TY 2011 Form 990EZ

Part IRevenue, Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part I.)Check if the organization used Schedule O to respond to any question in this Part I...........
	1	Contributions, gifts, grants, and similar amounts received...............	1	1,523
2	Program service revenue including government fees and contracts ............	2
3	Membership dues and assessments......................	3
4	Investment income...........................	4	26
5a	Gross amount from sale of assets other than inventory........	5a
b	Less: cost or other basis and sales expenses...........	5b
c	Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ......	5c
6	Gaming and fundraising events
a	Gross income from gaming (attach Schedule G if greater than $15,000) .	6a	122,522
b	Gross income from fundraising events (not including $ of contributions from fundraising events reported on line 1) (attach Schedule G if the
	sum of such gross income and contributions exceeds $15,000)	6b	23,464
c	Less: direct expenses from gaming and fundraising events.......	6c	124,924
d	Net income or (loss) from gaming and fundraising events (Add lines 6a and 6b and subtract line 6c)	6d	21,062
7a	Gross sales of inventory, less returns and allowances........	7a
b	Less: cost of goods sold.................	7b
c	Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) .........	7c
8	Other revenue (describe in Schedule O) .....................	8
9	Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8.................	9	22,611
	10	Grants and similar amounts paid (list in Schedule O) .................	10	25,322
11	Benefits paid to or for members........................	11
12	Salaries, other compensation, and employee benefits................	12
13	Professional fees and other payments to independent contractors............	13
14	Occupancy, rent, utilities, and maintenance...................	14
15	Printing, publications, postage, and shipping...................	15
16	Other expenses (describe in Schedule O) ....................	16	150
17	Total expenses. Add lines 10 through 16 ....................	17	25,472
	18	Excess or (deficit) for the year (Subtract line 17 from line 9)............	18	-2,861
19	Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
	end-of-year figure reported on prior year’s return)................	19	21,040
20	Other changes in net assets or fund balances (explain in Schedule O) ..........	20
21	Net assets or fund balances at end of year. Combine lines 18 through 20.........	21	18,179

Part IIIStatement of Program Service Accomplishments (see the instructions for Part III.) Check if the organization used Schedule O to respond to any question in this Part III .	Expenses (Required for section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts; optional for others.)
What is the organization's primary exempt purpose? Provide services for those with sight iimpairment
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 Provide eyeglasses to individual in our service area (Grants $ ) If this amount includes foreign grants, check here ...	28a
29 Provide contributions to individual and organizations in need assistance (Grants $ ) If this amount includes foreign grants, check here ...	29a
30 Provide contributions to Lion Organizations that assist people (Grants $ ) If this amount includes foreign grants, check here ...	30a
31 Other program services (describe in Schedule O) .................. (Grants $ ) If this amount includes foreign grants, check here...	31a
32 Total program service expenses (add lines 28a through 31a)..............	32

(a) Name and title	(b) Average hours per week devoted to position	(c)Reportable compensation (Forms W-2/1099-MISC) (if not paid, enter -0-)	(d) Health benefits, contributions to employee benefit plans, and deferred compensation	(e) Estimated amount of other compensation
David J Peake 9205 S Hartel Rd Grand Ledge,MI488379417	President000.00	0
J Kimball Spalsbury 427 Morley St Grand Ledge,MI488371231	V President000.00	0
Steven W Peake 3741 E Mt Hope Hwy Grand Ledge,MI488379442	V President000.00	0
Steven W Peake 3741 E Mt Hope Hwy Grand Ledge,MI488379442	Secretary000.00	0
Richard J Albert 420 W Jefferson St Grand Ledge,MI488371408	Treasurer000.00	0

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SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

Lions Club Foundation of Grand Ledge Michigan

Employer identification number

27-4528317

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2011

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(d) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....	1,460	1,460
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..	1,460	1,460
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.		1,460

Section B. Total Support

Calendar year(or fiscal year beginning in)		(d) 2010	(f) Total
7	Amounts from line 4..	1,460	1,460
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	12	12
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..	9,476	9,476
11	Total support (Add lines 7 through 10).		10,948

Gross receipts from related activities, etc. (See instructions.) ..................

10,948

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

0 %

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2011. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2010. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2011

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(d) 2010	(e) 2011	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .	1,460	1,523	2,983
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......	9,059	23,464	32,523
3	Gross receipts from activities that are not an unrelated trade or business under section 513..	33,276	122,522	155,798
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.	43,795	147,509	191,304
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)			191,304

Section B. Total Support

Calendar year (or fiscal year beginning in)		(d) 2010	(e) 2011	(f) Total
9	Amounts from line 6...	43,795	147,509	191,304
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	12	26	38
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.			0
c	Add lines 10a and 10b.	12	26	38
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.			0
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)			0
13	Total support (Add lines 9, 10c, 11 and 12.).	43,807	147,535	191,342

Section C. Computation of Public Support Percentage

Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f)) .........

99.980 %

Public support percentage from 2010 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f)) ......

