CITY OF BARSTOW
BARSTOW
YOUTH COMMUNITY PROMOTIONAL FUND
IN-KIND DONATION APPLICATION
APPLICANT INFORMATION
Name of Applicant: Name of Organization:
Dolores Ladilla Barstow Baseball
Maling No 330 Savana Ca zip 92311
City: BORsTow
Telephone: 740) 590-7978 Email: [email protected]
Yes 0i It No, are you planning on partnering with a non- Non-Profit: No D No ST
501(C)(3) #: 95-165 837 profit? Yes D
3165837
EVENT DESCRIPTION
Name of Event:
Location:
Date(s) of Event:
# of Participants:
WAIVER OF FEES DESCRIPTION Date(s):
Park/Facility:
Total:
Fees:
Rental Fee: $ /hr x. hrs
/hr x_ _hrs
Lights: S Total Fees Waived: $
IN-KIND DONATION DESCRIPTION Unit Cost Total
Quantity
4231.43 4231.43
Revamp Lillian Ball Field.
Srore board 43100 3400
it ching machil $1800 4800
L ScHen 4,0i Total: 14031.42
SpoRt paRk Usage
Youth Community Promotional Fund Application Poge 1
1. Why is your organization requesting an in-kind donation? For Bartow youth Baseball we need upgrades
Fox the safty of the Kids & Coaches
2. How will this in-kind donation benefit your organization and the youth population of Barstow?
Will dyently improve safty and we need to
Stardard so we can hers høst outof town teoms bring these felds up to a more reasonable as wall as our local youth Ball players
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. agree to all its terms and conditions. 1 agree that there is a formal process in place to conduct By signing below, I declare that I have read the Youth Community Promotional Fund Policy and years and senior citizens. I understand that an incomplete application will not be accepled and background checks on all employees and volunteers who work with persons under the age of 18 that the organization or applicant will not be considered for funding. (If the application is being submited on behall of an organization or school, an additional signature is required.) Dolores tadilla
Applican Signature Applicant Name (printed)
8/22 23
irganization President/Director Signature Date
(it applicabie)
Youth Community Promotional Fund Application Page 2
1/26/24, 8:50 AM Tax Exempt Organization Search Details | Internal Revenue Service
LITTLE LEAGUE BASEBALL INC
EIN: 95-3165837 | Barstow, California, United States
Other Names
LITTLE LEAGUE BASEBALL INC 4054902 BARSTOW EASTSIDE LL
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) O
Exemption Reinstatement Date:
Revocation Date: 02-15-2016
Revocation Posting Date: 05-09-2016
Form 990-N (e-Postcard)
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 Period:
2011(10/01/2011-09/30/2012)
EIN:
95-3165837
Organization Name (Doing Business as):
LITTLE LEAGUE BASEBALL INC
Mailing Address:
PO Box 1865
Barstow, CA 923121865
United States
Principal Officer's Name and Address:
Darla Tyler
1/2
https://apps.irs.gov/app/eos/details/
1/26/24,8:50 AM Tax Exempt Organization Search Details | Internal Revenue Service PO Box 1865
Barstow, CA 923121865
United States
Gross receipts not greater than:
$50,000
Organization has terminated:
No
Website URL:
Copies of Returns (990, 990-EZ, 990-PF, 990-
T)
Electronic copies (images) of Forms 990, 990-EZ, 990-PF or 990-T returns filed with the IRS by charities and non-profits.
