TY 2013 Form 990EZ

- TIN:

Form990-EZ
Click to see attachment

Department of the Treasury
Internal Revenue Service

Short Form
Return of Organization Exempt From Income Tax

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
(except private foundation)

Do not enter Social Security numbers on this form as it may be made public. By law, the

IRS generally cannot redact the information on the form.

Information about Form 990-EZ and its instructions is at www.irs.gov/form990.

OMB No. 1545-1150

2013

Open to Public
Inspection

For the 2013 calendar year, or tax year beginning 07-01-2013, and ending 06-30-2014

Check if applicable:

Address change

Name change

Initial return

Terminated

Amended return

Application pending

C Name of organization
VIRGINIA LIONS HEARING FOUNDATION
AND RESEARCH CENTER INC

Number and street (or P. O. box, if mail is not delivered to street address)BOX 477 UVA HEALTH SERVICES CENTER
ROOM/SUITE 1489ARoom/suite

City or town, state or province, country, and ZIP or foreign postal code CHARLOTTESVILLE, VA22908

D Employer identification number

54-1183740

E Telephone number

(800) 251-3627

F Group Exemption
Number. . bullet

G Accounting Method: CashAccrualOther (specify) bullet

H Check bullet

required to attach Schedule B
(Form 990, 990-EZ, or 990-PF).I Website: bullet

N/AJ Tax-exempt status(check only one)?501(c)(3) Click to see attachment

501(c)( ) bullet

(insert no.) 4947(a)(1) or 527

K Form of organization: CorporationTrustAssociationOther

L Add lines 5b, 6c, and 7b, to line 9 to determine gross receipts. If gross receipts are $200,000 or more, or if total assets (Part II, column (B) below) are $500,000 or more, file Form 990 instead of Form 990-EZ . . . . . . . . . bullet

$ 51,364

Part I

Revenue, 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	48,595
2	Program service revenue including government fees and contracts ............		2
3	Membership dues and assessments......................		3
4	Investment income...........................		4	2,769
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
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
c	Less: direct expenses from gaming and fundraising events.......	6c
d	Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c)		6d
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	51,364
10	Grants and similar amounts paid (list in Schedule O) .................		10	10,713
11	Benefits paid to or for members........................		11
12	Salaries, other compensation, and employee benefits................		12	22,634
13	Professional fees and other payments to independent contractors............		13	8,000
14	Occupancy, rent, utilities, and maintenance...................		14
15	Printing, publications, postage, and shipping...................		15	2,156
16	Other expenses (describe in Schedule O) ....................		16	9,724
17	Total expenses. Add lines 10 through 16 .................		17	53,227
18	Excess or (deficit) for the year (Subtract line 17 from line 9)............		18	-1,863
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	244,960
20	Other changes in net assets or fund balances (explain in Schedule O) ..........		20	23,240
21	Net assets or fund balances at end of year. Combine lines 18 through 20.........		21	266,337

For Paperwork Reduction Act Notice, see the separate instructions.

Cat. No. 10642I Form 990-EZ (2013)

Form 990-EZ (2013)

Page 2

Part IIBalance Sheets (see the instructions for Part II)Check if the organization used Schedule O to respond to any question in this Part II.................

(A) Beginning of year(B) End of year

22Cash, savings, and investments................

246,574

258,771

23Land and buildings....................

24Other assets (describe in Schedule O) ..........

9,180

25Total assets......................

246,574

267,951

Total liabilities (describe in Schedule O) .............

1,614

27Net assets or fund balances (line 27 of column (B) must agree with line 21)..

244,960

266,337

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? TO PROMOTE NOISE AWARENESS AND HEARING LOSS PREVENTION THROUGH EDUCATION AND RESEARCH.
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 PROMOTED NOICE AWARENESS AND PREVENTION OF HEARING LOSS THROUGH EDCUCATION AND RESEARCH, INCLUDING SUPPORT TO THE FOLLOWING PROGRAMS: COCHLEAR IMPLANT PROGRAM, IMPLNATABLE HEARING AID PROJECT, HAIR CELL REGENERATION, NEWBORN HEARING SCREENING, HEARING AID ASSISTANCE AND PROVIDING EDCUATIONAL INFORMATION AND MATERIALS TO LIONS CLUBS FOR DISTRIBUTION THROUGHOUT VIRGINIA. (Grants $ 10,713) If this amount includes foreign grants, check here ...			28a	38,268
29 (Grants $ ) If this amount includes foreign grants, check here ...			29a
30 (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	38,268

Part IV

List of Officers, Directors, Trustees, and Key Employees (list each one even if not compensated see the instructions for Part IV)Check if the organization used Schedule O to respond to any question in this Part IV............

