6. Grant funds must be used for services or materials directly associated to proposed activity.
Please describe how grant funds will be used:
The Theatre School@ North Coast Repertory Theatre (NCRT) will use grant funds from the City of Solana Beach to cover part of the expenses of producing nine live and free performances of William Shakespeare's MUCH ADO ABOUT NOTHING for the residents of Solana Beach. A erant will also assist the Theatre School in producing seven performances of FRANKENSTEIN in the Theatre School Studio Space. Funds will promote an opportunity to those who may not otherwise have this oppnrhmity.
7. Anticipated Program Objectives or Accomplishments:
This is the 7th year Shakespeare will be performed for free by students from the Theatre School and the 40th year that the NCRT has offered programs for youth in Solana Beach. This year's productions are a return to in-person, live performances while maintaining safe. quality programming for creative exploration that inspires collaboration and unity for all. With FRANKENSTEIN, the productions intend to give better appreciation of classical theatre and inspiration towards student literacy and reading.
8. Program Dates/Location:
Please see attached sheet 8 - Program Dates and I acatinns
9. Estimated number of Solana Beach residents to be served by proposed program:
1000
10. How will the organization acknowledge the City's financial contribution to the community/ beneficiaries of the proposed activity?
The City of Solana Beach will be acknowledged in the Theatre Schaal and NCRT Main Stage pmductjon programs, an the Donar Baa rd in the Theatre I abb\l. in the Theatre Scbaal and Main Stage brochures, and an the Theatre Schaal and main theatre websites
11. Will there be any matching funds or other grants that would be applied to this program or service? If awarded this grant, will that enable other funding sources? Support for these productions come from enrollment fees from students in the cast. as well as donations from Theatre School parents. Tickets are also sold for the Theatre School Studio Space performances to generate revenue from the public for these programs.
12. Will volunt':lers be used for the proposed program or service and, if so, will they reduce expenses?
Volunteers are used in many capacities. helping reduce production costs, lo addition to servine as ushers. ticket takers, concession stand workers, handing out programs. and costumes sewing and repairs Vohmteers are a very important and valuable part of our theatre programs.
Page I 2
13. If the proposed program or service is only awarded partial funding, will it still move forward? Will the program/service be scaled back and/or is there a threshold at which it will not move forward?
Partial funding roir:bt cause a reduction □ the number of scholarships offered which could impact minority or at~rlsk youth participation in these unique productions. Reduced funding rohiht also impact the size of the case or require scaled back planned sets or costumes, Acknowledgment of Responsibility:
Authorized Signature assumes all responsibility for developing and implementing proposed activities or events in this application, including public acknowledgment of the City's financial contribution. Authorized signature will comply with all accounting and budget procedures outlined by the City. Authorized signature and accompanying group will hold harmless the City of Solana Beach from all losses, claims, accidents, and problems associated, direcUy or indirectly with the development and Implementation of proposed activities or events.
Authorized Signature of Organization Date
ALL INFORMATION REQUESTED ON THIS APPLICATION MUST BE COMPLETED AS A
CONDITION FOR BEING CONSIDERED FOR PUBLIC FUNDS BY THE CITY COUNCIL OF SOLANA BEACH.
