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      <Desc>NAICS 446130: Advance community based assistance for persons (in need) requiring eye care (eyeglasses, eye-exams, low-vision assistive devices, or more complex eye care/surgeries. Accomplishments: Conducted multiple vision screening clinics, identifying suspect vision and educating nearly 1050 persons in vision impairment/treatment</Desc>
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        <OtherExpendituresAmt>0</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>0</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>108212</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>97949</BeginningYearBalanceAmt>
        <ContributionsAmt>0</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>4742</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>0</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>0</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>0</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>102691</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>88267</BeginningYearBalanceAmt>
        <ContributionsAmt>5000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>4682</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>0</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>0</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>0</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>97949</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>77495</BeginningYearBalanceAmt>
        <ContributionsAmt>7500</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>3272</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>0</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>0</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>0</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>88267</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>1</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <InvestmentCostOrOtherBasisAmt>0</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>0</OtherCostOrOtherBasisAmt>
        <BookValueAmt>0</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>222859</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>0</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>78964</DepreciationAmt>
        <BookValueAmt>143895</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <InvestmentCostOrOtherBasisAmt>0</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>0</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>0</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <InvestmentCostOrOtherBasisAmt>95894</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>0</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>78364</DepreciationAmt>
        <BookValueAmt>17530</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>0</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>0</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>0</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>161425</TotalBookValueLandBuildingsAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part V, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule D, Part V, Line 4 - Board directed - Quasi endowment is intended to raise funds and use them beyond the principal to fund eye medical care services</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="R000004" softwareId="24021167" softwareVersionNum="v1.00">
      <GamingInformationGrp>
        <GrossRevenueBingoAmt>0</GrossRevenueBingoAmt>
        <CashPrizesBingoAmt>0</CashPrizesBingoAmt>
        <NonCashPrizesBingoAmt>0</NonCashPrizesBingoAmt>
        <RentFacilityCostsBingoAmt>0</RentFacilityCostsBingoAmt>
        <OtherDirectExpensesBingoAmt>0</OtherDirectExpensesBingoAmt>
        <VolunteerLaborBingoInd>0</VolunteerLaborBingoInd>
        <GrossRevenuePullTabsAmt>449517</GrossRevenuePullTabsAmt>
        <CashPrizesPullTabsAmt>363993</CashPrizesPullTabsAmt>
        <NonCashPrizesPullTabsAmt>0</NonCashPrizesPullTabsAmt>
        <RentFacilityCostsPullTabsAmt>0</RentFacilityCostsPullTabsAmt>
        <OtherDirectExpensesPullTabsAmt>61670</OtherDirectExpensesPullTabsAmt>
        <GrossRevenueOtherGamingAmt>334631</GrossRevenueOtherGamingAmt>
        <CashPrizesOtherGamingAmt>169135</CashPrizesOtherGamingAmt>
        <NonCashPrizesOtherGamingAmt>0</NonCashPrizesOtherGamingAmt>
        <RentFcltyCostsOtherGamingAmt>0</RentFcltyCostsOtherGamingAmt>
        <OthDirectExpnssOtherGamingAmt>132032</OthDirectExpnssOtherGamingAmt>
        <VolunteerLaborOtherGamingInd>0</VolunteerLaborOtherGamingInd>
        <GrossRevenueTotalGamingAmt>784148</GrossRevenueTotalGamingAmt>
        <CashPrizesTotalGamingAmt>533128</CashPrizesTotalGamingAmt>
        <NonCashPrizesTotalGamingAmt>0</NonCashPrizesTotalGamingAmt>
