2012990

User Manual: 2012990

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OMB No. 1545-0047

Return of Organization Exempt From Income Tax

½½´

Form

I

Department of the Treasury
Internal Revenue Service

D Employer identification number

Doing Business As

Name change

Number and street (or P.O. box if mail is not delivered to street address)

13-1096620

Initial return

111 EAST 59TH STREET

Terminated

City or town, state or country, and ZIP + 4

212 ) 821821 - 9200
(212)

NEW YORK, NY 10022

G Gross receipts $

F Name and address of principal officer: MARK

H(a) Is this a group return for
affiliates?

I

Revenue
Expenses

Yes

No

If "No," attach a list. (see instructions)

527

H(c) Group exemption number

L Year of formation:

1906

I

NY

M State of legal domicile:

Briefly describe the organization's mission or most significant activities:

LIGHTHOUSE INTERNATIONAL IS DEDICATED TO FIGHTING VISION
LOSS THROUGH PREVENTION, TREATMENT AND EMPOWERMENT.
2
3
4
5
6
7a
b

Check this box

I

if the organization discontinued its operations or disposed of more than 25% of its net assets.

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m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm
15,681,017.
mmmmmmmmmmmmm
1,636,512.
mmmmmmmmmmmmm
6,973,528.
mmmmm
630,944.
m m m m m mm mm mm mm mm mm mm 24,922,001.
102,000.
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m m m m m m m m m m m m m m m m m 17,873,160.0
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0
m m m m 4,254,806.
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I mmmmmmmmmmmmmmmm
8,886,860.
26,862,020.
m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm -1,940,019.
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 90,471,699.
m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm 67,132,619.
23,339,080.

Number of voting members of the governing body (Part VI, line 1a)

8
9
10
11
12
13
14
15
16 a

Total number of individuals employed in calendar year 2012 (Part V, line 2a)
Total number of volunteers (estimate if necessary)

Total gross unrelated business revenue from Part VIII, column (C), line 12
Net unrelated business taxable income from Form 990-T, line 34
Contributions and grants (Part VIII, line 1h)

COPY FOR

Program service revenue (Part VIII, line 2g)

Investment income (Part VIII, column (A), lines 3, 4, and 7d)

24.
23.
205.
2,500.
-432,707.
-432,957.

3
4
5
6
7a
7b

Number of independent voting members of the governing body (Part VI, line 1b)

Prior Year

Net Assets or
Fund Balances

34,601,039.
Yes X No

H(b) Are all affiliates included?

J

I

Activities & Governance

E Telephone number

Room/suite

G. ACKERMANN
111 EAST 59TH STREET NEW YORK, NY 10022
X 501(c)(3)
Tax-exempt status:
I
501(c) (
)
(insert no.)
4947(a)(1) or
WWW.LIGHTHOUSE.ORG
J Website:
K Form of organization: X Corporation
Trust
Association
Other
Summary
Part I
1

, 20

LIGHTHOUSE INTERNATIONAL

Address
change

Amended
return
Application
pending

Inspection

, 2012, and ending

C Name of organization
Check if applicable:

Open to Public

The organization may have to use a copy of this return to satisfy state reporting requirements.

A For the 2012 calendar year, or tax year beginning
B

À¾µ¶

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

PUBLIC INSPECTION

Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)

Total revenue - add lines 8 through 11 (must equal Part VIII, column (A), line 12)
Grants and similar amounts paid (Part IX, column (A), lines 1-3)
Benefits paid to or for members (Part IX, column (A), line 4)

Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10)
Professional fundraising fees (Part IX, column (A), line 11e)

Current Year

14,586,320.
1,548,285.
2,540,761.
-444,940.
18,230,426.
130,083.
0
15,495,495.
336,686.

b Total fundraising expenses (Part IX, column (D), line 25)
17
18
19

Other expenses (Part IX, column (A), lines 11a-11d, 11f-24f)

20
21
22

Total assets (Part X, line 16)

Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25)
Revenue less expenses. Subtract line 18 from line 12

Beginning of Current Year

Total liabilities (Part X, line 26)

Net assets or fund balances. Subtract line 21 from line 20

Part II

9,612,366.
25,574,630.
-7,344,204.
End of Year

83,286,844.
66,604,586.
16,682,258.

Signature Block

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true,
correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.

Sign
Here

M
M

Signature of officer

Date

Type or print name and title

Print/Type preparer's name

Preparer's signature

Paid
SCOTT THOMPSETT
Preparer
GRANT
Use Only Firm's name
Firm's address

I
I

Date

THORNTON LLP
666 THIRD AVENUE NEW YORK, NY 10017-4057

May the IRS discuss this return with the preparer shown above? (see instructions)

Check if
selfemployed

PTIN

P00741490
I36-6055558
I 212-599-0100
X
m m m m m m m m m m m m m m m m m m m m Im m m m

9/16/2013

EIN

Phone no.

Yes

For Paperwork Reduction Act Notice, see the separate instructions.

Form

990

No

(2012)

JSA
2E1065 1.000

95826K 700J 9/11/2013

9:20:54 PM

V 12-6.5T

0170657-00013

PAGE 2

LIGHTHOUSE INTERNATIONAL

13-1096620

Form 990 (2012)

Page

Part III
1

Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III
Briefly describe the organization's mission:

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2

X

ATTACHMENT 1

2 Did the organization undertake any significant program services during the year which were not listed on the
X No
prior Form 990 or 990-EZ?
Yes
If "Yes," describe these new services on Schedule O.
3 Did the organization cease conducting, or make significant changes in how it conducts, any program
X No
services?
Yes
If "Yes," describe these changes on Schedule O.
4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by
expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others,
the total expenses, and revenue, if any, for each program service reported.

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4a (Code:

) (Expenses $

2,118,784.

including grants of $

) (Revenue $

53,995.

)

241,297.

)

614,207.

)

REHABILITATION AND YOUTH SERVICES EMPOWER PEOPLE WITH VISION LOSS
TO ENJOY SAFE AND INDEPENDENT LIVES. THESE SERVICES HELP TEENS
BUILD THE CONFIDENCE, SOCIALIZATION AND INDEPENDENT LIVING SKILLS
THEY NEED TO ACHIEVE SUCCESS WHETHER IN SCHOOL AND, ULTIMATELY, AS
ADULTS IN THE WORKING WORLD. CLIENTS ARE TAUGHT ORIENTATION AND
MOBILITY SKILLS WHICH ALLOW THEM TO SAFELY NAVIGATE THE
ENVIRONMENT THEY ARE IN. ADULTS LEARN THE SKILLS AND STRATEGIES
NECESSARY TO MANAGE ACTIVITIES OF DAILY LIVING, INCLUDING
HOUSEHOLD TASKS, FOOD PREPARATION AND COOKING, CLEANING, PERSONAL
GROOMING, MEDICATION MANAGEMENT AND PERSONAL FINANCIAL MANAGEMENT.

4b (Code:

) (Expenses $

4,254,737.

including grants of $

) (Revenue $

THE ETHEL AND SAMUEL J. LEFRAK CHILD DEVELOPMENT CENTER PROVIDES
COMPREHENSIVE EDUCATIONAL SERVICES TO MEET THE INDIVIDUAL NEEDS OF
CHILDREN WITH VISION IMPAIRMENT FROM AGE THREE TO FIVE THROUGH A
UNIQUELY INTEGRATED PRESCHOOL, WHERE CHILDREN WHO ARE VISUALLY
IMPAIRED OR BLIND LEARN ALONGSIDE THOSE WITH FULL SIGHT FOR A MORE
ENRICHED EDUCATIONAL EXPERIENCE FOR ALL.

4c (Code:

) (Expenses $

2,418,138.

including grants of $

) (Revenue $

LOW VISION SERVICES INCLUDE SPECIALIZED EYE EXAMINATIONS BY
OPTOMETRISTS SPECIALIZING IN LOW VISION TO EVALUATE A PERSON'S
REMAINING VISION AND OVERALL VISUAL FUNCTION. THE GOALS OF WHICH
ARE TO MAXIMIZE EXISTING VISION - OFTEN WITH THE USE OF PRESCRIBED
OPTICAL DEVICES AND TECHNOLOGY- AND TO ENHANCE PATIENT'S QUALITY
OF LIFE AT ANY AGE.

ATTACHMENT 2
4d Other program services (Describe in Schedule O.)
(Expenses $
) (Revenue $
10,028,440. including grants of $
130,083.
18,820,099.
4e Total program service expenses
JSA
2E1020 2.000

I

638,786.

)
Form

95826K 700J 9/11/2013

9:20:54 PM

V 12-6.5T

0170657-00013

990 (2012)
PAGE 3

LIGHTHOUSE INTERNATIONAL

13-1096620

Form 990 (2012)

Part IV

Page
Yes

1

Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes,"
complete Schedule A
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)?
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to
candidates for public office? If "Yes," complete Schedule C, Part I
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h)
election in effect during the tax year? If "Yes," complete Schedule C, Part II
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues,
assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors
have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If
"Yes," complete Schedule D, Part I
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part III
Did the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as a
custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or
debt negotiation services? If "Yes," complete Schedule D, Part IV
Did the organization, directly or through a related organization, hold assets in temporarily restricted
endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part V
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI,
VII, VIII, IX, or X as applicable.
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes,"
complete Schedule D, Part VI
Did the organization report an amount for investments-other securities in Part X, line 12 that is 5% or more
of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII
Did the organization report an amount for investments-program related in Part X, line 13 that is 5% or more
of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets
reported in Part X, line 16? If "Yes," complete Schedule D, Part IX
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X

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2
3
4
5

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6

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7
8
9

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10
11
a
b
c
d

3

Checklist of Required Schedules

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e
f Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses

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the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X

12 a Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes,"
complete Schedule D, Parts XI and XII
b Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if
the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional

13 Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
14 a Did the organization maintain an office, employees, or agents outside of the United States?
b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking,
fundraising, business, investment, and program service activities outside the United States, or aggregate
foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV
15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any
organization or entity located outside the United States? If "Yes," complete Schedule F, Parts II and IV
16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance
to individuals located outside the United States? If "Yes," complete Schedule F, Parts III and IV
17 Did the organization report a total of more than $15,000 of expenses for professional fundraising services
on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions)
18 Did the organization report more than $15,000 total of fundraising event gross income and contributions on
Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II
19 Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a?
If "Yes," complete Schedule G, Part III
20 a Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H
b If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?

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1
2

X
X

5

X

6

X

7

X

8

X

9

X

10

X

11a

X

11b

X
X

11c

X

11d
11e

X

11f

X
X

12a
12b
13
14a

X

14b

X

X
X

X

15
16

X

17

X

18

X
X
X

19
20a
20b
Form

JSA

X
X

3
4

No

990

(2012)

2E1021 1.000

95826K 700J 9/11/2013

9:20:54 PM

V 12-6.5T

0170657-00013

PAGE 4

LIGHTHOUSE INTERNATIONAL

13-1096620

Form 990 (2012)

Part IV

Page
Yes

21

Did the organization report more than $5,000 of grants and other assistance to any government or organization
in the United States on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and II
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States
on Part IX, column (A), line 2? If "Yes," complete Schedule I, Parts I and III
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the
organization's current and former officers, directors, trustees, key employees, and highest compensated
employees? If "Yes," complete Schedule J
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than
$100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes," answer lines 24b
through 24d and complete Schedule K. If “No,” go to line 25
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction
with a disqualified person during the year? If "Yes," complete Schedule L, Part I
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior
year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?
If "Yes," complete Schedule L, Part I
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or
disqualified person outstanding as of the end of the organization's tax year? If "Yes," complete Schedule L, Part II
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee,
substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled
entity or family member of any of these persons? If "Yes," complete Schedule L, Part III
Was the organization a party to a business transaction with one of the following parties (see Schedule L,
Part IV instructions for applicable filing thresholds, conditions, and exceptions):
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete
Schedule L, Part IV
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof)
was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified
conservation contributions? If "Yes," complete Schedule M
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes,"
complete Schedule N, Part II
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations
sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III,
or IV, and Part V, line 1
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a
controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable
related organization? If "Yes," complete Schedule R, Part V, line 2
Did the organization conduct more than 5% of its activities through an entity that is not a related organization
and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R,
Part VI

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22
23

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24 a

b
c
d
25 a
b

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m

26
27

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28
a
b
c
29
30
31
32
33
34
35 a
b
36
37

38

4

Checklist of Required Schedules (continued)

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Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and
19? Note. All Form 990 filers are required to complete Schedule O

No

X

21
22

X

23

X

X

24a
24b
24c
24d
25a

X

25b

X

26

X

27

X

28a

X

28b

X

28c
29

X
X

30

X

31

X

32

X

33

X
X
X

34
35a
35b
36

X

37

X

38
Form

X
990

(2012)

JSA
2E1030 1.000

95826K 700J 9/11/2013

9:20:54 PM

V 12-6.5T

0170657-00013

PAGE 5

LIGHTHOUSE INTERNATIONAL

13-1096620

Form 990 (2012)

Part V

Page

5

Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V

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63
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0
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X
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205
m
X
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Yes

No

1a
1b

1 a Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable
b Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable
c Did the organization comply with backup withholding rules for reportable payments to vendors and
reportable gaming (gambling) winnings to prize winners?
2 a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax
2a
Statements, filed for the calendar year ending with or within the year covered by this return
b If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
3 a Did the organization have unrelated business gross income of $1,000 or more during the year?
b If "Yes," has it filed a Form 990-T for this year? If "No," provide an explanation in Schedule O
4 a At any time during the calendar year, did the organization have an interest in, or a signature or other authority
over, a financial account in a foreign country (such as a bank account, securities account, or other financial
account)?
b If “Yes,” enter the name of the foreign country:
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5 a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?
b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
c If "Yes" to line 5a or 5b, did the organization file Form 8886-T?
6 a Does the organization have annual gross receipts that are normally greater than $100,000, and did the
organization solicit any contributions that were not tax deductible as charitable contributions?
b If "Yes," did the organization include with every solicitation an express statement that such contributions or
gifts were not tax deductible?
7 Organizations that may receive deductible contributions under section 170(c).
a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods
and services provided to the payor?
b If "Yes," did the organization notify the donor of the value of the goods or services provided?
c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was
required to file Form 8282?
7d
d If "Yes," indicate the number of Forms 8282 filed during the year
e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?
h If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?
8 Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting
organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring
organization, have excess business holdings at any time during the year?
9 Sponsoring organizations maintaining donor advised funds.
a Did the organization make any taxable distributions under section 4966?
b Did the organization make a distribution to a donor, donor advisor, or related person?
10 Section 501(c)(7) organizations. Enter:
10a
a Initiation fees and capital contributions included on Part VIII, line 12
10b
b Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
11 Section 501(c)(12) organizations. Enter:
11a
a Gross income from members or shareholders
b Gross income from other sources (Do not net amounts due or paid to other sources
11b
against amounts due or received from them.)
12 a Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12b
b If "Yes," enter the amount of tax-exempt interest received or accrued during the year
13 Section 501(c)(29) qualified nonprofit health insurance issuers.
a Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
b Enter the amount of reserves the organization is required to maintain by the states in which
the organization is licensed to issue qualified health plans
13b
13c
c Enter the amount of reserves on hand

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
I
mmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmm
mmm
mmm
mmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmm
mmmmmmmmmmmmmm
mmmm
mmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmm
mmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
m m m m m m m mm mm mm mm mm mm

14 a Did the organization receive any payments for indoor tanning services during the tax year?
b If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O
JSA
2E1040 1.000

1c

2b
3a
3b

4a

X

5a
5b
5c

X
X

6a

X

6b

7a
7b
7c

X

7e
7f
7g
7h

X
X

8
9a
9b

12a

13a

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14a
14b
Form

95826K 700J 9/11/2013

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X

990

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PAGE 6

13-1096620
LIGHTHOUSE INTERNATIONAL
Page 6
Part VI Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No"

Form 990 (2012)

mmmmmmmmmmmmmmmmmmmmmmmmmm

response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI

X

Section A. Governing Body and Management
1a Enter the number of voting members of the governing body at the end of the tax year.

mmmmmmmmmmm

Yes

1a

No

24

If there are material differences in voting rights among members of the governing body, or if the governing

mmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmm
mmmmmmm
mmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

body delegated broad authority to an executive committee or similar committee, explain in Schedule O.

