2011-02-15T09:17:19-06:00 2010-06-30 RSM MCGLADREY INC ONE SOUTH WACKER DRIVE SUITE 800 CHICAGO IL 606063392 990 2009-07-01 237030455 Lions Clubs International Foundation LION 6305715466 300 West 22nd Street Oak Brook IL 605238842 PETER LYNCH 6305715466 2011-02-15 1 Zack Fortsch 3126343400 2009 2016-02-24 21:20:13Z Peter Lynch 300 West 22nd Street Oak Brook IL 605238842 255455266 0 X www.lionsclub.org X 1968 IL Lions Clubs International Foundation (LCIF) is the grant-making arm of the Lions Clubs International (LCI). The Foundation's mission is to support the efforts of Lions Clubs around the world in serving their local communities and the world community as they carry out essential humanitarian service projects. 40 40 0 44000 -82776 -82776 33382574 34315590 0 -18844824 -33692753 408182 709423 14945932 1332260 26551795 23208261 0 2808051 3348155 342500 0 3720696 12285046 10085190 41987392 36641606 -27041460 -35309346 262649774 278802973 45965566 36978850 216684208 241824123 Lions Clubs International Foundation (LCIF) is the grant-making arm of the Lions Clubs International (LCI). The Foundation's mission is to support the efforts of Lions Clubs around the world in serving their local communities and the world community as they carry out essential humanitarian service projects. 0 0 13047075 10275656 The Lion Clubs, Lion Districts and/or Lion Mutiple Districts (The Lions') SightFirst program builds 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. Begun in 1991, the program has invested US$241 million in 1005 projects in 102 countries, resulting in the provision of 7.68 million cataract surgeries, 137 million treatments for river blindness, the construction or expansion of 315 eye hospitals/clinics, equipment upgrades for 389 eye centers, management training for 186 facilities and the training of 659,000 ophthalmologists, ophthalmic nurses and community health workers. 12606954 11156029 529690 Humanitarian grants support projects that address the needs of under-served and vulnerable populations. Lions-led projects typically focus on critical health and human service needs not adequately addressed by governments and other funding sources. Programs funded target the disabled, the chronically ill, the elderly and at-risk youth. Projects may address capital construction or equipment needs. Humanitarian grants also support a social-emotional learning program, Lions Quest, which focuses on delivering life-skills training in educational settings for grades Kindergarten through high school and some reconstruction efforts following natural disasters. Lions leverage grant funding by maximizing local financial resources and provide hands-on service delivery. 1561029 1134178 Emergency and Major Catastrophe grants support both immediate and long-term relief efforts in the wake of natural disasters (i.e., hurricanes, earthquakes, etc), where displaced victims are in need of assistance. Through Emergency grants local Lions are provided with funding to address immediate needs through the purchase and distribution of relief goods. Through Major Catastrophe grants local Lions are provided with funding to focus on long-term reconstruction efforts, which may include the construction of homes, schools, medical buildings or other vital public facilities. In both programs, the Lions are addressing the needs in the communities in which they live and serve. 642398 642398 International service, international assistance and humanitarian award grants include research and humanitarian assistance on a global level. 642398 642398 27857456 1 1 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 1 3 0 1 0 1 1 1 IN JA TZ CA AS 0 0 0 0 0 0 0 40 40 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 AZ CA CO FL IL MD MA NY X Peter Lynch 6305715466 300 West 22nd St Oak Brook IL 605238842 Al Brandel 10.00 X X 0 0 0 Tadao Sugimoto 5.00 X X 0 0 0 Enrico Cesarotti 5.00 X X 0 0 0 Anne Smarsh 5.00 X X 0 0 0 Eberhard J Wirfs 5.00 X 0 0 0 Sidd Scruggs 5.00 X 0 0 0 Dr Wing-kun Tam 5.00 X 0 0 0 Bishnu Bajoria 5.00 X 0 0 0 Ken Bird 5.00 X 0 0 0 Kwang-Soo Jang 5.00 X 0 0 0 Douglas A Lozier 5.00 X 0 0 0 Shyam Malpani 5.00 X 0 0 0 Arthur A Marson 5.00 X 0 0 0 Jerimiah Myers 