2013-05-02T13:52:52-05:00 2012-06-30 410746749 CLIFTONLARSONALLEN LLP 1715 NORTH WESTSHORE BLVD SUITE 950 TAMPA FL 33607 990 2011-07-01 591458151 CENTRAL FLORIDA LIONS EYE AND TISSUE BANK INC CENT 8132891200 1410 N 21ST STREET NO 100 TAMPA FL 33605 JASON K WOODY 8132891200 2013-05-02 1 CLINTON FREEMAN P00451572 8133842700 2013-05-02 2011 2016-02-25 16:41:14Z LIONS EYE INSTITUTE FOR TRANSPLANT AND RESEARCH INC JASON K WOODY 1410 N 21ST STREET NO 100 TAMPA FL 33605 7733210 0 X WWW.LIONSEYEINSTITUTE.ORG X 1973 FL THE ORGANIZATION IS DEDICATED TO THE RECOVERY, EVALUATION AND DISTRIBUTION OF EYE TISSUE FOR TRANSPLANTATION, RESEARCH AND EDUCATION. 14 14 65 16 0 0 35271 24325 7042404 7375034 756894 301045 36109 6805 7870678 7707209 100000 10000 0 0 3666624 3911500 0 0 0 3209801 3470930 6976425 7392430 894253 314779 19511672 19877426 614561 819224 18897111 19058202 X CENTRAL FLORIDA LIONS EYE AND TISSUE BANK, INC. IS A NONPROFIT ORGANIZATION CREATED FOR THE PURPOSE OF RECEIVING OR ACQUIRING HUMAN EYE TISSUE AND PARTS, TO HOLD AND PRESERVE FOR DELIVERY TO APPROPRIATE ORGANIZATIONS FOR THE PURPOSES OF TRANSPLANT, RESEARCH, AND MEDICAL EDUCATION. 0 0 4767778 7375059 EYE TISSUE PROCUREMENT & PROCESSING - 6,768 EYES WERE PROCURED; 2,682 WERE PLACED FOR TRANSPLANT SURGERY; 4,086 EYES WERE USED IN RESEARCH. OF THE 2,682 TISSUES PLACED BOTH DOMESTICALLY AND INTERNATIONALLY FOR TRANSPLANT SURGERY. CENTRAL FLORIDA LIONS EYE & TISSUE BANK PROVIDED GRATIS AND REDUCED FEE TISSUE IN THE AMOUNT OF $684,275. 428532 10000 0 PUBLIC & PROFESSIONAL EDUCATION - INCREASED AWARENESS OF NEED FOR TISSUE PROCUREMENT WITH LONG TERM GOAL OF INCREASING THE NUMBER OF DONORS. 5196310 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 20 0 65 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 1 0 0 1 1 0 1 1 0 1 1 1 0 1 1 0 0 FL X AHARON YOKI 8132891200 1410 N 21ST STREET 100 TAMPA FL 33605 EDWARD C HENDERSON 0.50 X 0 0 0 MARGIE FRANKLIN 0.50 X X 0 0 0 ROBERT CAPUANO 0.50 X X 0 0 0 LOUIS CANTRELL 0.50 X 0 0 0 JOHN T LIVECCHI MD 0.50 X X 0 0 0 DAVID RANKIN 0.50 X 0 0 0 JOHN UNGER 0.50 X 0 0 0 FREDERICK WALDMANN 0.50 X 0 0 0 JOHN YOUNG 0.50 X 0 0 0 THOMAS BARNHORN 1.00 X X 0 0 0 DRDUANE EICHLER 0.50 X 0 0 0 JOHN DOYLE 0.50 X 0 0 0 JOHN CARBAUGH 0.50 X 0 0 0 JAMES STEFAN 0.50 X 0 0 0 JASON WOODY - SEE SCH O DETAILS 40.00 X 304828 0 33138 LEWIS GRODEN MD 0.50 X 0 0 0 304828 0 33138 1 0 1 0 NORTH CAROLINA EYE BANK 3900 WEST POINT BLVD SUITE F WINSTONSALEM NC 27103 TISSUE PROCUREMENT AND PRE-CUT SERVICES 375800 LABORATORY CORP OF AMERICA PO BOX 12140 BURLINGTON NC 27216 LAB TESTS PERFORMED ON RECOVERED TISSUE 301152 BAUCH & LOMB INC 4395 COLLECTIONS CENTER DR CHICAGO IL 60693 PRESERVATIVES 265596 SIGHTLIFE 221 YALE AVENUE N SUITE 450 SEATTLE WA 98109 TISSUE PROCUREMENT AND PRE-CUT SERVICES 249500 STEPHENS INSTRUMENT 2500 SANDERSVILLE ROAD LEXINGTON KY 40511 SURGICAL INSTRUMENTS AND PREP PACKS USED 157611 10 24325 24325 TISSUE PROCESSING FEES 900099 7375034 7375034 7375034 297028 297028 6780 0 6780 6780 6780 25943 4075 26001 0 -58 4075 4017 4017 MISCELLANEOUS 900099 25 25 25 7707209 7375059 0 307825 10000 10000 241131 14468 226663 2886532 2164899 721633 516601 387451 129150 267236 200427 66809 69083 69083 27822 27822 26243 26243 9699 7274 2425 970 970 554453 256226 298227 51399 38549 12850 153546 107482 46064 103319 77489 25830 142403 74050 68353 232 232 314616 135331 179285 190734 141124 49610 STERILE LAB PRODUCTS 399703 399703 EYE TRANSPORTATION 342758 342758 LAB TESTING 282126 282126 PRESERVATIVE SOLUTION 263997 263997 537827 291986 245841 7392430 5196310 2196120 0 682682 264185 822403 884201 1473000 1632066 54994 65613 