23
1b
b Enter the number of voting members included in line 1a, above, who are independent
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with
any other officer, director, trustee, or key employee?
3
Did the organization delegate control over management duties customarily performed by or under the direct
supervision of officers, directors, or trustees, or key employees to a management company or other person?
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
5
Did the organization become aware during the year of a significant diversion of the organization's assets?
6
Did the organization have members or stockholders?
7a Did the organization have members, stockholders, or other persons who had the power to elect or appoint
one or more members of the governing body?
b Are any governance decisions of the organization reserved to (or subject to approval by) members,
stockholders, or persons other than the governing body?
8
Did the organization contemporaneously document the meetings held or written actions undertaken during
the year by the following:
a The governing body?
b Each committee with authority to act on behalf of the governing body?
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at
the organization's mailing address? If "Yes," provide the names and addresses in Schedule O

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmm

2

X

3
4
5
6

X
X
X
X

7a

X

7b

X

8a
8b

X
X
X

9

Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)

mmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmm
mm
mmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmm

10 a Did the organization have local chapters, branches, or affiliates?
b If "Yes," did the organization have written policies and procedures governing the activities of such chapters,
affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
11 a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?
b Describe in Schedule O the process, if any, used by the organization to review this Form 990.
12 a Did the organization have a written conflict of interest policy? If "No," go to line 13
b Were officers, directors, or trustees, and key employees required to disclose annually interests that could give
rise to conflicts?
c Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes,"
describe in Schedule O how this was done
13
Did the organization have a written whistleblower policy?
14
Did the organization have a written document retention and destruction policy?
15
Did the process for determining compensation of the following persons include a review and approval by
independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a The organization's CEO, Executive Director, or top management official
b Other officers or key employees of the organization
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16 a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement
with a taxable entity during the year?
b If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its
participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the
organization's exempt status with respect to such arrangements?

Yes

10a
10b
11a

X

12a

X

12b

X

12c
13
14

X
X
X

mmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

15a
15b

X
X

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

16a

mmmmmmmmmmmmmmmmmmmmmmmmmm
I ATTACHMENT 3

Section C. Disclosure

No

X

X

16b

17
18

List the states with which a copy of this Form 990 is required to be filed
Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (Section 501(c)(3)s only)
available for public inspection. Indicate how you made these available. Check all that apply.
X Own website
X Another's website
X Upon request
Other (explain in Schedule O)

19

Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy,
and financial statements available to the public during the tax year.
State the name, physical address, and telephone number of the person who possesses the books and records of the
212-821-9579
organization: JOHN VLACHOS 111 EAST 59TH STREET NEW YORK, NY 10022
Form 990 (2012)

20
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PAGE 7

LIGHTHOUSE INTERNATIONAL
13-1096620
Page 7
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and
Independent Contractors
Check if Schedule O contains a response to any question in this Part VII

Form 990 (2012)

Part VII

mmmmmmmmmmmmmmmmmmmm

Section A.

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the
organization's tax year.

%
%
%
%
%

List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of
compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.
List all of the organization's current key employees, if any. See instructions for definition of "key employee."
List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.
List all of the organization's former officers, key employees, and highest compensated employees who received more than
$100,000 of reportable compensation from the organization and any related organizations.
List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.
List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(C)
(A)

Position

(B)

(do not check more than one
Average
hours per box, unless person is both an
week (list any officer and a director/trustee)

Name and Title

Former

Highest compensated
employee

(1) JOSEPH A. RIPP

Key employee

line)

Officer

below dotted

Institutional trustee

related
organizations

Individual trustee
or director

hours for

(D)
(E)
Reportable
Reportable
compensation
compensation from
from
related
the
organizations
organization
(W-2/1099-MISC)
(W-2/1099-MISC)

(F)
Estimated
amount of
other
compensation
from the
organization
and related
organizations

5.00

CHAIRMAN
(2) SARAH E. SMITH
VICE-CHAIR AND TREASURER
(3) JONATHAN M. WAINWRIGHT, ESQ.
VICE-CHAIR AND SECRETARY
(4) CHARLES S. COHEN
DIRECTOR
(5) MARIOS DAMIANIDES
DIRECTOR
(6) DONALD J. D'AMICO, MD
DIRECTOR
(7) HENRY P. DAVISON, II
DIRECTOR
(8) RICK FRIEDBERG
DIRECTOR
(9) THOMAS S.T. GIMBEL
DIRECTOR
SHARON
HANDLER LOEB
(10)
DIRECTOR
(11) KARIN HEHENBERGER, MD
DIRECTOR
TRAVIS
HOWE
(12)
DIRECTOR
(13) RAJIVE JOHRI
DIRECTOR
JOHN
PARTILLA
(14)
DIRECTOR

X

X

0

0

0

X

X

0

0

0

X

X

0

0

0

X

0

0

0

X

0

0

0

X

0

0

0

X

0

0

0

X

0

0

0

X

0

0

0

X

0

0

0

X

0

0

0

X

0

0

0

X

0

0

0

X

0

0

0

5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
Form

JSA

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PAGE 8

LIGHTHOUSE INTERNATIONAL

13-1096620

Form 990 (2012)

Part VII

Page

(A)
Name and title

(B)

(C)

Average

Position
(do not check more than one
box, unless person is both an
officer and a director/trustee)

hours per
week (list any
hours for

Former

Highest compensated
employee

Key employee

( 15) RICHARD A. MARFUGGI, MD
DIRECTOR
( 16) AMELIA QUIST-OGUNLESI
DIRECTOR
( 17) STEPHANIE GOLDMAN-PITTEL
DIRECTOR
( 18) DOROTHY M. PHILIPS, PHD
DIRECTOR
( 19) ELLEN F. RATNER
DIRECTOR
( 20) LAINE SIKLOS
DIRECTOR
( 21) CAROL V. SCHWARTZ, ESQ.
DIRECTOR
( 22) ANN D. THIVIERGE
DIRECTOR
( 23) LAWRENCE A. YANNUZZI, MD
DIRECTOR
( 24) MARK G. ACKERMANN
PRESIDENT/CEO
( 25) DEBORAH BERNSTEIN
DIRECTOR (THRU 10/24/2012)

Officer

line)

Institutional trustee

below dotted

Individual trustee
or director

related
organizations

1b
c
d
2

8

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(D)
(E)
Reportable
Reportable
compensation
compensation from
from
related
the
organizations
organization
(W-2/1099-MISC)
(W-2/1099-MISC)

(F)
Estimated
amount of
other
compensation
from the
organization
and related
organizations

5.00
X

0

0

0

X

0

0

0

X

0

0

0

X

0

0

0

X

0

0

0

X

0

0

0

X

0

0

0

X

0

0

0

X

0

0

0

393,580.

0

92,360.

0
0
2,361,453.
2,361,453.

0
0
0
0

0
0
536,123.
536,123.

5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
45.00
X

X

5.00
X

m m m m m m m m m m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm I
m m m m m m m m m m m m m m m m m m m m m m m m m m m m II
I

Sub-total
Total from continuation sheets to Part VII, Section A
Total (add lines 1b and 1c)
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of
reportable compensation from the organization
25

Yes No
3
4

Did the organization list any former officer, director, or trustee, key employee, or highest compensated
employee on line 1a? If "Yes," complete Schedule J for such individual

mmmmmmmmmmmmmmmmmmmmmmmmmm

3

X

For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the
organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such
individual

4

X

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmm

Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual
for services rendered to the organization? If “Yes,” complete Schedule J for such person
5
Section B. Independent Contractors
1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of
compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax
year.
5

(A)
Name and business address

(B)
Description of services

X

(C)
Compensation

ATTACHMENT 4

2

Total number of independent contractors (including but not limited to those listed above) who received
13
more than $100,000 in compensation from the organization

I

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990 (2012)
PAGE 9

LIGHTHOUSE INTERNATIONAL

13-1096620

Form 990 (2012)

Part VII

Page

(A)
Name and title

(B)

(C)

Average

Position
(do not check more than one
box, unless person is both an
officer and a director/trustee)

hours per
week (list any
hours for

Former

Highest compensated
employee

Key employee

( 26) ARLENE R. GORDON
DIRECTOR (THRU 6/14/2012)
( 27) BARBARA MUNDER RIORDAN
DIRECTOR (THRU 3/15/2012)
( 28) LINO GARCIA
DIRECTOR (THRU 10/24/2012)
( 29) ROGER GOLDMAN
CHAIRMAN (THRU 3/15/2012)
( 30) MAURA SWEENEY
SENIOR VP, COO
( 31) JOHN VLACHOS
CHIEF FINANCIAL OFFICER
( 32) BRUCE P. ROSENTHAL
CHIEF OF LOW VISION PROGRAMS
( 33) LISA FERFOGLIA
VICE PRESIDENT, HUMAN RESOURCE
( 34) BARBARA GYDE (THRU 12/28/2012)
SVP CHIEF EXTERNAL AFFAIRS
( 35) ROWENA SAUNDERS(THRU 12/28/12)
VICE PRESIDENT, VOLUNTEERS
( 36) PAUL GARRIN
VICE PRESIDENT AND CIO

Officer

line)

Institutional trustee

below dotted

Individual trustee
or director

related
organizations

1b
c
d
2

8

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(D)
(E)
Reportable
Reportable
compensation
compensation from
from
related
the
organizations
organization
(W-2/1099-MISC)
(W-2/1099-MISC)

(F)
Estimated
amount of
other
compensation
from the
organization
and related
organizations

5.00
X

0

0

0

X

0

0

0

X

0

0

0

X

0

0

0

X

296,539.

0

24,845.

X

266,943.

0

35,530.

X

245,139.

0

38,645.

X

195,709.

0

21,752.

X

260,966.

0

193,083.

X

177,555.

0

86,661.

X

201,636.

0

43,247.

5.00
5.00
5.00
X
45.00
45.00
45.00
45.00
45.00
45.00
45.00

m m m m m m m m m m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm I
m m m m m m m m m m m m m m m m m m m m m m m m m m m m II
I

Sub-total
Total from continuation sheets to Part VII, Section A
Total (add lines 1b and 1c)
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of
reportable compensation from the organization
25
Yes No

3
4

Did the organization list any former officer, director, or trustee, key employee, or highest compensated
employee on line 1a? If "Yes," complete Schedule J for such individual

mmmmmmmmmmmmmmmmmmmmmmmmmm

3

X

For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the
organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such
individual

4

X

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmm

Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual
for services rendered to the organization? If “Yes,” complete Schedule J for such person
5
Section B. Independent Contractors
1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of
compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax
year.
5

(A)
Name and business address

2

(B)
Description of services

X

(C)
Compensation

Total number of independent contractors (including but not limited to those listed above) who received
more than $100,000 in compensation from the organization

I

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990 (2012)
PAGE 10

LIGHTHOUSE INTERNATIONAL

13-1096620

Form 990 (2012)

Part VII

Page

(A)
Name and title

(B)

(C)

Average

Position
(do not check more than one
box, unless person is both an
officer and a director/trustee)

hours per
week (list any
hours for

Former

Highest compensated
employee

Key employee

( 37) HOPE KESSLER
SENIOR VP DEVELOPMENT
( 38) CYNTHIA STUEN
SVP CHIEF PROFESSIONAL AFFAIRS

Officer

line)

Institutional trustee

below dotted

Individual trustee
or director

related
organizations

1b
c
d
2

8

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(D)
(E)
Reportable
Reportable
compensation
compensation from
from
related
the
organizations
organization
(W-2/1099-MISC)
(W-2/1099-MISC)

(F)
Estimated
amount of
other
compensation
from the
organization
and related
organizations

45.00
X

193,454.

0

0

X

129,932.

0

0

45.00

m m m m m m m m m m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm I
m m m m m m m m m m m m m m m m m m m m m m m m m m m m II
I

Sub-total
Total from continuation sheets to Part VII, Section A
Total (add lines 1b and 1c)
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of
reportable compensation from the organization
25
Yes No

3
4

Did the organization list any former officer, director, or trustee, key employee, or highest compensated
employee on line 1a? If "Yes," complete Schedule J for such individual

mmmmmmmmmmmmmmmmmmmmmmmmmm

3

X

For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the
organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such
individual

4

X

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmm

Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual
for services rendered to the organization? If “Yes,” complete Schedule J for such person
5
Section B. Independent Contractors
1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of
compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax
year.
5

(A)
Name and business address

2

(B)
Description of services

X

(C)
Compensation

Total number of independent contractors (including but not limited to those listed above) who received
more than $100,000 in compensation from the organization

I

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PAGE 11

Form 990 (2012)

Part VIII

LIGHTHOUSE INTERNATIONAL
Statement of Revenue

13-1096620

Check if Schedule O contains a response to any question in this Part VIII

Contributions, Gifts, Grants
Program Service Revenue and Other Similar Amounts

(A)
Total revenue

mmmmmmmm
mmmmmmmmm
mmmmmmmmm
mmmmmmmm
mm
m
m m m m m m m m m m m m m m m m m m mI

Federated campaigns

1a

b

Membership dues

1b

c

Fundraising events

d

Related organizations

1d

e

Government grants (contributions)

1e

5,619,007.

f

All other contributions, gifts, grants,

1f

7,316,813.

