INDIANA LIONS EYE BANK INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
INDIANA LIONS EYE BANK INC (EIN 35-6055789)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-14
IRS object ID
201242279349302704
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-14T13:44:37-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1201 N Illinois StreetAddressLine1
CityIndianapolisCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN356055789EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1INDIANA LIONS EYE BANK INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% TIMOTHY FISCHERInCareOfName
Name ControlINDINameControl
Phone3178085000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1727 EAST 86TH STREETAddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46240ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTIMOTHY FISCHERName
TitlePRESIDENT/CEOTitle
Date Signed2012-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3173834000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTIMOTHY FISCHERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1727 EAST 86TH STREETAddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46240ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5155128GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.indianalionseyebank.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1962YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionIMPROVING THE QUALITY OF LIFE THROUGH EYE & TISSUE TRANSPLANTATION, MEDICAL RESEARCH, AND EDUCATION WHILE MAINTAINING THE DIGNITY OF DONORS AND THEIR FAMILIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body24NbrVotingMembersGoverningBody
Nbr Independent Voting Members24NbrIndependentVotingMembers
Total Nbr Employees44TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year102079ContributionsGrantsPriorYear
Contributions Grants Current Year63111ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4149794ProgramServiceRevenuePriorYear
Program Service Revenue CY4178952ProgramServiceRevenueCY
Investment Income Prior Year64205InvestmentIncomePriorYear
Investment Income Current Year119259InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year4316078TotalRevenuePriorYear
Total Revenue Current Year4361322TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year13693GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY241454GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1797249SalariesEtcPriorYear
Salaries Etc Current Year1894102SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year31818TotalFundrsngExpCurrentYear
Other Expense Prior Year1692314OtherExpensePriorYear
Other Expenses Current Year1644970OtherExpensesCurrentYear
Total Expenses Prior Year3503256TotalExpensesPriorYear
Total Expenses Current Year3780526TotalExpensesCurrentYear
Revenues Less Expenses Prior Year812822RevenuesLessExpensesPriorYear
Revenues Less Expenses CY580796RevenuesLessExpensesCY
Total Assets BOY6481815TotalAssetsBOY
Total Assets EOY6979979TotalAssetsEOY
Total Liabilities BOY231542TotalLiabilitiesBOY
Total Liabilities EOY265993TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6250273NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6713986NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionINDIANA LIONS EYE & TISSUE TRANSPLANT BANK IS DEDICATED TO PROVIDING SAFE, HIGH-QUALITY TISSUE FOR TRANSPLANTATION PURPOSES. IN 2011 ILETTB PROVIDED OVER 1,800 CORNEAS FOR SIGHT-RESTORING TRANSPLANTS AND HAS PROVIDED NUMEROUS TISSUES FOR RESEARCH, EDUCATION, AND TRAINING.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3500143Expense
Grants241454Grants
Revenue4178952Revenue
DescriptionILETTB PROVIDED CORNEAS AND OTHER TISSUE TO HELP ENHANCE AND RENEW THE LIVES OF NUMEROUS INDIVIDUALS. DURING THIS PERIOD OVER 1,800 SIGHT-RESTORING TRANSPLANTS AND COUNTLESS TISSUE SURGERIES WERE PERFORMED USING TISSUE THAT WAS SCREENED, RECOVERED, TESTED, PROCESSED, & DISTRIBUTED BY ILETTB. CORNEAS ARE DISTRIBUTED FOR LOCAL SURGERIES FIRST, THEN NATIONAL AND FINALLY TO MORE THAN 20 COUNTRIES GLOBALLY. ILETTB RECOVERS RESEARCH TISSUE FOR SPECIFIC STUDIES (GLAUCOMA, MACULAR DEGENERATION, CELL GROWTH, ETC.) ALONG WITH MAKING AVAILABLE TISSUES FOR RESEARCH WHICH ARE NOT SUITABLE FOR TRANSPLANTATION. PUBLIC AND COMMUNITY EDUCATION IS PERFORMED TO PROMOTE TISSUE DONATION AND INFORM THE PUBLIC ABOUT TRANSPLANTATION. OTHER SERVICES INCLUDE TRAINING OF HOSPITAL STAFF AND BEREAVEMENT SUPPORT FOR FAMILIES.Description
Total Program Service Expense3500143TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees44NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members24NbrVotingGoverningBodyMembers
Number Independent Voting Members24NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTIMOTHY FISCHERNamePerson
