Cities Index.
Item E-14 Agenda Report - Part 2 of 3

Beverly Hills City Council
June 6, 2023

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Item E-14 Agenda Report - Part 2 of 3
Meeting
June 6, 2023
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Beverly Hills City Council
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Text extracted from the city's file for reading and search. Open the original on beverlyhills.granicus.com. That file is the official record.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024
Agency/ Project Name: Gatsby Redux Presented by Mixed eMotion Theatrix Address: 427 S Camden Dr. ---------------------------------- City: Beverly Hills State:_C_A __ _ Zip: 90212
Contact Person: Janet Roston -------------------------------- Phone: ----------------- 310.922.4240 Fax: ---------------- Email: __ J_a_n_et_@ ...... ja_n_e_tr_os_to_n_.c_o_m __________________________ _ Please note the City's insurance requirements for FY 2023-2024. Within three (3) weeks of receiving notice of funding prior to receiving an agreement, your organization must submit insurance documentation with the following requirements:
• Each organization must submit to City an ACORD insurance certificate which include General Liability ($2 Million), Automobile (coverage limits based on services provided), and Workers Compensation Insurance (if required) • The City must be named as additionally insured under each policy • Subrogation must be waived for each insurance policy
• An endorsement to each policy stating that such policy shall not be cancelled by either party or reduced in coverage except after thirty (30) days prior written notice to City
Each organization will also be required to submit a copy of a W-9 form on the most current IRS form www.irs.gov/forms-pubs/ about-form-w-9
Please type your answers to the following questions. If you need additional space for any of the answers. please attach a separate sheet of paper.

1. Is your organization a 501c.3, or are you in partnership with a 501c.3 organization? We are a 501 c.3
We are in partnership with a 501 c.3
Documentation showing 501 c.3 status or partnership with a 50lc.3 is attached.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

2. What services do you propose to provide the Beverly Hills community that local government is not currently providing?
Mixed eMotion Theatrix ("MeMT") are storytellers incorporating dance, theater, multi-media and other theatrical elements. MeMT is requesting support to produce a return of MeMT's highly acclaimed and successful production, Gatsby Redux, at Greystone Mansion in Spring 2024. Gatsby Redux is inspired by F. Scott Fitzgerald's, The Great Gatsby, set during America's Jazz Age. Greystone Mansion, built in 1928, is the exact time period of the novel and is the perfect venue for this captivating evening of dance. Through MeMT's successful dance/theater production the Beverly Hills audience will have the opportunity to experience the Mansion and Grounds of Greystone in a new, intimate and immersive manner. MeMT will also teach movement workshops to provide arts engagement with Beverly Hills residents.

Gatsby Redux, inspired by The Great Gatsby, is a full-length, site-specific production that transports the audience into Gatsby's world.

The audience moves from location to location, immersing themselves in moments from F. Scott Fitzgerald's iconic novel. The production was first developed for the Los Angeles Music Center and performed at Disney Hall. It has since had many performances around the USA including the International Dance Festival in Tulsa, OK.

In 2022 Gatsby Redux was performed at Greystone Mansion in Beverly Hills. The grounds of the mansion were transformed with lighting and the audience moved throughout the gardens to view the performance. At the conclusion the audience filled the courtyard watching beautiful Art Deco imagery and vintage cartoons projected on the walls of the house while the dancers performed. Of all the sites where Gatsby Redux has been performed, Greystone Mansion is the most magical. All three performances sold out within days of announcing. The word of mouth in Beverly Hills about the performance would have allowed many more performances. (See the review of the Greystone event, link to a promotional video, Creative Deck, and link to MeMT website at the end of the application.) The work is filled with love triangles, intimate dance among the trees and waves of movement from an ensemble in white linen and flowing dresses. Gatsby Redux does not tell the entire story, instead it gives glimpses into the storyline of Fitzgerald's novel. It takes the audience into the zany 1920's but also tackles themes from the novel: Class, Power, the American Dream and the Illusiveness of Love. Audience members are invited to dress in 1920's attire to fully immerse themselves in Gatsby's world. During our production at Greystone in 2022 many audience members attended in costume. We also began the performance with vintage cars arriving with Gatsby, Daisy and the rest of ensemble, enhancing the theme at the iconic venue.

With everyone just coming out of the pandemic, the city found funding for the 2022 performance. We have spoken with Ben Johnson, City of Beverly Hills Arts and Culture Manager, as well as Sara Scrimshaw, Venue Coordinator at Greystone Mansion, and they agree it would be wonderful to bring back Gatsby Redux to Greystone Mansion as it was such a great success. This time, however, MeMT is required to find its own funding to cover the event. It was suggested by Ben and Sara that we apply for the Beverly Hills Community Assistance Grant to help cover the costs of Gatsby Redux at Greystone Mansion. We are applying for this grant to assist with funding in order to allow Gatsby Redux to return to Greystone in Spring 2024.

During the Gatsby Redux production in 2024 MeMT would like to add some workshops for the Beverly Hills community in conjunction with the performance. Current ideas for classes would be dances from the 1920's to get the audience in the mood for the Gatsby event. Attendees could learn the Turkey Trot, Charleston, Two Step and many more dances. These workshops could be tailored to the audience to include to seniors, teens, children or the whole family. Highlighting movement from the 1920's reinforces the relationship of Greystone Mansion to the long history of the City of Beverly Hills and provides a means for the community to experience art and culture. Other movement based workshops could include presenting the elements of choreography and allowing participants to create movement studies based on literature. These workshops could be held at Greystone, at the Roxbury Park dance studio or other locations in Beverly Hills. If Gatsby Redux is performed in April or May 2024, while Beverly Hills High School is still in session, we envision a link to English classes at the high school. The Great Gatsby is a literary staple in the high school curriculum. We would like to present either a workshop performance of scenes from the novel that are included in our production, and/or work with students to create their own theatrical or movement based explorations of the themes from the novel.

The City does not currently provide funding for a Beverly Hills based dance company. We hope that helping fund a return of Gatsby Redux at Greystone Mansion in Spring 2024 could be the first step in a continued Beverly Hills relationship with Mixed eMotion Theatrix providing unique movement based entertainment and educational workshops.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

3. If you are applying for a cultural grant, please describe your program here.

Mixed eMotion Theatrix (MeMT) is a dance/theater company which combines music, dance, theater, and multimedia to create hybrid performance experiences in live theater and online content. The company is dedicated to telling stories of the human condition through the use of folk tales, myths, classic literature, new histories and biographies. These stories are presented through contemporary dance, opera, theatrical elements, multi-media or a mix of many performance forms. All productions share a strong use of music and storytelling to inform and enlighten the contemporary audience.

Along with Gatsby Redux, MeMT's other productions include Ana'is Nin, Unbound which was performed in France at the Avignon Festival, opened the International Theatre Festival in Casablanca, Morocco and was presented at the vintage cabaret, La Nouvelle Eve, Paris. So Now You Know, is a community outreach production which combines members of a community with MeMT performers to tell personal stories of love, loss, humor and growth brought to life with movement. So Now You Know has toured in multiple communities presenting at schools and theaters throughout California. MeMT is currently developing Hans Christian Andersen's The Shadow, a new family dance musical that integrates dance, theater, song, puppetry, shadow work and projections. The company is working with Cape Town based Puppetry Designer/Director, Janni Younge, on this innovative production.

MeMT believes strongly in inclusion, our production team and performers come from a diverse background. For example, our casting of Gatsby Redux stays true to this mission. Jay Gatsby is danced by an African American performer, as we see a parallel in Fitzgerald's theme of power and exclusion in his Gatsby character reflected in the current BIPOC struggles to find genuine equality.

Award winning Artistic Director, Janet Roston, is a long time Beverly Hills resident and proud to have MeMT based in the city. Her connections to the City of Beverly Hills run deep. Along with being a resident for over 20 years Janet was the Artistic Director of the Dance Company at Beverly Hills High School for 25 years.

Although Janet no longer directs the BHHS Dance Company she continues to create choreography for their annual concert. Students have the opportunity to interact with Mixed eMotion Theatrix's professional dancers as they assist rehearsals. Over the years student dancers have learned existing repertory choreography from MeMT or have worked with Janet and MeMT's professional dancers to develop choreography that often becomes a part of MeMT repertoire. For example the Dance Company developed two dances that are now included in Gatsby Redux and a sequence that has been integrated into the new MeMT production, Hans Christian Andersen's The Shadow. Janet, working with MeMT Executive Director and dramaturge Ryan Bergmann, developed stories and choreography with the students for their own version of So Now You Know that was powerful, funny and touching.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

4. Why are these services considered critical (e.g., enhance quality of life, improve public safety)? If you are a previous recipient, will you be providing new services this funding period? Art, in all its forms, enhances life, bringing insight, discovery, and a link to our universal humanness. It is vital that institutions support the arts to heighten our humanity.The performing arts must be a driving force for positive change in the world, provoking thought on current issues.

Dance, specifically, is a unique art form, in that it is nonverbal and can therefore reach a person in a more intuitive, deep and emotional way. With performing arts, a live audience experiences something special, a shared connection that can bring enjoyment, beauty, wellness and even catharsis to the group that views it together. All of our work tells stories of humanity. Gatsby Redux, for example, touches on themes from Fitzgerald's novel; power, class struggle, striving for the ephemeral American Dream and the futility of love. The audience, while having a great time immersed in an evening in the 1920's, still gains insight into their own lives from the scenes and dance presented. MeMT strives to create these moments of understanding and connection with live audiences.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

5. What percentage of your total program service is utilized by members of the Beverly Hills community? If a new program, what percentage of users do you anticipate would be members of the Beverly Hills community?
For the 2022 performance of Gatsby Redux at Greystone Mansion the audience was limited to 100 guests per performance. The publicity for the performance was first sent to Beverly Hills residents and the show sold out immediately. 40% of the audience was Beverly Hills residents.

For 2024 we are hoping that the Fire Marshal will allow the audience to be expanded to 125 guests per performance. We are seeking to perform the production up to 1 0 times. As we did for 2022 we will send info first to Beverly Hills residents with a special, discounted ticket price for residents. MeMT anticipates a large Beverly Hills audience from the word of mouth of past attendees. We also have fantastic multi-camera video footage from the 2022 performance along with quotes from glowing press reviews that can be used to promote the 2024 event.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

6. Please describe your organization's ongoing response to the COVID-19 pandemic and the impact to service delivery. In FY 2023-24, does your organization anticipate your proposed program(s) to remain virtual, in-person, or hybrid, and what measures will be taken to ensure program efficacy? Gatsby Redux has been able to be performed throughout the pandemic. It is a live performance but is presented outdoors with dancers never coming close to viewers. Audience can be masked, if necessary. In rehearsal our dancers wear masks and are Covid tested weekly. In performance our dancers Covid test before each performance so that they can perform without masks. While other indoor productions were unable to take place, our production continued throughout 2021 and 2022.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

7. For New Applicants: If your proposed program(s) or service(s) are similar to those of any of the City's current CAGF partners, what differentiates your organization and proposed program(s) from the current service provider(s)? Listing of current CAGF partners can be found on at www. beverlyh i I ls. org/ cagf.

Of the current CAGF partners the only organization which is actively producing work and that is somewhat comparable to MeMT is Theater 40. MeMT and Theater 40 are very different, as MeMT is a dance company presenting originally created works performed in various locations and theaters. Theater 40 is a theater company primarily performing established plays at their theater at Beverly Hills High School.

In the years following 2024 and the successful return of Gatsby Redux to Greystone Mansion MeMT would like to become a renewing CAGF partner. It would be wonderful for the City to increase its support for cultural organizations including dance. The City does not currently provide funding for a Beverly Hills based dance company, Gatsby Redux in Spring 2024 could be the first step in a continued Beverly Hills relationship with Mixed eMotion Theatrix. The company could provide unique movement based entertainment and educational workshops, for example, our community engagement work, So Now You Know, could be developed with seniors, teens and other Beverly Hills groups for a performance at various locations throughout city. Additionally we could create something for your Holiday season or other important Beverly Hills events.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

8. For Returning Applicants: The City takes pride in ensuring that residents have access to the strongest social services and cultural grants. Please describe what efforts your organization has taken to continue as a service provider or organization partnering with the City. Describe how your organization has been responsive to community needs and has incorporated best practices to better serve the Beverly Hills community?
N/A
City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

9. The funding year is July 1, 2023 to June 30, 2024. What is the funding amount requested? $30,000
Amount of funding provided will determine whether the production is presented at the Greystone Mansion for one or two weeks. There would be 5 performances per week and based on audience attendance and the enthusiastic response at the performances in 2022 we are confident that we will sell out 10 performances Mixed eMotion Theatrix is a sponsored project of Fractured Atlas, a non-profit arts service organization. Fractured Atlas will receive grants for the charitable purposes of Mixed eMotion Theatrix, provide oversight to ensure that grant funds are used in accordance with grant agreements, and provide reports as required by the grantor. Contributions for the charitable purposes of Mixed eMotion Theatrix must be made payable to Fractured Atlas and are tax-deductible to the extent permitted by law. If MeMT is awarded the full $30,000 grant, Fractured Atlas will receive 8% of the total reward as payment for their services.

10. What percentage of your annual funding would the City's contribution represent? See Below

11. What is the ratio of your organization's administrative operating costs? Administrating Operating Costs is approximately 20% of operating expenses Answer for Question #10:

Mixed eMotion Theatrix is asking for funding for the specific project, Gatsby Redux, to be performed for 5 to 10 public performances (5 performances per week). In addition to the 5 to 10 performances there will be three on site rehearsals including a lighting/tech rehearsal at Greystone, as well as a dress rehearsal the day before the show. Along with dancers fees, costumes, production assistants, etc the cost to present Gatsby Redux at Greystone Mansion includes all the lighting and sound equipment and tech fees from a lighting and sound rental company. The production moves from dusk into night and much of the locations are lit to create a beautiful ambiance. The tech fees are a large percentage of the costs. The funding includes coverage of the fees to rent lighting and sound equipment (one tech day, one dress rehearsal, five performances per week).

For the 2022 performance the company providing lighting and sound equipment gave MeMT a break in the rental price, it was 50% of the normal cost. For the 2024 performances our budget needs to factor in the true cost of rental, as this company will not give the price break again (and even at full price it was the lowest bid in 2022).

The requested funding from the Beverly Hills Assistance Grant will cover 60% of the production at Greystone Mansion.

Ticket sales revenue will help offset the remaining costs for the production. If necessary MeMT will seek some private donations to supplement any additional costs. Beverly Hills Residents would receive a lower, reasonable price to attend the production.

In order to make the costs manageable for the production Mixed eMotion Theatrix will be requesting that the City waive the cost of daily rental for Greystone Mansion. Daily rental costs of Greystone Mansion make the feasibility of a production at the location prohibitive. For the 2022 Gatsby Redux production the rental fee of Greystone Mansion was waived
City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

12. Provide any additional information that may be useful in evaluating your proposal.

Mixed eMotion Website:
www.memtheatrix.com
Gatsby Redux at Greystone, Review:
https://www.ladancechronicle.com/
gatsby-enlivens-greystone-mansion/
Gatsby Redux Promo Video:
https://vimeo.com/753116490
Gatsby Redux Creative Deck:

Attached as a separate document in
this email submission
City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

13. Financial Statement:
a. For grant requests up to $74,999, please submit most recent balance sheet and operating budget OR tax return.
b. For grant requests $75,000 and over, please submit most recent financial statement reviewed by a Certified Public Accountant
The following documents are required:

Completed CAGF application
Documentation of 501 c.3 status of proof of 501 c.3 status through partnership Copy of most recent Form 990 - Return of Organization Exempt from Income Tax Copies of any current Charitable Solicitations Permits that have been obtained from the City of Beverly Hills

DA YliME PEQFO~MANCES
Daytime Performances can include indoor projections and conclude with the DJ spinning Electro Swing. Alternatively, the performance can culminate in a playfully refined Tea Dance with cast members teaching dances from the era (Charleston, Suzie-Q, Peabody, etc).

DUSK PERf OR_MANCES
Dusk Performances minimize lighting needs,
requiring fewer locations to be lit. The
performance concludes and the party, with a DJ
and mood lighting, begins!
PlYSMO~E!!
The production can include add-ons making
it as elaborate as you'd like. Examples from
past productions include: dancers arriving
in 20's cars; intimate scenes in an art gallery
while a pianist plays period music (i.e Scott
Joplin, Debussy, etc); a small music combo
and vocalist performing hit songs from the
20's. Let your imagination run wild!

APPLICATION SUMMARY FY 2023/24
Agency: OPICA Adult Day Program & Counseling Center
Requested amount: $15,000
History of City funding: Applied, but not funded in 2022/23 Agency description: OPICA is the only nonprofit with services specifically for people experiencing memory loss. The services are customized for an individual's emotional, cognitive and physical needs. OPICA proposes to deliver training specific to Beverly Hills direct care workers (DCWs) and family caregivers who support adults with memory loss (Alzheimer's and other forms of dementia). The overall goal is to deliver effective training to family/friend caregivers and direct care workers that builds on their existing skills and enhances their sense of self efficacy and mastery regarding their role.

Proposed use of Community Assistance Grant Funds: Funding will assist with direct care workers' trainings that includes 3 free courses to build caregiving skills and self-efficacy. These classes cover topics such as engagement, managing challenging behaviors and a 4-hour selfcare program. An evidenced-based 15-hour course entitled, Powerful Tools for Caregivers will also be provided along with a 4-hour communication and behavioral symptoms of dementia course. These classes are primarily focused on caregivers caring for adults experiencing forms of memory loss. Any remaining funds will be offered to Beverly Hills residents in-need of scholarship support for OPICA services.

Target population/Primary service: Residents of Beverly Hills, their direct care workers, and caregivers will benefit from caregiving skill building courses and evidenced-based trainings.

Percentage of total program utilized by Beverly Hills residents/community: In the past year, 6.5% of the program were utilized by the Beverly Hills community.

Quantifiable Services and Measures: Services will be measurable by number of courses offered, number of direct care workers trained, number of caregivers who completed evidenced-based training, number of scholarships awarded to OPICA services.

Historical Performance:

FY 22/23: (Q1 & Q2) D Satisfactory D Unsatisfactory ~ NIA General Comment(s) (e.g., non-quantifiable benefits identified by experience with agency v. absolute numbers; observations such as their growth curve and relationship with City, its residents and target populations):

The adults receiving OPICA's services have forms of cognitive decline from early stage through late stages of Alzheimer's and other form of dementia. OPICA provides support to families by offering an adult day programs, counseling, and support groups. These programs enable many family members to continue to work knowing their loved ones are engaged, well cared for, and supported. OPICA has a hybrid approach that includes in-person and online programming.

Percentage of annual funding City's contribution represents: 0.8% Ratio of administrative to operating costs: 13.9%
Service Profile: Needs-based D Quality of life-based ~ Social Service ~ Health D Education D Other D
Agency Scope: Local ~ Regional ~ National D International D 501 (C) (3): Yes ~ No D Exempt D
2 City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024
Agency / Project Name: OPICA Adult Day Program & Counseling Center Address: 11759 Missouri Avenue
City: Los Angeles State:_C_A ____ Zip:90025
Contact Person: Craig Fleishman ----"-------------------------------- Phone: 310 478-0226 Fax: 310 478 2026
Email: [email protected]
Please note the City's insurance requirements for FY 2023-2024. Within three (3) weeks of receiving notice of funding prior to receiving an agreement, your organization must submit insurance documentation with the following requirements:
• Each organization must submit to City an ACORD insurance certificate which include General Liability ($2 Million), Automobile (coverage limits based on services provided), and Workers Compensation Insurance (if required) • The City must be named as additionally insured under each policy • Subrogation must be waived for each insurance policy
• An endorsement to each policy stating that such policy shall not be cancelled by either party or reduced in coverage except after thirty (30) days prior written notice to City
Each organization will also be required to submit a copy of a W-9 form on the most current IRS form www.irs.gov/forms-pubs/ about-form-w-9
Please type your answers to the following questions. If you need additional space for any of the answers. please attach a separate sheet of pgper,

1. Is your organization a 501 c.3, or are you in partnership with a 501 c.3 organization? 1ZJ We are a 501 c.3
D We are in partnership with a 501 c.3
D Documentation showing 501 c.3 status or partnership with a 5O1c.3 is attached.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

2. What services do you propose to provide the Beverly Hills community that local government is not currently providing?
OPICA proposes to deliver training specific to Beverly Hills direct care workers (DCWs) and family caregivers who support adults with memory loss (Alzheimer's and other forms of dementia). The overall goal is to deliver effective training to family/friend caregivers and direct care workers that builds on their existing skills and enhances their sense of self-efficacy and mastery regarding their role. DCWs will be offered three 4-8 hour courses. Family caregivers will be offered evidence-based group training in self-care (Powerful Tools for Caregivers, 15 hrs.) and a 4-hour course on communication and behavioral symptoms of dementia. Training will be face-to-face or Zoom-based discussion, experiential learning, and follow-up coaching. Coaching will occur either via Zoom or phone call and will help develop skills to reduce stress in the caregiving role and enhance direct care workers job retention.

This proposal directly addresses accessing engaging, informative and useful training to members of the Beverly Hills community.

We will advertise the training in the Beverly Hills Courier and other local resources. Chai Village LA, housed within Beverly Hills will promote the trainings to their members and beyond. We also hope to advertise other OPICA services through the BH Courier and other Beverly Hills resources to help educate Beverly Hills residents of the services available for adults experiencing memory loss and their caregivers.

With remaining funds we will be able to offer Beverly Hills residents in-need of scholarship support for OPICA services. "
City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

3. If you are applying for a cultural grant, please describe your program here.

NIA
City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

4. Why are these services considered critical (e.g., enhance quality of life, improve public safety)? If you are a previous recipient, will you be providing new services this funding period? OPICA's services are customized for an individual's emotional, cognitive and physical needs. We have served adults with memory loss of Beverly Hills and elsewhere for over 43 years.

Direct Care Workers Training includes 3 free courses. The National Council of Certified Dementia Practitioners (NCCDP), Alzheimer Disease & Dementia Care (2016) represents a broad introduction to working with older adults living with memory loss and generalizes to older adults with other challenges. The training methodology encourages discussion to promote engagement.

The second course is a deeper dive into symptoms of memory loss that, in our experience, most often create worker/caregiver stress. We focus on managing challenging behavioral symptoms of dementia such as wandering and agitation. We also teach appropriate communication skills for this population. The curriculum is created by OPICA's master trainer, an RN with 22 years of experience in the dementia field, joined by other staff members. Teaching methods will be interactive, emphasizing role playing.

OPICA's third course is a 4-hour self-care program (plus a 1-hour phone follow-up) for DCWs, providing self-care skills to manage job stress. This course will enhance retention of DCWs in the field.

These classes are primarily focused on caregivers caring for adults experiencing forms of memory loss. OPICA's services are customized for an individual's emotional, cognitive and physical needs.

Additionally all OPICA services are critical because of 1: 5 ratio of staff to attendees:

Expertise critical for memory loss care:

Provides valuable respite for family caregivers:

OPICA reduces isolation, encourages engagement, offers respite to family and caregivers:

Allows members to remain living in their home:

All while helping to give cognitive simulation that is so vital to this community.

Under normal circumstances, caring for a loved one with dementia can be overwhelming. But the added isolation during COVID lock down has been extraordinarily challenging for family caregivers - and for members experiencing memory loss.

We were available and serving members and their caregivers during lock down, before lock down, and continue through post lock down.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

5. What percentage of your total program service is utilized by members of the Beverly Hills community? If a new program, what percentage of users do you anticipate would be members of the Beverly Hills community?
In the past year 6.5% of our program services were utilized by members of the Beverly Hills community. With our proposed outreach we expect that number to grow.0
Five Beverly Hills residents participated in our in-person day program which includes exercise, art, music, cognitive stimulation, games, etc.

One Beverly Hills resident participated in our OZ, OPICA on Zoom, online program.

Two Beverly Hills residents participated in our Brain Train program specifically designed for individuals experiencing early-stage memory loss.

Four Beverly Hills residents participated in our support groups which impart information and comfort, and facilitate discussion in a warm and open atmosphere. Sessions focus on strategies for emotional support, stress reduction, lifestyle changes, relationships, depression and crisis management. The groups meet once a week and are limited to eight people.

One Beverly Hills resident participated individual counseling to support those learning to cope with emotional and/or relational challenges such as depression, grief and life transitions in addition to the changes associated with early memory loss and related chronic illnesses. We support clients towards expanding options, and creating and achieving meaningful goals.

All of these are specifically geared to people experiencing memory loss along with their caregivers.

With the new proposed program in Beverly Hills, we anticipate attendees to almost all be from Beverly Hills.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

6. Please describe your organization's ongoing response to the COVID-19 pandemic and the impact to service delivery. In FY 2023-24, does your organization anticipate your proposed program(s) to remain virtual, in-person, or hybrid, and what measures will be taken to ensure program efficacy? OPICA has an Infection Control Committee which includes our staff RN. We have a hybrid approach which includes in-person and online programming.

Our in-person programming monitors, screens and triages members, visitors, employees, non employees entering the building for symptoms of COVID-19. We ensure that all wear masks indoors and provide masks as needed. Anyone showing any symptoms are tested outdoors prior to entering the building. Temperatures are taken and recorded of all entering the building.

We have daily cleaning and disinfecting of surfaces and provide sanitizer and accessible handwashing facilities.

Anyone testing positive is removed and must show a negative test result before returning.

At the end of the day floors are cleaned and disinfected, the kitchen is disinfected with an electromagnetic blower (as are other areas), entry doors are sanitized, name tags and lanyards are wiped down with sanitizer, individual craft boxes nd contents are sanitized, all chairs, tables, door handles and common surfaces are cleaned and disinfected with the blower, bathroom toilets and sinks are cleaned and disinfected as are trash cans.

Bathrooms are sanitized after each usage using spray disinfectant.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

7. For New Applicants: If your proposed program(s) or service(s) are similar to those of any of the City's current CAGF partners, what differentiates your organization and prop0sed program(s) from the current service provider(s)? Listing of current CAGF partners can be found on at www.beverlyhills.org/ cagf.

