2021-11-15T15:50:04-06:00 2020-12-31 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2020-01-01 237051021 SIGHTLIFE SIGH 2066828500 1200 6TH AVENUE NO 300 SEATTLE WA 98101 JOHN GEBHART CFO 2066828500 2021-11-15 1 JOHN GEBHART 999009999 SARA ELIZABETH JONES HYRE P00235495 4254544919 2021-11-15 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z JAMES MCCORKLE 1200 6TH AVENUE NO 300 SEATTLE WA 98101 16633348 0 X WWW.SIGHTLIFE.ORG X 1969 WA WE SERVE AS A GLOBAL LEADER AND PARTNER TO ELIMINATE CORNEAL BLINDNESS. 10 8 189 8 0 0 1684436 2148723 20744865 14419037 126959 40061 0 25527 22556260 16633348 864006 545552 0 0 14413786 13522933 0 0 840870 9257495 7734588 24535287 21803073 -1979027 -5169725 26613840 23044860 6250793 6973166 20363047 16071694 WE SERVE AS A GLOBAL LEADER AND PARTNER TO ELIMINATE CORNEAL BLINDNESS. 0 0 15765196 14403502 FOUNDED IN 1969, THE SIGHTLIFE EYE BANK IS THE ORGANIZATION'S MOST RECOGNIZED PROGRAM. TO DATE, SIGHTLIFE EYE BANK HAS PROVIDED CORNEAL TISSUE FOR APPROXIMATELY 36,294 SIGHT-RESTORING TRANSPLANTS AND HAS BECOME PROMINENT AS A LEADER AND PARTNER WITHIN THE EYE BANK COMMUNITY. AS ONE OF THE LEADING EYE BANKS IN THE WORLD, IT PROVIDES RECOVERY OF CORNEAL TISSUE FOR TRANSPLANT, DONATION SERVICES, RESEARCH SUPPORT AND FAMILY SUPPORT PROGRAMS. IT ALSO IS A SIGNIFICANT PROVIDER OF WHOLE EYE GLOBES AND SCLERA FOR RESEARCH INTO EYE DISEASES, WORKING TO MAKE THE ELIMINATION OF TREATABLE CORNEAL BLINDNESS A REALITY. 545552 545552 THE GLOBAL EYE BANK DEVELOPMENT INITIATIVE LEVERAGES OUR EXPERTISE AND RESOURCES TO ADDRESS WORLDWIDE CORNEA BLINDNESS BY PROMOTING THE GROWTH OF PROFESSIONAL EYE BANKS AROUND THE WORLD THAT ARE SCALABLE, SUSTAINABLE AND OF HIGH QUALITY. ESTABLISHED IN 2009, THIS INITIATIVE PROVIDES STRATEGIC, TECHNICAL AND FINANCIAL ASSISTANCE TO EYE BANK PARTNERS IN DEVELOPING COUNTRIES. 52822 15535 THE NORTHWEST LIONS FOUNDATION (NLF) IS AN OPERATING UNIT OF SIGHTLIFE. NLF OVERSEES THE LIONS COMMUNITY SERVICE PROGRAMS. THESE PROGRAMS INCLUDE THE LIONS HEALTH SCREENING UNIT, THE LIONS HEARING AID BANK, AND PROJECT SUPPORT & PATIENT CARE GRANTS. ADDITIONALLY, THE NLF PROVIDED MANY OTHERS WITH FINANCIAL ACCESS TO MEDICAL PROCEDURES AND HEARING AIDS. NLF SPONSORS VARIOUS FUNDRAISING INITIATIVES TO SUPPORT THESE PROGRAMS. 16363570 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0 0 1 1 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 40 0 189 1 0 1 IN 0 0 0 0 0 0 0 0 0 0 X 10 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 WA CA AK OR X X JOHN GEBHART 2066828500 1200 6TH AVENUE SUITE 300 SEATTLE WA 98101 CLAIRE BONILLA CEO 40.00 0.10 X X 303579 0 28081 JAMES MCCORKLE CHIEF OPERATING OFFICER 40.00 0.00 X 204688 0 32912 LYNN LASOF CHIEF FINANCIAL OFICER 40.00 0.00 X 193002 0 30508 PAUL LABARRE SR VP OF INNOVATION 40.00 0.00 X 183373 0 30508 AMY