Telephone Number3178085000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1727 EAST 86TH STREETAddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46240ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
FREDDY BOLTON
TRUSTEE1.0X000
RAY COLLINS
TRUSTEE1.0X000
MIKE CRULL
TRUSTEE1.0X000
J ROSS DRAPALIK
CHAIRMAN2.0X000X
PAUL FREELAND
TRUSTEE1.0X000
SUZANNE GRADEN
TRUSTEE1.0X000
LEE GUTHRIE
TRUSTEE1.0X000
ED SOUERS
TRUSTEE1.0X000
DR DAVID HYNDMAN
TRUSTEE1.0X000
STEPHEN GROSS
TRUSTEE1.0X000
BOB KAMMAN
VICE CHAIR1.0X000X
DAN LINNEWEBER
TRUSTEE1.0X000
DOUG LOCKWOOD
TREASURER1.0X000
OWEN MATZ
TRUSTEE1.0X000
DUANE GRINER
TRUSTEE1.0X000
KEITH THOMAS
TRUSTEE1.0X000
ROBERT MYERS
SECRETARY1.0X000X
NELSON NIX
TREASURER1.0X000X
JO ANN OWENS
TRUSTEE1.0X000
MIKE PENCE
TRUSTEE1.0X000
KEVIN ROE
TRUSTEE1.0X000
FREDDIE SCHMIDT
ASSISTANT TREASURER1.0X000X
CHARLES TEMPLE
TRUSTEE1.0X000
NICK XINOPOULOS
TRUSTEE1.0X000
TIMOTHY FISCHER
PRESIDENT40.0157161030494X
FieldValueIRS element (for citing)
Total Reportable Comp From Org157161TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation30494TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LABS INC
6933-B S REVERE PKWYCENTENNIALCO80112SEROLOGY TESTING174328
ANTHEM
PO BOX 105113ATLANTAGA30348HEALTH INSURANCE134576
BAUSCH LOMB
180 VIA VERDE DRIVESAN DIMASCA91773CORNEAL STORAGE119369
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Related Organizations50347RelatedOrganizations
All Other Contributions12764AllOtherContributions
Total Contributions63111TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
TRANSPLANTATION/RESEARCH PROCESSING FEES62150041722114172211
MISCELLANEOUS REVENUE62150067416741
FieldValueIRS element (for citing)
Total Program Service Revenue4178952TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column125883TotalRevenueColumn
Exclusion$125,883ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities787182Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities787002Securities
Other6804Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities180Securities
Other-6804Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-6624TotalRevenueColumn
Exclusion-$6,624ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4361322TotalRevenueColumn
Related Or Exempt Function Income4178952RelatedOrExemptFunctionIncome
Exclusion$119,259ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total203350Total
Program Services203350ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total38104Total
Program Services38104ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total187655Total
Program Services173581ProgramServices
Management And General12104ManagementAndGeneral
Fundraising1970Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1342144Total
Program Services1241482ProgramServices
Management And General86569ManagementAndGeneral
Fundraising14093Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total95221Total
Program Services88079ProgramServices
Management And General6142ManagementAndGeneral
Fundraising1000Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total147003Total
Program Services135978ProgramServices
Management And General9481ManagementAndGeneral
Fundraising1544Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total122079Total
Program Services112923ProgramServices
Management And General7874ManagementAndGeneral
Fundraising1282Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total29093Total
Program Services12806ProgramServices
Management And General16287ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total408857Total
Program Services407626ProgramServices
Management And General0ManagementAndGeneral
Fundraising1231Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total44085Total
Program Services44085ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total594229Total
Program Services553066ProgramServices
Management And General35807ManagementAndGeneral
Fundraising5356Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total640Total
Program Services640ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total63879Total
Program Services54377ProgramServices
Management And General9502ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total141862Total
Program Services131157ProgramServices
Management And General9604ManagementAndGeneral
Fundraising1101Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total14615Total
Program Services13085ProgramServices
Management And General1432ManagementAndGeneral
Fundraising98Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total1470Total
Program Services1251ProgramServices
Management And General204ManagementAndGeneral
Fundraising15Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total148489Total
Program Services129244ProgramServices
