CITY OF BARSTOW
BARSTOW
YOUTH COMMUNITY PROMOTIONAL FUND
IN-KIND DONATION APPLICATION
APPLICANT INFORMATION
Name of Applicant: Name of Organization:
John Tex Williams Barstow community youth football and cheer Mailing Address: 700 mt vernon
City: Barstow State: ca Zip: 92311
Telephone: (* c.) 760 902 4087 Email: [email protected] 760 902 4087 [email protected]
Non-Profit: Yes • No 03 If No, are you planning on partnering with a non- 501(c)(3) # profit? Yes O No O
EVENT DESCRIPTION
Name of Event:
Measure Q funding
Date(s) of Event: Location:
#of Participants:
WAIVER OF FEES DESCRIPTION
Park/Facility: | Date(s):
Fees: Total:
$
Rental Fee: $ /Ex. hrs
$
Lights: $. hrs
Total Fees Waived: $
IN-KIND DONATION DESCRIPTION
Quantity Unit Cost Total
Total:
Youth Community Promotional Fund Application Page 1
1. Why is your organization requesting an in-kind donation?
2. How will this in-kind donation benefit your organization and the youth population of Barstow?
With this application, please attach the following:
1. A detailed description 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 five-year operating plan outlining the goals and objectives for their organization;
4. A copy of the organization's non-profit determination.
By signing below, I declare that I have read the Youth 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.,! 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 op behalf of an organization or school, an additional signature is required.) Jonn Willams
Applicant Signature Applicant Name (printed)
8-1-23
Orgapization President/Direetor Signature Date
(if applicable)
Youth Community Promotional Fund Application Page 2
Measure Q funding for 2024 through 2029
2024
1. 20 football helmets 225.00 4,500.00
2. 20 shoulder pads 140.00 2,800.00
3. 25 chin straps 80.00 2,000.00
4. 300 mouth guards 1.00 300.00
5. 20 footballs 75.00 1,500.00
2025
6. 20 football helmets 225.00 4,500.00
7. 20 shoulder pads 140.00 2,800.00
8. 25 chin straps 80.00 2,000.00
9. 300 mouth guards 1.00 300.00
10. 20 footballs 75.00 1,500.00
2026
11. 20 football helmets 225.00 4,500.00
12. 20 shoulder pads 140.00 2,800.00
13. 25 chin straps 80.00 2,000.00
14. 300 mouth guards 1.00 300.00
15. 20 footballs 75.00 1,500.00
2027
16. 20 football helmets 225.00 4,500.00
17. 20 shoulder pads 140.00 2,800.00
18. 25 chin straps 80.00 2,000.00
19. 300 mouth guards 1.00 300.00
20. 20 footballs 75.00 1,500.00
2028
21. 20 football helmets 225.00 4,500.00
22. 20 shoulder pads 140.00 2,800.00
23. 25 chin straps 80.00 2,000.00
24. 300 mouth guards 1.00 300.00
25. 20 footballs 75.00 1,500.00
2029
26. 20 football helmets 225.00 4,500.00
27. 20 shoulder pads 140.00 2,800.00
28. 25 chin straps 80.00 2,000.00
29. 300 mouth guards 1.00 300.00
30. 20 footballs 75.00 1,500.00
2/5/24, 1:43 PM Tax Exempt Organization Search Details | Internal Revenue Service
BARSTOW COMMUNITY
FOOTBALL INC
EIN: 46-2873588 | Barstow, California, United States
Other Names
BARSTOW COMMUNITY FOOTBALL ASSOCIATION INC
Auto-Revocation List
Organizations whose federal tax exempt status was automatically revoked for not filing a Form 990-series return or notice for three consecutive years.
Important note: Just because an organization appears on this list, it does not mean the organization is currently revoked, as they may have been reinstated.
Exemption Type: 501(c)(3) ®
Exemption Reinstatement Date: 04-15-2014
Revocation Date: 11-15-2012
Revocation Posting Date: 10-04-2014
Determination Letter
A favorable determination letter is issued by the IRS if an organization meets the requirements for tax-exempt status under the Code section the organization applied
Final Letter(s)
FinalLetter 46-
2873588 BARSTOWCOMMUNITYFOOTBALLASSOCIATIONINC 04032014.tif [https://apps.irs.gov/pub/epostcard/dl/FinalLetter 46-
2873588 BARSTOWCOMMUNITYFOOTBALLASSOCIATIONINC 04032014.tif] Form 990-N (e-Postcard)
1/6
https://apps.irs.gov/app/eos/details/
215/24, 1:43 PM Tax Exempt Organization Search Details | Internal Revenue Service Organizations who have filed a 990-N (e-Postcard) annual electronic notice.