5.00 X 0 0 0 Ellis Suriyati Omar 5.00 X 0 0 0 Eugenio Roman Jr 5.00 X 0 0 0 Bojan Sober 5.00 X 0 0 0 Drs Ton Soeters 5.00 X 0 0 0 Neil Spencer 5.00 X 0 0 0 Beverly Stebbins 5.00 X 0 0 0 Hayri Ulgen 5.00 X 0 0 0 Rosane Jahnke Vailatti 5.00 X 0 0 0 Debra Wasserman 5.00 X 0 0 0 Gary D'Orazio 5.00 X 0 0 0 Luis Dominguez 5.00 X 0 0 0 Yasumasa Furo 5.00 X 0 0 0 KPA Haroon 5.00 X 0 0 0 Carlos A Ibanez 5.00 X 0 0 0 Ronald S Johnson 5.00 X 0 0 0 Byeong-Deok Kim 5.00 X 0 0 0 Horst P Kirchgatterer 5.00 X 0 0 0 HOB Lawal 5.00 X 0 0 0 Daniel A O'Reilly 5.00 X 0 0 0 Richard Sawyer 5.00 X 0 0 0 Jerry Smith 5.00 X 0 0 0 Michael S So 5.00 X 0 0 0 Judge Haynes H Townsend 5.00 X 0 0 0 J Carl Young 5.00 X 0 0 0 Dr Tae-Sup Lee 5.00 X 0 0 0 Klaus Tang 5.00 X 0 0 0 Peter Lynch 40.00 X 0 199951 68014 Rebecca Teel Daou 40.00 X 0 110498 24192 Norio Tanabe 40.00 X 0 81333 43052 Phillip Albano 40.00 X 0 72588 30109 KaSondra Byrd 40.00 X 0 56164 18959 Nicole Brown 40.00 X 0 56034 10268 0 310449 92206 2 0 1 0 World Health Organization Avenue Appia 20 1211 Geneva 27 SZ Technical Support 493810 BrightKey 9050 Junction Drive Annapolis Junction MD 20701 Project Management 200597 CBH Video 120 Tower Drive Burr Ridge IL 60527 Video Support 170710 SLS Network 10077 Jacksontown Road SE Suite 20 Thornville OH 43076 Consulting Services 159192 Manpower 21271 Network Place Chicago IL 606731212 Employment Services 153153 7 37480 34278110 2168045 34315590 7648699 7648699 212082896 57078 253481426 -41398530 57078 -41341452 -82776 -41258676 0 37480 28541 -28541 -28541 1142730 613039 529691 529691 Currency Exchange Gain 900099 208273 208273 208273 1332260 8386663 -82776 -41287217 2742252 2742252 20466009 20466009 2230559 895151 988673 346735 372581 149013 167668 55900 518971 207561 233547 77863 226044 90406 101724 33914 32435 2430 23898 6107 71440 71440 685344 685344 2142843 1475285 360914 306644 328919 62539 266380 599024 166810 58911 373303 915309 596186 137539 181584 51996 24308 22273 5415 1015537 704602 310935 Allocation of Headquart 2607529 516668 1497956 592905 Recognition 1544320 381309 1163011 90494 81529 8965 36641606 27857456 5063454 3720696 -1 31484209 12191302 9650802 972940 251849 202530 926601 692198 4000 4023155 3896335 1087323 126820 215767835 256563948 3477156 8053235 262649774 278802973 373848 328629 45290754 36360714 300964 289507 45965566 36978850 X 100091717 120215559 116092491 121108564 500000 500000 216684208 241824123 262649774 278802973 X 0 1 1 X 0 X 39665661 54470076 78462554 33382574 34315590 240296455 39665661 54470076 78462554 33382574 34315590 240296455 7607479 232688976 6579876 8126080 16361828 1009631 7648699 39726114 27767 250738 278505 280301074 2410423 0.83010 0.86090 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 410689 181580 28254 564015 500000 -74915 14396 410689 0.00000 1.00000 0.00000 0 0 4023155 3896335 126820 126820 Charitable Gift Annuities 289507 289507 1332260 36641606 -35309346 60449261 60449261 25139915 61810062 60449261 28541 60477802 1332260 0 1332260 36670147 28541 28541 36641606 0 36641606 Part V, Line 4: Description of Intended Use of Endowment Funds: To fund the treatment and prevention of blindness in the state of Louisiana. Part X: Description of Uncertain Tax Positions Under FIN 48: In July 2006, the FASB issued FASB Interpretation No. 48 ("FIN 48") (now referred to as ASC 740-10-25-6, "ASC 740"), "Accounting for Uncertainty in Income Taxes - An Interpretation of FASB Statement 109," which clarifies the accounting for uncertainty in income taxes recognized in an enterprise's financial statements in accordance with the broader concepts previously outlined in ASC 740. The Foundation adopted this new guidance as of July 1, 2009. This guidance clarifies the accounting for uncertainly in tax positions taken or expected to be taken in a tax return, including issues relating to financial statement recognition and measurement. This section provides that the tax effects from an uncertain tax position can 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. The assessment of the tax position is based solely on the technical merits of the position, without regard to the likelihood that the tax position may be challenged. The adoption of this guidance did not have any impact on the Foundation's financial statements. Part XII, Line 2d - Other Adjustments: Fundraising Activities: 28541. Part XIII, Line 2d - Other Adjustments: Fundraising Activities: 28541. 