Agenda packet — Foster City City Council, August 11, 2025

CITY OF FOSTER CITY/
ESTERO MUNICIPAL IMPROVEMENT DISTRICT
FOSTER CITY COUNCIL CHAMBERS
620 FOSTER CITY BOULEVARD
FOSTER CITY, CALIFORNIA
MEMBERS OF THE PUBLIC THAT WISH TO ATTEND AND/OR PARTICIPATE IN A MEETING MAY DO SO IN PERSON OR BY JOINING THE ZOOM MEETING HTTPS://FOSTERCITY ORG.ZOOM.US/J/82592136594 PUBLIC COMMENTS WILL BE ACCEPTED BOTH IN PERSON AND VIA ZOOM MEETING. ANY EMAILS SENT TO [email protected] WILL BE PROVIDED TO THE CITY COUNCIL PRIOR TO THE MEETING.

To Attend the Meeting in Person:

Location: 620 Foster City Blvd, Foster City, California, 94404 To Provide Public Comment in Person:

Members of the public wishing to speak will be asked to fill out a Request to Speak Form. Forms will be accepted until the staff presentation on an agenda item ends, or until the public comment period on non agenda items is closed. For special meetings, public comment is limited to item(s) on the agenda only.

To Observe the Meeting via Teleconference/Video Conference:

To access the meeting by computer / smartphone, go to: https://fostercityorg.zoom.us/j/82592136594 To dialin via phone:
16694449171 or
14086380968
And enter Webinar ID: 825 9213 6594
To Participate in the Meeting by Providing Public Comment via Teleconference/Video Conference:

During the Meeting: Live verbal public comments may be made by members of the public joining the meeting via Zoom. Zoom access information is provided above. Use the “raise hand” feature (for those joining by phone, press *9 to “raise hand”) during the public comment period for the agenda item you wish to address. The Zoom Host will call on people to speak by name provided or last 4 digits of phone number for dialin attendees. Please clearly state your full name for the record at the start of your public comment.

Before the Meeting: Written public comments for the record may be submitted in advance by 4:00 p.m. the day of the meeting by email to: [email protected] and will be made part of the written record but will not be read verbally at the meeting. Written public comments submitted by email should adhere to the following:

Clearly indicate the Agenda Item No. or specify “Public” in the Subject Line for items not on the agenda Include the submitter’s full name (Recommended but not required) Written public comments received by 4:00 p.m. the day of the meeting will be provided in their entirety to the City Council prior to the meeting and will be made part of the written record but will not be read verbally at the meeting.

Written public comments will be posted to the City’s website for review prior to the meeting.

AGENDA
Monday, August 11, 2025 6:30 PM
SPECIAL MEETING AS CITY COUNCIL/EMID BOARD OF

DIRECTORS

1. CALL TO ORDER

2. ROLL CALL
Councilmembers/ex officio EMID Directors Art Kiesel, Suzy Niederhofer, Patrick Sullivan, Phoebe Venkat, and Mayor/President Stacy Jimenez

3. PUBLIC
Pursuant to Government Code Section 54954.3(a), members of the public wishing to address the Council may do so, and the comments shall be limited to the Special Meeting notice topic(s). Speakers may join the Zoom meeting via the meeting link and using the “raise hand” feature and the Zoom host will call on people.

4. STUDY SESSION

4.1. Consideration of Applications for Nonprofit Agency Funding for Fiscal Year 20252026
a) Staff Report
b) Action By Minute Order, Provide Policy Direction

5. ADJOURNMENT
The public is invited to attend.

Any attendee wishing special accommodations at the meeting should contact the City Clerk’s Department at (650) 2863250 or [email protected] at least 48 hours in advance of the meeting. The City has a procedure for receiving and swiftly resolving requests for reasonable accommodation for individuals with disabilities, consistent with the federal Americans with Disabilities Act of 1990 (42 U.S.C. Sec. 12132), and resolving any doubt in favor of accessibility.

That procedure for receiving and resolving requests for accommodation is available at the City Clerk’s Office. All meetings are conducted in a manner consistent with applicable civil rights and nondiscrimination laws.

Any writings or documents provided to a majority of the City Council or EMID Board regarding any item on this agenda after the agenda packet was distributed will be made available for public inspection in the City Clerk Department at City Hall located at 610 Foster City Boulevard during normal business hours and at the meeting.

City Council meetings on FCTV on Comcast Channel 27 and AT&T Channel 99:

LIVE every 1st and 3rd Monday of the month
REPLAY next day at 1:00 pm (that week only)
REPLAY Saturday at 5:00 pm (only on Saturday the week the actual meeting occurs) City Council meetings on https://www.fostercity.org/community/page/fctvlivestream:

STREAMED LIVE every 1st and 3rd Monday of the month
City Council meetings ondemand:
https://www.fostercity.org/agendasandminutes

1 CITY OF FOSTER CITY/
ESTERO MUNICIPAL IMPROVEMENT DISTRICT
FOSTER CITY COUNCIL CHAMBERS
620 FOSTER CITY BOULEVARD
FOSTER CITY, CALIFORNIA
MEMBERS OF THE PUBLIC THAT WISH TO ATTEND AND/OR PARTICIPATE IN A MEETING MAY DO SO IN PERSON OR BY JOINING THE ZOOM MEETING HTTPS://FOSTERCITY ORG.ZOOM.US/J/82592136594 PUBLIC COMMENTS WILL BE ACCEPTED BOTH IN PERSON AND VIA ZOOM MEETING. ANY EMAILS SENT TO [email protected] WILL BE PROVIDED TO THE CITY COUNCIL PRIOR TO THE MEETING.

To Attend the Meeting in Person:

Location: 620 Foster City Blvd, Foster City, California, 94404 To Provide Public Comment in Person:

To Observe the Meeting via Teleconference/Video Conference:

Written public comments will be posted to the City’s website for review prior to the meeting.

AGENDA
Monday, August 11, 2025 6:30 PM
SPECIAL MEETING AS CITY COUNCIL/EMID BOARD OF

DIRECTORS

1. CALL TO ORDER

2. ROLL CALL
Councilmembers/ex officio EMID Directors Art Kiesel, Suzy Niederhofer, Patrick Sullivan, Phoebe Venkat, and Mayor/President Stacy Jimenez

4. STUDY SESSION

4.1. Consideration of Applications for Nonprofit Agency Funding for Fiscal Year 20252026
a) Staff Report
b) Action By Minute Order, Provide Policy Direction

5. ADJOURNMENT
The public is invited to attend.

City Council meetings on FCTV on Comcast Channel 27 and AT&T Channel 99:

STREAMED LIVE every 1st and 3rd Monday of the month
City Council meetings ondemand:
https://www.fostercity.org/agendasandminutes

2 CITY OF FOSTER CITY/
ESTERO MUNICIPAL IMPROVEMENT DISTRICT
FOSTER CITY COUNCIL CHAMBERS
620 FOSTER CITY BOULEVARD
FOSTER CITY, CALIFORNIA
MEMBERS OF THE PUBLIC THAT WISH TO ATTEND AND/OR PARTICIPATE IN A MEETING MAY DO SO IN PERSON OR BY JOINING THE ZOOM MEETING HTTPS://FOSTERCITY ORG.ZOOM.US/J/82592136594 PUBLIC COMMENTS WILL BE ACCEPTED BOTH IN PERSON AND VIA ZOOM MEETING. ANY EMAILS SENT TO [email protected] WILL BE PROVIDED TO THE CITY COUNCIL PRIOR TO THE MEETING.

To Attend the Meeting in Person:

Location: 620 Foster City Blvd, Foster City, California, 94404 To Provide Public Comment in Person:

To Observe the Meeting via Teleconference/Video Conference:

Written public comments will be posted to the City’s website for review prior to the meeting.

AGENDA
Monday, August 11, 2025 6:30 PM
SPECIAL MEETING AS CITY COUNCIL/EMID BOARD OF

DIRECTORS

1. CALL TO ORDER

2. ROLL CALL
Councilmembers/ex officio EMID Directors Art Kiesel, Suzy Niederhofer, Patrick Sullivan, Phoebe Venkat, and Mayor/President Stacy Jimenez

4. STUDY SESSION

4.1. Consideration of Applications for Nonprofit Agency Funding for Fiscal Year 20252026
a) Staff Report
b) Action By Minute Order, Provide Policy Direction

5. ADJOURNMENT
The public is invited to attend.

City Council meetings on FCTV on Comcast Channel 27 and AT&T Channel 99:

STREAMED LIVE every 1st and 3rd Monday of the month
City Council meetings ondemand:
https://www.fostercity.org/agendasandminutes

3 DATE: August 11, 2025

TO: Mayor and Members of the City Council
VIA: Stefan Chatwin, City Manager

FROM: Kevin Ortiz, Management Analyst
DEPARTMENT: City Manager
SUBJECT: CONSIDERATION OF APPLICATIONS FOR NONPROFIT
AGENCY FUNDING FOR FISCAL YEAR 2025-2026

RECOMMENDATION
It is recommended that the City Council consider applications for nonprofit agency funding for FY 2025-2026 and by Minute Order, provide policy direction to staff regarding funding allocations.

EXECUTIVE SUMMARY
The City’s Final adopted FY 2025-2026 Budget includes a funding allocation of $75,000 for contributions to nonprofit agencies that provide services to the Foster City community. For FY 2025-2026, the City received funding requests from eighteen (18) nonprofit agencies, totaling $222,000.

At the March 3, 2025 Regular Meeting, the City Council provided direction to City staff to implement the FY 2025-2026 Nonprofit Grant Program. In alignment with the City Council’s direction, the City’s Nonprofit Grant Program Guidelines (Attachment 1) and application detailed the funding level percentages and eligible activities for each Nonprofit Community Needs Category, which are included below.

Basic Services – Activities include, but are not limited to, services for the homeless, seniors, youth, and low-income individuals and families, such as subsistence programs, healthcare initiatives, and rental assistance.

4.1 4.1 Staff Report

4 Nonprofits submitting applications in this Community Needs Category are eligible for 60% of the total amount allocated by the City Council. This equates to $45,000.

Community Enrichment – Activities that promote community enrichment, including, but not limited to, educational and recreational programs and initiatives that promote social equity and engagement.

Nonprofits submitting applications in this Community Needs Category are eligible for 25% of the total amount allocated by the City Council. This equates to $18,750.

Community Health – Activities include, but are not limited to, programs or projects that support Foster City residents’ well-being, preserve city resources, or increase community environmental sustainability.

Nonprofits submitting applications in this Community Needs Category are eligible for 15% of the total amount allocated by the City Council. This equates to $11,250.

In addition, the Nonprofit Grant Program Guidelines detailed the Application Process and Funding Process for FY 2025-2026. As part of the process, staff is seeking City Council’s direction on the funding allocation for each nonprofit agency at a City Council meeting.

BACKGROUND/ANALYSIS
For many years, the City Council has designated funds to support “local nonprofit agencies” that operate programs and provide services that benefit the Foster City community. “Local” means that the agency provides services within San Mateo County and can demonstrate a benefit to Foster City residents. “Nonprofit” means that the organization is tax-exempt under section 501(c)(3) of the Internal Revenue Code. The Final adopted FY 2025-2026 Budget includes a budget allocation of $75,000 for funding contributions to nonprofit agencies under the City Council's Community Promotion Budget.

The City received nonprofit funding program applications from eighteen (18) nonprofit agencies for FY 2025-2026 (Attachment 3). As detailed in the Application Process (Attachment 1), staff evaluated nonprofit applications received by the deadline for completeness. In compliance with the Ralph M. Brown Act, staff subsequently shared the nonprofit applications via email with each City Councilmember individually. Using the Community Needs Categories, Councilmembers provided their proposed funding allocations for each nonprofit agency separately, which were then compiled by staff and included on the agenda for Council’s consideration at the August 11, 2025 City Council Special Meeting (Attachment 2).

4.1 4.1 Staff Report

5 In addition, eligible nonprofit applicants were invited to appear during the City Council Special Meeting on Monday, August 11. This provides nonprofit applicants with the opportunity to briefly provide an overview of their organization, programs or services they provide, and demonstrate how funds received would benefit the Foster City community.

At the August 11, 2025 City Council Special Meeting, the City Council has the opportunity to consider the nonprofit applications and funding allocations using the Community Needs Categories, build consensus, and provide direction to staff regarding funding allocations for each nonprofit agency. Once funding allocations are determined and approved by the City Council via Minute Order, staff will send out a written notice to all nonprofit funding applicants to notify them of their status. Nonprofit agencies selected for funding will be notified in writing of the City Council’s approval and funding allocation, and will be asked to submit an invoice and W-9 documentation to the City to receive the funds.

California Environmental Quality Act
Not Applicable

FISCAL IMPACT
Funding in the amount of $75,000 was earmarked in the approved FY 2025-2026 Final Budget, specifically under the City Council’s Community Promotion Expenses – Contributions to Other Agencies Budget (Account No. 001-1030-413-4260).

CITY COUNCIL VISION, MISSION, AND VALUE/PRIORITY AREA
Smart Planning, Development, and the Local Economy
Innovation and Sustainability
ATTACHMENTS:

Attachment 1 – Nonprofit Grant Program Guidelines FY 2025-2026 Attachment 2 – City Council Individual Proposed Funding Allocations Attachment 3 – FY 2025-2026 Nonprofit Funding Grant Applications

4.1 4.1 Staff Report

6 Updated May 28, 2025
Foster City Nonprofit Grant Program Guidelines
Fiscal Year 2025-2026

PROGRAM PURPOSE
The Foster City Nonprofit Grant Program designates funding through the annual budget process for grant funding to local nonprofit agency programs and projects that improve the health, social, and educational enrichment, human or community welfare, and/or economic opportunities of Foster City residents.

FUNDING
Funding levels are determined annually by the City Council during budget preparation.

Funding may be approved from any combination of the General Fund, Special Funds, or any other funds controlled by the City. Typically, funding is available in the City Council’s Community Promotion Budget, Account No. 001-1030-413-4260 (Contributions to Other Agencies).

ELIGIBLE NONPROFIT AGENCIES
Only local nonprofit agencies are eligible for funding. For the purpose of this program, “Local” means that the agency provides services within San Mateo County and can demonstrate a benefit to Foster City residents. “Nonprofit” means that the organization is tax-exempt under section 501(c)(3) of the Internal Revenue Code.

COMMUNITY NEEDS CATEGORIES AND ELIGIBLE ACTIVITIES
The Nonprofit Grant Program will consider applications in the following primary community needs categories:

Basic Services – Activities include, but are not limited to, services for the homeless, seniors, youth, and low-income individuals and families such as subsistence programs, healthcare initiatives, and rental assistance.

Nonprofits submitting applications in this Community Needs Category are eligible for 60% of the total amount allocated by the City Council.

Community Enrichment – Activities that promote community enrichment, including, but not limited to, educational and recreational programs and initiatives that promote social equity and engagement.

Nonprofits submitting applications in this Community Needs Category are eligible for 25% of the total amount allocated by the City Council.

4.1 Attachment 1 - Nonprofit Grant Program Guidelines FY 2025-2026

7 Updated May 28, 2025
Community Health – Activities include, but are not limited to, programs or projects that support Foster City residents’ well-being, preserve city resources, or increase community environmental sustainability.

Nonprofits submitting applications in this Community Needs Category are eligible for 15% of the total amount allocated by the City Council.

APPLICATION
Applicants should consider the following criteria when filling out the application.

Incomplete applications will not be considered.

APPLICATION CRITERIA DESCRIPTION
Administrative Capacity • Organization experience/Past performance in providing the proposed project or program
• Stability of the organization and adequacy of staffing • Collaboration with other agencies and/or elimination
of redundancy of service
• Budget/Leveraging of Funds
Identification/Analysis of
Local Needs
• Documentation of Local Need
• Alignment with goals identified in City’s policy
documents (e.g., Council priorities, General Plan,
etc.)
Program Purpose • Program goals clearly stated and attainable • Service levels measurable

APPLICATION PROCESS

1. At a City Council Study Session, the City Council re-confirms the process it wants to take to solicit and award nonprofit grant funding and provides direction on the funding placeholder to be used in the Preliminary Budget document.