(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
RICHARD EVANSPRESIDENT	1.00	0
JD ARNOLDVICE PRESIDE	1.00	0
MARY LOU NEWMANSECRETARY	1.00	0
DOUGLAS CROSSIMMEDIATE PA	1.00	0
KAREN PARKERDIRECTOR	1.00	0
EDWARD WOODARDDIRECTOR	1.00	0
CURRELL TIFFANYDIRECTOR	1.00	0
SUSAN EVANSDIRECTOR	1.00	0
LEE WINDERDIRECTOR	1.00	0
ROBERTA COLLEYDIRECTOR	1.00	0
PETE WILLSDIRECTOR	1.00	0
KENNETH QUANTOCKDIRECTOR	1.00	0
RAY YANNELLODIRECTOR	1.00	0
BARBARA SENECALDIRECTOR	1.00	0
LOWELL SKELTONDIRECTOR	1.00	0
DONAL RHINEHARTDIRECTOR	1.00	0
DANIEL BOWLINGDIRECTOR	1.00	0
JANICE BOWLINGDIRECTOR	1.00	0
PRISCILLA HALLDIRECTOR	1.00	0

Form 990-EZ (2013)

Page 3

Part V

Other Information

(Note the Schedule A and personal benefit contract statement requirements in the

instructions for Part V.) Check if the organization used Schedule O to respond to any question in this Part V.......

Yes

Did the organization engage in any significant activity not previously reported to the IRS? If "Yes," provide a detailed description of each activity in Schedule O ...................

Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed copy of the amended documents if they reflect a change to the organization’s name. Otherwise, explain the changeon Schedule O (see instructions) ..........................

35a

Did the organization have unrelated business gross income of $1,000 or more during the year from business activities (such as those reported on lines 2, 6a, and 7a, among others)? ............

35a

If "Yes," to line 35a, has the organization filed a Form 990-T for the year? If "No," provide an explanation in Schedule O

35b

Was the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e) notice, reporting, and proxy tax requirements during the year? If "Yes," complete Schedule C, Part III

35c

Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If “Yes," complete applicable parts of Schedule N ................

37a

Enter amount of political expenditures, direct or indirect, as described in the instructions. bullet

37a

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

37b

38a

Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were

any such loans made in a prior year and still outstanding at the end of the tax year covered by this return?..

38a

If “Yes," complete Schedule L, Part II and enter the total amount involved .

38b

Section 501(c)(7) organizations. Enter:

Initiation fees and capital contributions included on line 9.......

39a

Gross receipts, included on line 9, for public use of club facilities.....

39b

40a

Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under:

section 4911 bullet

; section 4912 bullet

; section 4955 bullet

Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefittransaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ? If “Yes," complete Schedule L, Part I ......

40b

Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and 4958... bullet

Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax on line 40c reimbursed by the organization........................... bullet

All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? If "Yes," complete Form 8886-T ......................

40e

41List the states with which a copy of this return is filed. bullet

42aThe organization's books are in care of bullet

GORDON COLLEY Telephone no. bullet

(434) 296-5466

Located at bullet

PO BOX 800477CHARLOTTESVILLE,VA ZIP + 4 bullet

229080477

At any time during the calendar year, did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial account)?

Yes

42b

If “Yes," enter the name of the foreign country: bullet

See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.

At any time during the calendar year, did the organization maintain an office outside the U.S.?

42c

If “Yes," enter the name of the foreign country: bullet

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

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

Yes

44a

Did the organization maintain any donor advised funds during the year? If "Yes," Form 990 must be completed instead of

Form 990-EZ................................

44a

Did the organization operate one or more hospital facilities during the year? If "Yes," Form 990 must be completedinstead of Form 990-EZ.............................

44b

Did the organization receive any payments for indoor tanning services during the year?.........

44c

If "Yes," to line 44c, has the organization filed a Form 720 to report these payments? If "No," provide an
explanation in Schedule O ............................

44d

45a

Did the organization have a controlled entity within the meaning of section 512(b)(13)?.........

45a

45b

Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," Form 990 and Schedule R may need to be completed instead of Form 990-EZ (see instructions)......................

45b

Form 990-EZ (2013)

Page 4

Yes

Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition tocandidates for public office? If “Yes," complete Schedule C, Part I. ..............

Part VI

Section 501(c)(3) organizations only All section 501(c)(3) organizations must answer questions 47-49b and 52, and complete the tables for lines 50 and 51 Check if the organization used Schedule O to respond to any question in this Part VI ................

Yes

Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II .......................

Is the organization a school as described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E ..