Page I 3
See Attached from Question 3
Cit-y of Solana Beach
Co1n1nunit-y Grant Progran1
Previous Funding
• 2004 - Educational Outreach Progran1, "Behind the Mask" • 2005 - Planning costs for Cedros Crossing
• 2006 - Educational Outreach Program, "Behind the Mask" • 2008 - Educational Outreach Progran1, "Behind the Mask" • 2010 - Education Play about Solana Beach
• 2011 - Educational Outreach Program, "Behind the Iviask" • 2012 - Education Outreach Prograi11, "Anti-Bullying"
• 2013 - Theatre School Holocaust Production, "Anne Frank" • 2014 - Theatre School Literacy Project, "Seussical"
• 2015 - Theatre School Literacy Project, "Aladdin Jr." • 2016 - Theatre School Literacy Project, "Peter and the Starcatcher" • 2017 - Theatre School Student Production, "The Secret Garden" • 2018 - Theatre School Student Production, "She Kills Monsters" • 2019 - Theatre School Student Productions, " Comedy of Errors" & "The Three Musketeers"
• 2020 - Theatre School Student Productions, "The Tempest" & "The Neverending Story"
• 2021 - North Coast Repertory Theatre's 40th Anniversary Season See Attached from Question 8
Cit-y of Solana Beach
Co1n1nunit-y Grant Progran1
Progra1n Dates and Locations
July 21st-23rd@
5:30PM
San Diego Botanic
Garden
300 Quail Gardens Dr.,
Encinitas 92024
WILLIAM SHAKESPEARE'S
MUCH
<i>ADO~
ABOUT
NOTHING
July 28th-30th@
5:30PM
Birdwing Amphitheatre
Open Air Classroom
3201 Via de la Valle,
Del Mar 92014
August
4th-6th@
5:30PM
La Colonia
Park
715 Valley
Ave., Solana
Beach
92075
NORTH COAST
· p
See Attached from Question 8
October 6-9, 2022
Theatre School Studio Space
987 Lomas Santa Fe Drive, Suite D
Solana Beach, CA 92075
NORTH COAST
· p
THE THEATRE
SCHOOL@ BUDGET BUDGET
NORTHCOIST MUCH ADO FRANKENSTEIN BUDGET
~ ABOUT NOTHING TOTAL
:r' SHAKESPEARE STUDENT PRODUCTION SUMMER & FALL
INTHE PARK October 2022 2022
Director $1,000 $1,000 $2,000
Light Designer $0 $200 $200
Sound Designer $0 $250 $250
Lights & Sound Equip $0 $150 $150
Painting Labor/Materials $0 $200 $200
Set Design - labor $0 $500 $500
Set Materials $0 $100 $100
Projections Designer $0 $0 $0
Stage Manager/ AD Mentor $750 $750 $1,500
Directing/Writing Mentor $0 $0 $0
Assistant Director $750 $1,000 $1,750
Actor / Mentor $750 $750 $1,500
Costume Designer $750 $750 $1,500
Costumes - materials/rent $1,000 $1,000 $2,000
Costume cleaning $300 $300 $600
Prop Designer $500 $500 $1,000
Props - materials $300 $500 $800
Dramaturg / Dialect $0 $0 $0
Stage Combat $500 $500 $1,000
Graphic Designer $100 $100 $200
Choreographer $0 $0 $0
Accompaniment $0 $0 $0
Misc/ Materials $500 $500 $1,000
Royalties $0 $875 $875
Rental Fee for Materials $0 $150 $150
Script copies $100 $100 $200
Shipping $0 $25 $25
Production Total $7,300 $10,200 $17,500
SEASON40 as of 8/6/21
NORTH COAST OPERATING FUND & OTHER FUNDS
-• ,.. __ D
Board Approved Budget for FY 2021-22 (S40) vs.
~= .
Final Pre-audit Actuals for FY 2020-21 (S39)
I
APPROVED FINAL VAR
539 Actuals: Sep - Aug (pre-audit) BUDGET PRE-AUDIT ANNUAL 539 Projections: none 21-22 20-21
S40 S 39 S40 vs. S39
II
UNRESTRICTED OPERATING FUNll>
SUPPORT AND REVENUE
Contributions 1,055,700 2,039,740 (984,040) a
Ticket Revenue - Mainstage 1,385,100 245,129 1,139,971 b Ticket Revenue - Variety 362,000 31,508 330,492 C
Theatre School Revenue 194,715 127,610 67,105 d
II Other Revenue 89,260 15,184 74,076 e
11 Patron Service Revenue 71,064 9,655 61,409 I
Total Support & Revenue 3,157,839 2,468,826 689,013
EXPENSES
Personnel - Adm in 1,219,084 846,597 372,487 h.1
Personnel - Artistic 474,754 86,953 387,801 h.2
Personnel - Taxes & Benefits 259,008 (1,966} 260,974 h.3 Cost of Tix & CC Donations 172,119 79,255 92,864 1.1
General & Adm in Expenses 319,388 253,232 66,156 1.2
Development Expenses 105,000 178,811 {73,811) j
Marketing Expenses 299,851 167,376 132,475 k
Production Expenses 159,000 153,256 5,744 I
Theatre School Productions 33,457 28,797 4,660 m
Variety Night Expenses & Spec Proj 178,010 39,437 138,573 n I: Total Expenses 3,219,670 1,831,748 1,387,922
p NET CHANGE - OPERATIONS (61,831) 637,078 (698,909) p
SEASON40
NORTH COAST
539 Actuals: Sep - Aug (pre-audit)
539 Projections: none
NON OPERATING AND RESTRICTED FUNDS
SUPPORT AND REVENUE
Capital Grant Income
ltex Trade $ in
Restricted Income - Foundation Account
Restricted Income - Large Gifts Cash Resrv.
