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. See separate instructions. 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
LAKESHORE FOUNDATION
Employer identification number
63-0288847
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.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
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.)
10
11
e
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).
f
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
..................................................
g
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
No
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)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(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
Yes
No
Yes
No
Yes
No
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
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.") ....
2,032,395
1,588,602
1,298,999
2,290,392
2,603,585
9,813,973
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
2,032,395
1,588,602
1,298,999
2,290,392
2,603,585
9,813,973
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.
9,813,973
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..
2,032,395
1,588,602
1,298,999
2,290,392
2,603,585
9,813,973
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
3,787,144
3,917,293
3,486,953
3,807,356
4,566,052
19,564,798
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.)..
57,386
35,487
21,008
20,169
25,932
159,982
11
Total support (Add lines 7 through 10).
29,538,753
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
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.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
33.220 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
28.930 %
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
.......................
b
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
.....................
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
.....................................................
b
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
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
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.)..
14
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.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
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
........
b
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
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
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
1. TEN PERCENT OF SUPPORT REQUIREMENT: LAKESHORE FOUNDATION HAS MET THE REQUIREMENT OF AT LEAST 10% OF TOTAL SUPPORT COMING FROM THE PUBLIC AND GOVERNMENT SINCE FISCAL YEAR 2007. THE PUBLIC SUPPORT PERCENTAGE FOR FISCAL YEAR ENDING SEPTEMBER 30, 2014 WAS 33.22%. THROUGH OUR FUNDRAISING EFFORTS, LAKESHORE FOUNDATION WILL CONTINUE TO STRIVE TO INCREASE PUBLIC SUPPORT IN FUTURE YEARS. 2. ATTRACTION OF PUBLIC SUPPORT REQUIREMENT: LAKESHORE FOUNDATION ENGAGES IN A VARIETY OF CONTINUOUS FUNDRAISING EFFORTS TO ATTRACT NEW AND ADDITIONAL PUBLIC AND GOVERNMENTAL SUPPORT. LAKESHORE FOUNDATION MAINTAINS A DEVELOPMENT STAFF FOR THE SOLICITATION OF GIFTS AND GRANTS FROM THE GENERAL PUBLIC, CORPORATIONS, FOUNDATIONS, OTHER PUBLIC CHARITIES AND GOVERNMENT AGENCIES. THE DEVELOPMENT STAFF INCLUDES A FULL-TIME DIRECTOR OF DEVELOPMENT, FULL-TIME ASSOCIATE DIRECTOR OF DEVELOPMENT (GRANTS WRITER), FULL-TIME ANNUAL FUND COORDINATOR (SPECIAL EVENTS), FULL-TIME DEVELOPMENT SPECIALIST AND A PART-TIME DEVELOPMENT ASSISTANT. LAKESHORE FOUNDATION MEETS REGULARLY WITH CURRENT AND PROSPECTIVE DONORS, SPEAKS AT MEETINGS, HOLDS FUND-RAISING EVENTS, WRITES GRANT PROPOSALS AND USES DIRECT MAIL SOLICITATION TO OBTAIN CHARITABLE GIFTS.3. ADDITIONAL FACTORS TO BE CONSIDERED: (A) SOURCES OF SUPPORT: LAKESHORE FOUNDATION'S REVENUE IS DERIVED FROM A NUMBER OF SOURCES, INCLUDING CONTRIBUTIONS AND GRANTS, INVESTMENT AND RENTAL INCOME, AND PROGRAM FEES. THE SOURCES OF CONTRIBUTIONS ARE DIVERSE, INCLUDING INDIVIDUALS, CORPORATIONS, FOUNDATIONS, GRANTS FROM OTHER PUBLIC CHARITIES, GOVERNMENTAL GRANTS, INCOME FROM FUND RAISING EVENTS AND GIFTS-IN-KIND. DURING