2. City staff advertises the nonprofit funding process on the City’s website, issues a press release, and e-mails nonprofits that received funding in the prior year, any additional nonprofits identified by the Council, and any nonprofit that requests the information, outlining the timelines and requirements.

3. Nonprofits submit applications by the identified due date.

4. Staff evaluates nonprofit applications to ensure applications are complete. Using the Community Needs Funding Levels, City Council members will separately provide their funding recommendation for each nonprofit. These recommendations will be presented for consideration at a future City Council Special Meeting.

5. Nonprofits are invited to a City Council Special Meeting to speak about their respective agencies.

4.1 Attachment 1 - Nonprofit Grant Program Guidelines FY 2025-2026

8 Updated May 28, 2025

6. At a City Council Special Meeting, funding recommendations will be considered for each nonprofit.

7. Once funding is approved, staff sends a notice to all applicants, notifying them of their status and describing the process for receiving funding for those who are approved.

FUNDING PROCESS
Agencies selected for funding will be notified in writing of the City Council's approval and funding amount and will be asked to submit an invoice and W-9 documentation to the City to receive the funds.

4.1 Attachment 1 - Nonprofit Grant Program Guidelines FY 2025-2026

9 Nonprofit Agencies Website
First Time
Applicant? Category 501(c)(3)
Annual
Report
Submitted
Application
Materials
FY 21-22
Final*
FY 22-23
Final
FY 23-24
Final
FY 24-25
Final
FY 25-26
Requested
Stacy
Jimenez Notes
CALL Primrose Link No Basic Services Yes No Application 5,000$ 5,000$ -- -- 5,000$ 5,000$ Medical Equipment Loan Program (MELP)/AbleCloset Link Yes Basic Services Yes No Application -- -- -- -- 5,000$ 2,500$ Mission Hospice and Home Care Link No Basic Services Yes No Application 5,000$ 7,000$ -- 6,300$ 9,000$ 5,000$ PARCA Link No Basic Services Yes No Application 5,000$ 5,000$ 6,600$ 5,850$ 10,000$ 5,000$ Peninsula Volunteers, Inc. Link Yes Basic Services Yes Yes Application -- -- -- -- 8,000$ 4,000$ Samaritan House Link No Basic Services Yes Yes Application 15,000$ 20,000$ 20,000$ 18,700$ 20,000$ 20,000$ Subtotal 57,000$ 41,500$
AgeUp, Inc. (formerly Ombudsman Services of San
Mateo County, Inc.) Link No Community Enrichment Yes Yes Application 5,000$ -- -- 1,000$ 2,500$ 2,000$ BayBasi Link No Community Enrichment Yes No Application -- -- 2,450$ 1,600$ 5,000$ 2,500$ Foster City Chamber Foundation Link Yes Community Enrichment Yes No Application -- -- -- -- 10,000$ 5,000$ Foster City Village Link No Community Enrichment Yes No Application 15,000$ 7,000$ 9,050$ 7,900$ 15,000$ 5,500$ Hillbarn Theatre Link No Community Enrichment Yes Yes Application 20,000$ 4,000$ 4,000$ 2,000$ 20,000$ 2,000$ Peninsula Indian Cultural Association Link Yes Community Enrichment Yes No Application -- -- -- -- 50,000$ -$ Peninsula Jewish Community Center Link No Community Enrichment Yes No Application -- -- -- 3,450$ 7,500$ 1,500$ Peninsula Musical Arts Association Link No Community Enrichment Yes No Application -- -- -- -- 5,000$ -$ San Mateo-Foster City Community Education Foundation Link No Community Enrichment Yes Yes Application 30,000$ 6,000$ 8,400$ 4,350$ 10,000$ 5,000$ Subtotal 125,000$ 23,500$
On My Mind Foundation Link Yes Community Health Yes No Application -- -- -- -- 20,000$ 2,500$ Pacific Beach Coalition Link No Community Health Yes Yes Application -- -- -- 3,400$ 10,000$ 5,000$ We Make It Matter Link Yes Community Health Yes No Application -- -- -- -- 10,000$ 2,500$ Subtotal 40,000$ 10,000$
Category Percentage 75,000$
Basic Services 60% 45,000$ 222,000$ 75,000$
Community Enrichment 25% 18,750$
Community Health 15% 11,250$
*FY 21-22 was an outlier year as funding was supplemented with a large donation from Gilead Sciences Total Requests

4.1 Attachment 2 - City Council Individual Proposed Funding Allocations

10 Nonprofit Agencies Website
First Time
Applicant? Category 501(c)(3)
Annual
Report
Submitted
Application
Materials
FY 21-22
Final*
FY 22-23
Final
FY 23-24
Final
FY 24-25
Final
FY 25-26
Requested Art Kiesel Notes
CALL Primrose Link No Basic Services Yes No Application 5,000$ 5,000$ -- -- 5,000$ 3,000$ Medical Equipment Loan Program (MELP)/AbleCloset Link Yes Basic Services Yes No Application -- -- -- -- 5,000$ 4,000$ Mission Hospice and Home Care Link No Basic Services Yes No Application 5,000$ 7,000$ -- 6,300$ 9,000$ 6,000$ PARCA Link No Basic Services Yes No Application 5,000$ 5,000$ 6,600$ 5,850$ 10,000$ 7,000$ Peninsula Volunteers, Inc. Link Yes Basic Services Yes Yes Application -- -- -- -- 8,000$ 2,000$ Samaritan House Link No Basic Services Yes Yes Application 15,000$ 20,000$ 20,000$ 18,700$ 20,000$ 20,000$ Subtotal 57,000$ 42,000$
AgeUp, Inc. (formerly Ombudsman Services of San
Mateo County, Inc.) Link No Community Enrichment Yes Yes Application 5,000$ -- -- 1,000$ 2,500$ 1,000$ BayBasi Link No Community Enrichment Yes No Application -- -- 2,450$ 1,600$ 5,000$ 1,000$ Foster City Chamber Foundation Link Yes Community Enrichment Yes No Application -- -- -- -- 10,000$ 2,000$ Foster City Village Link No Community Enrichment Yes No Application 15,000$ 7,000$ 9,050$ 7,900$ 15,000$ 4,000$ Hillbarn Theatre Link No Community Enrichment Yes Yes Application 20,000$ 4,000$ 4,000$ 2,000$ 20,000$ 4,000$ Peninsula Indian Cultural Association Link Yes Community Enrichment Yes No Application -- -- -- -- 50,000$ 1,000$ Peninsula Jewish Community Center Link No Community Enrichment Yes No Application -- -- -- 3,450$ 7,500$ 3,000$ Peninsula Musical Arts Association Link No Community Enrichment Yes No Application -- -- -- -- 5,000$ 1,000$ San Mateo-Foster City Community Education Foundation Link No Community Enrichment Yes Yes Application 30,000$ 6,000$ 8,400$ 4,350$ 10,000$ 1,750$ Subtotal 125,000$ 18,750$
On My Mind Foundation Link Yes Community Health Yes No Application -- -- -- -- 20,000$ 3,000$ Pacific Beach Coalition Link No Community Health Yes Yes Application -- -- -- 3,400$ 10,000$ 3,000$ We Make It Matter Link Yes Community Health Yes No Application -- -- -- -- 10,000$ 3,000$ Subtotal 40,000$ 9,000$
Category Percentage 75,000$
Basic Services 60% 45,000$ 222,000$ 69,750$
Community Enrichment 25% 18,750$
Community Health 15% 11,250$
*FY 21-22 was an outlier year as funding was supplemented with a large donation from Gilead Sciences Total Requests

4.1 Attachment 2 - City Council Individual Proposed Funding Allocations

11 Nonprofit Agencies Website
First Time
Applicant? Category 501(c)(3)
Annual
Report
Submitted
Application
Materials
FY 21-22
Final*
FY 22-23
Final
FY 23-24
Final
FY 24-25
Final
FY 25-26
Requested
Suzy
Niederhofer Notes
CALL Primrose Link No Basic Services Yes No Application 5,000$ 5,000$ -- -- 5,000$ 1,000$ Free groceries to low income- may visit weekly and select own groceries. 1,394 FC residents w 619 visits serving 2345 bags of groceries.

Medical Equipment Loan Program (MELP)/AbleCloset Link Yes Basic Services Yes No Application -- -- -- -- 5,000$ 1,000$ Medical equipment loan program. Loaned 325 items to 62 FC Residents. Also helps environment by avoiding landfills.

Mission Hospice and Home Care Link No Basic Services Yes No Application 5,000$ 7,000$ -- 6,300$ 9,000$ 6,500$ Hospice Room & Board for low income patients, served 23 FC out of 91 (**clarify if this is total patients or low-income patients)
PARCA Link No Basic Services Yes No Application 5,000$ 5,000$ 6,600$ 5,850$ 10,000$ 6,000$ Individuals w developmental disabilities and their families, general support for family support services program, 40 FC families
Peninsula Volunteers, Inc. Link Yes Basic Services Yes Yes Application -- -- -- -- 8,000$ 1,000$ One year of meal support for 2 disabled people in FC (5 prepared meals 2x/wk) Samaritan House Link No Basic Services Yes Yes Application 15,000$ 20,000$ 20,000$ 18,700$ 20,000$ 20,000$ Safety Net services for low- and extremely low-income. 401 FC residents Subtotal 57,000$ 35,500$
Basic Goal 45,000$
AgeUp, Inc. (formerly Ombudsman Services of San
Mateo County, Inc.) Link No Community Enrichment Yes Yes Application 5,000$ -- -- 1,000$ 2,500$ 1,000$ Seniors - Protect residents in long-term care, reduce isolation and increase advocacy. 269 FC residents live in LT Care.

BayBasi Link No Community Enrichment Yes No Application -- -- 2,450$ 1,600$ 5,000$ 2,000$ All -Continue and expand Indian Culture Events : Holi, Indian Harvest Festival, Diwali, & additional community programs. Held in FC, inclusive to all Foster City Chamber Foundation Link Yes Community Enrichment Yes No Application -- -- -- -- 10,000$ 2,500$ Youth -Mini Market Youth Program - one additional youth cohort, and pilot adult cohort. 130 FC residents
Foster City Village Link No Community Enrichment Yes No Application 15,000$ 7,000$ 9,050$ 7,900$ 15,000$ 10,000$ Seniors - Senior ride & food services, also socialization and safe at home prog. 400 FC residents. Should this be Basic rather than Enrichment? Hillbarn Theatre Link No Community Enrichment Yes Yes Application 20,000$ 4,000$ 4,000$ 2,000$ 20,000$ 5,000$ All & Youth -Connects community thru live theatre,to support 85th Season and the conservatory (about 250 FC students).

Peninsula Indian Cultural Association Link Yes Community Enrichment Yes No Application -- -- -- -- 50,000$ 1,000$ Youth - Indian cultural education and community engagement, classes on Sundays Peninsula Jewish Community Center Link No Community Enrichment Yes
No Application -- -- -- 3,450$ 7,500$ 4,000$ Seniors - Get up and go prog (Sr Transp for medical appts & groceries), socialization. 57 FC residents (about 1/3 riders). Should this be Basic rather than Enrichment?
Peninsula Musical Arts Association Link No Community Enrichment Yes No Application -- -- -- -- 5,000$ 1,000$ All - Promotes singing for health and socialization. Money to purchase music & supplies and to reduce participant cost. 30 participants from FC.

San Mateo-Foster City Community Education Foundation Link No Community Enrichment Yes Yes Application 30,000$ 6,000$ 8,400$ 4,350$ 10,000$ 5,000$ Library Books for each school's library Subtotal 125,000$ 31,500$
Enrichment Goal 18,750$
On My Mind Foundation Link Yes Community Health Yes No Application -- -- -- -- 20,000$ 2,000$ Youth - High school & college mental health support (10 sessions). Education & collaboration w schools. 10 FC residents
Pacific Beach Coalition Link No Community Health Yes Yes Application -- -- -- 3,400$ 10,000$ 5,000$ All -Monthly trash/litter clean-up programs (multiple FC sites) - for supplies, outreash, education
We Make It Matter Link Yes Community Health Yes No Application -- -- -- -- 10,000$ 1,000$ ** Tentative - what is the 501(C)3 status? - provided filing, not letter. Mental Wellness - high school (holistic approach). New to host free monthly wellness events (covers rental & instructors)
Subtotal 40,000$ 8,000$
Category Percentage 75,000$ Comm Health Goal 11,250$
Basic Services 60% 45,000$ 222,000$ 75,000$
Community Enrichment 25% 18,750$ 75,000$
Community Health 15% 11,250$
*FY 21-22 was an outlier year as funding was supplemented with a large donation from Gilead Sciences Total Requests

4.1 Attachment 2 - City Council Individual Proposed Funding Allocations

12 Nonprofit Agencies Website
First Time
Applicant? Category 501(c)(3)
Annual
Report
Submitted
Application
Materials
FY 21-22
Final*
FY 22-23
Final
FY 23-24
Final
FY 24-25
Final
FY 25-26
Requested
Patrick
Sullivan Notes
CALL Primrose Link No Basic Services Yes No Application 5,000$ 5,000$ -- -- 5,000$ 2,000$ Medical Equipment Loan Program (MELP)/AbleCloset Link Yes Basic Services Yes No Application -- -- -- -- 5,000$ 1,000$ Mission Hospice and Home Care Link No Basic Services Yes No Application 5,000$ 7,000$ -- 6,300$ 9,000$ 9,600$ PARCA Link No Basic Services Yes No Application 5,000$ 5,000$ 6,600$ 5,850$ 10,000$ 5,000$ Peninsula Volunteers, Inc. Link Yes Basic Services Yes Yes Application -- -- -- -- 8,000$ -$ Samaritan House Link No Basic Services Yes Yes Application 15,000$ 20,000$ 20,000$ 18,700$ 20,000$ 20,000$ Subtotal 57,000$ 37,600$
AgeUp, Inc. (formerly Ombudsman Services of San
Mateo County, Inc.) Link No Community Enrichment Yes Yes Application 5,000$ -- -- 1,000$ 2,500$ 1,000$ BayBasi Link No Community Enrichment Yes No Application -- -- 2,450$ 1,600$ 5,000$ 2,000$ Foster City Chamber Foundation Link Yes Community Enrichment Yes No Application -- -- -- -- 10,000$ 4,000$ Foster City Village Link No Community Enrichment Yes No Application 15,000$ 7,000$ 9,050$ 7,900$ 15,000$ 8,000$ Hillbarn Theatre Link No Community Enrichment Yes Yes Application 20,000$ 4,000$ 4,000$ 2,000$ 20,000$ 2,000$ Peninsula Indian Cultural Association Link Yes Community Enrichment Yes No Application -- -- -- -- 50,000$ 2,000$ Peninsula Jewish Community Center Link No Community Enrichment Yes No Application -- -- -- 3,450$ 7,500$ 3,500$ Peninsula Musical Arts Association Link No Community Enrichment Yes No Application -- -- -- -- 5,000$ 1,000$ San Mateo-Foster City Community Education Foundation Link No Community Enrichment Yes Yes Application 30,000$ 6,000$ 8,400$ 4,350$ 10,000$ 5,000$ Subtotal 125,000$ 28,500$
On My Mind Foundation Link Yes Community Health Yes No Application -- -- -- -- 20,000$ -$ Pacific Beach Coalition Link No Community Health Yes Yes Application -- -- -- 3,400$ 10,000$ 4,000$ We Make It Matter Link Yes Community Health Yes No Application -- -- -- -- 10,000$ -$ Subtotal 40,000$ 4,000$
Category Percentage 75,000$
Basic Services 60% 45,000$ 222,000$
Community Enrichment 25% 18,750$ 70,100$
Community Health 15% 11,250$
*FY 21-22 was an outlier year as funding was supplemented with a large donation from Gilead Sciences Total Requests

4.1 Attachment 2 - City Council Individual Proposed Funding Allocations

13 Nonprofit Agencies Website
First Time
Applicant? Category 501(c)(3)
Annual
Report
Submitted
Application
Materials
FY 21-22
Final*
FY 22-23
Final
FY 23-24
Final
FY 24-25
Final
FY 25-26
Requested
Phoebe
Venkat Notes
CALL Primrose Link No Basic Services Yes No Application 5,000$ 5,000$ -- -- 5,000$ 2,500$ 2% of who they serve are in FC.

