2013-04-10T14:49:13-05:00 2012-09-30 454084437 WARREN AVERETT LLC 2500 ACTON ROAD BIRMINGHAM AL 35243 990 2011-10-01 630288847 LAKESHORE FOUNDATION LAKE 2053137413 4000 RIDGEWAY DRIVE BIRMINGHAM AL 35209 JEFF UNDERWOOD 2053137413 2013-04-03 1 P00081132 2059794100 2011 2016-02-25 16:41:14Z JEFF UNDERWOOD 4000 RIDGEWAY DRIVE BIRMINGHAM AL 35209 236610047 0 X WWW.LAKESHORE.ORG X 1923 AL TO ENABLE PEOPLE WITH PHYSICAL DISABILITY AND CHRONIC HEALTH CONDITIONS TO LEAD HEALTHY, ACTIVE AND INDEPENDENT LIFESTYLES THROUGH PHYSICAL ACTIVITY, SPORT, RECREATION AND RESEARCH. 35 31 131 137 -16 0 1588602 1298999 994420 1048513 1842372 16219846 2339053 2304122 6764447 20871480 0 0 0 0 3478526 3926716 0 0 345924 3928404 3792830 7406930 7719546 -642483 13151934 78087453 80876391 17267580 14109860 60819873 66766531 TO ENABLE PEOPLE WITH PHYSICAL DISABILITY AND CHRONIC HEALTH CONDITIONS TO LEAD HEALTHY, ACTIVE AND INDEPENDENT LIFESTYLES THROUGH PHYSICAL ACTIVITY, SPORT, RECREATION AND RESEARCH. 0 0 2132651 0 494763 FITNESS, PERSONAL TRAINING AND AQUATICS - LAKESHORE FOUNDATION OFFERS MORE THAN 50 FITNESS AND AQUATICS CLASSES DESIGNED TO IMPROVE THE HEALTH AND WELL-BEING OF PEOPLE WITH A WIDE RANGE OF PHYSICAL DISABILITIES AND CHRONIC HEALTH CONDITIONS. LAKESHORE ALSO PROVIDES AN OPPORTUNITY FOR SELF-DIRECTED, INDIVIDUAL FITNESS AND AQUATICS WORKOUTS, AS WELL AS FEE-BASED PERSONAL TRAINING SERVICES. HEALTH PROMOTION ACTIVITIES INCLUDE PROGRAMS THAT ENCOURAGE FITNESS AND ENHANCE THE ABILITY TO LIVE A HEALTHY ACTIVE LIFE. HEALTH PROMOTION PROGRAMS ALSO PROVIDE INFORMATION ON NUTRITION AND THE EMPOWERMENT OF INDIVIDUALS TO TAKE PERSONAL OWNERSHIP OF HEALTH AND WELLNESS CHOICES. 3057672 0 408245 RECREATION, ATHLETICS AND MILITARY PROGRAMS - LAKESHORE OFFERS YEAR-ROUND RECREATION PROGRAMS AND COMPETITIVE SPORTS TEAMS AND EVENTS THAT PROVIDE AN OUTLET FOR COMPETITIVE DRIVE AND CONTRIBUTE TO PARTICIPANTS' HEALTH AND WELL-BEING. THE ATHLETICS AND RECREATION AREAS SUPPORTED 11 LOCAL ATHLETIC TEAMS AND HOSTED 10 ATHLETIC COMPETITIONS, IN ADDITION TO ONGOING RECREATIONAL ACTIVITIES FOR CHILDREN AND ADULTS. LAKESHORE ALSO OFFERS RESIDENTIAL SPORTS AND RECREATION CAMPS FOR RECENTLY INJURED U.S. MILITARY PERSONNEL AND THEIR FAMILY MEMBERS THAT HELP THEM REGAIN HEALTHY, ACTIVE AND INDEPENDENT LIVES. MILITARY PROGRAMS, INCLUDING ACCOMMODATIONS AND TRANSPORTATION, ARE PROVIDED AT NO COST TO INJURED MILITARY MEMBERS. 670147 0 103281 RESEARCH - LAKESHORE FOUNDATION'S RESEARCH & EDUCATION DEPARTMENT PERFORMS PROGRAM EVALUATION AND APPLIED RESEARCH 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. THE RESEARCH AREA EVALUATES PROGRAMS, SURVEYS CLIENTS AND CONDUCTS RESEARCH PROJECTS IN ORDER TO DEMONSTRATE THE OUTCOMES OF OUR PROGRAMS AND TO MOTIVATE INDIVIDUALS TO WORK HARD. THROUGH PROFESSIONAL PUBLICATIONS, CONFERENCES AND COLLABORATIVE EFFORTS, PROGRAMS AND MODELS OF PHYSICAL ACTIVITY FOR PEOPLE WITH PHYSICAL DISABILITIES ARE SHARED WORLDWIDE. 