City of Barstow
220 E Mountain View St. Ste A
BARSTOW Community Promotional Fund Application
Barstow, CA 92311
Ph: 760-256-3531
General Policy
The Community Promotional Fund process provides funding and resources for community-based organizations, schools and individuals that develop events and programs to meet new and continuing social and economic needs and trends, promote community collaboration, and/or bring recognition to the community.
Provisions:
Eligibility Requirement
Organizations must have a current non-profit status or be partnered with a non-profit agency to be eligible for Initials:
funding. Schools are excluded from the requirement.
Applicants must provide services to either the residents of the City of Barstow and/or those who attend a Initials:
school based in the City of Barstow.
Initials: Applicants must meet the City of Barstow's insurance requirements.
Applicants must have a formal process in place to conduct background checks on all employees and Initials:
volunteers who work with persons under the age of 18 years and senior citizens.
Any request for funds from an organization or individual on behalf of a school activity shall include the Initials: signature of the school administrator. Any request from an organization or club shall include the signature of the organization's president or director.
Each organization or individual that receives promotional funds shall provide evidence that the City is not the Initials: sole source of funding for the event/project. Along with the application, the applicant shall submit a detailed budget stating the total cost of the activity, and sources and amounts of funding.
The maximum promotional grant amount that shall be awarded to any one agency or individual in any single Initials: fiscal year shall be $3,000; the amount will generally be significantly less. The City Council may award a higher amount in rare exceptions based on the total benefit to the community.
Applicants who are awarded a promotional fund grant or in-kind services must commit to providing an after- initials: event report and presentation to the City Council outlining how the group used the funding provided by the City of Barstow for the benefit of the community.
The event must use public places within the City of Barstow and must be open to anyone who wishes to Initials:
attend.
Initials: Events of primarily a political or religious nature will be ineligible for funding.
Initials: The recipient must allow an audit on the use of funds should the City of Barstow request such an audit.
Initials: The recipient must recognize the support of the City of Barstow as a sponsor in all publicity material, annual reports and similar publications, and at the event.
Note, if the above eligibility requirements are not met, your application will be deemed disqualified from consideration.
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 york with persons under the age of 18 years and senior citizens. I understand that an incomplete application will not be accepte nd that the organization or applicant will not be considered for funding. (If the application is being submitted on behalf of a organization or school, an additional signature is required.) Albecc Adlubyr Rebecca Oldenburg 09/29/2025
Signature of Applicat Applicant Name (printed) Date
nakedna ol Dan Virog 09/29/2025
Organization
President/Director Signature (if applicable) Name (printed) Date Rev. 09/2025
City of Barstow
220 E Mountain View St. Ste A
* BARSTOW Community Promotional Fund Application
Barstow, CA 92311
Ph: 760-256-3531
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.
APPLICANT INFORMATION:
Name of Applicant: Rebecca Oldenburg (Executive Director) Name of Organization or Group represented: Mojave Valley United Way Mailing Address: P O Box 362 Barstow, CA 92311
Contact Phone Number: 562-787-9063 Email Address: [email protected] Non-Profit Status: • Yes • No If no, are you partnering with a non-profit:
EVENT DESCRIPTION:
Name of Event: Boots & Bling - Dinner & Dance
What will the funds be used for and/or what are the waiver of fees for:
Park & Recreation (*Reservation of Date & Deposit must be completed prior to application) - Actual Costs:
- Facility Rental | Description + Cost: Harvey House - both dining rooms. • Equipment Rental | Description + Cost: 1/2 stage, tables & chairs.
Cleaning Fee | Description + Cost: Deposit $2700 Check #7267(6/10/2025) Paid •Utilities at Parks | Description + Cost:
• Staff Cost | Description + Cost:
•Other | Description + Cost:
Police Department - Actual Costs:
• Security Fee for Events w/Alcohol | Description + Cost:
•Staff Cost | Description + Cost:
•Other | Description + Cost:
Public Works - Actual Costs:
= Equipment Rate | Description + Cost: 1/2 stage
= Staff Cost | Description + Cost:
•Other | Description + Cost:
Community Development - Actual Costs:
•Permit Fees | Description + Cost:
Inspection Fees | Description + Cost:
•Other | Description + Cost:
Total Amount Requested: Waiver of fees for the Harvey House Date of event: November 8, 2025
Location of event: Harvey House
Why are the funds/waiver of fees/in-kind services needed? We are a non-profit doing an annual fundraiser for the Barstow community.
