2013-11-05T08:36:25-06:00 2012-12-31 861065772 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2012-01-01 311385607 OneSight ONES 5137653123 4000 Luxottica Place Mason OH 45040 Brian Haigis 5137653123 2013-11-05 1 Rebecca Lyons P01487105 5137847100 2012 2016-03-07 17:11:31Z Dr Jason Singh 4000 Luxottica Place Mason OH 45040 14349723 0 X www.onesight.org X 1993 OH Providing sustainable access to quality vision care & eye wear in underserved communities worldwide. 10 0 0 20000 0 0 10278767 13436922 0 0 68309 121504 -5566 -21245 10341510 13537181 0 175000 0 0 0 0 0 0 204054 8549126 6643823 8549126 6818823 1792384 6718358 12845039 20017342 236430 348733 12608609 19668609 X OneSight is a non-profit organization providing sustainable access to quality vision care and eyewear in underserved communities worldwide. See Schedule O for continuation.Since 1988, OneSight has engaged thousands of skilled volunteers to hand-deliver the gift of sight to more than eight million people in 37 countries. Each year, more than 200,000 adults and children around the world receive the gift of sight through OneSight programs including 90 Vision Clinics, Sustainable Initiatives and Community-Based programs. Through our partnership with Luxottica and other industry partners, OneSight engages the world's leading optical experts to hand-deliver the best quality vision care and eyewear to those who need it most. Each year, more than 1,000 trained volunteers travel the globe to staff OneSight Clinics and teach locals as part of our commitment to transfer our skills and build sustainable local infrastructure. 0 0 3482220 175000 Global Eye Care Projects - Each year OneSight volunteers travel to countries around the world to hand-deliver free vision care and eyewear to thousands of adults and children. OneSight works closely with local governments, health care officials, and independent doctors of optometry to ensure each clinic runs smoothly and local recipients receive the best possible care. Patients receive a thorough optical exam by licensed eye doctors and eyewear is dispensed. Sunglasses are dispensed to those not needing a prescription. To provide the best quality and complete care, OneSight also partners with local ophthalmologists or international doctor outreach organizations to perform optical surgery for those patients referred from our Clinics. In 2012, OneSight conducted 9 clinics to 5 countries helping almost 69,000 people. In addition to conducting temporary clinics, OneSight seeks out local partners to build permanent infrastructure and develop sustainable vision care solutions that will provide on-going access to affordable, high quality vision care. In 2012, OneSight built a permanent vision center and lab in The Gambia, a small country in West Africa that previously had only one optometrist to serve 1.8 million people. This vision center is serving patients daily, and OneSight is training local opticians and lab technicians to build sustainable vision care capacity. 2266203 Regional Eye Care - OneSight volunteers, doctors and local charitable organizations set up temporary clinics in major cities to provide free eye care and new eyewear to those in need. In North America, eyewear is produced on site in OneSight's state-of-the-art production vehicle, EyeVan. In 2012, OneSight conducted 18 weeks of clinics across North America, helping almost 20,000 people and manufacturing almost 15,000 pairs of new glasses. In addition to conducting temporary clinics, OneSight seeks out local partners to build permanent infrastructure and develop sustainable vision care solutions that will provide on-going access to affordable, high quality vision care. In 2012, the OneSight Vision Center at Oyler School in Cincinnati, Ohio, was opened. It is the first self-sustaining school-based vision care program in the U.S. Located within a school environment, this full-service vision center will provide 3,000 students with access to comprehensive eye exams, glasses, fittings and adjustments annually. 