Others provide programs for seniors. However, OPICA is the only nonprofit with services specifically for people experiencing memory loss. The adults receiving OPICA's services have forms of cognitive decline from early stage through late stages. These include forms of dementia including Alzheimer's. We serve both the adult experiencing memory loss and their caregivers and family.

OPICA proposes to deliver training specific to Beverly Hills direct care workers (DCWs) and family caregivers who support adults with memory loss.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

8. For Returning Applicants: The City takes pride in ensuring that residents have access to the strongest social services and cultural grants. Please describe what efforts your organization has taken to continue as a service provider or organization partnering with the City. Describe how your organization has been responsive to community needs and has incorporated best practices to better serve the Beverly Hills community?
N/A
City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

9. The funding year is July 1, 2023 to June 30, 2024. What is the funding amount requested? OPICA is respectfully requests $15,000 funding.

10. What percentage of your annual funding would the City's contribution represent? A grant amount of $15,000 would represent .8% of OPICA's annual funding.

11. What is the ratio of your organization's administrative operating costs?

77.6% program expenses

13.9% administrative expenses

8.5% fundraising expenses
City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

12. Provide any additional information that may be useful in evaluating your proposal.

OPICA utilizes an integrated approach that examines the entire well-being of the family unit with programming available to all needs. A family can progress within OPCIA starting at early-stage dementia via the OPICA Brain Train, then transition to the adult day program when it is appropriate, at each step surrounded by supportive family services, such as individual counseling and support groups, creating a one-stop shop for all their family's needs. OPICA's comprehensive and individualized daily programming and activities provide for well-rounded experience enabling many family members to continue to work knowing their loved ones are engaged, well cared for and supported.

We feel that by reaching out to the Beverly Hills community delivering training to direct care workers (DCWs) and family caregivers who support adults with memory loss we also educate the community of additional services available to Beverly Hills residents.

One Beverly Hills community member who attends OPICA programs daily is a holocaust survivor. As her dementia progresses, she can sometimes be heard migrating from speaking English to Polish or Hebrew. She is never at loss for a smile when she sees her friends and staff members. She loves to dance to the music, draw as others do so also, and participate in exercise and other activities. OPICA has become another home to her, and a great support for her family caregivers.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

13. Financial Statement:
a. For grant requests up to $74,999, please submit most recent balance sheet and operating budget OR tax return.
b. For grant requests $75,000 and over, please submit most recent financial statement reviewed by a Certified Public Accountant
The following documents are required :

Ill Completed CAGF application
Ill Documentation of 501 c.3 status of proof of 501 c.3 status through partnership Ill Copy of most recent Form 990 - Return of Organization Exempt from Income Tax D Copies of any current Charitable Solicitations Permits that have been obtained from the City of Beverly Hills
APPLICATION SUMMARY FY 2023/24
Agency: OUR HOUSE Grief Support Center
Requested amount: $30,000
History of City funding: 2021/22: $20,000; 2022/23: $30,000 Agency description: Since 1993, OUR HOUSE Grief Support Center has helped thousands of children, teens, and adults each year throughout Los Angeles County find healing after the death of someone close. OUR HOUSE provides essential grief support groups that recognize the universality of grief and normalize grief emotions. OUR HOUSE provides a safe space for people to express their grief, process difficult grief emotions, and find a community of support.

Proposed use of Community Assistance Grant Funds: OUR HOUSE will make grief support available to those with limited financial and transportation resources, as well as other life challenges, particularly in their programs that serve children and Spanish-speaking adults, most of whom are from low-income households. The core programs include the following services, all of which have been successfully adapted to online formats during the pandemic:

1. Grief support groups for children, teens, and adults in English and Spanish at their West LA and Woodland Hills centers, public schools, and satellite sites

2. Camp Erin grief camo weekends for children and teens

3. Grief education for teachers, doctors, nurses, therapists, social workers, clergy, and graduate students, among others

4. On-site grief responses for short-term support after a death in a business or school OUR HOUSE is the only grief support center in Southern California that offers this scope, volume, and breadth of continuous grief support services and education. OUR HOUSE hopes to launch a Family Bereavement program this Fall 2023 to provide holistic, concurrent grief support to families.

Target population/Primary service: Grieving children and adults of Beverly Hills will be provided access to grief support groups, short-term on-site counseling at schools & businesses as needed, camp for grieving children, grief education for community.

Percentage of total program utilized by Beverly Hills residents/community: OUR HOUSE currently estimates that 3% of our total program service is utilized by members of the Beverly Hills community.

Quantifiable Services and Measures: Staff will be able to quantify and measure impact based on community participation numbers.

Historical Performance:

FY 22/23: (Q1 & Q2) 1:8] Satisfactory D Unsatisfactory □ N/A General Comment(s) (e.g., non-quantifiable benefits identified by experience with agency v. absolute numbers; observations such as their growth curve and relationship with City, its residents and target populations):

Even before COVID-19 began to devastate the county, the demand for grief support was incredibly high and increasing every year. Unsupported grief can lead to physical, emotional, and social risks, such as depression, anxiety, substance abuse, violence, and even gang activity, incarceration, and lower life expectancy.

Grief support is especially needed during the pandemic, which, in addition to many thousands of deaths, has complicated the grieving process by interrupting mourning rituals and isolating grievers through physical distancing. Most of the children OUR HOUSE serves from Beverly Hills are parentally bereaved, which is considered among the most difficult Adverse Childhood Experience. After completing our programs, participants feel more comfortable sharing feelings about the death. Participants also experience personal growth as they learn that they are not alone in having experienced a death, and they gain an increased awareness and understanding of not only their personal grief, but the universality of grief as well.

Percentage of annual funding City's contribution represents: 1 % Ratio of administrative to operating costs: 4.5%
Service Profile: Needs-based D Quality of life-based D Social Service [8J Health [8J Education D Other D
Agency Scope: Local [8J Regional [8J National D International D 501 {C) (3): Yes C8J No D Exempt D
2 City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024
Agency/ Project Name: OUR HOUSE Grief Support Center
Address: 3415 S. Sepulveda Blvd., Suite 120
City: Los Angeles
Contact Person: Joshua Goldman
State: CA
----- Zip: 90034
--------------------------------
Phone: (424) 220-6640 Fax: (310) 473-1515
Email: [email protected]
Please note the City's insurance requirements for FY 2023-2024. Within three (3) weeks of receiving notice of funding prior to receiving an agreement, your organization must submit insurance documentation with the following requirements:
• Each organization must submit to City an ACORD insurance certificate which include General Liability ($2 Million), Automobile (coverage limits based on services provided), and Workers Compensation Insurance (if required) • The City must be named as additionally insured under each policy • Subrogation must be waived for each insurance policy
• An endorsement to each policy stating that such policy shall not be cancelled by either party or reduced in coverage except after thirty (30) days prior written notice to City
Each organization will also be required to submit a copy of a W-9 form on the most current IRS form www.irs.gov/forms-pubs/ about-form-w-9
Please type your answers to the following questions. If you need additional space for any of the answers. please attach a separate sheet of pgper,

1. Is your organization a 50lc.3, or are you in partnership with a 501 c.3 organization? Ill We are a 501 c.3
D We are in partnership with a 501 c.3
Ill Documentation showing 501 c.3 status or partnership with a 501 c.3 is attached.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

2. What services do you propose to provide the Beverly Hills community that local government is not currently providing?
After the death of someone close, a griever's world turns upside down. Since 1993, OUR HOUSE Grief Support Center has helped thousands of children, teens, and adults each year throughout Los Angeles County find healing after the death of someone close. We provide essential grief support that recognizes the universality of grief and normalizes grief emotions.

Hundreds of members from the Beverly Hills community have benefited from OUR HOUSE's grief support model and programs over the last thirty years.

Our programs have steadily expanded each year, serving more individuals and families, and deepening our impact in high-need neighborhoods across Los Angeles County. We make grief support available to those with limited financial and transportation resources, as well as other life challenges, particularly in our programs that serve children and Spanish-speaking adults, most of whom are from low-income households. Our core programs include the following services:
-Grief support groups for children, teens, and adults in English and Spanish at our West Los Angeles and Woodland Hills centers, online, and at public school and community partner satellite locations throughout the Los Angeles region. -Camp Erin grief camp weekends for children and teens.
-Grief education for teachers, doctors, nurses, medical students, mental health professionals, social workers, and clergy members.
-On-site griefresponses for short-term support after a death in a business or school.

OUR HOUSE is the only grief support center in Southern California that offers this scope, volume, and breadth of continuous grief support services and education. We understand that each person's grief is unique in its intensity and duration, and that commonalities of experience strengthen the value of a grief support group in helping to address the symptoms of grief. All our groups are age and relationship specific, providing unique opportunities for grievers to share among peers. We offer grief support groups for youth in elementary school, middle school, and high school, as well as young adults, mid-life adults, and senior adults.

OUR HOUSE carefully nurtures landmark partnerships with school districts, community mental health professionals, national grief educators, and local civic taskforces to deepen the impact of our services through education, advocacy, and training. Although we partner with government and non-profit mental health agencies, we recognize that grief is not a mental health condition but an experience to be lived. Grief support is often not included within traditional mental health counseling services. Our programs fill an important service gap and expand the social service safety net by removing financial, language, and transportation barriers to grief support. All grief support services at our centers slide down to S 1, and no one is turned away for inability to pay. All community-based grief services, including our School Program, Camp Erin Program, Spanish Satellite Program, and On-Site Grief Response Program at public schools are completely free of charge.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

3. If you are applying for a cultural grant, please describe your program here. n/a
City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

4. Why are these services considered critical (e.g., enhance quality of life, improve public safety)? If you are a previous recipient, will you be providing new services this funding period? The demand for grief support remains incredibly high and increases every year. Unsupported grief can lead to physical, emotional, and social risks, such as depression, anxiety, substance abuse, violence, and even gang activity, incarceration, and lower life expectancy. Grief support is especially needed now in response to the surging local mortality rates from COVID-19, homicide, overdose, suicide, and traffic accidents, in addition to more traditional leading causes of death such as heart disease and cancer. It is critical that people who are grieving have a safe space to express their grief, process difficult grief emotions such as sadness. guilt, loneliness, and anger, and find hope together.

Most of the children we serve from Beverly Hills are parentally bereaved, which is considered among the most difficult Adverse Childhood Experiences (Burns et al. 2020), especially when the death is caused by violence or suicide (CDC). These ACE factors undermine the child's sense of safety, stability, and bonding, increasing lifetime risks of chronic health problems, substance misuse, mental health problems. and job and relational instability. The death of a parent also places more stress on the surviving parent/guardian, demanding additional financial and child rearing responsibilities, which can decrease their emotional and physical availability to support their grieving child.

Our free community-based satellite grief support programs reach the most vulnerable neighborhoods in Los Angeles County. where deaths are often caused by homicide. drug overdose, and suicide. More common are illness-related deaths, such as COVID-19, cancer, and heart disease, exacerbated by disparities in access to preventative healthcare resources. The areas with the highest need also have the fewest mental health resources. For many, the most recent death is only one of several close deaths that they have had to process.

After completing our programs, participants feel more comfortable sharing feelings about the death. They improve their vocabulary of emotional language, develop tools to cope with their varying grief reactions, and build a network of support.

This impact extends beyond the group member to their family, friends, and community. Participants experience personal growth as they learn that they are not alone in having experienced a death, and they gain an increased awareness and understanding of not only their personal grief but the universality of grief as well.

During this funding period, OUR HOUSE will provide some new and expanded services. In January 2023, we piloted online-only grief support groups for adults and are currently developing an online-only grief support program for children and teens, to complement the in-person grief support groups at our centers and satellite locations. Additionally, we recently revamped our in-house grief support groups for children and teens and introduced advanced modules for children and families to explore their grief in new ways after the completion of a curriculum-based, ten-week grief support group. We also hope to launch a Family Bereavement Program in Fall 2023 to provide holistic, concurrent grief support to families.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

5. What percentage of your total program service is utilized by members of the Beverly Hills community? If a new program, what percentage of users do you anticipate would be members of the Beverly Hills community?
Our organization is deeply rooted within Beverly Hills. Since OUR HOUSE was founded in 1993, our primary grief support center has been in West Los Angeles and easily accessible to our neighbors in Beverly Hills. We have served hundreds of Beverly Hills residents with grief support groups, and enriched hundreds more through educational and volunteer opportunities. All our grief support programs are available to Beverly Hills residents, including our free school-based grief support groups and our free Camp Erin LA grief camp weekends for bereaved children and teens.

Most of our impact in Beverly Hills is through grief support groups at our centers and educational workshops. Last year, approximately 3% of in-house grief support group participants were residents of Beverly Hills. We also partner annually with local organizations and CAGF grantees, such as The Maple Counseling Center and Tower Cancer Research Foundation, to increase awareness about appropriate grief interventions in the Beverly Hills community. We hope that this continued grant partnership and visibility within the Community Services Department will further deepen our impact within Beverly Hills.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

6. Please describe your organization's ongoing response to the COVID-19 pandemic and the impact to service delivery. In FY 2023-24, does your organization anticipate your proposed program(s) to remain virtual, in-person, or hybrid, and what measures will be taken to ensure program efficacy? On March 16, 2020, OUR HOUSE closed our physical locations in West LA and Woodland Hills, and all staff shifted to working from home. We swiftly planned and executed steps to continue serving our grieving community remotely, officially relaunching grief support groups online in April 2020. This pivot required OUR HOUSE to reimagine our grief support model and delivery of services, build online infrastructure, retrain all volunteer group leaders to utilize the remote technology, convert all intakes, group logistics, and related processes to online-compatible formats, and create online versions of all our forms in English and Spanish. Through extensive best practices research, our clinical and operations teams have ensured that our online grief support programs maintain their efficacy and high-quality, as well as security and HIP AA compliance.

The School Program was the first OUR HOUSE program to transition back to in-person grief support, returning to schools in September 2021. This change was mandated by our school district and charter organization partners, even though many of the pandemic's challenges persisted, such as high COVID-19 contagiousness, low vaccination rates among children, and exacerbated school understaffing. Despite these challenges, the School Program continues to help hundreds of students each year receive free grief support at their own schools.

For Camp Erin LA, our free, three-day, grief camp weekend, we provided an online-compatible format in 2020, "Camp Erin LA at Home". Each camper received a personalized "Camp in a Box", which included a Camp Erin shirt and bracelet, a stress ball, a grief journal, activity supplies, and snacks. Campers engaged in grief expression activities over Zoom for several hours.

In 2021 we planned to transform Camp Erin LA into two outdoor day camps in September. However, given the Delta surge in August, we decided to postpone the camp until December, when it successfully met. The day camp format also enabled OUR HOUSE to pilot a parallel camp experience for the guardians who were on-site all day. For Camp Erin LA 2022, we again utilized the day camp model with the expanded guardian component in June and August. In 2023, we expect to have one three-day overnight camp in June and one day camp in August, both with guardian support modules built into the programming.

In-house grief support groups resumed meeting in person in October 2022, aligned with the opening of our new West LA office in the Palms neighborhood. In January 2023, we piloted a Limited Virtual Program to serve adult grievers who may struggle to travel to our centers due to geography, transportation challenges, and work or childcare schedules. This effort, which complements our in-person grief support groups for adults, directly removes barriers to receiving grief support and advances our Justice, Equity, Diversity, and Inclusion goals. We are currently developing a similar online grief support offering for children and teens. Many OUR HOUSE program components, including grief support groups in Spanish and educational workshops in English and Spanish for professionals and parents/guardians, have become hybrid formats, with both in-person and online sessions.

OUR HOUSE monitors progress to ensure program efficacy with evidence-informed outcomes based on years of tracking and best practices in the bereavement field. Evaluation tools include (1) insights from initial pre-group appointments, (2) pre- and post-group psycho-social questionnaires, (3) mandatory clinical supervision of group leaders, and (4) insights from group activities. Program outputs are measured every two months, including attendance and satisfaction data.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

7. For New Applicants: If your proposed program(s) or service(s) are similar to those of any of the City's current CAGF partners, what differentiates your organization and proposed program(s) from the current service provider(s)? Listing of current CAGF partners can be found on at www. beverlyh ills.erg/ cagf.
n/a
City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

8. For Returning Applicants: The City takes pride in ensuring that residents have access to the strongest social services and cultural grants. Please describe what efforts your organization has taken to continue as a service provider or organization partnering with the City. Describe how your organization has been responsive to community needs and has incorporated best practices to better serve the Beverly Hills community?
OUR HOUSE is grateful for our enduring relationship with the City of Beverly Hills, its residents, and its local organizations.

We readily serve all residents of Beverly Hills who request our grief support services and local social service providers who request our grief education workshops. In 2022, we provided long-term grief support groups (6-24 months) to dozens of Beverly Hills residents and partnered with local organizations such as The Maple Counseling Center and Tower Cancer Research Foundation, among many others, for trainings. referrals. and resource sharing. Tower Cancer Research Foundation, the Rotary Club of Beverly Hills, and nearby Cedars-Sinai are also financial supporters of our grief support mission.

Furthermore, Past Board Chair, Robyn Santucci, is a resident of Beverly Hills and continues to advocate for the needs of her community on the Executive Committee of the OUR HOUSE Board of Directors.

OUR HOUSE's clinicians are constantly evolving our grief support model to integrate best practices from contemporary bereavement research and elevating conversations about Justice, Equity, Diversity, and Inclusion within our programs, systems, and processes. We are working closely with three teams of consultants from the Black, Latinx, and LGBTQIA+ communities to educate our Board, staff, and volunteers about anti-racism, gender affirmation, and cultural humility. This complex, multiyear initiative, which has been fully integrated into our strategic planning process, will help OUR HOUSE ensure that our programs are welcoming and inclusive to all grievers, regardless of their race, ethnicity, sexual orientation, or gender identity. Aligned with this, we will continue to implement change strategies where possible to make our processes more trauma-informed, recognizing that more grievers who use our services each year have experienced a traumatic death or another form of trauma in their life which may impact their grief reactions.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

9. The funding year is July 1, 2023 to June 30, 2024. What is the funding amount requested? $30,000

10. What percentage of your annual funding would the City's contribution represent? <1%

11. What is the ratio of your organization's administrative operating costs?

4.5% of the agency's operating budget
City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

12. Provide any additional information that may be useful in evaluating your proposal.

Thank you for this opportunity to submit a Community Assistant Grant request for FY 2023-2024. We are honored to work closely with the City of Beverly Hills as a community partner, especially during this period of surging grief and loss. Since our first meeting with Rachel Evans and James Latta from the Human Services Division in August 2020 to discuss potential collaborations, OUR HOUSE has deepened our meaningful relationship with the City and increased our impact within the Beverly Hills community. For example, we presented an overview of our services at the Human Relations Commission meeting in October 2022. With this generous grant, OUR HOUSE will be able to continue providing our accessible grief support services and expanding the social service safety net for grieving residents of Beverly Hills. We remain open to further collaborations with the Human Services Division for referrals, trainings, and grief workshops.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

13. Financial Statement:
a. For grant requests up to $74,999, please submit most recent balance sheet and operating budget OR tax return.
b. For grant requests $75,000 and over, please submit most recent financial statement reviewed by a Certified Public Accountant
The following documents are required:

Ill Completed CAGF application
Ill Documentation of 501 c.3 status of proof of 501 c.3 status through partnership Ill Copy of most recent Form 990 - Return of Organization Exempt from Income Tax Ill Copies of any current Charitable Solicitations Permits that have been obtained from the City of Beverly Hills
APPLICATION SUMMARY FY 2023/24
Agency: Paingo Corp.

Requested amount: $160,000
History of City funding: First-time applicant
Agency description: Paingo Corp. is a nonprofit organization located in Beverly Hills. The organization utilizes a FDA Reg 51 0(k) Class II Medical Device - BRS MMH05 Biofeedback device and the proprietary technique to provide treatment under 2 US patents, reverse hearing loss and non-surgical correction of joint deformity.

This would be able to solve majority of the opioid crisis which is currently the number one issue in the United States. Paingo Corp.'s aim is to permanently eradicate pain, using a method that is noninvasive, non-addictive without side effect and no downtime. That way, patients do not need to take any painkillers, and this would substantially reduce the number of deaths arising out of this opioid crisis.

Proposed use of Community Assistance Grant Funds: $100,000 would cover the cost of rent and utilities. $60,000 would cover the cost of the rental of 6 BRS MMH05 Biofeedback devices per year.

Target population/Primary service: Residents of Beverly Hills are the target population. The primary service to reduce the number of deaths that are caused by the opioid crisis.

Percentage of total program utilized by Beverly Hills residents/community: 100% of this program would be utilized by the Beverly Hills community.

Quantifiable Services and Measures: Will be able to quantify and measure impact based on community participation.

Historical Performance:

FY 22/23: (Q 1 & Q2) D Satisfactory D Unsatisfactory ~ N/A General Comment(s) (e.g., non-quantifiable benefits identified by experience with agency v. absolute numbers; observations such as their growth curve and relationship with City, its residents and target populations):

The services provided by Paingo Corp. are considered critical because it can substantially decrease the number of deaths caused by opioid abuse / drug overdose. Paingo Corp. aims to eradicate pain permanently so patients can stop taking pain killers due to being addictive and having detrimental side effects. Paingo Corp. will continue to follow safe procedures by wearing face masks as necessary while working in person and requiring proof of vaccination from staff members.

Percentage of annual funding City's contribution represents: N/A Ratio of administrative to operating costs: 2:5
Service Profile: Needs-based D Quality of life-based D Social Service D Health ~ Education D Other D
Agency Scope: Local ~ Regional D National D International D 501 {C) (3): Yes ~ No D Exempt D
2 City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024
Agency / Project Name:_Pa_in_.g"-o_C_or_._p_./..._p_ain_.g.,__o_co___,rp._.c_o_m ___________________ _ Address:8543 Clifton Way
City: Beverly Hills State: CA
----- Zip:90211
Contact Person: Milly Ng -~....::;_ ____________________________ _ Phone: (310)801-6306 Fax: _______________ _
Email: [email protected]
Please note the City's insurance requirements for FY 2023-2024. Within three (3) weeks of receiving notice of funding prior to receiving an agreement, your organization must submit insurance documentation with the following requirements:
• Each organization must submit to City an ACORD insurance certificate which include General Liability ($2 Million), Automobile (coverage limits based on services provided), and Workers Compensation Insurance (if required) • The City must be named as additionally insured under each policy • Subrogation must be waived for each insurance policy
• An endorsement to each policy stating that such policy shall not be cancelled by either party or reduced in coverage except after thirty (30) days prior written notice to City
Each organization will also be required to submit a copy of a W-9 form on the most current IRS form www.irs.gov/forms-pubs/ about-form-w-9
Please type your answers to the following questions. If you need additional space for any of the answers. please attach a separate sheet of pgper.

1. Is your organization a 501 c.3, or are you in partnership with a 501 c.3 organization? llJ We are a 501 c.3
D We are in partnership with a 501 c.3
D Documentation showing 501 c.3 status or partnership with a 501 c.3 is attached.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

2. What services do you propose to provide the Beverly Hills community that local government is not currently providing?
Paingo Corp. is a non profit organization utilizing a FDA Reg 510(k) Class II Medical Device - BRS MMH0S Biofeedback device + the proprietary technique to provide treatment under 2 US Patent

1. Reverse Hearing Loss

2. Non Surgical Correction of Joint Deformity
By using no. 2 US Patent- Non Surgical Correction of Joint Deformity, it would be able to eliminate pain arising from the deformed joint, including spinal deformity such as Scoliosis, K yphosis, Spinal Stenosis, etc. It can also reverse deformity of Hip, Knee, ankle and foot as in Hip Necrosis, Knock Knee, Bow Leg, Flat feet and Hallux Valgus Bunion. All the pain arising from the deformed joint will subside after the correction. That is, we eradicate pain by treating the root cause.

This would be able to solve majority of the opioid crisis which is currently the no. 1 issue in the United States. Last year 2011-2022, number of American died from opioid abuse/ drug overdose reached a record high of over 107,000.

Paingo Corp. provide a service that the local government is not currently providing. This is a project that aim to permanently eradicate pain, using a method that is non invasive, non additive without side effect and no downtime. So patient do not need to take any pain killers and this would substantially reduce the no. of deaths arising out of this opioid crisis.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

3. If you are applying for a cultural grant, please describe your program here.

Paingo Corp. is a non profit organization based in Beverly Hills located at 8543 Clifton Way Beverly Hills CA 90211.

We open Mon - Fri 10am to 6pm
Sat 9am - 12 noon
Sun Closed
We aim to serve residents of Beverly Hills
As a not for profit Organization, we only charge one tenth of our normal fee, ie $525 for a complete 10 sessions course to cover the salary of our staff. (ie. average of $52.50 per session) We would like to apply for Grant funding of $100,000 to cover the cost of rent and utilit. In addition, we would like to apply for $60,000 to cover the cost of rental of 6 of the BRS MMH05 Biofeedback devices per year.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

4. Why are these services considered critical (e.g., enhance quality of life, improve public safety)? If you are a previous recipient, will you be providing new services this funding period? The services provided by Paingo Corp. are considered critical because it can substantially decrease the number of deaths caused by opioid abuse/drug overdose, as we aim to eradicate pain permanently so patient can stop taking pain killers which are additive and has detrimental side effect which is the major cause of sudden deaths caused by opioids.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

5. What percentage of your total program service is utilized by members of the Beverly Hills community? If a new program, what percentage of users do you anticipate would be members of the Beverly Hills community?
I would allocate 100% of this service to be utilized by members of the Beverly Hills community.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

6. Please describe your organization's ongoing response to the COVID-19 pandemic and the impact to service delivery. In FY 2023-24, does your organization anticipate your proposed program(s) to remain virtual, in-person, or hybrid, and what measures will be taken to ensure program efficacy? In FY 2023-2024, as Covid -19 seems to have eased off, I anticipate our proposed program to be majority in-person and would suggest the staff and the patients to keep wearing their masks as necessary and maintain the environment Covid-19 cleared by only offering treatment to members of the community who can provide proof of vaccinnation. And also we would request any members of the community to stop entering the premise if they have fever or flu symptoms.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

7. For New Applicants: If your proposed program(s) or service(s) are similar to those of any of the City's current CAGF partners, what differentiates your organization and proposed program(s) from the current service provider(s)? Listing of current CAGF partners can be found on at www.beverlyhills.org/ cagf.