263778 0 42224 263778 42224 6124248 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 0 0 1 39 0 1 131 1 0 0 0 0 0 1 1 0 0 0 0 X 35 31 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X CATHY C MILLER 2053137413 4000 RIDGEWAY DRIVE BIRMINGHAM AL 35209 WILLIAM P ACKER III 0.70 X 0 0 0 TOM ANGELILLO 0.70 X 0 0 0 WALTER M BEALE JR 1.20 X 0 0 0 SLADE BLACKWELL 0.20 X 0 0 0 DUNCAN BLAIR 0.30 X 0 0 0 DELL BROOKE 0.30 X 0 0 0 ROBERT O BURTON 0.30 X 0 0 0 THOMAS N CARRUTHERS JR 0.50 X 0 0 0 LINDA COLEMAN 0.20 X 0 0 0 ROBERT M COUCH 0.50 X 0 0 0 DERROL DAWKINS MD 0.30 X 0 0 0 GARRY L GAUSE 0.30 X 0 0 0 BRENDA HACKNEY 0.60 X 0 0 0 WILL HANCOCK 0.70 X 0 0 0 BILL HORTON 0.50 X 0 0 0 AIMEE B JACKSON 0.30 X 0 0 0 GREG JOHNSTON 0.50 X 0 0 0 CATHERINE SLOSS JONES 0.60 X 0 0 0 CARRIE KURLANDER 0.30 X 0 0 0 BENNY LARUSSA JR 0.60 X 0 0 0 JAMES E LIVINGSTON 0.20 X 0 0 0 SCOTT MCBRAYER 0.20 X 0 0 0 ROBERT MCKENNA PHD 0.70 X 0 0 0 AUBREY S MILLER 0.30 X 0 0 0 JEAN H MILLER 0.30 X 0 0 0 MICHAEL L PATTERSON 0.70 X 0 0 0 ANN M PURDY 0.60 X 0 0 0 TOM SHUFFLEBARGER 0.60 X 0 0 0 ROBERT SPOTSWOOD 0.60 X 0 0 0 MICHAEL E STEPHENS 0.70 X 0 0 0 ANDRE TAYLOR 1.20 X 0 0 0 ROBERT A WASON IV 0.60 X 0 0 0 LINDA WILDER 0.40 X 0 0 0 TERRI Q WILLIAMS 0.60 X 0 0 0 PETER T WORTHEN 0.90 X 0 0 0 JEFF UNDERWOOD 40.00 X 211918 0 14692 CATHY MILLER 40.00 X 138315 0 13604 BETH CURRY 40.00 X 138078 0 13010 488311 0 41306 3 0 1 0 HEALTHSOUTH LAKESHORE 3800 RIDGEWAY DRIVE BIRMINGHAM AL 35209 PROFESSIONAL SERVICE/MAINTENANCE CONTRAC 370817 BLUE CROSS BLUE SHIELD PO BOX 360037 BIRMINGHAM AL 35236 HEALTH INSURANCE 292169 CANTERBURY TRUST 800 SHADES CREEK PARKWAY SUITE 325 BIRMINGHAM AL 35209 ACCOUNTING, CONSULTING & INVESTMENT MANA 292139 COTTAGE BUILDERS INC 431 OFFICE PARK DRIVE BIRMINGHAM AL 35223 CONSTRUCTION OF THE COTTAGES 244535 MCGRIFF SEIBELS & WILLIAMS DRAWER 456 PO BOX 10265 BIRMINGHAM AL 352020265 INSURANCE 242801 7 6386 137904 50000 332566 772143 35758 1298999 MEMBERSHIP DUES 713900 828652 828652 ATHLETIC EVENTS 713900 111766 111766 TRAINING SITE 713900 42224 42224 ATHLETICS 713900 22030 22030 RECREATION 713900 15108 15108 28733 28733 1048513 741208 741208 2745745 411150 2334595 2334595 2334595 230751827 2690 215273556 2323 15478271 367 15478638 15478638 15004 137904 51465 -36461 -36461 57 73 -16 -16 VENDING REVENUE 900099 4685 4685 1319 1319 6004 20871480 1054517 -16 18517980 529618 181345 314281 33992 2774895 1850816 734326 189753 622203 375398 201143 45662 37761 37761 42409 42409 89259 89259 492798 171484 308550 12764 134376 89606 22134 22636 163964 62293 85987 15684 589091 1484762 -904582 8911 428790 403062 23584 2144 48948 33339 12487 3122 492442 481363 7983 3096 956480 934961 15505 6014 121097 121097 REPAIRS AND MAINTENANCE 85566 2914 82652 0 MAINTENANCE CONTRACTS 42012 2279 38943 790 MINOR EQUIPMENT 37053 24328 11400 1325 ENTRANCE FEES 8812 8812 0 0 21972 17486 4455 31 7719546 6124248 1249374 345924 300 300 1248626 1101117 63283 168450 85726 255812 1613 1540 41719 