1a

g
h

mmmmmmmmmmmmmmmmmmmmmmmmm
(B)
Related or
exempt
function
revenue

(C)
Unrelated
business
revenue

(D)
Revenue
excluded from tax
under sections
512, 513, or 514

Noncash contributions included in lines 1a-1f: $

Total. Add lines 1a-1f

14,586,320.

Business Code
2a

DIRECT CLIENT SERVICE INCOME

900099

1,548,285.

1,548,285.

b
c
d
e
f
g

m m m m m m mm mm mm mm mm m m m m m m m m I
m m ATTACHMENT
m m m m m m m m m 5m m m m m m m m I
m m m m m m m m m m m m m m m m m m m m m m mm mm mm II
mmmmmmmm
mmm
m mm m m m m m m m m m m m m m m m m
I

All other program service revenue
Total. Add lines 2a-2f

1,548,285.

Investment income (including dividends, interest, and

3

959,639.

other similar amounts)
4

Income from investment of tax-exempt bond proceeds

5

Royalties

(i) Real

4,677,456.

b

Less: rental expenses

5,104,971.

c
d

Rental income or (loss)
Net rental income or (loss)

7a
b

8a

964,831.

17,269.

17,269.

-427,515.

(i) Securities

Gross amount from sales of
assets other than inventory

-427,515.

-427,515.

(ii) Other

11,608,753.

mmmm
m m mm mm mm mm mm m m m m m m m m m m m m m m m m
I

Less: cost or other basis

10,027,631.

and sales expenses
c
d

-5,192.

0

(ii) Personal

Gross rents

6a

Other Revenue

9

1,650,500.

1c

and similar amounts not included above

Page

1,581,122.

Gain or (loss)
Net gain or (loss)

1,581,122.

1,581,122.

Gross income from fundraising
events (not including $

1,650,500.

mmmmmmmmmmm
mmmmmmmmmm mmmmmmmm
I
mmmmmmmmmmm
mmmmmmmmmmmmmmmmmmm
I
mmmmmmmmm
mmmmmmmmmmmmmmmmmm
I

of contributions reported on line 1c).

a

667,608.

Less: direct expenses
b
Net income or (loss) from fundraising events

667,608.

See Part IV, line 18
b
c
9a
b
c
10a
b
c

11a
b

Gross income from gaming activities.
See Part IV, line 19

a

Less: direct expenses
b
Net income or (loss) from gaming activities
Gross
sales
of
inventory,
returns and allowances

0

less

431,765.

a

570,403.
Less: cost of goods sold
b
Net income or (loss) from sales of inventory
Miscellaneous Revenue
Business Code

-138,638.

-138,638.

SYMPOSIUM/LECTURE/TRAINING REVENUE

611600

11,450.

11,450.

MISCELLANEOUS

900099

92,494.

92,494.

c

m m m m mm mm mm mm mm mm mm mm mm m m m m m m m m
m m m m m m m m m m m m m m II

d

All other revenue

e

Total. Add lines 11a-11d
Total revenue. See instructions

12

0

103,944.
18,230,426.

1,548,285.

2,528,528.

Form

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990

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PAGE 12

LIGHTHOUSE INTERNATIONAL
Part IX Statement of Functional Expenses

13-1096620

Form 990 (2012)

Page

10

Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).
Check if Schedule O contains a response to any question in this Part IX

mmmmmmmmmmmmmmmmmmmmmmmmmm

Do not include amounts reported on lines 6b, 7b,
8b, 9b, and 10b of Part VIII.

(A)
Total expenses

m
mmmmmm

1

(B)
Program service
expenses

(C)
Management and
general expenses

(D)
Fundraising
expenses

Grants and other assistance to governments and

0

organizations in the United States. See Part IV, line 21

2

Grants and other assistance to individuals in
the United States. See Part IV, line 22

3

Grants and other assistance to governments,
organizations, and individuals outside the
United States. See Part IV, lines 15 and 16

4

Benefits paid to or for members

5

Compensation of current officers, directors,
trustees, and key employees

mmmm
mmmmmmmmm
mmmmmmmmmm

6

100,083.

100,083.

30,000.
0

30,000.

1,109,798.

876,740.

88,784.

144,274.

0
10,842,976.

8,456,490.

848,786.

1,537,700.

561,098.
2,179,376.
802,247.

443,267.
1,667,423.
633,775.

44,888.
154,642.
64,180.

72,943.
357,311.
104,292.

142,754.
248,336.
44,664.

59,481.
103,474.
18,610.

35,689.
62,084.
11,166.
336,686.

Compensation not included above, to disqualified
persons (as defined under section 4958(f)(1)) and

m m m m m m mm mm mm mm mm mm
mmmmmm
mmmmmmmmmmmm
mmmmmmmmmmmmmmmmmm
m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm
mmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmm
mmmmmmmmm
mmmmmm
m
m
m
m
m
m
m m m m m m m m m m m mm mm mm mm mm
mmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmm

persons described in section 4958(c)(3)(B)

7

Other salaries and wages

8

Pension plan accruals and contributions (include section
401(k) and 403(b) employer contributions)

9

Other employee benefits
Payroll taxes

10

Fees for services (non-employees):

11

0
237,924.
413,894.
74,440.
336,686.
195,000.

a Management
b Legal

c Accounting
d Lobbying

e Professional fundraising services. See Part IV, line 17
f Investment management fees
g Other.

195,000.

(If line 11g amount exceeds 10% of line 25, column

(A) amount, list line 11g expenses on Schedule O.)

12

Advertising and promotion

13

Office expenses

14

Information technology

15

Royalties

16

Occupancy

17

Travel

18

Payments of travel or entertainment expenses
for any federal, state, or local public officials

mmmm
mmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmm
mmmm
mmmmmmmmmmmmmmmmmmm

19

Conferences, conventions, and meetings

20

Interest

21

Payments to affiliates

22

Depreciation, depletion, and amortization

23

Insurance

24

Other

expenses.

Itemize

expenses

not

2,098,326.
167,701.
786,288.
11,237.
0
1,548,079.
172,865.
0
0
1,666,472.
0
1,098,193.
42,395.

1,469,945.
100,621.
420,250.
6,742.

606,304.
41,925.
23,296.
2,809.

22,077.
25,155.
342,742.
1,686.

1,247,434.
65,866.

85,732.
67,104.

214,913.
39,895.

1,407,873.

65,330.

193,269.

993,680.
34,340.

27,260.
2,120.

77,253.
5,935.

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 BAD DEBT EXPENSE
b MISCELLANEOUS EXPENSE

832,917.
266,635.

429,816.

Total functional expenses. Add lines 1 through 24e

25,574,630.

18,820,099.

Joint costs. Complete this line only if the
organization reported in column (B) joint costs
from a combined educational campaign and
X if
fundraising solicitation. Check here
following SOP 98-2 (ASC 958-720)

1,147,304.

216,871.

403,101.
266,635.

c
d
e All other expenses
25
26

mIm m m m m m

2,499,725.

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4,254,806.

930,433.
Form

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990

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PAGE 13

LIGHTHOUSE INTERNATIONAL

13-1096620

Form 990 (2012)

Net Assets or Fund Balances

Liabilities

Assets

Part X

Page

Balance Sheet
Check if Schedule O contains a response to any question in this Part X

mmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmm

1
2
3
4
5

Cash - non-interest-bearing
Savings and temporary cash investments
Pledges and grants receivable, net
Accounts receivable, net
Loans and other receivables from current and former officers, directors,
trustees, key employees, and highest compensated employees.
Complete Part II of Schedule L

6

Loans and other receivables from other disqualified persons (as defined under section
4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers
and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary
organizations (see instructions). Complete Part II of Schedule L

mmmmmmmmmmmmmmmmmmmmmmmmm

m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm
m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm

Notes and loans receivable, net
Inventories for sale or use
Prepaid expenses and deferred charges
Land, buildings, and equipment: cost or
55,928,388.
10a
other basis. Complete Part VI of Schedule D
33,382,561.
10b
b Less: accumulated depreciation
11 Investments - publicly traded securities
12 Investments - other securities. See Part IV, line 11
13 Investments - program-related. See Part IV, line 11
14 Intangible assets
15 Other assets. See Part IV, line 11
16 Total assets. Add lines 1 through 15 (must equal line 34)
17 Accounts payable and accrued expenses
18 Grants payable
19 Deferred revenue
20 Tax-exempt bond liabilities
21 Escrow or custodial account liability. Complete Part IV of Schedule D
22 Loans and other payables to current and former officers, directors,
trustees, key employees, highest compensated employees, and
disqualified persons. Complete Part II of Schedule L
23 Secured mortgages and notes payable to unrelated third parties
24 Unsecured notes and loans payable to unrelated third parties
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
26 Total liabilities. Add lines 17 through 25
X and
Organizations that follow SFAS 117 (ASC 958), check here
complete lines 27 through 29, and lines 33 and 34.
7
8
9
10 a

27
28
29

(A)
Beginning of year

X

(B)
End of year

4,294,667.
1,941,640.
7,952,788.
1,511,626.

1
2
3
4

3,547,383.
5,218,654.
6,465,794.
1,405,204.

0 5

0

0
1,520,000.
184,394.
1,538,529.

6
7
8
9

0
1,140,000.
192,061.
1,336,889.

mmmmmmmmmm
mmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmm
mmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm
mmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmm

23,787,054. 10c
19,398,457. 11
28,002,876. 12
0 13
0 14
339,668. 15
90,471,699. 16
5,414,334. 17
0 18
0 19
0 20
0 21

22,545,827.
15,680,904.
25,345,466.
0
0
408,662.
83,286,844.
4,660,796.
0
0
0
0

mmmmmmmmmmmmmm
mmmmmmm
mmmmmmmmm

0 22
45,000,000. 23
0 24

0
45,000,000.
0

16,718,285. 25
67,132,619. 26

16,943,790.
66,604,586.

-16,841,509. 27
18,598,951. 28
21,581,638. 29

-14,218,193.
8,838,949.
22,061,502.

m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm
I
mmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm
I
mmmmmmmmmmmmmmmm
mmmmmmmm
mmmm
m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm

Unrestricted net assets
Temporarily restricted net assets
Permanently restricted net assets

Organizations that do not follow SFAS 117 (ASC 958), check here
complete lines 30 through 34.

30
31
32
33
34

mmmmmmmmmmmmmmmmmmmmm

11

Capital stock or trust principal, or current funds
Paid-in or capital surplus, or land, building, or equipment fund
Retained earnings, endowment, accumulated income, or other funds
Total net assets or fund balances
Total liabilities and net assets/fund balances

and

30
31
32
23,339,080. 33
90,471,699. 34

16,682,258.
83,286,844.
Form 990 (2012)

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LIGHTHOUSE INTERNATIONAL

13-1096620

Form 990 (2012)

Part XI
1
2
3
4
5
6
7
8
9
10

Page

m m m m m m m m m m m m m m m 18,230,426.
mmm X
mmmmmmmmmmmmmmmmmmmmmmm
25,574,630.
mmmmmmmmmmmmmmmmmmmmmmm
-7,344,204.
mmmmmmmmmmmmmmmmmmmmmmmmmm
23,339,080.
mmmmm
1,760,611.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmm
0
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
0
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
0
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
-1,073,229.
mmmmmmmmmmmmmmmm
16,682,258.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII m m m m m m m m m m m m m m m m m
1
2
3
4
5
6
7
8
9

Total revenue (must equal Part VIII, column (A), line 12)
Total expenses (must equal Part IX, column (A), line 25)
Revenue less expenses. Subtract line 2 from line 1
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A))
Net unrealized gains (losses) on investments
Donated services and use of facilities
Investment expenses
Prior period adjustments
Other changes in net assets or fund balances (explain in Schedule O)
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line
33, column (B))

Part XII

12

Reconciliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI

10

Yes

X Accrual
Accounting method used to prepare the Form 990:
Cash
Other
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2 a Were the organization's financial statements compiled or reviewed by an independent accountant?
If "Yes," check a box below to indicate whether the financial statements for the year were compiled or
reviewed on a separate basis, consolidated basis, or both:

No

1

Separate basis

Consolidated basis

mmmmmm

2a

mmmmmmmmmmmmmm

2b

X

2c

X

X

Both consolidated and separate basis

b Were the organization's financial statements audited by an independent accountant?
If "Yes," check a box below to indicate whether the financial statements for the year were audited on a
separate basis, consolidated basis, or both:
X Consolidated basis
Separate basis
Both consolidated and separate basis

c If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight
of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in
Schedule O.
3 a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in
the Single Audit Act and OMB Circular A-133?
b If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the
required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

X

3a
3b
Form

990

(2012)

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PAGE 15

SCHEDULE A
(Form 990 or 990-EZ)

OMB No. 1545-0047

Public Charity Status and Public Support

À¾µ¶

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

I

Department of the Treasury
Internal Revenue Service

Attach to Form 990 or Form 990-EZ.

I

Open to Public
Inspection

See separate instructions.

Name of the organization

Employer identification number

LIGHTHOUSE INTERNATIONAL
13-1096620
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
Part I
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).
2
A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)
3
A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).
4
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:
5
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.)
6
A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
7 X 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.)
8
A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)
9
An organization that normally receives: (1) more than 33 1/3 % 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 33 1/3% 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).
10
An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the
11
purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section
509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.
a
Type I
b
Type II
c
Type III-Functionally integrated
d
Type III-Non-functionally integrated
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified
persons other than foundation managers and other than one or more publicly supported organizations described in section
509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting
organization, check this box
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?
Yes No
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
11g(i)
and (iii) below, the governing body of the supported organization?
11g(ii)
(ii) A family member of a person described in (i) above?
11g(iii)
(iii) A 35% controlled entity of a person described in (i) or (ii) above?
h
Provide the following information about the supported organization(s).

