Community Promotional Fund Application
APPLICANT INFORMATION:
ROLAND ULLOA
Name of applicant:
DOS COSTAS COMMUNICATIONS CORI
Name of organization or group represented:
29000 RADIO ROAD, BARSTOW, CA. 92311
Mailing address:
760-256-2122
Contact phone number(s):
Non-Profit? Yes If no, are you partnering with a non-profit: TRINNAZ HELP PROJECT DESCRIPTION:
Amount requested: $85,000.00
What will the funds be used for? NEW MEXICO CHILI COOK OFF & BELEN FIESTAS When will the activity take place? APRIL 05, 2025
Where will the activity take place? FOGLESONG PARK 300 S. AVENUE G, BARSTOV Why are the funds needed? ENTERTAINMENT; SOUND SYSTME; DANCE FLOOR How many Barstow area residents are involved with this organization? 20 How many spectators will watch this activity? 1,000
Please describe how this activity will benefit Barstow. If additional space is necessary, please attach additional sheets:
THIS EVENT WILL BENEFIT BUSINESSES IN BARSTOW AND BRING VISITORS FRI OTHER CITIES TO BARSTOW. EVERY YEAR WE HAVE THOUSANDS OF
SPECTATORS COME TO BARSTOW FOR THIS WONDERFUL EVENT THAT HAS BECOME A PART OF THE CITY OF BARSTOW.
(We need Electricity and Water for the event. We will also need 17 tables and 60 chairs) 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.) Roland Ulloa
Signature of Applicant Applicant Name (printed) & Date
School Principal or Organization
President/Director Signature
(if applicable)
Rev. August 2013 Community Promotional Fund Application Page 2 Department of the Treasury Date:
02/01/2022
Employer ID number:
87-2538187
Person to contact:
Name: Customer Service
ID number: 31954
Telephone: (877) 829-5500
TRINNAZ HELPING HANDS Accounting period ending:
312 GROVE COURT December 31
BARSTOW, CA 92311-5449 Public charity status:
170(b)(1)(A) (vi)
Form 990 / 990-EZ / 990-N required:
Yes
Effective date of exemption:
September 8, 2021
Contribution deductibility:
Yes
Addendum applies:
No
DLN:
26053722002921
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
Event Budget Report for the Annual New Mexico Chili Cook-off Entertainment
Main Featured Entertainment 1,300.00
Mariachi: 1,200.00
Latin Express: 750.00
Miscellaneous Entertainment: 500.00
Announcers/Supervisors: 400.00
Old School Becky Lu 500.00
Sound Systems:
Sound Stage 1: 1,600.00
Stages:
Outdoor Dance Floor: 2,101.74
High Desert Party Rentals
Advertising:
Radio (English) 7,500.00
Radio (Spanish) 7,500.00
Flyers: 428.89
Flyer Distributors: 300.00
Fiesta Support/Staff:
Father Michael: (Donation) 200.00
Office/Fiesta Staff: 890.00
Set Up/Break down Staff: 485.00
DJ's 200.00
Fiesta Supplies: 1,003.31
Marker Balloons/Decorations
Bowls
Spoons
Napkins
Surprise play balls for kids 832.60
Gas/Auto: 309.01
Pinatas(30): 240.00
Miscellaneous: 718.95
Post Office/Mailing/ Printing 455.00
Fees/Licenses/Insurance:
Department of Alcohol and Beverage Control 25.00
Application for Temporary use Permit 0.00
Certificate of Liability Insurance 628.47
Department of Public Health Permit 0.00
Total Budget: $27,667.97