PEARSON-WALES SR VP OF COMMUNICATIONS 40.00 0.00 X 156596 0 19322 ANDREA CROSSON SR DIR DONOR OPERATIONS 40.00 0.00 X 120828 0 34725 JOSIE NOAH CHIEF GLOBAL OFFICER 40.00 0.00 X 132132 0 22351 ANDREA CALLIS DIR OF CORP ENGAGEMENT 40.00 0.00 X 133126 0 11736 PATRICK EMERY VP ASIA AND ETHIOPIA 40.00 0.00 X 124275 0 14128 ANDRE MUELLER CONTROLLER THROUGH 12/20 40.00 0.00 X 100976 0 7627 JOHN GEBHART TREASURER 3.00 0.00 X X 31540 0 0 BILL LUNDIN CHAIR & NWLF DIRECTOR 15.00 0.00 X X 0 0 0 APRIL STEINERT VICE CHAIR THRU 04/20 3.00 0.00 X X 0 0 0 SAPPHIRA GORADIA SECRETARY 3.00 0.00 X X 0 0 0 MARJAN FARID DIRECTOR 1.50 0.00 X 0 0 0 RICHARD P FOX DIRECTOR 1.50 0.00 X 0 0 0 SANJAY CHHEDA DIRECTOR 1.50 0.00 X 0 0 0 JANE RADY DIRECTOR 1.50 0.00 X 0 0 0 AUDREY TALLEY ROSTOV MD DIRECTOR 1.50 0.00 X 0 0 0 CLIFFORD SLAINGER MD DIRECTOR 1.50 0.00 X 0 0 0 1684115 0 231898 10 0 1 0 SLALOM LLC 821 2ND AVE STE 1900 SEATTLE WA 981041526 BUSINESS CONSULTING 216195 BRIDGEPOINT CONSULTING 7076 SOLUTIONS CTR CHICAGO IL 606777000 IMPLEMENTATION CONSULTANTS 180630 BLOODWORKS NORTHWEST 921 TERRY AVE SEATTLE WA 981041239 BLOOD BANK 160007 3 152430 1996293 9430 2148723 SIGHTLIFE EYE BANKS 900099 14403502 14403502 NW LIONS FOUNDATION 900099 15535 15535 14419037 36061 36061 4000 0 4000 4000 4000 UBI TAX REFUND 900099 20463 20463 REIMBURSEMENTS 900099 6195 6195 -1131 -1131 25527 16633348 14419037 0 65588 97391 97391 448161 448161 1192674 994389 154403 43882 9808739 9267822 130736 410181 126638 -3922 130623 -63 1682451 50523 1631356 572 712431 -3512 716037 -94 50076 1946 48130 118991 118991 1647810 998971 336312 312527 20080 16115 3000 965 214948 93350 107668 13930 1222861 970302 203889 48670 631374 230480 400894 71536 56936 6984 7616 7319 3950 3369 36144 4015 32129 428467 100094 328373 142258 142258 TISSUE PROCESSING 1664403 1665061 -658 LAB SUPPLIES 1166411 1154565 11846 DUES & SUBSCRIPTIONS 144188 132446 11538 204 LIONS PROGRAM 52821 52821 114901 31666 80755 2480 21803073 16363570 4598633 840870 892625 483756 1164617 5452800 186590 65343 666131 3395650 179620 202173 302276 329784 7443530 5019683 3188252 2423847 1492671 1488855 17158700 7676715 1382358 1525937 26613840 23044860 2675946 2559998 153452 0 1400000 556233 0 2247500 2021395 1609435 6250793 6973166 X 19166298 14796192 1196749 1275502 20363047 16071694 26613840 23044860 X -5169725 66721 811651 X 0 0 0 X 8344324 1330004 2863026 1684436 2148723 16370513 39248250 20770746 20588633 20744865 14419037 115771531 47592574 22100750 23451659 22429301 16567760 132142044 1287562 1388079 1815742 110015 354430 4955828 7039753 11217434 19610776 18910924 12741957 69520844 8327315 12605513 21426518 19020939 13096387 74476672 57665372 31266 23869 697007 28334 36061 816537 31266 23869 697007 28334 36061 816537 136655 45719 467115 25527 675016 47760495 22170338 24615781 22457635 16629348 133633597 0.43150 0.56150 0.00610 0.00520 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE - 2016 AMOUNT: $ 33,598. 