4/23/23
Community Promotional Fund Application
APPLICANT INFORMATION:
HERMAN WAGNER
Name of applicant:
Name of organization or group represented Unite StaTes TRANs SuppoRT Roup love.
Mailing address: 1874 2, MAinlST. BARSTOW, CA92311
Contact phone numbers: 160 220-7682
Non-Profit? (Yes If no, are you partnering with a non-profit: 13-429 2900 PROJECT DESCRIPTION:
Amount requested: $ 2/20 2X
what with ids to used on A For Da to Due Cole!
EM OUR COmMUNITY
When will the activity take place? 01/29/23
CORA LARDER -ITN1335 CENTERE
Where will the activity take place?
Why are the funds needed?
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:
Wİll ENhANCE THE LiViNG CONTiTiON of DaTa Kiss
LiviNg IN BARSTOW, CA,
Bike GiveAway
Stables 40 chairs
Rev. August 2013 Community Promotional Fund Application 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.) Hemliarial HERMAN WAGNER 06/23/23.
Signature of Applicant Applicant Name (printed) & Date
School Principal or Organization
President/Director Signature
(if applicable)
Rev. August 2013 Community Promotional Fund Application Page 2 United States Veterans Support
Group Inc.
EIN: 13-4292900 | Barstow, California, United States
Publication 78 Data
Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List: Yes
Deductibility Code: PC 3