0.020 %

Investment income percentage from 2010 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2011. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2010. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2011

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2011

Additional Data

Software ID:	11000218
Software Version:	2011.0.0

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SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization
Lions Club Foundation of Grand Ledge Michigan

Employer identification number

27-4528317

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and e-mail solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.

(i) Name and address of individual or entity (fundraiser)	(ii) Activity	(iii) Did fundraiser have custody or control of contributions?		(iv) Gross receipts from activity	(v) Amount paid to (or retained by) fundraiser listed in col. (i)	(vi) Amount paid to (or retained by) organization
	(ii) Activity	Yes	No	(iv) Gross receipts from activity		(vi) Amount paid to (or retained by) organization
Total .................

List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2011

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.

		(a) Event #1 Public Concessions (event type)	(b) Event #2 Public Raffle (event type)	(c) Other Events 3 (total number)	(d) Total Events (Add col. (a) through col. (c))
1	Gross receipts . . .	9,781	7,330	6,353	23,464
2	Less: Charitable contributions . . .
3	Gross income (line 1 minus line 2) . . .	9,781	7,330	6,353	23,464
4	Cash prizes . . .		400	240	640
5	Non-cash prizes . .		3,500		3,500
6	Rent/facility costs . .			1,979	1,979
7	Food and beverages . .	2,567			2,567
8	Entertainment . . .
9	Other direct expenses .	1,163	166	471	1,800
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........				10,486
11	Net income summary. Combine lines 3 and 10 in column (d)............				12,978

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (Add col. (a) through col. (c))

Gross revenue . . . .

122,522

Cash prizes . . . .

104,500

Non-cash prizes . . .

Rent/facility costs . . .

8,661

Other direct expenses . .

1,277

Volunteer labor . . .

	Yes
	No

	Yes
	No

	Yes 100.000 %
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

114,438

Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow

8,084

Enter the state(s) in which the organization operates gaming activities: MI

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," Explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," Explain:

Does the organization operate gaming activities with nonmembers? .................

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? ..........................

YesNo

Schedule G (Form 990 or 990-EZ) 2011

Page 3

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

An outside facility ........................

13b

100.000 %

Provide the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Richard J Albert

Address

420 W Jefferson St
Grand Ledge,MI488371408

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)

Identifier	ReturnReference	Explanation

Schedule G (Form 990 or 990-EZ) 2011

Additional Data

Software ID:	11000218
Software Version:	2011.0.0

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SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