Medical Equipment Loan Program (MELP)/AbleCloset Link Yes Basic Services Yes No Application -- -- -- -- 5,000$ 5,000$ I appreciate the additional context related to FC that they provided in Question 2d of the application.

Mission Hospice and Home Care Link No Basic Services Yes No Application 5,000$ 7,000$ -- 6,300$ 9,000$ 9,000$ One-fourth of their patients are in FC.

PARCA Link No Basic Services Yes No Application 5,000$ 5,000$ 6,600$ 5,850$ 10,000$ 8,500$ Grateful they serve 43 FC families. Helpful to know this # is projected to remain consistent.

Peninsula Volunteers, Inc. Link Yes Basic Services Yes Yes Application -- -- -- -- 8,000$ 8,000$ I got the chance to do a ride along with one of their team members and deliver meals to FC clients, all of who are seniors that I encountered that day.

Samaritan House Link No Basic Services Yes Yes Application 15,000$ 20,000$ 20,000$ 18,700$ 20,000$ 12,000$ I've been to one of their galas as a guest of a friend. They have a lot of big names and donors, and a very connected board. I'd like to continue to support, but at a lesser amount given all the connections and resources they have access to as compared to the other Basic Services grantees.

Subtotal 57,000$ 45,000$
AgeUp, Inc. (formerly Ombudsman Services of San
Mateo County, Inc.) Link No Community Enrichment Yes Yes Application 5,000$ -- -- 1,000$ 2,500$ 1,000$ Wish they provided more data on the FC seniors they serve.

BayBasi Link No Community Enrichment Yes No Application -- -- 2,450$ 1,600$ 5,000$ 1,500$ They serve thousands in FC, and showcase FC as a cultural events leader.

Foster City Chamber Foundation Link Yes Community Enrichment Yes No Application -- -- -- -- 10,000$ 1,500$ Appreciate its focus on youth leadership and business skills.

Foster City Village Link No Community Enrichment
Yes
No Application 15,000$ 7,000$ 9,050$ 7,900$ 15,000$ 3,500$ I would like to see the Village's better reflect the diversity of the senior population in FC. Additionally they need to focus more on fundraising. They run on majority free labor from their volunteers (I am one) and volunteer managers. I would also like them to begin producing an Annual Report and spend more time and resources on marketing and community engagement.

Hillbarn Theatre Link No Community Enrichment Yes Yes Application 20,000$ 4,000$ 4,000$ 2,000$ 20,000$ 2,250$ Hillbarn is the cultural heartbeat of FC and surrounding communities. Their plays and casts are diverse and inclusive.

Peninsula Indian Cultural Association Link Yes Community Enrichment Yes
No Application -- -- -- -- 50,000$ 2,500$
They serve majority (100% in some cases) FC youth and their families. Given the growth of our Indian population, investing in youth will strengthen community ties and belonging.

Peninsula Jewish Community Center Link No Community Enrichment Yes No Application -- -- -- 3,450$ 7,500$ 1,500$ Are the people they serve in Get Up and Go PJCC members or not? Do they serve only Jewish community members who are J members?
Peninsula Musical Arts Association Link No Community Enrichment Yes No Application -- -- -- -- 5,000$ 1,000$ Appreciate their focus on diversity and inclusion.

San Mateo-Foster City Community Education Foundation Link No Community Enrichment Yes Yes Application 30,000$ 6,000$ 8,400$ 4,350$ 10,000$ 4,000$ Have seen their investments paying off (eg lego rooms etc.) Subtotal 125,000$ 18,750$
On My Mind Foundation Link Yes Community Health Yes No Application -- -- -- -- 20,000$ 2,000$ Teen mental health and suicide prevent is top of mind, especially given local teens that were died by their own hands in the last few years.

Pacific Beach Coalition Link No Community Health Yes Yes Application -- -- -- 3,400$ 10,000$ 8,500$ PBC has served our community for years, and hundreds of volunteers from all generations and backgrounds have participated in their cleanups.

We Make It Matter Link Yes Community Health Yes No Application -- -- -- -- 10,000$ 750$ Have never heard of their app that has hundreds of FC users. What does a "free wellness program that will actually make a difference" to all FC residents mean? Is this the app or another program?
Subtotal 40,000$ 11,250$
Category Percentage 75,000$
Basic Services 60% 45,000$ 222,000$ 75,000$
Community Enrichment 25% 18,750$
Community Health 15% 11,250$
*FY 21-22 was an outlier year as funding was supplemented with a large donation from Gilead Sciences Total Requests

4.1 Attachment 2 - City Council Individual Proposed Funding Allocations

14 CITY OF FOSTER CITY
FY 2025-2026 Nonprofit Funding Application

PROGRAM OVERVIEW
City Council has set aside funds to support local nonprofit agencies that operate programs and services that benefit the Foster City community and that the City would otherwise be unable to provide. Funding levels are determined annually by the City Council. The total funding made available may vary and traditionally has been funded by the General Fund.

NONPROFIT FUNDING PROCESS SCHEDULE
June 2, 2025 The nonprofit funding application period opens.

July 2, 2025 All applications are due from nonprofit agencies no later than 5:00 P.M.

TBD Applicants are invited to appear during a City Council Special Meeting. Applicants will be given three minutes to briefly provide an overview of their organization and how nonprofit funding would benefit the Foster City community. The City Council will then determine funding levels by agency.

I
TBD Awarded nonprofits to submit invoice to City requesting disbursement.

PROGRAM ELIGIBILITY
Updated May 28, 2025

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

15 •
•
•
•
•
•
Organization must be incorporated as a nonprofit organization or school with tax-exempt status under Section 501 (c)(3) of the Internal Revenue Code.

An unincorporated organization may apply through a fiscal sponsor, provided that the fiscal sponsor is a 501 (c)(3) organization or school with tax-exempt status under Section 501 (c)(3) of the Internal Revenue Code.

The applicant agency understands funding disbursement may only occur after an invoice and W-9 documentation is submitted to the City.

The applicant agency agrees that an annual report/presentation will be provided to the City Council and shall indicate the number of services provided and Foster City residents served by the organization during the reporting period. The report will include measurable contract outcomes, successes, and challenges.

Organizations must comply with all appropriate requirements on the use of public funds, particularly prohibiting funds from being used for personal benefit or lending of funds to a private entity.

Agencies are required to apply for funding each year. Funding for any given year does not guarantee funding for succeeding years.
()! f0S7f�
c,�
�<, ,q1'
Qi!utA1£Q

CITY OF FOSTER CITY
Nonprofit Funding Application
(Please use additional sheets if necessary)

APPLICANT INFORMATION
Organization Name: AgeUp, Inc. (Formerly Ombudsman Services of San Mateo County, Inc.) Organization Address: 1455 Madison Avenue, Redwood City, CA 94061 Contact Name: Elyse Brummer � � .. IL l"J� &II°)
~
Contact Email: [email protected] pa.u....""' � .... \.\ u"""'cl � L<�Q) ,"""6 .. t• Lo� Contact Phone: 650-743-5400 C.�u/6'-�� _ c. � \5' I Amount Requested: $2,500 SECTION 1: IDENTIFICATION/ANALYSIS OF LOCAL NEEDS
Updated , 2025

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

16 1 a. Describe the problem or need area being addressed, including any formal study that has been done of the local and regional need for the service, program, or project.

San Mateo County is home to over 400 licensed long-term care facilities, serving more than 9,000 older adults and people with disabilities. In Foster City alone, 11 facilities operate at or near capacity with 269 residents, reflecting the region's rapidly aging population and the increasing rieed for oversight in institutional care settings. Residents in these facilities are often frail, isolated, and at heightened risk for neglect, abuse, or rights violations, issues that frequently go unreported due to fear of retaliation or cognitive impairment.

The San Mateo County Health Needs Assessment (2023) identified seniors in long-term care as a vulnerable population with limited access to independent advocacy, especially in cases of elder abuse, involuntary discharge, and care neglect.

Data from the California Long-Term Care Ombudsman Annual Report shows a statewide trend of increasing complaints related to quality of care, staff responsiveness, dignity violations, and inadequate discharge planning-issues consistently reported in San Mateo County.

A 2022 study by the National Center on Elder Abuse found that only 1 in 24 cases of elder abuse are reported to authorities. This underreporting underscores the critical need for accessible, trusted advocacy services like the ombudsman program.

SECTION 2: PROGRAM DESCRIPTION
2a. Describe the goals of the program for which you are requesting funding and how the funds would be used.

We are requesting funding to supportAgeUp and the Long-Term Care Ombudsman Program in Foster City. Our goals are to protect residents in long-term care, reduce isolation, and strengthen local advocacy. Funds will support our Ombudsman staff assigned to Foster City, volunteer recruitment for our Friendly Visitors and Kindness Crew programs, and rights education for residents and families.

We will also be funding time to offer continuing education to Foster City residents.This investment will help ensure residents are safe, heard, and meaningfully connected to their community.

Organization Name: AgeUp, Inc.

CITY OF FOSTER CITY
Nonprofit Funding Application
(Please use additional sheets if necessary)
May28
--------------------<

APPLICANT INFORMATION
Updated May 28, 2025

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

17 2b. Describe the accomplishments over the recent year of your organization and/or the program for which you are requesting funding.

In 2025, our organization completed a major transition by rebranding as AgeUp, expanding beyond our role as the Long Term Care Ombudsman Program for San Mateo County. While continuing to protect the rights and well-being of over 9,000 residents in licensed care facilities, including those in Foster City, we began developing new programs to address social isolation and quality of life. These include the Kindness Crew, which will bring community volunteers into facilities for activities and companionship, along with the Friendly Visitors and Phone Buddies programs to support residents with few or no social connections.

Over the past year, our certified Ombudsman team made more than 4,500 visits to long term care facilities, resolving hundreds of complaints related to care quality, abuse, neglect, discharge concerns, and dignity violations. We advocated for residents facing serious challenges and worked closely with facility staff, families, and regulatory agencies to ensure proper care and accountability. We also helped secure increased state funding for local Ombudsman programs and participated in countywide coalitions focused on elder justice, behavioral health, and care access. These efforts strengthened our ability to serve Foster City residents and laid the foundation for broader community engagement in the year ahead.
2c. Describe the benefits to the City of Foster City and/or its residents of the program goals and accomplishments described in the previous two questions.

Foster City residents benefit from AgeUp' s continued advocacy through the Long Term Care Ombudsman Program, which ensures that older adults in care facilities are protected, supported, and treated with dignity. This year, we partnered with the Foster City Senior Center to offer community education and lectures on elder rights and care standards, helping families and caregivers better understand how to support residents and prevent neglect or abuse.

The city will also be among the first to participate in AgeUp' s new volunteer-based programs, including the Kindness Crew, Friendly Visitors, and Phone Buddies. These initiatives will bring social connection and enrichment to isolated residents in local care facilities, while also offering meaningful engagement opportunities for community members. Together, these efforts strengthen Foster City' s commitment to inclusion, health, and quality of life for its aging population. 2d. How many Foster City residents did this program serve last year and/or how many are expected to be served in the coming year?
269 residents in Foster City long-term care facilities.

We also had several Community Education programs at the Foster City Senior Center and the PJCC serving approxmiately another 100 participants.

CITY OF FOSTER CITY
Nonprofit Funding Application
(Please use additional sheets if necessary)
Updated , 2025

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

18 APPLICANT INFORMATION
Organization Name: AgeUp, Inc.
2e. Does your organization or program serve a larger geographic area or any other jurisdictions? List (if any}, including the total number typically served.

Yes, our organization serves all of San Mateo County, including 20 cities and unincorporated areas, through both the Long Term Care Ombudsman Program and our broader AgeUp initiatives. We provide advocacy and support to residents living in over 430 licensed long term care facilities, including skilled nursing, assisted living, and board and care homes.

In total, we typically serve more than 9,000 residents annually across the county. Our programs also reach hundreds of family members, caregivers, facility staff, and community partners through complaint resolution, education, outreach, and emerging volunteer engagement efforts. Our services extend countywide to ensure equitable access to elder advocacy and support. Foster City residents needing short-term rehab or longer term skilled nursing are placed in other facilties in the County, since Foster City does not have a skilled nursing facility.

SECTION 3: ADMINISTRATIVE CAPACITY
3a. Describe the organization's experience providing the proposed project or program.

AgeUp, formerly Ombudsman Services of San Mateo County, has over 25 years of experience as a trusted nonprofit advocating for the rights and well-being of older adults and people with disabilities. As the state-certified Long Term Care Ombudsman Program for San Mateo County, we have provided consistent, high-impact services to residents in licensed care facilities, including complaint resolution, abuse prevention, and systems-level advocacy. Our staff and trained volunteers bring deep knowledge of care standards, residents' rights, and facility operations, ensuring a strong foundation for expanding supportive programs.

Over the years, we have built partnerships with local governments, senior centers, health care providers, and community organizations to meet the evolving needs of vulnerable residents. Our track record includes not only direct advocacy but also education, outreach, and leadership in elder justice coalitions. This experience uniquely positions us to implement new programs, such as Friendly Visitors, Phone Buddies, and the Kindness Crew-with professionalism, compassion, and accountability.
3b. Describe the way that the program is staffed (full-time, part-time, volunteer) and organized, as well as your organization's total annual budget and your various sources of revenue.

The Long Term Care Ombudsman Program and related AgeUp initiatives are staffed through a combination of full-time, part-time, and volunteer personnel (8 FTE and 30 volunteers). Our core team includes full-time program leadership and case-handling staff, supported by part-time ombudsmen and administrative support. In addition, we train and supervise a growing network of certified volunteer ombudsmen, as well as volunteers for our community engagement programs such as Friendly Visitors and the Kindness Crew.

Our organizations total annual budget is approximately $1.2 million. Revenue sources include state and federal funding through the Older Americans Act, county contracts, foundation, city and community grants, and individual donations. This diversified funding model supports program sustainability and allows us to respond flexibly to the evolving needs of residents in long term care.

May 28
Updated May 28, 2025

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

19 Organization Name:
o!fOSTf,t
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O,t!>ortAlt.9'°'

CITY OF FOSTER CITY
Nonprofit Funding Application
(Please use additional sheets if necessary)

APPLICANT INFORMATION
3c. Describe any collaboration that exists between your organization, this program and programs administered by other agencies, including financial, staffing or cross-referral, and how this may have benefitted or increased the impact of your services.

AgeUp collaborates closely with a wide range of local and regional partners to expand the reach and impact of our services. We work in partnership with San Mateo County' s Health, Aging, and Adult Services Department, which provides funding, referrals, and coordination for cases involving elder abuse, neglect, and discharge concerns. We maintain strong cross-referral relationships with Adult Protective Services, Behavioral Health and Recovery Services, Legal Aid, and Health Plan of San Mateo, ensuring that residents receive timely and appropriate support beyond our scope of advocacy.

This year, we deepened collaboration with the Foster City Senior Center by co-hosting educational sessions on resident rights and elder care standards. We also participate in local coalitions and workgroups focused on transportation access, oral health, and elder justice, aligning our efforts with broader county strategies. These partnerships have allowed us to expand community education, improve care coordination, and provide more holistic support to long term care residents. By leveraging shared resources and expertise, we have increased our effectiveness in reaching isolated individuals and addressing complex care issues.