12813 48297109 25493407 23488721 22803702 5764010 0 47120193 56279624 273262 253033 78087453 80876391 2635486 786956 1691261 1186401 12833549 12106161 107284 30342 17267580 14109860 X 60129687 66012091 572683 635787 117503 118653 60819873 66766531 78087453 80876391 X 13151934 -7205276 X X 0 1 1 X 0 X 2469356 912083 2032395 1588602 1298999 8301435 2469356 912083 2032395 1588602 1298999 8301435 8301435 4669371 4251842 3787144 3917293 3486953 20112603 46482 236525 57386 35487 21008 396888 28810926 0.28810 0.26630 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8343667 268356 88830 588419 8112434 8683333 460759 68823 869248 8343667 8524046 3118565 138453 3097731 8683333 11013391 642037 231306 3362688 8524046 0.91000 0.01000 0.08000 0 0 16176 195000 211176 6886809 26800488 12823602 20863695 3137534 1050639 3376234 811939 6637190 2070352 8074331 633211 998892 504029 1219240 283681 22803702 CORPORATE OBLIGATIONS-LEHMAN BROTHERS 57500 F HEDGE FUNDS AND ALTERNATIVE INVESTMENTS 5843815 C GOLDMAN SACH INSTITUTIONAL MONEY MARKET 38474 F REGIONS TRUST CASH SWEEP 1173261 F EQUITY MUTUAL FUNDS 20971276 F BALANCED MUTUAL FUNDS 1803387 F FIXED INCOME MUTUAL FUNDS 9795089 F INTERNATIONAL MUTUAL FUNDS 16596822 F 56279624 OTHER MISCELLANEOUS LIABILITIES 30342 30342 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: PERMANENT ENDOWMENT FOR SCHOLARSHIPS - $118,653 CAPITAL PROJECTS - $0 CAPITAL EQUIPMENT - $10,135 PROGRAM EXPENSES - $625,652 BOARD DESIGNATED FUNDS FOR RESEARCH ACTIVITIES - $7,357,994 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE FOUNDATION AND LAKESHORE SUPPORT ORGANIZATION ACCOUNT FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH THE ACCOUNTING STANDARDS CODIFICATION (ASC). THE FOUNDATION AND THE LAKESHORE SUPPORT ORGANIZATION HAVE DETERMINED THAT THEY DO NOT HAVE ANY TAX POSITIONS AT SEPTEMBER 30, 2012, THAT THEY WOULD BE UNABLE TO SUBSTANTIATE. TAX RETURNS FOR THE FOUNDATION AND LAKESHORE SUPPORT ORGANIZATION WERE FILED THROUGH FISCAL YEAR ENDED SEPTEMBER 30, 2011. TAX RETURNS FOR THE FOUNDATION AND LAKESHORE SUPPORT ORGANIZATION FOR FISCAL YEAR 2009 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION. AMAZING RACE 28273 28273 0 2223 240 1988 0 2826 NIGHT OF CHAMPIONS 98559 87709 10850 0 0 0 6724 0 32109 2 26076 21922 4154 0 0 0 0 0 5355 152908 137904 15004 2223 240 8712 40290 51465 -36461 X X X X X 0 0 0 0 0 0 0 0 0 JEFF UNDERWOOD 177231 0 34687 0 0 0 5594 0 10244 0 227756 0 0 0 CATHY MILLER 127303 0 11012 0 0 0 4569 0 10180 0 153064 0 0 0 BETH CURRY 127403 0 10675 0 0 0 4093 0 10063 0 152234 0 0 0 THE MEDICAL CLINIC BOARD OF THE CITY OF HOMEWOOD 636001295 437891BW3 2005-09-08 9214345 REFUNDING OF BONDS ISSUED 11/10/1999 0 0 0 THE MEDICAL CLINIC BOARD OF THE CITY OF HOMEWOOD 636001295 437891CP7 2009-09-29 6493527 REFUNDING OF BONDS ISSUED 11/15/2000 0 0 0 9214345 9032069 182276 2001 0 1 1 1 6493527 6365420 128107 2001 1 0 1 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0 1 0 0 0 0 0 1 