TY 2011 Form 990PF

- TIN:

Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

or Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private Foundation

Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements.

OMB No. 1545-0052

2011

For calendar year 2011, or tax year beginning 07-01-2011 , and ending 06-30-2012

Check all that apply:Initial returnInitial return of a former public charityFinal return

Amended returnAddress changeName change

Name of foundation
SOUTHERN OREGON LION

Number and street (or P.O. box number if mail is not delivered to street address)228 N HOLLY Room/suite

City or town, state, and ZIP code
MEDFORD, OR97501

A Employer identification number

93-6042046

B Telephone number (see page 10 of the instructions)

(541) 779-3653

C If exemption application is pending, check here bullet

D 1. Foreign organizations, check here . bullet

H Check type of organization: Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trustOther taxable private foundation 2. Foreign organizations meeting the 85% test,
check here and attach computation bullet

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) bullet

$1,086,638J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

E If private foundation status was terminated
under section 507(b)(1)(A), check here bullet

F If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here bullet

	Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see page 11 of the instructions).)		(a) Revenue and expenses per books		(b) Net investment income	(c) Adjusted net income	(d) Disbursements for charitable purposes (cash basis only)


1	Contributions, gifts, grants, etc., received (attach schedule)		30,529
2	Check
3	Interest on savings and temporary cash investments		19,316		19,316
4	Dividends and interest from securities......		11,058		11,058
5a	Gross rents..............		55,238
b	Net rental income or (loss) -18,163
6a	Net gain or (loss) from sale of assets not on line 10
b	Gross sales price for all assets on line 6a
7	Capital gain net income (from Part IV, line 2)...
8	Net short-term capital gain.........
9	Income modifications...........
10a	Gross sales less returns and allowances	11,460
b	Less: Cost of goods sold....
c	Gross profit or (loss) (attach schedule).....			11,460
11	Other income (attach schedule).......			789
12	Total. Add lines 1 through 11........		128,390		30,374
13	Compensation of officers, directors, trustees, etc.		28,667
14	Other employee salaries and wages......		8,320			8,320
15	Pension plans, employee benefits.......		3,372			3,272	100
16a	Legal fees (attach schedule).........
b	Accounting fees (attach schedule).......			9,280		8,890	390
c	Other professional fees (attach schedule)....			5,760		5,760
17	Interest...............		1,273			1,273
18	Taxes (attach schedule) (see page 14 of the instructions)			613		613
19	Depreciation (attach schedule) and depletion...			31,054		25,236
20	Occupancy..............		23,909			23,909
21	Travel, conferences, and meetings.......
22	Printing and publications..........
23	Other expenses (attach schedule).......			44,312		41,658	2,654
24	Total operating and administrative expenses.
	Add lines 13 through 23..........		156,560		0	118,931	3,144
25	Contributions, gifts, grants paid........		32,169				32,169
26	Total expenses and disbursements. Add lines 24 and 25		188,729		0	118,931	35,313
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements		-60,339
b	Net investment income (if negative, enter -0-)				30,374
c	Adjusted net income (if negative, enter -0-)...

For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.

Cat. No. 11289X Form 990-PF (2011)

Form 990-PF (2011)

Page 2

Part II		Balance Sheets	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing...............	38,106	13,286	13,286
	2	Savings and temporary cash investments..........
	3	Accounts receivable 2,139
		Less: allowance for doubtful accounts	7,267	2,139	2,139
	4	Pledges receivable
		Less: allowance for doubtful accounts
	5	Grants receivable.................
	6	Receivables due from officers, directors, trustees, and other
		disqualified persons (attach schedule) (see page 15 of the
		instructions)....................
	7	Other notes and loans receivable (attach schedule)
		Less: allowance for doubtful accounts
	8	Inventories for sale or use...............	4,280	4,738	4,738
	9	Prepaid expenses and deferred charges...........
	10a	Investments—U.S. and state government obligations (attach schedule)
	b	Investments—corporate stock (attach schedule)........
	c	Investments—corporate bonds (attach schedule)........
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans..............
	13	Investments—other (attach schedule)...........
	14	Land, buildings, and equipment: basis 1,479,278
		Less: accumulated depreciation (attach schedule) 613,157	892,230	866,121
	15	Other assets (describe )	1,141,567	1,066,475	1,066,475
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	2,083,450	1,952,759	1,086,638
	17	Accounts payable and accrued expenses..........	2,573	6,182
	18	Grants payable...................
	19	Deferred revenue..................
	20	Loans from officers, directors, trustees, and other disqualified persons
	21	Mortgages and other notes payable (attach schedule)......	66,623	58,006
	22	Other liabilities (describe )	2,077	514
	23	Total liabilities (add lines 17 through 22)..........	71,273	64,702
		Foundations that follow SFAS 117, check here
		and complete lines 24 through 26 and lines 30 and 31.
	24	Unrestricted....................	2,012,177	1,888,057
	25	Temporarily restricted................
	26	Permanently restricted................
		Foundations that do not follow SFAS 117, check here
		and complete lines 27 through 31.
	27	Capital stock, trust principal, or current funds.........
	28	Paid-in or capital surplus, or land, bldg., and equipment fund
	29	Retained earnings, accumulated income, endowment, or other funds
	30	Total net assets or fund balances (see page 17 of the
		instructions)....................	2,012,177	1,888,057
	31	Total liabilities and net assets/fund balances (see page 17 of
		the instructions)..................	2,083,450	1,952,759

