Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
OPTIMIST INTERNATIONAL FOUNDATION
Employer identification number
23-7102928
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% 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.)
10
11
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?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(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?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 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)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
1,729,082
1,870,796
1,311,249
1,286,883
1,063,508
7,261,518
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
1,729,082
1,870,796
1,311,249
1,286,883
1,063,508
7,261,518
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)..
97,529
6
Public Support. Subtract line 5 from line 4.
7,163,989
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
1,729,082
1,870,796
1,311,249
1,286,883
1,063,508
7,261,518
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
166,669
237,560
185,060
138,048
160,090
887,427
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
21,258
11,643
9,973
6,734
4,237
53,845
11
Total support (Add lines 7 through 10).
8,202,790
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
14,911
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
87.336 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
87.921 %
16a
33 1/3% support test—2010.
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—2009.
If the organization did not check the 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—2010.
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—2009.
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
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 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
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
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
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 to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
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.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses 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.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2010.
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—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
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 to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
OPTIMIST INTERNATIONAL FOUNDATION
Employer identification number
23-7102928
Identifier
Return Reference
Explanation
FORM 990 REVIEW PROCESS
FORM 990, Part VI, Section B, Line 11B
THE FORM 990 IS REVIEWED BY MANAGEMENT AND PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL AT A REGULARLY SCHEDULED MONTHLY BOARD MEETING. AFTER REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS, THE FORM 990 IS FILED WITH THE IRS BY MANAGEMENT.
CONFLICTS OF INTEREST
FORM 990, PART VI, SECTION B, LINE 12C
BOARD MEMBERS ANNUALLY REVIEW A LIST OF VENDORS AND SUPPLIERS TO DETERMINE CONFLICTS OF INTEREST.
COMPENSATION DETERMINATION PROCESS
FORM 990, Part VI, Section B, LINE 15A
THE BOARD OF DIRECTORS APPROVED THE SALARY OF THE FOUNDATION'S CURRENT EXECUTIVE DIRECTOR BASED ON COMPARISONS FOR SIMILAR POSITIONS IN SIMILAR NOT-FOR-PROFIT ORGANIZATIONS. THE COMPARATIVE INFORMATION WAS ACCUMULATED BY THE FOUNDATION DURING THE SEARCH FOR A NEW EXECUTIVE DIRECTOR IN A PRIOR YEAR. ON AN ANNUAL BASIS, THE BOARD OF DIRECTORS REVIEWS THE EXECUTIVE DIRECTOR'S PERFORMANCE TO DETERMINE IF A CHANGE IN COMPENSATION IS WARRANTED.
DELEGATION OF MANAGEMENT FUNCTION
FORM 990, Part VI, Section A, LINE 3
THE FOUNDATION HAS OUTSOURCED THE ACCOUNTING FUNCTION TO OPTIMIST INTERNATIONAL, WHICH IS A SEPARATE EXEMPT ORGANIZATION. THE FOUNDATION'S ACCOUNTING ACTIVITIES ARE PERFORMED BY CONNIE PELLOCK AT OPTIMIST INTERNATIONAL. UTILIZING INFORMATION PREPARED BY OPTIMIST INTERNATIONAL, THE FOUNDATION'S EXECUTIVE DIRECTOR AND THE BOARD OF DIRECTORS MONITOR THE ACCOUNTING ACTIVITY AND FINANCIAL PERFORMANCE OF THE FOUNDATION ON A PERIODIC BASIS.
COMMITTEES
FORM 990, Part VI, Section A, LINE 8B
THE ORGANIZATION DOES NOT CURRENTLY HAVE ANY FORMAL COMMITTEES OF THE BOARD OF DIRECTORS THAT HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS.
COMPENSATION OF OTHER KEY EMPLOYEES
FORM 990, Part VI, Section B, LINE 15B
THE FOUNDATION DOES NOT HAVE ANY KEY EMPLOYEES OR HIGHLY COMPENSATED EMPLOYEES OTHER THAN THE EXECUTIVE DIRECTOR.
