TY 2017 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(1) TOM G SHUFFLEBARGER...................................................................... DIRECTOR AND CHAIRMAN	0.77 .................	X	X
(2) MARK S MCCOLL...................................................................... DIRECTOR AND VICE CHAIR	0.77 .................	X	X
(3) ROBERT M COUCH...................................................................... DIRECTOR AND TREASURER	0.77 .................	X	X
(4) LINDA COLEMAN-MADISON...................................................................... DIRECTOR AND SECRETARY	0.77 .................	X	X
(5) WILLIAM P ACKER III...................................................................... DIRECTOR	0.38 .................	X
(6) WALTER M BEALE JR...................................................................... DIRECTOR	0.38 .................	X
(7) SLADE BLACKWELL...................................................................... DIRECTOR	0.38 .................	X
(8) JAY BRANDRUP...................................................................... DIRECTOR	0.38 .................	X
(9) ROBERT O BURTON...................................................................... DIRECTOR	0.38 .................	X
(10) THOMAS N CARRUTHERS JR...................................................................... DIRECTOR	0.38 .................	X
(11) BRENDA HACKNEY...................................................................... DIRECTOR	0.38 .................	X
(12) WILL HANCOCK...................................................................... DIRECTOR AND CHAIR	0.58 .................	X
(13) BILL HORTON...................................................................... DIRECTOR	0.38 .................	X
(14) GREG JOHNSTON...................................................................... DIRECTOR	0.38 .................	X
(15) HAROLD P JONES...................................................................... DIRECTOR	0.38 .................	X
(16) CATHERINE SLOSS JONES...................................................................... DIRECTOR	0.38 .................	X
(17) FRANK H LONG JR...................................................................... DIRECTOR	0.38 .................	X

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(18) ROBERT MCKENNA PHD........................................................................ DIRECTOR	0.38 .......................	X			0	0
(19) AIMEE B MCLAIN MD........................................................................ DIRECTOR	0.38 .......................	X			0	0
(20) MICHAEL PATTERSON........................................................................ DIRECTOR AND CHAIR	0.58 .......................	X			0	0
(21) N LEE PRICE MAJ GEN RET........................................................................ DIRECTOR AND CHAIR	0.58 .......................	X			0	0
(22) ANN PURDY........................................................................ DIRECTOR	0.38 .......................	X			0	0
(23) DON A SCIVLEY........................................................................ DIRECTOR	0.38 .......................	X			0	0
(24) GRAHAM SISSON JR........................................................................ DIRECTOR	0.38 .......................	X			0	0
(25) ANDRE J TAYLOR........................................................................ DIRECTOR	0.38 .......................	X			0	0
(26) JOEL T WELKER........................................................................ DIRECTOR	0.38 .......................	X			0	0
(27) LINDA WILDER........................................................................ DIRECTOR	0.38 .......................	X			0	0
(28) TERRI Q WILLIAMS........................................................................ DIRECTOR	0.38 .......................	X			0	0
(29) JEFF UNDERWOOD........................................................................ PRESIDENT	40.00 .......................		X		317,002	22,239
(30) CATHY MILLER........................................................................ CFO AND DIRECTOR OF ADMINI	40.00 .......................		X		189,521	19,953
(31) BETH CURRY........................................................................ CHIEF PROGRAM OFFICER	40.00 .......................		X		174,244	18,741
(32) AMY RAUWORTH........................................................................ DIRECTOR OF POLICY AND PUBLIC AFFAIRS	40.00 .......................			X	111,407	16,727
(33) JEN REMICK ALLRED........................................................................ DIRECTOR OF COMMUNICATIONS AND MEMBERSHIP	40.00 .......................			X	109,656	12,414
(34) KATHY HOLLIS........................................................................ CONTROLLER	40.00 .......................			X	105,642	4,323
(35) DEBBIE SMITH........................................................................ DIRECTOR OF HUMAN RESOURCES	40.00 .......................			X	104,368	4,205

(A) Name and business address	(B) Description of services	(C) Compensation
KPS GROUP 60 14TH STREET SOUTH SUITE 100 BIRMINGHAM,AL35233	ARCHITECT FEES	870,187
HOAR CONSTRUCTION TWO METROPLEX DRIVE SUITE 400 BIRMINGHAM,AL35209	CONSTRUCTION	535,910
C SPIRE (TEKLINKS) PO BOX 830674 MSC703 BIRMINGHAM,AL35283	TECHNOLOGY SUPPORT, INTERNET AND PHONE S	146,635
PS SITE MANAGEMENT 108 ROYAL CHASE DRIVE BIRMINGHAM,AL35124	LANDSCAPING	140,175
DIGITAL HEALTH STRATEGIES 7310 PINEY BRANCH ROAD TAKOMA,MD20912	MARKETING	104,419
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 5