Restricted Income - New Venue
Total Support & Revenue (NON OPERATING}
EXPENSES
Capital Grant Expense
ltex Trade $ out
Restricted Expenses - New Venue
Depreciation Expense
Contingency
I Total Expenses (NON-OPERATING}
I NET CHANGE - OTHER FUNDS
S I NET CHANGE - ALL FUNDS
accrual based budget
PENDING:
SVOG SUPLEMENTAL GRANT
CAPITAL ITEMS FUNDED BY S39 SURPLUS
POTENTIAL NET CHANGE - ALL FUNDS
as o/8/ 6/21
OPERATING FUND & OTHER FUNDS
Board Approved Budget for FY 2021-22 (540} vs.
Final Pre-audit Actuals for FY 2020-21 (539}
APPROVED
BUDGET
21-22
S40
12,000
5,000
5,000
0 0
22,000 I
(12,000)
(5,000)
0 (25,000)
(10,000)
(52,000}1
(30,000)1
(91,831) I
400,000
(200,000)
108,169
FINAL
PRE-AUDIT
20-21
S 39
191,902
48,006
72,686
0 0
312,5941
(169,229)
(49,980)
1 (5,095)
(3,034)
(227,337} I
85,2571
722,3351
193,155
(62,096}
853,395
VAR
ANNUAL
S40 vs. S39
(179,902)
(43,006)
(67,686)
0 0
(290,594)1
157,229
44,980
(1)
(19,905)
(6,966)
175,3371
(115,257)1
(814,166} I s
206,845
(137,904)
(745,225)
North Coast Repertory Theatre,
A Non-Profit Corporation
Financial Statements
and
Independent Auditors' Report
For the Year Ended August 31, 2021
Table of Contents
Independent Auditor's Report .......................................................................................... J-2 Financial Statements:
Statement of Financial Position ............................................................................... 3 Statement of Activities and Change in Net Assets ...................................... .4 Statement of Cash Flows ......................................................................................... 5 Statement of Functional Expenses ........................................................................... 6 Notes to the Financial Statements .................................................................................. 7-14 .'A. :M. Ow eris & Co., CP .'A. & 1 .'A. Professiona{ Coryoration ~ ~ 9830 :N. :Magno(ta.'Ave., #188 Santee, C..'A. 92071 'Plione ana]'ax (619)698-1577 Board of Directors
North Coast Repertory Theatre
INDEPENDENT AUDITOR'S REPORT
Dear Members of the Board:
Report on the Financial Statements
I have audited the accompanying financial statements of North Coast Repertory Theatre, which comprise the statement of financial position as of August 31, 2021, and the related statement of activities and change in net assets, cash flows and functional expenses for the year then ended, and the related notes to the financial statements.
Management's Responsibility for the Financial Statements Management is responsible for the preparation and fair presentation of these financial statements in accordance with accounting principles generally accepted in the United States of America; this includes design, implementation, and maintenance of internal control relevant to the preparation and fair presentation of financial statements that are free from material misstatement, whether due to fraud or error.
Auditor's Responsibility
My responsibility is to express an opinion on these financial statements based on my audit. I conducted my audit in accordance with generally accepted auditing standards in the United States of America. Those standards require that I plan and perfotm the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement.
An audit involves performing procedures to obtain evidence about the amounts and disclosures in the financial statements. The procedures selected depend on the auditor's judgment, including the assessment of the risks of material misstatement of the financial statement, whether due to fraud or error. In making those risk assessments, the auditor considers internal control relevant to the entity's preparation and fair presentation of the financial statements in order to design audit procedures that are appropriate in the circumstance, but not for the purpose of expressing an opinion on the effectiveness of the entity's internal control. Accordingly, I express no such opinion. An audit also includes evaluating the appropriateness of accounting principles used and the reasonableness of significant accounting estimates made by management, as well as evaluating the overall presentation of the financial statements.
I believe that the audit evidence I have obtained is sufficient and appropriate to provide a basis for my audit opinion.
-1-
Opinion
In my opinion, the financial statements referred to above pl'esent fairly, in all material respects, the financial position of North Coast Repertory Theatre as of August 31, 2021 and the results of its activities and its cash flows for the year then ended in conformity with generally accepted accoWlting principles in the United States of America.