SECTION 4: REQUIRED ATTACHMENTS
4a. Proof of nonprofit status (501 (c)(3) or equivalent 4b. Copy of latest organization's annual report (if possible) RETURN ONE COPY OF COMPLETED FORMS TO:

Mail Email
City of Foster City [email protected]
Attention: City Manager Department
610 Foster City Boulevard
Foster City, CA 94404

SIGNATURE
Signature of Applicant: Date:
��
June 19, 2025
Updated , 2025

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

20 I Printed Name: Title:

Elyse Brummer Executive Director
Updated May 28, 2025

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

21 IRS Internal Department Revenue Of the TreasuryService P.O. Box 2508
0248164870
Cincinnati OH 45201
In reply refer to:

May 01, 2009 L TR 4168C EO

OMBUDSMAN SERVICES OF SAN MATEO COUNTY INC
711 NEVADA STREET
REDWOOD CITY CA 94061030248
94-3397402
Employer Identification Number:94-3397402
Person to Contact: Ms. Lane
Toll Free Telephone Number: 1-377-829-5500
Dear Taxpayer:
000000 00 000
00015746
BODC: TE
This is in response to your request of Apr. 22, 2009, regarding your tax exempt status.

Our records indicate that a determination letter was issued in November 2001, that recognized you as exempt from Federal income tax, and discloses that you are currently exempt under section 501 (c) (3) of the Internal Revenue Code.

Our records also indicate you are not a private foundation within the meaning of section 509 {a) of the Code because you are described in section(s)so9ca><1>and11ocb)Cl>CA>Cvi>.

Donors may deduct contributions to you as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to you or for your use are deductible for Federal estate and gift tax Durposes if they meet the applicable provisions sections 2055, 2106, and 2522 of the Code.

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

22 If you have any questions, please call us at the telephone number shown in the heading of this letter.

Sincerely yours,
Michele M. Sullivan, Oper. Mgr.

Accounts Management Operations 1

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

23 �
AgeUp

ADVOCACY IN ACTION

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

24 Introducing AgeUp /
Dear Friends and Partners,
This year marks a bold new chapter in our journey, one
rooted in nearly 25 years of trusted advocacy and
powered by an unwavering belief in dignity, voice,
and possibility for every individual we serve. With
great pride and purpose, we introduce you to AgeUp,
Inc., our new name that reflects our expanded mission to champion both aging and disability communities through innovative services, transformative partnerships, and inclusive advocacy.

At AgeUp, we're not simply evolving, we're reimagining what it means to grow older and live with a disability in today's world.

We are changemakers, community builders, and fierce advocates who understand that real impact comes from challenging
outdated assumptions and designing forward-thinking,
people-centered solutions.

Over the past year, we have deepened our reach supporting nearly 10,000 residents in long-term care through our Ombudsman Program, while also launching new initiatives to fight isolation, elevate inclusion, and empower every person with the tools and support they need to thrive. Whether it's a volunteer visitor offering companionship, a policy win at the state level, or a family receiving the guidance they need at a critical moment, our work is driven by one question: How can we create a future where dignity and opportunity are non-negotiable, for everyone?
This impact report reflects the passion, collaboration, and vision of our entire community, staff, volunteers, partners, and supporters like you. Thank you for standing with us, growing with us, and believing in the power of advocacy to create real, lasting change.

Together, we're not just aging up, we're leveling up what it means to serve our most vulnerable neighbors.

With gratitude and resolve,
��
Elyse Brummer
Executive Director
AgeUp, Inc.

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

25 Message From The Board
Dear Community Members,
As the Board of Directors of AgeUp, Inc., we are honored to support an organization that stands at the forefront of advocacy for older adults and individuals with disabilities. The past year has been one of profound transformation, guided by a renewed vision, a dynamic rebrand, and an unwavering commitment to justice, dignity, and opportunity.

AgeUp represents more than a name change. It symbolizes a bold leap forward, one that recognizes the evolving needs of our community and answers them with innovation, compassion, and strategic action. Through expanded services, deepened
partnerships, and continued excellence in the Long-Term Care Ombudsman Program, AgeUp is reimagining what care,
connection, and inclusion can look like across every stage of life.

As board members, we are especially inspired by AgeUp's ability to lead with both heart and expertise. The organization's impact is felt not only in the thousands of lives supported directly, but also in the systems it challenges, the policies it shapes, and the volunteers it mobilizes.

Looking ahead, we are proud to stand beside AgeUp as it continues to serve as a credible voice, a trusted guide, and a catalyst for change in San Mateo County and beyond.

Thank you for your support and belief in our shared vision.

Together, we are building a future where aging and disability are met not with limitations, but with possibility, purpose, and dignity.

Warmly,
�a.v-i.d�
David Cowell
Co-Chair
� �
Susan Houston
Co-Chair
The AgeUp Board of Directors
�{l)�
f :) www.age-up.org

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

26 Highlights From FY24-25 /
San Mateo County
Complaint Data
Discharge/
Eviction
Dietary
Physical
Abuse
Serving
over
10,000
people
1,652
Financial
Exploitation
Care Planning
Neglected
Symptoms

7.1%
Medication
Issues
Resident
Rights

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

27 4.1
Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

28 Commitment to Solutions ·.·
New Programs: Expanding
Impact, Elevating Lives
At AgeUp, we are rede fining the experience of
aging and living with disabilities by offering
high-impact programs that connect, empower,
and protect our most vulnerable community
members. Building on the strong foundation of
our Long-Term Care Ombudsman Program, we
are expanding our services to reach more
people, close critical service gaps, and deliver
innovative, community-driven solutions.

Core Program
The Long-Term Care Ombudsman Program,
our flagship program, remains at the heart of
our mission: protecting the dignity and rights
of 9,058 residents in 425 long-term care
facilities across San Mateo County. Our
trained volunteer Ombudsmen provide
advocacy, conflict resolution, elder abuse
response, and critical support for residents
and families navigating complex care systems.

Expanded Programs /
Friendly Visitors
Volunteer-powered and relationship
centered, the Friendly Visitors Program
reduces social isolation through meaningful,
in-person connections with seniors and
individuals with disabilities both in long-term
care facilities and in neighbors living at home.

Phone Buddies
Our Phone Buddies Program provides
regular phone check-ins, helping seniors and
individuals with disabilities stay connected,
engaged, and emotionally supported. Open
to all residents, including aging in place.

Healthcare Directives Workshops
Partnering with UCSF, we empower older
adults and caregivers to make informed
decisions about healthcare, aging, and
ensure their wishes are followed with
comprehensive end-of-life planning.

Community Education Workshops
We offer practical workshops on topics
such as navigating care transitions, estate
planning, understanding the latest
technology availalble to seniors and
dementia care innovations to practical
information on innovative topics.

Support Groups
Connecting older adults to facilitated peer
and professional support groups create safe
spaces for emotional support, education,
and resilience-building for individuals
navigating caregiving, grief, dementia, and
other life challenges. Check out our website
for more information.

Age-Friendly Cities Initiatives
This year, we will be meeting with San
Mateo County cities to ensure that
long-term care residents are included in
Age-Friendly planning efforts and broader
community-building initiatives.
.?
·tted to a
Robotic_ pet
g�ory care
resident in Me Wish Fund
the Make afrom

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

29 4.1
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65 Updated , 202

CITY OF FOSTER CITY
FY 202 -202 Nonprofit Funding Application

NONPROFIT FUNDING PROCESS SCHEDULE
June , 202 The nonprofit funding application period opens.

All are due from nonprofit agencies no later than 5:00 PM.

Applicants are invited to appear during City Council .

Applicants will be given three minutes to briefly overview their organization and how nonprofit funding would benefit the Foster City ommunity.

Awarded nonprofits to submit invoice to City requesting disbursement.

PROGRAM ELIGIBILITY
Organization must be incorporated as a nonprofit organization or school with tax-exempt status under Section 501(c)(3) of the Internal Revenue Code.

An unincorporated organization may apply through a fiscal sponsor, provided that the fiscal sponsor is a 501(c)(3) organization or school with tax-exempt status under Section 501(c)(3) of the Internal Revenue Code.

The applicant agency understands funding disbursement may only occur after an invoice and W-9 documentation is submitted to the City.

Organizations must comply with all appropriate requirements on the use of public funds, particularly prohibiting funds from being used for personal benefit or lending of funds to a private entity.

Agencies are required to apply for funding each year. Funding for any given year does not guarantee funding for succeeding years.

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

66 CITY OF FOSTER CITY
Nonprofit Funding Application
(Please use additional sheets if necessary)

APPLICANT INFORMATION
SECTION 1: IDENTIFICATION/ANALYSIS OF LOCAL NEEDS
SECTION 2: PROGRAM DESCRIPTION

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

67 Updated , 202

CITY OF FOSTER CITY
Nonprofit Funding Application
(Please use additional sheets if necessary)

APPLICANT INFORMATION
Organization Name:
2b. Describe the accomplishments over the recent year of your organization and/or the program for wh ich you are requesting funding.
2c. Describe the benefits to the City of Foster City and/or it s residents of the program goals and accomplishments described in the previous two questions. 2d. How many Foster City residents did this program serve last year and/or how many are expected to be served in the coming year?

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

68 Updated , 202

CITY OF FOSTER CITY
Nonprofit Funding Application
(Please use additional sheets if necessary)

APPLICANT INFORMATION
Organization Name:
2e. Does your organization or program serve a larger geographic area or any other jurisdictions? List (if any), including the total number typically served.

SECTION 3: ADMINISTRATIVE CAPACITY
3a. Describe the organization’s experience providing the proposed project or program. 3b. Describe the way that the program is staffed (full-time, part-time, volunteer) and organized , as well as your organization’s total annual budget and your various sources of revenue.

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

69 Updated , 202

CITY OF FOSTER CITY
Nonprofit Funding Application
(Please use additional sheets if necessary)

APPLICANT INFORMATION
Organization Name:
3c. Describe any collaboration that exists between your organization, this program and programs administered by other agencies, including financial, staffing or cross-referral , and how this may have benefitted or increased the impact of your services.

SECTION 4: REQUIRED ATTACHMENTS
4a. Proof of nonprofit status (501(c)(3) or equivalent
4b. Copy of latest organization’s annual report (if possible) RETURN ONE COPY OF COMPLETED FORMS TO:

Mail
City of Foster City
Attention: City Manager Department
610 Foster City Boulevard
Foster City, CA 94404
Email
[email protected]

SIGNATURE
Signature of Applicant: Date:

Printed Name: Title:

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

70 Letter 947 (Rev. 2-2020)
Catalog Number 35152P
Department of the Treasury
Internal Revenue Service
Tax Exempt and Government Entities
P.O. Box 2508
Cincinnati, OH 45201

THE FOSTER CITY CHAMBER FOUNDATION
100 GRAND LANE SUITE B
FOSTER CITY, CA 94404
Date:
10/23/2024
Employer ID number:
99-2624570
Person to contact:

Name: Latenya Rodriguez
ID number: 3078003
Telephone: 877-829-5500
Accounting period ending:

March 31
Public charity status:
170(b)(1)(A)(vi)
Form 990 / 990-EZ / 990-N required:

Yes
Effective date of exemption:

April 11, 2024
Contribution deductibility:

Yes
Addendum applies:

No
DLN:
26053527007404
Dear Applicant:

We're pleased to tell you we determined you're exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). Donors can deduct contributions they make to you under IRC Section 170. You're also qualified to receive tax deductible bequests, devises, transfers or gifts under Section 2055, 2106, or 2522. This letter could help resolve questions on your exempt status. Please keep it for your records.

Organizations exempt under IRC Section 501(c)(3) are further classified as either public charities or private foundations. We determined you're a public charity under the IRC Section listed at the top of this letter.

If we indicated at the top of this letter that you're required to file Form 990/990-EZ/990-N, our records show you're required to file an annual information return (Form 990 or Form 990-EZ) or electronic notice (Form 990-N, the e-Postcard). If you don't file a required return or notice for three consecutive years, your exempt status will be automatically revoked.

If we indicated at the top of this letter that an addendum applies, the enclosed addendum is an integral part of this letter.

For important information about your responsibilities as a tax-exempt organization, go to www.irs.gov/charities.

Enter "4221-PC" in the search bar to view Publication 4221-PC, Compliance Guide for 501(c)(3) Public Charities, which describes your recordkeeping, reporting, and disclosure requirements.

Sincerely,
Stephen A. Martin
Director, Exempt Organizations
Rulings and Agreements

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

71 4.1
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72 4.1
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74 4.1
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76 4.1
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77 4.1
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78 4.1
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79 4.1
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80 STATE OF CALIFORNIA
RRF-1
(Rev. 02/2021)
MAIL TO:

Registry of Charitable Trusts
P.O. Box 903447
Sacramento, CA 94203-4470
STREET ADDRESS:
1300 I Street
Sacramento, CA 95814
(916) 210-6400
WEBSITE ADDRESS:
www.oaa. ca. aov/charities

ANNUAL REGISTRATION RENEWAL FEE REPORT

TO ATTORNEY GENERAL OF CALIFORNIA
Sections 12586 and 12587, California Government Code
11 Cal. Code Regs. sections 301-306, 309, 311, and 312
Failure to submit this report annually no later than four months and fifteen days after the end of the organization's accounting period may result in the loss of tax exemption and the assessment of a minimum tax of $800, plus interest, and/or fines or filing penalties. Revenue & Taxation Code section 23703; Government Code section 12586.1. IRS extensions will be honored.

DEPARTMENT OF JUSTICE
PAGE 1 of 5
(For Registry Use Only)
REt;.El*, En
Attorney General's Office
APR 0 5 2024
Registry of Charities and Fundraisers
Foster City Village, Inc.

Name of Organization
Check if:

Change of address
List all DBAs and names the organization uses or has used 1000 E. Hillsdale Boulevard, #210
Address (Number and Street)
Foster City, CA 94404
City or Town, State, and ZIP Code
650-378-8541 [email protected]
Telephone Number E-mail Address
[] Amended report
State Charity Registration Number CT0215635
Corporation or Organization No. C3451219
Federal Employer ID No. 90-0841739
ANNUAL REGISTRATION RENEWAL FEE SCHEDULE (11 Cal. Code Regs. sections 301-307, 311, and 312) Make Check Payable to Department of Justice
Total Revenue Ene Total Revenue Fee Total Revenue Ene
Less than $50,000 $25
Between $50,000 and $100,000 $50
Between $100,001 and $250,000 $75
Between $250,001 and $1 million $100
Between $1,000,001 and $5 million $200
Between $5,000,001 and $20 million $400
Between $20,000,001 and $100 million $800
Between $100,000,001 and $500 million $1,000
Greater than $500 million $1,200

PART A - ACTIVITIES
For your most recent full accounting period (beginning 01 / 01 / 2023 ending 12 / 31 / 2023 ) list:

Total Revenue $
(including noncash contributions)
211,116.00 Noncash Contributions $ 0.00 Total Assets $ 128,362.00 Program Expenses $ 40,241.00 Total Expenses $ 138,549.00

PART B - STATEMENTS REGARDING ORGANIZATION DURING THE PERIOD OF THIS REPORT Note: All questions must be answered. If you answer "yes" to any of the questions below, you must attach a separate page ' providing an explanation and details for each "yes" response. Please review RRF-1 instructions for information required. Yes No

1. During this reporting period, were there any contracts, loans, leases or other financial transactions between the organization and any of(cer, director or trustee thereof, either directly or with an entity in which any such officer, director or trustee had any financial interest? 4 2. During this reporting period, was there any theft, embezzlement, diversion or misuse of the organization's charitable property or funds?

3. During this reporting period, were any organization funds used to pay any penalty, fine or judgment?

4. During this reporting period, were the services of a commercial fundraiser, fundraising counsel for charitable purposes, or commercial coventurer used?
4 5. During this reporting period, did the organization receive any governmental funding?