2018 AMOUNT: $ 3,429. 2020 AMOUNT: $ -1,131. ADMINISTRATIVE SERVICES - 2016 AMOUNT: $ 103,057. REIMBURSEMENTS - 2017 AMOUNT: $ 45,719. 2018 AMOUNT: $ 55,686. 2020 AMOUNT: $ 6,195. BO REFUND - 2018 AMOUNT: $ 408,000. UBI TAX REFUND - 2020 AMOUNT: $ 20,463. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5828328 3624412 2203916 1070004 873965 196039 545198 521306 23892 2423847 INVESTMENT IN CORNEAGEN, INC. 7676715 F 7676715 PERPETUAL TRUST 1328628 DEPOSITS 197309 1525937 EQUIPMENT LEASE LIABILITIES 28505 LEASE INCENTIVE LIABILITY 953625 RENT LIABILITY 627305 1609435 0 EAST ASIA AND THE PACIFIC 0 0 GLOBAL PROGRAM DEVELOPMENT TRAVEL, TRAINING AND CONSULTING PROVIDED TO PROMOTE EYE BANKING 262380 SOUTH ASIA 0 0 GLOBAL PROGRAM DEVELOPMENT TRAVEL, TRAINING AND CONSULTING PROVIDED TO PROMOTE EYE BANKING 135484 SOUTH AMERICA 0 0 GLOBAL PROGRAM DEVELOPMENT TRAVEL, TRAINING AND CONSULTING PROVIDED TO PROMOTE EYE BANKING 85 SUB-SAHARAN AFRICA 0 0 GLOBAL PROGRAM DEVELOPMENT TRAVEL, TRAINING AND CONSULTING PROVIDED TO PROMOTE EYE BANKING 26 SUB-SAHARAN AFRICA 0 0 GRANTMAKING EYEBANK DEVELOPMENT AND CAPACITY 10533 SOUTH ASIA 0 0 GRANTMAKING EYEBANK DEVELOPMENT AND CAPACITY 437628 0 0 0 0 0 0 846136 0 846136 SOUTH ASIA SUPPORT EYE BANK DEVELOPMENT AND OPERATIONS 423950 WIRE TRANSFER SUB-SAHARAN AFRICA SUPPORT EYE BANK DEVELOPMENT AND OPERATIONS 10533 WIRE TRANSFER SOUTH ASIA SUPPORT OPERATIONS 12868 WIRE TRANSFER 3 0 1 0 1 0 0 0 PART I, LINE 2: A MEMO OF UNDERSTANDING IS SIGNED BY SIGHTLIFE AND THE NON-US ENTITY DESCRIBING PERFORMANCE OBJECTIVES AND THE PROJECTED PAYMENT SCHEDULE. PERFORMANCE AGAINST THE OBJECTIVES IS MONITORED THROUGHOUT THE YEAR, INCLUDING REVIEW BY A SIGHTLIFE GLOBAL DIRECTOR AND APPROVAL BY THE CHIEF GLOBAL OFFICER. AS OBJECTIVES ARE ACHIEVED, PAYMENTS ARE MADE BY SIGHTLIFE TO THE NON-US ENTITY. PART I, LINE 3: PER FORM 990 INSTRUCTIONS, THE ACCRUAL METHOD OF ACCOUNTING WAS USED. PART III ACCOUNTING METHOD: SCHEDULE F, PART IV, LINE 1: FORM 926 IS NOT REQUIRED TO BE FILED BECAUSE THE TRANSFER TO A FOREIGN CORPORATION DOES NOT MEET THE REPORTING REQUIREMENTS IN THE IRC SEC. 6038(A)(1)(A). 1 LILAC SERVICES FOR THE BLIND 1212 NORTH HOWARD SPOKANE WA 99201 237121726 501(C)(3) 8000 GENERAL SUPPORT. WASHINGTON STATE SCHOOL FOR THE BLIND 2214 EAST 13TH ST VANCOUVER WA 98661 916001117 501(C)(3) 11800 GENERAL SUPPORT. SEVA FOUNDATION 1786 5TH ST BERKELEY CA 94710 910564751 501(C)(3) 21425 GENERAL SUPPORT. SPOKANE CENTRAL LIONS ACTIVITIES FOUNDATION 1212 NORTH HOWARD SPOKANE WA 99201 916074613 501(C)(3) 7850 GENERAL SUPPORT. VISION FOR INDEPENDENCE CENTER 311 N 4TH ST SUITE 104 YAKIMA WA 98901 205900432 501(C)(3) 15500 GENERAL SUPPORT. 