PUBLIC DOCUMENTS
FORM 990, Part VI, Section C, LINE 19
THE VARIOUS DOCUMENTS ARE AVAILABLE UPON WRITTEN REQUEST ADDRESSED TO THE FOUNDATION'S OFFICE.
AUDIT OVERSIGHT
FORM 990, Part XI, LINE 2C
THE FOUNDATION'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, INCLUDING REVIEW AND APPROVAL OF THE ANNUAL FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT.
RELATED ORGANIZATION
SCHEDULE R
OPTIMIST INTERNATIONAL FOUNDATION (THE FOUNDATION) IS AFFILIATED WITH OPTIMIST INTERNATIONAL (THE ORGANIZATION), WHICH IS A SEPARATE 501(C)(4) ENTITY. THE FOUNDATION AND THE ORGANIZATION HAVE SEPARATE GOVERNING BODIES AND SEPARATE OFFICERS. HOWEVER, THE FOUNDATION WAS ESTABLISHED IN PRIOR YEARS TO COLLECT CONTRIBUTIONS FROM THE GENERAL PUBLIC AND ESTABLISH PROGRAM SERVICES THAT FURTHER EXECUTE THE ORGANIZATION'S CHARITABLE AND LITERARY ACTIVITIES. THE FOUNDATION UTILIZES THE ORGANIZATION TO PROCESS PAYROLL TRANSACTIONS ON ITS BEHALF. WHILE THE FOUNDATION DOES EMPLOY FOUR INDIVIDUALS (INCLUDING THE EXECUTIVE DIRECTOR OF THE FOUNDATION), ALL REQUIRED PAYROLL FILINGS (W-2, W-3, 941) ARE FILED BY THE ORGANIZATION UNDER THE ORGANIZATION'S FEDERAL EMPLOYER IDENTIFICATION NUMBER. THE FOUNDATION REIMBURSES THE ORGANIZATION FOR 100% OF THE PAYROLL COSTS INCURRED FOR THESE FOUR EMPLOYEES, WHICH AMOUNTED TO $365,476 FOR THE YEAR ENDED SEPTEMBER 30, 2011. THREE OF THE FOUNDATIONS FORMER EMPLOYEES ARE PARTICIPANTS IN A DEFINED BENEFIT PENSION PLAN SPONSORED BY THE ORGANIZATION. ONE OF THE FORMER EMPLOYEES, WHO WAS THE FORMER EXECUTIVE DIRECTOR OF THE FOUNDATION, IS CURRENTLY RECEIVING BENEFIT PAYMENTS FROM THE PLAN (THE FREQUENCY AND AMOUNT OF WHICH ARE DETERMINED ACCORDING TO THE PLAN DOCUMENT). ON AN ANNUAL BASIS, THE FOUNDATION MAKES A PAYMENT TO THE ORGANIZATION RELATED TO THE PLAN. THE AMOUNT OF THE PAYMENT FROM THE FOUNDATION TO THE ORGANIZATION IS A PRO-RATA CALCULATION OF THE TOTAL CONTRIBUTION MADE TO THE PLAN BY THE ORGANIZATION FOR THE YEAR. FOR THE YEAR ENDED SEPTEMBER 30, 2011, THIS AMOUNT WAS $25,021. THE FOUNDATION HOLDS A LONG TERM NOTE RECEIVABLE FROM THE ORGANIZATION. DURING THE CURRENT FISCAL YEAR, TOTAL REPAYMENTS OF INTEREST AND PRINCIPAL ON THE LOAN FROM THE ORGANIZATION TO THE FOUNDATION AMOUNTED TO $62,335. ON A PERIODIC BASIS, THE ORGANIZATION ADVANCES OPERATING FUNDS TO THE FOUNDATION.
