Revised 05.28.2024
Youth Community Promotional Fund Policy Baseball
Youth Community Promotional Fund Check List:
Listed below is a check list of all required documents to submit an application for the Youth Community Promotional Funds. Please refer to this list as a guideline to ensure a complete application.
Document Check List
Document Details
Current Non-Profit Status (501c) 1. Documentation showing current status. CP.
2. Latest 990 Form. Initial:
1. Provide a detailed breakdown of 115,20
Breakdown of Services and Cost
what services are being provided.
2. Provide a detailed breakdown of
the cost to the Residents of
Barstow. Initial:
1. Provide a detailed explanation of 12/114.25
Two Year Plan
goals for the organization for the
next two years.
2. Provide a detailed explanation of
operations for the next two years. Initial:
Detailed explanation of how the 12,10125
Donation Benefit
donation will benefit the
organization.
2. Detailed explanation of how this
do nation will cut down the cost to OP
the Residents of Barstow. Initial:
Certificate of Liability Insurance Include a copy of a certificate of liability 12+1e125 insurance. Policy must be a $1,000,000
policy listing the City of Barstow as
additionaily insured
Initial:
Provide a detailed explanation of what 2, 119,25
Background Checks Procedures
procedures are being used to conduct
backgrounds checks for members of the CP.
organization. Initial:
Show evidence and proof of funds 12/110,25
Evidence or Proof of Funds
demonstrating that the City is not the only
funding source, by presenting additional Initial: CP.
funding contributions.
Verified By:
CITY OF BARSTOW
BARSTOW YOUTH COMMUNITY PROMOTIONAL FUND
APPLICATION
APPLICANT INFORMATION Name of Organization:
Name of Applicant:
Datures Padilla BarsTow Little league baseball.
Milling Address 330 Saraura dr. TZip: 92611
Cily: Barstow
Telephone: 740) 590-7978
Non-Profit: Yes X No O pro are ning aering with a non-
profit?
501(c)(3) #: 3158 THe league internatimal
EVENT DESCRIPTION
Name of Eventi
Season 2025- •Serina *Fall
Vace balli
Date(s) of Event: Barstow SpoRtspark Fuglesona,
March 151015-Tue D$ 2025 Stomackle and Lillian
#of Participants:
WAIVER OF FEES DESCRIPTION Date(G):
Park/Facility: March-une+ Oct -Nov
Barstar Eartspark / Lillian APRONT, 000
Total:
$
/hrx hrs
Rental Fee: $ : $
•Ahr x hrs
Lights: S Total Fees Waived: = <#, 13,000
MATERIAL DESCRIPTION Quantity A Unit Cost Total
<= 3,000
Field Rentals SpeersPark 200 TE
Jaht usaal ullan+Sprse= 500 гр 10,000
wack cat asaal it lillian tark 90hiS TBD.
Totalist. 4 R EoL=13,000
PaRe 1
Youth Community Promotional Fund Application
-
That will still allor a player topartic pat even of they an not pay the registraten fee so we need help be aflat 2. How will this donation benefit your organization and the youth population of Barstow? I will hed keep cast con fe the laders a to they
Players or we can offer better equent and incunties
desert barstow baseball is the lowest cost in the We are the most affordable program in the high District For Baseball. We want to kup it attordable so every -Child Can play that means we have, to eat the Cott sortines it ive dont gett
By signing below, I declare that 1 have read the Youth Community Promotional Fund Polly andfunding of spinsors. agree to all its terms and conditions. I agree that there is a formal process in place to conduct years and senior citizens. I understand that an incomplete application will not be accepted and background checks on all employees and volunteers who work with persons under the age of 18 that the organization or applicant will not be considered for funding. (If the application is being sphmired on behalf of ap organjaation or school, an additional signature is required.) Dolores Padila
Applicant Signat: Applicant Name (printed)
109/02/25
Organization President/Director Signature
(if applicable)
Youth Community Promotional Fund Application Fage 2
The TWo YEARPLAN
In the last two years we have grown This Organization
from 15 teams to 25 teams last year, Little League is
Starting a pilot program scon with the vision of bringing all of the traveld fong teams back this wald greatly nave more Field geared toward baseball with perminant Bent the growth of our organization. We are hoping to mounds to support this growth.