5 0 PART I, LINE 2: FOR GRANTS MADE FOR OR ON BEHALF OF PATIENTS, AN APPLICATION IS PRESENTED TO THE PHILANTHROPY COMMITTEE OF THE NORTHWEST LIONS FOUNDATION (NLF) FOR CONSIDERATION. EACH APPLICATION IS CONSIDERED ON ITS MERITS AND IN CONJUNCTION WITH THE OVERALL APPROVED BUDGETARY LEVEL. AFTER APPROVAL, THE COMMITTEE RECOMMENDS APPROVAL OF EACH GRANT TO THE NLF BOARD OF TRUSTEES. COSTS ARE USUALLY SHARED BETWEEN THE SPONSORING LIONS CLUBS AND NLF. ORGANIZATIONAL GRANTS ARE CONSIDERED ON A CASE BY CASE BASIS AND MONITORED VIA ANNUAL REPORTS FROM SUPPORTED ORGANIZATIONS. X X X X X X 0 0 0 0 0 0 0 1 0 CLAIRE BONILLA CEO 303579 0 0 0 0 0 8759 0 19322 0 331660 0 0 0 JAMES MCCORKLE CHIEF OPERATING OFFICER 204688 0 0 0 0 0 2404 0 30508 0 237600 0 0 0 LYNN LASOF CHIEF FINANCIAL OFICER 193002 0 0 0 0 0 0 0 30508 0 223510 0 0 0 PAUL LABARRE SR VP OF INNOVATION 183373 0 0 0 0 0 0 0 30508 0 213881 0 0 0 AMY PEARSON-WALES SR VP OF COMMUNICATIONS 156596 0 0 0 0 0 0 0 19322 0 175918 0 0 0 ANDREA CROSSON SR DIR DONOR OPERATIONS 120828 0 0 0 0 0 4217 0 30508 0 155553 0 0 0 JOSIE NOAH CHIEF GLOBAL OFFICER 132132 0 0 0 0 0 3792 0 18559 0 154483 0 0 0 PART I, LINE 7 SIGHTLIFE PROVIDES A VARIABLE COMPENSATION PROGRAM FOR ALL ITS EMPLOYEES. THE PROGRAM IS STRUCTURED TO INCENT AND REWARD EMPLOYEES FOR COLLECTIVELY ACHIEVING OPERATIONAL AND STRATEGIC OBJECTIVES TOWARD ADVANCING THE ORGANIZATION'S MISSION. THE AMOUNT OF COMPENSATION IS VARIABLE, RANGING BETWEEN 0-5% FOR ALL NON-EXEMPT EMPLOYEES AND 0-15% FOR ALL EXEMPT EMPLOYEES. SIGHTLIFE'S BOARD OF DIRECTORS IS RESPONSIBLE FOR REVIEW AND APPROVAL OF THE PROGRAM BASED ON ORGANIZATION'S PERFORMANCE AGAINST PREDETERMINED OBJECTIVES. AS OF OCTOBER 2016, UPON THE FORMATION OF CORNEAGEN, COMPENSATION OF CERTAIN INDIVIDUALS WAS TRANSFERRED TO THE RESPONSIBILITY OF CORNEAGEN. SCHEDULE J, PART II: THE AMOUNTS LISTED IN PART II, COLUMN (B)(I) INCLUDE BONUS/INCENTIVE COMPENSATION PAID TO LISTED EMPLOYEES. DUE TO LACK OF ADEQUATE INFORMATION AND TIME CONSTRAINTS, THE BREAKOUT OF THIS INFORMATION WAS NOT READILY AVAILABLE AND THEREFORE WAS INCLUDED AS PART OF BASE COMPENSATION ON THIS SCHEDULE. FORM 990, PART 1, LINE 6: THE HEALTH SCREENING VAN REQUIRES VOLUNTEER HELP TO PROCESS EYE, HEARING, GLAUCOMA AND DIABETES TESTS DURING EACH DAY THE VAN IS SCHEDULED FOR A SCREENING VISIT. VOLUNTEERS IN THE SPOKANE AREA TRANSPORT DONATED TISSUE TO AND FROM THE AIRPORT. VOLUNTEERS SUBMIT, REVIEW AND APPROVE PATIENT CARE GRANTS FOR SIGHT AND HEARING AIDS. THE NUMBER OF VOLUNTEERS ALSO INCLUDES THE UNCOMPENSATED BOARD AND COMMITTEE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE SIGHTLIFE FORM 990 IS DEVELOPED BY INTERNAL STAFF WITH THE ASSISTANCE OF AN INDEPENDENT ACCOUNTING FIRM. THE DOCUMENT IS THEN REVIEWED BY THE ORGANIZATION'S MANAGEMENT, FOLLOWED BY A REVIEW BY THE ORGANIZATION'S FINANCE/AUDIT COMMITTEE CHAIR FOR REVIEW