49a

Did the organization make any transfers to an exempt non-charitable related organization?......

49a

If "Yes," was the related organization a section 527 organization?................

49b

Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None."

(a) Name and title of each employee	(b) Average hours per week devoted to position	(c) Reportable compensation (Forms W-2/1099-MISC)	(d) Health benefits, contributions to employee benefit plans, and deferred compensation	(e) Estimated amount of other compensation
NONE

Total number of other employees paid over $100,000 ................. bullet

Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None."

(a) Name and business address of each independent contractor	(b) Type of service	(c) Compensation
NONE

Total number of other independent contractors each receiving over $100,000.......... bullet

Did the organization complete Schedule A? NOTE: All Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts must attach a completed Schedule A ............... bullet

Yes No

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 officer) is based on all information of which preparer has any knowledge.

Sign Here

	Signature of officer	Date

	Type or print name and title

Paid Preparer Use Only

Print/Type preparer's name

Preparer's signature

Date

Check if
self-employed

PTIN

Firm's name bullet

Firm's EIN bullet

Firm's address bullet

Phone no.

May the IRS discuss this return with the preparer shown above? See instructions ......... bullet

YesNo

Form 990-EZ (2013)

Form 990-EZ, Special Condition Description:

Special Condition Description

Additional Data

Software ID:
Software Version:

- TIN:

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.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

VIRGINIA LIONS HEARING FOUNDATION
AND RESEARCH CENTER INC

Employer identification number

54-1183740

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 described in 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:

UNIVERSITY OF VIRGINIA,

CHARLOTTESVILLE, VA

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. See section 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 - Non-functionally integrated

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 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 monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

Page 2

Part II

Support Schedule for Organizations Described in Sections 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)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
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
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.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

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

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 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. 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—2012. If the organization did not check a 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—2013. 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—2012. 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) 2013

Page 3

Part III

Support Schedule for Organizations Described in Section 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)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
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......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
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.
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.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. 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—2012. 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) 2013

Page 4

Part IV

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2013

Additional Data

Software ID:
Software Version:

- TIN:

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.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