1 East Asia and the Pacific Program Services Department Expenses and Grants 4145954 Central America and the Caribbean Program Services Department Expenses and Grants 355888 Europe Program Services Department Expenses and Grants 1480211 Middle East and North Africa Program Services Department Expenses and Grants 417101 North America Program Services Department Expenses and Grants 511184 South America Program Services Department Expenses and Grants 1777176 South Asia 1 2 Program Services Department Expenses and Grants 3270743 Sub-Saharan Africa Program Services Department Expenses and Grants 8507752 1 2 20466009 Sub-Saharan Africa Mectizan donation - Sight First Onchocerciasis Program 1349288 South Asia Cataract Screening and Surgery Campaign 1365532 South America Carter Center onchocerciasis Elimination in Latin America 1133834 Sub-Saharan Africa Continuation of Lions Sight First Training Program, IOTA 1052430 Sub-Saharan Africa National Onchocerciasis Control Program 964695 Sub-Saharan Africa Comprehensive Eye Care Program 800750 South Asia Cataract Screening and Surgery Campaign 649832 Sub-Saharan Africa Carter Center Trachoma Control in Amhara Ethopia 641280 Sub-Saharan Africa Cataract Screening and Surgery Campaign 580000 Sub-Saharan Africa Trachoma Control in Niger - The Carter Center 506320 Sub-Saharan Africa Cataract Screening and Surgery Campaign 450000 Sub-Saharan Africa Trachoma Control in Mali - The Carter Center 436000 East Asia and the Pacific MD-105 Tsunami Indonesia 388107 East Asia and the Pacific Expand Lions Quest 333000 Sub-Saharan Africa Support National Blindness Prevention Program 324519 Sub-Saharan Africa Measles Vaccination Initiative 300000 East Asia and the Pacific Purchase Mobile Blood Donation Vehicle 287000 Sub-Saharan Africa Carter Center Trachoma Control in Mali and Niger 282356 Sub-Saharan Africa Humanitarian Award 2010 200000 South Asia Cataract Screening and Surgery Campaign 180000 Sub-Saharan Africa Establish Ijenda Opthamalic Center 158933 Middle East and North Africa National Diabetic Retinopathy Program 156831 South Asia J & J Sight for Kids Kolkata 155900 Europe (Including Iceland & Greenland) Construct School & Health Center in Kyon, Burkina Faso 150000 Sub-Saharan Africa Trachoma Control Program in Narok & West Pokot Districts 145510 Sub-Saharan Africa Training of Ophthalmic Nurses at Bangui University 135215 South Asia Equip Lions SightFirst Eye Hospital Ratnapura 130100 South Asia Flood Relief 109164 South America Cataract Screening and Surgery Program 108000 East Asia and the Pacific Purchase Ambulance 107500 East Asia and the Pacific Expand Lions Quest 100000 Europe (Including Iceland & Greenland) Expand Lions Quest 100000 East Asia and the Pacific Taiwan Typhoon Morakat 2009 100000 East Asia and the Pacific Purchase 7 Transport Vehicles for the Disabled & Elderly 100000 Europe (Including Iceland & Greenland) Expand Lions Quest 97500 Central America and the Caribbean Haiti Earthquake Relief Goods 96454 South America Equip Lions Clinic at Porto Alegre Hospital 95342 East Asia and the Pacific Typhoon Relief 90000 East Asia and the Pacific Typhoon Relief 85000 South Asia Uprade Balangar Lions Eye Hospital 80582 East Asia and the Pacific Construct Lodging for Lions Youth Haven 75000 East Asia and the Pacific Expand Residential Facility for Seniors 75000 Europe (Including Iceland & Greenland) Update SOS Children's Village Family House 75000 North America Gore Bay Medical Center X-ray System 75000 Europe (Including Iceland & Greenland) Libra: Equip Blood Research at King's College 75000 Europe (Including Iceland & Greenland) Reconstruct Library in Peru 75000 East Asia and the Pacific Expand Center for the Disabled 75000 East Asia and the Pacific Equip Center for Autistic Children 75000 Central America and the Caribbean Construct Patient Guest House 75000 East Asia and the Pacific Construct Service Center for Patients w/ Spinal Cord Injuries 75000 East Asia and the