Part III	Analysis of Changes in Net Assets or Fund Balances
1	Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree
	with end-of-year figure reported on prior year’s return)...............	1	2,012,177
2	Enter amount from Part I, line 27a.....................	2	-60,339
3	Other increases not included in line 2 (itemize)	3
4	Add lines 1, 2, and 3..........................	4	1,951,838
5	Decreases not included in line 2 (itemize)	5	63,781
6	Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30.	6	1,888,057

Form 990-PF (2011)

Page 3

Part IV

Capital Gains and Losses for Tax on Investment Income

(a) List and describe the kind(s) of property sold (e.g., real estate, 2-story brick warehouse; or common stock, 200 shs. MLC Co.)		(b) How acquired P—Purchase D—Donation	(c) Date acquired (mo., day, yr.)	(d) Date sold (mo., day, yr.)
1a
b
c
d
e

(e) Gross sales price		(f) Depreciation allowed (or allowable)	(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a
b
c
d
e

Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
(i) F.M.V. as of 12/31/69	(j) Adjusted basis as of 12/31/69	(k) Excess of col. (i) over col. (j), if any
a
b
c
d
e

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2
3	Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
	If gain, also enter in Part I, line 8, column (c) (see pages 13 and 17 of the instructions). If (loss), enter -0- in Part I, line 8 . . . . . . . . . . . . .		3

Part V

Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income

(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.

Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period? Yes No

If “Yes,” the foundation does not qualify under section 4940(e). Do not complete this part.

1 Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.
(a) Base period years Calendar year (or tax year beginning in)	(b) Adjusted qualifying distributions	(c) Net value of noncharitable-use assets	(d) Distribution ratio (col. (b) divided by col. (c))
2010	64,780
2009	43,180	966,587	0.044673
2008	121,095	925,699	0.130815
2007	120,552	1,049,363	0.114881
2006	112,434	2,339,109	0.048067

2	Total of line 1, column (d) ......................	2	0.338436
3	Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by the number of years the foundation has been in existence if less than 5 years. . .	3	0.084609
4	Enter the net value of noncharitable-use assets for 2011 from Part X, line 5.....	4	0
5	Multiply line 4 by line 3.......................	5
6	Enter 1% of net investment income (1% of Part I, line 27b)...........	6	304
7	Add lines 5 and 6.........................	7	304
8	Enter qualifying distributions from Part XII, line 4..............	8	35,313
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions on page 18.

Form 990-PF (2011)

Page 4

Part VI

Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)

1a	Exempt operating foundations described in section 4940(d)(2), check hereand enter “N/A” on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)
b	Domestic foundations that meet the section 4940(e) requirements in Part V, check	1	304
	hereand enter 1% of Part I, line 27b...................
c	All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2	Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	2
3	Add lines 1 and 2............................	3	304
4	Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-).	4
5	Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- .....	5	304
6	Credits/Payments:

a	2011 estimated tax payments and 2010 overpayment credited to 2011	6a
b	Exempt foreign organizations—tax withheld at source.......	6b
c	Tax paid with application for extension of time to file (Form 8868)	6c
d	Backup withholding erroneously withheld ...........	6d

7	Total credits and payments. Add lines 6a through 6d..............		7
8	Enter any penalty for underpayment of estimated tax. Check hereif Form 2220 is attached.		8
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......		9	304
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10
11	Enter the amount of line 10 to be: Credited to 2012 estimated tax0	Refunded	11

Part VII-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of

the instructions for definition)?............................

If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials

published or distributed by the foundation in connection with the activities.

Did the foundation file Form 1120-POL for this year?.....................

Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:

(1) On the foundation. bullet

$ (2) On foundation managers. bullet

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers. bullet

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If “Yes,” attach a detailed description of the activities.

Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles

of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....

Did the foundation have unrelated business gross income of $1,000 or more during the year?........

Yes

If “Yes,” has it filed a tax return on Form 990-T for this year?...................