Report on Summarized Comparative Information
I have previously audited North Coast Repertory Theatre's August 3 1, 2020 financial statements and I expressed an unmodified opinion on those financial statements in my report dated December 16, 2020. In my opinion, the summarized comparative info1mation presented herein as of and for the year ended August 31, 2020, consistent, in all material respects, with the audited financial statements from which it has been derived.
Santee, California
January 10, 2022
-2-
A fvl 0~ CPA
AM Owens, CPA
A Professional Corporation
North Coast Repertory Theatre,
A Non-Profit Corporation
Statement of Financial Position
August 31, 2021
With Comparative Totals as of August 31, 2020
CURRENT ASSETS
Cash
- without donor restrictions
- with donor restrictions
Investments
- without donor resh·ictions
- with donor restrictions
Receivables
- without donor restrictions
Prepaid expenses
Prepaid production costs
Deposits
PROPERTY AND EQUIPMENT
Less: Accumulated Depreciation
(Note 2)
Total Assets
ASSETS
$
$
1,642,783
97,713
303,305
60,213
310,503
78,533
122,404
7,909
2,623,363
193,214
2,816,577
LIABILITIES AND NET ASSETS
CURRENT LIABILITIES
Accounts payable, trade
Accrued wages and expense
Deferred revenue (Note 3 and 12)
Accrued vacation payable
Total Current Liabilities
LONG-TERM DEBT
NET EQUITY (DEFICIT)
Net assets with donor restrictions
Net assets without donor restrictions
Total Net (Equity)
Total Liabilities and Net Assets
$
$
213,679
4,034
1,208,407
58,031
1,484,151
0 157,926
1,174,500
1,332,426
See the Accompanying Notes to the Financial Statements. -3-
$
$
$
$
2020
669,877
41,216
333,180
50,808
7,123
93,577
105,423
7,682
1,308,886
110,526
1,419A12
33,071
1,377
853,710
52,223
940,381
0 92,024
387,007
479,031
1,419,412
North Coast Repertory Theatre,
A Non~Profit Corporation
Statement of Activities and Changes in Net Assets
For the Year Ended August 31, 2021
With Comparative Totals as of August 31, 2020
Without With
Donor Donor
Restrictions Restrictions
SUPPORT AND REVENUE
Public Support:
Admissions $ 268,563 $ 0
Theatre school 127,610 0
Concessions and other support 12,693 0
Contributions (Note 11) 2,283,600 267,500
Investment income (Note 6) 2,162 11,848
Sale of assets 600 0
2,695,228 279,348
Net Assets Released From Restl'ictions 213,446 ( 213A46) Total Support & Revenue 2,908,674 65,902
EXPENDITURES
Production costs 1,641,358 0
General and administrative 193,694 0
Fund1·aising 286,129 0
Total Expenditures 2,121,181 0
Change in net assets 787,493 65,902
Net Assets (Deficit), Begin of Year 387,007 92,024
Net Assets (Deficit), End of Year $ 1,174,500 $ 157,926 2021
Combined
Totals
$ 268,563
127,610
12,693
2,551,100
14,010
600
2,974,576
0 2,974,576
1,641,358
193,694
286,129
2,121,181
8S3,395
479,031
$ 1,332,426
See the Accompanying Notes to the Financial Statements. -4-
2020
Combined
Totals
$ 972,223
115,619
35,892
1,385,451
15,076
0 2,524,261
0 2,524,261
1,979,841
154,198
222,639
2,356,678
167,583
311,448
$ 479,031
North Coast Repertory Theatre,
A Non~Profit Corporation
Statement of Cash Flows
For the Year Ended August 31, 2021
With Comparative Totals as of August 31, 2020
2021 2020
CASH FLOWS FROM OPERATING ACTIVITIES
Change in Net Assets $ 853,395 $ 167,583
Adjustments to reconcile change in net assets to
net cash provided by operating activities:
Depreciation 5,095 3,771
(Increase) Decrease in Operating Assets:
Receivables ( 303,380) 16,834
Prepaid expenses 15,044 ( 42,361 )
Prepaid production costs ( 16,981 ) 100,225
Deposits ( 227) 0
Increase (Decrease) in Operating Liabilities:
Accounts payable 180,608 11,919
Accrued wages 2,657 ( 3,037)
Deferred Revenue 354,697 11,263