VIRGINIA LIONS HEARING FOUNDATION
AND RESEARCH CENTER INC

Employer identification number

54-1183740

Return Reference	Explanation
FORM 990-EZ, PART I, LINE 10	UNIVERSITY OF VIRGINIA PO BOX 800477 UVA HEALTH SYS CHARLOTTESVILLE, VA 22908 10,713 0 0
FORM 990-EZ, PART I, LINE 16	EXPENSES INSURANCE 1,124 MEALS EXPENSE 394 OFFICE EXPENSE 241 PARKING 228 RESERCH STIPENDS 5,100 SUPPLIES 967 TELEPHONE 1,670 TOTAL 9,724
FORM 990-EZ, PART I, LINE 20	UNREALIZED GAINS ON INVESTMENTS 27,588 CONTRIBUTIONS RECEIVABLE 5,950 GRANTS PAYABLE -10,298
FORM 990-EZ, PART II, LINE 24	PLEDGES RECEIVABLE 0 9,180 OFFICE FUR & EQUIP - FD 0 19,601 LESS ACCUMULATED DEPRECIATION 0 19,601 DATA INPUT SOFTWARE 0 298 LESS ACCUMULATED DEPRECIATION 0 298 OFFICE EQUIPMENT 0 4,278 LESS ACCUMULATED DEPRECIATION 0 4,278 COMPUTER EQUIPMENT 0 6,269 LESS ACCUMULATED DEPRECIATION 0 6,269 MACHINE & EQUIP-FD 0 118,466 LESS ACCUMULATED DEPRECIATION 0 118,466 2 SHARP ELEC ORGANIZERS 0 760 LESS ACCUMULATED DEPRECIATION 0 760 STORZ URBAN TEMP BONE LAB 0 184,114 LESS ACCUMULATED DEPRECIATION 0 184,114 PROBE MICROPHONE 0 1,455 LESS ACCUMULATED DEPRECIATION 0 1,455 INSER MICROPHONE 0 742 LESS ACCUMULATED DEPRECIATION 0 742 ELECTROMAGNETIC SOUNDING 0 974 LESS ACCUMULATED DEPRECIATION 0 974 MICRO INST TRAY 0 744 LESS ACCUMULATED DEPRECIATION 0 744 SOUNDCRAFT LECTURN 0 561 LESS ACCUMULATED DEPRECIATION 0 561 TRANSFORMER-G528/C 0 1,039 LESS ACCUMULATED DEPRECIATION 0 1,039 SOUND IMPEDENCE SYSTEM 0 833 LESS ACCUMULATED DEPRECIATION 0 833 PROGRAMMABLE ATTENTUATOR 0 1,425 LESS ACCUMULATED DEPRECIATION 0 1,425 HOMEOTHERMIC BLANKET 0 1,295 LESS ACCUMULATED DEPRECIATION 0 1,295 ADMIN CABNETS 0 650 LESS ACCUMULATED DEPRECIATION 0 650 AUDIO IMPLANT 0 1,000 LESS ACCUMULATED DEPRECIATION 0 1,000 ER-2 EARPHONE 0 784 LESS ACCUMULATED DEPRECIATION 0 784 97 SCOPEMETER 0 1,759 LESS ACCUMULATED DEPRECIATION 0 1,759 ELECTROMAGNETIC SOUNDING 0 1,290 LESS ACCUMULATED DEPRECIATION 0 1,290 BSR SURVEILLANCE SYS 0 1,540 LESS ACCUMULATED DEPRECIATION 0 1,540 ER-2 EARPHONE 0 1,329 LESS ACCUMULATED DEPRECIATION 0 1,329 LOW NOISE PREAMPLIFIER 0 2,014 LESS ACCUMULATED DEPRECIATION 0 2,014 ATTEBTUATOR 0 1,778 LESS ACCUMULATED DEPRECIATION 0 1,778 ER-76 MICROPHONE 0 1,366 LESS ACCUMULATED DEPRECIATION 0 1,366 VITAL SIGNS MONITOR 0 1,350 LESS ACCUMULATED DEPRECIATION 0 1,350 SCOPEMETER 0 1,769 LESS ACCUMULATED DEPRECIATION 0 1,769 MICROPLATE FLUROMETER 0 15,500 LESS ACCUMULATED DEPRECIATION 0 15,500 486SX25 COMPUTER SYSTEM 0 1,700 LESS ACCUMULATED DEPRECIATION 0 1,700 ER-2 INSERT EARPHONE 0 1,777 LESS ACCUMULATED DEPRECIATION 0 1,777 PUMPS-ANESTHESIA 0 1,886 LESS ACCUMULATED DEPRECIATION 0 1,886 RESPIRATORY MONITOR 0 767 LESS ACCUMULATED DEPRECIATION 0 767 MONITOR / TB 0 729 LESS ACCUMULATED DEPRECIATION 0 729 THERMAL BLANKER / MONITOR 0 693 LESS ACCUMULATED DEPRECIATION 0 693 BATTERY SET / RECHARGEABLE 0 1,214 LESS ACCUMULATED DEPRECIATION 0 1,214 5-V MICROPHONE & WIRESETS 0 5,475 LESS ACCUMULATED DEPRECIATION 0 5,475 CARDIAC RESPORATORY MONIR 0 3,163 LESS ACCUMULATED DEPRECIATION 0 3,163 ABR MONIROT-SURGI FS-325 0 1,524 LESS ACCUMULATED DEPRECIATION 0 1,524 MIN-NOR DIRECTIONAL W/CLP 0 1,841 LESS ACCUMULATED DEPRECIATION 0 1,841 LAP-TOP COMPUTER ORGANIZR 0 970 LESS ACCUMULATED DEPRECIATION 0 970 ACK AUDIOMETER 0 3,500 LESS ACCUMULATED DEPRECIATION 0 3,500 486 COMPUTER 0 1,800 LESS ACCUMULATED DEPRECIATION 0 1,800 