6. During this reporting period, did the organization hold a raffle for charitable purposes?

7. Does the organization conduct a vehicle donation program?

8. Did the organization conduct an independent audit and prepare audited financial statements in accordance with generally accepted accounting principles for this reporting period? 4 9. At the end of this reporting period, did the organization hold restricted net assets, while reporting negative unrestricted net assets? I declare under penalty of perjury that I have examined this report, including accompanying documents, and to the best of my knowledge and belief, the content is true, correct and complete, and I am authorized to sign.

Wll
thorizi..
1/U Richard K. Hopper Treasurer 04/03/2024
at Printed Name Title Date
1,el,CNI

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

81 STATE OF CALIFORNIA
RRF-1
(Rev. 02/2021)

DEPAR ENT OF JUSTICE
PAGE 2 of 5
Office of the Attorney General
Registry of Charitable Trusts
Privacy Notice
As Required by Civil Code 1798.17
Collection and Use of Personal Information. The Attorney General's Registry of Charitable Trusts (Registry), a part of the Public Rights Division, collects the information requested on this form as authorized by the Supervision of Trustees and Fundraisers for Charitable Purposes Act (Gov. Code 12580 et seq.) and regulations adopted pursuant to the Act (Cal. Code Regs., tit. 11, 300-316). The Registry uses the information in the administration and enforcement of the Act, including to register, renew, or update your organization's registration or to prepare reports pursuant to the Act. The Attorney General may also use the information for additional purposes, including in support of investigations and law enforcement actions, providing public access to information as required by the Act (Gov. Code 12587,12587.1,12590), and making referrals to other law enforcement agencies. Any personal information collected by state agencies is subject to the limitations in the Information Practices Act and state policy. The Department of Justice's general privacy policy is available at www.oag.ca.gov/ privacy-policy.

Providing Personal Information. All the personal information requested in the form must be provided.

An incomplete submission may result in the Registry not accepting the form, and cause your organization to be out of compliance with legal requirements to operate in California.

Access to Your Information. The completed form is a public filing that will be made available on the Attorney General's website at www.oag.ca.gov/charities pursuant to the public access requirements of the Act. You may review the records maintained by the Registry that contain your personal information, as permitted by the Information Practices Act. See below for contact information.

Possible Disclosure of Personal Information. In order to process the applicable registration, renewal, ' registration update, application, or report, we may need to share the information on this form with other government agencies. We may also share the information to further an investigation, including an investigation by other government or law enforcement agencies. In addition, the information is available and searchable on the Attorney General's website.

The information provided may also be disclosed in the following circumstances:

With other persons or agencies where necessary to perform their legal duties, and their use of your information is compatible and complies with state law, such as for investigations or for licensing, certification, or regulatory purposes;
To another government agency consistent with state or federal law.

Contact Information. For questions about this notice or access to your records, contact the Registrar of Charitable Trusts, 1300 I Street, Sacramento, CA 95814 at [email protected] or (916) 210-6400.

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

82 Foster City Village, Inc.

Form RRF-1 - CY 2023
RECEIVEDLine 5, Governmental Funding
Atiorney General's Omce
City of Foster City
610 Foster City Boulevard
Foster City, CA 94404
Financial Services Dept.

Total Amount Received: $9,050
APR 0 5 2024
Aeguy of Chari#as and Fundrmier,
Sequoia Healthcare District
525 Veterans Boulevard
Redwood City, CA 94063
Pamela Kurtzman, CEO
650-421-2155
Total Amount Received: $30,000
Peninsula Health Care District
1819 Trousdale Drive
Burlingame, CA 94010
Ana Pulido, CEO
650-697-6900
Total Amount Received: $10,000
United States Treasury
Internal Revenue Service
Employee Retention Credit Program
Cincinnati, OH 45999
Total Amount Received: $60,511
Line 7, Vehicle Donation Program
There were no vehicles donated in CY 2023 to the Foster City Village.

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

83 Form 990 Return of Organization Exempt From Income Tax OMB No. 1545-0047
Under section 501 (c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) 2023 Do not enter social security numbers on this form as it may be made public. Open to PublicDepartment of the Treasury Internal Revenue Service Go to www.h.gov/Fom,990 for instructions and the latest information. Inspection A For the 2023 calendar year, or tax year beginning 01/01/2023 and ending 12/31/2023 B Check if applicable: C Name of organization FOSTER CITY VILLAGE INC D Employer identification number D Address change Doing business as 90-0841739
El Name change Number and street (or P.O. box if mail is not delivered to street address) Room/suite E Telephone number C Initial return 1000 E Hillsdale Blvd 650-378-8541
C] Final return/terminated City or town, state or province, country, and ZIP or foreign postal code U Amended return Foster City, CA 94404 G Gross receipts $ 211,116 U Application pending F Name and address of principal officer: Pamela Frisella H(a) Is this a group return for subordinates? E Yes No 1000 E Hillsdale Boulevard, Suite 210, Foster City, CA 94404 H(b) Are all subordinates included? E Yes U No 1 Tax-exempt status: 501(c)(3) 501 (c) C )(insert no.) m 4947(a)(1) or U 527 If "No," attach a list. See instructions.

J Website: www.fostercityvillage.org H(c) Group exemption number K Form of organization: Corporation El Trust [3 Association D Other L Year of formation: 2012 M State of legal domicile: CA Part I Summary
1 Briefly describe the organization's mission or most significant activities: Support for older adults to continue to live in their own homes by providing transportation, social activities, fitness classes, a book club, walk and talk, cooking demonstrations, Mexican Train dominoes, mahjong, breakfast at IHOP, and lunch at BJ's. * 2 Check this box U if the organization discontinued its operations or disposed of more than 25% of its net assets. & 3 Number ofvoting members ofthe governing body (Part VI, linela). . .RECHEED. 3 7 05 4 Number of independent voting members of the governing body (Part)0(Udirm,91*ene,al's Office 4 7 .3 5 Total number of individuals employed in calendar year 2023 (Part V, line 2aj . . . . . 5 3 8 6 Total number of volunteers (estimate if necessary) . . . . . . . .APR. 0.5 .2024. 6 45 0 2 78 Total unrelated business revenue from Part Vlll, column (C), line 12 . . . . . . . . 7a 0 b Net unrelated business taxable income from Form 990-T, Part 1, IR@gi*yof Charities and Fur}drais,16 0 Prior Year Current Year
8 Contributions and grants (Part Vlll, line lh). . . . . . . . . . . . 162,069 211,116 9 Program service revenue (Part Vlll, line 2g) . . . . . . . . . . . 0 10 Investment income (Part Vlll, column (A), lines 3,4, and 7d) . . . . . . 0 11 Other revenue (Part Vlll, column (A),lines 5,6d, 8c, 9c, 10c, andlle) ... 0 12 Total revenue-add lines 8 through 11 (must equal Part Vlll, column (A), line 12) 162,069 211,116 13 Grants and similar amounts paid (Part IX, column (A), lines 1-3) . . . . . 0 14 Benefits paid to or for members (Part IX, column (A), line 4) . . . . . . 0 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) 66,234 16a Professional fundraising fees (Part IX, column (A), line 1le) . . . . . . 0 b Total fundraising expenses (Part IX, column (D), line 25) O 45 3 1 8 49 11* 7 i R 9 . 9 1 D:.. 7 17 Other expenses (Part IX, column (A), lines 11 a-11 d, 11 f-24e) ..... 72,315 18 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) . 0 138,549 19 Revenue less expenses. Subtract line 18 from line 12 . . . . . . . . 162,069 72,567 3 Beginning of Current Year End of Year
g 20 Total assets (Part X, line 16) . . . . . . . . . . . . . . . . 60,715 128,362 1 % 21 Total liabilities (Part X, line 26) . . . . . . . . . . . . . . . . 5,000 80 EC
z 2 22 Net assets or fund balances. Subtract line 21 from line 20 . . . . . . 55,715 128,282 Part 11 Signature Block
Under penalties of perjury, 1 declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.

Sign Signature of officer Date
Here Richard Hopper, Treasurer
Type or print name and title
Print/Type preparer's name Preparer's signature Date Check m if PTIN Paid
self-employed
Preparer
Use Only
Firm's name Firm's EIN
Firm's address Phone no.

May the IRS discuss this return with the preparer shown above? See instructions . . . . . . . . . . . [3 Yes U No For Paperwork Reduction Act Notice, see the separate instructions. Cat. No. 11282Y Form 990 (2023)

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

84 Form 990 (2023) page 2
Part 111 Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part 111 . . . . . . . . . . . . . C] 1 Briefly describe the organization's mission:

Support for older adults to continue to live in their own homes by providing transportation, social activities, fitness classes, a book club, walk and talk, cooking demonstrations, Mexican Train dominoes, Mahjong, breakfast at IHOP, and lunch at BJ's. 2 Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? . . . . . . . . . . . . . . . . . . . . . . . . . . . [3 Yes No If "Yes," describe these new services on Schedule O.
3 Did the organization cease conducting, or make significant changes in how it conducts, any program services? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [3 Yes E] No If "Yes," describe these changes on Schedule O.
4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported. 48 (Code: _______J (Expenses $-_____-2-5123_ including grants of $ _______________25,-7-4-3- ) (Revenue $ _03 Core Fitness and Yoga Classes. Core fitness and yoga classes are held in the Community Center Mondays and Wednesdays. The well received classes focused on exercises while sitting in a chair. The classes are free to Village members. Non-Village attendees must pay a $ 10 fee to the City of Foster City. 40 (Code: ______J (Expenses $_.___._21100- including grants of $ _________________&10-0- ) (Revenue $ ___ ----0 ) Cooking Demonstrations. Virtual Zoom cooking demonstrations once monthly for our members. The demonstrations are an excellent way of teaching our members good habits and providing recipes for healthy foods. 4c (Cocie: _____-___--) (Expenses $
Learning Hour speaker fees
200 including grants of $ __ 200- ) (Revenue $ -_----------- ....0 ) 4d Other program services (Describe on Schedule O.) See Schedule 0, Statement 1 (Expenses $ 12,198 including grants of $ 0 ) (Revenue $ 0) 4e Total program service expenses 40,241
Form 990 (2023)

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

85 Form 990 (2023) page 3
Part IV Checklist of Required Schedules
1 Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? /f "Yes," complete Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 Is the organization required to complete Schedule B, Schedule of Contributors? See instructions . . . . 2 3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? /f "Yes, " comp/ete Schedu/e C, Pan / . . . . . . . . . 0 . . . . 3 4 Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? /f "Yes, " complete Schedu/e C, Part // . . . . . . . . . . . 4 5 Is the organization a section 501 (c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? /f "yes,"complete Schedule C, Part 111 . . 5 6 Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? /f "Yes," complete Schedule D, Part I . . . . . . . . . 6 7 Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? /f "Yes,"complete Schedule D, Part 11 . . . 7 8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? /f "Yes," complete Schedule D, Part Ill . . . . . . . . . . . . . . . . . . . . . . . . . . 8 9 Did the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? /f "yes, " complete Schedu/e D, Part /V . . . . . . . . . . . . . . 9 Yes No
4 4
4 10 Did the organization, directly or through a related organization, hold assets in donor-restricted endowments or in quasi-endowments? /f "Yes," complete Schedu/e D, Part V. . . . . . . . . . . . . . . 10 11 If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, der VII, VI11, IX, or X, as applicable. ...1%
a Did the organization report an amount for land, buildings, and equipment in Part X, line 10? /f "Yes," complete Schedule D, Pan VI . . . . . . . . . . . . . . . . . . . . . . . . . 1la b Did the organization report an amount for investments-other securities in Part X, line 12, that is 5% or more of its total assets reported in Part X, line 16? /f"Yes," complete Schedule D, Part VII . . . . . 1lb c Did the organization report an amount for investments-program related in Part X, line 13, that is 5% or more of its total assets reported in Part X, line 16? if "Yes," complete Schedule D, Part Viil . . . . . . . . llc d Did the organization report an amount for other assets in Part X, line 15, that is 5% or more of its total assets reported in Part X, line 16?/f "Yes,"complete Schedule D, Part/X .............. 11d V e Did the organization report an amount for other liabilities in Part X, line 25? /f "yes,"complete Schedule D, Part X 11e f Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? /f "Yes," complete Schedule D, Part X 111 128 Did the organization obtain separate, independent audited financial statements forthetax year? /f"Yes," complete Schedule D, Parts XI and XII . . . . . . . . . . . . . . . . . . . . . . . . . . . 12a b Was the organization included in consolidated, independent audited financial statements for the tax year? /f "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional 12b 13 Is theorganizationaschool described in section 170(b)(I)(A)(ii)? /f"Yes,"complete Schedule E . . . . 13 14a Did the organization maintain an office, employees, or agents outside of the United States? . . . . . 14a b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? /f "yes,"complete Schedule F, Parts I and IV . . . . . 14b 15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? lf "yes," complete Schedu/e F, Parts H and /V ...........15 16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? /f "Yes," complete Schedule F,Parts Illand IV. . . . . . . . 16 17 Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 1 le? /f "Yes,"complete Schedule G, Part/. See instructions .....17 18 Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part Vill, lines 1 c and Ba? /f "Yes," complete Schedu/e G, Part H ............... 18 19 Did the organization report more than $15,000 of gross income from gaming activities on Part Vlll, line 9a? If "Yes," complete Schedule G, Part Ill . . . . . . . . . . . . . . . . . . . . . . . 19 208 Did the organization operate one or more hospital facilities? /f "Yes,"complete Schedule H . . . . . . 208 b If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? . 20b 21 Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? /f "Yes," complete Schedule 4 Parts /and H . . . . 21 Form 990 (2023)

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

86 Form 990 (2023) page 4
Part IV Checklist of Required Schedules(continued)
34 Was the organization related to any tax-exempt or taxable entity? /f "yes," complete Schedule R, Part 11,111, or IV, and Part V, line 1 . . . .

Yes
34 Yes
le q
No
22 Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? /f "yes,"complete Schedule /, Parts land W . . . . . . . . . . . . 22 23 Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? if "Yes, " complete Schedule J . . . . . . . . . . . . . . . . . . . . . . 23 24a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? /f "yes," answer lines 24b through 24d and complete Schedule K. If "No," go to line 25a . . . . . . . . . . . . . . . 248 b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? . . 24b c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? . . . . . . . . . . . . . . . . . . . . 24c d Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? . . 24d 25a Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? /f"Yes," complete Schedule L, Part I . . . . . 258 b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I. . . . . . . . . . . . . . . . . . . . . . . . 25b 26 Did the organization report any amount on Part X, line 5 or 22, for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? /f "yes,"complete Schedule L, Part 11 . . . 26 4 27 Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons'? If "Yes," complete Schedule L, Part Ill . . . . . . . . . . . . . . . . . . . . 27 28 Was the organization a party to a business transaction with one of the following parties? (See the Schedule L, Part IV, instructions for applicable filing thresholds, conditions, and exceptions). a A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? /f "Yes," complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . 28a b Afamily memberofany individual described in line 28a? /f "Yes,"complete Schedule L, Part IV . . . . 28b c A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? /f "Yes," complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . 28c 29 Did the organization receive more than $25,000 in noncash contributions? /f "Yes," complete Schedule M 29 30 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? /f "yes, " comp/ete Schedule M . . . . . . . . . . . . . . - 30 31 Did the organization liquidate, terminate, or dissolve and cease operations? /f "Yes,"complete Schedule N, Part I 31 32 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? /f "Yes," complete Schedule N, Part 11 . . . . . . . . . . 32
33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? /f "yes,"complete Schedule R, Part I. . . . . . . . . . . 33 35a Did the organization have a controlled entity within the meaning of section 512(b)(13)? . . . . . . . 358 b If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? /f "yes,"complete Schedule R, Part V, line 2 . . 35b 36 Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? /f "Yes," complete Schedule R, Part V, line 2 . . . . . . . . . . . . . . 36 37 Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? /f "Yes,"complete Schedule R, Part VI 37 38 Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 1lb and 19? Note: All Form 990 filers are required to complete Schedule O . . . . . . . . . . . . . . 38 4 Part V Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule O contains a response or note to any line in this Part V . . . . . . . . . . . . . C] No
la Enter the number reported in box 3of Form 1096. Enter -0- if not applicable .... |la| 4 b Enter the number of Forms W-2G included on line la. Enter -0- if not applicable ... |lb| 0 c Did the organization comply with backup withholding rules for reportable payments to vendors and i reportable gaming (gambling) winnings to prize winners? . . . . . . . . . . . . . . . .