Accrued vacation 5,808 10,765
NET CASH PROVIDED (USED) BY
OPERA TING ACTIVITIES 1,096,716 276,962
CASH FLOWS FROM INVESTING ACTMTIES
Purchases of property and equipment ( 87,782) ( 12,151 ) Investments purchased/sold 20,469 ( 1,169 )
NET CASH USED BY INVESTING ACTIVITIES ( 67,313 ) ( 13,320 )
CASH FLOWS FROM FINANCING ACTIVITIES
Payments on debt 0 0
NET CASH USED BY FINANCING ACTIVITIES 0 0
NET CHANGE IN CASH AND CASH EQUIVALENTS 1,029,403 263,642 BEGINNING CASH AND CASH EQUIVALENTS 711,093 447,451
ENDING CASH AND CASH EQUIVALENTS $ 1,740,496 $ 711,093
Interest Paid $ 0 $ 188
Taxes Paid $ 0 $ 0
See the Accompanying Notes to the Financial Statements. -5-
North Coast Repertory Theatre,
A Non-Profit Corporation
Statement of Functional Expenses
For the Year Ended August 31, 2021
Production General Fund- 2021 2020
Costs Admin. Raising Total Total
Salaries $ 611,319 $ 124,966 $ 76,836 $ 813,121 $ 1,090,557 Payroll Taxes 9,109 1,862 1,145 12,116 104,760
Employee Benefits 110,256 22,538 13,857 146,651 191,939 Total Payroll Expenses 730,684 149,366 91,838 971,888 1,387,256 Outside Contractors 18,448 630 387 19,465 44,003
Volunteer Hours Expense 0 0 0 0 31,518
Professional Services 0 11,175 0 11,175 7,801
Occupancy 141,668 7,871 7,871 157,410 156,096
Utilities 14,285 1,786 1,786 17,857 21,301
Janitorial 3,699 462 462 4,623 3,126
Supplies/Misc. 11,562 5,647 825 18,034 21,704
Concession Supplies 437 0 0 437 11,870
Communications 4,745 593 593 5,931 5,641
Postage and Shipping 2,828 943 17,548 21,319 11,321
Printing and Copying 22,830 11,365 6,281 40,476 63,116
Travel and Meals 1,202 402 2,591 4,195 78,703
Credit Card Processing/Bank Fees 26,232 287 0 26,519 46,782 Insurance 8,589 1,074 1,074 10,737 14,372
Membership Dues 2,481 0 0 2,481 5,506
Interest 0 1,195 0 1,195 1,842
Repail's and Maintenance 151,350 0 0 151,350 9,431
Advertising and Marketing 144,546 0 619 145,165 151,977 Royalties 41,234 0 0 41,234 82,779
Special Events 0 0 154,254 154,254 I 7,990
Mainstage Events/Equipment 277,973 0 0 277,973 147,370
Theatre School 31,470 0 0 31,470 27, I 11
Taxes/Licenses 0 898 0 898 4,291
Total Expenses
Before Depreciation 1,636,263 193,694 286,129 2,116,086 2,352,907 Depreciation 5,095 0 0 5,095 3,771
Total Expenses $ 1,641,358 $ 193,694 $ 286,129 $ 2,121,181 $ 2,356,678 See the Accompanying Notes to the Financial Statements.
M6-
North Coast Repertory Theatre,
A Non-Profit Corporation
Notes lo Financial Statements
For the Year Ended August 31, 2021
Note 1 - Summru:y of Significant Accounting Policies
General
North Coast Repertory Theatre, a Non-Profit Corporation (the Theatre) is a non-profit organization incorporated in California in 1982. Its stated purpose is to educate the public in an appreciation of the theatre arts through stage productions of consistent quality, to be recognized as the premier professional regional live theatre in San Diego North Coastal County, to provide educational services for audiences of all ages, focusing on the youth if the community and to provide an opportunity for actors and theatre professionals to develop their artistic skills through participation in the Theatre's productions,
Basis of Accounting
The financial statements of the Theatre have been prepared on the accrual basis in accordance with generally accepted accounting principles in the United States of America.
Basis of Presentation
The Theatre is required to report information regarding its financial position and activities according to two classes of net assets: net assets without donor restrictions and net assets with donor restrictions.
The Theatre's program expenses are shown as production costs in the accompanying statements of activities.