Management And General17741ManagementAndGeneral
Fundraising1504Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total49072Total
Program Services30330ProgramServices
Management And General17629ManagementAndGeneral
Fundraising1113Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DUES & SUBSSCRIPTIONS67134582398213682
MAINTENANCE & REPAIRS339552980141540
BAD DEBTS40863354494999415
MISCELLANEOUS EXPENSE67275490823414

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3780526Total
Program Services3500143ProgramServices
Management And General248565ManagementAndGeneral
Fundraising31818Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY200BOY
EOY200EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY740998BOY
EOY900942EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY644757BOY
EOY712954EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY25000BOY
EOY25024EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY14628BOY
EOY3791EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2522108LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec602516LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1981265BOY
EOY1919592EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3074967BOY
EOY3417476EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6481815BOY
EOY6979979EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY181234BOY
EOY165597EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY85000EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY50308BOY
EOY15396EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY231542BOY
EOY265993EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6250273BOY
EOY6713986EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6250273BOY
EOY6713986EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6481815BOY
EOY6979979EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses580796ReconcilationRevenueExpenses
Reconcilation Other Changes-117083ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years134993CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17218CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years100997CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year102079CurrentTaxYearMinus1Year
Current Tax Year63111CurrentTaxYear
Total418398Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3413484CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1609133CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3792637CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4149794CurrentTaxYearMinus1Year
Current Tax Year4178952CurrentTaxYear
Total17144000Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3548477CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1626351CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3893634CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4251873CurrentTaxYearMinus1Year
Current Tax Year4242063CurrentTaxYear
Total17562398Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7192CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19636CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7336CurrentTaxYearMinus1Year
Current Tax Year6668CurrentTaxYear
Total40832Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7192CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19636CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7336CurrentTaxYearMinus1Year
Current Tax Year6668CurrentTaxYear
Total40832Total
FieldValueIRS element (for citing)
Public Support Total50917521566PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years36341CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5260CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35658CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year62473CurrentTaxYearMinus1Year
Current Tax Year125833CurrentTaxYear
Total265565Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years36341CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5260CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35658CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year62473CurrentTaxYearMinus1Year
Current Tax Year125833CurrentTaxYear
Total265565Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years725000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Total725000Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3584818CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2356611CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3929292CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4314346CurrentTaxYearMinus1Year
Current Tax Year4367896CurrentTaxYear
Total18552963Total
FieldValueIRS element (for citing)
Public Support Percentage5090.94441PublicSupportPercentage509
Prior Year Support Percentage0.90519PriorYearSupportPercentage