Organization Name:
LITTLE LEAGUE BASEBALL INC 4054902 BARSTOW EASTSIDE LL
EIN:
95-3165837
Tax Period:
202109
Return ID:
3191621
Filing Type:
P
Return Type:
990EZ
Copy of Return:
2021 Form 990EZ Filing
(https://apps.irs.gov/pub/epostcard/cor/953165837 202109 99 0EZ 2022081720282278.pdf]
2/2
https://apps.irs.gov/app/eos/details/
217/24, 9:06 AM Account Balance
Account Balance for Barstow Little League Baseball Help Go back to Organization Account Functions
Total credit on account: $0
Total owed on account: $1,130.00
Amount due now: $1,130.00 Make payment on account
• A/R Detail
Receipt Date Created Account Owner Original Current Next Nex: Due Date Automatic Payment Amount Balance Payment
3006408.002 Mar 23, 2023 Barstow Little League Baseball $70.00 $70.00 $70.00 Mar 23, 2023 No 3007035.002 May 12, 2023 Barstow Little League Baseball $30.00 $30.00 $30.00 May 12, 2023 No 3007973.002 Sep 18, 2023 Barstow Little League Baseball $45.00 $45.00 $45.00 Sep 18, 2023 No 3007975.002 Sep 18, 2023 Barstow Little League Baseball $60.00 $60.00 $60.00 Sep 18,2023 No 3007980.002 Sep 19, 2023 Barstow Little League Baseball $40.00 $40.00 $40.00 Sep 23, 2023 3007982.002 Sep 19, 2023 Barstow Little League Baseball $60.00 $60.00 $60.00 Sep 19, 2023 3007984.002 Sep 19, 2023 Barstow Little League Baseball $40.00 $40.00 $40.00 Sep 30, 2023 3007986.002 Sep 19, 2023 •Barstow Little League Baseball $40.00 $40.00 $40.00 Oct 7, 2023 3007988.002 Sep 19, 2023 Barstow Little League Baseball $120.00 $120.00 $120.00 Oct 21, 2023 3007990.002 Sep 19, 2023 Barstow Little League Baseball $60.00 $60.00 $60.00 Nov 7, 2023 3007993.002 Sep 19, 2023 Barstow Little League Baseball $60.00 $60.00 $60.00 Oct 24, 2023 3007996.002 Sep 19, 2023 Barstow Little League Baseball $60.00 $60.00 $60.00 Sep 26, 2023 3008039.002 Sep 25, 2023 Barstow Little League Baseball $30.00 $30.00 $30.00 Sep 25, 2023 3008129.002 Oct 2, 2023 Barstow Little League Baseball $70.00 $70.00 $70.00 Nov 1, 2023 3008131.002 Oct 2, 2023 Barstow Little League Baseball $60.00 $60.00 $60.00 Nov 16, 2023 3008226.002 Oct 11, 2023 Barstow Little League Baseball $30.00 $30.00 $30.00 Oct 12, 2023 3008228.002 Oct 11, 2023 Barstow Little League Baseball $30.00 $30.00 $30.00 Oct 13, 2023 3008250.002 Oct 12, 2023 Barstow Little League Baseball $45.00 $45.00 $45.00 Oct 16, 2023 3008313.002 Oct 19, 2023 Barstow Little League Baseball $60.00 $60.00 $60.00 Oct 19, 2023 3008386.002 Oct 23, 2023 Barstow Little League Baseball $40.00 $40.00 $40.00 Oct 23, 2023 3008388.002 Oct 23, 2023 Barstow Little League Baseball $40.00 $40.00 $40.00 Oct 27, 2023 3008506.002 Nov 14, 2023 Barstow Little League Baseball $40.00 $40.00 $40.00 Nov 15, 2023 Current A/R Balance: $1,130.00
https://anprod.active.com/barstow/servlet/processKeycloakAdminLogin.sdi?session_state=6217dd55-161d-44f4-a6d5-5ad2f10866a7&code=24398f32-9d31-4d36-91ee-e11822e8e9c9.6217dd55-161d-... 1/1
2/7/24, 9:03 AM Tax Exempt Organization Search Details | Internal Revenue Service
LITTLE LEAGUE BASEBALL INC
EIN: 95-3165837 | Barstow, California, United States
Other Names
LITTLE LEAGUE BASEBALL INC 4054902 BARSTOW EASTSIDE LL
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) O
Exemption Reinstatement Date:
Revocation Date: 02-15-2016
Revocation Posting Date: 05-09-2016
Form 990-N (e-Postcard)
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 Period:
2011(10/01/2011-09/30/2012)
EIN:
95-3165837
Organization Name (Doing Business as):
LITTLE LEAGUE BASEBALL INC
Mailing Address:
PO Box 1865
Barstow, CA 923121865
United States
Principal Officer's Name and Address:
Darla Tyler
https://apps.irs.gov/app/eos/details/ 1/2
217/24, 9:03 AM Tax Exempt Organization Search Details | Internal Revenue Service PO Box 1865
Barstow, CA 923121865
United States
Gross receipts not greater than:
$50,000
Organization has terminated:
No
Website URL:
Copies of Returns (990, 990-EZ, 990-PF, 990-
T)
Electronic copies (images) of Forms 990, 990-EZ, 990-PF or 990-T returns filed with the IRS by charities and non-profits.