Pacific Expand Ronald McDonald House 75000 South America Expand Special Education School 75000 East Asia and the Pacific Expand Welfare Center for the Disabled 75000 East Asia and the Pacific Purchase Transport Vehicle for the Disabled 75000 East Asia and the Pacific Equip Lions Sight Center 75000 East Asia and the Pacific Purchase Mobile Laundry Vehicle 75000 East Asia and the Pacific Equipment for Lions Sight Center Expansion 72500 Europe (Including Iceland & Greenland) Construct Health Infirmary and School in Burkina 69617 South Asia Expand Lions Quest 67000 East Asia and the Pacific J & J Sight for Kids - Thailand 65000 South America Expand Lions Quest 65000 Europe (Including Iceland & Greenland) Renovate and Expand School for Blind Youth 64717 Europe (Including Iceland & Greenland) Salerno Lions Ophthalmology Clinic 64467 East Asia and the Pacific Equip Lions Sight Center 64000 East Asia and the Pacific Purchase Mobile Vision Screening Unit 63360 East Asia and the Pacific Purchase Mobile Vision Screening Unit 62242 North America Ultrasound Unit for Simcoe-Muskoka Cancer Treatment Center 60000 Europe (Including Iceland & Greenland) Expand Guide Dog Training School 60000 Europe (Including Iceland & Greenland) Establish a Low Vision Rehabilitation Center 60000 Middle East and North Africa Expand Lions Quest 59270 Sub-Saharan Africa Trichiasis Surgery Campaign, Busoga Region 56458 East Asia and the Pacific Equip Lions Nursing Home Expansion 50391 South America Construct New Rooms at San Carlos Provincial 50000 South America Construct Geriatric Center 50000 East Asia and the Pacific Expand Senior Care Facility 50000 North America Equip Sainte-Justine Central University Hospital 50000 North America Expand Lions Quest 50000 East Asia and the Pacific Earthquake Relief 50000 Central America and the Caribbean Haiti Relief - Lions Camp Supplies 50000 South Asia Equip Polio Foundation in Ahmadabad 50000 South Asia Expand Vocational Training Center for Disabled 50000 South Asia Expand Dialysis Center 50000 East Asia and the Pacific Diabetes Prevention & Detection Project 50000 East Asia and the Pacific Purchase Mobile Vision/Diabetes Screening Unit 50000 South Asia Upgrade Lion Eye Center at Kathmandu 50000 Europe (Including Iceland & Greenland) Lions World Sight Day 2009 49921 Sub-Saharan Africa Lions-Habitat Home (Abijan-Calao) 49800 North America Equip Riviere-Du-Loup Eye Hospital 46077 East Asia and the Pacific Construct School in Cambodia 45000 Middle East and North Africa Purchase Diagnostic Equipment for Ziz Medical Center 45000 North America Equip Norfolk General Hospital 44578 Middle East and North Africa Surgical Equipment for Ophthalmology Dept. at Soroka 43500 Europe (Including Iceland & Greenland) Construct School in Uganda 43400 East Asia and the Pacific Renovate Facility for Disabled 43000 East Asia and the Pacific Equip Lions Save Sight Center in Singapore 41038 North America Equip Lions Medical Clinic 40912 South America Flood Relief 40000 South America Earthquake Relief 40000 South Asia Flood Relief 40000 Middle East and North Africa Equip Center for Alzheimer Patients at Hospital 40000 Central America and the Caribbean Haiti Earthquake Relief - Tent Supply 39746 Europe (Including Iceland & Greenland) Lions Paperless Classroom 2010 39306 North America Upgrade Lions Max Simms Camp 39221 East Asia and the Pacific Equip Vision Screening Program 39000 East Asia and the Pacific Equip Lions Medical Center 38500 East Asia and the Pacific J & J Sight for Kids - Philippines 38275 Middle East and North Africa Renovate Malaika Center for Children with Downs Syndrome 37500 East Asia and the Pacific Construct Home for Seniors 37500 Europe (Including Iceland & Greenland) Equip an Italian Vision Screening Project 36500 South America Storm Relief 35000 Europe (Including Iceland & Greenland) Equip Kitchen and Laundrey at Women's Shelter 35000 Europe (Including Iceland & Greenland) Water Irrigation System in Cambodia 34000 East Asia and the Pacific Purchase Ophthalmic Equipment for University Hospital 32283 East Asia and the Pacific Purchase Cancer Screening Units 32248 East Asia and the Pacific Purchase Mobile Kitchen to Feed Elderly and Homeless 