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmm

(i) Name of supported
organization

(ii) EIN

(iii) Type of organization
(described on lines 1-9
above or IRC section
(see instructions))

(iv) Is the
organization in
col. (i) listed in
your governing
document?

Yes

No

(v) Did you notify
(vi) Is the
the organization
organization in
in col. (i) of
col. (i) organized
your support?
in the U.S.?

Yes

No

Yes

(vii) Amount of monetary
support

No

(A)
(B)
(C)
(D)
(E)

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

Schedule A (Form 990 or 990-EZ) 2012

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Schedule A (Form 990 or 990-EZ) 2012

Page

2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under
Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)

1

2

3

I

(a) 2008

Gifts,
grants,
contributions,
and
membership fees received. (Do not
include any "unusual grants.")

mmmmmm

9,701,990.

(b) 2009

(c) 2010

(d) 2011

(e) 2012

(f) Total

13,301,327.

24,186,523.

15,657,927.

14,586,320.

77,434,087.

Tax
revenues
levied
for
the
organization's benefit and either paid
to or expended on its behalf

mmmmmmm

0

The value of services or facilities
furnished by a governmental unit to the
organization without charge

mmmmmmm
mmmmmmm

0
9,701,990.

4

Total. Add lines 1 through 3

5

The portion of total contributions by
each
person
(other
than
a
governmental
unit
or
publicly
supported organization) included on
line 1 that exceeds 2% of the amount
shown on line 11, column (f)
Public support. Subtract line 5 from line 4.

13,301,327.

24,186,523.

15,657,927.

14,586,320.

mmmmmmm

6

77,434,087.

1,022,834.
76,411,253.

Section B. Total Support

m m m m m m m m mIm

(a) 2008

(b) 2009

(c) 2010

(d) 2011

(e) 2012

(f) Total

9,701,990.

13,301,327.

24,186,523.

15,657,927.

14,586,320.

77,434,087.

1,097,077.

633,489.

1,003,895.

991,435.

976,908.

4,702,804.

Net income from unrelated business
activities, whether or not the business
is regularly carried on

mmmmmmmmmm

4,678,990.

3,083,466.

3,265,088.

4,208,099.

4,677,456.

19,913,099.

Other income. Do not include gain or
loss from the sale of capital assets
(Explain in Part IV.) ATCH 1

2,043,760.

661,340.

890,802.

844,722.

771,552.

Calendar year (or fiscal year beginning in)

7
8

Amounts from line 4
Gross income from interest, dividends,
payments received on securities loans,
rents, royalties and income from similar
sources

mmmmmmmmmmmmmmmmm

9

10

11
12
13

mmmmmmmmmmm
mm

5,212,176.
107,262,166.

mmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
Section C. Computation of Public Support Percentage
71.24
mmmmmmmm
81.65
mmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmI X
mmmmmmmmmmmmmmmmmI
Total support. Add lines 7 through 10

12

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

16,671,797.

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

14
14 Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f))
15
15 Public support percentage from 2011 Schedule A, Part II, line 14
16a 33 1/3 % support test - 2012. If the organization did not check the box on line 13, and line 14 is 33 1/3 % or more, check
this box and stop here. The organization qualifies as a publicly supported organization
b 33 1/3 % support test - 2011. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3 % or more,
check this box and stop here. The organization qualifies as a publicly supported organization
17a 10%-facts-and-circumstances test - 2012. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is
10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in
Part IV how the organization meets the "facts-and-circumstances” test. The organization qualifies as a publicly supported
organization
b 10%-facts-and-circumstances test - 2011. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization
18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions

%
%

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI
Schedule A (Form 990 or 990-EZ) 2012

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LIGHTHOUSE INTERNATIONAL

13-1096620

Schedule A (Form 990 or 990-EZ) 2012

Page

3

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II.
If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Part III

Calendar year (or fiscal year beginning in)
1

I

(a) 2008

(b) 2009

(c) 2010

(d) 2011

(e) 2012

(f) Total

(a) 2008

(b) 2009

(c) 2010

(d) 2011

(e) 2012

(f) Total

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

mmmmmm
m

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
5

to or expended on its behalf

mmmmmmm

The

or

value

of

services

facilities

furnished by a governmental unit to the
organization without charge
6

Total. Add lines 1 through 5

mmmmmmm
mmmmmmm
mmmm

7 a 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

mmmmmmmmmmm
mmmmmmmmmmmmmmmmm
Section B. Total Support
m m m m m m m m m m Im
8

c Add lines 7a and 7b
Public support (Subtract line 7c from

line 6.)

Calendar year (or fiscal year beginning in)

9 Amounts from line 6
10 a Gross income from interest, dividends,
payments received on securities loans,
rents, royalties and income from similar
sources

mmmmmmmmmmmmmmmmm

b Unrelated business taxable income (less

section 511

taxes) from businesses

mmmmmm
mmmmmmmmm

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
Other income. Do not include gain or
loss from the sale of capital assets
(Explain in Part IV.)

mmmmmmmmmmmmmmm

12

mmmmmmmmmmm
mmmmmmmmmmmmmmmm

13

Total support. (Add lines 9, 10c, 11,

14

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)

and 12.)

organization, check this box and stop here

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mI
m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm

Section C. Computation of Public Support Percentage
15

Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f))

15

16

Public support percentage from 2011 Schedule A, Part III, line 15

16

Section D. Computation of Investment Income Percentage

mmmmmmmmmm
mmmmmmmmmmmmmmmmmmmm

17

Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))

17

18

Investment income percentage from 2011 Schedule A, Part III, line 17

18

%
%

19 a 33 1/3 % support tests - 2012. If the organization did not check the box on line 14, and line 15 is more than 33 1/3 %, and line

17 is not more than 33 1/3 %, check this box and stop here. The organization qualifies as a publicly supported organization
b 33 1/3 % support tests - 2011. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3 %, and
20

line 18 is not more than 33 1/3 %, check this box and stop here. The organization qualifies as a publicly supported organization
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions

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%
%

I
I
I

Schedule A (Form 990 or 990-EZ) 2012

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PAGE 18

LIGHTHOUSE INTERNATIONAL

13-1096620

Schedule A (Form 990 or 990-EZ) 2012

Page

4

Supplemental Information. Complete this part to provide the explanations required by Part II, line 10;
Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See
instructions).
ATTACHMENT 1
SCHEDULE A, PART II - OTHER INCOME
Part IV

DESCRIPTION

2008

2009

MISCELLANEOUS

2010

2011

2012

TOTAL

176,390.

420,214.

262,868.

103,944.

963,416.

SPECIAL EVENTS

2,043,760.

484,950.

470,588.

581,854.

667,608.

4,248,760.

TOTALS

2,043,760.

661,340.

890,802.

844,722.

771,552.

5,212,176.

Schedule A (Form 990 or 990-EZ) 2012

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PAGE 19

Schedule of Contributors

OMB No. 1545-0047

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

À¾µ¶

Schedule B

I

(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service

Name of the organization

Employer identification number

LIGHTHOUSE INTERNATIONAL
13-1096620
Organization type (check one):
Filers of:

Section:

Form 990 or 990-EZ

X

501(c)( 3

) (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, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.
Special Rules

X

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33 1/3 % support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution 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 a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable, scientific, literary,
or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and III.
For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to 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. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or
more during the year
$

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm I

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not 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
Part I, line 2 of its Form 990-PF, to certify that it does not 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.

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

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Page 2

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Name of organization

LIGHTHOUSE INTERNATIONAL

Employer identification number

13-1096620
Part I 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

1

$

907,500.

(d)
Type of contribution
Person
Payroll
Noncash

X

(Complete Part II if there is
a noncash contribution.)
(a)
No.

(b)
Name, address, and ZIP + 4

(c)
Total contributions

2

$

854,000.

(d)
Type of contribution
Person
Payroll
Noncash

X

(Complete Part II if there is
a noncash contribution.)
(a)
No.

(b)
Name, address, and ZIP + 4

(c)
Total contributions

3

$

800,000.

(d)
Type of contribution
Person
Payroll
Noncash

X

(Complete Part II if there is
a noncash contribution.)
(a)
No.

(b)
Name, address, and ZIP + 4

(c)
Total contributions

4

$

550,000.

(d)
Type of contribution
Person
Payroll
Noncash

X

(Complete Part II if there is
a noncash contribution.)
(a)
No.

(b)
Name, address, and ZIP + 4

(c)
Total contributions

5

$

460,000.

(d)
Type of contribution
Person
Payroll
Noncash

X

(Complete Part II if there is
a noncash contribution.)
(a)
No.

(b)
Name, address, and ZIP + 4

(c)
Total contributions

6

$

2,546,981.

(d)
Type of contribution
Person
Payroll
Noncash

X

(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

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Page 2

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Name of organization

LIGHTHOUSE INTERNATIONAL

Employer identification number

13-1096620
Part I 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

7

$

1,096,055.

(d)
Type of contribution
Person
Payroll
Noncash

X

(Complete Part II if there is
a noncash contribution.)
(a)
No.

(b)
Name, address, and ZIP + 4

(c)
Total contributions

8

$

1,841,180.

(d)
Type of contribution
Person
Payroll
Noncash

X

(Complete Part II if there is
a noncash contribution.)
(a)
No.

(b)
Name, address, and ZIP + 4

(c)
Total contributions

(d)
Type of contribution
Person
Payroll
Noncash

$

(Complete Part II if there is
a noncash contribution.)
(a)
No.

(b)
Name, address, and ZIP + 4

(c)
Total contributions

(d)
Type of contribution
Person
Payroll
Noncash

$

(Complete Part II if there is
a noncash contribution.)
(a)
No.

(b)
Name, address, and ZIP + 4

(c)
Total contributions

(d)
Type of contribution
Person
Payroll
Noncash

$

(Complete Part II if there is
a noncash contribution.)
(a)
No.

(b)
Name, address, and ZIP + 4

(c)
Total contributions

$

(d)
Type of contribution
Person
Payroll
Noncash

(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

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Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Name of organization

Page

LIGHTHOUSE INTERNATIONAL

3

Employer identification number

13-1096620
Part II
(a) No.
from
Part I

Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(b)
Description of noncash property given

(c)
FMV (or estimate)
(see instructions)

(d)
Date received

(c)
FMV (or estimate)
(see instructions)

(d)
Date received

(c)
FMV (or estimate)
(see instructions)

(d)
Date received

(c)
FMV (or estimate)
(see instructions)

(d)
Date received

(c)
FMV (or estimate)
(see instructions)

(d)
Date received

(c)
FMV (or estimate)
(see instructions)

(d)
Date received

$
(a) No.
from
Part I

(b)
Description of noncash property given

$
(a) No.
from
Part I

(b)
Description of noncash property given

$
(a) No.
from
Part I

(b)
Description of noncash property given

$
(a) No.
from
Part I

(b)
Description of noncash property given

$
(a) No.
from
Part I

(b)
Description of noncash property given

$
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

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Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Name of organization

Page

LIGHTHOUSE INTERNATIONAL

4

Employer identification number

13-1096620
Part III Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. 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.

I

(a) No.
from
Part I

(b) Purpose of gift

(c) Use of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP + 4

(a) No.
from
Part I

(b) Purpose of gift

Relationship of transferor to transferee

(c) Use of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP + 4

(a) No.
from
Part I

(b) Purpose of gift

Relationship of transferor to transferee

(c) Use of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP + 4

(a) No.
from
Part I

(b) Purpose of gift

Relationship of transferor to transferee

(c) Use 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) (2012)

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SCHEDULE C

Political Campaign and Lobbying Activities

OMB No. 1545-0047

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

À¾µ¶

(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

I

Complete if the organization is described below.

I

I

Attach to Form 990 or Form 990-EZ.

See separate instructions.

Open to Public
Inspection

If the organization answered "Yes," to Form 990, Part IV, line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.

%
%
%
%
%
%

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Section 527 organizations: Complete Part I-A only.

If the organization answered "Yes," to Form 990, Part IV, line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then

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.
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," to Form 990, Part IV, line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then

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

Name of organization

Employer identification number

LIGHTHOUSE INTERNATIONAL
13-1096620
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.
1
2
3

Provide a description of the organization's direct and indirect political campaign activities in Part IV.
$
Political expenditures
Volunteer hours

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIm

Part
I-B
4
1
2
3
4a
b

2
3
4
5

mmmmmm I
mm I
m
m
m
m
m
m
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm

Enter the amount of any excise tax incurred by the organization under section 4955
Enter the amount of any excise tax incurred by organization managers under section 4955
If the organization incurred a section 4955 tax, did it file Form 4720 for this year?
Was a correction made?
If "Yes," describe in Part IV.

Part I-C
1

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

$
$

Yes

No

Yes

No

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
Enter the amount of the filing organization's funds contributed to other organizations for section
$
527 exempt function activities
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL,
$
line 17b
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.

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm I
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm I
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm I
mmmmmmmmmmmmmmmmmmmmmmmmmmmm

(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.

Schedule C (Form 990 or 990-EZ) 2012

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LIGHTHOUSE INTERNATIONAL
13-1096620
Page 2
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under
section 501(h)).
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).
if the filing organization checked box A and "limited control" provisions apply.

Schedule C (Form 990 or 990-EZ) 2012

Part II-A

I
Check I

A Check
B

1a
b
c
d
e
f

Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)

mmmmm
mmmmmm
mmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmm

(a) Filing
organization's totals

(b) Affiliated
group totals

Total lobbying expenditures to influence public opinion (grass roots lobbying)
Total lobbying expenditures to influence a legislative body (direct lobbying)
Total lobbying expenditures (add lines 1a and 1b)
Other exempt purpose expenditures
Total exempt purpose expenditures (add lines 1c and 1d)
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:

g
h
i
j

Not over $500,000

20% 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.

mmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Grassroots nontaxable amount (enter 25% of line 1f)
Subtract line 1g from line 1a. If zero or less, enter -0Subtract line 1f from line 1c. If zero or less, enter -0If 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 instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)

(a) 2009

(b) 2010

(c) 2011

(d) 2012

(e) Total

2 a 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) 2012

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Page

Schedule C (Form 990 or 990-EZ) 2012

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 to lines 1a through 1i below, provide in Part IV a detailed
description of the lobbying activity.
1

a
b
c
d
e
f
g
h
i
j
2a
b
c
d

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?
Total. Add lines 1c through 1i
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?