- 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.
right arrow

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 12, 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 (Form 990 or 990-EZ).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

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

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	2,603,585	3,006,362	2,977,086	2,705,580	8,078,309	19,370,922
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	2,603,585	3,006,362	2,977,086	2,705,580	8,078,309	19,370,922
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.						19,370,922

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
7	Amounts from line 4..	2,603,585	3,006,362	2,977,086	2,705,580	8,078,309	19,370,922
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	4,566,052	6,420,206	6,696,757	4,406,309	4,481,556	26,570,880
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 VI.)..	25,932	169,287	25,047	3,960	7,144	231,370
11	Total support. Add lines 7 through 10						46,173,172

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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)) .........

41.950 %

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

34.190 %

16a

33 1/3% support test—2019. 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—2018. 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—2019. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2018. 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 VI 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) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 VI.) ..
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 section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. 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—2018. 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) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2019

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2019

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2019 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. 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, 2018 WAS 41.95%. THROUGH OUR FUNDRAISING EFFORTS, LAKESHORE FOUNDATION WILL CONTINUE TO STRIVE TO INCREASE PUBLIC SUPPORT IN FUTURE YEARS. 2. ABILITY TO ATTRACT 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. LAKESHORE FOUNDATION MEETS REGULARLY WITH CURRENT AND PROSPECTIVE DONORS, SPEAKS AT MEETINGS, HOLDS FUNDRAISING 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 FUNDRAISING EVENTS AND GIFTS-IN-KIND. DURING LAKESHORE FOUNDATION'S FISCAL YEAR ENDING SEPTEMBER 30, 2018, 912 DONORS AND GRANTORS CONTRIBUTED OVER $8 MILLION INCLUDING $5.6 MILLION TOWARD THE CAPITAL CAMPAIGN. 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 FOURTEEN 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 28 MEN AND WOMEN REPRESENTING A BROAD CROSS SECTION OF THE GENERAL COMMUNITY AND THE CONSTITUENCY SERVED BY THE ORGANIZATION. MORE THAN 50% 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 40S TO 80S. 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 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: ACTIVITY, RESEARCH AND ADVOCACY AND POLICY. ACTIVITIES 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 (USOC) AS A 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, WHEELCHAIR BASKETBALL AND OTHERS. IN ADDITION TO TRAINING ACTIVITIES, LAKESHORE HOSTS COMPETITIVE EVENTS FOR DEVELOPMENTAL, NATIONAL AND INTERNATIONAL TEAMS. LAKESHORE ALSO SERVES AS THE HIGH PERFORMANCE MANAGEMENT ORGANIZATION FOR USA WHEELCHAIR RUGBY THROUGH A CONTRACT WITH THE USOC.SINCE 2006, LAKESHORE'S LIMA FOXTROT PROGRAMS HAVE SERVED THOUSANDS OF 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 CENTER, FEDERALLY FUNDED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION, 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 ADVOCACY AND POLICY 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 ADVOCACY AND POLICY EFFORT ADDRESSES THE CONSEQUENCES OF ENVIRONMENTAL, SOCIAL, AND ATTITUDINAL BARRIERS THAT PREVENT PEOPLE WITH DISABILITY FROM MAXIMUM PARTICIPATION IN SOCIETY.