Form 990 (2023)

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

87 Form 990 (2023) page 5
Part V Statements Regarding Other IRS Filings and Tax Compliance (continued) Yes No 2a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return h 3 ye>' b If at least one is reported on line 2a, did the organization file all required federal employment tax returns? . 2b / 3a Did the organization have unrelated business gross income of $1,000 or more during the year? . . . . 3a b If "Yes," has it filed a Form 990-T for this year? /f "No" to #ne 3b,provide an explanation on Schedule O . 3b 4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? 4a b If "Yes," enter the name of the foreign country -4.35 .J..* See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). .. 430 5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . . . 58 b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? 5b c If "Yes" to line 5a or 5b, did the organization file Form 8886-T? . . . . . . . . . . . . . . . 5c 6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? . . . . . Ba b If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? . . . . . . . . . . . ...............6b 7 Organizations that may receive deductible contributions under section 170(c). a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods c 1 and services provided to the payor? . . . . . . . . . ........ 7a b If "Yes," did the organization notify the donor of the value of the goods or services provided? . . . . . 7b c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? . . . . . . . . ................... k d If "Yes," indicate the number of Forms 8282 filed during the year . . . . . . . . | 7d | e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? 7e f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . 7f g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? 7g h If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? 7h 8 Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the 431?14%' . . 111*r.j tt u sponsoring organization have excess business holdings at any time during the year? . . . . . . . . 8 9 Sponsoring organizations maintaining donor advised funds. t*, r./.1.f a Did the sponsoring organization make any taxable distributions under section 4966? . . . . . . b Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? . . 10 Section 501(c)(7) organizations. Enter:
a Initiation fees and capital contributions included on Part Vill, line 12 . . . . . . . | 10a b Gross receipts, included on Form 990, Part Vlll, line 12, for public use of club facilities . |10b| 11 Section 501(c)(12) organizations. Enter:
a Gross income from members or shareholders . . . . . . . . . . . . . . . 1la b Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) . . . . . . . . . . . . . . . 1 lb 12a Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041 ? b If "Yes," enter the amount of tax-exempt interest received or accrued during the year . . | 12b | 13 Section 501 (c)(29) qualified nonprofit health insurance issuers. a Is the organization licensed to issue qualified health plans in more than one state? . . . . . . .

Note: See the instructions for additional information the organization must report on Schedule O. b Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans . . . . . . . . . . 13b c Enter the amount of reserves on hand . . . . . . . . . . . . . . . . . 13c 14a Did the organization receive any payments for indoor tanning services during the tax year? . . . . . b If "Yes," has it filed a Form 720 to report these payments? /f '7\/0,"provide an explanation on Schedule O . 15 Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? . . . . . . . . . . . . . . . . . . .

If "Yes," see the instructions and file Form 4720, Schedule N. 16 Is the organization an educational institution subject to the section 4968 excise tax on net investment income? If "Yes," complete Form 4720, Schedule O.
17 Section 501 (c)(21) organizations. Did the trust, or any disqualified or other person, engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? . . . . . .

If "Yes," complete Form 6069.

Form 990 (2023)
9a
9b
12a
13a
14a
14b
15 16
33 17
4 4.1
Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

88 Form 990 (2023) page 6
Part VI Governance, Management, and Disclosure. For each "yes"response to lines 2 through 7b below, and for a "No response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes on Schedule O. See instructions.

Check if Schedule O contains a response or note to any line in this Part VI . . . . . . . . . . . . .

Section A. Governing Body and Management
Yes No
la Enter the number ofvoting members ofthe governing body atthe end ofthetax year. . la 74/// If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain on Schedule O.
b Enter the number of voting members included on line la, above, who are independent . 1b 7 2 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? . . . . . . . . . . . . . . . . . . 2 4 3 Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors, trustees, or key employees to a management company or other person? . 3 4 Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? 4 5 Did the organization become aware during the year of a significant diversion of the organization's assets? . 5 6 Did the organization have members or stockholders? . . . . . . . . . . . . . . . . . . 6 7a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? . . . . . . . . . . . . . . . . . . . . 78 b Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? . . . . . . . . . . . . . . . . . 71) 8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a The governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8aq b Each committee with authority to act on behalf of the governing body? . . . . . . . . . . . . 8b / 9 Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization's mailing address? /f "yes,"provide the names andaddresses on Schedule 0 . . . . 9 Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) Yes No
10a Did the organization have local chapters, branches, or affiliates? . . . . . . . . . . . . . . 108 b If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? 10b 1 1 a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? 11a 4 b Describe on Schedule O the process, if any, used by the organization to review this Form 990. 12a Did the organization have a written conflict of interest policy? /f "No, " go to line 13 . . . . . . . . 128 b Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? 12b c Did the organization regularly and consistently monitor and enforce compliance with the policy? /f"Yes," describe on Schedule O how this was done. . . . . . . . . . . . . . . . . . . . . . 12c 13 Did the organization have a written whistleblower policy? . . . . . . . . . . . . . . . . . 13 14 Did the organization have a written document retention and destruction policy? . . . . . . . . . 14 15 Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? a The organization's CEO, Executive Director, or top management official . . . . . . . . . . . . 15a b Other officers or key employees of the organization . . . . . . . . . . . . . . . . . . . 15b If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions. 16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? . . . . . . . . . . . . . . . . . . . . . . . . 168 b If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements? . . . . . . . . . . . . . . 16b Section C. Disclosure
17 List the states with which a copy of this Form 990 is required to be filed CA 18 Section 6104 requires an organization to make its Forms 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501 (c) (3)s only) available for public inspection. Indicate how you made these available. Check all that apply.

El Own website El Another's website Upon request El Other (explain on Schedule O) 19 Describe on Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year. 20 State the name, address, and telephone number of the person who possesses the organization's books and records.

Richard Hopper, (415)420-3150
1000 E Hillsdale Blvd, Foster City, CA 94404 Form 990 (2023)

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

89 Form 990 (2023) Page 7
Part VII Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII . . . . . . . . . . . . . E Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees la Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year.

List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

List all of the organization's current key employees, if any. See the instructions for definition of "key employee." List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations.

List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations.

List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.

E Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee. (A)
Name and title
Currie Park
Administrative Services Associate
Holly McKelvey
Administrative Services Manager
Veronika Yecguanchuy-Park
Administrative Services Associate
Marlene Hopper
Board Member
Patricia Player-Maxwell
Board Member
Bob Lahl
Secretary
Richard Hopper
Treasurer
Phyllis Brown
Vice President
Pam Frisella
President
(B)
Average
hours
per week
(list any
hours for
related
organizations
below
dotted line)

0.50 0.00

1.00 0.00

0.00 0.00

8.00 0.00

0.50 0.00

6.00 0.00

8.00 0.00

11.00 0.00
(C)
Position
(do not check more than one
box, unless person is both an
officer and a director/trustee)
2550X (DI -1-1
a S * 3 30 q
#*[email protected]@
-25 = 3
R 2 0
8 2
4 4
4 4
4 4
(D)
Reponable
compensation
from the
organization (W-2/
1099-MISC/
1099-NEC)
35,942
16,770
7,606
0 0
0 0
0 0
(E)
Reponable
compensation
from related
organizations (W-2/
1099-MISC/
1099-NEC)
0 0
0 0
0 0
0 0
0 (F)
Estimated amount
of other
compensation
from the
organization and
related organizations
0 0
0 0
0 0
0 0
0 Form 990 (2023)

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

90 Form 990 (2023) page 8
Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (C)
(A) (B) Position
(do not check more than one
Name and title Average box, unless person is both an
hours officer and a director/trustee)
per week
JJOX (Dz m
related i & 8-3 < S g
organizations - g 2
below R g 1 1
dotted line) 2 2 3
CD
(D) (E)
Reportable Reportable
compensation compensation
from the from related
organization (W-2/ organizations (W-2/
1099-MISC/ 1099-MISC/
1099-NEC) 1099-NEC)
(F)
Estimated amount
of other
compensation
from the
organization and
related organizations
1 b Subtotal ...................... 60,318 0 0
c Total from continuation sheets to Part VII, Section A . . . . d Total (add lines lb and lc) . . . . . . . . . . . . . . . . 60,318 0 0 2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization o
Yes NO
3 Did the organization list any former officer, director, trustee, key employee, or highest compensated employee on \\ne lal If "Yes," complete Schedule J for such individual . . . . . . . . . . . . 3 4 4 For any individual listed on line 1 a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? /f "Yes," complete Schedule J for such individual ................................. 4
5 Did any person listed on line 1 a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization?If "Yes," complete Schedule J for such person . . . . . . 5 4 Section B. Independent Contractors
1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. (A) (B) (C)
Name and business address Description of services Compensation None
2 Total number of independent contractors (including but not limited to those listed above) who : 1 4 received more than $100,000 of compensation from the organization o g *91 ver* 42

12./.1
' -/ 11" & *1#
Form 990 (2023)

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

91 Form 990 (2023) Page 9
Part VI11 Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VI11. . . . . . . . . . . . . [3 (A) (B) (C) (D)
Total revenue Related or exempt Unrelated Revenue excluded function revenue business revenue from tax under
sections 512-514
g
E
E75
ki
.C
la Federated campaigns . . .
b Membership dues . . . .
c Fundraising events . . . .
d Related organizations . . .
e Government grants (contributions)
f All other contributions, gifts, grants,
and similar amounts not included above
g Noncash contributions included in
lines 1 a-1 f. . . . . .
la 0
1b 29,165 4*1
1c
1d 0
le 112,561 1*.
1f 69,390
1g $ 0
1 11A i 36:
4 5
&
47 * < ' 4: f 4
4 9='fid
97 j 1 33
A>/%. d
C
1 eo h Total. Add linesla-lf . K *t
Business Code
2a
b
C
d
e
f All other program service revenue .
g Total. Add lines 2a-2f . . . . . . . . . . .
3 Investment income (including dividends, interest, and other similar amounts) . . . . . . . . . .
4 Income from investment of tax-exempt bond proceeds
5 Royalties ...............
(i) Real (ii) Personal
6a Gross rents . . 6a 0 0
b Less: rental expenses 6b 0 0
c Rental income or Closs) Bc 0 0
d Net rental income or (loss) . . . . . . . .
7a Gross amount from (i) Securities (ii) Other
sales of assets
0 0
other than inventory 7a
b Less: cost or other basis
and sales expenses . 71) 0 0
c Gain or (loss) . . 7c
d Net gain or (loss) . . . .
8a Gross income from fundraising
events (not including $ -__-__--_--__ g
of contributions reported on line
1 c). See Part IV, line 18 . .
b Less: direct expenses . . .
c Net income or (loss) from fundraising events . .
9a Gross income from gaming
activities. See Part IV, line 19
0 0
0 Jl 0 0
34:7%*,4
U U
0 0
8b
0 0
24 46
4*tr
11 b 17
9a 0
9b 0 Lb Less: direct expenses . . .
c Net income or (loss) from gaming activities
10a Gross sales of inventory, less
returns and allowances . . . 10a
b Less: cost of goods sold . . . 10b
c Net income or (loss) from sales of inventory
0 0
0 0
211.116 0
Business Code
1la
b
C
d All other revenue . . . .
e Total. Add lines 1la-lld . . .
12 Total revenue. See instructions
0 0
%4%% 4> ,r
Form 990 (2023)
0 0
0 0
0 0

4..
4%
r
0 0

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

92 Form 990 (2023) Page 10
Part IX Statement of Functional Expenses
Section 501 (c)(3) and 501 (c)(4) organizations must complete all columns. All other organizations must complete column (A).

Check if Schedule O contains a response or note to any line in this Part IX . . . . . . . . . . . . .

Do not inc/ude amounts reported on /ines 64 74 (A) (B) (C) (D) Total expenses Program sen/ice Management and Fundraising 8b, 9b, and 1Ob of Part VI11. expenses general expenses expenses 1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21
2 Grants and other assistance to domestic
individuals. See Part IV. line 22 . . . .
3 Grants and other assistance to foreign
organizations, foreign governments, and
foreign individuals. See Part IV, lines 15 and 16
4 Benefits paid to or for members . . .
5 Compensation of current officers, directors,
trustees, and key employees . . . .
6 Compensation not included above to disqualified
persons (as defined under section 4958(f)(1)) and
persons described in section 4958(c)(3)(B) .
7 Other salaries and wages . . . . .
8 Pension plan accruals and contributions (include
section 401(k) and 403(b) employer contributions)
e All other expenses
25 Total functional expenses. Add lines 1 through 24e
26 Joint costs. Complete this line only if the
organization reported in column (B) joint costs
from a combined educational campaign and
fundraising solicitation. Check here U if
following SOP 98-2 (ASC 958-720) . .
0 E 00
0 0
0 09
0 0 m
0 0 0
0 0 0
0 60,318
0 0 0
0 0
0 5,916
0 0
0 0
0 0
0 0
0 0
26,506 0
0 9,286
0 4,056
0 0
0 0
0 3,120
0 0
0 0
0 90
0 0
0 0
0 0
0 3,466
0 6,819
985 0
12,750 0
5,237
40,241 98,308

60.318
9 Other employee benefits . . . . . . . 0
10 Payroll taxes . . . . . . . . . . 5,916
11 Fees for services (nonemployees):
a Management .......... 0
b Legal............. 0
c Accounting ........... 0
d Lobbying ........ 0
e Professional fundraising services. See Part IV, line 17 0 f Investment management fees . . . . . 0
g Other. Clf linellg amount exceeds 10% of line 25, column (A), amount, list line 11 g expenses on Schedule 0.) . 26,506 12 Advertising and promotion . . . . . . 9,286
13 Office expenses . . . . . . . . . 4,056
14 Information technology . . . . . . . 0
15 Royalties ............ 0
16 Occupancy . . . . . . . .. . . 3,120
17 Travel ............. 0
18 Payments of travel or entertainment expenses
for any federal, state, or local public officials n
19 Conferences, conventions, and meetings . 90
20 Interest . . . . . . . . . . . . 0
21 Payments to affiliates . . . . . . . . 0
22 Depreciation, depletion, and amortization . 0
23 Insurance ............ 3,466
24 Other expenses. Itemize expenses not covered k U . 1

1.96 above. (List miscellaneous expenses on line 24e. If 40 4 ff g* line 24e amount exceeds 10% of line 25, column
(A), amount, list line 24e expenses on Schedule O.) 1 6 a Board of Directors 6,819
b Volunteer Services 985
c Member Services 12,750
d
5,237
138.549
Form 990 (2023)

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

93 Form 990 (2023)
Part X Balance Sheet
Check if Schedule O contains a response or note to any line in this Part X

Page 11 ends

(A) (B)
Beginning of year End of year
1 Cash-non-interest-bearing .............. 52,334 1 116,648 2 Savings and temporary cash investments . . . . . . . . . . 0 3 Pledges and grants receivable, net . . . . . . . . . . . . 0 4 Accounts receivable, net . . . . . . . . . . . . . . . 0 . ---.- .701h
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% .8 i k controlled entity or family member of any of these persons . . . . 0 6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) 0 7 Notes and loans receivable, net . . . . . . 0
8 Inventories for sale or use . . . . . . . . 1,122
9 Prepaid expenses and deferred charges . . . 80
10a Land, buildings, and equipment: cost or other
basis. Complete Part VI of Schedule D . .
b Less: accumulated depreciation . . . .
11 Investments-publicly traded securities . .
12 Investments-other securities. See Part IV, line 11 . . . . . . 13 Investments-program-related. See Part IV, line 11. . . . . . 14 Intangible assets . . . . . . . . . . . . . . . . . . 15 Other assets. See Part IV, line 11 . . . . . . . . . . . . 16 Total assets. Add lines 1 through 15 (must equal line 33) . . . . 17 Accounts payable and accrued expenses . . . . . . . . . 18 Grants payable . . . . . . . . . . . . . . . . . . . 19 Deferred revenue . . . . . . . . . . . . . . . . . . 20 Tax-exempt bond liabilities . . . . . . . . . . . . . . 21 Escrow or custodial account liability. Complete Part IV of Schedule D . 22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons . . . 0 2
0 3
0 4
0 5
0 6
0 7
1,122 8
5,000 9
0 10c
0 11
0 12
0 13
0 14
2,259 15
60,715 16
0 17
5,000 18
0 19
0 20
0 21
10a
10b 0
23 Secured mortgages and notes payable to unrelated third parties . 24 Unsecured notes and loans payable to unrelated third parties . . 25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D . . . . . . . . . . . . . . . . . . .
0 22
0 23
0 24
0 25
5,000 26
0 0
0 0
0 10,512
128,362
0 80
0 0
0 > 9.14
0 0
0 8026 Total liabilities. Add lines 17 through 25 . . . . . . . . .