32000 Europe (Including Iceland & Greenland) Purchase Transport Vehicle for Disabled 31686 East Asia and the Pacific Purchaes Two Fire Fighting Equipment Vehicles 31250 South Asia Upgrade Poona Blind Mens Associations Kantalaxmi 30928 South America Equip Mobile Eye Unit 30000 South Asia Manpower & Management Training at Laico 30000 Europe (Including Iceland & Greenland) Build Water Wells in Burkina Faso 30000 East Asia and the Pacific 35TH Japan Lions Medical Mission to Philippines 30000 East Asia and the Pacific Dental Mission to the Philippines 30000 East Asia and the Pacific Tornado Relief 30000 Central America and the Caribbean Haiti Earthquake 2010 29688 South Asia Purchase Outreach Vehicle for Rapti Eye Hospital 28354 East Asia and the Pacific Renovate School in the Philippines 27957 East Asia and the Pacific Purhcase Transport Vehicle for Rare Diseases Foundation 27739 Europe (Including Iceland & Greenland) Clean Water Project 27054 North America Equip Dryden Regional Health Center with Ultrasound 25000 Central America and the Caribbean Expand Vocational Training Center for Handicapped 25000 Middle East and North Africa Purchase Glaucoma Screening Equipment 25000 South Asia Flood Relief 25000 East Asia and the Pacific Establish Computer Laboratory 25000 Europe (Including Iceland & Greenland) Vocational (Massage Therapy) Training for Visually Impaired 25000 East Asia and the Pacific Purchase Mobile Blood Donation Vehicle 24500 East Asia and the Pacific Purchase Emergency Equipment 24348 Europe (Including Iceland & Greenland) Implement Lions Quest 24000 East Asia and the Pacific Equip Dental Clinic in the Philippines 24000 East Asia and the Pacific Purchase Ambulance for Lions Ambulance Service Society 23000 South Asia Purchase Outreach Vehicle for Lions Eye Hospital 22630 East Asia and the Pacific Construct School in Laos 22008 East Asia and the Pacific Implement Lions Quest 22000 East Asia and the Pacific Expand School in Indonesia 21739 East Asia and the Pacific Purchase Mobile Blood Donation Vehicle 21505 South Asia Establish Vocational Training Center for Disabled 20000 South Asia Equip Blood Bank with Blood Collection Vehicle 20000 Sub-Saharan Africa Equip Rehabilitation Unit for the Visually Impaired 20000 East Asia and the Pacific Education Project in the Philippines 20000 East Asia and the Pacific Flood Relief 20000 North America Hurricane Relief 20000 North America Flood Relief 20000 East Asia and the Pacific Flood Relief 20000 East Asia and the Pacific Purchase Micro-Keratron Machine for Medical University 19946 East Asia and the Pacific Renovate Fire Engines for the Philippines 18790 Sub-Saharan Africa Expand Lions Quest 18352 East Asia and the Pacific J&J Sight for Kids - Philippines 18275 East Asia and the Pacific Typhoon Morakot Assistance 18030 East Asia and the Pacific Purchase Transport Vehicle for Special Olympics 18000 East Asia and the Pacific Purchase Two Transport Vehicles for the Disabled 17500 Europe (Including Iceland & Greenland) Expand School in the Philippines 16888 East Asia and the Pacific Construct School in the Philippines 16129 Europe (Including Iceland & Greenland) Purchase Vehicle for Belgian Center for Guide Dogs 15873 East Asia and the Pacific Construct Clinic for Women & Children in Kenya 15261 North America Flood Relief 15000 Europe (Including Iceland & Greenland) Plant Fruit Trees in Senegal; Phase 2 15000 South Asia J & J Sight for Kids - Kerala 15000 East Asia and the Pacific J & J Sight for Kids Vietnam 15000 Europe (Including Iceland & Greenland) Purchase Vehicle for a Hospice 14483 South Asia Equip Moodubelle Lions Medical/Dental Clinic 14000 Europe (Including Iceland & Greenland) Purhcase Incubator 13700 East Asia and the Pacific Purchase Medical Van for Village in Kenya 13617 East Asia and the Pacific Purchase Mobile Blood Donation Vehicle 13152 Europe (Including Iceland & Greenland) Purchase Mobile Rehabilitation Unit 12810 East Asia and the Pacific Equip Pre-School for Children with Learning Disabilities 12283 East Asia and the Pacific Purchase Emergency Equipment 12108 North America Transport Vehicle for CNIB 12000 South Asia Potable Water Project 12000 South Asia J & J Sight