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm
mmmmmmmmmmmmmmmmmmmmmmmmmmm
mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm
mmmmmm
mmmm
m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm
mmm
mmmmmmmmmmmmmmmm
m m m mm mm

Part III-A

1
2
3

(a)
Yes

(b)
No

Amount

X
X
X
X
X
X
X
X
X

74,440.
74,440.
X

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

mmmmmmmmmmmmmmmmmmm
m m m m m m m m mm mm mm mm mm mm mm mm mm mm

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

Yes

No

1
2
3

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."

mmmmmmmmmmmmmmmmmmmmmmmmmmmm

Dues, assessments and similar amounts from members
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of
political expenses for w hich the section 527(f) tax was paid).
a Current year
b Carryover from last year
c Total
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues
4
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?
5
Taxable amount of lobbying and political expenditures (see instructions)
1
2

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmm
m m m m m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm

Part IV

3

1

2a
2b
2c
3

4
5

Supplemental Information

Complete this part to provide the descriptions required for Part I-A, line 1; Part I-B, line 4; Part I-C, line 5; Part II-A (affiliated group
list); Part II-A, line 2; and Part II-B, line 1. Also, complete this part for any additional information.

SEE PAGE 4

Schedule C (Form 990 or 990-EZ) 2012

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Schedule C (Form 990 or 990-EZ) 2012

Part IV

Page

4

Supplemental Information (continued)

DESCRIPTION OF LOBBYING ACTIVITIES
PART II-B
LIGHTHOUSE INTERNATIONAL ENGAGES IN TWO METHODS OF LOBBYING, WHICH
INCLUDE GRASSROOTS AND DIRECT CONTACT WITH LEGISLATORS OR THEIR STAFF,
GOVERNMENT OFFICIALS OR A LEGISLATIVE BODY.

GRASSROOTS LOBBYING IS

ACCOMPLISHED BY CONTACTING THE PUBLIC THROUGH A LEGISLATIVE ACTION
WEBSITE, WWW.LIGHTHOUSE.ORG/ADVOCACY, TO URGE THEM TO CONTACT THEIR
LEGISLATORS OR OTHER GOVERNMENTAL OFFICIALS FOR THE PURPOSES OF MAKING
THEM AWARE OF ISSUES RELATING TO VISION IMPAIRMENT.

DIRECT CONTACT WITH

LEGISLATORS OR THEIR STAFF, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY
OCCURS THROUGH THE ENGAGING OF TWO LOBBYISTS (ONE ON THE FEDERAL LEVEL
AND ONE ON THE NEW YORK STATE LEVEL) AS WELL AS OCCASIONAL VISITS TO
WASHINGTON D.C. AND ALBANY, N.Y. BY MANAGEMENT AND THE CLINICAL TEAM. THE
AMOUNTS REPORTED ON SCHEDULE C ($74,440) REPRESENT AMOUNTS THAT
LIGHTHOUSE PAID TO A LOBBYIST TO ADVOCATE ON SIGHT-RELATED ISSUES FOR
LIGHTHOUSE INTERNATIONAL.

Schedule C (Form 990 or 990-EZ) 2012

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SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization

I

OMB No. 1545-0047

Supplemental Financial Statements

À¾µ¶

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
Attach to Form 990.
See separate instructions.

I

I

Open to Public
Inspection

Employer identification number

LIGHTHOUSE INTERNATIONAL
13-1096620
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the
organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds

mmmmmmmmmmm
mmmm
mmmmmmm
mmmmmmmmmm

(b) Funds and other accounts

Total number at end of year
Aggregate contributions to (during year)
Aggregate grants from (during year)
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?
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?

1
2
3
4
5
6

mmmmmmmmmmm

Yes

No

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Yes

No

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

Part II

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

1

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.

2

mmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmm
mmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmm

Held at the End of the Tax Year

6

2a
Total number of conservation easements
2b
Total acreage restricted by conservation easements
2c
Number of conservation easements on a certified historic structure included in (a)
Number of conservation easements included in (c) acquired after 8/17/06, and not on a
2d
historic structure listed in the National Register
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year
Number of states where property subject to conservation easement is located
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, and enforcing conservation easements during the year

7

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year

8

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
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.

a
b
c
d
3

I

4
5

I
I

I
mmmmmmmmmmmmmmmmmmmmmmm

$

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

9

Part III
1a
b

2
a
b

No

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

If the organization elected, as permitted under SFAS 116 (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 SFAS 116 (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) Revenues included in Form 990, Part VIII, line 1
$
(ii) Assets included in Form 990, Part X
$
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 SFAS 116 (ASC 958) relating to these items:
Revenues included in Form 990, Part VIII, line 1
$
Assets included in Form 990, Part X
$

mmmmmmmmmmmmmmmmmmmmmmmmmmmmm
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m II
m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II

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

Schedule D (Form 990) 2012

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Page 2
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Schedule D (Form 990) 2012

Part III
3

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
a
d
Scholarly research
Other
b
e
Preservation for future generations
c
4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part
XIII.
5 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

mmmmmm

Part IV

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

1a Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X?
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
2a Did the organization include an amount on Form 990, Part X, line 21?
b If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
m m m m m m m m m m m m m m m m m m mm mm mm mm m m m m m

Part V

mmmm
mmmmmmmmmmm
mmmmmmmmmmmmm
mmmmmm
mmmmmmmmmmm
mmmmm
mmmmmmmm

(a) Current year

(b) Prior year

(c) Two years back

19,159,898.

19,703,627.
350,000.

1,370,001.

-187,344.

6,357,068.

706,385.

14,172,831.

19,159,898.

(d) Three years back

Yes

No

I

(e) Four years back

21,169,249. 19,614,894.
350,000.
50,000.
1,657,157.

20,150,044.
1,566,803.

1,254,355.

-2,101,953.

1,191,410.
50,000.
1,981,369.
19,703,627. 21,169,249.

19,614,894.

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
Board designated or quasi-endowment
%
90.6200 %
Permanent endowment
9.3800 %
Temporarily restricted endowment
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:
(i) unrelated organizations
(ii) related organizations
b If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R?
4 Describe in Part XIII the intended uses of the organization's endowment funds.

I

I

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmm

Part VI

No

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

1a Beginning of year balance
b Contributions
c Net investment earnings, gains,
and losses
d Grants or scholarships
e Other expenditures for facilities
and programs
f Administrative expenses
g End of year balance
2
a
b
c

Yes

Yes
3a(i) X
3a(ii)
3b

No

X

Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property

mmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmm
mmmmmmmmmm
mmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmm

(a) Cost or other basis

(b) Cost or other basis

(c) Accumulated

(investment)

(other)

depreciation

353,490.
1a Land
44,911,036. 24,829,377.
b Buildings
c Leasehold improvements
10,663,862. 8,553,184.
d Equipment
e Other
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)

mmmmmmI

(d) Book value

353,490.
20,081,659.
2,110,678.
22,545,827.
Schedule D (Form 990) 2012

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13-1096620

Schedule D (Form 990) 2012

Part VII

Page

(a) Description of security or category
(including name of security)

(b) Book value

mmmmmmmmmmmmmmmmm
mmmmmmmmmmmmm

(1) Financial derivatives
(2) Closely-held equity interests
(3) Other
(A) INVESTMENTS HELD UNDER SPLIT
(B) INTEREST AGREEMENTS
(C) MARKETABLE EQUITY LONG/SHORT
(D) MARKETABLE MULTI-STRATEGY
(E) INTEREST IN PERPETUAL TRUSTS
(F)
(G)
(H)
(I)

3,375,098.
3,064,393.
9,687,879.
9,218,096.

FMV
FMV
FMV
FMV

I

(a) Description of investment type

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 13.)

Part IX

(c) Method of valuation:
Cost or end-of-year market value

25,345,466.
Investments - Program Related. See Form 990, Part X, line 13.

Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

(b) Book value

(c) Method of valuation:
Cost or end-of-year market value

I

Other Assets. See Form 990, Part X, line 15.
(a) Description

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 15.)

Part X
1.

3

Investments - Other Securities. See Form 990, Part X, line 12.

(b) Book value

mmmmmmmmmmmmmmmmmmmmmmmmmm I

Other Liabilities. See Form 990, Part X, line 25.
(a) Description of liability

(b) Book value

(1) Federal income taxes
(2) CHARITABLE ANNUITY AGREEMENTS
(3) PENSION BENEFITS
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 25.)

2,219,690.
14,724,100.

I

16,943,790.

mmmmmmmmmmm

2. FIN 48 (ASC 740) Footnote. 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
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LIGHTHOUSE INTERNATIONAL

13-1096620

Schedule D (Form 990) 2012

Part XI
1
2
a
b
c
d
e
3
4
a
b
c
5

a
b
c
d
e
3
4
a
b
c
5

1

26,071,756.

2e
3

2,360,957.
23,710,799.

195,000.
mmmmmmm
-5,675,374.
mmmmmmmmmmmmmmmmmmmmmmmmmmm
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm

4c
5

-5,480,374.
18,230,426.

2a
2b
2c
2d

4a
4b

Reconciliation of Expenses per Audited Financial Statements With Expenses per Return

mmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
5,675,374.
mmmmmmmmmmmmmmmmmmmmmmmmmmm
m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm
195,000.
mmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmm
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm

Total expenses and losses per audited financial statements
Amounts included on line 1 but not on Form 990, Part IX, line 25:
Donated services and use of facilities
Prior year adjustments
Other losses
Other (Describe in Part XIII.)
Add lines 2a through 2d
Subtract line 2e from line 1
Amounts included on Form 990, Part IX, line 25, but not on line 1:
Investment expenses not included on Form 990, Part VIII, line 7b
Other (Describe in Part XIII.)
Add lines 4a and 4b
Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.)

Part XIII

4

mmmmmmmmmmmmmmmmm
1,760,611.
mmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmm
600,346.
mmmmmmmmmmmmmmmmmmmmmmmmmmm
m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm

Total revenue, gains, and other support per audited financial statements
Amounts included on line 1 but not on Form 990, Part VIII, line 12:
Net unrealized gains on investments
Donated services and use of facilities
Recoveries of prior year grants
Other (Describe in Part XIII.)
Add lines 2a through 2d
Subtract line 2e from line 1
Amounts included on Form 990, Part VIII, line 12, but not on line 1 :
Investment expenses not included on Form 990, Part VIII, line 7b
Other (Describe in Part XIII.)
Add lines 4a and 4b
Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.)

Part XII
1
2

Page

Reconciliation of Revenue per Audited Financial Statements With Revenue per Return

1

31,055,004.

2e
3

5,675,374.
25,379,630.

4c
5

195,000.
25,574,630.

2a
2b
2c
2d

4a
4b

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, 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.

SEE PAGE 5

Schedule D (Form 990) 2012

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LIGHTHOUSE INTERNATIONAL
Supplemental Information (continued)

13-1096620

Schedule D (Form 990) 2012

Part XIII

Page

5

ENDOWMENTS
PART V
THE ORGANIZATION'S ENDOWMENT IS MAINTAINED BY THE BANK OF NEW YORK MELLON
FOR THE PURPOSES OF FUNDING FUTURE PROGRAM SERVICES UNDERTAKEN BY THE
LIGHTHOUSE.

RECONCILIATION OF REVENUE
SCHEDULE D, PART XI, LINE 2D

CHANGE IN SPLIT INTEREST AGREEMENTS

$ 600,346

SCHEDULE D, PART XI, LINE 4B

COST OF GOODS SOLD RECLASSED FROM EXPENSES
RECLASSED RENTAL EXPENSES

$ (570,403)
$(5,104,971)
-----------

TOTAL

$(5,675,374)
===========

RECONCILIATION OF EXPENSE

SCHEDULE D, PART XII, LINE 2D

COST OF GOODS SOLD RECLASSED FROM EXPENSES
RECLASSED RENTAL EXPENSES

$ 570,403
$5,104,971
-----------

TOTAL

$5,675,374

Schedule D (Form 990) 2012

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LIGHTHOUSE INTERNATIONAL
Supplemental Information (continued)

13-1096620

Schedule D (Form 990) 2012

Part XIII

Page

5

===========

LIABILITY FOR UNCERTAIN TAX POSITION : FIN 48 (ASC 740)
PART X
THE LIGHTHOUSE FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN
INCOME TAX POSITIONS WHICH REQUIRE THAT A TAX POSITION BE RECOGNIZED OR
DE-RECOGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES
TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. THE
LIGHTHOUSE DOES NOT BELIEVE ITS ACTIVITIES RESULT IN ANY UNCERTAIN TAX
POSITIONS.

Schedule D (Form 990) 2012

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SCHEDULE F
(Form 990)

Statement of Activities Outside the United States

I

À¾µ¶

Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.

I

Department of the Treasury
Internal Revenue Service
Name of the organization

OMB No. 1545-0047

Attach to Form 990.

I

Open to Public
Inspection

See separate instructions.

Employer identification number

13-1096620
LIGHTHOUSE INTERNATIONAL
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 14b.
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and other
assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the
grants or assistance?

1

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

X Yes

No

2

For grantmakers. Describe in Part V the organization's procedures for monitoring the use of its grants and other
assistance outside the United States.

3

Activities per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region

(b) Number of
offices in the
region

(c) Number of
employees,
agents, and
independent
contractors
in region

(d) Activities conducted in
region (by type) (e.g.,
fundraising, program services,
investments,
grants to recipients
located in the region)

(1)

CENTRAL AMERICA/CARIBBEAN

INVESTMENTS

(2)

EUROPE

GRANTMAKING

(e) If activity listed in (d) is
a program service,
describe specific type of
service(s) in region

(f) Total
expenditures for
and investments
in region

8,406,521.

POLICY AND ADVOCACY

30,000.

(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
3a
b
c

mmmmmmmmmmm
mmmmmmm

Sub-total
Total
from
continuation
sheets to Part I
Totals (add lines 3a and 3b)

8,436,521.

8,436,521.

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

Schedule F (Form 990) 2012

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Schedule F (Form 990) 2012

Part II
1

Page

2

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name of
organization

(b) IRS code
section and EIN
(if applicable)

(c) Region

(d) Purpose of
grant

(e) Amount of
cash grant

(f) Manner of
cash
disbursement

(g) Amount of
non-cash
assistance

(h) Description
of non-cash
assistance

(i) Method of
valuation
(book, FMV,
appraisal,
other)

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
2
3

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt
by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter
Enter total number of other organizations or entities

m m m m m m m m m m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II

Schedule F (Form 990) 2012

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Schedule F (Form 990) 2012

Part III

Page

(a) Type of grant or assistance

(1)

3

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(b) Region

AWARD TO TREAT SEVERE VISION IMPAIRMENT

EUROPE/ICELAND/GREENLAND

(c) Number of
recipients

1.