Most small organizations that receive less than $50,000 fall into this category. ^ Tax Year 2021 Form 990-N (e-Postcard)
Tax Period:
2021(07/01/2021-06/30/2022)
EIN:
46-2873588
Organization Name (Doing Business as):
BARSTOW COMMUNITY FOOTBALL INC
Mailing Address:
PO Box 1642
Barstow, CA 92312
United States
Principal Officer's Name and Address:
John Williams
700 Mt Vernon
Barstow, CA 923117
United States
Gross receipts not greater than:
$50,000
Organization has terminated:
No
Website URL:
^ Tax Year 2019 Form 990-N (e-Postcard)
Tax Period:
2019(07/01/2019-06/30/2020)
EIN:
46-2873588
!
Organization Name (Doing Business as):
BARSTOW COMMUNITY FOOTBALL INC
Mailing Address:
PO Box 1642
Barstow, CA 92312
United States
Principal Officer's Name and Address:
John Williams
2/6
https://apps.irs.gov/app/eos/details/
2/5/24, 1:43 PM Tax Exempt Organization Search Details | Internal Revenue Service 700 Mt Vernon Ave
Barstow, CA 92311
United States
Gross receipts not greater than:
$50,000
Organization has terminated:
No
Website URL:
^ Tax Year 2018 Form 990-N (e-Postcard)
Tax Period:
2018(07/01/2018-06/30/2019)
EIN:
46-2873588
Organization Name (Doing Business as):
BARSTOW COMMUNITY FOOTBALL INC
Mailing Address:
PO BoX 1642
Barstow, CA 92312
United States
Principal Officer's Name and Address:
John Williams
700 MT Vernon Ave
Barstow, CA 92311
United States
Gross receipts not greater than:
$50,000
Organization has terminated:
No
Website URL:
^ Tax Year 2016 Form 990-N (e-Postcard)
Tax Period:
2016(07/01/2016-06/30/2017)
EIN:
46-2873588
Organization Name (Doing Business as):
BARSTOW COMMUNITY FOOTBALL INC
3/6
https://apps.irs.gov/app/eos/details/
215/24, 1:43 PM Tax Exempt Organization Search Details | Internal Revenue Service Mailing Address:
PO Box 1642
Barstow, CA 92312
United States
Principal Officer's Name and Address:
John E Williams
700 Mt Vernon Ave
Barstow, CA 92311
United States
Gross receipts not greater than:
$50,000
Organization has terminated:
No
Website URL:
^ Tax Year 2015 Form 990-N (e-Postcard)
Tax Period:
2015(07/01/2015-06/30/2016)
EIN:
46-2873588
Organization Name (Doing Business as):
BARSTOW COMMUNITY FOOTBALL INC
Mailing Address:
PO Box 1642
Barstow, CA 92312
United States
Principal Officer's Name and Address:
John Williams
700 Mt Vernon Ave
Barstow, CA 92311
United States
Gross receipts not greater than:
$50,000
Organization has terminated:
No
Website URL:
^ Tax Year 2014 Form 990-N (e-Postcard)
Tax Period:
2014(07/01/2014-06/30/2015)
https://apps.irs.gov/app/eos/details/ 4/6
2/5/24, 1:43 PM Tax Exempt Organization Search Details | Internal Revenue Service EIN:
46-2873588
Organization Name (Doing Business as):
BARSTOW COMMUNITY FOOTBALL INC
Mailing Address:
PO Box 1642
Barstow, CA 92312
United States
Principal Officer's Name and Address:
John E Williams
700 Mt Vernon Ave
Barstow, CA 92311
United States
Gross receipts not greater than:
$50,000
Organization has terminated:
No
Website URL:
^ Tax Year 2013 Form 990-N (e-Postcard)
Tax Period:
2013(07/01/2013-06/30/2014)
EIN:
46-2873588
Organization Name (Doing Business as):
BARSTOW COMMUNITY FOOTBALL INC
Mailing Address:
PO Box 1642
Barstow, CA 92312
United States
Principal Officer's Name and Address:
John E Williams
PO Box 1642
Barstow, CA 92312
United States
Gross receipts not greater than:
$50,000
Organization has terminated:
No
5/6
https://apps.irs.gov/app/eos/details/
2/5/24, 1:43 PM Tax Exempt Organization Search Details | Internal Revenue Service Website URL:
http://www.leaguelineup.com/welcome.asp?
url=barstowyouthfootball&sid=22165562
6/6
https://apps.irs.gov/app/eos/details/