66357 109574 6669128 1593299 4933835 5075829 10287884 10546418 636269 568402 554248 731138 19511672 19877426 600558 808486 7289 3974 6714 6764 614561 819224 X 18893727 19058202 3384 0 18897111 19058202 19511672 19877426 X 314779 -153688 X X 0 1 1 X 0 X 380000 62983 592428 35271 24325 1095007 6245999 6460222 6975362 7299666 7375059 34356308 6625999 6523205 7567790 7334937 7399384 35451315 0 0 0 35451315 560802 243671 201121 304415 303808 1613817 560802 243671 201121 304415 303808 1613817 7186801 6766876 7768911 7639352 7703192 37065132 0.95650 0.95360 0.04350 0.04640 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 838600 838600 4643013 726614 3916399 72125 34975 37150 944934 769988 174946 170456 61722 108734 5075829 REFUNDABLE DEPOSITS 6764 6764 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ADDITION, THE ORGANIZATION HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE (IRS) NOT TO BE A "PRIVATE FOUNDATION" WITHIN THE MEANING OF SECTION 509(A) OF THE CODE. THE ORGANIZATION ADOPTED THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. AS A RESULT OF THE IMPLEMENTATION, THE ORGANIZATION RECOGNIZED NO LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, THE ORGANIZATION'S 2006 THROUGH 2011 TAX YEARS ARE OPEN FOR EXAMINATION BY THE IRS. 0 LIONS EYE INSTITUTE FOR TRANSPLANT AND RESEARCH FOUNDATION INC 1410 N 21ST STREET 100 TAMPA FL 33605 010843838 501(C)(3) 10000 TO SUPPORT GENERAL OPERATION. 1 0 X X X X X 0 0 0 0 0 0 0 0 0 JASON WOODY - SEE SCH O DETAILS 188992 0 0 0 115836 0 24841 0 8297 0 337966 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 MEMBERSHIP IN THIS CORPORATION SHALL BE COMPOSED OF ALL PARTICIPATING LIONS CLUBS IN MULTIPLE DISTRICT 35, WHICH ARE CHARTERED BY, AND IN GOOD STANDING WITH THE INTERNATIONAL ASSOCIATION OF LIONS CLUBS. FORM 990, PART VI, SECTION B, LINE 11 THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS WILL REVIEW THE RETURN IN DETAIL WITH THE PREPARER PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY WITH THE ENTIRE BOARD OF DIRECTORS AND THE KEY EMPLOYEES. IN ADDITION, ALL CHECKS REQUIRE COUNTER SIGNATURES AND REVIEW. FORM 990, PART VI, SECTION B, LINE 15A MEMBERS OF THE BOARD OF DIRECTORS DETERMINE THE COMPENSATION OF THE EXECUTIVE DIRECTOR BASED ON SALARY SURVEYS AND FORM 990S OF OTHER SIMILAR ORGANIZATIONS AND INCORPORATE IT INTO AN EMPLOYMENT CONTRACT WHICH SPECIFIES INCREASES THROUGHOUT THE CONTRACT PERIOD. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -153,688. FORM 990, PART XII, LINE 2(C) THIS ORGANIZATION HAS AN AUDIT/FINANCE COMMITTEE THAT ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. THIS PROCEDURE DID NOT CHANGE DURING THIS YEAR. SCHEDULE J, PART II, LINE 1. DURING THE CALENDAR YEAR ENDING DECEMBER 31, 2011 THE ENTITY CHANGED ITS ACCRUED VACATION POLICY. PREVIOUS TO THIS DATE THERE WAS NO LIMIT ON THE AMOUNT OF ACCRUED VACATION AN EMPLOYEE COULD CARRY OVER FROM ONE YEAR TO THE NEXT. STARTING JANUARY 1, 2012, EMPLOYEES WERE LIMITED ON HOW MUCH THEY COULD CARRY OVER FROM ONE YEAR TO THE NEXT. AS PART OF THIS POLICY CHANGE, EMPLOYEES WERE ALLOWED TO REQUEST AND RECEIVE A ONE TIME PAYOUT OF THEIR ACCRUED VACATION TO BRING THEM BELOW THE NEW CARRY OVER LIMITS. THE EXECUTIVE DIRECTOR, JASON WOODY, RECEIVED A PAYMENT FOR HIS ACCRUED VACATION DURING THE CALENDAR YEAR ENDING DECEMBER 31, 2011. THE AMOUNT ON SCHEDULE J, PART II, LINE 1(B)(III) FOR JASON REPRESENTS THIS ONE TIME ACCRUED VACATION PAYMENT. FORM 990, PART VI, SECTION A, LINE 1(A) 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 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 11A, I N/A 0 0 1 1 1 0 0 0 0 0 0 1 1 1 1 1 1 0 0