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, 2018 WAS 41.95%. THROUGH OUR FUNDRAISING EFFORTS, LAKESHORE FOUNDATION WILL CONTINUE TO STRIVE TO INCREASE PUBLIC SUPPORT IN FUTURE YEARS. 2. ABILITY TO ATTRACT 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. LAKESHORE FOUNDATION MEETS REGULARLY WITH CURRENT AND PROSPECTIVE DONORS, SPEAKS AT MEETINGS, HOLDS FUNDRAISING 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 FUNDRAISING EVENTS AND GIFTS-IN-KIND. DURING LAKESHORE FOUNDATION'S FISCAL YEAR ENDING SEPTEMBER 30, 2018, 912 DONORS AND GRANTORS CONTRIBUTED OVER $8 MILLION INCLUDING $5.6 MILLION TOWARD THE CAPITAL CAMPAIGN. 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 FOURTEEN 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 28 MEN AND WOMEN REPRESENTING A BROAD CROSS SECTION OF THE GENERAL COMMUNITY AND THE CONSTITUENCY SERVED BY THE ORGANIZATION. MORE THAN 50% 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 40S TO 80S. 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 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: ACTIVITY, RESEARCH AND ADVOCACY AND POLICY. ACTIVITIES 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 (USOC) AS A 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, WHEELCHAIR BASKETBALL AND OTHERS. IN ADDITION TO TRAINING ACTIVITIES, LAKESHORE HOSTS COMPETITIVE EVENTS FOR DEVELOPMENTAL, NATIONAL AND INTERNATIONAL TEAMS. LAKESHORE ALSO SERVES AS THE HIGH PERFORMANCE MANAGEMENT ORGANIZATION FOR USA WHEELCHAIR RUGBY THROUGH A CONTRACT WITH THE USOC.SINCE 2006, LAKESHORE'S LIMA FOXTROT PROGRAMS HAVE SERVED THOUSANDS OF 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 CENTER, FEDERALLY FUNDED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION, 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 ADVOCACY AND POLICY 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 ADVOCACY AND POLICY EFFORT ADDRESSES THE CONSEQUENCES OF ENVIRONMENTAL, SOCIAL, AND ATTITUDINAL BARRIERS THAT PREVENT PEOPLE WITH DISABILITY FROM MAXIMUM PARTICIPATION IN SOCIETY.

Return Reference	Explanation
SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:	MISCELLANEOUS INCOME - 2013 AMOUNT: $ 3,801. 2014 AMOUNT: $ 6,263. 2015 AMOUNT: $ 10,207. 2016 AMOUNT: $ 3,960. 2017 AMOUNT: $ 3,150. OTHER INCOME FROM GIFTS FOR BENEFITS RECD - 2014 AMOUNT: $ 21,975. 2015 AMOUNT: $ 14,840. PROCEEDS FROM INSURANCE SETTLEMENTS - 2013 AMOUNT: $ 22,131. 2014 AMOUNT: $ 141,049. 2017 AMOUNT: $ 3,994.

Schedule A (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Name of the organization

LAKESHORE FOUNDATION

Employer identification number

63-0288847

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

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

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization LAKESHORE FOUNDATION

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization LAKESHORE FOUNDATION		Employer identification number 63-0288847

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 4


Name of organization LAKESHORE FOUNDATION			Employer identification number 63-0288847
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

LAKESHORE FOUNDATION

Employer identification number

63-0288847

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

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

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2019

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2019

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

3,004

Total. Add lines 1c through 1i ....................................................................................................

3,004

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	INDIRECT MEMBERSHIP IN LOBBYING ORGANIZATION $2,500 CONTRACTED SERVICES $504

Schedule C (Form 990 or 990EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

LAKESHORE FOUNDATION

Employer identification number

63-0288847

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

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

Cat. No. 52283D

Schedule D (Form 990) 2019

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	7,658,966	7,704,370	7,720,257	7,630,537	7,629,400
b	Contributions ...	2,644,512	294,928	192,565	241,435	200,622
c	Net investment earnings, gains, and losses	45,556	62,942	393,596	330,147	209,071
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	466,240	403,274	602,048	481,862	408,556
f	Administrative expenses ....
g	End of year balance ......	9,882,794	7,658,966	7,704,370	7,720,257	7,630,537

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

70.000 %

Permanent endowment SchDMd Bullet

1.000 %

Term endowment SchDMd Bullet

29.000 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	16,176	195,000		211,176
b	Buildings ....	9,211,455	26,812,888	17,306,509	18,717,834
c	Leasehold improvements	3,561,589	2,631,026	3,314,301	2,878,314
d	Equipment ....	6,468,151	2,464,806	8,356,473	576,484
e	Other .....	998,892	5,038,822	1,369,510	4,668,204
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					27,052,012

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) HEDGE FUNDS AND ALT INV	654,128	F
(B) OTHER ALTERNATIVE INV	11,180,101	F
(C) POOLED FUNDS	6,114,263	F
(D) EQUITY FUNDS	40,552,677	F
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	58,501,169

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	12,300
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2019