376114 Vision Vans - OneSight's Vision Vans travel across North America providing free eye exams and new eyewear to thousands of children in need each year. Staffed by local doctors and trained volunteers, these 40-foot vans are optical labs on wheels equipped with everything needed for an eye exam and new pair of eyewear. Children who visit these vans receive new prescription eyewear on site. In 2012, the OneSight vans spent 59 days on the road giving almost 3,200 children new glasses. 167449 Community Eye Care - Local OneSight volunteers help those in need in local communities through retail/in-store and outreach programs. Throughout the year, OneSight volunteer doctors and employees from participating Luxottica Retail stores, including LensCrafters, Pearle Vision, Sears Optical and Target Optical, provide free eyewear to recipients pre-selected by local charities based on visual and financial need. OneSight volunteers also provide free vision screenings at schools and health fairs, as well as eyewear adjustments and repairs in nursing homes and shelters. Resource Centers - Each year, OneSight conducts clinics in developing countries where doctors and trained volunteers provide free eye exams and recycled eyewear to thousands of people in need. Donated glasses are collected at thousands of drop-off locations and are sent to a OneSight resource center where glasses are cleaned, prescriptions are categorized, and glasses are prepared to be hand-delivered during a global clinic. 167449 6291986 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 0 1 11 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 X 10 0 1 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 AL AK AZ AR CA CO CT FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NH NJ NM NY NC ND OH OK OR PA RI SC SD TN NV DE WV WY WI PR TX UT VT VA WA DC X Jennifer Larkins 5137653123 4000 Luxottica Place Mason OH 45040 Betsy Wood 2.00 40.00 X X 0 139217 30887 Gregory Hare 1.00 40.00 X X 0 486433 58724 Jason Singh 40.00 2.00 X X 0 150136 3207 Brian Haigis 2.00 39.00 X X 0 203763 21403 Jacqueline Culp 1.00 40.00 X 0 230875 30364 Daryl Hammett 1.00 40.00 X 0 566802 34627 Mark Jacquot 1.00 40.00 X 0 289708 49561 Wallace Lovejoy 1.00 40.00 X 0 1421932 78 James Neitzke 1.00 40.00 X 0 952518 132047 Carlo Privitera 1.00 40.00 X 0 2451243 0 Mark Weikel 1.00 40.00 X 0 1800984 88006 Angela Hartman 40.00 0.00 X 0 81959 17342 Thomas J Hersch 1.00 40.00 X 0 178776 9380 Stefania Geraci 1.00 40.00 X 0 234663 13026 Avecedo Virigilo 40.00 0.00 X 0 190154 1606 Julie Maslov 40.00 0.00 X 0 150721 7965 0 9529884 498223 0 0 1 0 0 416110 5615759 7405053 7603306 13436922 96782 96782 620351 22760 602340 16049 18011 6711 24722 24722 163693 416110 194153 -30460 -30460 9215 0 9215 9215 13537181 0 0 100259 175000 175000 497460 485052 6942 5466 31829 1453 2553 27823 1764437 1678974 83540 1923 5209 1909 3300 273038 273038 Frame and Lens Usage 2395526 2395526 0 0 Consultants/Temporaries 417058 305767 48390 62901 Administrative Services 416367 250708 129709 35950 Donated Goods 230815 230815 0 0 612084 493744 48349 69991 6818823 6291986 322783 204054 66759 259916 598659 1441285 8230933 13623655 101442 158202 2286762 1543977 1013521 742785 2833725 3791499 12845039 20017342 236430 348733 0 236430 348733 X 12512609 18600857 96000 1067752 0 12608609 19668609 12845039 20017342 6718358 161464 180178 0 X 0 1 X 1 0 X 10428211 7987481 6471423 10278767 13436922 48602804 10428211 7987481 6471423 10278767 13436922 48602804 20051881 28550923 14703 10113 37235 75394 96782 234227 123091 265403 146374 198273 172908 906049 49743080 388494 0.57400 0.54350 X Schedule A, Part II, Line 10, Explanation of Other Income: Special Event Gross Revenue RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2286762 1543977 742785 742785 Money Market Funds 833221 F Real Estate Funds 96726 F Domestic Stock Funds 739721 F International Stock Funds 482725 F Fixed-Income Funds 1084104 F Commodity Fund 129133 F Other Mutual Funds 425869 F 3791499 X 17022953 161464 3130155 3291619 13731334 -194153 -194153 13537181 9962953 2949977 194153 3144130 6818823 0 6818823 Description of Uncertain Tax Positions Under FIN 48: Part X, Line 2: OneSight is exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code and has received a ruling from the Internal Revenue Service allowing OneSight to operate as a public charitable organization. The ruling states that contributions made to OneSight are treated as if they were made to a public charity, and as such, contributions are deductible by the donor for federal income, gift, and estate tax purposes. Accounting guidance relating to accounting for uncertainty in income taxes prescribes the recognition threshold a tax position is required to meet before being recognized in the financial statements. It also provides guidance on derecognition, classification, interest, penalties, and disclosures. This guidance has no effect on OneSight's financial statements. Part XI, Line 4b - Other Adjustments: Par for Sight Expenses -110,179. Eye Rock Expenses -83,974. Part XII, Line 2d - Other Adjustments: Par for Sight Expenses 110,179. Eye Rock Expenses 83,974. East Asia and the Pacific 0 0 Program services Global vision clinics 747246 North America 0 0 Program services Global vision clinics 476494 South America 0 0 Program services Global vision clinics 622531 South Asia 0 0 Program services Global vision clinics 839288 Sub-Saharan Africa 0 0 Program services Global vision clinics 792956 Central America & the Caribbean 0 0 Program services Global vision clinics 3705 0 0 0 0 0 0 3482220 0 3482220 0 0 0 0 0 0 Procedure for Monitoring Grants Outside the U.S.: Schedule F, Part I, Line 2: No grants are funded outside the US. EyeRock - Concert 135140 118580 16560 0 0 9106 44477 7012 23379 Par For Sight - Golf Outing 444663 297530 147133 35 2353 47484 40527 650 19130 579803 416110 163693 35 2353 56590 85004 7662 42509 194153 -30460 1 Board of Trustees of the Leland Stanford Junior University 3145 Porter Drive Palo Alto CA 94304 941156365 501(c)(3) 175000 Rural Education Action Project in China 1 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: OneSight regularly monitors its grants by requesting a breakdown of overall expenses periodically as each phase of the project is completed. 1 0 0 0 0 0 0 0 0 Betsy Wood 0 119108 0 19756 0 353 0 24503 0 6384 0 170104 0 0 Gregory Hare 0 200888 0 89084 0 196461 0 37199 0 21525 0 545157 0 0 Jason Singh 0 146754 0 3101 0 281 0 0 0 3207 0 153343 0 0 Brian Haigis 0 141053 0 62427 0 283 0 17316 0 4087 0 225166 0 0 Jacqueline Culp 0 121817 0 106561 0 2497 0 21989 0 8375 0 261239 0 0 Daryl Hammett 0 249435 0 43693 0 273674 0 23080 0 11547 0 601429 0 0 Mark Jacquot 0 174285 0 29644 0 85779 0 35186 0 14375 0 339269 0 0 Wallace Lovejoy 0 5977 0 92893 0 1323062 0 0 0 78 0 1422010 0 0 James Neitzke 0 313218 0 149484 0 489816 0 41508 0 90539 0 1084565 0 0 Carlo Privitera 0 2451243 0 0 0 0 0 0 0 0 0 2451243 0 0 Mark Weikel 0 829350 0 949232 0 22402 0 10572 0 77434 0 1888990 0 0 Thomas J Hersch 0 143098 0 35426 0 252 0 8080 0 1300 0 188156 0 0 Stefania Geraci 0 193402 0 40743 0 518 0 12873 0 153 0 247689 0 0 Avecedo Virigilo 0 151664 0 37500 0 990 0 0 0 1606 0 191760 0 0 Julie Maslov 0 123955 0 26537 0 229 0 0 0 7965 0 158686 0 0 Part I, Line 3 Compensation is determined and paid by Luxottica Retail North America. OneSight does not make any compensation payments. Part I, Line 4a Wallace Lovejoy received severance payments of $269,079 upon termination of his employment with Luxottica. X 1 73319 Cost/selling price X Optical Frames, lenses, & sunglasses 13 7372491 Cost/selling price X Equip Repairs 5 157496 Cost/selling price 5 0 1 0 Method for Determining Number of Contributors: Part I, Column (b): Column (b) refers to the number of contributors. Form 990, Part VI, Section A, line 2 Some OneSight board members are on the boards of related organizations or are key employees of related organizations. Form 990, Part VI, Section A, line 6 There is only one member of the organization. Form 990, Part VI, Section A, line 7a The member elects the directors. Form 990, Part VI, Section B, line 11 A draft of the Form 990 was provided to the organization's governing body before it was filed. Form 990, Part VI, Section B, line 12c Procedures: A. Before