Community Promotional Fund Application
APPLICANT INFORMATION:
Name of applicant: (lathy leen Willars
Name of organization or group represented: Babies so Spear Mailing address: P.D. _ BOx2328 Barstow, CA 92312
Contact phone number(s): Email Address:
100-987-4072 [email protected]
Non-Profia ves INo If no, are you partnering with a non-profit:
PROJECT DESCRIPTION:
Name of Event: LiGtt up the Night
Amount requested: $ 2000 - Park
65101.34 Staff Cost. (4 recleaders) 8256/34
What will the funds be used for andior what are the waiver offees for? Qisting disabled Children and their
familieS.
When wil the activity take place? OCtober 15, 2022
Where will the activity take place? Robert A. SeSsions memorial Park
Why are the funds/waiver of fees/in-kind services needed? To bring mor wareness to the disabled community
sheik und
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.
together in a positive way be encouraging
physical activity, secial zingt bringing
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. required.)
Ruth an Williams Cathelenkilliams 7/8/2822
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 - •
-
- DEPARTMENT OF THE TREASURY
INTERNAL REVENUE SERVICE
B 0- 80X , 508 45201
Employer Identification Number:
Date: MAR 13 2008 26-1129006
DIN:
17053320052047
BABIES SO SPECIAL Contact Person:
6771 BIRMINGHAM PL JACOB A MCDONALD ID# 31649
RANCHO CUCAMONGA, CA 91739 Contact Telephone Number:
(877) 829-5500
Accounting Period Ending:
December 31
Public Charity Status:
170(b) (1) (A) (vi)
Form 990 Required:
Effective Date of Bxemption:
October 9, 2007
Contribution Deductibility:
Advance Ruling Ending Date:
December 31, 2011
Addendum Applies:
No
Dear Applicant:
We are pleased to inform you that upon review of your application for tax exempt status we have determined that you are exempt from Federal income tax under section 501(c) (3) of the Internal Revenue Code. Contributions to you are deductible under section 170 of the Code.
tax deductible bequests, devises, transfers or gifts under section 2055, 2106 22222 Because this letter could help resolve any questions
regarding your exempt status, you should keep it in your permanent records.
Organizations exempt under section 501(c) (3) of the Code are further classified as either public charities or private foundations. During your advance ruling Your advance ruling period
egins with the effective date of your exemption and ends with advance rulin ending date shown in the heading of the letter.
34 supposedene for Ande Rug eper lavendo days after 3734, Support Schedule for Advance Ruling Period. then notify you in we ng, about out reacher lazed form me will exempt organization.
Letter 1045 (DO/CG)
- ..
- -
-2-
BABIES SO SPECIAL
Sincerely,
Robert Choi
Director, Exempt Organizations
Rulings and Agreements
Enclosures: Publication 4221-PC
Statute Extension
Letter 1045 (DO/ CG)