(e) Manner of
cash
disbursement

(d) Amount of
cash grant

30,000.

(f) Amount of
non-cash
assistance

(g) Description
of non-cash
assistance

(h) Method of
valuation
(book, FMV,
appraisal,
other)

SETTLEMENT

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)
Schedule F (Form 990) 2012

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Schedule F (Form 990) 2012

Part IV
1

Page

Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"
the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign
Corporation (see Instructions for Form 926)

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

2

X

Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization
may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and
Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a
U.S. Owner (see Instructions for Forms 3520 and 3520-A)

mmmmmmmmmmmmmmmmmmmmmmm

3

X

No

Yes

No

Was the organization a direct or indirect shareholder of a passive foreign investment company or a
qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621,
Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing
Fund. (see Instructions for Form 8621)

X

Yes

No

Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes,"
the organization may be required to file Form 8865, Return of U.S. Persons With Respect To Certain
Foreign Partnerships. (see Instructions for Form 8865)

X

Yes

No

mmmmmmmmmmmmmmmmmmmmmmmmm

6

Yes

No

X

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

5

Yes

Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes,"
the organization may be required to file Form 5471, Information Return of U.S. Persons With Respect To
Certain Foreign Corporations. (see Instructions for Form 5471)

mmmmmmmmmmmmmmmmmmmmm

4

4

Foreign Forms

Did the organization have any operations in or related to any boycotting countries during the tax year? If
"Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions
for Form 5713)

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Yes

X

No

Schedule F (Form 990) 2012

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Schedule F (Form 990) 2012

Part V

Page

5

Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f)
(accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III
(accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to
provide any additional information (see instructions).

SCHEDULE F, PART IV, FOREIGN INVESTMENTS
LIGHTHOUSE INTERNATIONAL INVESTS IN VARIOUS LIMITED PARTNERSHIPS THAT MAY
HAVE INTERESTS IN FOREIGN PARTNERSHIPS OR CORPORATIONS.

BY VIRTUE OF ITS

INVESTMENT HOLDINGS, THE LIGHTHOUSE LIKELY MADE TRANSFERS TO THESE
FOREIGN PARTNERSHIPS OR CORPORATIONS, BUT THE AMOUNT TRANSFERRED MAY NOT
HAVE MET THE THRESHOLDS REQUIRED FOR THE FILING OF THE FORMS REFERENCED
IN PART IV OF SCHEDULE F.

Schedule F (Form 990) 2012

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SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Name of the organization

OMB No. 1545-0047

Supplemental Information Regarding
Fundraising or Gaming Activities

À¾µ¶

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the
organization entered more than $15,000 on Form 990-EZ, line 6a.
Attach to Form 990 or Form 990-EZ.
See separate instructions.

I

I

Open to Public
Inspection

Employer identification number

LIGHTHOUSE INTERNATIONAL
13-1096620
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
Part I
Form 990-EZ filers are not required to complete this part.
1
a
b
c
d

Indicate whether the organization raised funds through any
X Mail solicitations
e X
X Internet and email solicitations
f X
X Phone solicitations
g X
In-person solicitations

of the following activities. Check all that apply.
Solicitation of non-government grants
Solicitation of government grants
Special fundraising events

2 a Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
X Yes
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

No

b If "Yes," list the ten 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?

Yes

(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

No

1

THE AUGUSTUS GROUP, INC

CONSULTING

X

1,160,925.

305,496.

855,429.

2
3
4
5
6
7
8
9
10

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI

1,160,925.
305,496.
855,429.
Total
3 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.
AL,AZ,AR,CA,CO,CT,FL,GA,IL,
KS,KY,MD,MA,MI,MN,MS,MO,NH,NJ,NM,NY,NC,ND,OH,
OK,OR,PA,RI,SC,UT,VA,WA,WV,WI,

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

Schedule G (Form 990 or 990-EZ) 2012

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Schedule G (Form 990 or 990-EZ) 2012

Part II

Page

Fundraising Events. Complete if the organization answered "Yes" to 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

(b) Event #2

POSH SALE

mmmmmmmmmmmm
mmmmmmmmm
mmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmm
mmmmmmmmmmmm
mmmmmmmmmm
mmmmmmmmm
mmmmmmmmmmmm
mmmmmmmm

1 Gross receipts

(c) Other events

GALA

(event type)

Revenue

2

(d) Total events
(add col. (a) through
col. (c))

2.
(event type)

(total number)

1,146,317.

520,000.

651,791.

2,318,108.

671,388.

374,088.

605,024.

1,650,500.

474,929.

145,912.

46,767.

667,608.

181,160.

70,453.

6,839.

258,452.

9,156.

907.

20,860.

30,923.

284,613.

74,552.

19,068.

378,233.

2 Less: Contributions
3 Gross income (line 1 minus
line 2)
4 Cash prizes

Direct Expenses

5 Noncash prizes

6 Rent/facility costs

7 Food and beverages
8 Entertainment

9 Other direct expenses

667,608.
mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm I
I
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more
(

10 Direct expense summary. Add lines 4 through 9 in column (d)
11 Net income summary. Combine line 3, column (d), and line 10

Part III

)

Direct Expenses

Revenue

than $15,000 on Form 990-EZ, line 6a.
(b) Pull tabs/instant
bingo/progressive bingo

(a) Bingo

mmmmmmmmmmmm
mmmmmmmmmmmmmm
mmmmmmmmmmm
mmmmmmmmmm
mmmmmmmm
mmmmmmmmmmm

(d) Total gaming (add
col. (a) through col. (c))

(c) Other gaming

1 Gross revenue
2 Cash prizes

3 Noncash prizes

4 Rent/facility costs

5 Other direct expenses
6 Volunteer labor

Yes

%

Yes

No

No

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

%

%

Yes
No

mmmmmmmmmmmmmmmmmmmmm I
mmmmmmmmmmmmmmmmmm I

(

)

8 Net gaming income summary. Combine line 1, column d, and line 7
9

Enter the state(s) in which the organization operates gaming activities:
a Is the organization licensed to operate gaming activities in each of these states?
b If "No," explain:

mmmmmmmmmmmmmmmmm

Yes

No

mmmm

Yes

No

10 a Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year?
b If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2012
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Schedule G (Form 990 or 990-EZ) 2012

mmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Does the organization operate gaming activities with nonmembers?
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?
13
Indicate the percentage of gaming activity operated in:
a The organization's facility
13a
b An outside facility
13b
14
Enter the name and address of the person who prepares the organization's gaming/special events books and
records:

11
12

Name

Yes

No

%
%

I

Does the organization have a contract with a third party from whom the organization receives gaming
revenue?
b If "Yes," enter the amount of gaming revenue received by the organization
$
and the
amount of gaming revenue retained by the third party
$
.
c If "Yes," enter name and address of the third party:

15 a

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
I
I

Yes

No

Yes

No

I

Address

I

Gaming manager information:

16

Name

I

Gaming manager compensation
Description of services provided
Director/officer
17

3

No

I

Address

Name

Page

Yes

I
I

$

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?
b Enter the amount of distributions required under state law to be distributed to other exempt organizations
or spent in the organization's own exempt activities during the tax year
$
a

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
I

Part IV

Supplemental Information. Complete this part to provide the explanation 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 complete this
part to provide any additional information (see instructions).
SCHEDULE G, PART II

LIGHTHOUSE INTERNATIONAL IS DEDICATED TO FIGHTING VISION LOSS THROUGH
PREVENTION, TREATMENT AND EMPOWERMENT.

ESSENTIAL TO LIGHTHOUSE'S MISSION

IS ITS ONGOING FUNDRAISING EFFORTS THAT ENABLE IT TO PROVIDE SERVICES TO
THE COMMUNITY IN SUPPORT OF OUR MISSION. TO THAT END, LIGHTHOUSE IS
REPORTING, FOR 990 PURPOSES, AN AMOUNT AS "SERVICES RENDERED" THAT EQUALS
THE EXPENSE OF CONDUCTING THE EVENT SINCE IT IS REASONABLE TO PROJECT
Schedule G (Form 990 or 990-EZ) 2012

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Schedule G (Form 990 or 990-EZ) 2012

mmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Does the organization operate gaming activities with nonmembers?
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?
13
Indicate the percentage of gaming activity operated in:
a The organization's facility
13a
b An outside facility
13b
14
Enter the name and address of the person who prepares the organization's gaming/special events books and
records:

11
12

Name

Yes

No

%
%

I

Does the organization have a contract with a third party from whom the organization receives gaming
revenue?
b If "Yes," enter the amount of gaming revenue received by the organization
$
and the
amount of gaming revenue retained by the third party
$
.
c If "Yes," enter name and address of the third party:

15 a

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
I
I

Yes

No

Yes

No

I

Address

I

Gaming manager information:

16

Name

I

Gaming manager compensation
Description of services provided
Director/officer
17

3

No

I

Address

Name

Page

Yes

I
I

$

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?
b Enter the amount of distributions required under state law to be distributed to other exempt organizations
or spent in the organization's own exempt activities during the tax year
$
a

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
I

Part IV

Supplemental Information. Complete this part to provide the explanation 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 complete this
part to provide any additional information (see instructions).
THAT THE COSTS OF HOLDING EACH EVENT WERE PASSED THROUGH TO THE

ATTENDEES.
FOR 990 REPORTING PURPOSES, THE LIGHTHOUSE HAS OPTED TO REPORT ITS
SPECIAL EVENTS CONSISTENT WITH HOW THEY ARE PRESENTED IN THE FINANCIAL
STATEMENTS. THE AMOUNTS REPORTED ON SCHEDULE G AND PART VIII, LINE 8 TIE
BACK DIRECTLY TO SPECIAL EVENTS REVENUE AS REPORTED IN THE FINANCIAL
STATEMENTS.

THE $667,608 IN SPECIAL EVENT EXPENSES, LIKEWISE, TIES BACK
Schedule G (Form 990 or 990-EZ) 2012

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Schedule G (Form 990 or 990-EZ) 2012

mmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Does the organization operate gaming activities with nonmembers?
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?
13
Indicate the percentage of gaming activity operated in:
a The organization's facility
13a
b An outside facility
13b
14
Enter the name and address of the person who prepares the organization's gaming/special events books and
records:

11
12

Name

Yes

No

%
%

I

Does the organization have a contract with a third party from whom the organization receives gaming
revenue?
b If "Yes," enter the amount of gaming revenue received by the organization
$
and the
amount of gaming revenue retained by the third party
$
.
c If "Yes," enter name and address of the third party:

15 a

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
I
I

Yes

No

Yes

No

I

Address

I

Gaming manager information:

16

Name

I

Gaming manager compensation
Description of services provided

I
I

Director/officer
17

3

No

I

Address

Name

Page

Yes

$

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?
b Enter the amount of distributions required under state law to be distributed to other exempt organizations
or spent in the organization's own exempt activities during the tax year
$
a

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
I

Part IV

Supplemental Information. Complete this part to provide the explanation 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 complete this
part to provide any additional information (see instructions).
TO THE FINANCIAL STATEMENTS AND REPRESENTS DIRECT SPECIAL EVENT EXPENSES.

THE LIGHTHOUSE DOES INCUR INDIRECT AND OVERHEAD EXPENSES ON ITS SPECIAL
EVENTS, BUT THOSE EXPENSES HAVE BEEN REPORTED ON PART IX, FUNCTIONAL
EXPENSES, RATHER THAN ON PART VIII (AGAIN, SO THAT THE 990 TIES BACK TO
THE FINANCIAL STATEMENTS).

Schedule G (Form 990 or 990-EZ) 2012

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SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States

OMB No. 1545-0047

Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
Attach to Form 990.

Open to Public
Inspection

I

Name of the organization

Employer identification number

LIGHTHOUSE INTERNATIONAL
Part I General Information on Grants and Assistance
1
2

À¾µ¶
13-1096620

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

X Yes

No

Part II Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
1

(a) Name and address of organization
or government

(b) EIN

(c) IRC section
if applicable

(d) Amount of cash
grant

(e) Amount of noncash assistance

(f) Method of valuation
(book, FMV, appraisal,
other)

(g) Description of
non-cash assistance

(h) Purpose of grant
or assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)

m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm II

2 Enter total number of section 501(c)(3) and government organizations listed in the line 1 table
3 Enter total number of other organizations listed in the line 1 table
For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Schedule I (Form 990) (2012)

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LIGHTHOUSE INTERNATIONAL

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Schedule I (Form 990) (2012)

Part III

Page

2

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(b) Number of
recipients

(a) Type of grant or assistance

(d) Amount of
non-cash assistance

(c) Amount of
cash grant

1

ASSISTANCE TO VISUALLY IMPAIRED STUDENTS

8.

70,083.

2

AWARD TO TREAT SEVERE VISION IMPAIRMENT

1.

30,000.

(e) Method of valuation (book,

(f) Description of non-cash assistance

FMV, appraisal, other)

3
4
5
6
7

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional
information.

GRANTS
PART I, LINE 2
GRANTS AND AWARDS ARE BASED ON A WRITTEN APPLICATION AND ESSAY WHICH ARE
SELECTED BY AN INTERNAL REVIEW COMMITTEE. IN ADDITION, THE PISART VISION
AWARD IS GRANTED TO AN INDIVIDUAL WHO HAS MADE AN EXTRAORDINARY
CONTRIBUTION TO THE PREVENTION, TREATMENT OR CURE OF SEVERE VISION
IMPAIRMENT OR BLINDNESS.

THE SELECTION IS MADE BY A COMMITTEE OF

LIGHTHOUSE INTERNATIONAL PERSONNEL AND OTHER PROFESSIONALS.

IN 2012,

LIGHTHOUSE PROVIDED 9 SCHOLARSHIPS THAT TOTALED $100,083.

Schedule I (Form 990) (2012)

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Compensation Information

SCHEDULE J
(Form 990)

I

Department of the Treasury
Internal Revenue Service

OMB No. 1545-0047

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Complete if the organization answered "Yes" to Form 990,
Part IV, line 23.
Attach to Form 990.
See separate instructions.

I

À¾µ¶
Open to Public
Inspection

I

Name of the organization

Employer identification number

LIGHTHOUSE INTERNATIONAL
Part I
Questions Regarding Compensation

13-1096620
Yes

No

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

First-class or charter travel
Travel for companions
Tax indemnification and gross-up payments
Discretionary spending account

Housing allowance or residence for personal use
Payments for business use of personal residence
Health or social club dues or initiation fees
Personal services (e.g., maid, chauffeur, chef)

b 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
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a?