Lions Club Foundation of Grand Ledge Michigan

Employer identification number

27-4528317

Identifier	Return Reference	Explanation
		Form 990-EZ, Part I, Line 10, Grants Paid Activity Christmas Basket, Grantee Sonya Waite 105 Old Mill Pond 14 Grand Ledge MI 48837-1856, Cash Grant 87, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Christmas Basket, Grantee Robert E Holmes 1125Tulip St Grand Ledge MI 48837-2305, Cash Grant 89, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Christmas Basket, Grantee Jim Pekkala 216 S Clinton St Grand Ledge MI 48837, Cash Grant 69, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Christmas Basket, Grantee Elizabeth Longstreet 10276 N Royston Rd Grand Ledge MI 48837-9413, Cash Grant 78, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Christmas Basket, Grantee Debi Doherr 855 W Jefferson St 62 Grand Ledge MI 48837-1377, Cash Grant 89, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Christmas Basket, Grantee Allison Lalocock 817 N Clinton St 802 Grand Ledge MI 48837-1152, Cash Grant 85, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Christmas Basket, Grantee Diane sternette 817 N Clinton St 419 Grand Ledge MI 48837-1154, Cash Grant 92, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Christmas Basket, Grantee Susie Beck 216 S Clinton St Grand Ledge MI 48837, Cash Grant 79, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Christmas Basket, Grantee Mike Miller 216 N Clinton St Grand Ledge MI 48837, Cash Grant 81, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Christmas Basket, Grantee Alec Studenka 7781 W Grand River 138 Grand Ledge MI 48837-8741, Cash Grant 62, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Welcome Homes Resid Svcs 500 Cherry St SE Grand Rapids MI 49503-4702, Cash Grant 500, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee WKAR Radio Reading Services 283 Communication Arts Bldg East Lansing MI 48824-1212, Cash Grant 750, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee MI Eye Bank Transplantation 4889 Ventura Dr Ann Arbor MI 48108-9560, Cash Grant 750, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee MI Braile Transcribing Fund 3500 E Elm Ave Jackson MI 49201-1897, Cash Grant 750, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Leader Dogs For The Blind 1039 S Rochester Rd Rochester MI 48307-3165, Cash Grant 750, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Lions of MI Service Foundation 5730 Executive Dr Lansing MI 48911-5301, Cash Grant 750, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Project Kid Sight 5730 Executive Dr Lansing MI 48911-5301, Cash Grant 150, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Lions of MI All State Band 5730 Executive Dr Lansing MI 48911-5301, Cash Grant 250, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Lions Club Intl Foundation 300 E 22th St Oak Brook IL 60523-8842, Cash Grant 1,000, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Michigan Eye Bank 4889 Venture Dr Ann Arbor MI 48108-9560, Cash Grant 285, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Lions Intl Youth Exch Program 300 E 22th St Oak Brook IL 60523-8842, Cash Grant 100, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Lions of Michigan Foundation 5730 Executive Dr Lansing MI 48911-5301, Cash Grant 250, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Bear Lake Camp 3409 N Ficve Lakes Rd Lapeer MI 48446-8333, Cash Grant 1,250, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Grand Ledge Emerg Asst Prog PO Box 402 Grand Ledge MI 48837-0402, Cash Grant 2,000, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee ECFS Steppin Up 500 S Clinton St Grand Ledge MI 48837-2296, Cash Grant 500, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Tri County Council on Aging 5303 S Cedar st Lansing MI 48911-3800, Cash Grant 750, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee US Fire Safety Service Inc 500 N Clinton St Grand Ledge MI 48837-1620, Cash Grant 100, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Grand Ledge Public Schools 220 Lamson St Grand Ledge MI 48837-1760, Cash Grant 97, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Eaton County Parks 133 Fitzgerald Park Dr Grand Ledge MI 48837-9454, Cash Grant 1,224, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Grand Ledge Public Schools 220 Lamson St Grand Ledge MI 48837-1760, Cash Grant 1,650, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Grand Ledge Shopping Tour 900 Charlevoix Dr Grand Ledge MI 48837-2279, Cash Grant 300, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee American Legion Dept of MI 212 N Verlinden Ave Lansing MI 48915, Cash Grant 340, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee City of Grand Ledge 200 E Jefferson St Grand Ledge MI 48837-1537, Cash Grant 225, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Quinton Smith 655 Kent St Portland MI 48875-1710, Cash Grant 375, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Eaton County Juvenile Court 822 Courthouse Dr Charlotte MI 48813-1069, Cash Grant 149, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Grand Ledge Madrigals 220 Lamson St Grand Ledge MI 48837-1760, Cash Grant 200, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Grand Ledge Area Chamb Comm 220 S Bridge St Grand Ledge MI 48837-1527, Cash Grant 140, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Sunny Crest Youth Ranch 13014 SunnyCrest Ln Sunfield MI 48890-9096, Cash Grant 499, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Olivia with Alexander Disease 445 E Saginaw Hwy Grand Ledge MI 48837-2127, Cash Grant 100, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Grand Ledge High School PTA 220 Lamson St Grand Ledge MI 48837-1760, Cash Grant 100, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Grand Ledge Rotary Club 121 S Bridge st Grand Ledge MI 48837-1524, Cash Grant 250, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Cub Scout Pack 657 12847 Oneida Rd Grand Ledge MI 48837-9454, Cash Grant 500, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Grand Ledge Education Found PO Box 121 Grand Ledge MI 48837-0121, Cash Grant 500, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee American Cancer Society 1755 Abbey Rd East Lansing MI 48823-7399, Cash Grant 500, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Friend Of Eaton County Parks PO Box 523 Grand Ledge MI 48837-0523, Cash Grant 500, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Grant, Grantee Lions Clubs International 300 E 22th St Oak Brook IL 60523-8842, Cash Grant 51, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Student of the Month, Grantee Nicole Nicolau 1204 Wolf Run Dr Lansing MI 48917-9777, Cash Grant 55, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Student of the Month, Grantee Kaylee Laudick 7426 Cornflower St Grand Ledge MI 48837, Cash Grant 75, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Student of the Month, Grantee Evan Ouderkirk 6641 Halloway Ln Grand Ledge MI 48837-9290, Cash Grant 65, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Student of the Month, Grantee Annie ONeil 9451 Pioneer Rd Eagle MI 48822-9730, Cash Grant 65, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Student of the Month, Grantee Brad Kurzynowski 8613 Huckelberry Ln Lansing MI 48917-8805, Cash Grant 65, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Student of the Month, Grantee Amy Kurtycz 13291 Vernon Dr Grand Ledge MI 48837-9339, Cash Grant 55, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Student of the Month, Grantee Lions Clubs International 300 E 22nd St Oak Brook IL 60523-8842, Cash Grant 274, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Student of the Month, Grantee Alex Rogers 11266 Mulliken Rd Mulliken MI 48861-9793, Cash Grant 75, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity Student of the Month, Grantee Kate Kosloski 11135 Flint Rock Dr Grand Ledge MI 48837-9127, Cash Grant 115, Relationship Form 990-EZ, Part I, Li

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2011

Additional Data

Software ID:	11000218
Software Version:	2011.0.0

(a) Name and address of each independent contractor paid more than $100,000	(b) Type of service	(c) Compensation
NONE

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	Signature of officer	Date

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