o BARSTOW CITY OF BARSTOW
YOUTH COMMUNITY PROMOTIONAL FUND
IN-KIND DONATION APPLICATION
APPLICANT INFORMATION
Name of Applicant: Name of Organization:
German Carvallo Desert Communities Soccer Club
Mailing Address: PO Box 1620
City: Helendale State: CA Zip: 92342
Telephone: (760) 220-9173 Email: [email protected]
Non-Profit: Yes E No O If No, are you planning on partnering with a non- 501(c)(3) #: 87-1114925 profit? Yes D No O
EVENT DESCRIPTION
Name of Event:
Soccer Practices
Date(s) of Event: Location:
Barstow Sports Park Soccer
Every Tuesday and Thursday
Fields
# of Participants: 125
WAIVER OF FEES DESCRIPTION
Park/Facility: Date(s):
Robert Sessions Memorial Sportspark 2x per week, Tue & Thu Fees: Total:
Rental Fee: $ 20 /hr x 208 hrs $ 4160
Lights: $ 20 /hr x 208 hrs $ 4160
Total Fees Waived: $ 8320
IN-KIND DONATION DESCRIPTION
[Item(s): Quantity Unit Cost Total
Practice balls (20 per team) 140 20 2800
PopUp Practice nets (set of 2) 7 100 700
Total: 3500
Youth Community Promotional Fund Application Page 1
1. Why is your organization requesting an in-kind donation? We are requesting field fee funds to cover and lower out of pocket costs for our Barstow families. While our coaches and board members are all volunteer, there are still many expenses for youth to play competitive sports. Our organization's objective is to provide a zero out of pocket cost to play competitive soccer. In comparison, other local soccer clubs charge from $1200 to upwards of $3500 per year per player. Our players are learning, performing, and winning despite not paying.
2. How will this in-kind donation benefit your organization and the youth population of Barstow?
The allotment of funds to cover fields fees will help our non profit organization to continue to provide a competitive soccer outlet for Barstow youths seeking higher level competition and development. Our organization is now the 2nd largest club in Coast Soccer League under CAL South (our governing body), and we continue to grow because we are filling a need for our community. As always, we never charge overhead or coaching fees. This donation will provide the necessary place and equipment to allow our youth players to practice more effectively and productively.
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. 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.) German L Carvallo Jr
-Corally
Applicant Signature Applicant Name (printed)
no Candle 6 July 2023
Organization President/Director Signature Date
(if applicable)
Youth Community Promotional Fund Application Page 2
1/26/24, 8:52 AM Tax Exempt Organization Search Details | Internal Revenue Service Desert Communities Soccer
Club
EIN: 87-1114925 | Helendale, 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 Q
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 87-1114925 DESERTCOMMUNITIESSOCCERCLUB 07232021 00.tif (https://apps.irs.gov/pub/epostcard/dl/FinalLetter 87-
1114925 DESERTCOMMUNITIESSOCCERCLUB 07232021 00.tif]
1/1
https://apps.irs.gov/app/eos/details/
Date:
10/13/2021
Employer ID number:
IRS P.O. Box 2508 87-1114925
Person to contact:
Name: Customer Service
ID number: 31954
Telephone: 877-829-5500
DESERT COMMUNITIES SOCCER CLUB Accounting period ending:
PO BOX 1620 December 31
HELENDALE, CA 92342 Public charity status:
509(a)(2)
Form 990 / 990-EZ / 990-N required:
Yes
Effective date of exemption:
May 21, 2021
Contribution deductibility:
Yes
Addendum applies:
No
DLN:
26053607008361
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. marten
Stephen A. Martin
Director, Exempt Organizations
Rulings and Agreements
Letter 947 (Rev. 2-2020)
Catalog Number 35152P