Community Promotional Fund Application
APPLICANT INFORMATION:
HERMAN WAGNER
Name of applicant:
Name of organization or group represented United States Veterans Support Group Inc.
Barstow Ca
Mailing address:
Contact phone numbers): Email Address
Non-Profit? Yes No If no, are you partnering with a non-profit:
PROJECT DESCRIPTION:
Kids Day Event
Name of Event:
400
Amount requested: $
What will the funds be used for and/or what are the waiver of fees for? To pay for the use of the facility
07/19/2025
When will the activity take place?
Where will the activity take place? Dana Park Building at Dana Park Why are the funds/waiver of fees/in-kind services needed? To help pay for the over all cost of the event
How many Barsiow area residents are involved with this organization? 40 How many spectators will watch this activity? 200
Please describe how this activity will benefit Barstow. If additional space is necessary. please attach additional sheets:
This event will enhance the living condition of our children and all others living in our community Rev August 2021 Conmunity Pi
Fund Application
Community Promotional Fund Application
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.
3. A copy of the organization's non-profit determination.
By signing below, 1 declare that I have read the City's 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.)
Herman Wagner 06/03/2025
ignature of Applicant
Applicant Name (printed) & Date
United States Veterans Support Group Inc.
School Principal or Organization
President/Director Signature
(if applicable)
Rev. August 2021
Community Promotional Fund Application
United States Veterans Support Group Inc.
1874 E Main St. Barstow Ca 92311
(760) 255-3081 (760) 220-7682
Kids Day Expense
1) Pay-Out of all games and tickets Raffle = $2000
2) Bicycles = $700
3) Food= $300
Total Cost = $3000
United States Veterans Support Group Inc.
1874 E Main St. Barstow Ca 92311
(760) 255-3081 (760) 220-7682
The group's purpose and objective is to support our
community and enhance the living condition of all
living in our community by Providing Finance, Food,
Shelter, Clothing and all other activities Family Games Bowling, Fishing, Golf, Bingo.
(We take pride in what we do for our community)
of Call
ranchise Tax Board 1)
PO Box 1286
Rancho Cordove CA 95741-1285
UNITED STATES VETERANS SUPPORT GROUP INC.
Date: 05.26.15
ATTR: ROBERT VOSS
Case: 26560573322891790
1892 EAST MAIN ST
BARSTOW CA 92311 Case Unit: 26560573322891793
In reply refer to: 760 TLS:F120
Regarding : Tax Bempt Status
Organization's Name
- CON : United States Veterans Support Group Inc...
: 2686235
Purpose : Charitable
RATC S : 23701d STATI II, #2186215
Form of Organization : incorporated
Accounting Period Ending :12/31 #13-4292900
Tax-Emmpt Status Effective FES
: 08/26/2004
Exempt Determination Letter
We have determined the organization is tax-exempt from Califomia franchise or income tax as stated in the above Revenue and Taxation Code (R&TC) section (5).
To retain tax-exempt status, the organization must be organized and operating for nonprofit purposes within the provisions of the above R&T section. An inactive organization is not entitled to ina-exempt status
We have based our decision on the information submitted and the assumption that the organization's application. in order for us to determine any affect on the tax exempt status, the organization's present operations will continue unchanged or conform to those proposed in the organization must immediately report to us any change in:
• Operation
• Character
=
• Purpose
• Name
• Address
Our determination may no longer be applicable, if these changes occur:
• Material facts or circumstances relating to the organization application. • Relevant statutory, administrative, or judicial case law. • Federal interpretation of federal law in cases where our decision was based on such interpretation.
FTS 9041 PASS (REV 09-2013) empt Appitcation \Comespondence \ JOIN THE U.S.V.S.G. FOR OUR
3RD ANNUAL KIDS FUN DAY
SATURDAY
19TH JULY
10.00AM TO 3.00PM
FREE
ENTRY BIKE RAFFLE
DANA PARK
POPCORN
850 BARSTOW
FREE FOOD
ROAD
BARSTOW, CA
92311
FOR MORE INFORMATION CALL 760-220-7682