INTERNET SERVICES 0 X 4 18183 MARKET VALUE, STOCK QUOT X COMMERCIAL AIRFARE AND EQUIPMENT RENTAL 3 30491 COST PER DEPT OF DEFENSE X GIFT VOUCHERS, FOOD, DECORATIONS FOR FUNDRAISERS 14 4926 INVOICES FROM COMPANIES X SPORTS WHEELCHAIRS AND FITNESS EQUIPMENT 5 23458 EST AMTS BASED ON % OF NEW COST/INVOICE FROM COMP X PRINTING OF PUBLICATIONS AND INVITATIONS FOR EVENT 2 13057 INVOICES FROM COMPANIES 0 0 1 0 FORM 990, PART VI, SECTION B, LINE 11 THE PRESIDENT, CHIEF FINANCIAL OFFICER, CHIEF PROGRAM OFFICER AND OTHER EMPLOYEES REVIEW THE RETURN FOR COMPLETENESS AND CORRECTNESS. THE FORM 990 IS PROVIDED TO THE BOARD FOR REVIEW BEFORE THE RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, THE BOARD MEMBERS SIGN THE DISCLOSURE STATEMENT. ACCORDING TO BOARD POLICIES, IF A CONFLICT OF INTEREST IS NOTED, THE BOARD WILL EXAMINE THE UNDERLYING TRANSACTION TO DETERMINE WHETHER IT IS FAIR, REASONABLE AND IN THE BEST INTEREST OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 THE PRESIDENT'S COMPENSATION IS BASED ON THE RESULTS OF AN OUTSIDE COMPENSATION REVIEW. ANNUALLY, THE PRESIDENT PRESENTS THE FOUNDATION'S ACCOMPLISHMENT OF GOALS TO THE COMPENSATION COMMITTEE AND CHAIRMAN OF THE BOARD WHO DEVELOP A RECOMMENDATION RELATED TO COMPENSATION. SUBSEQUENT TO THE MEETING OF THE COMPENSATION COMMITTEE, THE RECOMMENDATION IS PRESENTED FOR REVIEW AND APPROVAL TO THE EXECUTIVE COMMITTEE. A COMPENSATION REVIEW IS PERFORMED EVERY THREE YEARS BY AN OUTSIDE CONSULTANT. THE REVIEW IS BASED ON INFORMATION FROM A NUMBER OF COMPENSATION SURVEYS AND FORM 990'S OF SIMILAR ORGANIZATIONS. FOR EMPLOYEES REPORTING TO THE PRESIDENT, THE PRESIDENT RECOMMENDS THEIR MERIT INCREASE AND BONUS BASED ON COMPLETION OF A PERFORMANCE REVIEW AND GOALS ESTABLISHED AT THE BEGINNING OF THE YEAR. THEIR COMPENSATION IS ALSO BASED ON THE RESULTS OF AN OUTSIDE COMPENSATION REVIEW. THE OVERALL AMOUNT IS APPROVED BY THE COMPENSATION COMMITTEE AND BOARD DURING THE BUDGET PROCESS. FORM 990, PART VI, SECTION C, LINE 19 ALL WRITTEN REQUESTS TO REVIEW THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE ACTED UPON ON A CASE BY CASE BASIS. FORM 990, PART XI LINE 2C: THE ORGANIZATION'S FINANCE COMMITTEE OF THE BOARD OF DIRECTORS ASSUME THE OVERSIGHT RESPONSIBILITIY OF THE FINANCIAL STATEMENT AUDIT AND THE HIRING OF THE INDEPENDENT AUDITOR. SUPPORT STATEMENT: LAKESHORE'S INCOME FROM INVESTMENTS AND RENTALS IS SUFFICIENT TO COVER ALL MANAGEMENT AND FUNDRAISING EXPENSES, THEREFORE ALL CONTRIBUTIONS TO LAKESHORE FOUNDATION DIRECTLY SUPPORT THE PROGRAMS OF THE ORGANIZATION. LAKESHORE SUPPORT ORGANIZATION 4000 RIDGEWAY DRIVE BIRMINGHAM AL 35209 260731767 SUPPORT LAKESHORE FOUNDATION THROUGH INVESTMENT ACTIVITY AL 501(C)(3) LINE 11A, I LAKESHORE FOUNDATION 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 LAEKSHORE SUPPORT ORGANIZATION C 150000 CASH CONTRIBUTED