How many Barstow area residents are involved with this organization? 11 Board Members + 1038 with agencies and clients/see attachment.
How many spectators will watch/attend this event? 100-200 Describe how this event will benefit Barstow. If additional space is necessary, please attach additional sheets:
Funds will help support other non-profits, like New Hope Village, Dessert Sancturary, Barstow Humane Society, Tim Heiden (Christmas Cops for Kids, Scouts of America, Newberry Springs Family/Senior Center, Barstow Pregnancy Center,& Holiday Meals. United Way provides the "Kids Pack Program" that benefits BUSD & SVUSD school children.
Rev. 09/2025 Page 2 of 5
Attachment 1 - A detailed budget stating the total cost of the activity or event, all sources and amounts of funding, and all expenses; Rev. 09/2025 Page 3 of 5
BUDGET FOR BOOTS & BLING 2025
1. Request for Waiver of Fees for Harvy House Center for Boots & Bling - NOV 08, 2025
2. DJ/Karaoke -Donated by CJ's Karaoke - $600.00
3. Advertising, Flyers & Posters, Banners - $300.00
4. Bar and Supplies - $500.00
5. Food, BBQ Tri Tip, Chicken, Western Beans, Cheezy Potatoes, Dinner Rolls, Salad Bear and Dessert Bar $3000.00. Donated by J & S Specialties
6. Liquor license - $75.00
7. Decorations $500, (set up and take down done by the staff of the United Way)
8. Live goats - Donated $200.00
9. Raffle tickets - 525.00
10. Raffle prizes and corn hole prize - Baskets provided by agencies and Board Members or donation by our member agencies & members of $50.00 each for 20 prizes. -S1000.00 Total for the event is about $6,600.00 we strive to keep the budget and cost as low as posable so that we are raising more than we are spending.
All of the proceeds stay in the Barstow Yermo, Daggett, Newberry Springs and Ft. Irwin areas go directly to our member agencies. We are critically underfunded and would appreciate any help we can get. If there are other grants that we may better be qualified for, please let me know and I will do what is needed to get that application in.
With great appreciation,
Rebecca Oldenburg,
Executive Director, Mojave Valley United Way
Attachment 2 - A description of the organization's or group's purpose or objective.
Rev. 09/2025 Page 4 of 5
United
Way
Mojave Valley United Way
PO Box 362
Barstow, CA 92312
(760) 256-8789
[email protected]
SERVING THE BARSTOW
COMMUNITY SINCE 1956
The United Way
Mission:
To improve lives by mobilizing the
caring power of our community!
We are focused on creating
community-based and community-led
solutions that strengthen the
cornerstones for a good quality of life
in our community: education, financial
stability and health.
THANK YOU for your consideration
to invest in what matters in the
Barstow Community.
Be a problem-solver, a hand-raiser, a LIVE UNITED United game-changer. United we fight for the Way
United
health, education and financial GIVE. ADVOCATE VOLUNTEER stability of every person in our
community. MOJAVE VALLEY UNITED WAY COERCION
Way
POLICY
We all have a stake in what befalls our The Mojave Valley United Way believes that fund- fellow man. We all benefit when a child raising should always be conducted in a voluntary Mojave Valley United Way succeeds in school, when someone finds manner. We believe the most responsive contributors a job that will help them provide for their are those who have the opportunity to become informed and involved. The Mojave Valley United Way PO Box 362 family, or when more people are able to Barstow, CA 92312 tries to prevent the use of coercion, real or imagined, in access quality, affordable health care. their campaigns by encouraging peer solicitation, rather (760) 256-8789 than solicitation of employees by managers. We firmly [email protected] Board of Directors: believe that giving is a personal decision; no form of coercion is acceptable to The Mojave Valley United SERVING THE BARSTOW Rebecca Oldenburg UW Executive Director Way.