Yes

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

If “Yes,” attach the statement required by General Instruction T.

Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:

By language in the governing instrument, or

By state legislation that effectively amends the governing instrument so that no mandatory directions

that conflict with the state law remain in the governing instrument?................

Yes

Did the foundation have at least $5,000 in assets at any time during the year? If “Yes,” complete Part II, col. (c), and Part XV.

Yes

Enter the states to which the foundation reports or with which it is registered (see page 19 of the

instructions) bullet

If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney

General (or designate) of each state as required by General Instruction G? If “No,” attach explanation .

Yes

Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)

or 4942(j)(5) for calendar year 2011 or the taxable year beginning in 2011 (see instructions for Part XIV on

page 27)? If “Yes,” complete Part XIV..........................

Yes

Did any persons become substantial contributors during the tax year? If “Yes,” attach a schedule listing their names and addresses.

At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the

meaning of section 512(b)(13)? If "Yes," attach schedule. (see page 20 of the instructions) .......

Did the foundation acquire a direct or indirect interest in any applicable insurance contract before August 17, 2008?

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Yes

Website address bullet

WWW.LIONS.ORG/NRVLIONS.HTM

The books are in care of bullet

SO OREGON LIONS SIGHT & HEARING CT Telephone no. bullet

(541) 779-3653

Located at bullet

228 N HOLLY STREETMEDFORDOR ZIP+4 bullet

97501

Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —Check here......... bullet

and enter the amount of tax-exempt interest received or accrued during the year ...... bullet

At any time during calendar year 2011, did the foundation have an interest in or a signature or other authority over

a bank, securities, or other financial account in a foreign country? .................

See page 20 of the instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet

Form 990-PF (2011)

Page 5

Part VII-B

Statements Regarding Activities for Which Form 4720 May Be Required

File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.

Yes

During the year did the foundation (either directly or indirectly):

(1) Engage in the sale or exchange, or leasing of property with a disqualified person? YesNo

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person?.........................YesNo

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? YesNo

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? YesNo

(5) Transfer any income or assets to a disqualified person (or make any of either available

for the benefit or use of a disqualified person)?.................YesNo

(6) Agree to pay money or property to a government official? (Exception. Check “No”

if the foundation agreed to make a grant to or to employ the official for a period

after termination of government service, if terminating within 90 days.).........YesNo

If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations

section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...

Organizations relying on a current notice regarding disaster assistance check here......... bullet

Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,

that were not corrected before the first day of the tax year beginning in 2011?.............

Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private

operating foundation defined in section 4942(j)(3) or 4942(j)(5)):

At the end of tax year 2011, did the foundation have any undistributed income (lines 6d

and 6e, Part XIII) for tax year(s) beginning before 2011?...............YesNo

If “Yes,” list the years bullet

20, 20, 20, 20

Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)

(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)

to all years listed, answer “No” and attach statement—see page 20 of the instructions.) .........

If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.

20, 20, 20, 20

Did the foundation hold more than a 2% direct or indirect interest in any business

enterprise at any time during the year?.....................YesNo

If “Yes,” did it have excess business holdings in 2011 as a result of (1) any purchase by the foundation

or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved

by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)

the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine

if the foundation had excess business holdings in 2011.)....................

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its

charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2011?

During the year did the foundation pay or incur any amount to:

(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? YesNo

(2) Influence the outcome of any specific public election (see section 4955); or to carry

on, directly or indirectly, any voter registration drive?...............YesNo

(3) Provide a grant to an individual for travel, study, or other similar purposes? YesNo

(4) Provide a grant to an organization other than a charitable, etc., organization described

in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see page 22 of the instructions)...YesNo

(5) Provide for any purpose other than religious, charitable, scientific, literary, or

educational purposes, or for the prevention of cruelty to children or animals?........YesNo

If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in

Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 22 of the instructions)?

Organizations relying on a current notice regarding disaster assistance check here......... bullet

If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the

tax because it maintained expenditure responsibility for the grant?............YesNo

If “Yes,” attach the statement required by Regulations section 53.4945–5(d).

Did the foundation, during the year, receive any funds, directly or indirectly, to pay

premiums on a personal benefit contract?....................YesNo

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....

If “Yes” to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? YesNo

If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....