Organizations that follow FASB ASC 958, check here El * and complete lines 27,28,32, and 33. *t
27 Net assets without donor restrictions . . . . . . . . . . . 55,715 27 8,282 28 Net assets with donor restrictions . . . . . . . . . . . . 0 Organizations that do not follow FASB ASC 958, check here U and complete lines 29 through 33.
12 0 28
29 30
31 :
29 Capital stock or trust principal, or current funds . . . . . . . 30 Paid-in or capital surplus, or land, building, or equipment fund . . 31 Retained earnings, endowment, accumulated income, or other funds . 32 Total net assets or fund balances . . . . . . . . . . . . . 55,715 32 128,282 33 Total liabilities and net assets/fund balances . . . . . . . . . 60,715 33 128,362 Form 990 (2023)

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

94 Form 990 (2023) page 12
Reconciliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI . . . . . . . . . . . . . U 1 Total revenue (must equal Part Vlll, column (A), line 12) . . . . . . . . . . . . . . 1 211,116 2 Total expenses (must equal Part IX, column (A), line 25) . . . . . . . . . . . . . 2 138,549 3 Revenue less expenses. Subtract line 2 from line 1 . . . . . . . . . . . . . . . 3 72,567 4 Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) . . . 4 55,715 5 Net unrealized gains (losses) on investments . . . . . . . . . . . . . . . . . 5 0 6 Donated services and use of facilities . . . . . . . . . . . . . . . . . . . 6 0 7 Investment expenses . . . . . . . . . . . . . . . . . . . . . . . . . 7 0 8 Prior period adjustments . . . . . . . . . . . . . . . . . . . . . . . . 8 0 9 Other changes in net assets or fund balances (explain on Schedule O) . . . . . . . . . 9 0 10 Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 128,282 Part XII Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII . . . . . . . . . . . . . U Yes No
1 Accounting method used to prepare the Form 990: E Cash [2] Accrual El Other If the organization changed its method of accounting from a prior year or checked "Other," explain on fi .

Schedule O.
2a Were the organization's financial statements compiled or reviewed by an independent accountant? . . . 2a If "Yes," check a box below to indicate whether the financial statements for the year were compiled or i, reviewed on a separate basis, consolidated basis, or both.

U Separate basis El Consolidated basis E Both consolidated and separate basis b Were the organization's financial statements audited by an independent accountant? . . . . . . . 2b If "Yes," check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both.

U Separate basis El Consolidated basis U Both consolidated and separate basis c If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? . 2c If the organization changed either its oversight process or selection process during the tax year, explain on Schedule O.
3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F? . . . . . . . . . . . . . . . . . . . 38 1 b If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why on Schedule O and describe any steps taken to undergo such audits . 3b Form 990 (2023)

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

95 OMB No. 1545-0047

SCHEDULE A
Public Charity Status and Public Support
(Form 990)
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. 2023 Attach to Form 990 or Form 990-EZ.

Open to PublicDepartment of the Treasury
Internal Revenue Service Go to www.irs.gov/Form990 for instructions and the latest information. Inspection Name of the organization Employer identification number FOSTER CITY VILLAGE INC 90-0841739
Part I Reason for Public Charity Status. (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.) 1 A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i). 2 El A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).) 3 El A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). 4 0 A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(ili). Enter the hospital's name, city, and state:
5 U An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part Il.)
6 U A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). 7 C] An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part Il.) 8 [3 A community trust described in section 170(b)(1)(A)(vi). (Complete Part Il.) 9 C] An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or university:
10 An organization that normally receives (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions, subject to certain exceptions; and (2) no more than 331/396 of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part Ill.) 11 C] An organization organized and operated exclusively to test for public safety. See section 509(a)(4). 12 [3 An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g. a E] Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B. b E Typell. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C. c E] Type 111 functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E. d E Type 111 non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V. e E Check this box if the organization received a written determination from the IRS that it is a Type 1, Type 11, Type 111 functionally integrated, or Type 111 non-functionally integrated supporting organization. f Enter the number of supported organizations . . . . . . . . . . . . . . . . . . . . . g Provide the following information about the supported organization(s). (i) Name of supported organization (ii) El N (iii) Type of organization (iv) Is the organization (v) Amount of monetary (vi) Amount of (described on lines 1-10 listed in your governing support (see other support (see above (see instructions)) document? instructions) instructions) Yes No
(A)
(B)
(C)
(D)
(E)
Total
, I . ..j f .//' Y -1 *=,2 3 00-6 :. f Ill 20 1 04214e i U :

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Cat. No. 11285F Schedule A (Form 990) 2023

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

96 Schedule A (Form 990) 2023 page 2
Part 11 Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5,7, or 8 of Part I or if the organization failed to qualify under Part 111. If the organization fails to qualify under the tests listed below, please complete Part 111.) Section A. Public Support
Calendar year (or fiscal year beginning in) (a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) 2023 (f) Total 1 Gifts, grants, contributions, and
membership fees received. (Do not
include any "unusual grants.") . .
2 Tax revenues levied for the
organization's benefit and either paid
to or expended on its behalf . .
3 The value of services or facilities
furnished by a governmental unit to the
organization without charge . . .
4 Total. Add lines 1 through 3 . .
5 The portion of total contributions by
each person (other than a c
governmental unit or publicly
supported organization) included on
line 1 that exceeds 2% of the amount 1
shown on line 11, column 0
6 Public support. Subtract line 5 from line 4
Section B. Total Support
Calendar year (or fiscal year beginning in)
7 Amounts from line 4 . . . . . .
8 Gross income from interest, dividends,
payments received on securities loans,
rents, royalties, and income from
similar sources . . . . . . .
(a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) 2023 (f) Total
9 Net income from unrelated business
activities, whether or not the business
is regularly carried on . . . . .
10 Other income. Do not include gain or
loss from the sale of capital assets
(Explain in Part VI.) . . . .
11 Total support. Add lines 7 through 10
12 Gross receipts from related activities, etc. (see instructions) . . . . . . . . . . . . 12 13 First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . .

Section C. Computation of Public Support Percentage
14 Public support percentage for 2023 Cline 6, column (f), divided by line 11, column (0) ....14 % 15 Public support percentage from 2022 Schedule A, Part Il, line 14 ..........15 % 168 331/3% support test-2023. If the organization did not check the box on line 13, and line 14 is 3310% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . m b 334% support test-2022. If the organization did not check a box on line 13 or 16a, and line 15 is 331/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . U 17a 10%-facts-and-circumstances test-2023. If the organization did not check a box on line 13,16a, or 16b, and line 14 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization............
b 10%-facts-and-circumstances test-2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization.......
18 Private foundation. If the organization did not check a box on line 13,16a, 16b, 17a, or 17b, check this box and see instructions..............

Schedule A (Form 990) 2023

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

97 Schedule A (Form 990) 2023 page 3
Part 111 Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part Il.

If the organization fails to qualify under the tests listed below, please complete Part 11.) Section A. Public Support
Calendar year (or fiscal year beginning in) (a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) 2023 (f) Total 1 Gifts, grants, contributions, and membership fees
received. (Do not include any "unusual grants.7 245 671,678 2 Gross receipts from admissions, merchandise
sold or services performed, or facilities
furnished in any activity that is related to the
organization's tax-exempt purpose . . . 360 578
3 Gross receipts from activities that are not an
unrelated trade or business under section 513 0 218,096 103,190 158,769 99,518 159,956 150,:
180 38 0 0
82,455 75,096 58,432 2,113
0 0 0 0 60,!
3,120 3,120 3,120 0
188,945 237,023 161,070 162,069 211,
0 0 0 0
0 0 0 0
0 0 0 0
(a) 2019 (b) 2020 (c) 2021 W) 2022 (e) 2022
188,945 237,023 161,070 162,069 211,
0 0 0 0
0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
4 Tax revenues levied for the
organization's benefit and either paid
to or expended on its behalf . . . 311
5 The value of services or facilities
furnished by a governmental unit to the
organization without charge . . . . 0
60,511
9,360
6 Total. Add lines 1 through 5. . . . I 16
7a Amounts included on lines 1,2, and 3
received from disqualified persons . 0
b Amounts included on lines 2 and 3
received from other than disqualified
persons that exceed the greater of $5,000
or 1 % of the amount on line 13 for the year 0
c Add lines 7a and 7b . . . . . . 0
8 Public support. (Subtract line 7c from
line 6.) . . . . . . . . . . .

Section B. Total Support
Calendar year (or fiscal year beginning in)
9 Amounts from line 6 . . . . . . I 16
10a Gross income from interest, dividends,
payments received on securities loans, rents,
royalties, and income from similar sources o
960,223
0 0
0 960,223
(f) Total
960,223
0 b Unrelated business taxable income (less
section 511 taxes) from businesses
acquired after June 30,1975 . . . . 0 0
c Add lines 10a and 10b . . . . . 0 0
11 Net income from unrelated business
activities not included on line 10b, whether
or not the business is regularly carried on 0 0
12 Other income. Do not include gain or
loss from the sale of capital assets
(Explain in Part VI.) . . . . . . 0 0
13 Total support. (Add lines 9,10c, 11,
and 12.) . . . . . . . . . . 188,945 237,023 161,070 162,069 211,116 960,223 14 First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . m Section C. Computation of Public Support Percentage
15 Public support percentage for 2023 (line 8, column (f), divided by line 13, column (f)) . . . . . 15 100 % 16 Public support percentage from 2022 Schedule A, Part Ill, line 15........... 16 100 % Section D. Computation of Investment Income Percentage
17 Investment income percentage for 2023 (line 1 Oc, colu mn (f), divided by line 13, colu mn *) ... 17 0% 18 Investment income percentage from 2022 Schedule A, Part Ill, line 17 . . . . . . . . . . 18 0 % 198 334% support tests-2023. If the organization did not check the box on line 14, and line 15 is more than 331/396, and line 17 is not more than 331/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . El b 334% support tests-2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 331/3%, and line 18 is not more than 331/396, check this box and stop here. The organization qualifies as a publicly supported organization . 20 Private foundation. If the organization did not check a box on line 14,19a, or 19b, check this box and see instructions . m Schedule A (Form 990) 2023

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

98 Schedule A (Form 990) 2023 page 4
Part IV Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, Part I, complete Sections A and B. If you checked box 12b, Part I, complete Sections A and C. If you checked box 12c, Part I, complete Sections A, D, and E. If you checked box 12d, Part I, complete Sections A and D, and complete Part V.) Section A. All Supporting Organizations
Yes No
1 Are all of the organization's supported organizations listed by name in the organization's governing 4 1 4 >.4:
documentsl If "No," describe in Part VI how the supported organizations are designated. If designated by e class or purpose, describe the designation. If historic and continuing relationship, explain. 1 2 Did the organization have any supported organization that does not have an IRS determination of status J f under secton 509( 11) or (2)1 If "Yes," explain in Part VI how the organization determined that the supported J organization was described in section 509(a)(1) or (2). 2 3a Did the organization have a supported organization described in section 501(c)(4),(5), or (6)? /f "yes," answer lines 3b and 3c below. 3a
b Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? /f "Yes," describe in Part VI when and how the organization made the determination. 3b
c Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes'? If "Yes," explain in Part VI what controls the organization put in place to ensure such use. k 4a Was any supported organization not organized in the United States ("foreign supported organization")? /f "Yes," and if you checked box 128 or 12b in Part I, answer lines 4b and 4c below. 4a b Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organizarionl If "Yes," describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations. Ab c Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? /f"Yes," explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes. Ac
5a Did the organization add, substitute, or remove any supported organizations during the tax year? /f "Yes," answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including 0) the names and EIN < numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; #
(ili) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document). 5a b Type I or Type 11 only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document? 51) c Substitutions only. Was the substitution the result of an event beyond the organization's control? 5c 6 Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited f by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization's supported organizations? /f "yes," provide deta# in Part V/. 6 7 Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (as defined in section 4958(c)(3)(CD, a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? /f "Yes," complete Part /of Schedu/e L (Form 990). 7 8 Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 71 If "Yes," complete Part I of Schedule L Form 990). 8 9a Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? /f "Yes,"provide detail in Part VI. 9a b Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? /f "Yes," provide dem# in Part V/. 9b c Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit 9% 0 from, assets in which the supporting organization also had an interest? if "Yes." provide dem# in Part V/. 9C 10a Was the organization subject to the excess business holdings rules of section 4943 because of section 4 2, 49430 (regarding certain Type 11 supporting organizations, and all Type 111 non-functionally integrated 9*4 11 supporting organizations)? /f "Yes," answer #ne 10b below. 10a b Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to *f i+ . 4 determine whether the organization had excess business holdings.) 10b Schedule A (Form 990) 2023

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

99 Schedule A (Form 990) 2023
Part IV Supporting Organizations (continued)
page 5
11 Has the organization accepted a gift or contribution from any of the following persons? a A person who directly or indirectly controls, either alone or together with persons described on lines 1lb and 11 c below, the governing body of a supported organization? b A family member of a person described on line 1la above? c A 35% controlled entity of a person described on linellaor 11babove? /f"Yes"toline 1 l a, 1 1 b, or l l c, provide detail in Part VI.

Section B. Type I Supporting Organizations
Yes
1la
1lb
llc
NO
f
Yes No
1 Did the governing body, members of the governing body, officers acting in their official capacity, or membership of one or lit. more supported organizations have the power to regularly appoint or elect at least a majority of the organization's officers, directors, or trustees at all times during the tax year? if "No," describe in Part W how the supported organ/zation(s) effectively operated, supervised, or controlled the organization's activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove officers, directors, or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year. 2 Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? /f "yes,"explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the supporting organization.

Section C. Type 11 Supporting Organizations
1 Were a majority of the organization's directors or trustees during the tax year also a majority of the directors or trustees of each of the organization's supported organization(s)? /f "No,"describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type 111 Supporting Organizations
.
1 2
Yes No
1 Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization's tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization's governing documents in effect on the date of notification, to the extent not previously provided? 2 Were any of the organization's officers, directors, or trustees either (i) appointed or elected by the supported organization(sh or (ii) serving on the governing body of a supported organization? /f "No,"explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s). 1 Yes No
%
itt
1 li
3 3 By reason of the relationship described on line 2, above, did the organization's supported organizations have a significant voice in the organization's investment policies and in directing the use of the organization's income or assets at all times during the tax year? /f "Yes," describe in Part W the role the organization's supported organizations played in this regard.

