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:
mili l national near use on there be pated with an prot sen elect for 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 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 initial 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: Tu 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 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.) Therea Williamson 12/8/2025
Signature of Applicant Applicant Name (printed)
School Principal or Organization
Name (printed) Date
President/Director Signature (if applicable)
Rev. 09/2025 Page 1 of 5
City of Barstow
220 E Mountain View St. Ste A Community Promotional Fund Application
BARSTOW
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: Barstow Womans Club
Name of Organization or Group represented: Teresa Williamson Mailing Address: PO Box 841, Barstow, CA 92312
Contact Phone Number: 760-577-8790 Email Address: [email protected] Non-Profit Status: • Yes • No Ifno, are you partnering with a non-profit:
EVENT DESCRIPTION:
Name of Event: Spirit of Giving
What will the funds be used for and/or what are the waiver of fees for: To help offset the additional Gift Cards to be distributed for this event, which is in collaboration with other nonprofits, open to the public.
Park & Recreation (*Reservation of Date & Deposit must be completed prior to application) - Actual Costs:
•Facility Rental | Description + Cost:
•Equipment Rental | Description + Cost:
•Cleaning Fee | Description + Cost:
•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:
•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: 3,000
Date of event: 12/20/2025
Location of event: Barstow High School
Why are the funds/waiver of fees/in-kind services needed? To supplement the items to be given out.
How many Barstow area residents are involved with this organization? 35 How many spectators will watch/attend this event? 500
Describe how this event will benefit Barstow. If additional space is necessary, please attach additional sheets:
Now in its second year, this event provides essential items to the population in need.
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
Spirit of Giving Itemized Budget
Facility Rental (tables and chairs) - $750.00
Printing-$100.00
250 Giving Boxes- $15,000.00
Toiletry Bags- $2500.00
Bags for clothing- $200
Total Costs-$18, 550.00
Attachment 2 - A description of the organization's or group's purpose or objective.
Rev. 09/2025 Page 4 of 5
The purpose of the "Spirit of Giving" event is to support individuals and families in the Barstow community who are experiencing financial hardship during the holiday season. Through collaborative efforts with local nonprofit partners, the organization aims to provide essential items, gift cards, and resources to residents who may otherwise go without.
This event reflects the organizations commitment to uplifting the most vulnerable members of the community, ensuring that low-income families, seniors, and individuals facing housing or food insecurity receive meaningful assistance. By fostering generosity and compassion, "Spirit of Giving" helps strengthen community connections and brings hope to those most in need.
Attachment 3 - A copy of the organization's non-profit determination.
Rev. 09/2025 Page 5 of 5
INTERNAL REVENUE SERVICE DEPARTMENT OF THE TREASURY
P. O. BOX 2508
CINCINNATI, OH 45201
Employer Identification Number:
Date: FEB 29 2012 95-2274746
DIN:
17053245326031
BARSTOW WOMENS CLUB Contact Person:
C/O NANCY NELSON PAUL F CAPPEL II ID# 31665
1601 PALOMA Contact Telephone Number:
BARSTOW, CA 92311 (877) 829-5500
Accounting Period Ending:
May 31
Form 990 Required:
Yes
Effective Date of Exemption:
october 15, 2010
contribution Deductibility:
No
Addendum Applies:
-
Yes
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) (4) of the Internal Revenue Code. Because this letter could help resolve any questions regarding your exempt status, you should keep it in your permanent records.
Please see enclosed Publication 4221-NC, Compliance Guide for Tax-Exempt Organizations (Other than 501(c) (3) Public Charities and Private Foundations), for some helpful information about your responsibilities as an exempt organization.
Contributions to you are not deductible by donors under section 170 (c) (2) of Sincerely,
O please
Lois G. Lerner
Director, Exempt Organizations
Enclosure: Publication 4221-NC
Letter 948 (DO/CG)