Form 990-PF (2011)

Page 6

Part VIII

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors

1 List all officers, directors, trustees, foundation managers and their compensation (see page 22 of the instructions).
(a) Name and address	(b) Title, and average hours per week devoted to position	(c) Compensation (If not paid, enter -0-)	(d) Contributions to employee benefit plans and deferred compensation	(e) Expense account, other allowances
SHERRIE E MESSER	EXEC. DIR. 33.00	25,500	0	0
228 N HOLLY MEDFORD,OR97501	EXEC. DIR. 33.00	25,500	0	0
WYLIE JOHNSON	VICE CHAIRMA 10.00	0	0	0
228 N HOLLY MEDFORD,OR97501	VICE CHAIRMA 10.00	0	0	0
CHUCK MCGILVRAY	CHAIRMAN 10.00	0	0	0
228 N HOLLY MEDFORD,OR97501	CHAIRMAN 10.00	0	0	0
MARY STANSELL	SECRETARY 10.00	0	0	0
228 N HOLLY MEDFORD,OR97501	SECRETARY 10.00	0	0	0
GLORIANNA C COOPER	EXEC. DIRECT 40.00	3,167	0	0
228 N HOLLY MEDFORD,OR97501	EXEC. DIRECT 40.00	3,167	0	0

2 Compensation of five highest-paid employees (other than those included on line 1—see page 23 of the instructions). If none, enter “NONE.”
(a) Name and address of each employee paid more than $50,000	(b) Title, and average hours per week devoted to position	(c) Compensation	(d) Contributions to employee benefit plans and deferred compensation	(e) Expense account, other allowances
NONE









Total number of other employees paid over $50,000...................

3 Five highest-paid independent contractors for professional services (see page 23 of the instructions). If none, enter "NONE".
(a) Name and address of each person paid more than $50,000	(b) Type of service	(c) Compensation
NONE

Total number of others receiving over $50,000 for professional services............. bullet

Part IX-A

Summary of Direct Charitable Activities

List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.		Expenses
1	VISUAL CARE - PAYMENTS TO HEALTHCARE PROVIDERS FOR CARE FOR VISION PATIENTS	5,058
2	HEARING CARE - PAYMENTS TO HEALTHCARE PROVIDERS FOR CARE OF HEARING PATIENTS.	8,320
3	VISUAL AIDS	11,609
4	HEARING AIDS	4,940

Form 990-PF (2011)

Page 7

Part IX-B

Summary of Program-Related Investments (see page 23 of the instructions)

Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.		Amount
1	N/A
2


All other program-related investments. See page 24 of the instructions.
3

Total. Add lines 1 through 3.......................... bullet

Part X

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
see page 24 of the instructions.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

Average of monthly cash balances.......................

Fair market value of all other assets (see page 24 of the instructions)............

Total (add lines 1a, b, and c).........................

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) .............

Acquisition indebtedness applicable to line 1 assets..................

Subtract line 2 from line 1d.........................

Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25

of the instructions) ...........................

Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4

Minimum investment return. Enter 5% of line 5..................

Part XI

Distributable Amount (see page 25 of the instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet

and do not complete this part.)

Minimum investment return from Part X, line 6....................

Tax on investment income for 2011 from Part VI, line 5......

Income tax for 2011. (This does not include the tax from Part VI.)...

Add lines 2a and 2b............................

Distributable amount before adjustments. Subtract line 2c from line 1............

Recoveries of amounts treated as qualifying distributions................

Add lines 3 and 4............................

Deduction from distributable amount (see page 25 of the instructions)...........

Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,

line 1................................

Part XII

Qualifying Distributions (see page 25 of the instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........

35,313

Program-related investments—total from Part IX-B..................

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,

purposes...............................

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

Cash distribution test (attach the required schedule) .................

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4

35,313

Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment

income. Enter 1% of Part I, line 27b (see page 26 of the instructions)............

304

Adjusted qualifying distributions. Subtract line 5 from line 4..............

35,009

Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
the section 4940(e) reduction of tax in those years.

Form 990-PF (2011)

Page 8

Part XIII

Undistributed Income (see page 26 of the instructions)

		(a) Corpus	(b) Years prior to 2010	(c) 2010	(d) 2011
1 Distributable amount for 2011 from Part XI, line 7
2 Undistributed income, if any, as of the end of 2011:
a Enter amount for 2010 only.......
b Total for prior years:20, 20, 20
3 Excess distributions carryover, if any, to 2011:
a From 2006.......
b From 2007.......
c From 2008.......
d From 2009.......
e From 2010.......
fTotal of lines 3a through e.........
4Qualifying distributions for 2011 from Part
XII, line 4: $ 35,313
a Applied to 2010, but not more than line 2a
b Applied to undistributed income of prior years (Election required—see page 26 of the instructions)
c Treated as distributions out of corpus (Election required—see page 26 of the instructions)...
d Applied to 2011 distributable amount.....
e Remaining amount distributed out of corpus		35,313
5 Excess distributions carryover applied to 2011.
(If an amount appears in column (d), the same amount must be shown in column (a).)
6Enter the net total of each column as indicated below:
a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5		35,313
b Prior years’ undistributed income. Subtract line 4b from line 2b ...........
c Enter the amount of prior years’ undistributed income for which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed......
d Subtract line 6c from line 6b. Taxable amount—see page 27 of the instructions ...
e Undistributed income for 2010. Subtract line 4a from line 2a. Taxable amount—see page 27 of the instructions ...........
f Undistributed income for 2011. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2011 ..........
7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(F) or 4942(g)(3) (see page 27 of the instructions) ...........
8Excess distributions carryover from 2006 not applied on line 5 or line 7 (see page 27 of the instructions) .............
9Excess distributions carryover to 2012. Subtract lines 7 and 8 from line 6a ......
10 Analysis of line 9:
a Excess from 2007....
b Excess from 2008....
c Excess from 2009....
d Excess from 2010....
e Excess from 2011....