Our proposed program or service is novel and unique that there is no other such service in the market.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

8. For Returning Applicants: The City takes pride in ensuring that residents have access to the strongest social services and cultural grants. Please describe what efforts your organization has taken to continue as a service provider or organization partnering with the City. Describe how your organization has been responsive to community needs and has incorporated best practices to better serve the Beverly Hills community?
Not applicable to new Applicants.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

9. The funding year is July 1, 2023 to June 30, 2024. What is the funding amount requested? The funding amount requested is $160,000

10. What percentage of your annual funding would the City's contribution represent? I don't know.

11. What is the ratio of your organization's administrative operating costs? 2:5
City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

12. Provide any additional information that may be useful in evaluating your proposal.

Please check my website about our for profit services
www.bodyrejuvenationsystem.com
(website for paingocorp.com is under construction)
Please also check the following youtube link regarding our service.

1. Showcasing treatment using BRS MMH05 Biofeedback in treatment for sports injury with instant relief of shoulder pain and gaining a full range of movement in a seminar run by the American College of Physical Medicine in Chicago. https:/ /youtu.be/ujUX4nlh-8k.

2. Testimonial of a 40 year old patient with 30 years history of knee pain feeling the revelation after the treatment, https:/ /you tu. be/nHIOjfPill8.

3. Testimonial of a Swedish Ballet dancer feeling significant reduction of pain after the treatment https:/ /youtu.be/H7XKfAZEiUk

4.Testimonial of a nurse having bone on bone hip pain that can resume her dancing hobby after the treatment https:/ /youtube.com/ shorts/BEY naN 4zQyc ?feature=share

5. Showcasing how to treat Low Back Pain in a professional seminar in Arizona https:/ /you tu. be/kl68YXZbJFY
City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

13. Financial Statement:
a. For grant requests up to $74,999, please submit most recent balance sheet and operating budget OR tax return.
b. For grant requests $75,000 and over, please submit most recent financial statement reviewed by a Certified Public Accountant
The following documents are required:

Ill Completed CAGF application
Ill Documentation of 501 c.3 status of proof of 501 c.3 status through partnership D Copy of most recent Form 990 - Return of Organization Exempt from Income Tax D Copies of any current Charitable Solicitations Permits that have been obtained from the City of Beverly Hills
APPLICATION SUMMARY FY 2023/24
Agency: People Assisting the Homeless (PATH)
Requested amount: $100,000
History of City funding: 1994-96: $10,000 annually; 1997-98: $25,000; 1992-2002: $35,000; 2003-2005: $40,000 annually; 2006: $44,500; 2007: $50,500; 2008/9: $52,000; 2009/10:
$47,000; 2010/11: $52,350; 2011/12: $51,039; 2012/13: $75,000; 2013/14: $75,000; 2014/15:
$95,000; 2015/16: $95,000; 2016/17: $95,000; 2017/18: $95,000; 2018-19: $95,000; 2019/20:
$100,000; 2020/21: $100,000; 2021/22: $100,000; 2022/23: $100,000 Agency description: PATH's mission is to end homelessness for individuals, families and communities. PATH envisions a world where every person has a home. PATH provides interim and permanent housing and supportive services for people in need.

Proposed use of Community Assistance Grant Funds: PATH will continue to provide five year-round interim housing beds and targeted support services for individuals referred by City of Beverly Hills. Services are delivered from a housing first approach, focusing on connecting participants with permanent housing through LA County's Coordinated Entry System and providing supportive services regardless of sobriety. Beverly Hills clients are given access to PATH's wide range of housing resources.

Target population/Primary service: Homeless individuals living on the streets in Beverly Hills. The primary service moves individuals from the street to permanent housing.

Percentage of total program utilized by Beverly Hills residents/community: 100% of the clients to be served in the Beverly Hills supportive housing program proposed for 2023-24 will be official referrals from the City; Beverly Hills clients represent approximately 6% of the total clients served through PATH's Metro Los Angeles Interim housing program.

Historical Performance:

FY 22/23: (Q 1 & Q2) ~ Satisfactory D Unsatisfactory □ N/A General Comment(s) (e.g., non-quantifiable benefits identified by experience with agency v. absolute numbers; observations such as their growth curve and relationship with City, its residents and target populations):

PATH's interim housing program is a key tool used by the City's Outreach Team to engage Beverly Hills' high-barrier homeless individuals in services and eventually placement in permanent housing. Permanent housing is the most cost-effective long-term solution to addressing homelessness in the City.

The PATH's Metro LA interim housing program offers low-barrier interim housing and does not require sobriety or participation in services as a prerequisite for enrollment. PATH's model combines two evidence-based approaches, harm reduction and peer support, which are used alongside recovery principles, motivational interviewing, and kinship. The interim housing program offers clean beds, nutritious meals, access to restrooms and showers, and laundry facilities.

Through PATH's innovative service collaborative, partner service agencies, and the Countywide Coordinated Entry System (CES), they can assist homeless individuals, address their personal barriers, and identify, transition into, and retain permanent housing. PATH partners with physical and mental providers throughout Los Angeles to address the needs of chronically homeless individuals including Step Up On Second, Saban Community Clinic and the Los Angeles Departments of Health (OHS) and Mental Health (DMH).

Percentage of annual funding City's contribution represents: Approximately 0.07% of the total organizational budget.

Ratio of administrative to operating costs: 10% administrative: 89% program and 1 % fund raising.

Service Profile: Needs-based 1:8:1 Quality of life-based 1:8:1 Social Service 1:8:1 Health D Education D Other D
Agency Scope: Local 1:8:1 Regional 1:8:1 National D International D 501 {C} (3): Yes 1:8:1 No D Exempt D
2 City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024
Agency/ Project Name:_PA_T_H _________________________ _ Address:340 N. Madison Avenue
City: Los Angeles State:_C_A ____ Zip:90004
Contact Person: Tara Pak, Senior Director of Strategic Partnerships Phone: (323) 644-2210 Fax: ---------------
Email: [email protected]
Please note the City's insurance requirements for FY 2023-2024. Within three (3) weeks of receiving notice of funding prior to receiving an agreement, your organization must submit insurance documentation with the following requirements:
• Each organization must submit to City an ACORD insurance certificate which include General Liability ($2 Million), Automobile (coverage limits based on services provided), and Workers Compensation Insurance {if required) • The City must be named as additionally insured under each policy • Subrogation must be waived for each insurance policy
• An endorsement to each policy stating that such policy shall not be cancelled by either party or reduced in coverage except after thirty (30) days prior written notice to City
Each organization will also be required to submit a copy of a W-9 form on the most current IRS form www.irs.gov/forms-pubs/ about-form-w-9
Please type your answers to the following questions. If you need additional space for any of the answers. please attach a separate sheet of pgper.

1. Is your organization a 501c.3, or are you in partnership with a 501c.3 organization? llJ We are a 501c.3
D We are in partnership with a 501 c.3
llJ Documentation showing 501 c.3 status or partnership with a 50 lc.3 is attached.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

2. What services do you propose to provide the Beverly Hills community that local government is not currently providing?
PA TH proposes to continue serving individuals experiencing homelessness in the City of Beverly Hills by dedicating five beds to them through our interim housing program. Located at 340 N. Madison Avenue within PATH's Metro Los Angeles Community Hub, our program meets residents' basic needs by providing clean beds, three nutritious meals per day, connections to medical and mental health services, laundry, restroom, and shower facilities, and more. Our interim housing services provide the Beverly Hills community with resources that the city does not currently provide. In doing so, we allow program residents to shift focus from simply accessing basic needs to building the skills required to maintain good health and establish self-sufficient futures.

We leverage 40 years of experience working to combat homelessness in Los Angeles County to aid our unhoused neighbors in Beverly Hills. Launched by a small group of individuals raising funds to feed and shelter our unhoused neighbors in West Los Angeles, we have grown to serve more than 18,000 individuals countywide each year. As we continue to serve our target population, PATH responds to the homelessness crisis by cultivating partnerships; embracing person-centered, evidence-based practices; and swiftly adapting to changes.

PATH leverages our resources in our partnership with the City of Beverly Hills' Human Services Department and Step Up on Second to connect with people experiencing homelessness and in need of short-term housing. Once unhoused individuals are referred to PATH, we enroll them into our program and place them in our safe and supportive interim housing environment. PATH's low-barrier program does not require sobriety or mandatory participation in services and allows us to work with this high-needs population in targeted ways that address their unique needs.

All of PATH's interim housing residents are paired with case managers who guide them on their journeys toward independence. PATH's highly skilled team of Licensed Clinical Social Work (LCSW) and Master of Social Work (MSW)-level clinicians, along with bachelor's level staff are trained in mental health and substance use disorders and have extensive experience serving the unhoused population. With our effective 1:20 case manager to resident ratio, our staff thoughtfully collaborate with each individual to identify and remove barriers to housing stability.

Case managers collaborate with each resident to develop an Individualized Service Plans (ISPs), which outlines housing and service goals, barriers to stability, and the action steps and supportive services needed to reach those goals. In weekly one-on-one meetings, case managers and residents discuss progress, address challenges as they arise, and connect to supportive services. Depending on the needs of the resident, services include medical and mental healthcare, substance use treatment, employment services (e.g., education, vocational training, and job placement assistance), housing location, legal aid, domestic violence counseling, support groups, Veterans services, personal care, and more.

In addition to providing interim housing and other supportive services, PATH is a leader in developing solutions to the housing crisis. PATH's LeaseUp LA program coordinates with 775+ landlords to increase the affordable housing inventory through incentives, education, and support, adding 7,800+ units to the market since 2018. Through our real estate arm, PATH Ventures, we have more than 1,800 supportive and affordable housing units completed or in development.

Through these programs and partnerships, PATH has formed a strong countywide network of housing and housing location service providers that our clients immensely benefit from when they are ready to transition into more permanent housing.

We also help eligible individuals obtain housing vouchers through Section 8 and our contracts with the Department of Veterans Affairs (VA) and Department of Health Services (D HS). Once residents are housed, PA TH works with the City of Beverly Hills to fill the designated beds that are now available for new clients.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

3. If you are applying for a cultural grant, please describe your program here.

NI A. PATH is not applying for a cultural grant.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

4. Why are these services considered critical (e.g., enhance quality of life, improve public safety)? If you are a previous recipient, will you be providing new services this funding period? The 2022 Greater Los Angeles Homeless Count conducted by the Los Angeles Homeless Services Authority (LAHSA) found that 39 people are experiencing unsheltered homelessness in Beverly Hills on any given night-this represents more than a 100 percent increase from the 2020 count. Homelessness can have dire, long-term effects on overall health and unhoused individuals tend to live an average of 12 years less than their housed counterparts due to the stress they face on the streets.

The COVID-19 pandemic and other recent public health concerns (e.g., monkeypox, respiratory syncytial virus, etc.) highlight the need to protect our most vulnerable unhoused neighbors, many of whom fall in higher risk categories. A large proportion of people experiencing homelessness live with chronic conditions such as diabetes and hypertension that make them more susceptible to contracting these viruses. In addition, these conditions are exacerbated by the lack of reliable access to nutritious food and medical attention. Furthermore, the scarcity of available affordable housing within Beverly Hills makes it difficult for our unhoused neighbors to attain the stability they need in order to address their underlying issues.

LAHSA's data shows that on average, 91 percent of individuals placed into permanent housing do not return to homelessness within 12 months. These findings underscore the importance of providing services that use targeted evidence-based principles to address homelessness in the region. PATH's interim housing program does just that by providing immediate respite to our unhoused neighbors and helping them connect with the services and supports they need to attain permanent housing. In addition, we provide life skills groups to help build confidence and improve emotional well-being. Examples of such groups include nutrition and health education, community gardening, and movie days.

Through our interim housing program, PA TH has dedicated five beds to unhoused individuals who are referred to us by the City of Beverly Hills and Step Up on Second. Once enrolled in our program, clients work with our highly skilled case managers to develop personalized plans for achieving self-sufficiency. To address the medical issues many of our residents face, PA TH works with a county-wide network of service partners to ensure that we meet the unique needs of each of our residents. Our key medical and mental health partners including Gateways Hospital, JWCH Institute, Saban Community Clinic, Hollywood Mental Health Center, Edleman Westside Mental Health Center, Prototypes, Step Up on Second, and the Los Angeles County Departments of Health (DHS) and Mental Health (DMH). By connecting our residents to these health care services, we reduce the need for costly emergency room visits to meet their medical needs.

PATH plans to continue using its time-tested, evidence-based practices to guide people experiencing homelessness in Beverly Hills toward attaining housing and wellness stability. We will provide the same comprehensive, housing-centric services that have been essential to our successful partnership with the City of Beverly Hills in our joint effort to end homelessness in the region.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

5. What percentage of your total program service is utilized by members of the Beverly Hills community? If a new program, what percentage of users do you anticipate would be members of the Beverly Hills community?
Approximately six percent of total residents served through our Metro Los Angeles interim housing program are members of the Beverly Hills community. Of the residents served by the Beverly Hills program (i.e., the five dedicated beds), 100 percent regularly resided in the City of Beverly Hills prior to entering the program.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

6. Please describe your organization's ongoing response to the COVID-19 pandemic and the impact to service delivery. In FY 2023-24, does your organization anticipate your proposed program(s) to remain virtual, in-person, or hybrid, and what measures will be taken to ensure program efficacy? PA TH continues to monitor CDC and local health agency updates and guidelines and follows established emergency safety plans and policies and procedures to combat COVID-19 surges. Since the start of the pandemic, we have provided targeted guidance on maintaining health and safety and distribute personal protective equipment, as needed, in addition to hygiene kits and bagged lunches to our unhoused neighbors.

Should a resident test positive for COVID-19, we either triage the individual to an external quarantine site in collaboration with the Department of Public Health or provide them with an isolation space within our facility. By doing so. we provide our impacted residents with a safe space to recover, while limiting exposure to our other residents and staff. In addition, we continue to maintain strict cleanliness protocols to minimize the spread of the virus.

Due to our interim housing program being a site-based service, we anticipate most activities to be provided in an in-person manner. However, we do make every effort to connect our residents with virtual resources (e.g., access to computers and internet for career development). PATH remains dedicated to protecting our served population from COVID-19 and other public health challenges that arise.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

7. For New Applicants: If your proposed program(s) or service(s) are similar to those of any of the City's current CAGF partners, what differentiates your organization and proposed program{s) from the current service provider{s)? Listing of current CAGF partners can be found on at www.beverlyhills .org/ cagf.

NI A. PATH is a returning applicant.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

8. For Returning Applicants: The City takes pride in ensuring that residents have access to the strongest social services and cultural grants. Please describe what efforts your organization has taken to continue as a service provider or organization partnering with the City. Describe how your organization has been responsive to community needs and has incorporated best practices to better serve the Beverly Hills community?
PATH understands that each community has its own unique concerns and barriers to housing. Our 40 years of experience serving our unhoused neighbors has allowed us to leverage best practices developed through our various programs and implement them while serving the Beverly Hills community. For instance, we utilize proven techniques tied to Housing First principles and harm reduction strategies to provide targeted support to people experiencing homelessness. Our interim housing site is also low-barrier, which makes our program more inviting to our unhoused neighbors' unique conditions and needs.

We are honored to have been chosen to partner with the Beverly Hills Human Relations Commission in October 2022 for commission's inaugural donation drive at the city's farmer's market. Our associate director of community affairs, Waverly Paradox, represented PATH at the event and provided education to the community on PATH's services and programs. We greatly appreciate the food items and toiletries that were donated to support our interim housing program and hope to continue collaborating with the city and the commission on community-driven partnerships.

Though we do not anticipate vastly changing our service delivery model, we do intend to continue tailoring our practices to meet the evolving needs of people experiencing homelessness in Beverly Hills.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

9. The funding year is July 1, 2023 to June 30, 2024. What is the funding amount requested? PATH respectfully requests $100,000 from the City ofBeverly Hills to provide interim housing, intensive case management, comprehensive supportive services, and linkages to permanent housing to five unhoused individuals from Beverly Hills at any given time. This amount will cover direct service expenses along with indirect costs (10 percent) associated with the coordination of services, acceptance of referrals from the Beverly Hills Human Services Department and Step Up on Second, and grant administration and reporting.

10. What percentage of your annual funding would the City's contribution represent? The amount requested from the City ofBeverly Hills represents approximately 0.07 percent of PATH's total organizational funding for fiscal year 2022-23.

11. What is the ratio of your organization's administrative operating costs? According to our most recent audited financials, the breakdown of PATH's operating costs is 10% administrative, 89% program, and 1 % fundraising.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

12. Provide any additional information that may be useful in evaluating your proposal.

Since 2013, PATH has housed more than 16,000 individuals and continues to serve more than 19,000 individuals across Los Angeles County each year. We understand that the lack of affordable housing in the region directly impacts the area's growing homelessness crisis. In addition to providing interim housing beds for unsheltered individuals in the City of Beverly Hills, the affordable housing we are adding to Los Angeles' inventory will be instrumental in ending our community's homelessness.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

13. Financial Statement:
a. For grant requests up to $74,999, please submit most recent balance sheet and operating budget OR tax return.
b. For grant requests $75,000 and over, please submit most recent financial statement reviewed by a Certified Public Accountant
The following documents are required:

Ill Completed CAGF application
Ill Documentation of 501 c.3 status of proof of 501 c.3 status through partnership Ill Copy of most recent Form 990 - Return of Organization Exempt from Income Tax D Copies of any current Charitable Solicitations Permits that have been obtained from the City of Beverly Hills Not applicable
APPLICATION SUMMARY FY 2023/24
Agency: Saban Community Clinic
Requested amount: $74,000
History of City funding: 1992-3: $10,000 annually; 1994: $15,000; 1996-97: $18,150 annually; 1998: $25,000; 1999-2002: $35,000 annually; 2003-6: $40,000; 2007: $40,000; 2008/9: $41,200; 2009/10: $5,000; 2010/11: $5,000; 2011/12: $6,111; 2012/13: $6,111; 2013/14: $10,000: 2014/2015: $25,000; 2015/16: $30,000; 2016/17: $35,000; 2017-18:
$35,000; 2018-19: $40,000; 2019/20: $40,000; 2020/21: $50,000; 2021/22: $50,000; 2022/23:
$50,000
Agency description: Saban Community Clinic (SCC) serves as a medical home for the underserved and those who are most vulnerable by providing comprehensive, dependable, and affordable quality health care in a caring environment. A cornerstone in the safety net for the poor and uninsured, Saban combines community-based outreach and education initiatives with medical, dental, behavioral health, and specialty care services.

Proposed use of Community Assistance Grant Funds: Support the delivery of health and social services to Beverly Hills' low-income, underserved residents.

Target population/Primary service: Uninsured and under-insured population of Los Angeles County/health care and services.

Percentage of total program utilized by Beverly Hills residents/community: In FY21-22, SCC served 391 residents of Beverly Hills and provided 2,074 patient visits. This represents slightly less than 2% of SCC's total patient visits.

Quantifiable Services and Measures: Last year, SCC served 391 residents of Beverly Hills and provided 2,074 patient visits and provided $248,154 in uncompensated care to those patients. Of the patients served, 6 in 10 were white women and while over 4 in 10 were people of color. Over 90% of patients coming from the City were struggling with poverty.

Current Performance:

FY 22/23: (01 & 02) ~ Satisfactory D Unsatisfactory □ N/A General Comment(s) (e.g., non-quantifiable benefits identified by experience with agency v. absolute numbers; observations such as their growth curve and relationship with City, its residents and target populations):

SCC offers a wide array of primary and specialty care services including primary and preventative health care, cancer screenings, women's health services, and confidential HIV testing. Dental services include diagnostic visits, including oral exams, x-rays, emergency care, cleanings and preventative care education. SCC also offers behavioral health services including evaluations, group counseling and treatment for mental health issues. Specialty care services include pre- and post-natal services, showers for homeless individuals, vision services, smoking cessation groups, nutrition education and more.

SCC has created programs and developed strategic partnerships in response to the community's needs. These include, but are not limited to annual health screenings, community dental work (children and adults), and colorectal cancer screenings.

SCC functions on its founding principle that healthcare is a right and not a privilege. Poverty and poor healthcare are inextricably linked, and are rooted in political, social and economic justice. Without access to SCC, many patients would not receive adequate care for complex, chronic diseases.

SCC launched several programs this year such as centering pregnancy which focuses on reducing low birth weights and providing extra support to new mothers and their babies.

Another program is called Orthodontics for Everyone and it is a low or no cost program to help families afford orthodontic treatment through lnvisalign. The other program is called On the Road Again and it is a mobile healthcare services van that provides medical and dental healthcare services to people in transitional housing.

Even though COVID-19 has not disappeared, SCC will continue to remain open for business every day to ensure that vulnerable people receive the advice, care, and treatment that they need to remain healthy and safe. SCC has been at the forefront of offering testing to its patients, as well as vaccines to patients and community members as soon as they were made available.

Percentage of annual funding City's contribution represents: The City's funding would represent less than 1 % of SCC's overall revenue.

Ratio of administrative to operating costs: Last fiscal year, administrative costs represented 9% of the overall operating budget.

Service Profile: Needs-based ~ Quality of life-based D Social Service ~ Health ~ Education D Other D
Agency Scope: Local ~ Regional ~ National D International D 501 {C) (3): Yes ~ No D Exempt D
2 City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024
Agency / Project Name:_Sa_b_an_C_o_m_m_u_n.....:ity._C_l_in_ic ____________________ _ Address: 8405 Beverly Blvd
City: Los Angeles State: CA ----- Zip: 90048
Contact Person: Catherine Scott -------------------------------- Phone: 562-308-8112 Fax: 323-658-6773
Em a i I: [email protected]
Please note the City's insurance requirements for FY 2023-2024. Within three (3) weeks of receiving notice of funding prior to receiving an agreement, your organization must submit insurance documentation with the following requirements:
• Each organization must submit to City an ACORD insurance certificate which include General Liability ($2 Million), Automobile (coverage limits based on services provided), and Workers Compensation Insurance (if required) • The City must be named as additionally insured under each policy • Subrogation must be waived for each insurance policy
• An endorsement to each policy stating that such policy shall not be cancelled by either party or reduced in coverage except after thirty (30) days prior written notice to City
Each organization will also be required to submit a copy of a W-9 form on the most current IRS form www.irs.gov/forms-pubs/ about-form-w-9
Please type your answers to the following questions. If you need additional space for any of the answers. please attach a separate sheet of pgper,
l. Is your organization a 50 l c.3, or are you in partnership with a 50 l c.3 organization? Ill We are a 50 l c.3
D We are in partnership with a 50 l c.3
D Documentation showing 50 lc.3 status or partnership with a 50 lc.3 is attached.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

2. What services do you propose to provide the Beverly Hills community that local government is not currently providing?
The mission of Saban Community Clinic (SCC) is to provide outstanding, compassionate care to anyone who needs it. SCC is a cornerstone of the healthcare safety net for this community. offering a wide array of primary and specialty care services within one medical home.

Medical services include primary healthcare, preventive screenings for cancer, family planning, as well as women and men's health services. SCC also has in-house specialty clinics, including a Respiratory clinic, as well as the Infectious Disease clinic that provides confidential HIV testing, prevention and treatment. For patients with chronic conditions such as diabetes and hypertension, SCC has a complete disease management program so that patients can continue to live a full and active life.

This can include medication management, self-monitoring devices, coaching, and lifestyle changes. SCC's in-house pharmacy also provides medication delivery, helping make SCC a 'one stop shop' for our patients healthcare needs, something that is extra helpful for those without reliable transportation.

SCC has long provided excellent comprehensive dental care to its patients. Services include: dental x-rays, exams, prophylaxis, scaling and root planning, restorations, extractions, root canal treatments, and dentures. SCC also offers preventive services such as dental sealants, fluoride varnishes, space maintainers, self-management goals, as well as nutrition and tobacco counseling. Last year, SCC introduced low-cost orthodontia to its patients.

Behavioral Health offers experienced, compassionate individual and group counseling, as well as case management services to link our patients to other resources they require. Additionally, Behavioral Health offers depression screenings, evaluations, and treatments for incoming patients, various support groups (women, youth, trauma and grief, etc). SCC also has two in-house psychiatrists, including one who specializes in pediatric patients.

Specialty care services include nutrition counseling, vision services, as well as free showers and care coordination for people experiencing homelessness, linking them to transitional housing and food pantries. SCC is committed to expanding and improving its care model, launching a mobile medical and dental care clinic this year to serve patients in transitional housing.

SCC serves a large number of patients dealing with economic and social injustices, including undocumented immigrants who have often experienced high levels of trauma. Last year, over 89% of SCC's patients were struggling with poverty and 35% were uninsured.

SCC's staff is committed to a holistic model of integrated medical care that strengthens the provider-patient interaction, provides coordinated team care, and establishes a long-term healing relationship to enhance a patient's overall health care experience. This year, we are requesting an increase in funding to help us cover a growing gap in funding our uninsured patients. We need your help to continue to help others.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

3. If you are applying for a cultural grant, please describe your program here.

NIA
City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

4. Why are these services considered critical (e.g., enhance quality of life, improve public safety)? If you are a previous recipient, will you be providing new services this funding period? SCC functions on its founding principle that healthcare is a right, not a privilege. SCC is a patient-centered medical home for vulnerable people, including young children, uninsured people, the disabled, and those who are unhoused. Without access to SCC, many patients would fall through the cracks in the healthcare system. SCC offers outstanding, compassionate healthcare services to anyone who needs it, but with a clear focus on low-income members of the Los Angeles and Beverly Hills communities. Our services are critically important to enhance quality of life for people in this community.

Overall, at SCC we are committed to Whole Person Care. This type of care requires a team approach. A person can come to SCC to receive treatment for complex, chronic diseases like diabetes. They can have an abscessed tooth treated at low or no cost. They are able to access mental health support groups to help address past trauma they experienced. They can get access to PrEP to prevent HIV. There are so many ways that a patient can be helped at the Clinic.