Organization Name:
LITTLE LEAGUE BASEBALL INC 4054902 BARSTOW EASTSIDE LL
EIN:
95-3165837
Tax Period:
202109
Return ID:
3191621
Filing Type:
P
Return Type:
990EZ
Copy of Return:
2021 Form 990EZ Filing
[https://apps.irs.gov/pub/epostcard/cor/953165837 202109 99 0EZ 2022081720282278.pdf]
2/2
https://apps.irs.gov/app/eos/details/
•
City of Barstow Parks and Recreation
841 Barstow Rd
Barstow, CA 92311
(760) 256-5617
Customer Statement
Barstow Little League Baseball
1330 Savanna Dr
Barstow, CA 92311
Organization # 3
Phone # (760) 590-7978
CREDIT ON BALANCE DUE BY
STATEMENT DATE TOTAL CHARGES TOTAL PAID TOTAL BALANCE DUE ACCOUNT Feb 7, 2024
Feb 7, 2024 $1,130.00 $0.00 $0.00 $1,130.00 $1,130.00
9:16 AM
Receipt (Permit) Number Payment Schedule Next Due Date Next Amount Due 3006408.002 1 Payments) Due Now 70.00
Charge Description Charged Paid Balance Due
Rental Fee - Hourly (BLLB Seniors Game R2819) $70.00 $0.00 $70.00 Receipt (Permit) Number Payment Schedule Next Due Date Next Amount Due 3007035.002 1 Payments) Due Now 30.00
Charge Description Charged Paid Balance Due
$30.00 $0.00 $30.00
Rental Fee - Hourly (Steve Craft Youth Baseball R3070)
Receipt (Permit) Number Payment Schedule Next Due Date Next Amount Due 3007973.002 1 Payments) Due Now 45.00
Charge Description Charged Paid Balance Due
Rental Fee - Hourly (BLLBB Practice (Vicente Islas) R3446) $22.50 $0.00 $22.50 Rental Fee - Hourly (BLLBB Practice (Vicente Islas) R3446) $22.50 $0.00 $22.50 Receipt (Permit) Number Payment Schedule Next Due Date Next Amount Due 2 Payments) -Due Now 60.00
3007975.002
Charged Paid Balance Due
Charge Description
$30.00 $0.00 $30.00
Rental Fee - Hourly (BLLB Practice: Julian Toloza R3447) Rental Fee - Hourly (BLLB Practice: Julian Toloza R3447) $30.00 $0.00 $30.00 Receipt (Permit) Number Payment Schedule Next Due Date Next Amount Due 1 Payments) Due Now 40.00
3007980.002
Charge Description Charged Paid Balance Due
$40.00 $0.00 $40.00
Rental Fee - Per Game (BLLB Seniors Game R3449)
Receipt (Permit) Number Payment Schedule Next Due Date Next Amount Due 2 Payments) Due Now 60.00
3007982.002
Charged Paid Balance Due
Charge Description
$60.00 $0.00 $60.00
Rental Fee - Per Game (BLLB Seniors Game R3450)
Receipt (Permit) Number Payment Schedule Next Due Date Next Amount Due
40.00 3007984.002 1 Payments) Due Now
Charged Paid Balance Due
Charge Description
City of Barstow Parks and Recreation
841 Barstow Rd
Barstow, CA 92311
(760) 256-5617
Rental Fee - Per Game (BLLB Seniors Game R3451) $40.00 $0.00 $40.00 Receipt (Permit) Number Payment Schedule Next Due Date Next Amount Due 3007986.002 1 Payments) Due Now 40.00
Charge Description Charged Paid Balance Due
Rental Fee - Per Game (BLLB Seniors Game R3452) $40.00 $0.00 $40.00 Receipt (Permit) Number Payment Schedule Next Due Date Next Amount Due 3007988.002 1 Payments) Due Now 120.00
Charged Paid Balance Due
Charge Description
Rental Fee - Per Game (BLLB Seniors Game R3453) $40.00 $0.00 $40.00 Rental Fee - Per Game (BLLB Seniors Game R3453) $40.00 $0.00 $40.00 Rental Fee - Per Game (BLLB Seniors Game R3453) $40.00 $0.00 $40.00 Receipt (Permit) Number Payment Schedule Next Due Date Next Amount Due Due Now 60.00
3007990.002 1 Payments)
Charge Description Charged Paid Balance Due
$60.00 $0.00 $60.00
Rental Fee - Per Game (BLLB Seniors Game R3454)
