* Color Run *
Community Promotional Fund Application
APPLICANT INFORMATION:
Cathyleen Williams & Kimberly Hammack
Name of applicant:
On The Rise Inc.
Name of organization or group represented:
PO Box 2328 Barstow, Ca. 92312
Mailing address:
760-987-6072
Contact phone numbers):
Non-Profit? Yes No If no, are you partnering with a non-profit:
PROJECT DESCRIPTION: Color Run -Caleb
Amount requested: $ 2000 ix plus staff time
Assisting disabled children and their families and
What will the funds be used for?
also supporting programs for local foster youth.
Saturday, March 18th 2023
When will the activity take place?
Where will the activity take place? Sportspark 2800 Mayor Katy Pkwy. Barstow Why are the funds needed? To help maximize funds generated to support disabled children and their families and also local foster youth. 75 How many Barstow area residents are involved with this organization? 200
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 event will bring the community together in a positive way by encouraging physical activity and by bringing awareness to the community while raising funds to continue supporting the mission of our nonprofits.
Community Promotional Fund Application Page 1
Rev. August 2013
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.) Cathy ankle
Kimbalstammack Cathyleen Williams 01/19/2023
Signature of Applicant Applicant Name (printed) & Date
School Principal or Organization
President/Director Signature
(if applicable)
Community Promotional Fund Application Page 2
Rev. August 2013
INTERNAL REVENUE SERVICE DEPARTMENT OF THE TREASURY
. O. BOX 2508
INCINNATI. OH 45201
JAN 2 9 2015 mployer Identification Number
Date: 17-1822952
DLN:
17053295321034
ON THE RISE INC Contact Person:
PO BOX 1169 LISA M VAN DER SLUYS ID# 95264
BARSTOW, CA 92312 Contait 79Sghone Number:
Accounting Period Ending:
December 31
Public Charity Status:
170(b) (1)(A) (vi)
Form 990 Required:-
Effective Date of Exemption:
August 18, 2014
Contribution Deductibility:
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. You are also qualitied to receive tax deductible bequests, devises, transters or gitts under section 2055, 2106 or 2522 of the Code. Because this letter could help resolve any questions regarding your exempt status. you should keep it in your permanent records.
Organizations exemot under section 501(c)(3) of the Code are further classified as either public charities or private foundations. We determined that you are a public charity under the Code section(s) listed in the heading of this letter.
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For important information about your responsibilities as a tax-exempt go to www.irs.gov/charities. • Compance Guide for 502(cp(, Putti charities. which describes your recordkeeping, reporting, and disciosure requirements.
Sincerely.
Tamera: Ripperdo
Director, Exempt Organizations
Letter 947