Form 990-PF (2011)

Page 9

Part XIV

Private Operating Foundations (see page 27 of the instructions and Part VII-A, question 9)

1a If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2011, enter the date of the ruling....... bullet

b Check box to indicate whether the organization is a private operating foundation described in section4942(j)(3) or4942(j)(5)

2a Enter the lesser of the adjusted net income from Part I or the minimum investment return from Part X for each year listed ..........	Tax year	Prior 3 years			(e) Total
	(a) 2011	(b) 2010	(c) 2009	(d) 2008	(e) Total
	0			29,280	29,280
b 85% of line 2a .........				24,888	24,888
c Qualifying distributions from Part XII, line 4 for each year listed .....	35,313	65,062	43,180	121,571	265,126
d Amounts included in line 2c not used directly for active conduct of exempt activities ....
e Qualifying distributions made directly for active conduct of exempt activities. Subtract line 2d from line 2c ....	35,313	65,062	43,180	121,571	265,126
3 Complete 3a, b, or c for the alternative test relied upon:
a “Assets” alternative test—enter:
(1) Value of all assets ......
(2) Value of assets qualifying under section 4942(j)(3)(B)(i)
b “Endowment” alternative test— enter 2⁄3 of minimum investment return shown in Part X, line 6 for each year listed...			32,219	30,857	63,076
c “Support” alternative test—enter:
(1) Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties) ....
(2) Support from general public and 5 or more exempt organizations as provided in section 4942(j)(3)(B)(iii)....
(3) Largest amount of support from an exempt organization
(4) Gross investment income

Part XV

Supplementary Information (Complete this part only if the organization had $5,000 or more in
assets at any time during the year—see page 27 of the instructions.)

1Information Regarding Foundation Managers:

aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)

NONE

bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.

NONE

2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:

Check here bullet

if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. (see page 28 of the instructions) to individuals or organizations
under other conditions, complete items 2a, b, c, and d.

aThe name, address, and telephone number of the person to whom applications should be addressed:

SOUTHERN OREGON LIONS SIGHT HEAR
228 N HOLLY STREET
MEDFORD,OR97501
(541) 779-3653

bThe form in which applications should be submitted and information and materials they should include:

SEE STATEMENT FOR LINE 2A

cAny submission deadlines:

SEE STATEMENT FOR LINE 2A

dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:

SEE STATEMENT FOR LINE 2A

Form 990-PF (2011)

Page 10

Part XV

Supplementary Information (continued)

3 Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient	If recipient is an individual, show any relationship to any foundation manager or substantial contributor	Foundation status of recipient	Purpose of grant or contribution	Amount
Name and address (home or business)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
VARIOUS BENEFICIARIES 228 N HOLLY STREET MEDFORD,OR97501			PATIENT CARE HEARING	14,493
VARIOUS BENEFICIARIES 228 N HOLLY STREET MEDFORD,OR97501			PATIENT CARE VISUAL	17,676
Total ................................. 3a				32,169

bApproved for future payment

Total ................................. 3b

Form 990-PF (2011)

Page 11

Part XVI-A

Analysis of Income-Producing Activities

Enter gross amounts unless otherwise indicated.	Unrelated business income		Excluded by section 512, 513, or 514		(e) Related or exempt function income (See page 28 of the instructions.)
1Program service revenue:	(a) Business code	(b) Amount	(c) Exclusion code	(d) Amount
a
b
c
d
e
f
gFees and contracts from government agencies
2 Membership dues and assessments....
3Interest on savings and temporary cash investments			14	19,316
4 Dividends and interest from securities....			14	11,058
5 Net rental income or (loss) from real estate:
aDebt-financed property......	531110	-6,150
bNot debt-financed property.....	531110	-12,013
6Net rental income or (loss) from personal property
7 Other investment income.....
8Gain or (loss) from sales of assets other than inventory
9 Net income or (loss) from special events:
10 Gross profit or (loss) from sales of inventory..					11,460
11 Other revenue: aLOW VISION CLINIC			3	789
bHEARING CLINIC			3
c
d
e
12 Subtotal. Add columns (b), (d), and (e)..		-18,163		31,163	11,460

13Total. Add line 12, columns (b), (d), and (e)..................

