City of Barstow
BARSTOW 220 E Mountain View St: Ste A
Barstow, CA 92311 Community Promotional Fund Application Ph: 760-256-3531
General Pollcy
The Community Promotional Fund process provides funding and resources for community-based ordanizations, 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
initials: MB Organizations must have a current non-profit status or be partnered with a non-profit agency to be eligible for funding. Schools are excluded from the requirement
Initials: Applicants must provide services to either the residents of the City of Barstow and/or those who attend a In?? school based in the City of Barstow
Initials:
Applicants must meet the City of Barstow's insurance requirements Initials: MB Applicants must have 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.
Any request for funds from an organization or individual on behalf of a school activity shall include the Initials MB
signature of the school administrator. Any request from an organization or club shall include the signature of the organization's president or director
MP 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: mO 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: MB 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.
Initials: mB The event must use public places within the City of Barstow and must be open to anyone who wishes to 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.
The recipient must recognize the support of the City of Barstow as a sponsor in all publicity material, annual initials: 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.) M Thrnan Melanie Burnau 0/28/7024
Applicant Name (printed) Date
Nicole buers Nicole Bourgeois _02/05/2026
School Principal or Organizatioh Name (printed)
Date
President/Director Senature (if applicable)
Rov. 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: Mia Burnan/ melanie Burnan
Name of Organization or Group represented: Miss Barsta
Mailing Address: 1240 Cabillo Barntm Pagant
Contact Phone Number: (760) 447-4076 Email Address: mburnan @ barstow.edn Non-Profit Status: L Yes • No If no, are you partnering with a non-profit:
EVENT DESCRIPTION:
Queeno Reception - Mics Barstow
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:
• 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:
Date of event: March 1 2026
Location of event: Harvey Hanse
Why are the funds/waiver of fees/in-kind services needed? How many Barstow area residents are involved with this organization? 40-50 How many spectators will watch/attend this event? 40 - 50 Describe how this event will benefit Barstow. If additional space is necessary, please attach additional sheets:
Suppert Mins Bausten and Mins Teen Barst 2025 Yenr of
community service
Rev. 09/2025 Page 2 of 5
Miss Barstow Purpose & Objective
The purpose of the Miss Barstow program is to empower young women to become confident leaders, engaged community ambassadors, and advocates for education and service. Through scholarship opportunities, civic involvement, and personal development, the program encourages participants to pursue academic excellence, develop strong communication and leadership skills, and serve as positive role models within the community.
The objective of Miss Barstow is to represent the City of Barstow with integrity, professionalism, and pride while promoting community involvement, volunteerism, and lifelong learning. As a titleholder, Miss Barstow seeks to inspire others by demonstrating a commitment to service, leadership, and personal growth, while fostering meaningful connections between local organizations, educational institutions, and the residents of Barstow.
INTERNAL REVENUE SERVICE DEPARIMENT OF THE TREASURY
P. O. BOX 2508
CINCINNATI, OH 45201
Employer Identification Number:
Date: JUN 02 2008
22-3954962
DLN:
17053323301027
MISS BARSTOW PAGBANT INC Contact Person:
47644 FAIRVIEW RD
THOMAS K SHU ID# 52391
NEWBERRY SPRINGS, CA 92365-9256 Contact Telephone Number:
(877) 829-5500
Accounting Period Ending:
December 31
Form 990 Reguired:
Yes
Bffective Date of Exemption:
Bebruary 24, 2007
Contribution Deductibility:
No
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 it in your permanent records. could help resolve any questions regarding your exempt status, you should keep Than 501(c) (c)(3) for some helpful information about your responsibilities as an Please see enclosed Information for Organizations Exempt Under Sections Other exempt organization.
Sincerely,
Beben Clos
Robert Choi
Director, Exempt Organizations
Rulings and Agreementa
Enclosure: Information for Organizations Exempt Under Sections Other Than 501 (c) (3)
he
Letter 948 (DO/CG)
fully
anna