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	17,919,267
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	3,291,294
b	Donated services and use of facilities .........	2b	31,316
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	577,558
e	Add lines 2a through 2d .....................			2e	3,900,168
3	Subtract line 2e from line 1..................			3	14,019,099
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	200,000
c	Add lines 4a and 4b....................			4c	200,000
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	14,219,099

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	10,917,663
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	381,676
e	Add lines 2a through 2d....................			2e	381,676
3	Subtract line 2e from line 1...................			3	10,535,987
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................			4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	10,535,987

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART V, LINE 4:	CAPITAL PROJECTS - $2,448,419 PROGRAM EXPENSES - $212,589 RESEARCH GRANT FUNDING - $178,156 PERMANENT ENDOWNMENT FOR SCHOLARSHIPS - $122,793 BOARD DESIGNATED FUNDS FOR RESEARCH ACTIVITIES - $6,920,837
PART X, LINE 2:	THE LAKESHORE FOUNDATION AND THE LAKESHORE SUPPORT ORGANIZATION ACCOUNT FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH THE ACCOUNTING STANDARDS CODIFICATION (ASC). THE LAKESHORE FOUNDATION AND THE LAKESHORE SUPPORT ORGANIZATION HAVE DETERMINED THAT THEY DO NOT HAVE ANY TAX POSITIONS AT SEPTEMBER 30, 2018, THAT THEY WOULD BE UNABLE TO SUBSTANTIATE. TAX RETURNS FOR THE LAKESHORE FOUNDATION AND THE LAKESHORE SUPPORT ORGANIZATION WERE FILED THROUGH THE FISCAL YEAR ENDED SEPTEMBER 30, 2018. TAX RETURNS FOR THE LAKESHORE FOUNDATION AND THE LAKESHORE SUPPORT ORGANIZATION FOR THE FISCAL YEAR 2015 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	SUPPORT ORGANIZATION INCOME 240,422. RENTAL EXPENSES 242,206. FUNDRAISING EXPENSES 18,631. LOSS ON EXTINGUISHMENT OF DEBT 50,965. LOSS ON DISPOSAL OF ASSET 25,334.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	SUPPORT ORGANIZATION GIFT TO LAKESHORE FOUNDATION 200,000.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	SUPPORT ORGANIZATION GENERAL & ADMIN FEES 500. SUPPORT ORGANIZATION INVESTMENT MGT FEES 44,040. LOSS ON SALE OF FIXED ASSETS 25,334. RENTAL EXPENSES 242,206. FUNDRAISING EXPENSES 18,631. LOSS ON EXTINGUISHMENT OF DEBT 50,965.

Schedule D (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

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" on 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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization
LAKESHORE FOUNDATION

Employer identification number

63-0288847

Part I

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

Form 990-EZ filers are not required to complete this part.

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 email 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?

YesNo

If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(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
			Yes	No
	ALEXANDER HAAS INC 3520 PIEDMONT ROAD NE SUITE 300 ATLANTA, GA30305	CONSULTING FOR CAPITAL CAMPAIGN		No	0	91,000	-91,000









Total . . . . . . . . . . . . . . . . . . . .						91,000	-91,000

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

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

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2019

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 AMAZING RACE (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	71,400	71,400
2	Less: Contributions . . . .	71,400	71,400
3	Gross income (line 1 minus line 2) . . . . . .

4	Cash prizes . . . . .
5	Noncash prizes . . . .	2,948	2,948
6	Rent/facility costs . . . .
7	Food and beverages . . .	3,293	3,293
8	Entertainment . . . .
9	Other direct expenses . . .	12,390	12,390
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .		18,631
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .		-18,631

Part III

Gaming. Complete if the organization answered "Yes" on 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))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

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

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

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

Is the organization licensed to conduct 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:

Schedule G (Form 990 or 990-EZ) 2019

Page 3

Does the organization conduct 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

Indicate the percentage of gaming activity conducted in:

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

13a

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

13b

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

Name

Address

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 of the third party:

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

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

LAKESHORE FOUNDATION

Employer identification number

63-0288847

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

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

Cat. No. 50053T

Schedule J (Form 990) 2019

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1JEFF UNDERWOOD PRESIDENT	(i) (ii)	240,957 ------------- 0	63,016 ------------- 0	13,029 ------------- 0	10,800 ------------- 0	12,617 ------------- 0	340,419 ------------- 0	0 ------------- 0
2CATHY MILLER CFO AND DIRECTOR OF ADMINI	(i) (ii)	162,844 ------------- 0	18,513 ------------- 0	8,164 ------------- 0	8,095 ------------- 0	13,091 ------------- 0	210,707 ------------- 0	0 ------------- 0
3BETH CURRY CHIEF PROGRAM OFFICER	(i) (ii)	150,611 ------------- 0	17,323 ------------- 0	6,310 ------------- 0	7,481 ------------- 0	12,493 ------------- 0	194,218 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation

Schedule J (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

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

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
LAKESHORE FOUNDATION

Employer identification number
63-0288847

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	THE MEDICAL CLINIC BOARD OF THE CITY OF HOMEWOOD	63-6001295	437891CP7	09-29-2009	6,493,527	REFUNDING SERIES 2000 BONDS THROUGH ISSUANCE OF SERIES 2009 BONDS	X			X		X
B	THE MEDICAL CLINIC BOARD OF THE CITY OF HOMEWOOD	63-6001295		11-01-2013	5,867,500	REFUNDING SERIES 2005 BONDS THROUGH ISSUANCE OF SERIES 2013 BOND		X		X		X
C	THE MEDICAL CLINIC BOARD OF THE CITY OF HOMEWOOD	63-6001295		12-18-2017	13,390,500	REFUNDING SERIES 2009 BONDS AND FINANCING CAPITAL IMPROVEMENTS		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	3,150,000		2,366,168
2 Amount of bonds legally defeased ..............	3,305,000
3 Total proceeds of issue ..................	6,493,527		5,867,500		13,390,500
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............	25,000
6 Proceeds in refunding escrows ...............					3,335,384
7 Issuance costs from proceeds ...............	128,107		67,500		96,533
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............					9,958,583
11 Other spent proceeds .............	6,340,420		5,800,000
12 Other unspent proceeds .............
13 Year of substantial completion .............	2001		2001		2019
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)? ........
16 Has the final allocation of proceeds been made? ..........	X		X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2019

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X	X
b Exception to rebate? ........	X		X			X
c No rebate due? .........	X		X			X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2019

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
PART IV, ARBITRAGE	(A) REBATE SPEND DOWN ANALYSIS PERFORMED AS OF NOVEMBER 1, 2004 (B) REBATE SPEND DOWN ANALYSIS PERFORMED AS OF NOVEMBER 11, 2013

Schedule K (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

LAKESHORE FOUNDATION

Employer identification number

63-0288847

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2019

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) ENCOMPASS HEALTH INC	BD MEMBER - WILDER, LINDA, PRESIDENT SOUTHEAST REGION ENCOMPASS HEALTH	3,501,986	RENTAL INCOME FROM ENCOMPASS HOSPITAL		No
(2) ENCOMPASS HEALTH INC	BD MEMBER - WILDER, LINDA, PRESIDENT SOUTHEAST REGION ENCOMPASS HEALTH	219,057	UTILITIES BILLED THROUGH ENCOMPASS HOSPITAL		No
(3) ENCOMPASS HEALTH INC	BD MEMBER - WILDER, LINDA, PRESIDENT SOUTHEAST REGION ENCOMPASS HEALTH	1,192	LAB FEES		No
(4) ENCOMPASS HEALTH INC	BD MEMBER - WILDER, LINDA, PRESIDENT SOUTHEAST REGION ENCOMPASS HEALTH	83,370	CAMPUS ROADWORK		No
(5) HOAR CONSTRUCTION	BD MEMBER - BURTON, ROB, PRESIDENT/CEO, HOAR HOLDINGS LLC	4,947,861	CAMPUS IMPROVEMENTS		No
(6) BLUE CROSS AND BLUE SHIELD	BD MEMBER - PATTERSON, MICHAEL, CHIEF LEGAL OFFICER	359,835	HEALTH INSURANCE COVERAGE FOR EMPLOYEES		No
(7) REGIONS BANK	BD MEMBER - HORTON, BILL SENIOR EXEC VP , REGIONS FINANCIAL CORPORATION	23,531	INVESTMENT AND TRUSTEE SERVICES		No
(8) REGIONS BANK	BD MEMBER - HORTON, BILL SENIOR EXEC VP, REGIONS FINANCIAL CORPORATION	530,003	BOND AND INTEREST PAYMENTS		No
(9) ALABAMA POWER CO	BD MEMBER - SCIVLEY, DON, VICE-PRESIDENT	404,474	UTILITIES - POWER		No
(10) ALABAMA POWER CO	BD MEMBER - SCIVLEY, DON, VICE-PRESIDENT	73,536	CONSTRUCTION COSTS		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