Dan Virog UW President COMMUNITY SINCE 1956
Furniture Outlet owner
JoAnne Cousino UW VP--Retired City Clerk LOR SATISFACTION The United Way Renee Barron UW Secretary-Parish Life
Coordinator/ St. Joseph's Mission:
Church GUARANTEED To improve lives by mobilizing the
Sarah Johnston UW Treasurer caring power of our community! Asst Mgr. DCB/Flagstar As a donor, you have the United Way Bank Guarantee that your contribution is truly helping We are focused Renita Wickes Public Information Officer on creating
Fort Irwin people in need in our community. If our services community-based and community-led Martha Rochell Retired BNSF/ should ever fall short of your expectations, solutions please write to the Executive Director of United that strengthen the Mechanical Trainer
Carmen Cortinas Gold Stone/NASA Way. You have our promise that your concerns cornerstones for a good quality of life Peggy Ventura Dir of Case Management will be immediately addressed. in our community: education, financial Barstow Community stability and health.
Hospital PO Box 362
Aaron Heldreth BUSD Trustee Barstow, CA 92312 THANK YOU for your consideration Angel Ebel Branch Mgr. - US Bank (760) 256-8789 to invest in what matters in the Jerrad Schendel CBC Inland [email protected]
Barstow Community.
United How your gift is distributed BOY SCOUTS OF AMERICA - CALIFORNIA LIVE UNITED. Way INLAND EMPIRE COUNCIL (559) 593-2589 Builds GIVE ADVOCATE VOLUNTEER Mojave Valley United Way's citizen review process desirable qualities of character, citizenship and utilizes local volunteers to personally review programs personal fitness. Local volunteers provide youth and services of local agencies to find the most effective programs vital to the growth and health of the Greater Mojave Valley United Way raises funds ways to provide a broad range of services to those in Barstow Community. because Government funding is not enough for need. Mojave Valley United Way is led by local all of the services needed in our community. volunteers and as donors, they care about the efficient, SILVER VALLEY FIRE ALLIANCE (702) 782-8785 effective use of our dollars. Exists to provide support for all first responders and Your investment, magnified by the investment
crews in the North High Desert. To ensure this region
of your friends and co-workers, has a You are welcome to join this process, just call the receives the same standard of training and equipment measurable impact in your community. United Way office at 760-256-8789. as other metropolitan areas.
Why should you help? For People Truly in Need DESERT SANCTUARY INC. - HALEY HOUSE (760) 256-3441 - Provides temporary safe housing for
You can designate which agency(ies) We respect that you work hard for your money women and their children when physical harm is receive(s) your contribution if you choose. and know you want to help people who truly imminent because of a dangerous and volatile domestic crisis. Provides legal, counseling and
By eliminating multiple funding levels, need it. People who receive help from your transition services for victims of domestic abuse. services are more efficient and cost effective. United Way funded agencies are carefully screened to be sure they honestly need BARSTOW SENIOR CENTER (760) 256-5023 - The More local support means more dollars assistance. Mojave Valley Senior Club serves as a home away from are available to help meet the needs of the home. Seniors can have a hot meal, a nurse to take blood pressure, legal assistance, dances, trips,
people in our own Mojave Valley area.
Guide to Member Agencies and exercise program, crafts, bingo, pot luck dinners and Your gift remains in the Mojave Valley Programs the S.I.R. Office to assist with Social Security services. *School Tools / *School Back-Pack Food Program HOLIDAY MEALS - Barstow Senior Center's area to help local residents. food department and local volunteers provide Easter, Thanksgiving, and Christmas meals to those in need.
Giving up just one fast food meal or BARSTOW HUMANE SOCIETY (760) 252-4800 A fancy coffee could feed a child over the animal shelter that assists our senior citizens to care for NEWBERRY SPRINGS FAMILY CENTER (760) weekend. their animal companions that are in need of medical 257-3284 - Serving Seniors/Community. Meals, care, food, grooming, and adoption. activities and health services are available to assist the You can touch the life of someone in a elderly and extended community foster well-being and BARSTOW PREGNANCY CENTER (760) 256-8323 public health.
positive, life changing way. A volunteer, non-profit, non-denominational outreach program set up to assist, educate, and support local NEW HOPE VILLAGE What matters in our community? Mojave (760) 256-1900 - A community sponsored and women of any age, race or religion to nurture healthy
Valley United Way believes that working pregnancies. supported living unit for homeless families and together matters. individuals to transition from homelessness to a stable BARSTOW JUDO CLUB (760) 253-2597 Teaches permanent home.