LAKESHORE FOUNDATION'S FISCAL YEAR ENDING SEPTEMBER 30, 2014, 796 DONORS CONTRIBUTED APPROXIMATELY $2,600,000 TO THE ORGANIZATION. DURING LAKESHORE FOUNDATION'S FISCAL YEAR ENDING 2004, 204 DONORS CONTRIBUTED APPROXIMATELY $626,000 TO THE ORGANIZATION. THESE FACTS DEMONSTRATE A SIGNIFICANT INCREASE IN PUBLIC SUPPORT OVER THE PAST TEN YEARS AND THAT DONORS ARE FROM A BROAD BASE OF CONTRIBUTORS RATHER THAN FROM MEMBERS OF A SINGLE FAMILY OR A FEW FAMILIES. (B) REPRESENTATIVE GOVERNING BODY: THE LAKESHORE FOUNDATION BOARD OF DIRECTORS CONSISTS OF 37 MEN AND WOMEN REPRESENTING A BROAD CROSS SECTION OF THE GENERAL COMMUNITY AND THE CONSTITUENCY SERVED BY THE ORGANIZATION. 67% OF LAKESHORE'S DIRECTORS ARE AFRICAN AMERICAN, FEMALE, INDIVIDUALS WITH A DISABILITY OR PARENTS OF A CHILD WITH A DISABILITY. DIRECTORS INCLUDE CORPORATE, GOVERNMENTAL AND INSTITUTIONAL REPRESENTATIVES, AS WELL AS RETIREES AND CIVIC LEADERS. THE AGE RANGE OF DIRECTORS IS 40'S TO 80'S. THE BOARD INCLUDES PEOPLE WITH A VARIETY OF PROFESSIONAL QUALIFICATIONS, INCLUDING EXPERTISE IN THE AREAS OF BUSINESS, FINANCE, HEALTH CARE, LAW, AND COMMUNICATIONS.(C) PROVIDING SERVICES FOR THE BENEFIT OF THE GENERAL PUBLIC: LAKESHORE FOUNDATION SERVES CHILDREN AND ADULTS WITH PHYSICAL DISABILITY AND CHRONIC HEALTH CONDITIONS SUCH AS, BUT NOT LIMITED TO, SPINAL CORD INJURIES, STROKES, AMPUTATIONS, ARTHRITIS, MULTIPLE SCLEROSIS, DIABETES, CEREBRAL PALSY AND DISABLING BIRTH CONDITIONS. OUR MISSION IS BASED ON THE FACT THAT PHYSICAL ACTIVITY IS ESSENTIAL FOR INDIVIDUALS WITH PHYSICAL DISABILITIES TO LEAD HEALTHY, ACTIVE, AND INDEPENDENT LIVES. LAKESHORE'S ADAPTED RECREATION, SPORT, FITNESS AND AQUATICS PROGRAMS SERVE PEOPLE LOCALLY, NATIONALLY AND INTERNATIONALLY.THE WORK OF LAKESHORE FOUNDATION FALLS INTO THREE BROAD CATEGORIES: PROGRAMS, RESEARCH AND POLICY AND ADVOCACY. MAJOR PROGRAMS CONDUCTED BY LAKESHORE FOUNDATION INCLUDE ITS DAILY FITNESS AND AQUATICS CLASSES, RECREATIONAL AND COMPETITIVE SPORTS PROGRAMS, AFTER SCHOOL PROGRAMS, SUMMER AND DAY CAMPS FOR YOUTH AND OUTDOOR BASED RECREATION ACTIVITIES. FULL OR PARTIAL SCHOLARSHIPS, BASED ON DEMONSTRATED FINANCIAL NEED, ARE AWARDED TO INDIVIDUALS AND FAMILIES TO ENSURE THAT FINANCIAL RESOURCES ARE NOT A BARRIER TO PARTICIPATION IN LAKESHORE'S PROGRAMS. IN 2003, LAKESHORE FOUNDATION WAS DESIGNATED BY THE UNITED STATES OLYMPIC COMMITTEE AS AN OFFICIAL U.S. OLYMPIC AND PARALYMPIC TRAINING SITE PROVIDING ATHLETES WITH ACCESS TO SPORTS SCIENCE, ON-SITE HOUSING AND DINING, AND TRAINING SERVICES. ATHLETES TRAINING AT LAKESHORE INCLUDE USA TEAMS OF WHEELCHAIR RUGBY, GOALBALL, WHEELCHAIR BASKETBALL AND OTHERS. IN ADDITION TO TRAINING ACTIVITIES, LAKESHORE HOSTS COMPETITIVE EVENTS FOR DEVELOPMENTAL, NATIONAL AND INTERNATIONAL TEAMS.SINCE 2006, LAKESHORE'S LIMA FOXTROT PROGRAMS SERVE INJURED MILITARY PERSONNEL AND THEIR FAMILIES FROM ACROSS THE NATION THROUGH ADAPTED SPORT AND RECREATION CAMPS AT NO COST TO THE PARTICIPANTS. THE LAKESHORE FOUNDATION/UAB RESEARCH COLLABORATIVE IS A WORLD-CLASS RESEARCH PROGRAM IN PHYSICAL ACTIVITY, HEALTH PROMOTION AND DISABILITY LINKING LAKESHORE'S EXTRAORDINARY PROGRAMS WITH UAB'S RESEARCH EXPERTISE. THE UNIQUE COLLABORATIVE ESTABLISHES LAKESHORE AS THE NATIONAL AND INTERNATIONAL LEADER IN PROMOTING EVIDENCE BASED SCIENCE AND PRACTICE IN PHYSICAL ACTIVITY, SPORT, HEALTH PROMOTION AND DISABILITY.LAKESHORE IS HOME TO THE NATIONAL CENTER ON HEALTH, PHYSICAL ACTIVITY AND DISABILITY (NCHPAD). THIS FEDERALLY FUNDED CENTER PROMOTES LEADERSHIP, TRAINING, WELLNESS AND PHYSICAL ACTIVITY ACROSS THE UNITED STATES. NCHPAD PROVIDES EDUCATIONAL SERVICES TO THE PUBLIC THROUGH DISTRIBUTION OF EDUCATIONAL MATERIALS.IN THE POLICY AND ADVOCACY AREA, LAKESHORE FOUNDATION WORKS TO REDUCE HEALTH DISPARITIES AND SUPPORTS THE ACHIEVEMENT OF OPTIMAL HEALTH BY PEOPLE WITH PHYSICAL DISABILITY AND CHRONIC HEALTH CONDITIONS BY ENSURING PEOPLE WITH DISABILITY GAIN ACCESS TO HEALTH PROMOTING RESOURCES. LAKESHORE'S POLICY AND ADVOCACY EFFORT ADDRESSES THE CONSEQUENCES OF ENVIRONMENTAL, SOCIAL, AND ATTITUDINAL BARRIERS THAT PREVENT PEOPLE WITH DISABILITY FROM MAXIMUM PARTICIPATION IN SOCIETY.