The way it works fro the healthcare provider side is that a patient might have an appointment to see her doctor for an annual exam. The provider determines the patient is also in need of dental care, which could have an impact on her hypertension, so he refers her to a dental provider at SCC. While undergoing dental care, the team learns that she is at risk of becoming unhoused. The SCC team is able to link her to a Case Manager who can help coordinate her care and link her to important resources, including social service organizations that specialize in housing for low-income people. SCC's program is committed to addressing both immediate medical needs, while also providing integrated dental care, mental health support and social service resources.

In terms of new programs, SCC launched several programs this year including:
(1) Centering Pregnancy, a program focused on reducing low birth weights and providing extra support to new mothers and their babies, including time with a doula.
(2) Orthodontics for Everyone - a low or no cost program to help families afford orthodontic treatment through Invisalign.
(3) "On the Road Again" our mobile healthcare services van that provides medical and dental healthcare services to people in transitional housing.

We remain deeply grateful for the ongoing partnership we have with the City of Beverly Hills. You help us provide support for the most vulnerable members of this community. Together, we can continue to ensure the health and wellbeing of all people who call Beverly Hills home.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

5. What percentage of your total program service is utilized by members of the Beverly Hills community? If a new program, what percentage of users do you anticipate would be members of the Beverly Hills community?
From July 1, 2021 to June 30th, 2022, SCC served 391 members of the Beverly Hills community in 2,074 patient visits. This represents slightly less than 2% of our overall patient visits for the year. However, these visits resulted in $248,154 in uncompensated care, which is the funding gap SCC must cover each year for uninsured and underinsured patients from the City. The vast majority were for medical care (1,604 visits), followed by behavioral health (299 visits) and dental (169 visits).

Of the patients served, 6 in 10 were white women, while over 4 in 10 were people of color (Asian, African American, Mixed race, etc). Nearly 25% of these patients are seniors, and have a variety of complex healthcare issues. Even in a City like Beverly Hills with great wealth, over 90% of patients coming from the City were struggling with poverty (living at or near the poverty line).

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

6. Please describe your organization's ongoing response to the COVID-19 pandemic and the impact to service delivery. In FY 2023-24, does your organization anticipate your proposed program(s) to remain virtual, in-person, or hybrid, and what measures will be taken to ensure program efficacy? OVERALL - Saban Community Clinic (SCC) is proud to be on the ground every day providing outstanding, compassionate care to anyone who needs our services. SCC delivers life-changing benefits far beyond the we provide to individuals. When we improve mental and physical health for mothers and fathers, they can better care for their families. Healthy people can work, support higher education needs, and contribute to the local economy. In so many ways, the Clinic's impacts ripple out to make a positive difference to the whole community.

Over the course of the last two and a half years, SCC has had to be remarkably nimble and flexible to respond to repeated waves of COVID-19 in the community. During the pandemic, SCC was able to meet the moment through the incredible dedication of its staff and the support of its donors. While some in-person services were paused early on (e.g vision screening, dental cleanings}, except for emergencies, the Clinic was lucky enough to be able to rapidly pivot to using telehealth to continue delivering medical, behavioral health and even some dental health services by phone and/or video consult.

Last year, as the strong waves of COVID-19 infections began to wane. more services available in person. Patients began to come back in large numbers, especially in August just before the school year began. Last year, SCC provided more than 90,300 medical healthcare visits, over 18,700 behavioral healthcare visits and over 13,600 dental healthcare visits to 22,558 patients. SCC also provided over $4.3 million in free healthcare services to our patients last year, including hundreds of thousands of dollars for residents from the City of Beverly Hills.

CHALLENGES -The greatest challenges experienced by the Clinic this year, as a result of COVID-19, include:
(1) Staff Burnout: healthcare staff have endured the brunt of the job-related stress that came with caring for sick patients.

Some staff have chosen to retire or find jobs in non-healthcare related fields. This, in turn, leads to staffing shortages which furthers burnout for those left behind.
(2) High Demand for Behavioral Health: anxiety and depression related referrals, especially for young people, skyrocketed during COVID-19, and there is little sign of abatement. Staffing shortages in this field can mean longer wait times for patients.
(3) Increased Operating Costs: in order to operate safely, SCC has to adhere to all necessary protocols including providing medical masks (e.g. surgical, N95s) for all staff at all times, as well as continuing to offer additional COVID-19 paid leave for staff who test positive.

GOING FORWARD - COVID-19 has not disappeared. In fact, medical authorities are already seeing an uptick in cases this winter due to relaxation of masking mandates and low rates of booster shot uptake by the public. SCC will continue to be here every day, providing services both in person and through telehealth. SCC encourages and educates its patient base about the importance of vaccinations, as well as adhering to basic hygiene measures such as handwashing and staying home when symptomatic. SCC continues to provide COVID-19 testing, vaccinations and treatments. As a result, the Clinic continues to experience higher costs related to COVID-19 protocols. With your help, SCC can mitigate these costs at a time when some donors have pivoted away from health-related causes despite this terrible disease continuing to impact our community.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

7. For New Applicants: If your proposed program(s) or service(s) are similar to those of any of the City's current CAGF partners, what differentiates your organization and proposed program{s) from the current service provider(s)? Listing of current CAGF partners can be found on at www.beverlyhills.org/ cagf.

NIA
City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

8. For Returning Applicants: The City takes pride in ensuring that residents have access to the strongest social services and cultural grants. Please describe what efforts your organization has taken to continue as a service provider or organization partnering with the City. Describe how your organization has been responsive to community needs and has incorporated best practices to better serve the Beverly Hills community?
SCC continues to be a committed service partner with the City of Beverly Hills. To ensure we are responsive to the changes in our community, every three years the Clinic undertakes a comprehensive Community Needs Assessment to determine whether we are meeting the needs of the people we care for every day.

Another significant way that SCC includes members of the community is through the presence of "patient representatives" on its Board of Directors (BoD). Including patients on the BoD provides them with an avenue to make their voices heard at the highest level of the organization. In order to serve on the BoD, these representatives must be active patients who seek treatment at SCC. As a result, the representatives provide both an important community-based perspective to decisions about the Clinic, as well as speaking from an embodied experience as SCC clients.

This year, the BoD was involved in the creation, development and approval of SCC's new 4 year Strategic Plan that will focus on the following:

A) Pediatric Expansion Strategy. This piece will build on the work of our pediatric department from the last few years and will include providing ancillary services including school-based health centers. SCC launched a Centering Pregnancy program in early 2022, and includes a focus on building community partnerships (i.e. hospital privileges for pediatricians).

B) Older &/or Complex Adults Strategy. SCC recognizes the need to focus on its most vulnerable patients, such as the unhoused, patients with behavioral health issues, as well as the rapidly growing older population. SCC is exploring how to offer new clinical services including podiatry services, alternative medicine to treat chronic pain, transitions of care management (home care, hospice, etc), as well as the expansion of specialty care provided on site.

C) Workforce Strategy & Engagement. SCC acknowledges the challenges healthcare is facing in recruitment and retention of its workforce. As a result, this part of the strategic plan will focus on improved staff training & development, increased employee recognition & compensation rates, as well as improved employee engagement programs.

SCC's continued growth and development depends on patient satisfaction. SCC is committed to providing patients an avenue where their voices can be heard, their concerns acknowledged and their requests are taken seriously. Beyond the BoD, community opinions are regularly taken into account through staff feedback, Patient Satisfaction Surveys, and advice from SCC's Community Advisory Council.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

9. The funding year is July 1, 2023 to June 30, 2024. What is the funding amount requested? SCC is requesting a $74,000 grant from the City of Beverly Hills this year. This increased amount will help SCC continue to close the gap in providing services for low-income, uninsured patients, ensuring they receive the healthcare services they need.

10. What percentage of your annual funding would the City's contribution represent? While this amount would represent less than 1 % of our overall annual funding, it would cover thirty percent (30%) of the funding gap SCC incurs to serve residents of the City of Beverly Hills who are struggling with poverty. At SCC, we rely on our community partners to help us provide healthcare to those who cannot afford it themselves. This funding would be an integral contribution towards closing the funding gap for the costs we incur to treat those patients who are uninsured.

11. What is the ratio of your organization's administrative operating costs? Last year, SCC's administrative costs represented 9% of the overall operating budget. SCC continues to maintain low administrative costs and has all proper systems in place to ensure proper oversight and accountability at all levels of the organization.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

12. Provide any additional information that may be useful in evaluating your proposal.

At SCC, we treat many patients who have experienced high levels of trauma and who require our Whole Person Care model to treat not only their bodies, but also their minds.

Patient Story - Marisol's Story
Imagine if everyone got the help they needed to heal and thrive. Today, Marisol is the mother of healthy boys who are doing well in school. She has a job and is making a good life among caring family members. But getting to this point took enormous courage and commitment.

At the age of 8, Marisol's mother left her and her brother with close friends in Guatemala to earn a better living in the U.S.

She sent money to them, but the family friends squandered it all. Marisol and her brother struggled with hunger, abuse, and finally homelessness. At 12 years old, Marisol felt overwhelmed by the violence and trauma she'd experienced. She attempted to take her own life, but survived.

A year into her marriage at age 18, she welcomed her first son and began to experience domestic violence, sexual assault, and mental cruelty. Her husband would often lock her in a closet and tried several times to drown her. After her second son was born, she knew she had to get away. When her husband was away for work, Marisol and her sons escaped to Los Angeles.

Marisol was determined to give her boys, the best life she could and knew that going back to Guatemala would mean certain death.

Marisol's sister is a patient at SCC and reassured her that the Clinic was a safe space for medical and mental health care.

Marisol began intensive therapy with Jose Albert and was able to start healing. She joined SCC's Women's Trauma Therapy group and her sons received the medical and dental care they need. Money is tight. but with the help of her family she's able to make ends meet. Jose also connected Marisol with the Clinic's Development Department, which further assisted her struggling family by providing some much needed essentials.

Sadly, Jose Albert has since passed away, leaving Marisol with yet another loss. But he gave her a gift of resilience that belongs to her forever."Saban and Jose Albert saved my life," Marisol says. "He rebuilt my confidence and gave me the power and will to live that I needed. The Clinic has never let me down, and I'm very grateful to Saban and its donors for helping my family get to this point."
With help from the City of Beverly Hills, SCC can continue to help many more patients like Mariosl to receive the hhealthcare services they need to lead a healthier. happier life.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

13. Financial Statement:
a. For grant requests up to $74,999, please submit most recent balance sheet and operating budget OR tax return.
b. For grant requests $75,000 and over, please submit most recent financial statement reviewed by a Certified Public Accountant
The following documents are required:

Ill Completed CAGF application
Ill Documentation of 501 c.3 status of proof of 501 c.3 status through partnership Ill Copy of most recent Form 990 - Return of Organization Exempt from Income Tax Ill Copies of any current Charitable Solicitations Permits that have been obtained from the City of Beverly Hills
APPLICATION SUMMARY FY 2023/24
Agency: Safe Parking LA (Community Partners FBO Safe Parking LA) Requested amount: $250,000
History of City funding: 2021/22: $50,000; 2022/23: $50,000 Agency description: Safe Parking LA provides safe overnight parking to facilitate stability and housing in Los Angeles County for individuals living in their vehicles, and advocates for fair and equitable treatment and resources for the unhoused. Safe Parking LA's service model employs underutilized parking lots to address the unique needs of residents whose only source of shelter is their car or van. In addition to a parking spot at night, Safe Parking LA's lots offer restrooms with running water, professional security, access to local resources, and housingfocused case management services.

Proposed use of Community Assistance Grant Funds: Safe Parking LA is seeking funding for a general operating grant through the Community Assistance Grant Fund. Funding will help Safe Parking LA build capacity to sustain their safe parking program and expand access to critical services with a focus on housing in LA County over the next year.

Safe Parking LA fills the gap in services by stabilizing people experiencing vehicular homelessness, keeping them safe in their vehicles, and connecting them to vital resources including:

1. Individualized case management, including the development of a housing and stability plan.

2. Support for basic needs including food and clothing.

3. Temporary financial assistance for vehicle-related costs, credit repair, and housing deposits.

4. Hygiene and healthcare services.

There will soon be an expansion of lot operations in SPA 5 by launching a Safe Parking pilot program near LAX with 50 spaces. Funding will assist with sanitation, salaries, equipment and operations.

Target population/Primary service: Adults and families experiencing vehicular homeless in the Beverly Hills area and the surrounding region. Safe Parking LA provides safe parking with security, access to case management services, health and hygiene support.

Percentage of total program utilized by Beverly Hills residents/community: 50% are from Service Planning Area (SPA) 5, where Beverly Hills is located.

Quantifiable Services and Measures: With an average lot stay of three months, Safe Parking LA wrapped significant services around about 634 clients last year. This included 26 families, 61 children and youth under 18, and 82 seniors. Clients parked safely in our lots for a total of 26,193 nights, and a total of 588 financial assistance awards were disbursed to 194 clients to remove costly barriers that may otherwise prevent their return to stable housing. Of the 399 clients who exited the safe lots program, 151 were placed in housing at a rate of 40% representing a 4 7% increase in the number of people placed into housing from the previous year.

Historical Performance:

FY 21/22: (Q1 & Q2) ~ Satisfactory D Unsatisfactory D N/A General Comment{s) (e.g., non-quantifiable benefits identified by experience with agency v. absolute numbers; observations such as their growth curve and relationship with City, its residents and target populations):

Despite the service-related challenges they faced during the COVID-19 pandemic, Safe Parking LA accomplished the following:
-Hired a Housing Specialist to expedite placements and utilize resources such as housing vouchers, stabilize clients through 90 days of supportive retention services, and develop relationships with landlords to maximize housing opportunities. -Implemented a permanent hybrid model where staff, supported by new technology, work in teams and divide their time between home and the office or the field, producing a seamless delivery of services.
-Growth in the population of families permitted with Safe Parking LA and their length of stay is increasing.
-Clients are now eligible for multiple awards as needed such as vehicle repairs, gas cards and credit repair, and any limits are imposed for the purpose of encouraging problem-solving and progress towards the ultimate goal of self-sufficiency.

Percentage of annual funding City's contribution represents: 6.9% Ratio of administrative to operating costs: 17%
Service Profile: Needs-based D Quality of life-based ~ Social Service ~ Health D Education D Other D
Agency Scope: Local D Regional ~ National D International D 501 {C) (3): Yes D No ~ Exempt D
Safe Parking LA is operating in partnership with Community Partners which is a 501 (c) 3. Safe Parking LA will soon be ready to separate from Community Partners to operate as their own independent nonprofit organization scheduled for June 30, 2023. 2 City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024
Agency/ Project Name: Safe Parking LA/Expansion of Services in West Los Angeles Address: 961 S. Mariposa Avenue
City: Los Angeles State: -----
CA
Contact Person: Carmela Carreno
Zip:90006
--------------------------------
Phone: 213-408-2222 Fax: ______________ _
Em a i I: [email protected]
Please note the City's insurance requirements for FY 2023-2024. Within three (3) weeks of receiving notice of funding prior to receiving an agreement, your organization must submit insurance documentation with the following requirements:
• Each organization must submit to City an ACORD insurance certificate which include General Liability ($2 Million), Automobile (coverage limits based on services provided), and Workers Compensation Insurance (if required} • The City must be named as additionally insured under each policy • Subrogation must be waived for each insurance policy
• An endorsement to each policy stating that such policy shall not be cancelled by either party or reduced in coverage except after thirty (30) days prior written notice to City
Each organization will also be required to submit a copy of a W-9 form on the most current IRS form www.irs.gov/forms-pubs/ about-form-w-9
Please type your answers to the following questions. If you need additional space for any of the answers. please attach a separate sheet of pgper,

1. Is your organization a 501 c.3, or are you in partnership with a 501 c.3 organization? Ill We are a 501 c.3
D We are in partnership with a 501 c.3
D Documentation showing 501 c.3 status or partnership with a 501 c.3 is attached.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

2. What services do you propose to provide the Beverly Hills community that local government is not currently providing?
Safe Parking LA seeks a $250,000 grant from the City of Beverly Hills Community Assistance Grant Fund.

Our Los Angeles community continues to struggle with a homelessness crisis that sees more and more people and families losing their homes and living in their cars. With our clients, this often means falling into homelessness for the first time despite having an income or a history of employment. The people we serve tend to be higher-functioning, lower in acuity, and caught between making too much to qualify for most poverty intervention programs but not enough to make ends meet and get back to stable housing on their own. "I never thought this would ever happen to me" is a common refrain from our participants.

Founded in 2017, Safe Parking LA has evolved from a small volunteer-run project to the largest safe parking program in Los Angeles and the only provider of safe lots exclusively focused on vehicular homelessness. By employing underutilized parking lots, Safe Parking LA fills a gap in services and addresses the unique problems faced by people and families whose only source of shelter is their vehicle. Our programs provide safety through secure overnight parking, basic dignity by restoring much-needed access to restrooms and running water, and empowerment through strengths-based case management to facilitate health and stable housing.

THE NEED
More than 19,000 people of LA County's approximately 69,000 homeless live in their vehicles, according to the most recent count from the Los Angeles Homeless Services Authority. While their capacity to secure and sustain housing is higher than people who are chronically homeless and live on the streets, they still face significant barriers in a metropolitan area with limited affordable housing and they cannot access the support they need to secure housing without our help. Our intervention is needed to prevent further escalation of their homelessness and the deterioration of their health.

OUR APPROACH
We are more than a safe place to park. Our comprehensive program includes:
1) Immediate Support & Intake - All inquiries receive live support from staff during regular and extended night hours.

When enrollment is not possible, intake staff are trained to connect callers to resources including making referrals. 2) Lot Operations & Infrastructure - Legal safe parking sites that provide security, sanitation services, and access to resources such as clinics, mobile laundry and showers, and donated items and food. 3) Housing-focused Case Management - Case Managers with low case loads (under 30 clients per staff member) provide individualized attention and work closely with participants to develop and progress through Housing & Stability Plans. 4) Financial Assistance - We remove barriers to housing by making temporary financial assistance available for vehicle compliance and maintenance, credit repair, rental deposits, emergency situations, and more. 5) Housing Stabilization -We connect clients to housing opportunities and support stable tenancy once housed by providing 90 days of retention support.

We are committed to expanding the safe parking strategy to meet the needs of people falling into crisis.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

3. If you are applying for a cultural grant, please describe your program here.

N/A
City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

4. Why are these services considered critical (e.g., enhance quality of life, improve public safety)? If you are a previous recipient, will you be providing new services this funding period?

CRITICAL SERVICES
Safe Parking is for those individuals who are experiencing homelessness, or actively fleeing domestic violence, who have an operable vehicle in which they are living. Our sites provide a legal place for them to park overnight and includes restrooms, security, and trash services. Program participants are required to leave the Safe Parking location during the day, during hours of non-operation at the lots, and sign a code of conduct. They are also required to be enrolled in a program that will assist them transitioning to more permanent housing solutions, and they have access to case management during business hours as well as select evenings to accommodate work and study schedules.

This last year, the number of people needing Safe Parking continued to grow and our services are at capacity. An expanded partnership with funders and organizations such as the City of Beverly Hills will enable us to grow our program for people looking for security, access to dignity, community, and support services. In addition to the general increase in demand, there is a noticeable growth in the population of families permitted with Safe Parking LA and their length of stay is increasing. A recent lot census reflects the presence of 15 families that include 34 minors.

SERVICE EXPANSION
This year. Safe Parking LA is requesting an increase in funding through the Community Assistance Grant from the City of Beverly Hills. The request, combined with the investment of other major private funding sources, will help maintain current services and expand our reach in Service Planning Areas (SP A) 4 and 5 through:
1) Increased financial assistance - Investment from private funders over the past few years has enabled us to grow our financial assistance program, and we intend to continue it's build out to remove barriers and expedite a return to stable housing. In 2019, we were limited to a maximum of S500 per client for vehicle repairs only. Currently, our program includes assistance for items such as credit repair, housing assistance, employment and workforce development expenses, gas cards, food cards, and much more in addition to vehicle repairs. Clients are now eligible for multiple awards as needed, and any limits are imposed for the purpose of encouraging problem-solving and progress towards the ultimate goal of self-sufficiency. 2) Increased housing stabilization support - While our case managers are trained to source housing opportunities and assist through the application process, the challenges posed by the scarcity of housing supply and lack of affordable housing in Los Angeles has made it imperative to invest additional resources to support permanent placements. We recently secured funding to hire a Housing Specialist to expedite placements and utilize resources such as housing vouchers, stabilize clients through 90 days of supportive retention services, and develop relationships with landlords to maximize housing opportunities. 3) Expansion of lot operations in SPA 5 - Plans are moving forward to launch a first-in-the-nation Safe Parking pilot program near LAX, with a lot that is our largest to date at 50 spaces in SPA 5. The increased support from the City of Beverly Hills as well as other private funders will help us fill critical gaps in funding (for sanitation, salaries, equipment, and operations) and help us to accomplish our community outcome objectives while expanding the Safe Parking strategy.

We are now operating with a waiting list for most Safe Parking sites, and our lots in SPA 4 and 5 are consistently at capacity.

Mechanisms such as financial assistance and housing placement support are proven effective at shortening the duration of homelessness, allowing us to exit clients into placements and freeing up spaces more quickly for new participants in need. We are confident that our strategies to expedite pathways to housing, combined with the anticipated on-boarding of our largest Safe Parking lot near LAX, will lead to serving more community members and more housing outcomes for our participants.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

5. What percentage of your total program service is utilized by members of the Beverly Hills community? If a new program, what percentage of users do you anticipate would be members of the Beverly Hills community?
Percentage of program service utilized by members of Los Angeles County/Greater Los Angeles community: 100% SPA 5: 50%
SPA 4: 39%
SPA 2: 11%
The majority of services are provided to clients in Service Planning Areas 4 and 5 where Beverly Hills is located, or adjacent to the community of Beverly Hills.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

6. Please describe your organization's ongoing response to the COVID-19 pandemic and the impact to service delivery. In FY 2023-24, does your organization anticipate your proposed program{s) to remain virtual, in-person, or hybrid, and what measures will be taken to ensure program efficacy? The COVID-19 pandemic compounded our challenges and Safe Parking LA pivoted our work to support the health and safety of our clients who lived outside in their vehicles. We identified and supported clients who were most vulnerable during the pandemic including seniors, people with significant health challenges, and clients with very low acuity. Some participants were eligible for Project RoomKey - then HomeKey - and other temporary housing solutions that evolved during the pandemic.

In spring 2020, many of Safe Parking LA's clients sheltered in their vehicles outside of our safe lots to reduce contact with others during the crisis. However, our lot census has recovered with most of our lots in Service Planning Areas 4 and 5 operating at or near full capacity.

As with so many organizations, Safe Parking LA has been faced with providing service delivery in a new and challenging landscape. To address the health and safety of staff and an already-vulnerable homeless population during the COVID-19 pandemic, we are informed about local and national safety guidelines and best practices in service delivery. In addition to following the recommended guidelines, we have permanently added the following provisions for health screenings and COVID-related equipment distribution for staff and clients.

As an outcome of the pandemic, Safe Parking LA has prioritized self-care for our clients and for ourselves that continues to this day. Our clients and staff have a seat at the table, informing best practices, and we work to improve the safe parking experience for all who participate. We have implemented staff-facilitated community meetings for clients at each of our safe lots. To promote a healthy work-life balance, we have also implemented a permanent hybrid model where staff, supported by new technology, work in teams and divide their time between home and the office or the field, producing a seamless delivery of services. Shared office workspaces have fostered a culture of collaboration and community in the workplace that translates to our safe lots and to the client experience.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

7. For New Applicants: If your proposed program(s) or service(s) are similar to those of any of the City's current CAGF partners, what differentiates your organization and proposed program(s) from the current service provider(s)? Listing of current CAGF partners can be found on at www.beverlyhills.org/ cagf.

N/A
City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

8. For Returning Applicants: The City takes pride in ensuring that residents have access to the strongest social services and cultural grants. Please describe what efforts your organization has taken to continue as a service provider or organization partnering with the City. Describe how your organization has been responsive to community needs and has incorporated best practices to better serve the Beverly Hills community?

CONNECTION TO BEVERLY HILLS
In addition to providing services in communities surrounding Beverly Hills, Safe Parking LA embraces any opportunity to maintain a connection to the City and engage its residents in order to advance our mission and be a more effective service provider. By doing so, we leverage relationships and resources to better serve those in need. In regards to Beverly Hills, Former Chair of the Human Relations Commission Ori Blumenfeld joined our Board of Directors in July 2023 and is actively serving on our External Affairs Committee. We are also honored to have individual and major donor support from Beverly Hills residents.

Safe Parking LA was especially grateful for the opportunity to get to know the Beverly Hills community and be a recipient of its generosity at the first annual Day of Giving on October 23. 2023. As we build up our volunteer and outreach programs. we welcome any future connections to promote philanthropy, volunteerism, and awareness for residents and City staff through activities such as tabling, in-service trainings, presentations, and community service days.

PARTNERSHIPS AT-LARGE
To support our capacity and the effective delivery of services, Safe Parking LA has developed strategic alliances with over 40 corporate and community partners who provide us with intern and volunteer support, safe parking sites, and services for our clients. Some of our current partners include the LA Department of Public Health, Echo Park United Methodist Church, Hope of the Valley, LA Christian Health Centers, LA Family Housing, Max Save Insurance, Salvation Army, Shepherd House, St. Joseph Center, St. Margaret's Center, St. Mary's Episcopal Church, Temple Akiba, and UCLA Mobile Clinic Project, and WeHope.

PRACTICES THAT TRANSLATE INTO OUTCOMES
Safe Parking LA's focus on continuous evaluation of service delivery methods leads to the ongoing refinement of our practices, which ultimately translates into steady improvements in our ability to meet community needs and produce better overall outcomes.

