Central Otago Living Options Charitable Trust has been operating since 2001, providing individualised support and residential services for people with disabilities in Central Otago. For many years CLT provided an operational grant to support the running of their day centre which operated out of the back room of ‘Church House’ in Alexandra. By 2005, as demand increased, they required a larger and more suitable facility. Supported with a grant of $1.5 million, they constructed a purpose-built day activity centre in Ngapara Street, Alexandra. They now run six houses, owning four. Two of these houses were bought with the support of CLT. They support 35 people across their day centre and supported living houses. In 2019 CLT supported them to purchase an additional house to cater to further increased demand.

In March 2005, Central Otago Health Inc. received a grant of $2,269,709 for the fit out and equipping of the redevelopment of Dunstan Hospital based in Clyde.

In October 2005, the Trust spread its wings relocating its office into 10 The Mall, from 42 The Mall.

In November 2005, Duncan Butcher was elected Trust chair, taking over the role from Peter Mead, who had been the chair since inception.

Central Lakes Trust contributed $1.397 million towards the redevelopment of the Cromwell Swim Centre, officially opened by former mayor and the then Central Lakes Trustee, Peter Mead. Mr Mead opened the original pool complex back in 1985, which was revamped due to inefficient heating costs, increased population growth and a desire from the community for a year-round facility. The revamp included inclusion of a toddlers’ pool complete with waterfall, a therapeutic pool, spa and gym.