1324,460

(See worksheet in line 13 instructions on page 28 to verify calculations.)

Part XVI-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to the accomplishment of the organization’s exempt purposes (other than by providing funds for such purposes). (See page 28 of the instructions.)
10	SALES OF SPECIALTY ITEMS FOR THE HEARING AND SIGHT

Form 990-PF (2011)

Page 12

Part XVII

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

Did the organization directly or indirectly engage in any of the following with any other organization described in section

Yes

501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?

Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash...................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

(1) Sales of assets to a noncharitable exempt organization....................

1b(1)

(2) Purchases of assets from a noncharitable exempt organization..................

1b(2)

(3) Rental of facilities, equipment, or other assets.......................

1b(3)

(4) Reimbursement arrangements...........................

1b(4)

(5) Loans or loan guarantees.............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

(a) Line No.	(b) Amount involved	(c) Name of noncharitable exempt organization	(d) Description of transfers, transactions, and sharing arrangements

Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........YesNo

If “Yes,” complete the following schedule.

(a) Name of organization	(b) Type of organization	(c) Description of relationship

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.

	Signature of officer or trustee	Date	Title

Preparer's Signature	Date	Check if self- employed	PTIN
Firm's name Firm's address		Firm's EIN
		Phone no.

Form 990-PF (2011)

Additional Data

Software ID:
Software Version:

Form 990PF - Special Condition Description:

Special Condition Description

- TIN:

TY 2011 AccountingFeesSchedule

Name:

SOUTHERN OREGON LION

EIN: 93-6042046

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
INDIRECT ACCOUNTING FEES	9,280		8,890	390

- TIN:

TY 2011 CompensationExplanation

Name:

SOUTHERN OREGON LION

EIN: 93-6042046

Person Name	Explanation
SHERRIE E MESSER
WYLIE JOHNSON
CHUCK MCGILVRAY
MARY STANSELL
GLORIANNA C COOPER

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

TY 2011 DepreciationSchedule

Name:

SOUTHERN OREGON LION

EIN: 93-6042046

Description of Property	Date Acquired	Cost or Other Basis	Prior Years' Depreciation	Computation Method	Rate / Life (# of years)	Current Year's Depreciation Expense	Adjusted Net Income
LIONS COTTAGES	2003-06-30	408,000	81,951	S/L	39.0000	10,462	10,462
HOLLY COURT APARTMENTS	1998-08-15	590,927	190,818	S/L	40.0000	14,774	14,774
BUILDING-CENTER	1969-01-01	48,753	40,950	S/L	50.0000	975
CENTER ADDITION	1980-01-01	105,820	82,523	S/L	40.0000	2,646
CENTER ADDITION	1981-01-01	1,241	930	S/L	40.0000	31
PAVING-CENTER	1983-01-01	3,500	3,500	S/L	10.0000
ADA UPGRADE	1993-06-01	9,043	4,087	S/L	40.0000	226
SLIDING DOOR	1998-06-01	1,450	472	S/L	40.0000	36
ROOF	2002-12-09	18,500	7,940	S/L	20.0000	925
LAND-HOLLY COURT	1995-03-15	40,000
LAND-CENTER	1969-01-01	39,874
LAND-LIONS COTTAGES	2000-10-27	38,000
PARKING LOT	1995-07-01	20,562	20,317	S/L	15.0000	245
TABLES-CENTER	1978-01-01	342	342	S/L	10.0000
TABLE RACKS	1979-01-01	105	105	S/L	10.0000
MISC. EQUIPMENT-CENTER	1982-01-01	800	800	S/L	10.0000
RECYCLE BIN 2	1996-12-01	2,700	2,700	S/L	10.0000
FENCING-GRAPE STREET	1989-08-01	891	891	S/L	20.0000
DRAPES	1979-01-01	331	331	S/L	10.0000
RECYCLE BIN 1	1996-12-20	2,700	2,700	S/L	10.0000
EQUIPMENT	1991-01-15	9,812	9,812	S/L	10.0000
MAGIC CHEF REFRIGERATOR	1991-07-25	500	500	S/L	10.0000
HOT POINT REFRIGERATOR	1991-09-04	449	449	S/L	10.0000
STEEL CASE FILE CABINET	1991-10-01	111	111	S/L	10.0000
RHEEM ELECTRIC WT/HT	1991-11-25	210	210	S/L	10.0000
AS 14" WHITE TOILET	1992-01-27	257	257	S/L	10.0000
COMPUTER-JUDITH	1992-10-19	1,499	1,499	S/L	6.0000
PRINTER	1992-11-01	814	814	S/L	6.0000
CHAIRS	1993-03-01	220	220	S/L	10.0000
TYPEWRITER	1994-02-01	250	250	S/L	10.0000
SOS ALARM CLOCK	1994-04-28	1,016	1,016	S/L	10.0000
COMPUTER-DAMONTS 486	1995-03-28	1,440	1,440	S/L	6.0000
AC-HEATING	1999-08-05	17,995	17,995	S/L	10.0000
BPI COMPUTER SOFTWARE	1996-06-05	165	165	S/L	6.0000
EQUIPMENT	1995-12-31	1,828	1,828	S/L	6.0000
RECYCLE BIN 3	1997-02-25	2,700	2,700	S/L	10.0000
RECYCLE BIN 4	1997-03-31	2,900	2,900	S/L	10.0000
TELEPHONE SYSTEM	1998-05-20	2,909	2,909	S/L	10.0000
COMPUTER-CHRISTINA	1997-12-31	1,606	1,606	S/L	6.0000
RECYCLE BIN 8	1998-04-20	2,700	2,700	S/L	10.0000
RECYCLE BIN 6	1998-03-13	3,050	3,050	S/L	10.0000
RECYCLE BIN 7	1998-03-13	3,050	3,050	S/L	10.0000
RECYCLE BIN 8	1998-03-13	3,050	3,050	S/L	10.0000
RECYCLE BIN 9	1998-05-01	3,050	3,050	S/L	10.0000
RECYCLE BIN 10	1998-06-01	3,050	3,050	S/L	10.0000
RECYCLE BIN 11	1998-06-01	3,050	3,050	S/L	10.0000
DISHWASHER	1997-09-15	805	805	S/L	10.0000
WHEELS FOR BINS	1998-06-22	1,429	1,429	S/L	10.0000
WHEELS FOR BINS	1998-03-31	1,085	1,085	S/L	10.0000
SIGNAGE FOR BINS	1998-05-13	399	399	S/L	10.0000
RECYCLE BIN 12	1998-12-28	3,489	3,489	S/L	10.0000
RECYCLE BIN 13	1998-12-15	3,050	3,050	S/L	10.0000
RECYCLE BIN 14	1999-02-26	3,050	3,050	S/L	10.0000
LIFT GATE	1998-09-02	1,775	1,775	S/L	10.0000
WHEELS FOR BINS	1999-03-31	1,465	1,465	S/L	10.0000
COPIER	1999-06-30	7,790	7,790	S/L	10.0000
COMPUTER-SHERRIE	1998-07-15	1,545	1,545	S/L	6.0000
WATER HEATER	1999-08-23	950	950	S/L	10.0000
INSULATION	1999-08-26	1,050	1,050	S/L	10.0000
FAX MACHINE	1999-08-17	170	170	S/L	7.0000
PRINTER	1999-09-14	1,130	1,130	S/L	5.0000
VIDEO MAGNIFIER	1999-12-15	1,087	1,087	S/L	7.0000
RECYCLE BINS-SHADY COVE	2000-03-13	2,700	2,700	S/L	10.0000
VACUM	2000-02-16	238	238	S/L	7.0000
SHED	2000-04-01	1,880	1,880	S/L	10.0000
VISUAL LATEX	1979-01-01	2,030	2,030	S/L	10.0000
SOUND SYSTEM	1993-05-01	1,568	1,568	S/L	6.0000
COMPUTER-AMBER	1993-05-01	3,452	3,452	S/L	6.0000
TDD MACHINE	1995-03-17	385	385	S/L	10.0000
FM TRANSMITTER	1995-04-27	325	325	S/L	10.0000
CCTV	1995-05-08	320	320	S/L	10.0000
COMTEK FM TRANSMITTER	1995-05-16	462	462	S/L	10.0000
EQUIPMENT	1995-06-30	205	205	S/L	10.0000
CENTER EQUIPMENT	1996-06-30	3,092	3,092	S/L	10.0000
TOSHIBA TV	1996-10-15	195	195	S/L	10.0000
CVCL	1996-09-20	1,382	1,382	S/L	10.0000
TYMPANOMETER	1998-04-30	2,483	2,483	S/L	10.0000
CCTV	1998-01-28	1,377	1,377	S/L	10.0000
FREEZER	2000-02-04	431	431	S/L	7.0000
DOOR RECEYCLE BIN ASHLAND	1999-11-30	2,250	2,250	S/L	10.0000
EARLY BIRD COMPUTER	2001-03-01	4,000	4,000	S/L	10.0000
MONITORS (2)	2001-03-28	500	487	S/L	5.0000	13
KENMORE ELECTRIC STOVE	2001-04-16	700	688	S/L	5.0000	12
SHARP 32" TV	2001-02-07	400	377	S/L	5.0000	23
ALADDIN ULTRA 17" CCTV	2001-08-09	1,107	1,107	S/L	5.0000
SALAD BAR	2001-08-31	842	842	S/L	5.0000
COMPUTER	2001-08-31	1,588	1,588	S/L	5.0000
COPY MACHINE KM-3530-24	2003-10-09	8,932	8,932	S/L	5.0000
GOODLIGHT MODEL A+ ACUITY CABINET	2011-07-15	995		S/L	5.0000	199
EMERGENCY MEDICAL	2011-09-30	790		S/L	5.0000	118
4-SCREENING AUDIOMETERS	2011-11-23	3,160		S/L	5.0000	369

