COMMUNITY DEV DEPARTMENT
Community Promotional Fund Application
JAN 25 2022
APPLICANT INFORMATION:
Name or aplican: Cathy leen Williams CITY DEPARTON
Name of organization or group represented: Babies So Speaal Mailing address: P.0. Box 2328 Barstow, CA 92312
Contact phone numbers: 7400-987-6072
Non-Profit? Yes If no, are you partnering with a non-profit:
PROJECT DESCRIPTION:
Amount requested: $
What wil the funds be used for? aSsisting disabled Children and their families
When will the activity take place? March 26, 2022
Where wil the activity take place? 2800 mayor Kuty Parkway Why are the funds needed? +0 help disabled Children
and their families
How many Barstow area residents are involved with this organization? How many spectators will watch this activity?
Please describe how this activity will benefit Barstow. If additional space is necessary, please attach additional sheets:
It will help by bringing the Community
physia acting elizily ananas
bringing awareness t the disabled
community. While raising funds to
be able to continue helping that
comm unite communiy promotional und Apalation
Rev. August 2013 Page 1
With this application, please attach the following:
1. A detailed budget stating the total cost of the activity or event, all sources and amounts of funding, and all expenses;
2. A description of the organization's or group's purpose or objective.
By signing below, I declare that I have read the City's Community Promotional Fund Policy and agree to all its terms and conditions. I understand that an incomplete application will not be accepted and that the organization or applicant will not be considered for funding. (If the application is being submitted on behalf of an organization or school, an additional signature is required.) Cuthuler Williams
signature of Applican Applicant Name (printed) & Date
Babies 50 Specal
School Principal or Organization
President/Director Signature
(if applicable)
Rev. August 2013 Community Promotional Fund Application Page 2