United we can make a difference and promotes the art and science of judo with emphasis on physical, mental and moral development while TIM HEIDEN CHRIST 4 LIFE - CHRISTMAS COPS & preparing our youth for competition at the Olympic KIDS -(760) 953-3841 Raise funds and Toys for Kids level. Provides an after school program for the diverse in the Barstow Area. Make sure every Child has a Toy for Christmas.
low/moderate income population giving at-risk youth an
opportunity to participate in some positive life structure.
Attachment 3 - A copy of the organization's non-profit determination.
Rev. 09/2025
Internal Revenue Service Department of the Treasury
P. O. Box 2508
Cincinnati, OH 45201
Date: February 16, 2001 Person to Contact:
As. Smith #31-07262
Customer Service Representativ
Mojave Valley United Fund. Inc. Toll Free Telephone Number P.O. Box 362
Barstow, CA 92312-0362
Fax Number:
513-263-3756
Federal Identification Number:
95-2431051
Dear Sir or Madam:
This letter is in response to your request for a copy of your organization's determination letter. This letter will take the place of the copy you requested.
Our records indicate that a determination letter issued in August 1969 granted your organization exemption from federal income tax under section 501(c)(3) of the Intemal Revenue Code. That letter is still in effect.
Based on information subsequently submitted, we classified your organization as one that is not a private foundation within the meaning of section 509(a) of the Code because it is an organization described in sections 509(a)(1) and 170(b)(1) (A)(vi).
This classification was based on the assumption that your organization's operations would continue as stated in the application. If your organization's sources of support, or its character, method of operations, or purposes have changed, please let us know so we can consider the effect of the change on the exempt status and foundation status of your organization.
Your organization is required to file Form 990, Return of Organization Exempt from Income Tax, only if its gross receipts each year are normally more than $25,000. If a retum is required, it must be filed by the 15th day of the fifth month after the end of the organization's annual accounting period. The law imposes a penalty of $20 a day, up to a maximum of $10,000, when a return is filed late, unless there is reasonable cause for the delay.
All exempt organizations (unless specifically excluded) are liable for taxes under the Federal Insurance Contributions Act (social security taxes) on remuneration of $100 or more paid to each employee during a calendar year. Your organization is not liable for the tax imposed under the Federal Unemployment Tax Act (FUTA).
Organizations that are not private foundations are not subject to the excise taxes under Chapter 42 of the Code. However, these organizations are not automatically exempt from other federal excise taxes.
Donors may deduct contributions to your organization as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to your organization or for its use are deductible for federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code. -2-
Mojave Valley United Fund, Inc.
95-2431051
Your organization is not required to file federal income tax retums unless it is subject to the tax on unrelated business income under section 511 of the Code. If your organization is subject to this tax, it must file an income tax return on the Form 990-T, Exempt Organization Business Income Tax Return. In this letter, we are not determining whether any of your organization's present or proposed activities are unrelated trade or business as defined in section 513 of the Code.
The law requires you to make your organization's annual return available for public inspection without charge for three years after the due date of the return. If your organization had a copy of its application for recognition of exemption on July 15, 1987, it is also required to make available for public inspection a copy of the exemption application, any supporting documents and the exemption letter to any individual who requests such documents in person or in writing. You can charge only a reasonable fee for reproduction and actual postage costs for the copied materials. The law does not require you to provide copies of public inspection documents that are widely available, such as by posting them on the Intemet (World Wide Web). You may be liable for a penalty of S20 a day for each day you do not make these documents available for public inspection (up to a maximum of $10,000 in the case of an annual retum).
Because this letter could help resolve any questions about your organization's exempt status and foundation status, you should keep it with the organization's permanent records.
If you have any questions, please call us at the telephone number shown in the heading of this letter.
This letter affirs your organization's exempt status.
Sincerely.
John E. Ricketts, Director, TE/GE
Customer Account Services