TY 2019 Form 990EZ

(a) Name and title	(b) Average hours per week devoted to position	(c) Reportable compensation (Forms W-2/1099-MISC) (if not paid, enter -0-)	(d) Health benefits, contributions to employee benefit plans, and deferred compensation	(e) Estimated amount of other compensation
MAUREEN BEYEL DIRECTOR	5	0	0	0
LARRY ELDER PRESIDENT	10	0	0	0
WAYNE DELAWTER DIRECTOR	5	0	0	0
HARMON TOWNE SECRETARY	15	0	0	0
CHRIS GARNER DIRECTOR	5	0	0	0
BILL ADAMS DIRECTOR	5	0	0	0
ROSIE SYLVESTER VICE PRESIDENT	10	0	0	0
CURTIS ISAKSON DIRECTOR	5	0	0	0
RON LOCKHART VICE PRESIDENT	10	0	0	0
DENNISE KELLY TREASURER	10	0	0	0

(a) Name and title

(b) Average
hours per week
devoted to position

(c) Reportable compensation
(Forms W-2/1099-MISC) (if not paid, enter -0-)

(d) Health benefits, contributions to employee benefit plans, and
deferred compensation

(e) Estimated amount
of other compensation

MAUREEN BEYEL

DIRECTOR

LARRY ELDER

PRESIDENT

WAYNE DELAWTER

DIRECTOR

HARMON TOWNE

SECRETARY

CHRIS GARNER

DIRECTOR

BILL ADAMS

DIRECTOR

ROSIE SYLVESTER

VICE PRESIDENT

CURTIS ISAKSON

DIRECTOR

RON LOCKHART

VICE PRESIDENT

DENNISE KELLY

TREASURER

(a) Name and title of each employee

(b) Average
hours per week
devoted to position

(c) Reportable compensation
(Forms W-2/1099-MISC)

(d) Health benefits, contributions to employee benefit plans, and deferred compensation

(e) Estimated amount of other compensation

(a) Name and business address of each independent contractor

(b) Type of service

(c) Compensation

- 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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

TELLICO VILLAGE LIONS CLUB

Employer identification number

42-1564429

Return Reference	Explanation
PART I, LINE 10	THE BALANCE OF THE CONTRIBUTIONS WERE EACH USD 5,000 OR LESS.
PART I, LINE 16	1) OTHER EXPENSES DINNERS AMOUNT 8334 2) OTHER EXPENSES LIONS CLUBS INTERNATIOMAL DUES AMOUNT 2323 3) OTHER EXPENSES LIONS CLUBS DISTRICT DUES AMOUNT 1185 4) OTHER EXPENSES MISCELLANEOUS AMOUNT 106 5) OTHER EXPENSES MEMBER SUPPLIES AMOUNT 333 6) OTHER EXPENSES OFFICE EXPENSE AMOUNT 207 7) OTHER EXPENSES STATE FEES AMOUNT 160 8) OTHER EXPENSES CONVENTION EXPENSE AMOUNT 260 9) OTHER EXPENSES DIABETES TESTING SUPPLIES AMOUNT 190 10) OTHER EXPENSES VISION SCREENER MACHINE AMOUNT 3357 11) OTHER EXPENSES AREA LEO CLUB AMOUNT 403 12) OTHER EXPENSES TELLICO LIFE AMOUNT 120 13) OTHER EXPENSES CLUB SUPPLIES AND AWARDS AMOUNT 125

Return Reference

Explanation

PART I, LINE 10

THE BALANCE OF THE CONTRIBUTIONS WERE EACH USD 5,000 OR LESS.

