2024-08-13T14:29:44-05:00 2023-09-30 880168251 DAVID JOHNSON & LARSEN LTD PO BOX 1968 ZEPHYR COVE NV 89448 990EZ 2022-10-01 946107715 OPTIMIST CLUB OF SOUTH LAKE TAHOE OPTI 5305414700 PO BOX 9715 SOUTH LAKE TAHOE CA 96158 LYNN HAEN TREASURER 5305414700 2024-08-12 1 0 KERRY S DAVID P00175581 7755885672 2024-08-12 2022 2024-08-08 14:25:15Z 1334 X X N/A X X 122103 X 3066 3625 238 115174 47140 68034 74963 38604 248 25692 64544 10419 111400 0 121819 111400 121819 111400 121819 0 0 111400 121819 X PROVIDE EDUCATIONAL AND RECREATIONAL ACTIVITIES FOR CHILDREN LIVING IN THE SOUTH LAKE TAHOE, CALIFORNIA AREA SPONSOR YOUTH SPORTING ACTIVITIES FOR CHILDREN IN SOUTH LAKE TAHOE, CALIFORNIA AREA 0 1122 PROVIDE FUNDS FOR YOUTH EDUCATION AND RECREATION PROGRAMS IN SOUTH LAKE TAHOE, CALIFORNIA AREA 18500 32911 SPONSOR COMMUNITY ACTIVITIES FOR THE BENEFIT OF CHILDREN AND YOUNG ADULTS IN THE SOUTH LAKE TAHOE, CALIFORNIA AREA 0 5010 39043 TERRY POWERS SECRETARY 2.00 0 0 0 LYNN HAEN TREASURER 2.00 0 0 0 LEE NICHEL CO-PRESIDENT 2.50 0 0 0 JOHN DALTON CO-PRESIDENT 2.50 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 CA LYNN HAEN PO BOX 8998 SOUTH LAKE TAHOE CA 96158 5305414700 0 0 0 0 0 0 0 1 X 4739 6374 2304 5923 6691 26031 92790 54762 65568 82692 87291 383103 97529 61136 67872 88615 93982 409134 0 0 0 409134 65 54 70 67 238 494 65 54 70 67 238 494 97594 61190 67942 88682 94220 409628 0.99880 0.99920 0.00120 0.00080 X CHRISTMAS TREE SALES 87291 87291 185 41577 DUCK RACE 27883 27883 915 460 4003 115174 115174 915 645 45580 47140 68034 FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME DESCRIPTION: INTEREST INCOME. AMOUNT: 238. FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES AFFILIATE NAME: OPTIMIST INTERNATIONAL. AFFILIATE ADDRESS: 4494 LINDELL BLVD ST LOUIS, MO 63108. PURPOSE OF PAYMENT: DUES. AMOUNT OF PAYMENT: 2,404. FORM 990-EZ, PART I, LINE 10 - PAYMENTS TO AFFILIATES AFFILIATE NAME: OPTIMIST PACIFIC CENTRAL REGION. AFFILIATE ADDRESS: 4336 OXWOOD DRIVE SACRAMENTO, CA 95826. PURPOSE OF PAYMENT: DUES. AMOUNT OF PAYMENT: 489. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 2,893. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: EDUCATION. GRANTEE NAME: BIJOU ELEMENTARY SCHOOL. GRANTEE ADDRESS: 3501 SPRUCE AVENUE #A SOUTH LAKE TAHOE, CA 96150. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH VALUE. METHOD USED TO DETERMINE FMV: CASH VALUE. DATE OF GIFT: 01/14/23. AMOUNT GIVEN: 2,600. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: COMMUNITY SUPPORT. GRANTEE NAME: BOYS & GIRLS CLUB. GRANTEE ADDRESS: 1100 LYONS AVENUE SOUTH LAKE TAHOE, CA 96150. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH VALUE. METHOD USED TO DETERMINE FMV: CASH VALUE. DATE OF GIFT: 09/07/23. AMOUNT GIVEN: 3,800. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: ATHLETICS & EDUCATION. GRANTEE NAME: SOUTH TAHOE MIDDLE SCHOOL. GRANTEE ADDRESS: 2940 LAKE TAHOE BLVD SOUTH LAKE TAHOE, CA 96150. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH VALUE. METHOD USED TO DETERMINE FMV: CASH VALUE. DATE OF GIFT: 05/09/23. AMOUNT GIVEN: 6,876. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: ATHLETICS & EDUCATION. GRANTEE NAME: SOUTH TAHOE HIGH SCHOOL. GRANTEE ADDRESS: 1735 LAKE TAHOE BLVD SOUTH LAKE TAHOE, CA 96150. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH VALUE. METHOD USED TO DETERMINE FMV: CASH VALUE. DATE OF GIFT: 03/15/23. AMOUNT GIVEN: 2,750. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: COMMUNITY SUPPORT. GRANTEE NAME: FRIENDS OF THE LIBRARY. GRANTEE ADDRESS: 1000 RUFUS ALLEN BLVD. SOUTH LAKE TAHOE, CA 96150. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH VALUE. METHOD USED TO DETERMINE FMV: CASH VALUE. DATE OF GIFT: 05/09/23. AMOUNT GIVEN: 1,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: EDUCATION. GRANTEE NAME: HERO SCHOLARSHIP FUND. GRANTEE ADDRESS: PO BOX 8698 SOUTH LAKE TAHOE, CA 96158. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH VALUE. METHOD USED TO DETERMINE FMV: CASH VALUE. DATE OF GIFT: 02/27/23. AMOUNT GIVEN: 1,500. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: EDUCATION. GRANTEE NAME: SIERRA HOUSE ELEMENTARY SCHOOL. GRANTEE ADDRESS: 1701 REMINGTON TRAIL SOUTH LAKE TAHOE, CA 96150. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH VALUE. METHOD USED TO DETERMINE FMV: CASH VALUE. DATE OF GIFT: 03/15/23. AMOUNT GIVEN: 985. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: ATHLETICS & EDUCATION. GRANTEE NAME: TAHOE VALLEY ELEMENTARY. GRANTEE ADDRESS: 943 TAHOE ISLAND DRIVE SOUTH LAKE TAHOE, CA 96150. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH VALUE. METHOD USED TO DETERMINE FMV: CASH VALUE. DATE OF GIFT: 05/14/23. AMOUNT GIVEN: 3,200. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: ATHLETICS & EDUCATION. GRANTEE NAME: BABE RUTH. GRANTEE ADDRESS: PO BOX 14103 SOUTH LAKE TAHOE, CA 96151. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH VALUE. METHOD USED TO DETERMINE FMV: CASH VALUE. DATE OF GIFT: 07/11/23. AMOUNT GIVEN: 1,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: ATHLETICS & EDUCATION. GRANTEE NAME: ALTA ALPINA CYCLING CLUB. GRANTEE ADDRESS: PO BOX 2032 MINDEN, NV 89423. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH VALUE. METHOD USED TO DETERMINE FMV: CASH VALUE. DATE OF GIFT: 08/30/23. AMOUNT GIVEN: 1,500. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: EDUCATION. GRANTEE NAME: DRUG STORE PROJECT EDCF. GRANTEE ADDRESS: 312 MAIN ST 201 PLACERVILLE, CA 95667. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH VALUE. METHOD USED TO DETERMINE FMV: CASH VALUE. DATE OF GIFT: 02/10/23. AMOUNT GIVEN: 2,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: ATHLETICS & EDUCATION. GRANTEE NAME: ELEVATION ELITE. GRANTEE ADDRESS: 1146 APACHE AVE SOUTH LAKE TAHOE, CA 96150. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH VALUE. METHOD USED TO DETERMINE FMV: CASH VALUE. DATE OF GIFT: 08/30/23. AMOUNT GIVEN: 1,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: ATHLETICS & EDUCATION. GRANTEE NAME: TAHOE SWIM CLUB. GRANTEE ADDRESS: 1031 STOCKTON AVE SOUTH LAKE TAHOE, CA 96150. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH VALUE. METHOD USED TO DETERMINE FMV: CASH VALUE. DATE OF GIFT: 11/25/22. AMOUNT GIVEN: 1,500. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: EDUCATION. GRANTEE NAME: TAHOE LEARNING HAVEN. GRANTEE ADDRESS: 1378 MEADOW CREST DR SOUTH LAKE TAHOE, CA 96150. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH VALUE. METHOD USED TO DETERMINE FMV: CASH VALUE. DATE OF GIFT: 03/15/23. AMOUNT GIVEN: 1,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: COMMUNITY SUPPORT. GRANTEE NAME: FRIENDS OF SKI RUN PARK. GRANTEE ADDRESS: PO BOX 13862 SOUTH LAKE TAHOE, CA 96151. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. METHOD USED TO DETERMINE BOOK VALUE: CASH VALUE. METHOD USED TO DETERMINE FMV: CASH VALUE. DATE OF GIFT: 06/13/23. AMOUNT GIVEN: 5,000. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 35,711. FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: PROGRAM EXPENSE-KID'S FISHING DERBY. AMOUNT: 500. DESCRIPTION: PROGRAM EXPENSE-SCHOLARSHIPS. AMOUNT: 18,500. DESCRIPTION: PROGRAM EXPENSE-FUN RUN. AMOUNT: 622. DESCRIPTION: PROGRAM EXPENSE-EASTER EGG HUNT. AMOUNT: 1,210. DESCRIPTION: TAXES AND LICENSES. AMOUNT: 50. DESCRIPTION: SUPPLIES. AMOUNT: 2,095. DESCRIPTION: CHRISTMAS EVENTS. AMOUNT: 1,500. DESCRIPTION: MEETING EXPENSE. AMOUNT: 1,204. DESCRIPTION: BANK FEES. AMOUNT: 11. TOTAL TO FORM 990-EZ, LINE 16: 25,692. THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.