AND APPROVAL, THE DOCUMENT IS THEN PROVIDED TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C ALL NEW SIGHTLIFE EMPLOYEES ARE REQUIRED TO REVIEW AND ACKNOWLEDGE COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. EACH OFFICER, DIRECTOR AND KEY EMPLOYEE IS REQUIRED TO ANNUALLY REVIEW AND AFFIRM COMPLIANCE WITH THE POLICY. AN OFFICER OR DIRECTOR IS EXPECTED TO REPORT ANY MATERIAL ACTUAL OR POTENTIAL CONFLICT TO THE FULL BOARD OF DIRECTORS FOR THEIR DETERMINATION AND ENFORCEMENT. LIKEWISE, ANY ACTUAL OR POTENTIAL CONFLICT ON BEHALF OF A SIGHTLIFE EMPLOYEE WILL BE COMMUNICATED TO EXECUTIVE MANAGEMENT FOR INVESTIGATION AND RESOLUTION. IF A CONFLICT EXISTS, THE OFFICER OR TRUSTEE SHALL RECUSE THEMSELVES FROM VOTING ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE SIGHTLIFE CEO IS REVIEWED AND SET ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. FACTORS INCLUDE A COMPREHENSIVE PERFORMANCE FEEDBACK ASSESSMENT AND A REVIEW OF MARKET DATA. INDEPENDENT CONSULTANTS ARE ALSO ENGAGED PERIODICALLY, THE LAST BEING IN APRIL 2018. THE SIGHTLIFE CEO IS RESPONSIBLE FOR SETTING AND REVIEWING THE COMPENSATION OF THE ORGANIZATION'S SENIOR MANAGEMENT. FACTORS CONSIDERED INCLUDE MARKET COMPENSATION DATA, PERIODIC INDEPENDENT COMPENSATION ANALYSIS AND INDIVIDUAL PERFORMANCE AGAINST OPERATIONAL OBJECTIVES. FORM 990, PART VI, SECTION C, LINE 19 SIGHTLIFE PROVIDES PUBLIC ACCESS TO ITS GOVERNING DOCUMENTS AND FINANCIAL INFORMATION THROUGH ITS WEBSITE. INFORMATION IS ALSO MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF PERPETUAL TRUST 196,899. LOSS IN EQUITY INVESTMENT 518,015. REVERSAL OF PRIOR YEAR GRANT EXPENSE 96,737. AUDIENT LLC 1200 6TH AVENUE SUITE 300 SEATTLE WA 98101 201893196 PROVIDES HEARING AIDS FOR LOW INCOME PATIENTS WA 0 0 SIGHTLIFE SIGHTLIFE HOLDINGS LLC 1200 6TH AVENUE SUITE 300 SEATTLE WA 98101 811156206 EYE BANK FACILITY WA 0 0 SIGHTLIFE CORNEAL SOLUTIONS LLC 1200 6TH AVENUE SUITE 300 SEATTLE WA 98101 604019115 HOLDING COMPANY WA 0 0 SIGHTLIFE NORTHWEST LIONS ENDOWMENT 1200 6TH AVENUE SUITE 300 SEATTLE WA 98101 412189873 TO SUPPORT THE CHARITABLE AND LIONS ACTIVITIES OF SIGHTLIFE WA 501(C)(3) LINE 12A, I SIGHTLIFE 1 SIGHTLIFE INDIA C-11 QUTUB INSTITUTIONAL AREA NEW DELHI DELHI IN 110016 ASSIST THE DEVELOPMENT AND GROWTH OF EYE BANKS IN INDIA IN 501(C)(3) SIGHTLIFE 1 SIGHTLIFE CANADA SOCIETY 1200 WATERFRONT CENTRE VANCOUVER BRITISH COLUMBIA CA V7X1T2 PROMOTE GLOBAL DVLPMT OF ORGS WHO PROVIDE CORNEAL TRANSPLANT CA SIGHTLIFE C 1.00000 1 SIGHTLIFE ADVISORY PRIVATE LIMITED C1-404 UNIWORLD CITY WEST SECTOR GURGAON IN 122001 ASSIST THE DVLPMT AND GROWTH OF EYE BANKS IN INDIA IN SIGHTLIFE C 0.99990 1 CORNEAL SOLUTIONS LTD SUITE 1605 JARDINE HOUSE 1 CONNAU CENTRAL HK OPERATE PROGRAMS OVERSEAS HK N/A C 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 1 SIGHTLIFE INDIA R 423950 CASH