iy of Barstow
Community Promotional Fund Application Received:
APR 0 4 2022
APPLICANT INFORMATION:
Name of applicant: mary I Arile she art and Driestriat
Name of organization or group represented: Barstow YouthiSport. Copition Maling adress: 10. Bar 566/ Barstong Ca 223/2
Contact phone numbers): Email Address:
760-881-1892
Non-Profit? (Yes if no, are you partnering with a non-profiR ECETVED PROJECT DESCRIPTION:
APR 0 4 2022
Name of Event: Junetenth CITY MANAGER'S OFFICE
CITY OF BARSTOW
Amount requested: $ 1,000. 00
What will the funds be used for and or what are the waiver of fees for? Feeding the Comminity intertain ment fur the Childi
Ind Adulto, to Cover expenses ist Affords.
When will the activity take place? June 18t, 2022
Where will the activiy take place? Stuenack, 1H34 Sage Knive Why are the funds/waiver of fees/in-kind services needed? / Ve are & Now Peofit coming togather as Community, ejoying load and games at no change.
How many Barstow area residents are involved with this organization? t00 or more mit 75 de mou
How many spectators will watch this activity? 100 at more Please describe how this activity will benefit Barstow. If additional space is necessary, please attach additional sheets:
De bring al Walks of life togother for Fellatin
engement with good food Chelsien plig togather
Aldurts getting know eachither so piople. Not
7 RAcu, but Just people
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.)
Any SAndy Mary L. HAiley
Signature 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 Promotional Fund Application Page 2 The Art and Industrial Women and Men Club
Expense Report Sheet
Projected for FY 2022
Juneteenth Expenses:
T-Shirts $1,500.00
Smart & Final (plates, napkins, etc.) $150.00
Chicken $150.00
Hot Links/ Hot Dogs $150.00
Hamburgers Patties $170.00
Buns $70.00
Drinks $90.00
Cook Expenses $300.00
Jump A Roo $1,000.00
Health Dep. $170.00
Insurance $25000
Total Expenses $4,000.00
".*
, BRIEF HISTORY OF THE ART & INDUSTRIAL
WOMEN'S CLUB
The Club was organized January 5, 1950. In 1951
the Club became affilates of the Calif. State &
National Association of colored Women's Club Inç.
The women of Barstow united as a club to promote
better standards of life through organized endeavors
to raise the social, economic and culture status of
the Club. The motto is "Have Courage", , The "
purpose of the Club is to work for higher social,
economic, educational and culture development of
women. The Art & Industrial Wömen's Clúb have
had many accomplishments over the years. We
began the Brotherhood Program in Barstow in an
effort to bring local Churches and Residents together
to celebrate Black History in the month of February.
It is a yearly coming together of the community. We
have been responsible for giving local High School •
Graduates Scholarships, gifts and special
recognition to our youth inthe community. We are
committed to the edučational and culture growth of
our youth.
• The Club organized a young girls club, "The
Cinderella Girls" ", and a young adult club, "The
Charm Social Club",. The Charm Club began to
sponsor Peace Breakfast in February and a Sweet
Heart Ball for Valentine's Day. The Art & Industrial
Women's Club has been responsible for bringing key
people into the community as guest speakers. The
Club began the Annual Peace Breakfast, celebrating
Dr. Martin Luther King Jr. Birthday from the first year it became a National Holiday, sponsored a
recognition dinner Honoring Mrs. Cora Harper and
Mr. General Owens for their community work and:
education. A Community Choir was organized each
year to sing for the Brotherhood Program, for the last
3 years the Choir has continued throughout the year
singing God Praises at various concerts and upon.
the request of any group. The Choir is planning to
- have their First Live Recording Session, March 21,
1997. The Club established a separate Scholarship
Fund in the name of Cora Harper for those youth that
has already finished 1 year of college.
The Club working with our newly elected Mayor and
city staff organized a Peace March in January to
celebrate the cities 50th year and Dr. Martin Luther
King Birthday. We have donated to many worthy
causes, we have purchased nursery supplies to
Barstow Community Hospital when it was first open
in Barstow, Christmas gifts to Patton State Hospital
and residents of Rimrock Villa Convalescent Home.
We have provided food, clothing and help on utilities
to some of our local needy, we provided Christmas
Baskets and Fruit Baskets to the shut in and low
income families. We are still donating to youth that
approach us for assistance. We thank God that we
are able to uphold the National Motto, "Lifting as we
Climb"
, and the Calif. State Motto, "Deeds not
Words"
Department of the Treasury Date:
Internal Revenue Service 06/24/2021
Tax Exempt and Government Entities Employer ID number:
IRS P.O. Box 2508 86-2504769
Cincinnati, OH 45201 Person to contact:
Name: Customer Service
ID number: 31954
Telephone: 877-829-5500
BARSTOW YOUTH SPORTS COALITION Accounting period ending:
C/O LEONARD WILLIAMS December 31
1225 PIUTE STREET Public charity status:
BARSTOW, CA 92311 170(b)(1)(A) (vi)
Form 990 / /990-N required:
Yes
Effective date of exemption:
March 10, 2021
Contribution deductibilty:
Yes
Addendum applies:
No
DLN:
26053471002991
Dear Applicant:
We're pleased to tell you we determined you're exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). Donors can deduct contributions they make to you under IRC Section 170. You're also qualified to receive tax deductible bequests, devises, transfers or gifts under Section 2055, 2106, or 2522. This letter could help resolve questions on your exempt status. Please keep it for your records.
Organizations exempt under IRC Section 501(c)(3) are further classified as either public charities or private foundations. We determined you're a public charity under the IRC Section listed at the top of this letter.
If we indicated at the top of this letter that you're required to file Form 990/990-EZ/990-N, our records show you're required to file an annual information return (Form 990 or Form 990-EZ) or electronic notice (Form 990-N, the e-Postcard). If you don't file a required return or notice for three consecutive years, your exempt status will be automatically revoked.
If we indicated at the top of this letter that an addendum applies, the enclosed addendum is an integral part of this letter.
For important information about your responsibilities as a tax-exempt organization, go to www.irs.gov/charities.
Enter "4221-PC" in the search bar to view Publication 4221-PC, Compliance Guide for 501(c)(3) Public Charities, which describes your recordkeeping, reporting, and disclosure requirements.
Sincerely,
stephere a. marten
Stephen A. Martin
Director, Exempt Organizations
Rulings and Agreements
Letter 947 (Rev. 2-2020)
Catalog Number 35152P