LAKESHORE FOUNDATION

Employer identification number

63-0288847

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	4	503,662	MARKET VALUE, STOCK QUOT
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( ADVERTISING, VOUCHERS, SUPPLIES FOR EVENTS )	X	11	10,820	INVOICES FROM COMPAN
26 Other ( EQUIPMENT FOR PROGRAMS )	X	1	7,585	ADJUSTED COST PER DO
27 Other ( FLIGHTS FOR CAMPS )	X	2	5,214	ESTIMATED COST PER D
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

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

Cat. No. 51227J

Schedule M (Form 990) (2019)

Page 2

Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation

Schedule M (Form 990) (2019)

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

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 11B	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 XII, LINE 2C:	THE ORGANIZATION'S FINANCE COMMITTEE OF THE BOARD OF DIRECTORS ASSUMES THE OVERSIGHT RESPONSIBILITY OF THE FINANCIAL STATEMENT AUDIT AND THE HIRING 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.
STATEMENT OF SUPPORT	BECAUSE LAKESHORE'S INVESTMENT AND RENTAL INCOME COVERS 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.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

LAKESHORE FOUNDATION

Employer identification number

63-0288847

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)LAKESHORE SUPPORT ORGANIZATION 4000 RIDGEWAY DRIVE BIRMINGHAM,AL35209 26-0731767	SUPPORT LAKESHORE FOUNDATION THROUGH INVESTMENT ACTIVITY	AL	501(C)(3)	LINE 12B, II	LAKESHORE FOUNDATION	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2019

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No

Schedule R (Form 990) 2019

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) LAEKSHORE SUPPORT ORGANIZATION	C	200,000	CASH CONTRIBUTED

Schedule R (Form 990) 2019

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2019

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO ENABLE PEOPLE WITH PHYSICAL DISABILITY AND CHRONIC HEALTH CONDITIONS TO LEAD HEALTHY, ACTIVE AND INDEPENDENT LIFESTYLES THROUGH PHYSCIAL ACTIVITY, SPORT, RECREATION, ADVOCACY, POLICY AND RESEARCH.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	28
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	23
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	160
6	Total number of volunteers (estimate if necessary) .............	6	193
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,705,580	8,078,309
9	Program service revenue (Part VIII, line 2g) .........	912,566	813,408
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	638,019	1,688,133
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,625,187	3,639,249
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	7,881,352	14,219,099
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	3,000	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	6,088,101	6,107,547
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	56,000	91,000
b	Total fundraising expenses (Part IX, column (D), line 25) 657,954
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	4,424,312	4,337,440
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	10,571,413	10,535,987
19	Revenue less expenses. Subtract line 18 from line 12.......	-2,690,061	3,683,112
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	83,324,479	93,155,143
21	Total liabilities (Part X, line 26).............	9,028,527	11,633,707
22	Net assets or fund balances. Subtract line 21 from line 20.....	74,295,952	81,521,436

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 2,398,063 including grants of $ ) (Revenue $ 434,497 )
	FITNESS, PERSONAL TRAINING AND AQUATICS - LAKESHORE FOUNDATION OFFERS MORE THAN 60 FITNESS AND AQUATICS CLASSES SPECIFICALLY DESIGNED TO HELP PERSONS WITH A WIDE RANGE OF PHYSICAL DISABILITIES AND CHRONIC HEALTH CONDITIONS EMBARK ON A LIFELONG PATH TO WELLNESS. LAKESHORE ALSO PROVIDES AN OPPORTUNITY FOR SELF-DIRECTED, INDIVIDUAL FITNESS AND AQUATICS WORKOUTS, AS WELL AS FEE-BASED PERSONAL TRAINING SERVICES. LAKESHORE LIFE, A COMPREHENSIVE HEALTH PROMOTION INITIATIVE INCLUDES NUTRITION EDUCTATION AND EMPOWERS INDIVIDUALS TO TAKE PERSONAL OWNERSHIP OF HEALTH AND WELLNESS CHOICES.

