Community Promotional Fund Application
APPLICANT INFORMATION:
Leonard Williams
Name of applicant:
Name of organization or group represented Barstow Youth Sports Coalition 1225 Piute St Barstow Ca. 92311
Mailing address:
Contact phone number(s): Email Address:
760-514-3503 [email protected]
Non-Profit? Yes No If no, are you partnering with a non-profit PROJECT DESCRIPTION:
Barstow Farmers Market
Name of Event:
Amount requested: $$2,453
What will the funds be used for and/or what are the waiver of fees for? TUP monthly Waiver
Fire inspection Waiver
2/17.3/16.4/20.5/18,6/15,7120,8/17,9/21, 10/19.11/16.12/21 When will the activity take place?
Where will the activity take place? 300E Clark St Barstow Ca. 92311 to pay for inkind services
Why are the funds/waiver of fees/in-kind services needed? 5 How many Barstow area residents are involved with this organization? 50-100
How many spectators will watch this activity?
Please describe how this activity will benefit Barstow. If additional space is necessary, please attach additional sheets:
the Barstow Farmers Market was established because there was a need for the citizens of Barstow to purchase Farm Fresh
Fruit and Vegetables to Maintain a Healthy Barstow
Initiative.
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
Home ullan 1/23/2024
LEONARD WIlLIAMS
gnature of Applicar 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 Date:
Internal Revenue Service 06/24/2021
Tax Exempt and Government Entitie Employer ID number:
TRS P.O. Box 2508 86-2504769
Person to contact:
Vame: 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-EZ / 990-N required:
Yes
Effective date of exemption:
March 10, 2021
Contribution deductibility:
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,
stephore a matter
Stephen A. Martin
Director, Exempt Organizations
Rulings and Agreements
Letter 947 (Rev. 2-2020)
Catalog Number 35152P