This past fiscal year: With an average lot stay of three months, Safe Parking LA provided supportive services to 634 clients, a 61% increase from the previous year. This included 26 families, 61 children and youth under 18, and 82 seniors. Clients parked safely on our lots for a total of 26,193 nights, and a total of 588 financial assistance awards were disbursed to 194 clients to remove costly barriers that may otherwise prevent their return to stable housing. Of the 399 clients who exited our safe lots, 151 were placed in housing at a rate of 40%, representing a 4 7% increase in the number of people placed into housing from the previous year.

The outcomes were accomplished amid the pandemic and economic turmoil in the form of historic inflation impacting both staff and participants alike, demonstrating resilience on the part of the organization.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

9. The funding year is July 1, 2023 to June 30, 2024. What is the funding amount requested? Funding request: $250,000

10. What percentage of your annual funding would the City's contribution represent? Contribution represents 6.9% of annual revenue

11. What is the ratio of your organization's administrative operating costs? Programs: 81%, Administration: 17%, Fundraising: 2%
City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

12. Provide any additional information that may be useful in evaluating your proposal.

TRANSITION TO INDEPENDENT 501C3 STATUS
Safe Parking LA is currently a project of Community Partners, a non-profit fiscal sponsor and intermediary organization. We are pleased to inform you that. over the years and with the support of the City of Beverly Hills Community Assistance Grant Fund, we have made significant strides in building up our capacity to serve the community.

We will soon be ready to separate from Community Partners to operate as our own independent nonprofit organization. Our separation is scheduled for June 30, 2023, and becoming an independent nonprofit is quite an exciting and promising milestone for Safe Parking LA.

THE ROLE OF BEVERLY HILLS IN OUR SUCCESS
We want to share your important role in helping our organization get to this critical moment. The support from the City of Beverly Hills enabled Safe Parking LA to maintain our services while building infrastructure and improving its service delivery model, making an investment in our organization more compelling to subsequent funders who have since made large commitments in support of our efforts to scale the safe parking strategy. We secured additional awards from The Ahmanson Foundation, California Community Foundation, The Charles H. Stout Foundation, Jewish Venture Philanthropy Fund, The Pfaffinger Foundation, Ralph M. Parsons Foundation, and Saint John's Community Health Foundation, among others.

The City's funding relationship to Safe Parking LA has also led to increased individual awareness and support from its residents, which represent relationships we are committed to nurturing and maintaining through our transition and beyond.

NOTE REGARDING ATTACHMENTS
Our board and leadership will continue to ensure our organization's sustainability through sound management and diversification ofrevenue streams as we venture forward independent of our fiscal sponsor. We have concrete outlines for enhanced board governance, strategic planning, regular evaluation, and investments in developing our financial management and fundraising functions.

Safe Parking LA has submitted proof of our independent status with this proposal. We also provided the most recent 990 and audited financial that include Safe Parking LA's single audit for Community Partners, our fiscal sponsor.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

13. Financial Statement:
a. For grant requests up to $74,999, please submit most recent balance sheet and operating budget OR tax return.
b. For grant requests $75,000 and over, please submit most recent financial statement reviewed by a Certified Public Accountant
The following documents are required:
rll Completed CAGF application
rll Documentation of 501 c.3 status of proof of 501 c.3 status through partnership rll Copy of most recent Form 990 - Return of Organization Exempt from Income Tax D Copies of any current Charitable Solicitations Permits that have been obtained from the City of Beverly Hills
APPLICATION SUMMARY FY 2023/24
Agency: Step Up on Second
Requested amount: $165,000
History of City funding: partner in CLASP Outreach Program from inception in 2007 through present. 2012/13: $45,000; 2013/14: $30,000; 2014/15: $60,000; 2015/16: $60,000; 2016/17:
$60,000; 2017/18: $60,000; 2018/19: $60,000; 2019/20: $75,000; 2020/21: $75,000; 2021/22:
$155,000; 2022/23: $165,000
Agency description: Provides permanent supportive housing for individuals affected by severe and persistent mental health issues and young adults who have experienced trauma and are at risk of developing mental health issues, and their families.

Proposed use of Community Assistance Grant Funds: This grant augments the City's ongoing contract with Step Up on Second for the CLASP homeless outreach team ( commonly referred to Beverly Hills Outreach Team). With this grant, Step Up will support CLASP and the City of Beverly Hills to link eligible individuals to Los Angeles County's most competitive mental health programs. Step Up will prioritize up to four slots in one of these intensive programs for appropriate and qualified Beverly Hills CLASP referrals. These programs will engage and link individuals who are vulnerable and experiencing chronic homelessness to a multi-disciplinary team (service coordinator, nurse, licensed social worker, and psychiatrist), equipped to address complex case management, health, and psychiatric needs, and housing.

In addition, these funds will also support Step Up staff to act as the City of Beverly Hills' liaison to the Coordinated Entry Systems (CES) in both Service Area 5 and 4. Step Up will ensure individuals who are experiencing homelessness in Beverly Hills and outreached by CLASP, are properly surveyed. The team will use the LAHSA VI-SPDAT tool. Responses will be entered into the CES system to ensure these individuals have access to appropriate housing resources.

Step Up proposes providing outreach efforts five days a week 5:00am visits accompanying Park Rangers to City Parks to identify individuals experiencing homelessness and mental health challenges who are subsisting during non-public use hours in these parks. Funding will cover the cost of up to three employees. The program staff will help to identify and deliver support for more individuals who experience homelessness in boundaries of the City.

Target population/Primary service: Longtime homeless individuals with a mental illness currently in Beverly Hills.

Percentage of total program utilized by Beverly Hills residents/community: 100% Quantifiable Services and Measures: Homelessness has a significant impact in Beverly Hills including utilization of Police, Rangers, Fire/Paramedics, Library and Recreation and Parks staff time. Homelessness affects community sanitation, safety and general quality of life issues for city residents and visitors.

Step Up is currently the City's designated DMH/DHS contractor that provides needed mental health, physical health and housing resources for the most vulnerable unsheltered persons within the City.

Measures include:

1. Number of DMH Integrated System (IS) screenings for mental health services.

2. Number of clients who have been assessed and enrolled in Step Up's intensive service programs.

3. Number of clients linked to Permanent Supported Housing (PSH).

5. Length of time a client remains housed during reporting period.

Historical Performance:

FY 22/23: (Q1 & Q2) ~ Satisfactory D Unsatisfactory □ N/A General Comment(s) (e.g., non-quantifiable benefits identified by experience with agency v. absolute numbers; observations such as their growth curve and relationship with City, its residents and target populations):

Step Up has partnered with the City of Beverly Hills for the past fifteen years with the CLASP Outreach Program, and had made great strides in addressing homelessness in the City. Since augmenting the CLASP program with CAGF support, Step Up has provided permanent supportive housing to several Beverly Hills clients.

The end goal of all Step Up's homeless services is permanent supportive housing for individuals experiencing mental health conditions. Residents in permanent supportive housing have an opportunity for member-driven supportive services that include life skills to retain their stable housing, reduce recidivism, address their mental and physical health needs, reduce substance abuse, and help to attain their employment, personal, and/or educational goals.

Mutuality, respect and a sense of belonging are key components of Step Up's approach.

Percentage of annual funding City's contribution represents: The City's funding comprises less than .01 % of Step Up on Second's annual budget.

Ratio of administrative to operating costs: 14%
Agency Scope:

Local ~ Regional ~ National D International D
Service Profile: Needs-based ~ Quality of life-based D Social Service ~ Health ~ Education D Other D
501 (C) (3): Yes ~ No D Exempt D
2 City of Beverly Hills
COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION FY 2023 - 2024 Agency/ Project Name: Step Up On Second Street. Inc. CLASP Address: 1328 Second Street
City :Santa Monica State: __ CA ____ Zip: 90401
Contact Person: Tod Lipka. President & CEO
Phone: 310-394-6889 Fax:310-394-6883
Email: [email protected]
Please note the City's insurance requirements for FY 2023-2024. Within three (3) weeks of receiving notice of funding prior to receiving an agreement, your organization must submit insurance documentation with the following requirements:
• Each organization must submit to City an ACORD insurance certificate which include General Liability ($2 Million), Automobile (coverage limits based on services provided), and Workers Compensation Insurance (if required) • The City must be named as additionally insured under each policy • Subrogation must be waived for each insurance policy
• An endorsement to each policy stating that such policy shall not be cancelled by either party or reduced in coverage except after thirty (30) days prior written notice to City
Each organization will also be required to submit a copy of a W-9 form on the most current IRS form www.irs.gov/forms-pubs/about-form-w-9
Please type your answers to the following questions . .;..;.. If-----..;;;;.....;;..;.......;....;;;;..;;:---'-' answers lease attach a se arate sheet of a er.

1. Is your organization a S0lc.3, or are you in partnership with a S0lc.3 organization? ~ We are a S0lc.3
D We are in partnership with a S0lc.3
D Documentation showing S0lc.3 status or partnership with a S0lc.3 is attached.

City of Beverly Hills
COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION FY 2023 - 2024

2. What services do you propose to provide the Beverly Hills community that local government is not currently providing?
Step Up on Second Street, Inc. (Step Up) has received funding from the City of Beverly Hills CLASP program to support three (3) Step Up employees, who are located in the City, to engage and support unsheltered persons who are experiencing chronic homelessness and mental health conditions. Step Up appreciates this long-standing partnership. The CLASP contract allows Step Up outreach service coordinators to spend 100% of their time within the City of Beverly Hills working with the City's unsheltered population. While the Step Up team services have tremendous impact on the population experiencing chronic homelessness within the city limits over the past 14 years, the team is limited in what they are able to accomplish to achieve permanent housing solutions with their current resources.

The proposed CAGF grant will continue to augment the quality and depth of these current services with additional services, supports, and housing placements.

The City of Beverly Hills Community Assistance Grant Fund (CAGF) helps Step Up to support the Beverly Hills CLASP team access to resources within Step Up's programs and services. The goal is to help those experiencing homelessness by assisting the CLASP and the City of Beverly Hills to link eligible individuals to Los Angeles County's mental health programs. These additional services are not currently provided nor funded by any other source. The team will continue to increase referrals with linkage to Step Up's FSP Program in SPA 4 and 5 and housing resources with the goal to end homeless in Beverly Hills.

Step Up is a Los Angeles County Department of Mental Health Master Agreement Contractor operating multiple mental health/homeless programs in both SPA 4 and 5, including Full-Service Partnership Programs (FSP) and Assisted Outpatient Treatment Programs (AOT). The City of Beverly Hills eligible community members experiencing homelessness within the city-limits can access resources in both service areas through Step Up's contracts with Los Angeles County Department of Mental Health. In addition, funding through CAGF helps to cover the costs of the vehicle used for outreach in the community.

Through this grant, Step Up will refer individuals to the DMH intensive programs for appropriate and qualified Beverly Hills CLASP referrals. FSP and AOT programs will engage and link individuals who are vulnerable and experiencing chronic homelessness to a multi-disciplinary team (service coordinator, nurse, licensed social worker, and psychiatrist), equipped to address complex case management, health, and psychiatric needs, and housing. In addition, these funds will support Step Up staff resources to act as the City of Beverly Hills' liaison to the Coordinated Entry Systems (CES) in both SPA 5 and 4.

Step Up will ensure those individuals experience homelessness in Beverly Hills and outreached by CLASP are surveyed through the CAGF funding. The team will use LAHSA VI-SPDAT tool and responses will be entered into the CES system to ensure these individuals have access to and will be appropriately linked to housing resources. Both the DMH and CES systems are complex; however, Step Up staff are trained and will provide access and a voice to advocate for those Beverly Hills members who are not already a part of the system.

Step Up is an active participant in CES and is highly regarded for successfully housing individuals experiencing chronic homelessness both before the CES was instituted and currently. During 2021, Step Up provided Permanent Supportive Housing for 160 individuals who benefited from its Los Angeles service programs.

Step Up program staff attends the CES meetings in their local areas, keeps track of members entered and has access to specialized housing resources due to funding from Departments of Mental Health (DMH) and Health Services (OHS) and Veterans Programs (VASH and SSVF). Step Up staff will also assist with linking those who eventually enroll in FSP or AOT with access to housing resources outside the CES auspices. Step Up will assist with prioritization and access to wait lists for undesignated project based vouchered units at Step Up's Hollywood properties (The Tammy or Michael's Village).

In fiscal year 2022-2023, Step Up Beverly Hills-based staff plans to continue its program outreach by providing five (5) days a week 5:00 AM visits accompanying the Park Rangers to City Parks to identify individuals experiencing homelessness and mental health challenges who are subsisting during nonpublic-use hours in these parks. Step Up believes this will provide for timely interventions.

The staff members are aware that food gift cards and bus passes allow Step Up to establish rapport with individuals experiencing homelessness, giving the organization the opportunity to work collaboratively to link them to housing and services. As needed, Step Up provides blankets and clothing as well as transportation.
• Those who meet the criteria or need further evaluation will receive outreach and assessment by qualified Step Up staff.
• Will work with DMH to enroll CLASP members who have been assessed and meet program criteria in Step Up's intensive service programs.
• Permanent Supported Housing (PSH) linkage for two (2) BH community members experiencing homelessness.
• BH members placed in PSH will meet with Life Skills Coordinator weekly. • Ninety percent (90%) of those housed will remain stably housed during reporting period.

City of Beverly Hills
COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION FY 2023 - 2024

3. If you are applying for a cultural grant, please describe your program here.

NA
City of Beverly Hills
COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION FY 2023 - 2024

4. Why are these services considered critical (e.g., enhance quality of life, improve public safety)? If you are a previous recipient, will you be providing new services this funding period? These services are critical not only for the Beverly Hills' most vulnerable community members who are unsheltered and in desperate need of care, but also for the City. Homelessness has a significant impact in the City of Beverly Hills. The high cost of utilization of the City's crisis resources including first responders such as police, paramedics, and parks and recreation staff time. Homelessness affects community sanitation, safety, and general quality of life for all City of Beverly Hills residents and for visitors who come to the City from across the globe. It is clearly documented that the solution to homelessness is housing; specifically, permanent supportive housing. Step Up has been able to provide this resource to the City's members who are experiencing homelessness and are the most disabled through its support and grants.

The City of Beverly Hills also has limited access to mental health services to assist its unsheltered community members. It must rely on a LAC Department of Mental Health (LACDMH) directly or contracted agency and LAC Department of Health Services (LACDHS) for those services and supports. Step Up is currently the City of Beverly Hills designated LACDMH and LACDHS contractor that provides these needed mental health, physical health and housing resources for most vulnerable unsheltered persons within the City of Beverly Hills.

This CAGF $165,000.00 request will enable Step Up to augment the current CLASP program services with critical services such as:
• Ability to call one of its qualified mental health professionals to make assessments and evaluations for mental health triage and care for individuals enrolled in Step Up DMH programs. • Five (5) days a week, Step Up outreach staff will accompany the Park Rangers at 5:00 AM to work with individuals experiencing homelessness and subsisting during non-public-use hours the Beverly Hills City parks.
• CLASP members enrolled in Step Up DMH programs will be provided with access to health care professionals including a nurse and psychiatrist.
• Permanent supportive housing linkage and placement in the CES system and placement for individuals currently experiencing chronic homelessness in the City of Beverly Hills, in addition to managing SPA 4 CES for Beverly Hills members.
• Intensive post-housing, member-driven support services that include intensive case management, life skills development, and post-housing psychiatric support for medication. • The $10,000.00 increase in funds will cover the increased costs for this important communitybased service.

City of Beverly Hills
COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION FY 2023 - 2024

5. What percentage of your total program service is utilized by members of the Beverly Hills community? If a new program, what percentage of users do you anticipate would be members of the Beverly Hills community?
CAGF grant funding will be 100% utilized by Step Up for the Beverly Hills community.

City of Beverly Hills
COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION FY 2023 - 2024

6. Please describe your organization's ongoing response to the COVID-19 pandemic and the impact to service delivery. In FY 2023-24, does your organization anticipate your proposed program(s) to remain virtual, in-person, or hybrid, and what measures will be taken to ensure program efficacy? Step Up had to address two issues at the start of the COVID-19 pandemic: how to continue to provide the support and services needed by Step Up members and by individuals who have mental health condition and who experience homelessness; and, how to fund the agency which is dependent on government contract reimbursement for the majority of its revenue.

In the fall of 2019, Step Up moved to a cloud-based IT system, enabling access to agency information using the cloud-based programs instead of servers. While implemented well before any COVID-19 related affects were felt, this cloud-based system eased the transition to remote operations for Step Up. Staff were able to pivot to a tele-health service delivery model without disruption in members' quality of service.

Many services cannot be offered remotely and Step Up provided staff person al protective equipment (PPE) so that direct interaction with members was safe for both parties. In addition, Step Up has focused on housing more individuals as shelter aids in the protection of the individual's health.

The agency cannot currently offer its standard buffet-style meals inside Step Up on Second or Step Up on Vine program sites. The Meal Program has pivoted to serving pre-packed meals with utensils, and to be eaten outside the buildings or where the members live. Members have their temperature taken when they come to pick up a meal, and masks are provided to those who need them. Staff are equipped with PPE such as face coverings, masks, and gloves, and the staff regularly sanitize the facilities. These adjustments to the Meal Program's service model ensure that staff and members remain safe while also providing vital nutrition to individuals experiencing homelessness and mental health conditions.

Step Up continues to follow the recommendations of its government contract/grant funders as well as State, County and City government requirements. The safety of Step Up employees, members and the public is of importance and therefore the organization has a small team who takes responsibility for monitoring community and staff changes and ensuring implementation of safety measures. This team reports to the managers and employees all current information and safety requirements.

City of Beverly Hills
COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION FY 2023 - 2024

7. For New Applicants: If your proposed program(s) or service(s) are similar to those of any of the City's current CAGF partners, what differentiates your organization and proposed program(s) from the current service provider(s)? Listing of current CAGF partners can be found on at www.beverlyhills.org/cagf.

NA
City of Beverly Hills
COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION FY 2023 - 2024

8. For Returning Applicants: The City takes pride in ensuring that residents have access to the strongest social services and cultural grants. Please describe what efforts your organization has taken to continue as a service provider or organization partnering with the City. Describe how your organization has been responsive to community needs and has incorporated best practices to better serve the Beverly Hills community?
Step Up has been honored to have partnered with the City of Beverly Hills for the past 15 years with the CLASP Outreach Program. The CLASP team has made great inroads in addressing homelessness in the City of Beverly Hills. Mental health recovery is a journey of healing and transformation enabling a person with mental health conditions to live a productive and meaningful life in a community of his or her choice while striving to achieve his or her full potential. The number one requested supportive service is housing.

Housing itself is healthcare. Thus, the end goal of all Step Up's homelessness services is permanent supportive housing for individuals experiencing mental health conditions. Residents in permanent housing have an opportunity for member-driven supportive services that include life skills to retain their stable housing, reduce recidivism, address their mental and physical health needs, reduce substance abuse, and help to attain their employment, personal, and/or educational goals. Mutuality, respect, and a sense of belonging are key components of Step Up's approach. Step Up is enthusiastic at the prospect of continuing to augment CLASP services through this CAGF grant award. Together through this partnership, recovery is possible
City of Beverly Hills
COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION FY 2023 - 2024

9. The funding year is July 1, 2023 to June 30, 2024. What is the funding amount requested? $165,000.00

10. What percentage of your annual funding would the City's contribution represent? Less than .01%

11. What is the ratio of your organization's administrative operating costs? 14%
City of Beverly Hills
COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION FY 2023 - 2024

12. Provide any additional information that may be useful in evaluating your proposal.

City of Beverly Hills
COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION FY 2023 - 2024

13. Financial Statement:
a. For grant requests up to $74,999, please submit most recent balance sheet and operating budget OR tax return.
b. For grant requests $75,000 and over, please submit most recent financial statement reviewed by a Certified Public Accountant The following documents are required:
[] Completed CAGF application
[] Documentation of S0lc.3 status of proof of S0lc.3 status through partnership □ Copy of most recent Form 990 Return of Organization Exempt from Income Tax D Copies of any current Charitable Solicitations Permits that have been obtained from the City of Beverly Hills
APPLICATION SUMMARY FY 2023/24
Agency: The Maple Counseling Center (TMCC)
Requested amount: $200,000
History of City funding: 1984-89: $70,000 annually; 1990-91: $100,000 (extra $30,000 as one-time contribution to assist in relocation expenses); 1992-93: $100,000 annually; 1994:
$125,000 (extra $25,000 as one-time increase to aid in debt recovery); 1995-96: $125,000 annually; 1997-2002: $150,000 annually; 2003-6: $165,000 annually; 2007: $165,000; 2008/9:
$170,000; 2009/10: $86,499; 2010/11: $75,000; 2011/12: $75,000; 2012/13: $75,000; 2013/14:
$75,000; 2014/2015: $100,000; 2015/16: $120,500; 2016/17: $140,500; 2017/18: $150,000; 2018/19: $155,000; 2019/20: $165,000; 2020/21: $180,000; 2021/22:$185,000; 2022/23:
$185,000
Agency description: Since 1972, TMCC has been the single low-fee community mental health resource in the City of Beverly Hills. TMCC serves the Beverly Hills community by providing comprehensive mental health services to all who need them. This includes residents, City and school district employees, and employers/employee of local businesses. All fees for TMCC's programs are assessed on a sliding scale, and no one is ever turned away for lack of funds.

TMCC is one of the few counseling alternatives in the Greater Los Angeles area offering lowcost, comprehensive programs, appealing largely to those who do not qualify for County funded programs, and for whom seeing a therapist in a private practice is too cost prohibitive.

Additionally, low-fee psychiatry services (medical evaluation and follow-up) are available by a part-time staff psychiatrist for clients who may benefit from medication as an adjunct to counseling. TMCC meets the mental health needs of individuals of all ages with specialized programs offered for couples, families and older adults.

Primary services include affordable medication evaluation; emergency intervention programs, counseling and support for local students, programs responsive to community needs in underserved areas of the County and to serve as a training program for students in graduate level and doctoral programs working towards licensure in the fields of psychology, social work and marriage and family therapy.

Proposed use of Community Assistance Grant Funds:

In December 2022, TMCC launched the Briskin I Wilder Welcome Center (BWWC), both a program and a (soon-to-be) place, designed to support community members through the process of finding and securing appropriate and affordable treatment and services, whether with Maple or through referral to an outside agency or support system. The new clinic is designed to be a nurturing place of wellness right by their entrance, where the community can convene, prospective clients can be supported through the intake process, and those seeking council for navigating the complex and overwhelming options for affordable, quality mental health care in Los Angeles County can find the resources they need. TMCC anticipates more Beverly Hills community members will be utilizing the BWWC services once they initiate more marketing and promotions of their enhanced available mental health support services.

In early-2023, Maple will be launching a pilot program to provide comprehensive assessment/psychological testing (psychoeducational and neurodevelopment) for children and adolescents. These tests can cost families upwards of $7K-$1 OK, so the aim is to create a sliding scale fee to significantly reduce this prohibitive expense for low-income families.

Target population/Primary service: LA County and the Beverly Hills community residents in need of mental health services and programs. Majority of clients are low-income. The primary service is to connect individuals with affordable mental health treatment and services.

Percentage of total program utilized by Beverly Hills residents/community: 60% Quantifiable Services and Measures: Maple's counseling programs serve a primarily lowincome clientele and fees are assessed on a sliding scale and/or one's ability to pay.

Historical Performance:

FY 22/23: (Q1 & Q2) [8] Satisfactory D Unsatisfactory □ N/A General Comment(s) (e.g., non-quantifiable benefits identified by experience with agency v. absolute numbers; observations such as their growth curve and relationship with City, its residents and target populations):

The demand for mental health services has been very high during the pandemic, and the necessity of moving TMCC's in-person services to telehealth sessions has allowed them to broaden their reach and increased their ability to serve new clients who previously were unable to travel to the clinic for in-person services.

TMCC's Programs include: Counseling Services/Adult Therapy Program (includes couples counseling, therapy, long term and short term groups, including COVID-19 support, Older Adult Program (supporting the mental health of individuals 55+), the Kapelovitz Psychiatry Program (psychiatric evaluation and follow up at a reduced fee), Child and Family Program (counseling for children, adolescents and families, and COVID-10 support groups for families) and Beverly Hills Unified School District Services (Community Circle and Counseling Programs).

Percentage of annual funding City's contribution represents: 7% (includes funds requested in this proposal of $200,000 in addition to the City of Beverly Hills Human Resources Department contract of $35,000).

Ratio of administrative to operating costs: 18.47%
Service Profile: Needs-based [8] Quality of life-based D Social Service [8] Health D Education [8] Other D
Agency Scope: Local [8] Regional [8] National D International D 501 (C) (3): Yes [8] No D Exempt D
2 City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024
Agency/ Project Name: The Maple Counseling Center/ Supporting the Community Address: 1945 S. La Cienega Blvd.

City: Los Angeles State:_C_A ____ Zip: 90034
Contact Person: Varina Bleil, Chief Executive Officer
Phone: (310) 271-9999 x 219 Fax: (310) 247-4910
Email: [email protected]
Please note the City's insurance requirements for FY 2023-2024. Within three (3) weeks of receiving notice of funding prior to receiving an agreement, your organization must submit insurance documentation with the following requirements:
• Each organization must submit to City an ACORD insurance certificate which include General Liability ($2 Million), Automobile (coverage limits based on services provided), and Workers Compensation Insurance (if required) • The City must be named as additionally insured under each policy • Subrogation must be waived for each insurance policy
• An endorsement to each policy stating that such policy shall not be cancelled by either party or reduced in coverage except after thirty (30) days prior written notice to City
Each organization will also be required to submit a copy of a W-9 form on the most current IRS form www.irs.gov/forms-pubs/ about-form-w-9
Please type your answers to the following questions. If you need additional space for any of the answers. please attach a separate sheet of pgper,

1. Is your organization a 50 lc.3, or are you in partnership with a 501 c.3 organization? llJ We are a 501 c.3
D We are in partnership with a 501 c.3
llJ Documentation showing 50lc.3 status or partnership with a 50lc.3 is attached.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

2. What services do you propose to provide the Beverly Hills community that local government is not currently providing?
Please see attached.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

3. If you are applying for a cultural grant, please describe your program here.

NIA
City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

4. Why are these services considered critical (e.g., enhance quality of life, improve public safety)? If you are a previous recipient, will you be providing new services this funding period? Please see attached.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

5. What percentage of your total program service is utilized by members of the Beverly Hills community? If a new program, what percentage of users do you anticipate would be members of the Beverly Hills community?
During 2022. members of the Beverly Hills community comprised over 60% of the Center's total clients for all programs combined. This percentage includes students receiving services within the BHUSD. In addition, we anticipate more Beverly Hills community members will be utilizing our services once we initiate more marketing and promotions of our enhanced available mental health support services via the Briskin I Wilder Welcome Center as so many families have been impacted by mental health challenges. This program supports anyone in finding appropriate care for a loved one in need and deepens support for enhancing services beyond weekly therapy.