        <RentFcltyCostsTotalGamingAmt>0</RentFcltyCostsTotalGamingAmt>
        <OthDirectExpnssTotalGamingAmt>193702</OthDirectExpnssTotalGamingAmt>
        <DirectExpenseSummaryGamingAmt>726830</DirectExpenseSummaryGamingAmt>
        <NetGamingIncomeSummaryAmt>57318</NetGamingIncomeSummaryAmt>
      </GamingInformationGrp>
      <StatesWhereGamingConductedCd>AK</StatesWhereGamingConductedCd>
      <LicensedInd>1</LicensedInd>
      <LicenseSuspendedEtcInd>0</LicenseSuspendedEtcInd>
      <GamingWithNonmembersInd>1</GamingWithNonmembersInd>
      <MemberOfOtherEntityInd>0</MemberOfOtherEntityInd>
      <GamingOwnFacilityPct>0</GamingOwnFacilityPct>
      <GamingOtherFacilityPct>1</GamingOtherFacilityPct>
      <IndividualWithBooksNm>Howard Rixie</IndividualWithBooksNm>
      <PersonsWithBooksUSAddress>
        <AddressLine1Txt>PO Box 55933</AddressLine1Txt>
        <CityNm>North Pole</CityNm>
        <StateAbbreviationCd>AK</StateAbbreviationCd>
        <ZIPCd>99705</ZIPCd>
      </PersonsWithBooksUSAddress>
      <CntrctWith3rdPrtyForGameRevInd>1</CntrctWith3rdPrtyForGameRevInd>
      <GamingRevenueReceivedByOrgAmt>57783</GamingRevenueReceivedByOrgAmt>
      <GamingRevenueRtnBy3PrtyAmt>61670</GamingRevenueRtnBy3PrtyAmt>
      <ThirdPartyBusinessName>
        <BusinessNameLine1Txt>David Lambert dba Emerald Isle Pull Tabs</BusinessNameLine1Txt>
      </ThirdPartyBusinessName>
      <ThirdPartyUSAddress>
        <AddressLine1Txt>3431 Airport Way Suite A</AddressLine1Txt>
        <CityNm>Fairbanks</CityNm>
        <StateAbbreviationCd>AK</StateAbbreviationCd>
        <ZIPCd>99709</ZIPCd>
      </ThirdPartyUSAddress>
      <GamingManagerPersonNm>Howard Rixie</GamingManagerPersonNm>
      <GamingManagerCompensationAmt>0</GamingManagerCompensationAmt>
      <GamingManagerServicesProvTxt>Oversee the daily operations of a permitted charitable gaming or lottery establishment, which includes supervising staff, managing finances, ensuring compliance with all state statutes and regulations, and reporting on activities. The manager must ensure that all financial transactions, prize payouts, and prize reporting comply with state requirements, including reporting to the state and keeping all records for at least two weeks after the event. They are also responsible for managing the permit holder's obligations and ensuring that all games and activities comply with Alaska's gaming laws and regulations. While these duties remain the Permitee, on a daily basis these duties are fulfilled by the Operator - Emerald Ilse Pulltabs</GamingManagerServicesProvTxt>
      <GamingManagerIsDirectorOfcrInd>X</GamingManagerIsDirectorOfcrInd>
      <CharitableDistributionRqrInd>1</CharitableDistributionRqrInd>
      <DistributedAmt>57783</DistributedAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule G, Part III, Line 17a</FormAndLineReferenceDesc>
        <ExplanationTxt>The net proceeds from authorized charitable gaming activities must be dedicated to specific uses, which include charitable purposes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule G, Part III, Line 17b</FormAndLineReferenceDesc>
        <ExplanationTxt>The net proceeds must be spent or dedicated to one or more of the stated uses within one year - (a rolling 12 months)</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleG>
    <IRS990ScheduleO documentId="R000005" softwareId="24021167" softwareVersionNum="v1.00">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The president (H. Rixie) &amp; treasurer (D. Rixie) are spouses</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>As a minimum those members of Lions Clubs within the State of Alaska are automatically members of this foundation, and annually vote/select members for the board of directors, as well as any changes to the foundation's constitution and bylaws.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>See answers on Schedule O for Form 990, Part VI, Section A, Line 6</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>See answers on Schedule O for Form 990, Part VI, Section A, Line 6</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Each board member is given a copy of the draft 990 to review prior to it becoming final and submitted</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Prior to any decision any board with a potential conflict of interest must identify it, and the board must address how they address the conflict, i.e., recuse the board member from the decision</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>While the 990 is available to download from our website, anyone may make a request to get a copy of the 990 and they will be provided it.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Copies are made available upon request</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>