HEALTHSOUTH INC BD MEMBER, LINDA WILDER, PRESIDENT SOUTHEAST REGION HEALTHSOUTH CORP. 1863789 RENTAL INCOME FROM HEALTHSOUTH LAKESHORE HOSPITAL 0 HEALTHSOUTH INC BD MEMBER, LINDA WILDER, PRESIDENT SOUTHEAST REGION HEALTHSOUTH CORP. 289379 SERVICES FROM HEALTHSOUTH HOSPITAL 0 ALABAMA POWER (SOUTHERN COMPANY) BD MEMBER, CARRIE KURLANDER, VICE PRESIDENT COMMUNICATIONS, SOUTHERN CO. 348924 UTILITIES 0 BLUE CROSS BLUE SHIELD (BCBS) BD CHAIR, MICHAEL PATTERSON, ASSOCIATE COUNSEL FOR BCBS 298673 HEALTH INSURANCE COVERAGE FOR EMPLOYEES 0 REGIONS BANK BD MEMBER, BILL HORTON, EXECUTIVE, REGIONS FINANCIAL CORPORATION 6300 BOND TRUSTEE SERVICES 0 REGIONS BANK BD MEMBER, BILL HORTON, EXECUTIVE, REGIONS FINANCIAL CORPORATION 38602 INVESTMENT MANAGEMENT SERVICES 0 REGIONS BANK BD MEMBER, BILL HORTON, EXECUTIVE, REGIONS FINANCIAL CORPORATION 1222225 BOND AND INTEREST PAYMENTS 2005 & 2009 BONDS 0 REGIONS BANK BD MEMBER, BILL HORTON, EXECUTIVE, REGIONS FINANCIAL CORPORATION 1437 CUSTODIAL SERVICES 0 X 2 6458 FMV - STOCK QUOTE X COM. AIRFARE 2 25576 DEPT OF DEFENSE X WHEELCHAIR 1 1500 ESTIMATED VALUE X GIFT CERTIFICATES & CARDS 11 2223 COMPANY INVOICE 0 0 1 0 FORM 990, PART VI, SECTION B, LINE 11 THE PRESIDENT, CHIEF FINANCIAL OFFICER, CHIEF PROGRAM OFFICER AND OTHER EMPLOYEES REVIEW THE RETURN FOR COMPLETENESS AND CORRECTNESS. THE FORM 990 IS PROVIDED TO THE BOARD FOR REVIEW BEFORE THE RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY THE BOARD MEMBERS SIGN THE DISCLOSURE STATEMENT. ACCORDING TO BOARD POLICIES, IF A CONFLICT OF INTEREST IS NOTED, THE BOARD WILL EXAMINE THE UNDERLYING TRANSACTION TO DETERMINE WHETHER IT IS FAIR, REASONABLE AND IN THE BEST INTEREST OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 THE PRESIDENT'S COMPENSATION IS BASED ON THE RESULTS OF AN OUTSIDE COMPENSATION REVIEW. ANNUALLY THE PRESIDENT PRESENTS THE FOUNDATION'S ACCOMPLISHMENT OF GOALS TO THE COMPENSATION COMMITTEE AND CHAIRMAN OF THE BOARD WHO DEVELOP A RECOMMENDATION RELATED TO COMPENSATION. SUBSEQUENT TO THE MEETING OF THE COMPENSATION COMMITTEE THE RECOMMENDATION IS PRESENTED FOR REVIEW AND APPROVAL TO THE EXECUTIVE COMMITTEE. A COMPENSATION REVIEW IS PERFORMED EVERY THREE YEARS BY AN OUTSIDE CONSULTANT. THE REVIEW IS BASED ON INFORMATION FROM A NUMBER OF COMPENSATION SURVEYS AND FORM 990'S OF SIMILAR ORGANIZATIONS. FOR EMPLOYEES REPORTING TO THE PRESIDENT, THE PRESIDENT RECOMMENDS THEIR MERIT INCREASE AND BONUS BASED ON COMPLETION OF A PERFORMANCE REVIEW AND GOALS ESTABLISHED AT THE BEGINNING OF THE YEAR. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -7,205,276. FORM 990, PART XI, LINE 2C THE ORGANIZATION MADE NO CHANGES TO ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. LAKESHORE SUPPORT ORGANIZATION 4000 RIDGEWAY DRIVE BIRMINGHAM AL 35209 260731767 SUPPORT THE PROGRAMS AND ACTIVITIES OF LAKESHORE FOUNDATION AL 501(C)(3) LINE 11A, I N/A 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 LAKESHORE SUPPORT ORGANIZATION C 50000 CASH