4b	(Code: ) (Expenses $ 3,693,341 including grants of $ ) (Revenue $ 318,798 )
	RECREATION, ATHLETICS, MILITARY AND TRAINING SITE PROGRAMS - LAKESHORE FOUNDATION OFFERS YEAR-ROUND ACTIVITIES FOR CHILDREN AND ADULTS WITH PHYSICAL DISABILITIES INCLUDING RECREATIONAL PROGRAMS, ATHLETIC TEAMS AND LOCAL, REGIONAL, NATIONAL AND INTERNATIONAL ATHLETIC EVENTS THAT PROVIDE AN OUTLET FOR COMPETITIVE DRIVE AND CONTRIBUTE TO PARTICIPANTS' HEALTH AND WELL-BEING. IN 2018, RECREATION AND ATHLETICS SUPPORTED 19 SPORTS INITIATIVES AND HOSTED 9 ATHLETIC COMPETITIONS. LAKESHORE OFFERED 5 MULTI-DAY RESIDENTIAL SPORTS AND RECREATION CAMPS FOR RECENTLY INJURED U.S. MILITARY PERSONNEL AND THEIR FAMILY MEMBERS. AS AN OLYMPIC AND PARALYMPIC TRAINING SITE, LAKESHORE HOSTED 5 TRAINING CAMPS FOR ELITE LEVEL U.S. ATHLETES, AS WELL AS MANAGING THE USA WHEELCHAIR RUGBY PROGRAM.

4c	(Code: ) (Expenses $ 1,626,677 including grants of $ ) (Revenue $ 63,340 )
	RESEARCH - THROUGH THE UAB/LAKESHORE RESEARCH COLLABORATIVE, LAKESHORE CONDUCTS APPLIED RESEARCH AND PROGRAM EVALUATION ON THE EFFECTIVENESS OF PHYSICAL ACTIVITY PROGRAMS IN PROMOTING HEALTH AND QUALITY OF LIFE, IMPROVING FUNCTIONAL INDEPENDENCE, AND PREVENTING SECONDARY CONDITIONS IN PEOPLE WITH PHYSICAL DISABILITIES. WITH MORE THAN 20 ACTIVE PROJECTS, RESEARCH ACTIVITIES INCLUDE PHYSIOLOGICAL TESTING, QUALITATIVE STUDIES, AND PROGRAM EVALUATION. RESEARCH IDENTIFIES WAYS TO IMPROVE HEALTH RELATED QUALITY OF LIFE, REDUCE SECONDARY HEALTH CONDITIONS, AND INCREASE COMMUNITY PARTICIPATION. INNOVATIVE TECHNOLOGY IS ALSO BEING UTILIZED TO IMPROVE ACCESS TO FITNESS. THROUGH PROFESSIONAL PUBLICATIONS, CONFERENCES AND COLLABORATIVE EFFORTS, EVIDENCE-BASED PROGRAMS AND MODELS IN PHYSICAL ACTIVITY FOR PEOPLE WITH PHYSICAL DISABILITY ARE SHARED WORLDWIDE.

	(Code: ) (Expenses $ 416,662 including grants of $ ) (Revenue $ 4,985 )
	ADVOCACY AND POLICY - 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 AND RECEIVE THE RIGHT SUPPORT AND SERVICES, AT THE RIGHT TIME, IN THE RIGHT SETTING. LAKESHORE'S ADVOCACY AND POLICY EFFORTS LOCALLY, NATIONALLY AND GLOBALLY ADDRESSES BARRIERS THAT PREVENT PEOPLE WITH DISABILITY FROM MAXIMUM PARTICIPATION IN SOCIETY. LAKESHORE'S ADVOCACY AND POLICY EFFORTS ARE SUPPORTED BY HIGH-QUALITY, FIELD-BASED RESEARCH, AND PRESENT VIABLE ALTERNATIVES TO THE POLICY OR ACTION IT IS SEEKING TO CHALLENGE.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 416,662 including grants of $ ) (Revenue $ 4,985 )
4e	Total program service expenses8,134,743

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	1,111,840	0	98,602

1a	Federated campaigns..		1a	1,903
b	Membership dues..		1b
c	Fundraising events..		1c	71,400
d	Related organizations		1d	200,000
e	Government grants (contributions)		1e	1,327,983

f	All other contributions, gifts, grants, and similar amounts not included above		1f	6,477,023

g	Noncash contributions included in lines 1a - 1f:$		1g	527,281

h Total. Add lines 1a-1f.......		8,078,309

		Business Code
2a	MEMBERSHIP DUES	713940	711,054	711,054
b	ATHLETICS	713940	40,910	40,910
c	TRAINING SITE	713940	24,185	24,185
d	ATHLETIC EVENTS	713940	23,428	23,428
e	RECREATION	713940	8,846	8,846
f	All other program service revenue.		4,985	4,985
g	Total. Add lines 2a–2f .....		813,408