for Kids Sri Lanka 11892 South Asia Laico Secondary Training 11485 East Asia and the Pacific Equip School for the Visually Impaired 11071 South Asia SightFirst Hospital, Hendala Operating Costs 10744 Europe (Including Iceland & Greenland) Construct School in Mali 10641 East Asia and the Pacific Training Program for Aboriginal Youth 10000 East Asia and the Pacific Flood Relief 10000 Europe (Including Iceland & Greenland) Clean Water Project in Senegal 10000 Europe (Including Iceland & Greenland) Flood Relief 10000 South Asia Flood Relief 10000 Central America and the Caribbean San Pedro LC/Island Academy 10000 South America Flood Relief 10000 South America Tornado Relief 10000 Middle East and North Africa Flood Relief 10000 Central America and the Caribbean Hurricane Relief 10000 Europe (Including Iceland & Greenland) Clean Water Project in Sinthiou Garba, Senegal 10000 Europe (Including Iceland & Greenland) Social Inclusion - ROHR 2010 Project 10000 Europe (Including Iceland & Greenland) Wildfire Relief 10000 Central America and the Caribbean Volcano/Storm Relief 10000 Central America and the Caribbean Flood Relief 10000 Europe (Including Iceland & Greenland) Flood Relief 10000 East Asia and the Pacific Earthquake Relief 10000 Europe (Including Iceland & Greenland) Flood Relief 10000 Europe (Including Iceland & Greenland) Flood Relief 10000 Europe (Including Iceland & Greenland) President Wirfs'RESIDENT WIRFS' Visit to the Vatican 10000 East Asia and the Pacific Equip Facility for the Deaf and Hearing Impaired 10000 East Asia and the Pacific Typhoon Relief 10000 East Asia and the Pacific Medical Mission to Bangladesh 10000 East Asia and the Pacific Planting Mangroves in Indonesia 10000 East Asia and the Pacific Water & Sanitation Improvements for Schools 10000 East Asia and the Pacific Expand School in Nepal 10000 East Asia and the Pacific Reforestation Project in Thailand 10000 East Asia and the Pacific Clean Water Project in Borneo 10000 Sub-Saharan Africa Implement Lions Quest 10000 North America Earthquake Relief 10000 South Asia Flood Relief 10000 East Asia and the Pacific Tsunami Relief 10000 East Asia and the Pacific Tidal Wave Relief 10000 South America Flood Relief 10000 East Asia and the Pacific Clean Water Project in Borneo 10000 East Asia and the Pacific Flood Relief 10000 Sub-Saharan Africa Flood Relief 10000 South America Flood Relief 10000 Sub-Saharan Africa Flood Relief 10000 East Asia and the Pacific Purchase Transport Vehicles for AIDS Patients in Kenya 9902 East Asia and the Pacific Bus for Hospital in Laos 9900 Europe (Including Iceland & Greenland) Clean Water Project in Manazary, Madagascar 7494 South America Tornado Relief 5000 South America Flood Relief 5000 South America Flood Relief 5000 South Asia Tornado Relief 5000 Europe (Including Iceland & Greenland) Eyecare Mission to Malawi 5000 East Asia and the Pacific Clean Water Project in Borneo 5000 East Asia and the Pacific Clean Water Project in Nepal 5000 Sub-Saharan Africa Earthquake Relief 5000 South Asia Landslide Relief 5000 South Asia Cyclone Relief 5000 East Asia and the Pacific Flood Relief 5000 Europe (Including Iceland & Greenland) Flood Relief 5000 South Asia Cyclone Relief 5000 Europe (Including Iceland & Greenland) Flood Relief 5000 239 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. Cruise 37480 37480 28541 37480 37480 28541 28541 -28541 1 Lions Clubs Special Olympics Inc Washington DC DC 20036 520889518 501 (c) (3) 821344 Special Olympics Opening Eyes Expansion Lions Clubs 292 Clark Road Byhalia MS 38611 646027945 501 (c) (4) 286114 Hurricane Katrina 12 Baskets Food Bank Lions Clubs 3189 Roesch Blvd Fairfield OH 450147032 237047012 501 (c) (4) 108384 Expansion Of Low Vision Services For Kentucky Lions Clubs 10858 625th Avenue Parkers Prairie MN 563619611 363362490 501 (c) (4) 75000 Construct Lakeland Hospice House Lions Clubs 11 Bellemeade Place Wilmington DE 19810 237291039 501 (c) (4) 75000 Renovate And Expand Camp Sunnybrook Lions Clubs 5430 Kings Highway Brooklyn NY 11203 943486612 501 (c) (4) 75000 Equip Lions Eye Bank Lions Clubs 909 S Colleen Lane Sioux Falls SD 57106 237055507 501 (c) (4) 69859 Equip South Dakota Lions Eye Bank