In many instances, Beverly Hills City and BHUSD employees elect not to identify as such, and choose not to take advantage of the discounted flat-fee to ensure their anonymity is protected.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

6. Please describe your organization's ongoing response to the COVID-19 pandemic and the impact to service delivery. In FY 2023-24, does your organization anticipate your proposed program(s) to remain virtual, in-person, or hybrid, and what measures will be taken to ensure program efficacy? Aware that behavioral health services are even more critical to many individuals at this time, Maple Counseling offers all of our comprehensive mental health services via TeleCounseling. This enables broadening our reach to serve new and existing clients who would be unable to travel to the clinic for in-person services for any reason. In 2021, with a $100,000 grant from Cedars-Sinai, Maple improved our TeleCounseling delivery model and created a new Electronic Health Records database system, allowing Maple to both increase our ability to track program efficiency and the number of clients served. While Maple continues to see clients in-person at our school-based programs, currently all clinic clients are being served via TeleCounseling until we open our new clinic at 1945 S. La Cienega Blvd. in mid-city Los Angeles in February 2023. At our new clinic, clients will be given the option of receiving services either in-person or via TeleCounseling or a hybrid of both (based on schedules and availability). Maple's new clinic is a 10,000 square foot, state-of-the-art facility where all clinical spaces have technology for TeleCounseling, allowing therapists to seamlessly pivot from an in-person session to a TeleCounseling session. In addition, the new clinic boasts six group therapy and training rooms that have the technological capacity to provide hybrid attendance, with some participants in-person and some attending via HIPAA-compliant remote access. The goal has been to optimize the client experience, increase access, and provide the necessary environment for both supportive and meaningful training and services.

For almost 50 years, Maple Counseling is one of the few low-fee counseling services available where people pay what they can afford, and since the pandemic, Maple Counseling's services have never been as crucial and we remain on the frontlines of responding to a national mental health crisis, particularly for youth and adolescents at this time. To further support the needs of our community as a result of COVD-19 and the civil unrest in June 2020, Maple Counseling added group therapy programs specific to addressing the related increase in life-stressors (e.g. parenting group therapy, couples group therapy, BIPOC-identified, etc.), as well as community-based support sessions for the City ofBeverly Hills. Additionally, in June 2020, Maple Counseling Clinical Supervisors started a Diversity Equity and Inclusion (DEi) Committee to address the clinical needs (e.g. culturally-sensitive, trauma-informed training) of Maple Counseling interns working with clients during this time, and they continue to meet weekly to formulate recommendations for Maple Counseling leadership and the Board Programs Committee.

A significant impact of COVID-19 on the organization's service delivery has been its implications on the cost to provide affordable mental health services. Demand for mental health providers has increased considerably, making securing and retaining quality clinicians highly competitive and clinical salaries higher than ever. Not only did it result in an increase in Maple's overhead by $190K in clinical salaries alone since fiscal year 2021, but Maple has also had to wean itself away from receiving revenue from interns' fees. For decades, interns have paid Maple Counseling to intern at our highly-regarded training program and in return they receive not only the clinical opportunities they need for licensure, but also a prolific amount of professional training and development on par with continuing higher education. However, the demand for clinicians coupled with a need to diversify the available pool of professional mental health practitioners to better represent communities in greatest need post-pandemic, has resulted in most training organizations in Los Angeles eliminating or reducing the intern fee. Prior to 2020, Maple used to receive $75K annually in revenue from intern fees. Maple reduced our intern fee each year since until the intern fee is completely eliminated in July 2023. In addition, a significantly higher number of clients have not been able to pay their bills since the start of the pandemic, resulting in a loss of approximately $40K in client fees annually since March 2020. All of this was on top of Maple's need to upgrade our technology and internal systems, in addition to adding specialized training to adapt to best practice TeleCounseling. With all of these financial demands and constraints, the pandemic has resulted in requiring Maple to raise nearly $SOOK more through fundraising since the start of the pandemic, in addition to raising the $2,SM for our capital campaign to move into our new clinic.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

7. For New Applicants: If your proposed program(s) or service(s) are similar to those of any of the City's current CAGF partners, what differentiates your organization and proposed program(s) from the current service provider(s)? Listing of current CAGF partners can be found on at www.beverlyhills.org/cagf.

NIA
City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

8. For Returning Applicants: The City takes pride in ensuring that residents have access to the strongest social services and cultural grants. Please describe what efforts your organization has taken to continue as a service provider or organization partnering with the City. Describe how your organization has been responsive to community needs and has incorporated best practices to better serve the Beverly Hills community?
To assure that the City of Beverly Hills community is aware of and quickly connected to Maple's services we will carry out the following outreach activities:
•Setup referral systems and communicate regularly with the City's Social Services departments; the City's Police Department; and the Pre-Trial Services and Alternatives program. Maple also works closely with private and public schools that serve the Beverly Hills community.
• Provide updated service description materials to City departments including Human Resources and all City contracted social service agencies.
• Maple's website describes all services, eligibility requirements, and provides guidance regarding next steps and the anticipated response time to inquiries and service requests. Website users can initiate contact via telephone and email, and we are in the process of creating a webform. All inquiries are responded to within 24 hours of receipt. • Maple will attend all City initiated contracted social service agency meetings and provide participating agencies with Maple services updates. Maple representatives will stay up-to-date with appropriate City Commissions and Subcommittees. • Strengthening strategic outreach to community members of color: Maple proposes the following activities to strengthen outreach to the City of Beverly Hills' community members of color:
o Work with appropriate City departments, boards, commissions, and service providers to understand the needs of community members of color in order to devise an appropriate and effective outreach plan and corresponding services. o Continue strengthening Maple's mental health treatment services through integration of racial equity based best practices including clinician and administrator professional development, focus groups, and client surveys. o Work with appropriate City of Beverly Hills non-profit leaders and faith leaders working with communities of color to coordinate the dissemination of information regarding our available mental health support services to their constituents.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

9. The funding year is July 1, 2023 to June 30, 2024. What is the funding amount requested? The total amount of this funding request is $200,000, an increase of $20,000 from the 2021-2022 fiscal year. The additional funding requested for the upcoming year will help support the increase in general operating expenses as a result of COVID-19 on the mental health field (as discussed above in #6). In addition. funds will help increase Maple's marketing and outreach efforts to city residents, employees, business owners to ensure as many people as possible know of our new clinic an

10. What percentage of your annual funding would the City's contribution represent? Maple Counseling's FY2023 organizational budget is $2,527,766. The total percentage of Maple's funding that would come from the City of Beverly Hills Community Assistance Funding in 2022-2023 will be 7%.

11. What is the ratio of your organization's administrative operating costs? For fiscal year 2023, the ratio of the administrative operating costs ($466,878) to operating budget ($2,527,766) is 18.4 7%.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

12. Provide any additional information that may be useful in evaluating your proposal.

On January 11, 2023, Maple received Certificate of Occupancy to move into its new headquarters at 1945 S. La Cienega Blvd., Los Angeles, CA 90034 - a City of Beverly Hills owned building. The plan is to roll out opening to the public beginning in February in stages to ensure a safe and smooth experience for all clients. Maple is currently under the LA County Department of Public Health's COVID-19 health mandates and, as such, masks are required for all in-door activities at the clinic until further notice, which we anticipate may impact the number of clients who choose in-person versus TeleCounseling, but this remains to be seen. Given our new location and expanded services, Maple intends to increase its marketing and outreach activities to ensure that Beverly Hills residents and employees are aware of the new location and enhanced programs.

Maple offers treatment for depression, anxiety, trauma, grief and loss, stress, and relational problems, among other mental health needs. We guide our clients toward self-awareness and improved emotional coping, with the goal of having a productive and fuller life experience. At the same time, Maple develops the mental health workforce through its structured program for completion of experience required for licensure as a Marriage and Family Therapist (MFT). Licensed Clinical Social Worker (LCSW), and Psychologist (PhD, PsyD). Using evidence-based interventions, interns and associates provide mental health services under supervision of highly experienced licensed clinicians.

Over the past few years, Maple has made it a priority to partner with community-based organizations to address unmet needs in underserved communities and to provide Maple interns with new training opportunities. As such, Maple Counseling is currently completing a pilot program to assess a partnership with the City of Beverly Hills Fire Department's Nurse Practitioner Program. This potential program aims to relieve some of the burden placed on the fire department in responding to certain situations in which mental health may play a role. Based on the success of the program pilot, Maple and the BHFD would seek funding for an ongoing partnership and the possibility of a satellite office at the Beverly Hills Fire Department to provide more accessibility for City employees. This program will not be providing long-term ongoing mental health services to city of Beverly Hills patients, but rather focus on intake/assessment and referrals and provide short-term therapy as needed. Combined with the rapidly growing hiring of mental health professionals specifically for inclusion within emergency responder units, we anticipate this may make a rather enticing program for recruiting MSW students to Maple's intern training program.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

13. Financial Statement:
a. For grant requests up to $74,999, please submit most recent balance sheet and operating budget OR tax return.
b. For grant requests $75,000 and over, please submit most recent financial statement reviewed by a Certified Public Accountant
The following documents are required:

Ill Completed CAGF application
Ill Documentation of 501 c.3 status of proof of 501 c.3 status through partnership Ill Copy of most recent Form 990 - Return of Organization Exempt from Income Tax Ill Copies of any current Charitable Solicitations Permits that have been obtained from the City of Beverly Hills
Additional Application Responses: Question #2, Question #4 Beverly Hills Application for Maple Counseling
January 23, 2023
Agency/ Project Name: The Maple Counseling Center - Supporting the Community Address: 1945 S. La Cienega Boulevard
City: Los Angeles State: CA Zip: 90034
Contact Person: Varina Bleil, Chief Executive Officer
Phone: (310) 271-9999 x 219 Fax: (310) 247-4910 Email: [email protected] Attached Application responses:

2. What services do you propose to provide the Beverly Hills community that local government is not currently providing?
Organization history. In July 1972, The Maple Counseling Center (Maple), aptly named for its original location on Maple Drive, was opened in response to an increase in substance use identified by concerned parents and community members within the city of Beverly Hills. Paraprofessionals and student peer counselors were initially utilized to provide services. The Center soon hired professional clinical staff to address the growing needs of the community. Fifty years later, Maple Counseling (Maple), is a key resource of low fee, comprehensive mental health programs for residents of Beverly Hills and the surrounding communities.

Population served. Maple serves community residents, students in BHUSD, Beverly Hills city and school district employees, and people employed by Beverly Hills-based businesses. City and school district employees, as well as City first responders and their family members who pay a flat (discounted) fee. Maple services are accessed by those who may have income but no insurance or cannot find an available therapist who takes their insurance coverage, an all-too-common barrier to treatment since the pandemic. For some, the cost through insurance is still not affordable. Finally, some clients have used their insurance's allowable mental health treatment hours and to continue care must seek out affordable alternatives. Most Maple clients are underemployed or unemployed.

Senior and disabled clients live on Social Security or SSI. Living with few resources, most are renters; in Los Angeles this means they also suffer from housing insecurity and some have no permanent residence.

Program Goal. Maple's goal is to engage City of Beverly Hills individuals and families in trauma-informed and culturally sensitive counseling in order to positively impact their mental health; the goal's objectives are:
• Make available to all City of Beverly Hills community members culturally relevant and equity based mental health treatment services in multiple modalities (individual, couples, family, group.) • Develop and carry out outreach activities to assure that all City of Beverly Hills community members are aware of and can easily access Maple services.
• Provide services in-person and remotely via HIPAA-compliant telehealth platforms to reduce client barriers to mental health treatment.

Additional Application Responses: Question #2, Question #4 Beverly Hills Application for Maple Counseling
January 23, 2023
Summary of services: Counseling services are provided by graduate and post-graduate level students, as well as associates who are working toward licensure in the mental health profession, including psychology (PhD/PsyD), marriage and family therapy (MFT/AMFT) and social work (MSW). All interns and associates are supervised weekly during two-hour (each) supervision groups, in addition to receiving two weekly training seminars in both intake and professional development by licensed clinical staff. In addition, all interns/associates receive individual weekly supervision from a Maple volunteer supervisor who is also a licensed clinician. Maple also offers psychiatry services for active clients who are in need of medication evaluation and follow-up. Currently, 72 interns are under the direction of 11 clinical staff who provide supervision and program coordination. In total, Maple interns provide an average of 2,180 sessions per month to clinic, school, and community-based clients. Maple has 10 full-time employees and 12 part-time employees. Of the 22 employees, 12 are clinical staff who report to the Clinical Director.

Principal functions of Maple:
• Meet the mental health/counseling needs of people of all ages, with specialized programs offered to couples, families, and children.
• Make medication evaluation available and affordable for clients to augment their counseling. • Provide municipal employees with ongoing support and educational programs. • Provide counseling and other support services for students in the local schools. • Implement programs to respond to community needs, particularly in underserved communities throughout Los Angeles County otherwise lacking resources.
• Serve as a training program for students in graduate-level and doctoral training programs and working toward licensure in the fields of psychology, social work, and marriage and family therapy.

Maple programs: Since 1972, Maple has been committed to improving the quality of life for people in Beverly Hills by providing affordable mental health services. Maple offers programs to meet the needs of its clients across the life span, from infants through the advanced elderly. Maple's counseling programs serve a primarily low-income clientele and fees are assessed on a sliding scale and/or one's ability to pay. The average fee is $25.00 - $28.00 per session as many clients are unemployed and/or living on a reduced income with some grappling with unstable housing situations. Maple serves over 500 clients each week via its center, and another 1,600+ students each year in local pre-K to 12th grade schools. Psychiatric evaluation and follow-up appointments are available for clients who may need prescription medication in addition to counseling services.

Maple is temporarily offering all services remotely via HI PAA-compliant tele-health platforms. Based on client access to technology, services are delivered via TeleCounseling and phone; however services will once again resume in-person services shortly. Maple recently moved to its new headquarters located at 1945 S. La Cienega Boulevard and will be opening to the public for services on-site in the coming weeks. The new space is easily accessible by public transportation and affordable public parking is available. The new space has allowed Maple to expand services to include our new ADA compliant Briskin I Wilder Welcome Center.

Maple's comprehensive offerings of programs includes:
• Briskin I Wilder Welcome Center is a program and a place, designed to support community members thorugh the process of finding and securing appropriate and affordable treatment and services, whether with Maple or through referrals to an outside agency or support system. 2 Additional Application Responses: Question #2, Question #4 Beverly Hills Application for Maple Counseling
January 23, 2023
• Adult Therapy Program is the most highly utilized service and it includes individuals 18 years or older, couples counseling, and therapy groups.
• Kapelovitz Psychiatry Program is for eligible clients requiring psychiatric evaluation and follow-up treatment at a significantly reduced rate.
• Children, Adolescent, and Family (CAF) Therapy Program offers a range of services for children (ages 2-12), adolescents (ages 12-17), and their families, including consultations and evaluations, and individual and family therapy. Families can address a range of issues, including crisis situations, in group or individual therapy modalities. CAF also provides parent support groups and is re-launching its celebrated mindfulness parenting program. The parent support groups are open to all families and topics include: managing work with kids at home, special considerations for teenagers, self-care for parents, managing screen time, systemic issues, racism, prejudice, immigration, social justice, and cyber bullying. • School-Based Mental Health Program provides children (pre-K through 12th grade), parents/caregivers, and school teachers/administrators predominantly in SPA 5, and some of SPA 4 and G's most economically disadvantaged communities with mental health services. Services include: school-based counseling; classroom intervention addressing student's cognitive, behavioral, social, and emotional challenges; team building and self-esteem activities for children through collaboration with peers and teachers; parent trainings designed to help them support their children in overcoming barriers to classroom success; teacher and administrator support and training.
o BHUSD services - On-site individual, group, and family counseling sessions are provided at Beverly Vista Middle School, Moreno Continuation School, and Beverly Hills High School. Our associates and trainees meet with students weekly to provide a safe and nurturing counseling experience, allowing them to work through the many challenges of childhood and adolescence including academic struggles, social and peer challenges, depression, anxiety, low self-esteem, and drug and alcohol experimentation. In 2022, Maple provided 2,887 counseling sessions and increased our services for the 2022-2023 school year at Beverly Vista Middle School due to significant need. o Community Circle program - Maple's oldest program, running continuously for nearly 50 years, has a goal of building character, self-confidence, self-worth, and responsibility in children in pre-K to 5th grade at all BHUSD elementary schools, servicing over 450 youth each school year. Maple-trained volunteers operate in school classrooms to provide students with the opportunity to learn and model communication skills, social skills and conflict resolution strategies in a safe setting. o Ted z"I and Hedy Orden z"I and Family Community-Based Preschool Program - addresses the mental health needs of children ages 2-5 who are experiencing challenges in the classroom setting. Services are offered at community-based sites including those that target underserved populations impacted by poverty, homelessness, trauma, family dysfunction, mental illness, and substance use. Counselors help staff learn how to address behavior challenges, considering each child's living environment and family history. Parenting classes and support groups are available. • Group Therapy Program offers ongoing groups that provide personal growth, support, healing, and increased knowledge of self and others. Therapy groups offer a safe space to discuss thoughts, feelings, and life events, and talk about issues that you may not be able to talk about elsewhere. Some support groups include Creating Meaningful Relationships, Parenting, Queer Space, Gay Men's Group, and BIPOC-identified Individuals.
3 Additional Application Responses: Question #2, Question #4 Beverly Hills Application for Maple Counseling
January 23, 2023

4. Why are these services considered critical (e.g., enhance quality of life, improve public safety)? If you are a previous recipient; will you be providing new services this funding period? Impact of COVID-19 on mental health: Throughout the United States the demand for mental health services has grown during the last few challenging years. Four in 10 adults in the U.S. (up from 1 in 10) report symptoms of anxiety or depressive disorder. Adults are experiencing difficulty sleeping (36%), eating (32%), increases in substance use (12%), and exacerbated chronic conditions (12%), due to worry and stress over the pandemic and coronavirus. A larger than average portion of young adults (ages 18-24) are experiencing symptoms of depression and anxiety and/or depressive disorder (56%). Adults and young adults are experiencing elevated rates of suicide.

BIPOC adults are more likely than white adults to report symptoms of anxiety and/or depressive disorder during the pandemic and Black and Hispanic communities are experiencing disproportionately higher rates of COVID cases and deaths, and negative financial impacts. Households with lower incomes are more likely to report deteriorating mental health from stress over COVID. 35% of people earning less than $40,000 report negative mental health impacts, compared to 21% of those with incomes between $40,000 to $89,999 and 17% of those earning $90,000 or more.

Adults in households with children under the age of 18, compared to adults in households without, are more likely to experience symptoms of anxiety and/or depressive disorder; among households with children under the age of 18, women have been more likely than men to report symptoms of anxiety and/or depressive disorder throughout the pandemic and one in four are considering leaving their jobs or reducing their hours, with many citing burnout and household responsibilities as the primary reason. 1 The pandemic's negative impact on mental health within the United States general population is mirrored in Beverly Hills. Access and delivery of mental health treatment modalities must respond to this overall elevated community need while simultaneously considering each community member's circumstances regarding access to treatment. 2 The need for Maple Counseling services within the City of Beverly Hills: According to the UCLA Center for Health Policy Research, Beverly Hills adults are more likely (27%) than California adults (20%) to need help for mental health issues and they are more likely to report serious psychological distress (14%) than adults in the County (9%). 3 The City's mortality rate from suicide is higher than for the County; 8.4 deaths per 100,000 compared to 7.6 deaths per 100,000 Los Angeles County residents.4 Community members of color are underserved and need increased access to the City's mental health treatment resources. Between clinic services and school-based programs, 60% of Maple's clients in 2022 came from the city of Beverly Hills, representing over 4,000 service hours. That being said, Maple recognizes the need for mental health services is at an all-time high and that targeted community outreach and education regarding our low/no fee services is needed to reach those who need our services the most. We look forward to working with the City, contracted service agencies and other organizations to devise and carryout effective community outreach activities. 1 Panchal, N., Kamal, R., Cox, C., & Greenfield, R. (2022, April 28). The Implications of COVID-19 for Mental Health and Substance Use.

Retrieved May 22, 2022, from https://www.kff.org/coronavirus-covid-19/issue-brief/the-implications-of-covid-19-for-mental-health-andsubstance-use/ 2 Collins, Rebecca L., Nicole K. Eberhart, Amy L. Shearer, Elicia M. John, and Elizabeth Roth, Evaluation of Los Angeles County's COVID-19 Mental Health Campaign. Santa Monica, CA: RAND Corporation, 2021. https://www.rand.org/pubs/research_reports/RRA875-1.htm1. 3 UCLA Center for Health Policy Research. AskCHIS Neighborhood Edition. (2014). Adults Reporting Mental Health Problems in Beverly Hills and Los Angeles County [Data file] Retrieved from http://askchisne.ucla.edu 4 Los Angeles County Department of Public Health. (2018). City and Community Health Profiles: Beverly Hills. <http://www.publichealth.lacounty.gov/ohae/docs/cchp/pdf/2018/Beverly Hills.pdf> 4 Additional Application Responses: Question #2, Question #4 Beverly Hills Application for Maple Counseling
January 23, 2023
Mental health treatment for the under-insured: While a higher proportion of Beverly Hill's community members have health insurance than the overall Los Angeles County population, a November 2021 Maple client survey showed 33% of our clients are un-insured. Maple services are accessed by those who may have income but no insurance or cannot find an available therapist who takes their insurance coverage, an all-too-common barrier to treatment since the pandemic. For some, the cost through insurance is still not affordable. Finally, some clients have used their insurance's allowable mental health treatment hours and to continue care must seek out affordable alternatives. Most Maple clients are underemployed or unemployed. Senior and disabled clients live on Social Security or SSI. Living with few resources, most are renters; in Los Angeles this means they also suffer from housing insecurity and some have no permanent residence.

New services this funding period: Launched in December 2022, the Briskin I Wilder Welcome Center (BWWC), both a program and a (soon-to-be) place, is designed to fill a critical gap in the mental health field. For those seeking mental health care for themselves or a loved one, it can be a daunting task to navigate and find appropriate care. The purpose of the BWWC is to support community members in finding appropriate and affordable mental health treatment and services, whether with Maple or through referrals to an outside agency or support system. Should Maple's services be deemed clinically inappropriate, licensed staff at the BWWC offer case management and follow-up care, along with other new services that provide a more well-rounded intake and assessment experience. A key component of the BWWC is to help current Maple clients identify additional resources that may be beneficial in addition to their therapy at Maple. The Briskin I Wilder Welcome Center at our new clinic is designed to be a nurturing place of wellness right by our entrance, where our community can convene, prospective clients can be supported through the intake process, and those seeking council for navigating the complex and overwhelming options for affordable, quality mental health care in Los Angeles County can find the resources they need.

In early-2023, Maple will be launching a pilot program to provide comprehensive assessment/psychological testing (psychoeducational and neurodevelopmental) for children and adolescents. These tests can cost families upwards of $7K-$10K, so the aim is to create a sliding scale fee to significantly reduced this prohibitive expense for lowincome families. 5 APPLICATION SUMMARY FY 2023/24
Agency: The Miracle Project
Requested amount: $45,000
History of City funding: 2019/20: $15,000; 2020/21: $20,000; 2021/22: $35,000; 2022/23:
$40,000
Agency description: The Miracle Project provides a fully inclusive performing and expressive arts program that uses a groundbreaking and evidence- based methodology to provide individuals with autism and other disabilities the tools to build communication, social skills, community, and greater self-esteem. At The Miracle Project our students, which range from 5 to 50+, become part of a unique neurodiverse community in which all abilities are celebrated.

With its artistic home at The Wallis Annenberg Center for Performing Arts in Beverly Hills, the Miracle Project serves over 130 individuals with autism and other disabilities through weekly classes in music, dance, theatre, and film; social skills classes; a summer camp program; and a public performance that aims to change how the world understands disability.

Proposed use of Community Assistance Grant Funds: TMP currently operates 13 weekly social skills classes that provide instruction, practice, and preparation for real-life social situations and positive social interactions using improvisation, theater games, and role playing.

Participants are provided individual coaching and group facilitation to practice positive interactions with peers, social communication, being part of a group, and transitioning from one social activity to another.

Target population/Primary service: Those ages 5 and older who have been diagnosed with autism and other disabilities will develop communication and social skills, build self-esteem, and create meaningful connections through expressive and performance arts.

Percentage of total program utilized by Beverly Hills community: Approximately 100% of their program services are utilized by members of the Beverly Hills community annually.

Quantifiable Services and Measures: Number of students served, number of classes offered and rate of attendance.

Historical Performance:

FY 22/23: (Q 1 & 02) [8J Satisfactory D Unsatisfactory □ N/A General Comment(s) (e.g., non-quantifiable benefits identified by experience with agency v. absolute numbers; observations such as their growth curve and relationship with City, its residents and target populations):

The Miracle Project's program an evidence-based intervention in easing anxiety, increasing confidence and enhancing self-esteem for children and teenagers on the autism spectrum.

Unlike many programs that serve individuals with autism, all of the Miracle Project's classes are neurodiverse, where individuals with and without disabilities are included. TMP currently offers in person and virtual programs to individuals.

Percentage of annual funding City's contribution represents: $45,000 in funding would represent about 8.5% of The Miracle Projects annual funding.