board or committee action on a Contract or Transaction involving a Conflict of Interest, a director or committee member having a Conflict of Interest and who is in attendance at the meeting shall disclose all facts material to the Conflict of Interest. Such disclosure shall be reflected in the minutes of the meeting. B. A director or committee member who plans not to attend a meeting at which he or she has reason to believe that the board or committee will act on a matter in which the person has a Conflict of Interest shall disclose to the chair of the meeting all facts material to the Conflict of Interest. The chair shall report the disclosure at the meeting and the disclosure shall be reflected in the minutes of the meeting. C. A person who has a Conflict of Interest shall not participate in or be permitted to hear the board's or committee's discussion of the matter except to disclose material facts and to respond to questions. Such person shall not attempt to exert his or her personal influence with respect to the matter, either at or outside the meeting. D. A person who has a Conflict of Interest with respect to a Contract or Transaction that will be voted on at a meeting shall not be counted in determining the presence of a quorum for purposes of the vote. The person having a conflict of interest may not vote on the Contract or Transaction and shall not be present in the meeting room when the vote is taken, unless the vote is by secret ballot. Such person's ineligibility to vote shall be reflected in the minutes of the meeting. For purposes of this paragraph, a member of the board of directors of OneSight has a Conflict of Interest when he or she stands for election as an officer or for re-election as a member of the board of directors. E. Representative is any person serving as an officer, employee, or member of the board of directors of OneSight. Representatives who are not members of the board of directors of OneSight, or who have a Conflict of Interest with respect to a Contract or Transaction that is not the subject of board or committee action, shall disclose to the Chair or the Chair's designee any Conflict of Interest that such Representative has with respect to a Contract or Transaction. Such disclosure shall be made as soon as the Conflict of Interest is known to the Representative. The Representative shall refrain from any action that may affect OneSight's participation in such Contract or Transaction. In the event it is not entirely clear that a Conflict of Interest exists, the individual with the potential conflict shall disclose the circumstances to the Chair or the Chair's designee, who shall determine whether there exists a Conflict of Interest that is subject to this policy. Form 990, Part VI, Section C, line 19 All of these are available on request. The immediate prior year financial statements and Form 990 can also be found on the organization's website, once completed. Luxottica USA LLC 44 Harbor Park Drive Port Washington NY 11050 111862841 Wholesale Optical NY N/A Luxottica North America Distribution LLC 4000 Luxottica Place Mason OH 45040 270314313 Manufacturing, Procurement, Distribution DE N/A Eyemed Vision Care LLC 4000 Luxottica Place Mason OH 45040 311656473 Managed Vision Care DE N/A Luxottica Retail North America Inc 4000 Luxottica Place Mason OH 45040 311339854 Retail Optical OH N/A C 0 Luxottica Group Spa Via Cesare Cantu 2 Milan IT Optical Manufacturing IT N/A C 0 Oakley Inc 1 Icon Foothill Ranch CA 92610 953194947 Retail, Sunglasses and Clothing WA N/A C 0 Oliver Peoples Inc 8570 West Sunset Blvd Suite 200 West Hollywood CA 90069 954125232 Retail, Sunglasses and Clothing CA N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 Luxottica Retail North America Inc C 87660 Cash Donation Luxottica Retail North America Inc C 5294733 Average Cost Per Unit Oakley Inc C 75850 Cash Donation Eyemed Vision Care LLC C 110000 Cash Donation Luxottica Retail North America Inc N 392811 Resource Center & Overhead Luxottica Retail North America Inc O 2707343 Payroll Luxottica Retail North America Inc P 589373 Actual Expenses Paid