Use of Estimates
The preparation of financial statements in conformity with generally accepted accounting principles includes the use of estimates that affect the financial statements. Accordingly, actual results could differ from those estimates.
Contributions
Contributions received are recorded as net assets without donor restrictions or net assets with donor restrictions, depending on the existence or nature of any donor restrictions. Net assets without donor restrictions are reported in Note 4.
All donor-restricted contributions are reported as net assets with donor restrictions. When a restriction expires (that is, when a stipulated time restriction ends or purpose restriction is accomplished), net assets with donor restrictions are reclassified to net assets without donor restrictions and reported in the statement of activities as net assets released from restrictions. -7-
North Coast Repertory Theatre,
A Non-Profit Corporation
Notes to Financial Statements
( continued)
For the Year Ended August 31, 2021
Note 1 - Swnmaiy of Significant Accounting Policies (continued) Promises to Give
Unconditional promises to give are recognized as contribution revenue in the period received and as assets, decreases of liabilities, or expenses depending on the form of the benefits received. Promises to give are recorded at net realizable value if expected to be collected in one year and at fair value if expected to be collected in more than one year. Conditional promises to give are recognized when the conditions on which they depend are substantially met.
Prope1ty and Equipment
Depreciation of buildings and equipment is provided over the estimated useful lives of the respective assets using the straight-line method.
Acquisitions of property ai1d equipment in excess of $2,500 are capitalized. Donated equipment is recorded at fair market value at the date of the donation. Purchased equipment is recorded at cost.
Ticket Sales
Ticket sales received prior to the fiscal year to which they apply are not recognized as revenues until the yeai· earned.
Cash and Cash Equivalents
For purposes of the statement of cash flows, cash equivalents include time deposits, certificates of deposit and all highly liquid debt instrwnents with original maturities of three months or less.
Income Tax Status
The Theatre is classified as a Section S0l(c) (3) Organization under the Federal Internal Revenue Code and Section 13.2210 (e) of the State Revenue and Taxation Code. As a result, it has been determined to be exempt from federal income and state franchise taxes. Tax years 2017-2019 are open to examination by taxing authorities.
Functional Allocation of Expenses
The costs of providing the various programs and activities have been summarized on a functional basis in the statement of activities. Accordingly, ce1tain costs have been allocated among the programs and supporting services benefited.
-8-
North Coast Repertory Theatre,
A Non-Profit Corporation
Notes to Financial Statements
( continued)
For the Year Ended August 31, 2021
Note 1 - Summruy of Significant Accounting Policies (continued) Donated Services
Donated services are stated as revenue and as an offsetting expense to give accounting recognition to this significant resource of the Theatre. Such donated time is valued at minimum wage. During the year ended August 31, 2021 there were no donated services due to Covid-19.
Investments
Investments with readily determined market value are carried at market value and unrealized gains and losses are treated as current items in the year in which they occur. Investments without readily determined market values are carried at cost.
The F ASB issued authoritative guidance relating to fair value measurements which establishes a common definition for fair value to be applied to U.S. generally accepted accounting principles requiring use of fair value, establishes a framework for measuring fair value, and expands disclosures about such fair value measurements.
The Theatre measures fair value at the price that would be received upon sale of an asset or paid to transfer a liability in an orderly transaction between market and participants at the measure date. The guidance establishes a hierarchy for ranking the quality and reliability of the information used to determine fair values.
A summary of the fair value hierarchy under the authoritative guidance is described in Note 5.
Comparative Totals for August 31, 2020
The financial statements include certain prior year summarized comparative infonnation in total but not by net asset class. Such information does not include sufficient detail to constitute a presentation in conformity with generally accepted accounting principles. Accordingly, such information should be read in conjunction with the Theatre's financial statements for the year ended August 31, 2020, from which the summarized infol'mation was derived.
Note 2 - Properly and Equipment
The following is a summary of property and equipment, less accumulated depreciation and amortization at August 31, 2021: 2021
Construction in progress $ 64,071
Leasehold improvements 162,677
Furniture and equipment 382,805
Accumulated depreciation and amortization
Property and Equipment - Net $
(
609,553
416,339)
193,214
Note 3 - Deferred Revenue
North Coast Repertory Theatre,
A Non-Profit Corporation
Notes to Financial Statements
( continued)
For the Year Ended August 31, 2021
The Theatre had received $822,098 at August 31, 2021, on advance ticket sales for the next theater season. As each production is presented! the portion of the advance sales collections that pertains to that production will be recognized as revenue. In the event any of the scheduled productions for the season are not presented, the advance ticket collections for that production will be available for refund to the ticket holders.