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmm

X Compensation committee

W ritten employment contract

Independent compensation consultant
Form 990 of other organizations

X Compensation survey or study
X Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a, with respect to the filing
organization or a related organization:
a Receive a severance payment or change-of-control payment?
b Participate in, or receive payment from, a supplemental nonqualified retirement plan?
c 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.

mmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmm
mmmmmmmmmmmmmmm

5
a
b
6
a
b
7
8

9

2

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.

3

4

1b

Only section 501(c)(3) and 501(c)(4) organizations must complete lines 5-9.
For persons listed in 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" to line 5a or 5b, describe in Part III.
For persons listed in 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" to line 6a or 6b, describe in Part III.
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III
Were any amounts reported in Form 990, Part VII, paid or accrued 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" to line 8, did the organization also follow the rebuttable presumption procedure described in
Regulations section 53.4958-6(c)?

4a
4b
4c

X
X
X

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

5a
5b

X
X

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

6a
6b

X
X

7

X

8

X

mmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

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

9

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Schedule J (Form 990) 2012

Part II

Page

2

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 in 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.
(B) Breakdown of W-2 and/or 1099-MISC compensation
(A) Name and Title

(i) Base
compensation

MARK G. ACKERMANN

(i)

1

PRESIDENT/CEO

(ii)

BRUCE P. ROSENTHAL

(i)

2

CHIEF OF LOW VISION PROGRAMS

(ii)

MAURA SWEENEY

(i)

3

SENIOR VP, COO

(ii)

JOHN VLACHOS

(i)

4

CHIEF FINANCIAL OFFICER

(ii)

LISA FERFOGLIA

(i)

5

VICE PRESIDENT, HUMAN RESOURCE

(ii)

BARBARA GYDE (THRU 12/2

(i)

6

SVP CHIEF EXTERNAL AFFAIRS

(ii)

ROWENA SAUNDERS(THRU 12

(i)

7

VICE PRESIDENT, VOLUNTEERS

(ii)

PAUL GARRIN

(i)

8

VICE PRESIDENT AND CIO

(ii)

HOPE KESSLER

(i)

9

SENIOR VP DEVELOPMENT

(ii)

10

CYNTHIA STUEN

(i)

SVP CHIEF PROFESSIONAL AFFAIRS

(ii)

(ii) Bonus & incentive
compensation

353,312.
0
231,759.
0
271,446.
0
266,943.
0
183,446.
0
245,547.
0
166,806.
0
195,425.
0
69,411.
0
0
0

40,000.
0
12,096.
0
25,000.
0
0
0
12,120.
0
15,000.
0
10,606.
0
6,211.
0
0
0
0
0

(iii) Other
reportable
compensation

(C) Retirement and
other deferred
compensation

268.
0
1,284.
0
93.
0
0
0
143.
0
419.
0
143.
0
0
0
124,043.
0
129,932.
0

60,000.
0
13,167.
0
12,861.
0
9,976.
0
10,150.
0
172,868.
0
68,558.
0
11,167.
0
0
0
0
0

(D) Nontaxable
benefits

32,360.
0
25,478.
0
11,984.
0
25,554.
0
11,602.
0
20,215.
0
18,103.
0
32,080.
0
0
0
0
0

(E) Total of columns
(B)(i)-(D)

485,940.
0
283,784.
0
321,384.
0
302,473.
0
217,461.
0
454,049.
0
264,216.
0
244,883.
0
193,454.
0
129,932.
0

(F) Compensation
reported as deferred in
prior Form 990

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
142,453.
0
129,932.
0

(i)
11

(ii)

12

(ii)

13

(ii)

14

(ii)

15

(ii)

16

(ii)

(i)
(i)
(i)
(i)
(i)
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Schedule J (Form 990) 2012

Page

3

Part III Supplemental Information
Complete this part to 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.

SCHEDULE J, PART I, LINE 4A
SENIOR VICE PRESIDENT OF DEVELOPMENT, HOPE KESSLER AND SENIOR VICE
PRESIDENT, CHIEF PROFESSIONAL AFFAIRS, CYNTHIA STUEN WERE AWARDED
SEVERANCE THAT WAS ACCRUED AND REPORTED ON THE 2011 990, SCHEDULE J PART
II, COLUMN C, AS DEFERRED COMPENSATION. IN 2012, THEIR SEVERANCE AMOUNTS
WERE PAID AND REPORTED ON THEIR INDIVIDUAL W-2'S AND ON THE 2012 990 AS
OTHER COMPENSATION.

INCLUDED WITHIN MS. KESSLER'S COMPENSATION REPORTED IN SCHEDULE J, PART
II, COLUMN B(I) IS $51,000 OF NON-EMPLOYEE COMPENSATION SHE RECEIVED FOR
SERVICES RENDERED TO THE LIGHTHOUSE AFTER SHE SEPARATED FROM SERVICE WITH
THE ORGANIZATION

SCHEDULE J, PART I, LINE 4B

LIGHTHOUSE INTERNATIONAL HAS AN EXECUTIVE DEFERRED COMPENSATION PLAN,
EFFECTIVE AS OF JANUARY 1, 2011, FOR THE PURPOSES OF PROVIDING RETIREMENT
BENEFITS TO THE ORGANIZATION'S CURRENT CHIEF EXECUTIVE OFFICER.

THE PLAN

CONSTITUTES A DEFERRED COMPENSATION PLAN AS DEFINED IN SECTION 457(F) OF
Schedule J (Form 990) 2012
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Schedule J (Form 990) 2012

Page

3

Part III Supplemental Information
Complete this part to 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.

THE INTERNAL REVENUE CODE.

CHIEF EXECUTIVE OFFICER, MARK G. ACKERMANN

PARTICIPATES IN THIS PLAN AND THE ORGANIZATION CONTRIBUTED $50,000 ON HIS
BEHALF IN CALENDAR YEAR 2012.

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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.
Attach to Form 990 or 990-EZ.

À¾µ¶
Open to Public
Inspection

I

Name of the organization

OMB No. 1545-0047

Employer identification number

LIGHTHOUSE INTERNATIONAL

13-1096620

PROCESS USED TO REVIEW FORM 990
FORM 990, PART VI, LINE 11
FORM 990 WAS PREPARED BY A NATIONALLY RENOWNED ACCOUNTING FIRM IN
CONJUNCTION WITH THE ORGANIZATION'S FINANCIAL DEPARTMENT.

A COPY OF THE

DRAFT FORM 990 WAS CIRCULATED TO THE FULL BOARD OF TRUSTEES FOR
DISCUSSION AND COMMENT.

EACH BOARD MEMBER WAS PROVIDED AMPLE OPPORTUNITY

TO COMMENT ON THE INFORMATION CONTAINED IN THE 990 PRIOR TO ITS FILING
WITH THE INTERNAL REVENUE SERVICE.

CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT
FORM 990, PART VI, LINE 12
LIGHTHOUSE INTERNATIONAL'S CONFLICT OF INTEREST POLICY FOR DIRECTORS,
OFFICERS AND OTHER KEY EMPLOYEES IS AS FOLLOWS:

1.

SCOPE: THE FOLLOWING STATEMENT OF POLICY APPLIES TO EACH MEMBER OF

THE BOARD AND TO ALL OFFICERS OF LIGHTHOUSE INTERNATIONAL (LI). FURTHER,
IT IS INTENDED TO SERVE FOR THE GUIDANCE OF ALL PERSONS EMPLOYED BY THE
INSTITUTION REGARDLESS OF POSITION.

2.

FIDUCIARY RESPONSIBILITY: MEMBERS OF THE BOARD, OFFICERS, AND

STAFF SERVE A PUBLIC-INTEREST ROLE AND THUS HAVE A CLEAR OBLIGATION TO
CONDUCT ALL AFFAIRS OF THE LIGHTHOUSE INTERNATIONAL IN A MANNER
CONSISTENT WITH THIS CONCEPT. ALL DECISIONS OF THE BOARD AND OFFICERS OF
THE ADMINISTRATION OF LIGHTHOUSE INTERNATIONAL ARE TO BE MADE SOLELY ON

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

Schedule O (Form 990 or 990-EZ) (2012)

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Name of the organization

2

Employer identification number

LIGHTHOUSE INTERNATIONAL

13-1096620

THE BASIS OF A DESIRE TO PROMOTE THE BEST INTERESTS OF LIGHTHOUSE
INTERNATIONAL AND THE PUBLIC GOOD.

3.

ANY BOARD MEMBER OR OFFICER MUST REPORT A CONFLICT, OR POTENTIAL

CONFLICT, OF INTEREST IN THE EVENT THAT ANY TRANSACTION FOR LIGHTHOUSE
INTERNATIONAL WHICH ALSO INVOLVES A 1)MEMBER OF THE BOARD OR ANY OFFICER
OF LIGHTHOUSE INTERNATIONAL OR A MEMBER OF HIS OR HER FAMILY OR 2) AN
ORGANIZATION WITH WHICH A MEMBER OF THE BOARD OR ANY OFFICER OF
LIGHTHOUSE INTERNATIONAL IS AFFILIATED, SUCH BOARD MEMBER OR OFFICER, AT
THE FIRST KNOWLEDGE OF THE TRANSACTION, SHALL DISCLOSE FULLY THE PRECISE
NATURE OF THE INTEREST OR INVOLVEMENT.

4.

RESTRAINT ON PARTICIPATION: DIRECTORS OR OFFICERS WHO HAVE

DECLARED OR BEEN FOUND TO HAVE CONFLICT OF INTEREST IN ANY MATTER BEFORE
THE ADMINISTRATION OR THE BOARD SHALL REFRAIN FROM PARTICIPATING IN
CONSIDERATION OF THE PROPOSED TRANSACTION, UNLESS FOR SPECIAL REASONS FOR
THE BOARD OR ADMINISTRATION REQUESTS INFORMATION OR INTERPRETATION FROM
THE PERSON OR PERSONS INVOLVED. THE PERSON OR PERSONS INVOLVED SHOULD NOT
VOTE ON SUCH MATTERS AND SHOULD NOT BE PRESENTED AT THE TIME OF VOTE.

5.

DISCIPLINARY ACTION: VIOLATION OF THESE STANDARDS BY A MEMBER OF

THE BOARD OR BY THE PRESIDENT/CEO SHALL BE ADDRESSED BY THE BOARD.
SANCTIONS AVAILABLE TO THE BOARD IN ITS DISCRETION RANGE FROM AN ORAL OR
WRITTEN ADMONISHMENT TO REMOVAL OF A TRUSTEE FROM THE BOARD FOR CAUSE. IN
ACCORDANCE WITH THE BYLAWS OF THE BOARD, ANY REMOVAL OF A MEMBER OF THE

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Name of the organization

2

Employer identification number

LIGHTHOUSE INTERNATIONAL

13-1096620

BOARD FOR CAUSE SHALL BE BY A VOTE OF TWO-THIRDS (2/3) OF ALL THE
TRUSTEES TAKEN AT A REGULAR OR SPECIAL MEETING.

VIOLATIONS OF THESE STANDARDS BY A LIGHTHOUSE INTERNATIONAL OFFICER OTHER
THAN THE PRESIDENT/CEO SHALL BE ADDRESSED BY THE PRESIDENT/CEO. SANCTIONS
AVAILABLE TO THE PRESIDENT RANGE FROM AN ORAL OR WRITTEN ADMONISHMENT TO
TERMINATION OF EMPLOYMENT.
ANY BOARD MEMBER OR OFFICER OF LIGHTHOUSE INTERNATIONAL WHO IS UNCERTAIN
ABOUT POSSIBLE CONFLICT OF INTEREST IN ANY MATTER, MAY REQUEST THE BOARD
TO DETERMINE WHETHER A POSSIBLE CONFLICT PREVAILS; THE BOARD SHALL
RESOLVE THE QUESTION BY MAJORITY VOTE. WHEN POSSIBLE, THE QUESTION OF
POTENTIAL CONFLICT SHOULD BE REFERRED TO COUNSEL FOR AN OPINION PRIOR TO
THE BOARD'S VOTE.

PROCESS FOR DETERMINING COMPENSATION
FORM 990, PART VI, LINE 15
THE FINANCE & ADMINISTRATION COMMITTEE OF THE BOARD OF DIRECTORS OF
LIGHTHOUSE INTERNATIONAL REVIEWS AND APPROVES CORPORATE OFFICERS'
COMPENSATION AND BENEFIT PROGRAMS INCLUDING THE 401K PLAN ANNUALLY, TO
ENSURE THAT PROGRAMS ARE COMPETITIVE AND COST EFFECTIVE.

COMPENSATION

DECISIONS, INCLUDING SALARY, BONUS AND OTHER COMPENSATION, ARE
RECOMMENDED TO THE FULL BOARD OF DIRECTORS FOR ITS APPROVAL.

FOR ALL

OTHER EMPLOYEES, INCLUDING KEY EMPLOYEES ALL RECOMMENDATIONS ARE REVIEWED
BY HUMAN RESOURCES AND THE PRESIDENT/CEO. HUMAN RESOURCES REGULARLY
REVIEWS COMPENSATION THROUGH VARIOUS EXTERNAL MARKET SURVEYS AND SOURCES.
DELIBERATION INCLUDES EVALUATION OF INDIVIDUAL PERFORMANCE MEASURED

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2

Employer identification number

LIGHTHOUSE INTERNATIONAL

13-1096620

AGAINST PERSONAL AND CORPORATE GOALS.

AVAILABILITY OF DOCUMENTS TO THE PUBLIC
FORM 990, PART VI, LINE 19
THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC BY MAKING THE
COPY RETAINED AT ITS PLACE OF BUSINESS READILY AVAILABLE FOR PUBLIC
INSPECTION. THE FORM 990 IS ALSO AVAILABLE ON THE ORGANIZATION'S WEBSITE
AT WWW.LIGHTHOUSE.ORG AS WELL AS ON THE INTERNET AT WWW.GUIDESTAR.ORG.
THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT
OF INTEREST POLICY ARE NOT ORDINARILY MADE AVAILABLE TO THE PUBLIC, BUT,
IF REQUESTED, WILL BE PROVIDED AT MANAGEMENT'S DISCRETION.