Lions Clubs 124 NE 16th Street Guymon OK 739423320 237050631 501 (c) (4) 67000 Expand Lions Quest Lions Clubs 18602 48th Place S Seatac WA 98188 911316978 501 (c) (4) 60000 Mobile Health Screening Unit Lions Clubs 11736 Rancho Verde Drive Whittier CA 906011907 237298664 501 (c) (4) 50000 Hear Us Roar - Pilot Hearing Program Lions Clubs 2929 Sandra Drive Snelville GA 300783727 582186531 501 (c) (4) 50000 Equip Georgia Lions Mobile Screening Unit Lions Clubs 505 Fesslers Lane Nashville TN 37210 621614995 501 (c) (3) 50000 Mcat Tennessee Flooding 2010 Lions Clubs PO Box 398 Winthrop ME 04364 392057022 501 (c) (4) 50000 Equip Good Shepherd Food Bank Lions Clubs 1624 Argyle Crescent Ann Arbor MI 48103 237148620 501 (c) (4) 38383 Ann Arbor Evening Lions Club Lions Clubs 5987 Rollingwood Drive Ann Arbor MI 48103 386084427 501 (c) (4) 38383 Ann Arbor Host Lions Club Lions Clubs 806 Cambridge Ypsilanti MI 48197 382594763 501 (c) (4) 38383 Huron Valley Sunrise Lions Club Lions Clubs 720 West Hutton Rd Wooster OH 44691 510173256 501 (c) (4) 37715 Renovate Restrooms At Camp Echoing Hills Lions Clubs 13459 Verona Tustin CA 927829152 237196070 501 (c) (4) 37500 Construct Cabins At Lions Camp Teresita Pines Lions Clubs 14282 Venice Drive Sterling Heights MI 483134341 381366931 501 (c) (3) 32847 Leader Dog Program Lions Clubs 594 Birdie Circle Preston ID 832635371 237076670 501 (c) (4) 32450 Purchase Ret Cam For Portneuf Medical Center Lions Clubs PO Box 944 Arlington MN 55037 416039926 501 (c) (4) 31483 Construct Nutrition Center In Senior Center Lions Clubs 2020 Gravier Street New Orleans LA 70112 237384897 501 (c) (3) 28254 Louisiana Lions Eye Foundation Lions Clubs 112 Joan Circle Staunton VA 24404 540284449 501 (c) (4) 27484 Rockbridge Area Free Clinic Lions Vision Center Lions Clubs 2419 Rabbit Trail Drive Washington MO 630905555 436036732 501 (c) (4) 25000 Renovate Facility For Children With Visual Impairment Lions Clubs 1430 Overlook Drive Weirton WV 260625127 237360338 501 (c) (4) 20500 Children'S Vision Rehabilitation Program Lions Clubs 8452 W 900 N Huntington IN 46750 237047868 501 (c) (4) 20000 Equip Lions Speech And Hearing Inc. Aac Library Lions Clubs Po Box 222 Vergennes VT 05491 237047725 501 (c) (4) 17180 Expand Lions Quest Lions Clubs 930 Madison Avenue Memphis TN 38103 620632682 501 (c) (3) 16675 Mid-South Lions Sight & Hearing Service Lions Clubs 7643 South Octavia Avenue Bridgeview IL 604551330 366106638 501 (c) (4) 15065 Purchase Portable Screening Equipment Lions Clubs 75 Apalone Trail Mansfield TX 760631551 237389237 501 (c) (4) 15000 Lions-Habitat Home Lions Clubs 19 Onondaga Street Skaneateles NY 13152 263351273 501 (c) (3) 15000 Welch Allyn Ny Core Pvsp Publicity Campaign Lions Clubs 8551 Ventana Drive Oak Creek WI 53154 391447361 501 (c) (4) 13750 Eye Mission To Dominican Republic Lions Clubs 2734 Linneman Street Glenview IL 600254143 364451582 501 (c) (4) 13000 Equip Medical Outreach Program In Swaziland Lions Clubs 30345 Johnson Road Townville PA 16360 256037655 501 (c) (4) 11127 Meadville Area Projects For The Blind Lions Clubs 16596 Javelin Avenue Lakeville MN 550448784 237302675 501 (c) (4) 11000 Transport Van For Camp Courage Lions Clubs 1125 Leo Baker Road Ashland City TN 37015 581452525 501 (c) (3) 10000 Flood Relief Lions Clubs 11758 County Road 38 Blair NE 68008 10000 Flood Relief Lions Clubs 1215 South Street Bowling Green OH 43402 237360337 501 (c) (4) 10000 Tornado Relief Lions Clubs 1316 Hardy Street Hattiesburg MS 394014982 10000 Tornado Relief Lions Clubs 1341 E Eighth Street Suite A National City CA 91950 10000 Medical Mission To The Philippines Lions Clubs 153 Cedar Avenue Pineville WV 24874 237082232 501 (c) (4) 10000 Flood Relief Lions Clubs 155 Evaline Troy MI 48085 237077189 501 (c) (3) 10000 Tornado Relief Lions Clubs 1703 Termino Avenue Suite 205 Long Beach CA 90804 10000 Medical Mission To The Philippines Lions Clubs 1731 Tattenham Road Encinitas CA 92024 237136211 501 (c) (4) 10000 Sight Mission To Philippines Lions Clubs 23127 Willow Canyon Drive Tehachapi CA 93561 953287605 501 (c) (4) 10000 Fire Relief Lions Clubs 302 N Washington Street Oconto NE 68860 477020960 501 (c) (4) 10000 Flood Relief