- TIN:

TY 2011 LandEtcSchedule2

Name:

SOUTHERN OREGON LION

EIN: 93-6042046

Category / Item	Cost / Other Basis	Accumulated Depreciation	Book Value
BUILDINGS	1,361,404	613,157	748,247
EQUIPMENT
	117,874		117,874

- TIN:

TY 2011 MortgagesAndNotesPayableSch

Name:

SOUTHERN OREGON LION

EIN: 93-6042046

Total Mortgage Amount:

Item No.	1
Lender's Name	HOLLY COURT APARTMENTS
Lender's Title
Relationship to Insider
Original Amount of Loan
Balance Due	58006
Date of Note
Maturity Date
Repayment Terms
Interest Rate
Security Provided by Borrower
Purpose of Loan
Description of Lender Consideration
Consideration FMV

- TIN:

TY 2011 OtherAssetsSchedule

Name:

SOUTHERN OREGON LION

EIN: 93-6042046

Description	Beginning of Year - Book Value	End of Year - Book Value	End of Year - Fair Market Value
CHRISTOPHER TRUST	518,010	477,134	477,134
HUNTER TRUST	201,724	182,136	182,136
NELSON CORSON TRUST	421,833	407,205	407,205

- TIN:

TY 2011 OtherDecreasesSchedule

Name:

SOUTHERN OREGON LION

EIN: 93-6042046

Description	Amount
REALIZED/UNREALIZED LOSSES	63,781

- TIN:

TY 2011 OtherExpensesSchedule

Name:

SOUTHERN OREGON LION

EIN: 93-6042046

Description	Revenue and Expenses per Books	Adjusted Net Income	Disbursements for Charitable Purposes
LION'S COURT APARTMENTS
CONTRACT LABOR	6,286
BAD DEBT	1,040
HOLLY COURT APARTMENTS
CONTRACT LABOR	6,563
PROFESSIONAL FEES	2,460
BAD DEBT	874
EXPENSES
ADVERTISING	1,408	868	540
EQUIPMENT
INSURANCE	5,619	5,619
OTHER	1,773	1,673	100
REPAIRS & MAINTENANCE	2,870	2,307	563
SUPPLIES	2,067	1,813	254
TRAVEL & MEALS	2,667	1,470	1,197
UTILITIES	10,685	10,685

- TIN:

TY 2011 OtherIncomeSchedule2

Name:

SOUTHERN OREGON LION

EIN: 93-6042046

Description	Revenue And Expenses Per Books	Net Investment Income	Adjusted Net Income
LOW VISION CLINIC	789

- TIN:

TY 2011 OtherLiabilitiesSchedule

Name:

SOUTHERN OREGON LION

EIN: 93-6042046

Description	Beginning of Year - Book Value	End of Year - Book Value
ACCRUED PAYROLL AND TAXES	2,077	514

- TIN:

TY 2011 OtherProfessionalFeesSchedule

Name:

SOUTHERN OREGON LION

EIN: 93-6042046

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
LION'S COURT APARTMENTS	1,920		1,920
HOLLY COURT APARTMENTS	3,840		3,840

- TIN:

TY 2011 SalesOfInventoryList

Name:

SOUTHERN OREGON LION

EIN: 93-6042046

Category	Gross Sales	Cost of Goods Sold	Net (Gross Sales Minus Cost of Goods Sold)
RECYCLING	11,460		11,460

- TIN:

TY 2011 TaxesSchedule

Name:

SOUTHERN OREGON LION

EIN: 93-6042046

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
INDIRECT TAXES/LICENSES	613		613