PART I, LINE 16

1) OTHER EXPENSES DINNERS AMOUNT 8334 2) OTHER EXPENSES LIONS CLUBS INTERNATIOMAL DUES AMOUNT 2323 3) OTHER EXPENSES LIONS CLUBS DISTRICT DUES AMOUNT 1185 4) OTHER EXPENSES MISCELLANEOUS AMOUNT 106 5) OTHER EXPENSES MEMBER SUPPLIES AMOUNT 333 6) OTHER EXPENSES OFFICE EXPENSE AMOUNT 207 7) OTHER EXPENSES STATE FEES AMOUNT 160 8) OTHER EXPENSES CONVENTION EXPENSE AMOUNT 260 9) OTHER EXPENSES DIABETES TESTING SUPPLIES AMOUNT 190 10) OTHER EXPENSES VISION SCREENER MACHINE AMOUNT 3357 11) OTHER EXPENSES AREA LEO CLUB AMOUNT 403 12) OTHER EXPENSES TELLICO LIFE AMOUNT 120 13) OTHER EXPENSES CLUB SUPPLIES AND AWARDS AMOUNT 125

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

1	Contributions, gifts, grants, and similar amounts received ....................	1	12,398
2	Program service revenue including government fees and contracts ................	2
3	Membership dues and assessments .............................	3	6,857
4	Investment income ....................................	4	3
5a	Gross amount from sale of assets other than inventory .......	5a
b	Less: cost or other basis and sales expenses ............	5b
c	Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ......	5c
6	Gaming and fundraising events
a	Gross income from gaming (attach Schedule G if greater than $15,000)	6a
b	Gross income from fundraising events (not including $ 9,515 of contributions from fundraising events reported on line 1) (attach Schedule G if the			sum of such gross income and contributions exceeds $15,000) ..	6b	41,483
c	Less: direct expenses from gaming and fundraising events ...	6c	7,736
d	Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c)	6d	33,747
7a	Gross sales of inventory, less returns and allowances ......	7a
b	Less: cost of goods sold .............	7b
c	Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) .........	7c
8	Other revenue (describe in Schedule O) ....................	8
9	Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 ..............	9	53,005

10	Grants and similar amounts paid (list in Schedule O) ................	10	42,717
11	Benefits paid to or for members ......................	11
12	Salaries, other compensation, and employee benefits ................	12
13	Professional fees and other payments to independent contractors ............	13
14	Occupancy, rent, utilities, and maintenance ...................	14	847
15	Printing, publications, postage, and shipping ...................	15	250
16	Other expenses (describe in Schedule O) ...................	16	17,103
17	Total expenses. Add lines 10 through 16 .................	17	60,917

18	Excess or (deficit) for the year (Subtract line 17 from line 9) ............	18	-7,912
19	Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
	end-of-year figure reported on prior year’s return) .................	19	35,171
20	Other changes in net assets or fund balances (explain in Schedule O) ...........	20
21	Net assets or fund balances at end of year. Combine lines 18 through 20 ..........	21	27,259

Part ⅢStatement of Program Service Accomplishments (see the instructions for Part III) Check if the organization used Schedule O to respond to any question in this Part III . .	Expenses (Required for section 501(c)(3) and 501(c)(4) organizations; optional for others.)
What is the organization's primary exempt purpose? PROVIDE EYE GLASSES TO THE NEEDY IN THE COMMUNITY AND DONATE TO CHARITABLE ORGANIZATIONS APPROVED BY LIONS INTERNATIONAL
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 PROVIDE GRANTS TO LOCAL CHARITIES WITH IN LOUDON AND MONROE COUNTY. (Grants $ 15,626) If this amount includes foreign grants, check here ...			28a
29 PROVIDING HEALTH SCREENING EYE EXAMS AND EYE GLASSES TO HE NEEDY IN LOUDON AND MONROE COUNTIES TENNESSEE. (Grants $ ) If this amount includes foreign grants, check here ...			29a	16,091
30 PROVIDING EYE SCREENING FOR SCHOOL CHILDREN IN LOUDON COUNTY TENNESSEE (Grants $ ) If this amount includes foreign grants, check here ...			30a	3,357
31 Other program services (describe in Schedule O) ................ (Grants $ ) If this amount includes foreign grants, check here...	31a
32 Total program service expenses (add lines 28a through 31a)..........	32	19,448

Sign Here

	Signature of officer	Date

	Type or print name and title

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










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