OTHER ORGANIZATION
FORM 990, PART IV, LINES 14, 15 AND 16
THE FOUNDATION HAS A RELATIONSHIP WITH AN ORGANIZATION BASED IN CANADA - THE OPTIMIST INTERNATIONAL FOUNDATION OF CANADA (CANADIAN FOUNDATION). THE FOUNDATION SHARES CERTAIN RESOURCES WITH THE CANADIAN FOUNDATION, INCLUDING A WEBSITE. THE CANADIAN FOUNDATION IS A SEPARATE LEGAL ENTITY, AND HAS A SEPARATE BOARD OF DIRECTORS. THERE ARE NO COMMON BOARD MEMBERS BETWEEN THE FOUNDATION AND THE CANADIAN FOUNDATION. SEVERAL YEARS AGO, THE FOUNDATION ADVANCED FUNDS TO THE CANADIAN FOUNDATION TO COVER CERTAIN OPERATING COSTS. THIS AMOUNT HAS BEEN RECORDED ON THE FOUNDATION'S FINANCIAL STATEMENTS AS A RECEIVABLE. NO FORMAL REPAYMENT AGREEMENT EXISTS, HOWEVER THE CANADIAN FOUNDATION HAS BEEN MAKING PAYMENTS TO THE FOUNDATION ON A PERIODIC BASIS TO REDUCE THE AMOUNT OF THE ADVANCE. THE TOTAL AMOUNT DUE FROM THE CANADIAN FOUNDATION AT SEPTEMBER 30, 2011, AMOUNTED TO $46,680.
OTHER PROGRAM SERVICES
FORM 990, PART III, LINE 4D
YOUTH CLUB PROGRAMS: SCHOLARSHIPS TO SUPPORT YOUTH CLUB PROGRAMS AND ACTIVITIES. TOTAL EXPENSES FOR THE YEAR ENDED SEPTEMBER 30, 2011, AMOUNTED TO $86,000, ALL OF WHICH WERE SCHOLARSHIPS MADE TO INDIVIDUALS LIVING INSIDE THE UNITED STATES. ESSAY CONTEST SCHOLARSHIPS PROGRAM: AN ANNUAL COMPETITION FOR HIGH SCHOOL STUDENTS WITH OVER 25,000 ENTRANTS. SCHOLARSHIPS ARE AWARDED TO INDIVIDUALS LIVING IN THE UNITED STATES. TOTAL EXPENSES FOR THE YEAR ENDED SEPTEMBER 30, 2011, AMOUNTED TO $101,850, ALL OF WHICH WERE SCHOLARSHIPS. COMMUNICATIONS CONTEST FOR THE DEAF AND HARD OF HEARING SCHOLARSHIPS PROGRAM (CCDHH): A PROGRAM THAT AWARDS SCHOLARSHIPS TO DISTRICT WINNERS. SCHOLARSHIPS ARE AWARDED TO EACH INDIVIDUAL WINNER AND ARE PAYABLE UPON RECEIPT OF THE CORRECT PAPERWORK FROM AN INSTITUTION OF HIGHER LEARNING. TOTAL EXPENSES FOR THE YEAR ENDED SEPTEMBER 30, 2011, AMOUNTED TO $59,500, ALL OF WHICH WERE SCHOLARSHIPS MADE TO INDIVIDUALS.
OTHER CHANGES IN NET ASSETS
(190,628) UNREALIZED LOSS ON INVESTMENTS (11,982) CHANGE IN VALUE OF CHARITABLE GIFT ANNUITIES AND SPLIT INTEREST AGREEMENTS 61,625 PRIOR PERIOD ADJUSTMENT _________ (140,985) A prior period adjustment has been recorded to properly the value of a split interest agreement that the Foundation was named as a beneficiary of in prior years. In addition, the Foundation adjusted the prior period amounts to properly state funds that were received from an exempt organization and incorrectly categorized as net assets. Such funds were reclassified as a liability with the prior period adjustment that has been recorded.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.