3 Investment income (including dividends, interest, and othersimilar amounts) ......			538,717			538,717
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		3,942,839	6a
b	Less: rental expenses		242,206	6b
c	Rental income or (loss)		3,700,633	6c
d	Net rental income or (loss).......			3,700,633			3,700,633
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	57	16,355,807	7a
b	Less: cost or other basis and sales expenses	25,391	15,181,057	7b
c	Gain or (loss)	-25,334	1,174,750	7c
d	Net gain or (loss).........			1,149,416			1,149,416
8a	Gross income from fundraising events (not including $ 71,400of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	18,631
c	Net income or (loss) from fundraising events..			-18,631			-18,631
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	1,068
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..			1,068	1,068
Business Code			Miscellaneous Revenue
11a	VENDING REVENUE		900099	2,675	2,675
b	LOSS ON EXTINGUISHMENT OF DEBT		900099	-50,965			-50,965
c
d	All other revenue ....			4,469	4,469
e	Total. Add lines 11a–11d ......			-43,821
12	Total revenue. See instructions.....			14,219,099	821,620	0	5,319,170

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	1,210,442	426,552	702,486	81,404
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	3,934,593	2,750,055	908,449	276,089
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	138,669	97,409	31,304	9,956
9	Other employee benefits .......	466,629	292,983	138,602	35,044
10	Payroll taxes ...........	357,214	221,680	110,685	24,849
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	34,217		34,217
c	Accounting ...........	24,538		24,538
d	Lobbying ...........	3,004	3,004
e	Professional fundraising services. See Part IV, line 17	91,000			91,000
f	Investment management fees ......	145,418		145,418
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	569,329	290,022	265,935	13,372
12	Advertising and promotion ....	148,247	84,667	21,114	42,466
13	Office expenses .......	192,535	61,356	117,671	13,508
14	Information technology ......	128,275	42,555	67,491	18,229
15	Royalties ..
16	Occupancy ...........	773,650	2,027,186	-1,277,501	23,965
17	Travel ............	433,735	395,269	32,891	5,575
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	62,812	39,657	15,574	7,581
20	Interest ...........	261,320	255,311	3,318	2,691
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	1,002,088	979,046	12,723	10,319
23	Insurance ...	151,796	3,316	148,480
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	REPAIRS AND MAINTENANCE	188,909	8,489	180,420
b	MINOR EQUIPMENT	112,170	93,202	18,043	925
c	MAINTENANCE CONTRACTS	40,951		40,951
d	EQUIPMENT RENTAL AND RE	8,869	7,907	481	481
e	All other expenses	55,577	55,077		500
25	Total functional expenses. Add lines 1 through 24e	10,535,987	8,134,743	1,743,290	657,954
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			300	1	300
2	Savings and temporary cash investments .........			936,275	2	2,647,299
3	Pledges and grants receivable, net ......			6,301	3	1,065,119
4	Accounts receivable, net .............			334,521	4	316,533
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			1,914	8	1,771
9	Prepaid expenses and deferred charges ......			185,454	9	214,845
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	57,398,805
b	Less: accumulated depreciation	10b	30,346,793	21,350,492	10c	27,052,012
11	Investments—publicly traded securities .			2,919,376	11	3,319,122
12	Investments—other securities. See Part IV, line 11 .....			57,551,671	12	58,501,169
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			38,175	15	36,973
16	Total assets. Add lines 1 through 15 (must equal line 33)...			83,324,479	16	93,155,143

17	Accounts payable and accrued expenses .....	1,250,759	17	1,660,318
18	Grants payable ...		18
19	Deferred revenue .........	140,282	19	114,805
20	Tax-exempt bond liabilities .........	7,618,687	20	9,782,382
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24	63,902
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	18,799	25	12,300
26	Total liabilities. Add lines 17 through 25..	9,028,527	26	11,633,707

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	74,295,952	32	81,521,436
33	Total liabilities and net assets/fund balances ........	83,324,479	33	93,155,143