Lions Clubs 31626 N 21st Lane Phoenix AZ 85085 860867634 501 (c) (4) 10000 Medical Mission To Philippines Lions Clubs 405 Capital Street Suite 2 Charleston WV 25301 237132807 501 (c) (3) 10000 Flood Relief Lions Clubs 450 Country Road 141 Tupelo MS 38801 800194508 501 (c) (4) 10000 Tornado Relief Lions Clubs 475 6th Avenue South Wilmington IL 604740218 237124894 501 (c) (4) 10000 Tornado Relief Lions Clubs 57090 County Hwy 138 Parkers Prairie MN 56361 363362490 501 (c) (4) 10000 Tornado Relief Lions Clubs 6785 East US 136 Brownsburg IN 461128709 237313213 501 (c) (4) 10000 Hearing Mission To Mexico Lions Clubs 7003 Pam Drive Millington TN 38053 237240556 501 (c) (4) 10000 Flood Relief Lions Clubs 713 Rose Petal Lane Ellijay GA 30540 237148615 501 (c) (4) 10000 Flood Relief Lions Clubs 7323 Rolling Oak Lane Springfield VA 22153 800606590 501 (c) (4) 10000 Medical Mission To The Philippines Lions Clubs 115 N Division Guthrie OK 73044 237339220 501 (c) (4) 10000 Tornado Relief Lions Clubs 152 Trailing Vine Lane Harvest AL 35749 10000 Tornado Relief Lions Clubs 48 Tundra Way Sacramento CA 95834 510643074 501 (c) (4) 10000 Medical Mission To The Philippines Lions Clubs 632 Church Avenue Warwick RI 028893250 237052949 501 (c) (4) 10000 Flood Relief Lions Clubs 2636 Brick Drive Longs SC 29568 300327084 501 (c) (4) 10000 Tornado Relief Lions Clubs 450 Country Road 141 Tupelo MS 38801 800194508 501 (c) (4) 10000 Tornado Relief Lions Clubs 30 Spruce Street North Andover MA 01845 237328862 501 (c) (4) 10000 Flood Relief Lions Clubs PO Box 554 Renton WA 98057 481262104 501 (c) (3) 10000 Renton Lions Club Foundation Lions Clubs S67 W17912 Pearl Drive Muskego WI 531509608 391447361 501 (c) (4) 10000 Tornado Relief Lions Clubs 1341 East 8th Street Suite A National City CA 91950 10000 Medical Mission To The Philippines Lions Clubs 1846 Timber Trail Vista CA 92081 9950 Medical Mission To The Philippines Lions Clubs 14 Lenox Way San Francisco CA 94127 9000 Medical Mission To The Philippines Lions Clubs 926 Orchard Drive Rainelle WV 25962 237082232 501 (c) (4) 8683 Flood Relief Lions Clubs 345 Oakwood Court Corona CA 92879 753221880 501 (c) (4) 8000 Outreach Mission To The Philippines Lions Clubs 1575 Slusser Road Akron OH 443051454 237314629 501 (c) (4) 6797 Lions Eye Clinic Exam Room Renovations Lions Clubs 9056 E Sun Lakes Blvd N Sun Lakes AZ 85248 860399553 501 (c) (4) 6069 Equip Arizona Lions Eyeglass Recycling Terminal Lions Clubs 2956 Overbeck Lane West Chicago IL 60185 363826498 501 (c) (4) 5000 Equip Girls Hostel In Andhra Pradesh, India Lions Clubs 8596 S US Highway 25 Corbin KY 407020365 205018499 501 (c) (4) 5000 Flood Relief 10 63 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. X X 1 1 X X X X 0 0 0 0 0 0 0 0 0 Peter Lynch 0 195771 0 4000 0 180 0 49260 0 29476 0 278687 0 0 Part I, Line 1a First class airfare is authorized for Executive Officers, due to their extensive travel requirements. Past International President, appointed to the LCIF Executive Committee, and their adult companion are authorized to fly business class. If business class is not available, first class travel is authorized. X 3 3301 FMV X 5 2155500 Invoice Cost 0 0 0 Form 990, Part VI, Section B, line 11 1.The Lions Clubs International Treasurer and Manager of Financial Reporting and Compliance are responsible for the timely preparation of the Form 990. The Lions Clubs International Foundation Division Manager and Executive Director 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 the final Form 990. 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. Form 990, Part VI, Section B, line 15 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 at least annually 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 is available at http://www.lionsclubs.org/EN/member-center/resources/publications/resources and audited financial statements are available on the website at http://lionsclubs.org/EN/common/pdfs/financial_statement.pdf The International Association of Lions Clubs 300 W 22nd Street Oak Brook IL 60523 361263962 Service Organization IL 501(c)(4) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 The International Association of Lions Clubs O 4788230