Receipt (Permit) Number Payment Schedule Next Due Date Next Amount Due 1 Payments) -Due Now 60.00
3007993.002
Charge Description Charged Paid Balance Due
$60.00 $0.00 $60.00
Rental Fee - Per Game (BLLB Seniors Game R3455)
Receipt (Permit) Number Payment Schedule Next Due Date Next Amount Due 1 Payments) Due Now 60.00
3007996.002
Charge Description Charged Paid Balance Due
$60.00 $0.00 $60.00
Rental Fee - Per Game (BLLB Seniors Game R3456)
Receipt (Permit) Number Payment Schedule Next Due Date Next Amount Due 1 Payment(s) Due Now 30.00
3008039.002
Charge Description Charged Paid Balance Due
Rental Fee - Hourly (Vicente Islas BLL practice R3475) $30.00 $0.00 $30.00 Receipt (Permit) Number Payment Schedule Next Due Date Next Amount Due 3008129.002 1 Payments) Due Now 70.00
Charged Paid Balance Due
Charge Description
Rental Fee - Per Game (BLLSB Game 6pm "Barstow vs Adelanto" R3511) $70.00 $0.00 $70.00 Receipt (Permit) Number Payment Schedule Next Due Date Next Amount Due Due Now 60.00
3008131,002 1 Payments)
Charge Description Charged Paid Balance Due
Rental Fee - Per Game (BLLSB Seniors Game "Barstow vs SVL2" R3512) $60.00 $0.00 $60.00 Receipt (Permit) Number Payment Schedule Next Due Date Next Amount Due Due Now 30.00
3008226.002 1 Payments)
Charge Description Charged Paid Balance Due
$30.00 $0.00 $30.00
Rental Fee - Hourly (Barstow Little League Baseball R3552) Receipt (Permit) Number Payment Schedule Next Due Date Next Amount Due 3008228.002 1 Payments) Due Now 30.00
City of Barstow Parks and Recreation
841 Barstow Rd
Barstow, CA 92311
(760) 256-5617
Charge Description Charged Paid Balance Due
Rental Fee - Hourly (Barstow Little League Baseball R3553) $30.00 $0.00 $30.00 Receipt (Permit) Number Payment Schedule Next Due Date Next Amount Due 3008250.002 1 Payments) Due Now 45.00
Charge Description Charged Paid Balance Due
Rental Fee - Hourly (BLLBB Practice Vincente Islas R3562) $22.50 $0.00 $22.50 Rental Fee - Hourly (BLLBB Practice Vincente Islas R3562) $22.50 $0.00 $22.50 Receipt (Permit) Number Payment Schedule Next Due Date Next Amount Due 1 Payments) Due Now 60.00
3008313.002
Charge Description Charged Paid Balance Due
Rental Fee - Hourly (Curtis Hobb Senior Practice BLLB R3590) $30.00 $0.00 $30.00 Rental Fee - Hourly (Curtis Hobb Senior Practice BLLB R3590) $30.00 $0.00 $30.00 Receipt (Permit) Number Payment Schedule Next Due Date Next Amount Due 3008386.002 1 Payments) Due Now 40.00
Charge Description Charged Paid Balance Due
$40.00 $0.00 $40.00
Rental Fee - Hourly (Curtis Hobbs BLLBB Practice R3622) Receipt (Permit) Number Payment Schedule Next Due Date Next Amount Due
40.00 3008388.002 1 Payments)
Charged Paid Balance Due
Charge Description
$40.00 $0.00 $40,00
Rental Fee - Hourly (Curtis Hobbs BLLBB Practice R3623) Receipt (Permit) Number Payment Schedule Next Due Date Next Amount Due 3008506.002 1 Payments) Due Now 40.00
Charge Description Charged Paid Balance Due
Rental Fee - Hourly (Curtis Hobbs-BLLSB Practice R3670) $40.00 $0.00 $40.00
City of Barstow Parks and Recreation
841 Barstow Rd
Barstow, CA 92311
(760) 256-5617
(Detach and mail in with your payment)
City of Barstow Parks and Recreation
841 Barstow Rd
Barstow, CA 92311
Organization Name Barstow Little League Organization 3
Baseball
Due by Feb 7, 2024 : $1,130.00
Method of Payment Amount Paid Payment Information
Cash $
Check $ Check#: ID#:
$ CC Type: CC#: Exp:
Credit
Other $