Section E. Type 111 Functionally Integrated Supporting Organizations 1 Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions). a gl The organization satisfied the Activities Test. Complete line 2 below. b [3 The organization is the parent of each of its supported organizations. Complete line 3 below. c E The organization supported a governmental entity. Describe in Part VI how you supported a governmental entity (see instructions). 2 Activities Test. Answer /ines 2a and 2b be/ow. Yes No a Did substantially all of the organization's activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? if "Yes," then in Part Vi identi4 those supported organizations and explain how these activities directly furthered their exempt purposes, m
how the organization was responsive to those supported organizations, and how the organization determined 1 that these activities constituted substantially all of its activities. b Did the activities described on line 2a, above, constitute activities that, but for the organization's involvement, one or more of the organization's supported organization(s) would have been engaged in? /f "Yes," explain in Part VI the reasons for the organization's position that its supported organization(s) would have engaged in these activities but for the organization's involvement. 3 Parent of Supported Organizations.Answer lines 3a and 3b below. a Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? /f "yes" or "No," provide details in Part VI. b Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of its supported organizations? /f "Yes," describe in Part VI the role played by the organization in this regard. 2a
4 % I
Schedule A (Form 990) 2023
2b
3a
3b

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

100

Schedule A (Form 990) 2023 page 6
Part V Type 111 Non-Functionally Integrated 509(a)(3) Supporting Organizations 1 U Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20,1970 (explain in Part VIj. See instructions. All other Type 111 non-functionally integrated supporting organizations must complete Sections A through E. (B) Current Year
Section A-Adjusted Net Income (A) Prior Year
(optional)
1 Net short-term capital gain 1
2 Recoveries of prior-year distributions 2
3 Other gross income (see instructions) 3
4 Add lines 1 through 3. 4
5 Depreciation and depletion 5
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6 7 Other expenses (see instructions) 7
8 Adjusted Net Income (subtract lines 5,6, and 7 from line 4) 8 Section B- Minimum Asset Amount (A) Prior Year (B) Current Year (optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):
a Average monthly value of securities la
b Average monthly cash balances lb
c Fair market value of other non-exempt-use assets lc
d Total (add linesla, lb, andlc) ld
e Discount claimed for blockage or other factors
(explain in detail in Part VI): HZ /.
2 Acquisition indebtedness applicable to non-exempt-use assets 2 3 Subtract line 2 from line 1 d. 3
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5 6 Multiply line 5 by 0.035. 6
7 Recoveries of prior-year distributions 7
8 Minimum Asset Amount (add line 7 to line 6) 8
Section C-Distributable Amount f Current Year
1 Adjusted net income for prior year (from Section A, line 8, column A) 1 2 Enter 0.85 of line 1. 2 1 4 .*
6 3 Minimum asset amount for prior year (from Section B, line 8, column A) 3 4 Enter greater of line 2 or line 3. 4-t
5 Income tax imposed in prior year 5 ? 0 +
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions). 6
7 2 Check here if the current year is the organization's first as a non-functionally integrated Type 111 supporting organization (see instructions).

Schedule A (Form 990) 2023

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

101

Schedule A (Form 990) 2023
Part V Type 111 Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued) page 7
Section D- Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1 2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity 2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3 4 Amounts paid to acquire exempt-use assets 4
5 Qualified set-aside amounts (prior IRS approvalrequired-provide details in Part Vf) 5 6 Other distributions (describe in Part VIj. See instructions. 6 7 Total annual distributions. Add lines 1 through 6. 7
8 Distributions to attentive supported organizations to which the organization is responsive *rovide details in Part VI). See instructions. 8
9 Distributable amount for 2023 from Section C, line 6 9 10 Line 8 amount divided by line 9 amount 10
Section E- Distribution Allocations (see instructions)
(i)
Excess Distributions
(iD (lii)
Underdistributions Distributable
Pre-2023 Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023
(reasonable cause required -explain in Part V/). See
instructions.
3 Excess distributions carryover, if any, to 2023
a From 2018 . . . . .
b From 2019 . . . . .
c From 2020 . . . . .
d From 2021 . . . . .
e From 2022 . . . . .
f Total of lines 3a through 3e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. 4 Distributions for 2023 from
Section D, line 7: $
if
34*4 3> pt
ir .4 U 7 %' ' g* 47 * 1 * p
32,29.0 r* %44 I# L 2 40
f e, 9 1,0
, .6.9
r .5
I. .it /42 -4.%40, 4
N - . 4 43
t.. .1 i
9 3% g t*95

2. ..K .I . 3
I.

F
.
42 *t<D Ukt
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.

Remaining underdistributions for years prior to 2023, if 5 any. Subtract lines 3g and 4a from line 2. For result greater than zero, explain in Part VI. See instructions. 6 Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. For result greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2024. Add lines 3j
and 4c.
4 4244
./.
4%*ta
./3
2 3
8 Breakdown of line 7:
a Excess from 2019 . . .
b Excess from 2020 . . . u . : il RE! i KE E 9% ill@ 3334*1 4' 29*1 221i * * 9% UN. fi>jt : f i* , f%: %% = 1 F. - I, I.
c Excess from 2021 . . .
d Excess from 2022 . . .
e Excess from 2023 . . . 3. I '44'
43% ; i *jif % #i:
3 2 I 1
Schedule A (Form 990) 2023

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

102

Schedule A (Form 990) 2023 page 8
Part VI Supplemental Information. Provide the explanations required by Part Il, line 10; Part Il, line 17a or 17b; Part Ill, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11 a, 11 b, and 11 c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1 ; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1 c, 2a, 2b, 3a, and 3b; Part V, line 1 ; Part V, Section B, line 1 e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E, lines 2,5, and 6. Also complete this part for any additional information. (See instructions.) Schedule A (Form 990) 2023

4.1 Attachment 3 - FY 2025-2026 Nonprofit Grant Applications

103

SCHEDULE D
Supplemental Financial Statements
OMB No. 1545-0047
(Form 990)
Complete if the organization answered "Yes" on Form 990, 2023 Part IV, line 6, 7, 8, 9, 10, 1la, 1lb, llc, 1ld, 11e, 1lf, 12a, or 12b.

Department of the Treasury Attach to Form 990. Open to Public Internal Revenue Service Go to www.irs.gov/Form990 for instructions and the latest information. Inspection Name of the organization Employer identification number FOSTER CITY VILLAGE INC 90-0841739
Part I Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts Complete if the organization answered "Yes" on Form 990, Part IV, line 6. (a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year . . . . . . . . 80 0
2 Aggregate value of contributions to (during year) . 5,000 0 3 Aggregate value of grants from (during year) . . 4,980 0 4 Aggregate value at end of year . . . . . . . 80 0
5 Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization's property, subject to the organization's exclusive legal control? . . . . . . E Yes No 6 Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? . . . . . . . . . . . . . . . . . . . . . E Yes No Part 11 Conservation Easements
Complete if the organization answered "Yes" on Form 990, Part IV, line 7. 1 Purpose(s) of conservation easements held by the organization (check all that apply).

C] Preservation of land for public use (for example, recreation or education) C] Preservation of a historically important land area C] Protection of natural habitat U Preservation of a certified historic structure U Preservation of open space
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year. Held at the End of the Tax Year a Total number of conservation easements . . . . . . . . . . . . . . . . . 2a b Total acreage restricted by conservation easements . . . . . . . . . . . . . . 2b c Number of conservation easements on a certified historic structure included on line 2a . . 2c d Number of conservation easements included on line 2c acquired after July 25,2006, and not on a historic structure listed in the National Register . . . . . . . . . . . . . 2d 3 Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year
4 Number of states where property subject to conservation easement is located 5 Does the organization have a written policy regarding the periodic monitoring, -1-n-6-pEEPEn,- handling of violations, and enforcement of the conservation easements it holds? . . . . . . . . . . . . . U Yes U No 6 Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year 7 Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year 8 Does each conservation easement reported on line 2d above satisfy the requirements of section 1 70(h)(4)(B)0) and section 1 70(h)(4)(B)(ii)? . E Yes E No
9 In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement and balance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that describes the organization's accounting for conservation easements.

Part 111 Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets Complete if the organization answered "Yes" on Form 990, Part IV, line 8. 1 a If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide in Part XIII the text of the footnote to its financial statements that describes these items. b If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items.
(i) Revenue included on Form 990, Part Vlll, line 1 . . . . . . . . . . . . . . . . . $ (ii) Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . $ 2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under FASB ASC 958 relating to these items. a Revenue included on Form 990, Part Vlll, line 1 . . . . . . . . . . . . . . . . . . $ b Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . $ For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 52283D Schedule D (Form 990) 2023

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Schedule D (Form 990) 2023 page 2
Part 111 Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets(continued) 3 Using the organization's acquisition, accession, and other records, check any of the following that make significant use of its collection items (check all that apply).
a C Public exhibition d C] Loan or exchange program
b U Scholarly research e El Other
c U Preservation for future generations
4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIII.
5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization's collection? . . E Yes E] No Part IV Escrow and Custodial Arrangements
Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
la Is the organization an agent, trustee, custodian, or other intermediary for contributions or other assets not included on Form 990, Part X? . . . . . . . . . . . . . . . . . - . [3 Yes U No b If "Yes," explain the arrangement in Part XIII and complete the following table.

Amount
c Beginning balance . . . . . . . . . . . . . . . . . . . . . . 1c d Additions during the year . . . . . . . . . . . . . . . . . . . ld e Distributions during the year . . . . . . . . . . . . . . . . . . le f Ending balance . . . . . . . . . . . . . . . . . . . . . . . lf 2a Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? El Yes U No b If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII . . . . C] Part V Endowment Funds
Complete if the organization answered "Yes" on Form 990, Part IV, line 10. (a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back la Beginning of year balance . .
b Contributions ......
c Net investment earnings, gains, and
losses . . . . . . . . . .
d Grants or scholarships . . .
e Other expenditures for facilities and
programs.........
f Administrative expenses . . .
g End of year balance . . . .
2 Provide the estimated percentage of the current year end balance (line 1 g, column (a)) held as:
a Board designated or quasi-endowment %
b Permanent endowment %
c Term endowment 56
The percentages on lines 2a, 2b, and 2c should equal 100%. 3a Are there endowment funds not in the possession of the organization that are held and administered for the organization by: Yes No
(i) Unrelated organizations? . . . . . . . . . . . . . . . . . . . . . . . . . . 3a(i) (ii) Related organizations? . . . . . . . . . . . . . . . . . . . . . . . . . . . 3a(ii) b If "Yes" on line 3a(ii), are the related organizations listed as required on Schedule R? . . . . . . . . 3b 4 Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI Land, Buildings, and Equipment
Complete if the organization answered "Yes" on Form 990, Part IV, line 11 a. See Form 990, Part X, line 10.

Description of property (a) Cost or other basis (b) Cost or other basis (c) Accumulated (d) Book value (investment) (other) depreciation
la Land .
b Buildings ...........
c Leasehold improvements . . . .
d Equipment .......,,,
e Other . . . . . . . . . . . .

Total. Add lines 1 a through le. (Column (d) must equal Form 990, Part X line 10c, column (3)) Schedule D (Form 990) 2023

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Schedule D (Form 990) 2023 page 3
Part VII Investments-Other Securities
Complete if the organization answered "Yes" on Form 990, Part IV, line 11 b. See Form 990, Part X, line 12. (a) Description of security or category (b) Book value (c) Method of valuation:
(including name of security) Cost or end-of-year market value (1) Financial derivatives .
(2) Closely held equity interests
(3) Other
(A)
(B)
(C)
(D)
(H)
Tou. (Column (b) must equal Form 990, Part X, line 12, col. (B)) . . 9 2. j i ]*g*1.7.

Part VI11 Investments- Program Related
Complete if the organization answered "Yes" on Form 990, Part IV, line 11 c. See Form 990, Part X, line 13. (a) Description of investment (b) Book value (c) Method of valuation:

Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. olumn (b) must equal Form 990, Part X, line 13, col. (B)) , li
Part IX Other Assets
Complete if the organization answered "Yes" on Form 990, Part IV, line 11 d. See Form 990, Part X, line 15. (a) Description (b) Book value
(1) Furnishings and computers 10,512
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Tol. (Column (b) must equal Form 990, Part X, line 15, col. (B)) . . 10,512 Part X Other Liabilities
Complete if the organization answered "Yes" on Form 990, Part IV, line 11e or llf. See Form 990, Part X, line 25.

1. (a) Description of liability (b) Book value
(1) Federal income taxes
(2)
(3)
(4)
(5)
(6)
(D
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, line 25, col. (B)) . . . . . .

2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FASB ASC 740. Check here if the text of the footnote has been provided in Part X111 . m Schedule D (Form 990) 2023

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Schedule D (Form 990) 2023 page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered "Yes" on Form 990, Part IV, line 12a. 1 Total revenue, gains, and other support per audited financial statements . . . . . . . . . 1 2 Amounts included on line 1 but not on Form 990, Part Vlll, line 12:
a Net unrealized gains (losses) on investments . . . . . . . . . 2a b Donated services and use of facilities . . . . . . . . . . . 2b c Recoveries of prior year grants . . . . . . . . . . . . . . 2c d Other (Describe in Part XIII.) . . . . . . . . . . . . . . . 2d e Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . 2e 3 Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . . . . . . 3 4 Amounts included on Form 990, Part Vlll, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part Vlll, line 7b . . 4a b Other (Describe in Part XIII.) . . . . . . . . . . . . . . . 4b c Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . 4c 5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part l, line 12.) . . . . . . . 5 Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return Complete if the organization answered "Yes" on Form 990, Part IV, line 12a. 1 Total expenses and losses per audited financial statements . . . . . . . . . . . . . 1 2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities . . . . . . . . . . . 2a b Prior year adjustments . . . . . . . . . . . . . . . . 2b c Other losses . . . . . . . . . . . . . . . . . . . . 2c d Other (Describe in Part XIII.) . . . . . . . . . . . . . . . 2d e Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . 2e 3 Subtract line 2e from line 1 . . . . . . . . . . . . . . . . . . . . . . . . 3 4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part Vlll, line 7b . . 4a b Other (Describe in Part XIII.) . . . . . . . . . . . . . . . 4b c Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . 4c 5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) . . . . . . . 5 Part XIII Supplemental Information
Provide the descriptions required for Part Il, lines 3, 5, and 9; Part Ill, lines 1 a and 4; Part IV, lines 1 b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Schedule D (Form 990) 2023

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SCHEDULE 0 Supplemental Information to Form 990 or 990-EZ OMB No. 1545-0047 (Form 990) Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. 2023 Attach to Form 990 or Form 990-EZ. Open to PublicDepartment of the Treasury Internal Revenue Service Go to www.irs.gov/Form990 for the latest information. Inspection Name of the organization Employer identification number FOSTER CITY VILLAGE INC 90-0841739
Form 990, Part VI, Section A, Line 2 - Richard Hopper, Treasurer, is married to Marlene Hopper, a board member Form 990, Part VI, Section B, Line 1 lb - Form 990 is submitted to the Board of Directors for review prior to it being submitted to the IRS Form 990, Part VI, Section C, Line 19 - Governing documents, financial statements and meeting minutes are available to members and the public upon request made to our office staff.

Form 990, Part IX, Line 11 g - Cooking demonstration instructors, 82100; fitness class instructors, 3 24406 For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Cat. No. 51056K Schedule O (Form 990) 2023

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Schedule O, Statement 1 FOSTER CITY VILLAGE INC
Form: Form 990 (2023) EIN: 90-0841739
Page: 2 Part 111, Line 4d
Other Program Services Accomplishments
Activity Description Expense Grants Revenue
Code
Social Activities. These activities include quarterly luncheon events at the Community 12,198 0 0 Center, Holiday party and summer picnic. We also give each member a poinsettia plant during the holiday season.

Total: 12,198 0 0
Page: 1

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Updated , 202