Ratio of administrative to operating costs: 14%
Service Profile: Needs-based D Quality of life-based D Social Service ~ Health D Education D Other ~
Agency Scope: Local ~ Regional ~ National D International D 501 (C) (3): Yes ~ No D Exempt D
2 City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024
Agency/ Project Name:Project Miracle aka The Miracle Project Address: 5870 West Olympic Boulevard
City: Los Angeles
Contact Person: Margaret Mendenhall
State: California Zip:90036
Phone: 213.793.5495 x 105 Fax: _______________ _
Em a i I: [email protected]
Please note the City's insurance requirements for FY 2023-2024. Within three (3) weeks of receiving notice of funding prior to receiving an agreement, your organization must submit insurance documentation with the following requirements:
• Each organization must submit to City an ACORD insurance certificate which include General Liability ($2 Million), Automobile (coverage limits based on services provided), and Workers Compensation Insurance (if required) • The City must be named as additionally insured under each policy • Subrogation must be waived for each insurance policy
• An endorsement to each policy stating that such policy shall not be cancelled by either party or reduced in coverage except after thirty (30) days prior written notice to City
Each organization will also be required to submit a copy of a W-9 form on the most current IRS form www. i rs. gov/forms-pubs/ a bout-form-w-9
Please type your answers to the following questions. If you need additional space for any of the answers. please attach a separate sheet of pgper.

1. Is your organization a 50lc.3, or are you in partnership with a 501 c.3 organization? Ill We are a 501 c.3
D We are in partnership with a 501 c.3
D Documentation showing 501 c.3 status or partnership with a 501 c.3 is attached.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

2. What services do you propose to provide the Beverly Hills community that local government is not currently providing?
The mission of The Miracle Project (TMP) is to create a neurodiverse community where the voices, passions and stories of individuals with and without disabilities are celebrated, elevated, supported and belong. Founded in 2004, TMP helps those with intellectual and developmental disabilities - speaking and non-speaking - enhance their resiliency, independence, and quality of life by using the expressive arts to build communication, self-esteem, job and social skills. Our unique programs use groundbreaking, evidence-based methods focused on the strengths and abilities inherent in each participant. Through shared experiences with neurotypical peers, individuals with disabilities find a safe haven to develop their talents, build community, ease anxiety and depression, and rehearse for life.Through the ongoing support from the City of Beverly Hills.

TMP reaches hundreds of individuals from the Beverly Hills community, if not more, through classes, public performances, professional trainings, parent and caregiver support programs, and special lectures by our thought leaders - experts in the fields of disability and inclusion - each year.

TMP currently operates 13 weekly social skills classes that provide instruction, practice, and preparation for real-life social situations and positive social interactions. Through the use of improvisation, theater games, and role playing, participants " rehearse for life" and are provided individual coaching and group facilitation to practice positive interactions with peers, social communication, being part of a group, and transitioning from one social activity to another. Weekly classes are available for those ages 5 to 50+. Curriculum variations by age include such examples as a focus on relationships and workplace etiquette for adults, peer pressure and bullying for adolescents, and initiating play and taking turns for youth.

TMP delivers the social skills program to more than 130 individuals with disabilities each year.

TMP' s musical theater courses utilize acting, singing, movement, and voice to build self-confidence, enhance self-expression. improve communication, and reduce anxiety and depression among individuals with and without disabilities. TMP's Triple Threat classes, which serve more than 80 individuals each year, incorporates social-emotional enrichment and performing arts training for beginner, intermediate, and advanced participants. In these classes, participants rehearse and perform musical theater songs and scene work, develop their talents as solo performers, and practice skills necessary for collaboration and compromise by working on large ensemble musical numbers. During the pandemic, participants also began learning technical skills regarding filming and audio recording in order to create innovative theatrical performances that can be viewed online. TMP's Company Class is an invitation-only semi-professional performance group for neurodiverse and neurotypical actors.TMP Company Class participants produce original content each year and have explored different mediums including the creation of original musicals (both theatrical and film) and production of original music videos.

Additional TMP programs include "I Can Do That" (ICDT) - a unique professional acting training program that prepares young adults on the spectrum for work in the entertainment industry. ICDT brings out participants' inherent talents while developing the skills necessary for employment in front of and behind the camera. TMP coaches are seasoned entertainment professionals who teach participants in group and individual settings on-camera fundamentals, on-set etiquette, voice-over technique, production skills, and audition strategies. TMP works directly with casting agents, producers, directors, and writers to help secure employment opportunities. guest starring roles and work as background actors with on-set support when needed. ICDT helps participants learn universal employment skills including respectful workplace behavior, communication, self-regulation, and self-advocacy. TMP also operates "Express Yourself," a first of its kind music, movement, creative writing and acting expressive arts weekly class geared at expanding communication and self expression skills for multimodality communicators (i.e. participants who are minimally speaking, non-speaking and unreliably speaking and those that use augmentative and alternative communication (AAC) devices to communicate.) City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

3. If you are applying for a cultural grant, please describe your program here.

In addition to the direct-service that TMP provides participants in the program, TMP also serves the Beverly Hills community at-large by providing a unique cultural experience that aims to inform and educate them about disability. Prior to COVID, TMP held a minimum of seven public performances in the city of Beverly Hills each year - a goal we did achieve in the 2022-2023 fiscal year, but due to COVID-safety concerns and Wallis building protocol, in-person audience sizes were at a significantly reduced capacity. If deemed safe to do so, in the 2023-2024 fiscal year, these public performances will include quarterly musical theater showcases, a performance at the conclusion of our summer camp, and at least two performances of our spring production (described below). Each of these performances are anticipated to be held at the Wallis Annenberg Center for the Performing Arts, and due to the preferences of our community and unpredictability of COVID-19, most will continue to be simultaneously live-streamed. The Miracle Project has found a virtual attendance option has made our programming and performances much more accessible to audience members who are not able to attend in-person for various reasons, including medical fragility and transportation constraints.

It is important to note that when we have in-person classes at The Wallis (which we are proud to be offering once again) we are able to serve a diverse group of individuals with physical disabilities, who do not always get access to the arts or arts education programs. The Wallis is an ADA accessible building, meaning that our students with physical limitations are able to attend all of our classes and programs. Additionally, we offer sensory friendly performances to our annual large production (ie. no applause and the lights are only dimmed, not off). This allows for audience members who otherwise could not attend a professional-level performance to engage in a unique cultural experience.

The Miracle Project' s annual production this year will be a fully inclusive theatrical showcase created by and starring individuals of all abilities and produced by members of The Miracle Project Company Class. In this performance, participants from TMP's Expressive Arts and Social Skills Classes will have the opportunity to share their unique voices, talents, and stories through prepared musical performances, original scenes and monologues, sketch comedy, and short and long-form improv. While TMP' s spring production at the Wallis has historically featured members of the Company Class, this year, we would like to host a production that features more of The Miracle Project community, especially those who are often not afforded performance opportunities because of their nontraditional ways of expressing themselves. With the support of the City of Beverly Hills, TMP will create a production that features authentic content developed by children and adults with disabilities whose stories too often go unheard and whose potential is too often underestimated. Our aim is to transform the way audiences see those with disabilities and to challenge perceptions of
what "disability" and "ability" really mean.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

4. Why are these services considered critical (e.g., enhance quality of life, improve public safety)? If you are a previous recipient, will you be providing new services this funding period? In 2020, the Centers for Disease Control estimated that one in 54 children in the United States have autism, up from one in 2,000 children in the 1970s and 1980s. More than 50% of adults with autism are diagnosed with depression (National Autism Society, 2019) and more than 40% of children with autism are diagnosed with anxiety disorders (Autism Spectrum Disorders, 2018). Additionally, autistic adults are more likely than nonautistic adults to face loneliness and social isolation - with more than 28% living in complete isolation, meaning no social contact with anyone outside their household (Journal of Autism and Developmental Disorders, 2013). Individuals with autism and other disabilities have significantly higher rates of depression than those without disabilities. More than 50% of adults with autism are diagnosed with depression (National Autism Society, 2019) and more than 40% of children with autism are diagnosed with anxiety disorders (Autism Spectrum Disorders, 2018).

This dramatic rise in autism rates coupled with systemic isolation and depression highlight the pressing need to create more spaces in which everyone in our community can thrive and feel that they belong.

For those with autism and other disabilities - too often the focus is placed on "correcting" their behaviors; on trying to get them to fit into a world that sees them as "the other" - as not just disabled, but unable. At TMP we welcome everyone as they are. Many of the students who come to TMP have not been able to be successful in other programs. Even though some students may be innately talented, years of being bullied, unseen, or misunderstood results in low self-esteem, hiding their true selves and an inability to be able to reveal their talents. Oftentimes traditional music or performance classes have curriculums that move too fast and students with autism or other disabilities can get lost and not be able to follow the pace of the class. By operating from a place of acceptance and engaging our students through the expressive and performing arts, we help our students develop communication and social skills, build self-esteem, and create meaningful connections.

In 2014, researchers from California State University, Northridge studied the impact of TMP for youth and teens thanks to a grant from the National Endowment for the Arts. Their results were published in 2015 in the International Journal of Education and Social Sciences. The study deemed TMP as an evidence-based intervention in easing anxiety, increasing confidence, and enhancing self-esteem for children and teenagers on the autism spectrum. Additionally, the study found that TMP increased levels of empathy and self-confidence for co-actors (ie. neurotypical program volunteers). We have made a special effort to recruit our co-actors from the Beverly Hills school district, helping make them more engaged, empathetic and confident citizens of the city.

Just as important to the value we offer those that participate directly in the program is the value we bring to the Beverly Hills community at-large. Our shows, featuring the talents and abilities of people of all abilities, help to foster greater understanding, empathy, sympathy and respect for all individuals regardless of ability. Through the power of theater and storytelling we are working to create a more tolerant and welcoming society in which all - regardless of ability - feel valued and accepted. With more than 1,500 audience members per year attending in-person or virtual events in and around Beverly Hills, we believe that we provide a vital service in helping to improve the quality of life for all Beverly Hills residents - strengthening Beverly Hills' commitment to creating a thriving and vibrant diverse community in which all citizens are welcome.

During the pandemic TMP shifted our programming online (see Question 6) however as of Fall 2021 we have been reintroducing programming at The Wallis. We continue to operate a number of our classes strictly online for those who remain at a heightened risk of exposure or are unable to attend classes due to transportation or geographic challenges. We have found that Beverly Hills community members access our programs both virtually and in-person.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

5. What percentage of your total program service is utilized by members of the Beverly Hills community? If a new program, what percentage of users do you anticipate would be members of the Beverly Hills community?
100% of our programs are utilized by members of the Beverly Hills community.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

6. Please describe your organization's ongoing response to the COVID-19 pandemic and the impact to service delivery. In FY 2023-24, does your organization anticipate your proposed program(s) to remain virtual, in-person, or hybrid, and what measures will be taken to ensure program efficacy? In an effort to combat the isolation, anxiety and disruption in routine caused by COVID-19, within one week of California' s stay-at-home orders going into effect in March 2020, TMP successfully transitioned nearly all programs online, hosting classes virtually each week via Zoom. Nearly all the participants who joined us each week at The Wallis began accessing our programs online and participants who were previously unable to due to transportation or geographic limitations were now able to join.

Currently, TMP offers approximately 85 hours of instruction per month, accommodating neurodiverse individuals that are best served in-person, and those who need to attend virtually. We are also pleased to report that TMP has been able to resume (in-person and virtual) private expressive arts and social skills sessions for families in Beverly Hills interested in 1:1 services in addition to group classes.

Every day, we witness how powerful coming together in a virtual space can be - how in the midst of chaos and uncertainty, our participants and their families have continued to build social and life skills, develop self-esteem, and find comfort, connection and support. TMP adapted curricula in all classes to help participants and their families adjust to life during the pandemic, placing emphasis on emotional and physical self-regulation as well as strategies to reduce anxiety, deal with loss and change, cope with uncertainty, and practice body awareness. Additionally, TMP has continued to produce original content - reaching audiences of thousands locally, nationally, and internationally. In 2023-2024, when infection rates dip, we look forward to increasing the number of in-person audience members we can invite to our performances so they, too, can become part of The Miracle Project Community.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

7. For New Applicants: If your proposed program(s) or service(s) are similar to those of any of the City's current CAGF partners, what differentiates your organization and proposed program(s) from the current service provider(s)? Listing of current CAGF partners can be found on at www.beverlyhills.org/ cagf.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

8. For Returning Applicants: The City takes pride in ensuring that residents have access to the strongest social services and cultural grants. Please describe what efforts your organization has taken to continue as a service provider or organization partnering with the City. Describe how your organization has been responsive to community needs and has incorporated best practices to better serve the Beverly Hills community?
As noted above, TMP has proudly been able to continue supporting the members of the Beverly Hills community with disabilities throughout the pandemic and are looking forward to bringing many of our programs back in-person in the coming year. In November 2020, TMP' s Founder and Executive Artistic Director Elaine Hall along with Senior Grants Manager Julia Moss had the distinct honor of presenting at the Human Relations Commission' s monthly meeting. After hearing of our work, TMP was commissioned to create an original song for Beverly Hills' 2021 Kindness Week. In January 2021. TMP intern Jack Cline wrote the original song. "I Choose Kindness, " which is now incorporated into our curriculum. The song has led to some very meaningful conversations with our participants about what kindness is, what it is not, and how to keep kindness at the center of our interactions with friends and family. More than a dozen TMP participants with disabilities recorded the song, which TMP professionally edited and provided to the City of Beverly Hills free of charge to use as part of the 2021 Kindness Week celebration in February. The song was distributed by the Human Relations Commission and the City of Beverly Hills and featured on the City' s website. We look forward to future opportunities for collaboration and partnership.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

9. The funding year is July 1, 2023 to June 30, 2024. What is the funding amount requested? $45,000

10. What percentage of your annual funding would the City's contribution represent?

8.5%

11. What is the ratio of your organization's administrative operating costs? 14%
City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

12. Provide any additional information that may be useful in evaluating your proposal.

In 2022, The Miracle Project produced two original music videos that shed light on the neurodiverse experience and are publicly available for viewing. Let My Typin' Let You See is an original music video created with and starring multimodality communicators in our Express Yourself program. The lyrics, written by the Express Yourself artists, are an anthem for inclusion and opportunity. It All Comes Down to Me is an original music video created by and starring The Miracle Project's fully inclusive and neurodiverse Company Class. The musical composition and lyrics. created by members of the Company Class, embody the array of sentiments experienced by people of all backgrounds during the pandemic. These videos, along with the rest of The Miracle Project' s original content, shed light on the neurodiverse experience while helping audiences identify the humanity that connects us all.

TMP students impacted over 3,000 audience members by performing in the following venues in 2022:

Skirball Cultural Center, Los Angeles, CA
International Autism Tree Neuroscience Conference, San Diego, CA SPELL-X (International salon-style virtual conference
Autism Speaks Walk, Dodgers Stadium, Los Angeles, CA
Afro-Classical Composers Concert, Los Angeles, CA
In May 2022, The Company Class hosted The Zoom Project: Resilience and Creativity in a Global Pandemic - a two-day celebration of imagination and neurodiversity in the Lovelace Theater at the Wallis Annenberg Center for the Performing Arts. Day 1 involved a comedy and musical improv show starring actors with autism and of all abilities (which was also live-streamed for a virtual audience). On Day 2, the Company Class hosted the inaugural Miracle Project Film Festival, featuring all of the original content created by The Miracle Project during the pandemic. Also. in October 2022. TMP hosted an intimate discussion at the Skirball Cultural Center about Neurodiversity and Hollywood with writer/producer Jason Katims, actors Joe Montagna and Sue Ann Pien, and TMP founder, Elaine Hall.

In 2023, TMP is also looking forward to resuming its annual week-long summer musical theater camp for individuals of all abilities, ages, and levels of performing arts experience.

In addition to the direct services we provide those with disabilities in and around Beverly Hills, TMP works to strengthen the Beverly Hills community as a whole. During non-COVID times, more than 1,500 people attend our public performances at The Wallis and in Beverly Hills public schools, in which our students perform original musicals that deal with complex issues such as identity, relationships, independence and bullying. Through these performances, TMP aims to foster understanding, empathy, sympathy and to transform how audiences understand "ability." City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

13. Financial Statement:
a. For grant requests up to $74,999, please submit most recent balance sheet and operating budget OR tax return.
b. For grant requests $75,000 and over, please submit most recent financial statement reviewed by a Certified Public Accountant
The following documents are required:

Ill Completed CAGF application
Ill Documentation of 501 c.3 status of proof of 501 c.3 status through partnership Ill Copy of most recent Form 990 - Return of Organization Exempt from Income Tax Ill Copies of any current Charitable Solicitations Permits that have been obtained from the City of Beverly Hills
APPLICATION SUMMARY FY 2023/24
Agency: Theatre 40
Requested amount: $74,000
History of City funding: 2006-07: $1,000; 2007-08: $3000; 2008-09: $3,100 in grant funding and a separate request for $10,000 from the General Fund for theater seat replacement; 2017- 18: $20,000; 2018-19: $40,000; 2019-20: $50,000; 2020-21: $50,000; 2021-22: $50,000; 2022- 23: $50,000
Agency description: Theatre 40 is a professional producing theatre company that has been operating in Beverly Hills for over 56 years. Theatre 40 has produced approximately 470 professional theater productions and has been awarded over 380 drama critic's awards for excellence in theatre.

Proposed use of Community Assistance Grant Funds: Theatre 40 proposes to use the funds to support ongoing production of classic and new theatre for the community. Theatre 40 will also continue to offer the Adult Education Monday Night Theatre Appreciation Classes via Zoom and hopes to get back into a classroom now that the pandemic and the restrictions have relaxed.

Target population/Primary service: Individuals interested in attending theater performances as well as adults who attend Theatre 40's Theatre Appreciation class every Monday night.

Percentage of total program utilized by Beverly Hills residents/community: Approximately 78% of Theatre 40's annual season subscribers are Beverly Hills residents. Theatre 40 works with BHUSD's Adult Education Program to hold an adult theater class every Monday night throughout the school year, and approximately 90% of the students are from the Beverly Hills community.

Quantifiable Services and Measures: Will be able to quantify and measure impact based on the Adult Education program participation rates.

Historical Performance:

FY 22/23: (Q1 & Q2) r8J Satisfactory D Unsatisfactory □ N/A General Comment(s) (e.g., non-quantifiable benefits identified by experience with agency v. absolute numbers; observations such as their growth curve and relationship with City, its residents and target populations):

Theatre 40's productions have returned to a full "live and in person" schedule of productions.

Theatre 40 did adapt and pivot their program by delivering virtual readings and theatre presentations via Zoom. The Monday Night Theatre Appreciation Adult Education Program virtual readings for the BHUSD Adult Education Class are continuing virtually. They have also held several other virtual readings for their theatre membership of actors and for their subscriber base and season ticket holders. Theatre 40 continues to perform in-person live performances and virtual play readings at the Greystone Estate. Theatre 40 takes safety precautions, as mandated by The Los Angeles County Health Department.

Percentage of annual funding City's contribution represents: approximately 15% Ratio of administrative to operating costs: The operating cost represent 16% of Theatre 40's annual budget.

Service Profile: Needs-based D Quality of life-based D Social Service D Health D Education D Cultural ~ Other D
Agency Scope: Local ~ Regional ~ National D International D 501 (C) (3): Yes ~ No D Exempt D
2 City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
Application FY 2023 - 2024
Agency / Project Name: Theatre 40 Inc.

Address: P.O. Box 5401
City: Beverly Hills
Contact Person: David Hunt Stafford
Phone:323-666-5500
State: CA. Zip: 90209
Fax: 323-666-5500 call first before faxing
Email: [email protected]
Please note the City's insurance requirements for FY 2023-2024. Within three (3) weeks of receiving notice of funding prior to receiving an agreement, your organization must submit insurance documentation with the following requirements:
• Each organization must submit to City an ACORD insurance certificate which include General Liability ($2 Million), Automobile (coverage limits based on services provided), and Workers Compensation Insurance (if required)
• The City must be named as additionally insured under each policy • Subrogation must be waived for each insurance policy
• An endorsement to each policy stating that such policy shall not be cancelled by either party or reduced in coverage except after thirty (30) days prior written notice to City
Each organization will also be required to submit a copy of a W-9 form on the most current IRS formwww.irs.gov/forms-pubs/about-form-w-9 Please type your answers to the following questions. If you need additional space for any of the answers, please attach a separate sheet of paper.

1. Is your organization a 501 c.3, or are you in partnership with a 501 c.3 organization? We are a 501 c.3 - Yes Theatre 40 is a 501 (c) 3 non-profit organization.

We are not in partnership with a 501 c.3 - No Theatre 40 is not in partnership with another 501 (c) 3.

Documentation showing 501 c.3 status or partnership with a 501 c.3 is attached.

Documentation is attached.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

2. What services do you propose to provide the Beverly Hills community that local government is not currently providing?
~ ~ The services Theatre 40 provides the Beverly Hills community are in fact several and very important ones. There are multiple aspects to the answer to this question. ~ It should be stated in this year's application, that all through the Covid -19 pandemic Theatre 40 maintained a strict policy and practice of mask wearing, vaccination checks and covid testing for all rehearsal periods of actors and performances, as well as with audience attendance. We are proud to say our procedures were diligent and carefully monitored and there was no transmission of illness during the period of time since we have reopened. All Theatre 40 productions take place in the elegant and intimate Reuben Cordova Theatre on the campus of the Beverly Hills High School and are ongoing with our loyal audiences returning. They seem to be delighted and attendance is growing. Theatre 40 has adhered strictly to the L.A. County Public Health officials mandates and directives and vaccination cards must be shown before admittance to the theatre. All actors are tested on a regular basis. Theatre 40 has resumed a full schedule of professional theater productions and is doing everything possible to keep both the performers and the audience as safe as possible.
2a.) The services we propose to provide are in fact, already being provided, and have been being providing for over 56 years. Those services are the producing of high-quality professional theater productions for the enjoyment of the community, at an affordable ticket and season subscription price.

Primarily, Theatre 40 is a professional, producing theatre company and has, over the fifty-six years we have been operating in Beverly Hills, produced approximately 470 professional theatre productions. Theatre 40 has been awarded over 380 drama critic's awards for excellence in theatre, over the years.

2.b) - Our 2022 / 2023 season, Theatre 40's 56th season, is currently underway.

Our first production of the season The Metromaniacs by David Ives was critically acclaimed by several Los Angeles drama critics and has been nominated for 7 Drama Critic's Awards by Los Angeles Drama Critic's Circle member Rob Stevens, including several individual performances (including yours truly, I am proud to report) as well as Best Comedy of the Year. Awards will be announced in early February 2023 at an awards ceremony to be held at Theatre West. It was enjoyed by many residents of the City of Beverly Hills. As of this writing, we are in rehearsal for production number three of the season Incident at Our Lady of Perpetual Help by Katie Forgette a Los Angeles premiere, and then we will continue on with Season 56, which will conclude in mid-June of 2023.

The plays we produce are both classic plays and new plays, both comedies and dramas. The "services" we provide are the putting forth of these professional theatre productions for the community's consumption and enjoyment as well as the cultural rewards that live intimate theater has to offer. Over 78% of the loyal Theatre 40 audience is from the Beverly Hills community and our base of subscribers have been re-subscribing for over 30 and some for as many as 35 years. Theatre 40 is the only professional producing theater company in Beverly Hills. The Wallis offers a wide variety of programming. Theatre 40 only produces professional theater productions.
2c.) Theatre 40, for over 47 years, has worked very closely with the officials at the Beverly Hills Unified School District teaching classes, on a 100% volunteer basis, for the Adult Education Program. Theatre 40 has, for over 47 years, free of charge to the District, taught a Theatre Appreciation Class every Monday night, during the school year. This class involves professional actors rehearsing on their own time and preparing a full-length play to read and present to the class each week. The BHUSD receives money from those adults that enroll in the class but Theatre 40 receives no financial compensation and the actors involved perform for free. Again, many of these adult students (most are Beverly Hills senior citizens) have re-enrolled in the class for many years. The adult students enjoy the play readings, the discussions, the actors and the professional presentations that Theatre 40 does each week because they receive cultural as well as educational rewards and intellectual stimulation from the class. We propose to continue providing these services to the BHUSD and the Beverly Hills community. During the Covid -19 pandemic BHUSD officials restricted the use of facilities on the campus - however Theatre 40 HAS maintained our Adult Education Monday Night Theatre Appreciation Seminars / Play readings which have continued uninterrupted and been conducted virtually via the ZOOM platform. We perform approximately 24 play readings per year for the Adult school. Over 47 years, that adds up to almost 1,300 play readings performed by Theatre 40 professionals, on a volunteer basis for the BHUSD Adult Education program.

We hope to get back into a class room as the winter semester begins, which will be in mid-January 2023, now that the pandemic and the restrictions have relaxed.
2d.) Theatre 40 has, over the last 18 years, produced an extraordinary theater production that plays inside Greystone Mansion called The Manor- Murder and Madness at Greystone. This remarkable and critically acclaimed production tells the story of a fictional "Doheny" family and is based on actual event that took place inside Greystone when the Dohenys built and lived at Greystone in the late 1920's. The City Council in 2001 allowed Theatre 40 to use the Greystone Estate to produce this play and its popularity has been wonderful for Theatre 40 and for The City and for the Mansion. The City in 2001 gave permission to perform The Manor 3 times and now it is 19 years later and over 300 performances of The Manor have been enjoyed by visitors from all over Southern California. In February of 2020 we performed The Manor once again, our 18th year, and we exceeded 300 performances of the remarkable production. We propose to continue providing these services to the Beverly Hills community.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

3. If you are applying for a cultural grant, please describe your program here.

We are applying for a cultural grant. Our program can best be described as the producing of professional high-quality theatre productions, in the small, elegant and intimate Reuben Cordova Theatre on the campus of the Beverly Hills High School.
~ (repeat - from answer 2.b) The plays we produce are both classic plays and new plays, both comedies and dramas. The "program" we provide is the putting forth of these professional theatre productions, using professional actors, directors, designers and technicians to achieve the highest quality possible, for the community's consumption and enjoyment as well as the cultural rewards great small theater has to offer. Over 78% of the loyal Theatre 40 audience is from the Beverly Hills community and our base of subscribers have been resubscribing for over 30 and some for as many as 35 years. This type of long-term loyalty to the work that Theatre 40 does is a testament to not only the quality of our productions but also to the need the community has to attend professional theatre productions affordably, conveniently and locally. Theatre 40 is the only professional producing theater company in Beverly Hills. The Wallis offers a wide variety of programming. Theatre 40 only produces professional theater productions.

