Community Promotional Fund Application
APPLICANT INFORMATION:
James Eichler Je
Name of applicant:
Name of organization or group represented:
Mailing address: 28222 WatermanRD BArsto Co92311
Contact phone number(s: 760-963-8807 - 760.887.4209
Non-Profit? If no, are you partnering with a non-profit:
PROJECT DESCRIPTION:
Amount requested: $ 2600°0 Cost of Building
What will the funds be used for To SAvE money for us to Ute Sor-the youth ontargets, ammo a trapheis. Gun Educalan
When wil the activity take place? May 4th 202x
Where will the activity take place? Barstow Conmunty Cabe.
Why are the funds needed? To suppot or yulh in educaten and disapline. A undo go to fund Shots and Suppled
How many Barstow area residents are involved with this organization? 100 How many spectators will watch this activity? 100- 300
Please describe how this activity will benefit Barstow. If additional space is necessary, See date any bato beg she seate p shrot as well
as respect for people place and things The banquet
wee bring people fun out of townto us Motels
gas anal risshaunt
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.). James REchlertr JamBilly - 4:9-2024
Applicant Name (printed) & Date
School Principal or Organization
President/Director Signature
(if applicable)
Rev. August 2013 Community Promotional Fund Application Page 2
HIGH DESERT YOUTH SHOOTERS
To Whom It May Concern,
High Desert Youth Shooters is seeking donations for our banquets.
This year's banquet will be held on
Saturday, May 4, 2024
Doors open at 4:00 p.m.
Location Cora Harper Community Center 841 Barstow Rd, Barstow, California 92311 With any donations of $25.00 or more we will put your name/business in our banquet program.
Every guest will receive the banquet program the night of the banquet.
We are also selling Ads.
Business card size for $25.00
½ Page for $50.00
1 Page for $100.00
We are accepting all donations, gift baskets, services, meals, gift certificates, etc.... All appreciated....
"High Desert Junior Shooters, Inc." and we do the "5 Star Trap Shooting Program." The program is for kids aged 9-19 years old.
Our federal ID number is 38-3825391
We would like to thank everyone for all donations.
Gift baskets, gift certificates, anything that we can raffle off would be a great help.
Without the help of all of you we would not be able continue to teach the youth the gift of trap shooting and gun safety.
Thank you for your Support.
Sincerely, Jim & Donna Eichler
Jim & Donna Eichler
28222 Waterman Rd
Barstow, CA 92311
760-887-4209
HIGH DESERT NAME
JUNIOR SHOOTERS
EMAIL
ADDRESS
CITY STATE/ZIP
PHONE#
BANQUET Saturday, May 4, 2024
Cora Harper Community Center
841 Barstow Rd Barstow, CA 92311
TABLE Deal Table of 8 with dinner $3500.00
& Gold Medal Package
Includes 2-gun
vouchers and special
Bonus- $800.00
General Raffle Tickets
per table.
QTY TOTAL PRICE
GOLD MEDAL (Best DEAL) $400 a COUPLE
Includes Meal or Meals, A 1 in 5 GUN Board Draw, a 1 in 10 Gun Draw and $200 General Raffle Tickets $375 a SINGLE SILVER MEDAL Includes Meal or Meals, A 1 in 10 Gun $300 a Couple Draw and $100 General Raffle Tickets
$275 a Single
Bronze Medal Includes Meal or Meals, $60.00 General $200 a Couple Raffle Tickets
$175 a Single
PRICE OF ADDITIONAL Meals $30.00 Adult
$25.00 Child
BONUS PURCHASE You may also purchase general raffle tickets.
THIS Special is ONLY Valid with a For each $80.00 you donated you will receive purchase of the Gold, Silver or Bronze $100.00 worth of raffle tickets #_ Additional Raffle Tickets at $80.00 each for
$100.00 with any of the sponsor packets
raffle ticket for a 10-22 Ruger with a purchase.
scope.
TOTAL
Check Enclosed RETURN your application to:
VISA Jim or Donna Eichler
MASTER CARD 28222 Waterman Rd.
Barstow, CA 92311
AMEX 760-887-4209
Card # Exp Date
Security Code
PRINT NAME
SIGNATURE
EMAIL
NOTE: Your Tickets package and meal tickets will await you at the door. Doors open at 4:00 p.m. = DEPARTMENT OF THE TREASURY
INTERNAL REVENUE SERVICE
P. O. BOX 2508
CINCINNATI, OH 45201
Employer Identification Number:
38-3825391
Date: SEP 03 2014 DLN:
17053045392004
HIGH DESERT JUNIOR SHOOTERS, INC. Contact Person:
C/O LEO SPANNER CUSTOMER SERVICE ID# 31954
206 STATION AVE STE A Contact Ielephone Number:
RIDGECREST, CA 93555 (877) 829-5500
Accounting Period Ending:
December 31
Public Charity Status:
170(b) (1) (A) (vi)
Form 990 Required:
Effective Date of Exemption:
february 10, 2014
Contribution Deductibility:
- Yes
Addendum Applies:
No
Dear Applicant:
We are pleased to inform you that upon review of your application for tax exempt status we have determined that you are exempt from Federal income tax under section 501(c) (3) of the Internal Revenue Code. Contributions to you are deductible under section 170 of the Code. You are also qualified to receive tax deductible bequests, devises, transfers or gifts under section 2055, 2106 or 2522 of the Code. Because this letter could help resolve any questions regarding your exempt status, you should keep it in your permanent records.
Organizations exempt under section 501(c) (3) of the Code are further classified as either public charities or private foundations. We determined that you are a public charity under the Code section (s) listed in the heading of this 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,
Tamera Pepperdo
Director, Exempt Organizations
Letter 947