Investment Income Percentage0.01431InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01052PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
LandLand

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1310079OtherCostOrOtherBasis
Depreciation148413Depreciation
Book Value1161666BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis483714OtherCostOrOtherBasis
Depreciation49823Depreciation
Book Value433891BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis728315OtherCostOrOtherBasis
Depreciation404280Depreciation
Book Value324035BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings1919592TotalOfBookValueLandBuildings
Total Revenue4361322TotalRevenue
Total Expenses3780526TotalExpenses
Excess Or Deficit For Year580796ExcessOrDeficitForYear
Net Unrealized GL On Investments-117083NetUnrealizedGLOnInvestments
Total Adjustments-117083TotalAdjustments
Excess Or Deficit Per FS463713ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt4244239TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-117083NetUnrealizedGainsInvestments
Revenue Not Rptd F990-117083RevenueNotRptdF990
Revenue Subtotal4361322RevenueSubtotal
Total Revenue Per Form9904361322TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3780526TotExpensesEtcAuditedFinclStmt
Expenses Subtotal3780526ExpensesSubtotal
Total Expenses Per Form9903780526TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 DISCLOSUREIdentifier
Return ReferenceSCHEDULE D, PART XReturnReference
ExplanationMANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1INDIANA UNIVERSITYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1107 S INDIANA AVEAddressLine1
CityBLOOMINGTONCity
StateINState
ZIP Code47405ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient356001673EINOfRecipient
IRC Section501(c)(3)IRCSection
Amount Of Cash Grant185000AmountOfCashGrant
Purpose Of GrantGENERALPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantVARIOUS EYE PROCEDURESTypeOfGrant
Number Of Recipients14NumberOfRecipients
Amount Of Cash Grant38104AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANT FUNDS TO U.S.Identifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationALL GRANTS ARE TAKEN THROUGH A DETAILED APPLICATION PROCESS AND THEN VOTED UPON BY THE BOARD OF DIRECTORS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonTIMOTHY FISCHERNamePerson
Base Compensation Filing Org157161BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org16500DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org13994NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org187655TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
MEMBERS OR STOCKHOLDERS WHO CAN ELECT MEMBERS OF THE GOVERNING BODYFORM 990, PART VI, QUESTION 7AVARIOUS LIONS DISTRICTS ARE ALLOWED UNDER THE ORGANIZATION'S BY-LAWS TO ELECT 3 BOARD MEMBERS FROM EACH DISTRICT.
PROCESS TO REVIEW THE FORM 990FORM 990, PART VI, QUESTION 11BTHE TAX RETURN IS EMAILED TO ALL BOARD MEMBERS. IN ADDITION, THE AUDIT COMMITTEE PERFORMS A DETAILED REVIEW OF THE TAX RETURN BEFORE IT IS FILED.
PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICYFORM 990, PART VI, QUESTION 12CA CONFLICT OF INTEREST CONFIRMATION FORM IS COMPLETED ANNUALLY, AND THE PRESIDENT REVIEWS THE FORM FOR COMPLIANCE. ANY DETRIMENTAL CONFLICTS ARE DISCUSSED AT THE BOARD LEVEL. IF A BOARD MEMBER HAS A CONFLICT, THEY RECUSE THEMSELVES FROM DISCUSSIONS AND VOTING IN THAT AREA UNTIL THE CONFLICT HAS BEEN RESOLVED.
REVIEW OF CEO OR TOP MGMT OFFICIAL COMPENSATIONFORM 990, PART VI, QUESTION 15ATHE ORGANIZATION USED SALARY SURVEYS OF OTHER ORGANIZATIONS TO DETERMINE COMPENSATION. BOARD MEMBERS THEN APPROVED THE SALARY AND DOCUMENTED THE DECISION IN THE BOARD MINUTES. THE LAST COMPENSATION REVIEW WAS PREPARED BY MOSS ADAMS LLP IN 2007. THE BOARD LAST APPROVED THE CEO'S COMPENSATION IN MARCH 2012.
GOVERNING DOCUMENTS AVAILABLE TO THE PUBLICFORM 990, PART VI, QUESTION 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
OTHER CHANGES IN NET ASSETS OR FUND BALANCESPART XI, LINE 5NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS $(117,083)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1LIONS CLUB OF INDIANABusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1727 E 86TH STREETAddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46240ZIPCode
FieldValueIRS element (for citing)
EIN351851133EIN
Primary ActivitiesCMNTY SERVICEPrimaryActivities
Legal Domicile StateINLegalDomicileState
Exempt Code Section501(C)(4)ExemptCodeSection
Public Charity StatusN/APublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1LIONS CLUB OF INDIANABusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved50347AmountInvolved
Method Of Amt DeterminationCONTRIBUTIONMethodOfAmtDetermination

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