PUMP 44 YW W/2 SYRNG PMPS 0 1,512 LESS ACCUMULATED DEPRECIATION 0 1,512 PUMP 46 YW W/2 SYRNG PMPS 0 1,810 LESS ACCUMULATED DEPRECIATION 0 1,810 UNIT 186SR-ABX MONITOR 0 2,759 LESS ACCUMULATED DEPRECIATION 0 2,759 486SX COMPUTER 0 5,253 LESS ACCUMULATED DEPRECIATION 0 5,253 TERMINAL W/PCI ADAPTER 0 2,586 LESS ACCUMULATED DEPRECIATION 0 2,586 COMPUTER UPGRADE 0 2,059 LESS ACCUMULATED DEPRECIATION 0 2,059 COMPUTER SUPPLIES 0 936 LESS ACCUMULATED DEPRECIATION 0 936 COMPUTER SUPPLIES 0 982 LESS ACCUMULATED DEPRECIATION 0 982 SURVEILLANCE SYS 0 312 LESS ACCUMULATED DEPRECIATION 0 312 VIDEO SECURITY SYSTEM 0 550 LESS ACCUMULATED DEPRECIATION 0 550 ELECTRONIC SUPPLIES 0 1,004 LESS ACCUMULATED DEPRECIATION 0 1,004 COMPUTER NETWORK ELECTROS 0 951 LESS ACCUMULATED DEPRECIATION 0 951 SPEECH PROCESSOR 0 4,461 LESS ACCUMULATED DEPRECIATION 0 4,461 CALABRATION 0 1,013 LESS ACCUMULATED DEPRECIATION 0 1,013 JAZ JET PCI ADAPTER 0 864 LESS ACCUMULATED DEPRECIATION 0 864 PCI MODULE A/PCI 0 1,012 LESS ACCUMULATED DEPRECIATION 0 1,012 ANALYZER PCI MODEL A-PCI 0 987 LESS ACCUMULATED DEPRECIATION 0 987 BACKUP ANALYZER MDL A PCI 0 984 LESS ACCUMULATED DEPRECIATION 0 984 16MB RAM CARD 0 697 LESS ACCUMULATED DEPRECIATION 0 697 PROBE REPLACEMENT 0 865 LESS ACCUMULATED DEPRECIATION 0 865 HARDWARE UPGRADE 0 880 LESS ACCUMULATED DEPRECIATION 0 880 50MHZ ARRAY PROCESS W / OPT 0 1,500 LESS ACCUMULATED DEPRECIATION 0 1,500 4 CHANNEL INSTRUMENTATION 0 1,207 LESS ACCUMULATED DEPRECIATION 0 1,207 4 CHANNEL INSTRUMENTATION 0 2,352 LESS ACCUMULATED DEPRECIATION 0 2,352 4 MEG DRAMADD-ON/FIL/GEN 0 1,827 LESS ACCUMULATED DEPRECIATION 0 1,827 QUAD 9 POLE FILTER/CADDIE 0 2,100 LESS ACCUMULATED DEPRECIATION 0 2,100 MICROPHONE SYSTEM 0 4,200 LESS ACCUMULATED DEPRECIATION 0 4,200 NICAD BATTERY PACK 0 1,301 LESS ACCUMULATED DEPRECIATION 0 1,301 MEDICAL EQUUIPMENT 0 1,522 LESS ACCUMULATED DEPRECIATION 0 1,522 MEDICAL EQUUIPMENT 0 2,877 LESS ACCUMULATED DEPRECIATION 0 2,877 MEDICAL EQUUIPMENT 0 1,722 LESS ACCUMULATED DEPRECIATION 0 1,722 LAB EQUIPMENT 0 1,953 LESS ACCUMULATED DEPRECIATION 0 1,953 ELECTROLUX EQUIPMENT 0 4,183 LESS ACCUMULATED DEPRECIATION 0 4,183 COMPUTER 0 2,250 LESS ACCUMULATED DEPRECIATION 0 2,250 EQUIPMENT 0 1,732 LESS ACCUMULATED DEPRECIATION 0 1,732 3 DELL COMPUTERS 0 2,483 LESS ACCUMULATED DEPRECIATION 0 2,483 TOTAL 0 9,180
FORM 990-EZ, PART II, LINE 26	ACCOUNTS PAYABLE AND ACCRUED EXPENSES 1,614 1,614
FORM 990-EZ, PART III	TO PROMOTE NOISE AWARENESS AND HEARING LOSS PREVENTION THROUGH EDUCATION AND RESEARCH.
FORM 990-EZ, PART III, LINE 28	PROMOTED NOICE AWARENESS AND PREVENTION OF HEARING LOSS THROUGH EDCUCATION AND RESEARCH, INCLUDING SUPPORT TO THE FOLLOWING PROGRAMS: COCHLEAR IMPLANT PROGRAM, IMPLNATABLE HEARING AID PROJECT, HAIR CELL REGENERATION, NEWBORN HEARING SCREENING, HEARING AID ASSISTANCE AND PROVIDING EDCUATIONAL INFORMATION AND MATERIALS TO LIONS CLUBS FOR DISTRIBUTION THROUGHOUT VIRGINIA.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

TY 2013 CompensationExplanation

Name:

VIRGINIA LIONS HEARING FOUNDATION

AND RESEARCH CENTER INC

EIN: 54-1183740

Person Name	Explanation
RICHARD EVANS
JD ARNOLD
MARY LOU NEWMAN
DOUGLAS CROSS
KAREN PARKER
EDWARD WOODARD
CURRELL TIFFANY
SUSAN EVANS
LEE WINDER
ROBERTA COLLEY
PETE WILLS
KENNETH QUANTOCK
RAY YANNELLO
BARBARA SENECAL
LOWELL SKELTON
DONAL RHINEHART
DANIEL BOWLING
JANICE BOWLING
PRISCILLA HALL