OTHER PROGRAM SERVICE ACTIVITIES
FORM 990, PART III, LINE 4D
IN ADDITION TO THE THREE LARGEST PROGRAM SERVICES, LIGHTHOUSE
INTERNATIONAL UNDERTAKES THE FOLLOWING OTHER PROGRAM ACTIVITIES:

1)VOLUNTEERS AND READING SERVICES RECRUIT OUTSTANDING INDIVIDUALS
INCLUDING COLLEGE INTERNS AND BUSINESS PROFESSIONALS WHO GIVE OF THEIR
TIME AND EXPERTISE, VOLUNTEERING IN SUPPORT OF LIGHTHOUSE PROGRAMS AND
ITS MISSION.

2)THE LIGHTHOUSE MUSIC SCHOOL IS THE LARGEST COMMUNITY MUSIC SCHOOL
PROGRAM FOR PEOPLE OF ALL AGES WITH VISION LOSS IN THE UNITED STATES.

3)PROFESSIONAL EDUCATION OFFERS ACCREDITED PROFESSIONAL CONTINUING

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2

Employer identification number

LIGHTHOUSE INTERNATIONAL

13-1096620

EDUCATION COURSES IN LOW VISION CARE AND VISION REHABILITATION AS WELL AS
PARAPROFESSIONAL TRAINING.

4)CAREER, ACADEMIC AND TECHNOLOGY SERVICES ENABLE PEOPLE WHO ARE LEGALLY
BLIND ACHIEVE THEIR ACADEMIC GOALS, PREPARE FOR, OBTAIN OR RETAIN A JOB
IN THE COMPETITIVE MARKETPLACE, AND PROVIDE EVALUATION AND TRAINING ON
THE USE OF ASSISTIVE TECHNOLOGY.

ADULT BASIC EDUCATION, ENGLISH AS A

SECOND LANGUAGE (ESL), GED, TUTORING AND COLLEGE PREPARATION ARE SOME OF
THE ACADEMIC OFFERINGS.

MATCHING EMPLOYERS WITH QUALIFIED CANDIDATES AND

ENSURING WORKPLACE ACCESSIBILITY FOR EMPLOYEES WITH VISION LOSS ARE KEY
COMPONENTS OF THESE PROGRAMS.

5)CONSUMER PRODUCTS INCLUDE THE OPTICAL DISPENSARY AND RETAIL AND ONLINE
LIGHTHOUSE STORE WHICH PROVIDE A WIDE RANGE OF LIGHTING, MAGNIFYING AND
ADAPTIVE DEVICES - ALL OF WHICH ARE DESIGNED TO MAKE LIFE EASIER FOR
PEOPLE WITH VISION LOSS - AVAILABLE TO THOSE WHO NEED THEM.

6)THE ARLENE R. GORDON RESEARCH INSTITUTE CONDUCTS STUDIES DESIGNED TO
TRANSLATE SCIENTIFIC FINDINGS AND ADVANCES IN TECHNOLOGY INTO PRACTICAL
SOLUTIONS THAT CAN HELP PEOPLE WHO ARE VISUALLY IMPAIRED FUNCTION MORE
EFFECTIVELY IN EVERYDAY LIFE.

7)PUBLIC INFORMATION DISSEMINATES COMMUNICATIONS THROUGH VARIOUS MEDIA
OUTLETS TO RAISE WIDESPREAD AWARENESS OF THE PREVALENCE OF VISION LOSS,
AND TO PROMOTE THE IMPORTANCE OF PREVENTION AND EARLY INTERVENTION, AS

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Employer identification number

LIGHTHOUSE INTERNATIONAL

13-1096620

WELL AS THE BENEFITS OF VISION REHABILITATION FOR PEOPLE WHO ARE BLIND OR
VISUALLY IMPAIRED.

8)EARLY INTERVENTION SERVICES ARE DEDICATED TO HELPING CHILDREN WITH
VISUAL IMPAIRMENTS AND/OR DEVELOPMENTAL DELAYS FROM BIRTH TO THREE YEARS
OF AGE.

PROGRAMS HELP INFANTS AND TODDLERS WITH VISION PROBLEMS AND

DEVELOPMENTAL DELAYS REACH THE SAME DEVELOPMENTAL MILESTONES AS THEIR
PEERS.

9)SOCIAL SERVICES ASSIST PEOPLE AND THEIR FAMILIES AND CAREGIVERS IN
ADJUSTING TO AND COPING WITH VISION LOSS, BY ADDRESSING THE EMOTIONAL AND
PSYCHOLOGICAL IMPACT OF THE VISION LOSS SO THAT INDEPENDENCE, DIGNITY AND
QUALITY OF LIFE ARE MAINTAINED. SERVICES ARE PROVIDED IN INDIVIDUAL AND
GROUP SETTINGS.

10)OUTREACH ENCOMPASSES THE DEVELOPMENT OF STRATEGIC INITIATIVES AND
ACTIVITIES TO ADVANCE AWARENESS OF VISION RELATED ISSUES, AND PROVIDES
EDUCATION AND REFERRALS FOR THE FULL RANGE OF SERVICES PROVIDED BY
LIGHTHOUSE INTERNATIONAL IN THE NEW YORK METROPOLITAN AREA.

11)POLICY AND ADVOCACY INCLUDES OUTREACH TO RAISE AWARENESS OF VISION
IMPAIRMENT; AND ADVOCACY INITIATIVES, WHICH PROMOTE THE RIGHTS OF PEOPLE
WITH VISION LOSS AND THEIR INCLUSION IN MAINSTREAM SOCIETY.

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Employer identification number

LIGHTHOUSE INTERNATIONAL

13-1096620

RECONCILIATION OF NET ASSETS
PART XI, LINE 9
OTHER CHANGES IN NET ASSETS:

CHANGE IN SPLIT-INTEREST AGREEMENTS
MINIMUM PENSION LIABILITY

$ 600,036
$(1,673,575)
------------

TOTAL

$(1,073,539)
============

ATTACHMENT 1
FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION
LIGHTHOUSE INTERNATIONAL FOR THE 21ST CENTURY: HELPING MILLIONS WITH
VISION LOSS

FOUNDED IN 1905, LIGHTHOUSE INTERNATIONAL IS THE LEADING

NON-PROFIT ORGANIZATION WORLDWIDE DEDICATED TO FIGHTING VISION LOSS
THROUGH PREVENTION, TREATMENT AND EMPOWERMENT.

THE NEED FOR VISION

HEALTH CARE SERVICES IS MORE CRITICAL NOW THAN AT ANY TIME IN OUR
HISTORY DUE TO THE AGING OF OUR POPULATION AND CONDITIONS SUCH AS
MACULAR DEGENERATION AND DIABETES, WHICH ARE BOTH RISING IN RECORD
NUMBERS.

THE STATISTICS ARE COMPELLING: THERE ARE 314 MILLION PEOPLE WORLDWIDE
THAT ARE VISUALLY IMPAIRED- 45 MILLION THAT ARE BLIND AND 269 MILLION
THAT HAVE LOW VISION. IN THE U.S. ALONE, 20 MILLION PEOPLE AGE 45+
SELF-REPORT VISION IMPAIRMENT. LIGHTHOUSE INTERNATIONAL IS RESPONDING

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Employer identification number

LIGHTHOUSE INTERNATIONAL

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ATTACHMENT 1 (CONT'D)

FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION
TO THIS VISION LOSS EPIDEMIC BY:

- PROVIDING MORE CRITICALLY NEEDED VISION HEALTHCARE SERVICES TO
PREVENT AND TREAT EYE DISEASE, AND TO REDUCE THE DISABLING EFFECTS OF
VISION LOSS

- PRESERVING VISION THROUGH THE EARLY DETECTION AND MANAGEMENT OF EYE
DISORDERS FOR PEOPLE WITH OR AT RISK OF EYE DISEASE

- HELPING PEOPLE OF ALL AGES TO OVERCOME THE CHALLENGES OF VISION
LOSS AND EMPOWERING THEM TO MAINTAIN INDEPENDENCE AND PARTICIPATE IN
ALL ASPECTS OF DAILY LIFE

ATTACHMENT 2
FORM 990, PART III, LINE 4D - OTHER PROGRAM SERVICES
DESCRIPTION

GRANTS

EXPENSES

REVENUE

1. VOLUNTEERS AND READING SERVICE

1,056,972.

64,867.

2. MUSIC SCHOOL

1,694,904.

76,167.

288,287.

0

1,229,327.

0

5. CONSUMER PRODUCTS

999,499.

483,434.

6. RESEARCH

440,226.

0

7. PUBLIC INFORMATION

1,459,230.

0

8. EARLY INTERVENTION

1,541,565.

275.

9. SOCIAL SERVICES

657,251.

14,043.

10. OUTREACH

305,773.

0

3. PROFESSIONAL EDUCATION
4. CAREER ACADEMIC AND TECHNOLOGY

130,083.

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Employer identification number

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ATTACHMENT 2 (CONT'D)

FORM 990, PART III, LINE 4D - OTHER PROGRAM SERVICES
DESCRIPTION

GRANTS

EXPENSES

11. POLICY AND ADVOCACY

REVENUE

466,955.

EXPENSES RECLASSED TO PART VIII

0

-111,549.
130,083.

TOTALS

10,028,440.

638,786.

ATTACHMENT 3
FORM 990, PART VI, LINE 17 - STATES
AL,AZ,AR,CA,CT,
FL,GA,IL,KS,KY,MD,MA,MI,
MN,MS,NH,NJ,NM,NY,NC,OK,OR,PA,
RI,SC,UT,VA,WV,WI,

ATTACHMENT 4
990, PART VII- COMPENSATION OF THE FIVE HIGHEST PAID IND. CONTRACTORS
NAME AND ADDRESS

DESCRIPTION OF SERVICES

COMPENSATION

GREYSTONE STAFFING, INC.
48 SOUTH SERVICE ROAD
MELVILLE, NY 11747

STAFFING

609,105.

L.W.ROBBINS ASSOCIATES
201 SUMMER STREET
HOLLISTON, MA 01746-5838

DIRECT MAIL

380,093.

QWEST CONTRACTING
153 WEST 27TH STREET
NEW YORK, NY 10001

CONSTRUCTION MGT

345,701.

CAPGEMINI US LLC
LOCK BOX 98836
CHICAGO, IL 60693

CONSULTING

340,000.

THE AUGUSTUS GROUP, INC.
126 SAGAMORE ROAD
TUCKAHOE, NY 10707

FUNDRAISING

305,496.

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ATTACHMENT 5

FORM 990, PART VIII - INVESTMENT INCOME
(A)
TOTAL
REVENUE

DESCRIPTION

(B)
RELATED OR
EXEMPT REVENUE

(C)
UNRELATED
BUSINESS REV.

(D)
EXCLUDED
REVENUE

INTEREST AND DIVIDENDS

459,260.

459,260.

DISTRIBUTION FROM PERPETUAL TRUSTS

442,238.

442,238.

INTEREST (SOCIAL SERVICES)

63,333.

63,333.

INCOME (LOSS) FROM LP INVESTMENTS

-5,192.

-5,192.

959,639.

-5,192.

TOTALS

964,831.

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LIGHTHOUSE INTERNATIONAL
SCHEDULE R
(Form 990)

I

Department of the Treasury
Internal Revenue Service

13-1096620

Related Organizations and Unrelated Partnerships

OMB No. 1545-0047

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

Open to Public
Inspection

I

I

Attach to Form 990.

À¾µ¶

See separate instructions.

Name of the organization

Employer identification number

LIGHTHOUSE INTERNATIONAL

13-1096620

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) of disregarded entity

(1) LIGHTHOUSE INTL REAL ESTATE HOLDINGS LLC
NEW YORK, NY 10022
111 EAST 59TH STREET

(b)
Primary activity

REAL ESTATE

(c)
Legal domicile (state
or foreign country)

DE

(d)
Total income

(e)
End-of-year assets

(f)
Direct controlling
entity

1,550,185. 24,809,625. LIGHTHOUSE

(2)
(3)
(4)
(5)
(6)

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to 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?

Yes

No

(1)
(2)
(3)
(4)
(5)
(6)
(7)
For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Schedule R (Form 990) 2012

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13-1096620

Schedule R (Form 990) 2012

Page

2

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

Part III

(a)
Name, address, and EIN of
related organization

(b)
Primary activity

(c)
Legal
domicile
(state or
foreign
country)

(d)
Direct controlling
entity

(e)
Predominant
income (related,
unrelated,
excluded from
tax under
sections 512-514)

(f)
Share of total
income

(g)
Share of end-ofyear assets

(h)
Disproportionate
allocations?

Yes No

(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)

(j)

(k)
Percentage
ownership

General or
managing
partner?

Yes No

(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to 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

(h)

(i)

Percentage
ownership

Section
512(b)(13)
controlled
entity?

Yes No

(1)
(2)
(3)
(4)
(5)
(6)
(7)
Schedule R (Form 990) 2012
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13-1096620

Schedule R (Form 990) 2012

Part V

Page

Transactions With Related Organizations (Complete if the organization answered "Yes" to 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.
1
During the tax year, did the organization 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)
d Loans or loan guarantees to or for related organization(s)
e Loans or loan guarantees by related organization(s)

Yes

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Dividends from related organization(s)
Sale of assets to related organization(s)
Purchase of assets from related organization(s)
Exchange of assets with related organization(s)
Lease of facilities, equipment, or other assets to related organization(s)

1f
1g
1h
1i
1j

k
l
m
n
o

Lease of facilities, equipment, or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
Performance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
Sharing of paid employees with related organization(s)

1k
1l
1m
1n
1o

p
q

Reimbursement paid to related organization(s) for expenses
Reimbursement paid by related organization(s) for expenses

1p
1q

r
s

Other transfer of cash or property to related organization(s)
1r
Other transfer of cash or property from related organization(s)
1s
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 other organization

(b)
Transaction
type (a-s)

(c)
Amount involved

No

1a
1b
1c
1d
1e

f
g
h
i
j

2

3

(d)
Method of determining
amount involved

(1)
(2)
(3)
(4)
(5)
(6)
Schedule R (Form 990) 2012

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13-1096620

Schedule R (Form 990) 2012

Part VI

Page

4

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)

(d)
Predominant
income (related,
unrelated, excluded
from tax under
section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?

Yes

(f)
Share of
total income

No

(g)
Share of
end-of-year
assets

(h)
Disproportionate
allocations?

Yes

No

(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)

(j)
General or
managing
partner?

Yes

(k)
Percentage
ownership

No

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
Schedule R (Form 990) 2012

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95826K 700J 9/11/2013

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LIGHTHOUSE INTERNATIONAL

13-1096620

Schedule R (Form 990) 2012

Part VII

Page

5

Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see
instructions).

Schedule R (Form 990) 2012
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PAGE 65



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