RECEIVED
Community Promotional Fund Application FEB 1 5 2022
APPLICANT INFORMATION: CITY MANAGER'S OFFICE
CITY OF BARSTOW
• Eugene Butticci
Name of applicant:
Name of organization or group represented: Barstow Chamber of Commerce Mailing address: P.O. Box 698, Barstow, CA 92312
Contact phone number(s): Email Address:
760-267-0349 [email protected]
Non-Profit? Yes•No If no, are you partnering with a non-profit:
PROJECT DESCRIPTION:
Mardi Gras "Taste of the Bayou"
Name of Event:
Amount requested: $2,000
What will the funds be used for and/or what are the waiver of fees for? Fee waiver for the use of the Cora Harper Center
When will the activity take place? March 5, 2022
Where will the activity take place? Cora Harper Community Center Why are the funds/waiver of fees/in-kind services needed? Offset expenses Proceeds from the event will be used to provide outreach/activities for Fort Irwin/MCLB.CalVet- Barstow How many Barstow area residents are involved with this organization? , 45 300
How many spectators will watch this activity?
Please describe how this activity will benefit Barstow. If additional space is necessary, please attach additional sheets:
This activity benefits Barstow by strengthening the relationship between the local military bases, providing a rare opportunity for Barstow residents to engage with military personnell in a socal envirenment. Funds raised will also provide funds towards scholarships for veterans. . Event is a partnership between AUSA and the chamber's Military Affaira Committee.
Rev. April 2020 Community Promotional Fund Application Page 1 Community Promotional Fund Application
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.
3. A copy of the organization's non-profit determination.
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 agree that there is a formal process in place to conduct background checks on all employees and volunteers who work with persons under the age of 18 years and senior citizens.
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.)
utter Eugene Butticci
re of Applicant Applicant Name (printed) & Date
School Principal or Organization
President/Director Signature
(if applicable)
**Please note that the fiscal year 2020-2021 budget will likely be impacted by the COVID-19 crisis. While the City recognizes the value of the Community Promotional Fund, awards will be contingent on the availability of funds.** Rev. April 2020 Community Promotlonal Fund Application Page 2 * Internal Revenue Service
District Director ' nt of the Treasury
*P'D Box 2350 • Room 5137
Los Angeles, CA 90053
Employer Identification Number:
95-1716272
Date: JAN. 28, 1987 Case Number:
956363018
BARSTOW CHAMBER OF COMMERCE Contact Person:
270 E VIRGINIA KAY P.O BOX 698 TOMBACK, MARK I-
BARSTON, CA. 92311 Contact Telephone Number:
- (213): 894-4885
Internal Revenue Code
•Section 501(c) (6) "
Accounting Period Ending:
December 31
Form 990 Required:
yes
Caveat Appliesz
по
Dear, Applicant:
Based on information supplied, and assuming your operations will be as stated in your application for recognition of exemption, we have determined you are exempt from Federal income tax under. the provisions of the Internal.
Revenue Code section indicatad above.
Unless specifically exceptad, you are liable for taxes under the Faderal : Insurance Contributions Act (social security taxes) for each employee to whom you pay $100 or more during a calendar year.: And, unless excepted, you are:
also: liabte for: tax under the Federal. Unemployment Tax Act for each employee to whom: you pay $50 or more during a calendar quarter if, during the current or preceding calendar, year, you had one. or more employees at any: time in each of 20 calendar Heeks or. you paid wages of $1,500 or more in any calendar quarter. If: you have any questions about excise, employment or. other Federal taxes, ‹please address then to this office.
you should inform us of all changes In. your nane and, address.
The heading of this letter indicates whether you must file Forn •990, Return of. Organization Exempt from Income Tax. If Yes is:indicated, you are ionly required to flle Form 990 If your gross receipts each year are normally more than: $25,000.. If a return is required, it must be filed by the 15th day of the fifth month after the end of your annual accounting perlod. The law provides for a penalty of $10 a day, up to a maximum of $5,000, when a raturn is filed late, unless there is reasonable cause for the delay. This penalty may also be charged If a return is not complete. So. please make sure your return is complete before you flle it.
You are not raquired to file Federal income tax returns unless you are subject to the tax on unrelated business income under section 511 of the Latter 948 (CG)
-2-
BARSTON; CHAMBER OF COMMERCE
Internal Revenue Code. If you are subject to this tax, you must file an incone tax return on Fora 990-1, Exempt Organization Business Incone Tax Return. ' In this letter we are not determIning whether any. of your present or . proposad activltles are unrelated trade or business as. defined in Code: section You need an employer identification numbar even if you have no employoes.: If an amployar identification number was not entered on your application, a number, will be assigned to. you and you will be advised of it.
Please use that number on all returns you file and in all correspondence with Because this letter could help resolve any questions about your: exempt status, you should keep It in. your permanent records.
If the heading of this letter Indicates that a caveat applies, the caveat below or on the enclosure is an Integral part of this letter. /If you have any questions, please contact the person whose name and • telephone number are shown in the heading of this letter.
Freduck Thicken
Frederick C. Nailsen
District Director
Latter 948 (CG)
mardi gras 2022
Akcil Inocme Event
General Adriission 360 800.00) 18,000.00 Bucten PAID Outstanding Mi Ticketa 0150.001 11.500.0 Replisy 31,000.00 -. 11.00.00 5050 3500.0 Small aeReo/ Podium a Mlo 38.00 80.s0
Kie Auctian 32,000,00 Tui &Tebeete $300.00 $100.00
allenet Aucton 1640 BACKEBL 1690.00
Alcolo! $906.00 $4,000.00 $4,800.00
Pood.(317.252/eteLPtnkk
$400.00 H00D0
casino Ussot/sound lightng) $2,500.00 82,800
Income TOTAL $12,400.00
Decoretons 3500,00 1,500.00
From Costs goody age $100.00 360
Sales
Sols
1MIN) Entertainmanl
Price kiceme
DI (Puring dinner) $260.00 $260.00
Artist 81.000.80 $3.500.00
Producton (loun Satle)
33GR.80 $300.00
Sound/ Lights/ AV
Event neurinca -30.00
Advertalng $0.00
TOTAL $D.00 TOTAL $10,850.00 $0.00 $10,850.00
$10,850.00
Spursar Narm POC. Ascot Recetred Cenenl
Telic Speessors 81,000.00
Eolalnd ( $2,600.,00
4 ufa kind 32,000.00
3 ota lond 61,000.00
Beads and masks $500.00
Sueg Pas 3.500 00
Income
from
Sponsor-
ships
TOTAL 311.802.00