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.
Attach to Form 990 or 990-EZ.
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
LAKESHORE FOUNDATION
Employer identification number
63-0288847
Return Reference
Explanation
FORM 990, PART VI, SECTION B, LINE 11
THE PRESIDENT, CHIEF FINANCIAL OFFICER, CHIEF PROGRAM OFFICER AND OTHER EMPLOYEES REVIEW THE RETURN FOR COMPLETENESS AND CORRECTNESS. THE FORM 990 IS PROVIDED TO THE BOARD FOR REVIEW BEFORE THE RETURN IS FILED.
FORM 990, PART VI, SECTION B, LINE 12C
ANNUALLY, THE BOARD MEMBERS SIGN THE DISCLOSURE STATEMENT. ACCORDING TO BOARD POLICIES, IF A CONFLICT OF INTEREST IS NOTED, THE BOARD WILL EXAMINE THE UNDERLYING TRANSACTION TO DETERMINE WHETHER IT IS FAIR, REASONABLE AND IN THE BEST INTEREST OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15
THE PRESIDENT'S COMPENSATION IS BASED ON THE RESULTS OF AN OUTSIDE COMPENSATION REVIEW. ANNUALLY, THE PRESIDENT PRESENTS THE FOUNDATION'S ACCOMPLISHMENT OF GOALS TO THE COMPENSATION COMMITTEE AND CHAIRMAN OF THE BOARD WHO DEVELOP A RECOMMENDATION RELATED TO COMPENSATION. SUBSEQUENT TO THE MEETING OF THE COMPENSATION COMMITTEE, THE RECOMMENDATION IS PRESENTED FOR REVIEW AND APPROVAL TO THE EXECUTIVE COMMITTEE. A COMPENSATION REVIEW IS PERFORMED EVERY THREE YEARS BY AN OUTSIDE CONSULTANT. THE REVIEW IS BASED ON INFORMATION FROM A NUMBER OF COMPENSATION SURVEYS AND FORM 990'S OF SIMILAR ORGANIZATIONS. FOR EMPLOYEES REPORTING TO THE PRESIDENT, THE PRESIDENT RECOMMENDS THEIR MERIT INCREASE AND BONUS BASED ON COMPLETION OF A PERFORMANCE REVIEW AND GOALS ESTABLISHED AT THE BEGINNING OF THE YEAR. THEIR COMPENSATION IS ALSO BASED ON THE RESULTS OF AN OUTSIDE COMPENSATION REVIEW. THE OVERALL AMOUNT IS APPROVED BY THE COMPENSATION COMMITTEE AND BOARD DURING THE BUDGET PROCESS.
FORM 990, PART VI, SECTION C, LINE 19
ALL WRITTEN REQUESTS TO REVIEW THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE ACTED UPON ON A CASE BY CASE BASIS.
FORM 990, PART IX, LINE 11G
PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 195,055. MANAGEMENT AND GENERAL EXPENSES 283,302. FUNDRAISING EXPENSES 6,805. TOTAL EXPENSES 485,162. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 6,430. MANAGEMENT AND GENERAL EXPENSES 515. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,945.
FORM 990, PART XII, LINE 2C:
THE ORGANIZATION'S FINANCE COMMITTEE OF THE BOARD OF DIRECTORS ASSUMES THE OVERSIGHT RESPONSIBILITY OF THE FINANCIAL STATEMENT AUDIT AND THE SELECTION OF THE INDEPENDENT AUDITOR. THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE RECOMMENDATIONS OF THE FINANCE COMMITTEE. THERE WAS NO CHANGE TO THE OVERSIGHT OR SELECTION PROCESS DURING THE YEAR.
SUPPORT STATEMENT:
BECAUSE LAKESHORE'S INVESTMENT AND RENTAL INCOME COVER ALL MANAGEMENT AND GENERAL AND FUNDRAISING EXPENSES, ALL CONTRIBUTIONS DIRECTLY SUPPORT PROGRAM EXPENSES.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.