Community Promotional Fund Application
APPLICANT INFORMATION:
Barstow Area Girl Scouts bu Carol Mauk
Name of applicant:
Name ot nan zain or grup represent: Girl Seputs of sendurgario Mailing address: 34359 L St., Barstow 9231)
Contact phone number(s): Email Address:
700-954-17601 [email protected]
Non-Profit?] Yes No If no, are you partnering with a non-profit:
PROJECT DESCRIPTION:
Name of Event: Girl Scout Experience
Amount requested: $ 400"° 8500.00
What wil the funds be used for and/or what are the waiver of fees for? Cost Of room use.
When wil the actiny lake place? Fuly 19. 20015 September /3, 2025 Where wil the activity take place? Dana Park Duilding
Why are the funds/waiver of fees/in-kind services needed? Girl Scouts are a community service organization and dont
nave tunds 50+
How many Barstow area residents are involved with this organization? How many spectators will watch this activity? _ N/A
Please describe how this activity will benefit Barstow. If additional space is necessary, please attach additional sheets:
This Girl Scout event will teach girls the
importance of community service. Also Kach
life skills and people skills
Rev. April 2020 Community Promotional Fund Application Page 1 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 sourçes and amounts of funding, and all expenses: activitie applies are conited and Volunteers run the
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, I 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.)
Carel Mauk Caro Mank 5/14/2025
Signature of Applicant Applicant Name (printed) & Date
School Principal or Organization
President/Director Signature
(if applicable)
**Please note that the fiscal year 2020-2021 budget will likely be Impacted by the COVID-19 crisis. While the City recognizes the value of the Community Promotional Fund, awards will be contingent on the availability of funds.** Rev April 2020 Community Promotional Fund Application Page 2 Internal Revenue Service Depariment of the Treasury
District 300 N. Los Angeies. St. MS 7043
Director Los Angeles, CA 90012
Person to Contact: I. Barragan
Telephone Number: 213-894-2336
San Gorgonio Girl Scout Council
1751 Plum Lane
Refer Reply to: EO (1102) 98
Redlands, CA 92374-4533 ;
Date: November 6, 1998
EIN: 95-1967727
Dear Tazpayer:
This letter is in response to your request for a CODy Of the determination Istter for the above named organization.
Our records indicate that this organization was recognized to be exempt from Federal Income Tax in July 1959 as described Internal Revenue Code Section 501 (c) (3). It is further classified as an organization that is not a • private foundation as defined in Section 509(a) Of the Code, because it is an organization described in Section 170 (b) (1) (A) (vi) .
The exempt status for the determination letter issued in July 1959 continues to be effect.
If you need further assistance, please contact our office at the above address or telephone number.
Sincerely,
8. Bange
I. Barragan
Disclosure Assistant