Background Check Procedure We vet our Volenteers and Vote on them as a board.
We run them with their personal information through JDP Background Checks payed for by Little Leaque Internatimal.
Once the Background check cornes back cleared we have the cleared Votentee Complete Abuse awareness training and Coaches Bramond training, We require a Certificate of completion befor the can Interact in anu capacity with our athletes we take the sally of these Kids seriously and leare no rood for a queston abit the standard we had our Volunteers to.
• •
HIIIIII
6588133
STATE OF CALIFORNIA For Office Use Onty B3449-7298
Office of the Secretary of State -FILED-
ARTICLES OF INCORPORATION
CA NONPROFIT CORPORATION File No.: 6588133
PUBLIC BENEFIT
Date Filed: 2/16/2025
California Secretary of State
150011th Street
Sacramento, California 95814
(916) 657-5448
Corporation Name Barstow Little League Inc.
Corporation Name
Inttial Strest Address of Principal Office of Corporation Principal Address 1330 SAVANNA DR
BARSTOW, CA 92311
Initial Mailing Address of Corporation
Mailing Address 1330 SAVANNA DR
BARSTOW, CA 92311
Attention
Agent for Service of Process
& I certify the selected California Registered Corporate Agent (1505) has agreed to serve as the Agent for Service c rocess for this entit
California Registered Corporate Agent (1505) UNITED STATES CORPORATION AGENTS, INC.
Registered Corporate 1505 Agent
Purpose Staterent
This corporation is a Nonprofit Public Benefit Corporation and is not organized for the private gain of any person. It is organized under the Nonprofit Public Benefit Corporation Law for: Public and Charitable purposes Additional Statements
The specific purpose of this corporation is to Baseball for both boys and girls ages 4 to 16 yrs This corporation is organized and operated exclusively for the purposes set forth within the meaning of internal Revenue Code section 501(c)(3).
No substantial part of the activities of this corporation shall consist of carrying on propaganda, or otherwise attempting to influence legislation, and this corporation shall not participate or intervene in any political campaign (including the publishing or distribution of statements) on behalf of any candidate for public office. or assets of this corporation shall ever inure to the benefit of any director, officer or member thereof or to the benefit of The property of this corporation is irrevocably dedicated to the purposes set forth herein and no part of the net income Upon the dissolution or winding up of this corporation, its assets remaining after payment, or provision for payment, of all debts and liabilities of this corporation shall be distributed to a nonprofit fund, foundation or corporation which is organized and operated exclusively for charitable, educational and/or religious purposes and which has established its tax-exempt status under Internal Revenue Code section 501(c)(3).
Notwithstanding any of the above statements of purpose and powers, this corporation shall not, except to an insubstantial degree, engage in any activities or exercise any powers that are not in furtherance of the specific Additional information and signatures set forth on attached pages, if any, are incorporated herein by reference and made part of these Articles of Incorporation.
Electronic Signature
I declare that I am the person who executed this instrument, which execution is my act and deed.
Dolores Maria Padilla 02/16/2025
Barstow Little League Inc.