Additional aspects of our program can be described as the conducting of a long running and self-sustained Adult Education Theatre Appreciation class Theatre 40 has conducted for the BHUSD on a 100% volunteer basis for over 46 years.
(repeat - from answer 2.c) Theatre 40, for over 47 years, has worked very closely with the officials at the Beverly Hills Unified School District teaching classes, on a 100% volunteer basis, for the BHUSD Adult Education Program.

Theatre 40 has, for over 47 years, free to the District, taught a Theatre Appreciation Class every Monday night during the school year. This class involves professional actors rehearsing on their own time and preparing a fulllength play to read and present to the class each week. The BHUSD receives money from those adults that enroll in the class but Theatre 40 receives no financial compensation and the actors involved perform for free. Again, many of these adult students (most are Beverly Hills senior citizens) have re-enrolled in the class for many years. The adult students enjoy the play readings, the discussions, the actors and the professional presentations that Theatre 40 does each week because they receive cultural as well as educational rewards and intellectual stimulation from the class. Several years ago, the BHUSD Board of Education decided to do away with all the Adult Education classes they offered as a cost cutting measure. Theatre 40 went to the BOE and the superintendent and said "there is no need to do away with Theatre 40's Monday Night Theatre Appreciation Class, because it costs the District nothing and Theatre 40 collects the enrollment dollars from the adult students and delivers those dollars to the District office.

Additional aspects of our program can be described as the annual production of The Manor - Murder and Madness at Greystone. (repeat - from answer 2.d) Theatre 40 has, over the last 18 years, produced an extraordinary theater production that plays inside Greystone Mansion called The Manor- Murder and Madness at Greystone. This remarkable and critically acclaimed production tells the story of a fictional "Doheny" family and is based on actual event that took place inside Greystone when the Dohenys built and lived at Greystone in the late 1920's. The City Council in 2001 allowed Theatre 40 to use the Greystone Estate to produce this play and its popularity has been wonderful for Theatre 40 and for The City and for the Mansion. It is a partnership that has brought literally countless visitors to Greystone. The City in 2001 gave permission to perform The Manor 3 times and now it is 18 years later and over 300 performances of The Manor has been enjoyed by visitors from all over Southern California. We plan to resume the production of The Manor in early 2024 based on a continued demand from the public to attend and enjoy this unique theatre production. We will add to our track record of over 300 performances of the remarkable production.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

4. Why are these services considered critical (e.g., enhance quality of life, improve public safety)? If you are a previous recipient, will you be providing new services this funding period?
~ We feel these services - professional theatre productions, both at Theatre 40 on the campus of the BHHS as well as at Greystone Estate and educational theatre programs for the adults of the community are critical to the Beverly Hills community in the sense that "the theatre arts" certainly enhances the quality of life. Great professional theatre productions are an important part of every community's cultural landscape. We feel that the residents of a community that is void of professional theatre productions will seek those experiences in other communities that do offer them. If Beverly Hills has no theatre, then the residents of Beverly Hills will go elsewhere for the theatre experience. As we know, many B.H. residents already do go to The Taper, The Geffen, The Odyssey and other theatres in Southern California. With Theatre 40 they can have those theater experiences locally and conveniently and very affordably. We feel it is critical that a city with the prominence of Beverly Hills have a vibrant and exciting professional theatre company that is part of the qualities the City has to offer.

While The Wallis offers a wide variety of programming, Theatre 40 does ~ only in a small and intimate setting. By the same token the educational program for the Adult students is also essential. Theatre 40's Monday Night Theatre Appreciation Class generates enthusiasm and interest in the theater as well as promotes mental awareness and alertness - it stimulates and invigorates the adult students as well as provides entertainment and enjoyment. Offering these services and having them available is critical for the Beverly Hills community. We feel these services do indeed enhance the quality of life as well as the quality of the education being offered in the BHUSD.
~ Theatre 40 is a previous recipient but we are
not proposing new services during this funding period ~ City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

5. What percentage of your total program service is utilized by members of the Beverly Hills community? If a new program, what percentage of users do you anticipate would be members of the Beverly Hills community? ~ In regard to Theatre 40's professional theatre productions, which perform all throughout the year on a late July to late May annual theatrical season calendar (seven professional productions throughout the year) approximately 78% of the annual season subscribers are Beverly Hills residents. It is difficult to state how many other "theatre goers" who are attracted to Theatre 40 by display advertising, friends of the productions and "word of mouth" are in fact Beverly Hills residents. I would estimate of the "walk up ticket buyers" approximately 37% are from the Beverly Hills community.

In terms of Theatre 40's Adult Education Monday Night Theatre Appreciation class - approximately 90% of the enrolled adult students are from the Beverly Hills community. With funding from The City CAGF program and with the return to a classroom, which we think is imminent, I believe we can grow the number of attendees in this long-standing Adult Education Theatre Appreciation class.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATIO
FY 2023 - 2024

6. Please describe your organization's ongoing response to the COVID-19 pandemic and the impact to service delivery. In FY 2023-24, does your organization anticipate your proposed program(s) to remain virtual, inperson, or hybrid, and what measures will be taken to ensure program efficacy?
Theatre 40 response to the Covid-19 pandemic over the last couple of years has been to conduct a series of robust virtual play readings for the Monday Night Theatre Appreciation Adult Education Program. Our theatre productions have returned to a full "live and in person" schedule of productions. We did adapt and pivot our program by delivering virtual readings and theater presentations via the ZOOM platform. However, as the pandemic has subsided a full schedule of live performances are what we are focused on and delivering to our audience. The Monday Night Theatre Appreciation Adult Education Program virtual readings for the BHUSD Adult Education Class are continuing virtually. These rehearsed and publicized readings are for our theatre membership of actors to keep them active and engaged as well as for our subscriber base and season ticket holders, will continue to be offered virtually, for the foreseeable future, until the BHUSD has classroom space available and COVID -19 restrictions are loosened further ..

The upcoming 2023 Winter Semester schedule of virtual readings, VIA ZOOM, for the BHUSD Adult Education Monday Night Theatre Appreciation include, among others:

Under The Theme of: Plays Dark and Dangerous.

1. A Public Reading of an Unproduced Screenplay About the Death of Walt Disney by Lucas Hnath.

Walt Disney attempts to control his own legacy

2. Gruesome Playground Injuries by Rajiv Joseph
This black comedy follows two almost-lovers over a period of 30 years

3. The Feast by Corey Finley
Matt and Anna have a great relationship - until Matt starts hearing voices coming from his bathroom pipes.

4. Any Given Monday by Bruce Graham
Lenny's wife leaves him for a sleazy real estate developer. Lenny's buddy Mick decides to ... remove the problem.

5. Yankee Tavern by Steven Dietz
A conspiracy theorist frequently holds forth at a local bar. Soon he and his friends are caught up in a conspiracy theory come to life.

6. Murder in the Studio by Agatha Christie
Made up of three 25-minute radio plays by the Mistress of Mystery.

Theatre 40 also was again given permission by the Human Services Department and the B.H. City Council to perform live outdoor summer readings at Greystone Estate - in the pool area. These readings were conducted live with a live audience and were enormously successful. We were given dates to perform three different plays during the summer of months of July and August of 2021. Each play had two performances. Again, these were live in front of a live audience outdoors at Greystone Estate.

The plays at Greystone this past summer of 2022 were:
~ The Half Light by Monica Woods - performed in the courtyard at Greystone ~ Doris and Ivy in The Home by Norm Foster - performed inside the new small theater inside Greystone Estate
~ Elegy For Lady by Arthur Miller - performed in the pool area So, our in person live performances have returned and are ongoing, as well as a robust series of virtual play readings. Measures that are being taken to ensure program efficacy include maximum safety precautions, as mandated by The Los Angeles County Health Department, are strictly in place and adhered to at all rehearsals and performances. All actors and technical crew must be vaccinated and boosted and all are tested, frequently, to assure all results are positive.

Audiences that have been attending the live performances have expressed repeatedly and quite emphatically how glad they are to be back and how glad they are that Theatre 40 is back and delivering the quality we are known for.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

7. For New Applicants: If your proposed program(s) or service(s) are similar to those of any of the City's current CAGF partners, what differentiates your organization and proposed program(s) from the current service provider(s)? Listing of current CAGF partners can be found on at www.beverlyhills.org/cagf.
--Theatre 40 is not a new applicant -
City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

8. For Returning Applicants: The City takes pride in ensuring that residents have access to the strongest social services and cultural grants. Please describe what efforts your organization has taken to continue as a service provider or organization partnering with the City. Describe how your organization has been responsive to community needs and has incorporated best practices to better serve the Beverly Hills community? ~ Theatre 40 of Beverly Hills has for over 47 years in Beverly Hills made constant and never-ending efforts to grow the public's awareness of our organization, through our quality theater productions, live in person play readings and events, press releases, and over 1,250 play readings (over the years - live and virtually) for the BHUSD Adult Education program. We are constantly making efforts to bring more audience into The Reuben Cordova Theatre on the campus of the BHHS so that more of the residents of Beverly Hills can enjoy the quality of what we have to offer. Virtual play readings, productions at Greystone Estate, both readings and inside the house for over 18 years with The Manor-Murder and Madness at Greystone and over 470 professional productions and 380 awards for excellence. Theatre 40 is always trying, through promotion by our publicist and by B.H. City communications & public relations channels, through the B.H. Chamber of Commerce, word of mouth and display ads in local media publication and social media outlets. Theatre 40's website showcases our history as well as our quality and is inviting and encourages new audiences and attendance. Growth of our audience and expanding the season subscriber base is always an important focus of all our endeavors. It should also be noted that ALL Theatre 40 performances, over 120 live performances each season, are 100% FREE to ALL students of the BHUSD and have been for decades.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

9. The funding year is July 1, 2023 to June 30, 2024. What is the funding amount requested?
N $74,000

10. What percentage of your annual funding would the City's contribution represent?
~ Beverly Hills CAGF grant award of $50,000 divided by total revenue for 2021 - 2022 is 15% (rounded up)

11. What is the ratio of your organization's administrative operating costs? ~ Admin percentage of all operating costs for 2021 - 2022 - Admin expenses $50,252 divided by total operating costs $309,165 = 16% City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

12. Provide any additional information that may be useful in evaluating your proposal.
~ Attached is our 2022-2023 Theatre 40's 56th Season brochure for your inspection.

Our relationship with The City of Beverly Hills in a long standing one and enormously important and positive for all involved. Theatre 40 for over 56 years has provided the community with high quality professional theatre productions at affordable ticket prices with free parking. Our production quality has improved greatly over the years and our loyal audience has grown, as well as has their level of satisfaction.

Our relationship with the BHUSD is always improving and has remained cooperative and very positive, working with the BHUSD administration, teachers and students alike.

Last night we opened our fourth production of our 56th season: Incident at Our Lady of Perpetual Help by Katie Forgette, out of Seattle, Washington. One of the Theatre 40 subscribers approached me in the hall and said: "This theatre is the best in all of Los Angeles. We go to a lot of theaters in Los Angeles and Theatre 40 is the best one of them all. I love this theater." I thanked her and escorted her and her friend to their seats and watched as they giggled all through the play.

The support we receive from The City, in terms of the financial support, as well as the allowing Theatre 40 to perform at Greystone estate, is in my opinion, a tremendous benefit to our organization as well as to the community. For more 20 years Theatre 40 has been allowed to perform various staged play readings and full productions inside Greystone Estate. The Manor - Murder and Madness at Greystone has been performed over 300 times over the last 19 years. This year Theatre 40 was allowed to perform our critically acclaimed production Guess Who's Coming to Dinner by Todd Kreidler inside Greystone, which played to sold out audiences and standing ovations.

These collaborations between The City and Theatre 40 grow our audiences, our resources and the public's awareness of Theatre 40, and what we have to offer.

They are very important to our organization and bring cultural excellence to our community.

Next year, with permission and approval, we will plan to bring The ManorMurder and Madness at Greystone back for its 19th year. However, we could do something different, as we did this year, if it is preferred. We are always ready and eager to provide The City and the community with theatrical cultural offerings, of all kinds, that serve The City's needs.

City of Beverly Hills

COMMUNITY ASSISTANCE GRANT FUNDING APPLICATION
FY 2023 - 2024

13. Financial Statement:
a. For grant requests up to $74,999, please submit most recent balance sheet and operating budget OR tax return.
b. For grant requests $75,000 and over, please submit most recent financial statement reviewed by a Certified Public Accountant The following documents are required:

Completed CAGF application
Documentation of 501 c.3 status of proof of 501 c.3 status through partnership Copy of most recent Form 990 - Return of Organization Exempt from Income Tax Copies of any current Charitable Solicitations Permits that have been obtained from the City of Beverly Hills
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RECIPIENT
''Margaret Harford Award"
for Sustained Excellence
Los Angeles Drama Critics Circle
in the Theatre
WINNER
Best Solo Performance
Nazi Hunter-Simon Wiesenthal
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2009 Beverly Hills Chamber of Commerce
Business Excellence Award Winner: Entrepreneurial Category 2022-2023 FIFTY-SIXTH ANNIVERSARY Season * One World Premiere * Three Los Angeles Premieres * Best Ticket Price In Town * Free (Covered) Parking * Wheelchair Accessibility * Flexibility In Schedule * Air-Conditioned Comfort ; •
II Theatre 40 of Beverly Hills ■ ,. EASTWEST is supported, in part, by grants from and · _ BANK James Jahant - Chairman
Charles Glenn
Dr. Robert Karns
Patti Feldman
2022-23 Board of Directors
Myra Lurie
Joan Seidel
Frederick G. Silny
David Hunt Stafford
Gloria Stroock
Bonnie Webb
Marion Zola
Dear Subscribers and Friends:

I am very excited about our 2022/2023 Season of plays
at Theatre 40. It is our 56th Anniversary Season!
II
It has provocative dramas, hilarious comedies, charming romances and several premieres on our stage. All of our productions will, as always, include Sunday Matinees. Extraordinary special events are planned throughout the year! Your enjoyment is guaranteed especially as our air-conditioning is working beautifully and our brand new theater seats could not be more comfortable!
And - back by popular demand, in its 20th year - Theatre 40's critically-acclaimed production of The Manor will be returning to Greystone Mansion. I am grateful to you, our subscribers and contributors, for your unwavering support. You are the key to our continued survival and success.

I invite all of you to join with us to celebrate our exciting 56th Anniversary Season by subscribing to our very affordable season package - 6 plays for only $180 - we are still the best buy in town! I look forward to welcoming you at the theatre, where as a bonus, the on-site parking is always ample and FREE!
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Artistic & Managing Director,
Theatre 40 of Beverly Hills
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We have a new
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JOIN us FOR OUR
56TH SEASON •

PLAY I - COMEDY
,.. The Metromaniacs

LOS ANGELES PREMIERE
July 21 - August 21, 2022
PLAY 2 - COMEDY
,.. A Clean Brush

WORLD PREMIERE
September 22 - October 23, 2022
PLAY 3 - COMEDY
,.. Guess Who's Coming to Dinner?

LOS ANGELES PREMIERE
November 17 - December 18, 2022
PLAY 4 - COMEDY
,.. Incident at Our Lady of Perpetual Help

LOS ANGELES PREMIERE
January 19 - February 19, 2023
PLAY 5 - COMEDY
,.. It's Only a Play

COMEDIC REVIVAL
March 23 - April 23, 2023
PLAY 5 - MANNERED COMEDY
,.. The Revolutionists

WITTY COMEDY
May 18 - June 18, 2023
All plays will perform
Thursday, Friday, Saturday at 8:00pm
Sunday Matinees at 2:00pm
All dates and times subject to change.

PLAY 2
by Norm Foster
Directed by Howard Storm
F
rom the pen of Canada's and Theatre
40's favorite playwright comes the world
premiere of his newest wonderful and
hilarious comedy, A Clean Brush. This brand
new Norm Foster play tells the story of two house
painters, Dick and Mello, who land a job painting
a room in the basement of recently-widowed
Zoe Craig's home. Zoe's husband died in the
room when he 'accidentally' fell into a stand of
fireplace implements and suffered a severe head
trauma, and now Zoe is looking to turn the room
into a rental cash cow. The house painters think
this is just another job until Zoe's nosy neighbor
stops by and plants doubt in the painter's minds
as to what really happened to the Widow Craig's
clumsy spouse.

A Clean Brush marks the 6th Norm Foster play
Theatre 40 has produced and it promises to keep
you laughing from start to finish ... or until the paint is fully dry.

WORLD PREMIERE
PLAY 3
·~
by 1oaa Kre1a1er -
1]
Directed by Cate Caplin
Aprogressive white couple's proud liberal
sensibilities are put to the test when their
daughter brings her black fiance home
to meet them in this fresh and relevant stage
adaptation of the iconic film Guess Who's
Coming to Dinner. Blindsided by their daughter's
whirlwind romance and fearful for her future, Matt
and Christina Drayton quickly come to realize
the difference between supporting a mixedrace couple in your newspaper and welcoming one into your family--especially in 1967. But
they're surprised to find they aren't the only
ones with concerns about the match, and it's
not long before a multi-family clash of racial
and generational difference sweeps across the
Draytons' idyllic San Francisco terrace. At the end
of the day, will the love between young Joanna
and John prevail? With humor and insight, this
play begins a conversation sure to continue at
dinner tables long after the curtain comes down.

LOS ANGELES PREMIERE
PLAY 4
INCIDENT ~ AT~
. Our·[aQ,01
Ptrpttua
1 1· n,clp
by Katie Forgette
Directed by Ann Hearn Tobolowsky
M oney-strapped family tries to cope in
1973. 19 year-old daughter is our narrator
and she is attempting to re-enact the
most turbulent day of her life, but her family keep
interrupting to tell their side of the story. The 70s
were a time of old school living; no social media
and public ridicule in a close-knit community was
the ultimate nightmare. Her parents want her
to explain to her younger sister about the birds
and the bees. Somehow the blunt explanation
is overheard by the parish priest and he is not
amused. He confronts her parents about the
"corruption of their eldest daughter's verJ soul."

LOS ANGELES PREMIERE
lrP'S~ ·0
1 N,LY A
Directed by
Larry Eisenberg
I
t's the opening night of The Golden Egg on
Broadway, and the wealthy producer is throwing
a lavish party in her Manhattan townhouse.

Downstairs, celebrities are pouring in, but the real
action is upstairs where a group of insiders have
staked themselves out, waiting for the reviews
to come in. Included are the excitable young
author; the brilliant, unstable director; the pillpopping leading lady; and the playwright's best friend, an egotistical but insecure comic actor
who passed up a chance to star in the play for a
television series-which has since been cancelled.

As euphoria slides into despair, the narcissism,
ambition, childishness and just plain irrationality
that infuse the theatre and its denizens take over,
and as the curtain falls plans are eagerly afoot for
their next venture-this one sure to be the hit they
have all been hoping for.

WHAT THE CRITICS HAVE SAID:
,.. THE REVOlmONISTS
• ... a sassy, hold-on-to-your-seats theatrical adventure ... [Gunderson] has created a play that is wonderfully wild and raucous ... lt's a wild ride, filled with verbal gymnastics that come racing at you so quickly it's oc- casionally hard to keep up. Listen closely, though, and hang on tight. If you do, you'll be treated to an invigorating and enlightening journey.• -Cincinnati Enquirer.
"It's simply a brilliant script..." -CityBeat {Cincinnati). " .. .in this sparkling work, politics is very, very funny. [Gunderson] knows it's tricky to present entertaining, yet socially driven art, but she does so without losing the rhythm and forward momentum of her characters ... These are hilarious and lovable women trapped in a history with a somber final act.• -Houston-Chronicle.
" ... an astoundingly accomplished show ... a cause for rejoice .. .lngeniously conceived and delivered." -Atlanta Journal-Constitution. "THE REVOLUTIONISTS resembles a blindingly scintillating gemlike puzzle ... By turns it is drolly funny and affectingly poignant, then doubles back to satirical farce, then ends by bringing into stark relief the social commentary that it has been nurturing all night." -Florida TheaterOnStage.com.
,.. THE MOROIIANIACS
"Frisky, competitive wordplay and high-octane mix ups ... almost criminally enjoyable." -Washington Post "Frolicsome verse comedy .. .lves's cleverness is indisputable, and he excels at a rare sort of verbal glitter. -Time Out New York "Ives [is] wizardly ... magical and funny ... a master of language. He uses words for their meanings, sounds and associations, spinning conceits of a sort I've not seen or heard before. He's an original." -The New York Times
"Disguises and ruses and verse-ical abuses." -BroadwayWorld .. ,rs ONlY A PlAY
" ... It's a pure hoot, a rollicking comedy that gleefully dissects modern Broadway and doesn't pretend to mask its targets by using fake names ... wickedly funny."- Broadwayworld.com
"Theatergoers will get their money's worth, if you can calculate worth by belly laughs, McNally's It's Only a Play is hilarious ... don't miss it!" - Huffington Post ,.. GUESS •o·s COMING TO DINNER?
"All told, Guess Who's Coming to Dinner, is warm, good old-fashioned theater. Without preaching, It purrs out Its message of "can't we all just get along." Eternally relevant and timely.• - Houston Press "Guess Who's Coming to Dinner is an entertaining "must see; with a message we all need to be reminded of more often than just from time-to-time with characters grappling with mental patterns we all have encountered as human beings." -Broadway World
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2022-2023

CELEBRATORY SEASON
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APPLICATION SUMMARY FY 2023/24
Agency: Tower Cancer Research Foundation
Requested amount: $50,000
History of City funding: 2019/20: $25,000; 2020/21: $50,000; 2021/22: $50,000; 2022/23:
$50,000
Agency description: Founded by a group of physicians, patients, and volunteers, Tower Cancer Research Foundation has developed a legacy of supporting high impact research and clinical trials. This includes research that resulted in the approval of 15 new cancer drugs and the expansion of treatment options for cancer patients all over the world. To carry on this tradition, each year the non-profit awards a multitude of different scientific grants from oneyear $100,000 Career Development Grants to five-year $500,000 Senior Investigator Grants to $1,000,000 Multi-Disciplinary Discovery Funds.

While the Foundation's primary thrust is funding innovative research in the hope of eradicating the disease for future generations, Tower also provides support for those currently facing a diagnosis through the Magnolia House, the patient services division of the Foundation.

Magnolia House is an integrative survivorship wellness center with in-depth programs offered at no cost to cancer patients and survivors. It is dedicated to helping those with a cancer diagnosis optimize wellness and quality of life, providing an array of free fitness, therapeutic, and holistic programs that empower participants to develop a physical and emotional toolkit to meet the challenges of the disease from diagnosis to survivorship.

Proposed use of Community Assistance Grant Funds: The proposed use of funds would go specifically to the holistic classes at the Magnolia House. The grant would allow Tower to further expand and enhance the program offerings to cancer patients and survivors. Examples of programs and classes offered include individual therapy, sleep management, stress management, pain management, writing workshops, educational lectures, Reiki, hypnotherapy, meditation, sound healing, yoga, Pilates, aerobics, guided imagery and many others. Insurance often does not cover complementary and integrative medicine services which creates a barrier for cancer patients and survivors to access these life enhancing programs.

Tower's recently added the following classes/programs during the upcoming grant period, which will be made available to clients such as Workout with Weights, Relax and Write 4-week workshop, and a 4-week Stress Workshop. Also, Tower's is currently working with CedarsSinai to implement Walk with a Doc where participants will exercise with an esteemed doctor.

Target population/Primary service: The target populations is cancer patients and survivors (Thrivers). The primary service is to help those with a cancer diagnosis optimize wellness and quality of life.

Percentage of total program utilized by Beverly Hills community: Approximately 10% of program services are utilized by the Beverly Hills community.

Quantifiable Services and Measures: Tower's Magnolia House now offers over 130 classes/services per month and receives over 20,000 participant visits per year.

Historical Performance:

FY 22/23: (Q 1 & Q2) [8] Satisfactory D Unsatisfactory □ N/A General Comment{s) (e.g., non-quantifiable benefits identified by experience with agency v. absolute numbers; observations such as their growth curve and relationship with City, its residents and target populations):

Launched in 2013, Magnolia House Patient Support Program offered 19 classes per month, and had a total of 500 visits in its inaugural year. Participants view the programs as a lifeline that provides not only enhanced quality of life, but a community of friendship, encouragement, and comfort.

Registration opens for the classes and programs each month, and they are often filled within minutes. Tower's psychosocial support programs and classes are an integral part of their patients' quality cancer treatments and survivorship care. The National Institute of Health (NIH) has incorporated Complementary and Integrative Health into its strategic plan for further highlighting, and the National Cancer Institute (NCI) recognized significant scientific research data supporting the need for psychosocial care for cancer patients.

Due to COVID-19, programs and classes transitioned to virtually based through Zoom. The programs have greatly expanded in both the number of participants attending the programs and, in many classes, Tower's has been able to increase the student capacity as a result of the online platform. Currently, classes are offered online and outdoors, in person. Tower's will continue to evaluate the interests and needs of the community as it relates to hosting classes in-person and expand in-person offerings as needed.

While Tower's focus is to continue providing the highest quality classes, they are looking forward to adding new programming to address increased demand. Despite increasing the capacity of many classes, they continue to experience a waitlist for over 50% of their classes.

Percentage of annual funding City's contribution represents: The $50,000 contribution would represent 10% of the Magnolia House budget.

Ratio of administrative to operating costs: 8%
Service Profile: Needs-based r8J Quality of life-based r8J Social Service r8J Health D Education D Cultural D Other D
Agency Scope: Local [8] Regional [8] National [8] International [8] 501 {C) (3): Yes [8] No D Exempt D
2

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