EIN: 33-3528999 | Barstow, California, United States
Publication 78 Data
Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List: Yes
Deductibility Code: PC ®
DATE (MMDDAY)
CERTIFICATE OF INSURANCE 12/01/25
PRODUCER CERTIFICATE #: 4054902-2026-1 4 05 49
Keystone Risk Managers, LLC
1215 Manor Drive, Suite 208
Mechanicsburg, PA 17055 INSURERS AFFORDING COVERAGE:
ADDITIONAL NAMED INSURED: INSURER A: Interstate Fire & Casualty Company BARSTOW BASEBALL LL INSURER B: National Union Fire Insurance Company of 1330 Savanna Drive (Non-Liability) Pittsburgh, PA
Barstow, CA 92311 INSURER C: AIG Specialty Insurance Company INSURER D: Markel American Insurance Company
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. •SUBJECT TO $5,000,000 AGGREGATE SUBLIMIT OF LIABILITY FOR ALL LEAGUES, COMBINED, UNDER THE MASTER D&O POLICY, FOR ALL LOSS ARISING FROM ALL CLASS ACTION CLAIMS AND COMMON LEAGUE CLAIMS, AS MORE FULLY DESCRIBED IN ENDORSEMENT #31 OF THE MASTER D&O POLICY. SUBJECT TO $5,000,00D AGGREGATE SUBLIMIT OF LIABILITY FOR ALL LEAGUES, COMBINED, UNDER THE MASTER CYBER POLICY, FOR SPECIFIED DEFENS OSTS, AS MORE FULLY DESCRIBED IN ENDORSEMENT #14 OF THE MASTER CYBER POLICI
NAMED TYPE OF INSURANCE POLICY EFFECTIVE
INSR POLICY NUMBER DATE (MA/DD/YYYY) DATE
LTR INSRD (MA/DD/YYYY
EACH OCCURRENCE $1,000,000
A x GENERAL LIABILITY UST030987260 01/01/2026 01/01/2027 X GENERAL AGGREGATE $2,000,000
OCCURRENCE PRODUCTS/COMP OPS $1,000,000
X INCL PARTICIPANTS Property Damage Deductible: $250 AGGREGATE Sexual Abuse $1,000,000
OCCURRENCE
X SEXUAL ABUSE Sexual Abuse AGGREGATE $1,000,000
MEDICAL PAYMENTS Any One Person
01/01/2027 EACH LOSS $1,000,000*
x 01-468-17-57 01/01/2026 AGGREGATE $1,000,000
DIRECTORS & OFFICERS
01/01/2027 LIMIT OF LIABILITY $100,000 PER LEAGUE
CYBER LIABILITY 01-454-69-95 01/01/2026 CLAIMS MADE AGGREGATE
COVERAGE CONTINUITY DATE
RETROACTIVE DATE
S&P SECURITY NURANCEY LABILITY 100 PER ANOLABILITY™
$1,000 PER LEAGUE RETENTION POLICY INCEPTION POLICY INCEPTION REGULATOR LABILON SUBLIMIT $100,000 PER LEAGUE SUBLIMIT OF LIABILITY $1,000 PER LEAGUE RETENTION POLICY INCEPTION
$100,000 PER LEAGUE SUBLIMIT OF LIABILITY* NOT APPLICABLE
EM EVENT MANAGEMENT INSURANCE
$1.000 PER LEAGUE RETENTION
$35,000
INLAND MARINE/PROPERTY MKLM7IM0056260 01/01/2026 01/01/2027 EACH LOSS Deductible: $500
FLOATER
$35,000
CRIME UST030998260 01/01/2026 01/01/2027 EACH LOSS Deductible: $1,000 x
As in Master Policy: As in Master Policy
SPORTS EXCESS ACCIDENT SRG9105434 01/01/2026 01/01/2027 Med, Max. $250,000 Excess B Deductible $50
"X" INDICATES COVERAGES) SELECTED FOR ADDITIONAL NAMED INSURED
ADDITIONAL INSURED
Who is an insured (SECTION Il) of the General Liability policy is amended to Include as an Insured the person or organization shown in the schedule, but only with respect to liability arising out of the above-named Littte League's malntenance or use of ball fields, or other premises loaned, donated, or rented to that Little League by such person or
1. Structural alterations, new construction, maintenance, repair, or demolition operations performed by or on behalf of the person or organization designated in the Schedule and/or performed by the above-named Little League; and
_ That part of the ball field or other premises not being used by the above-named Little League.
NAME AND ADDRESS OF PERSON OR ORGANIZATION:
INSURED CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH Little League Baseball Risk Purchasing Group, Incorporated THE POLICY PROVISIONS. 539 U.S. RT. 15 Highway
South Williamsport, PA 17702 and, Di
AUTHORIZEO REPRESENTATVE