Note 4 -Net Assets with Donor Restrictions
Net assets with donor restrictions are available for the following purposes as of August 31, 2021:
Purpose Restrictions
Capital Campaign
Endowment Funds
Renovations
Summer Enrichment
Total
Note 5 -Endowment Funds
$
$
2021
74,345
60,213
20,674
2,694
157,926
Endowment funds were $601213 as of August 31, 2021. These funds are held in an agency endowment fund at The Jewish Community Foundation (JCF).
No later than April 151 of year commencing after the fair market value of the fund reached the amount of$50,000, JCF shall distribute to the Theatre an amount equal to the JCF payout rate multiplied by the fair market value of the fund (the "available amount"). The term "fair market value of the fund" shall mean the value of all cash and securities held by the fund, including all eamings and unrealized appreciation thereon, as determined by JCF. The term "JCF payout rate" shall mean the percentage rate determined by the Board of Directors of JCF pursuant to Califomia law with respect to distributions from endowment funds.
JCF shall have all powers necessary to cany out the purposes of the fund, including, but not limited to, the power to retain1 invest and reinvest the fund in any manner consistent with the California Uniform Prudent Management oflnstitutional Funds Act, and shall have the power to commingle the assets of the fund with those of other funds for investment purposes, provided that such commingling shall not contravene the purpose and limitations set forth in this agreement. JCF shall have the ultimate authority and control over all property in the fund, and the income derived therefrom, subject to the tenns of this agreement and the standards for investment governing nonprofit public benefit corporations under California Corporations Code Section 5240. The fund shall be administered under and subject to the procedures and/or rules for the operation of permanent endowment funds as the same may be adopted, or modified from time to time, by JCF.
-10-
North Coast Repeitory Theatre,
A Non-Profit Corporation
Notes to Financial Statements
( continued)
For the Year Ended August 31, 2021
Note 5 - Endowment Funds (continued)
The fund shall be administered under and subject to the Bylaws, Articles of Incorporation and the endowment policies of JCF in effect from time to time. JCF shall have the power to modify and restriction or condition on the distribution of funds for any specified charitable purpose or to any specified organization if, in the sole discretion of the Board of Directors (without the necessity of the approval of the Theatre or any beneficiary organization), such restriction or condition becomes unnecessary, incapable of fulfillment, or inconsistent with the charitable needs of the community or area served. All money and prope1ty in the fund shall be assets of JCF, and not a separate trust, and shall be subject only to the control of JCF. Even though the fund may not be segregated, separate accounting records will be maintained for the fund.
Nothing in this agreement is intended to be inconsistent with the status of JCF as an organization described in Sections 501(c)(3) and 509(a) of the Internal Revenue Code of 1986.
JCF is authorized to amend this agreement to conform to the provisions of any applicable law or government regulation in order to carry out the foregoing intention.
For the year ended August 31, 2021, the Theatre received $2,438 in distributions from the fund.
Note 6 - Fair Value Measurements
The Fair Value Measurements Topic of the FASB Accounting Standards Codification establishes a fair value hierarchy that prioritizes inputs to valuation techniques used to measure fair value. The hierarchy gives the highest priority to unadjusted quoted prices in active markets for identical assets or liabilities (Level 1 measurements) and the lowest priority to unobservable inputs (Level 3 measurements). The three levels of the fair value hierarchy are described below:
Level I: Inputs to the valuation methodology are unadjusted quoted prices for identical assets or liabilities in active markets.
Level 2: Inputs to the valuation methodology include quoted prices for similar assets and liabilities in active markets, and inputs that are observable for the assets or liability, either directly or indirectly, for substantially the full term of the financial instrument.
Level 3: Inputs to the valuation methodology are unobservable and significant to the fair value measurement.
A financial instrument's level within the fair value hierarchy is based on the lowest level of any input that is significant to the fair value measurement.
The following details the level within the fair value hierarchy of the Theatre's assets as fair value as of August 31, 2021. Level 1 investment consists of equities and CDS and totaled $363,518. There were no Level 2 or Level 3 investments. -11-
North Coast Repertory Theatre,
A Non-Profit Corporation
Notes to Financial Statements
( continued)
For the Year Ended August 31, 2021
Note 6 - Fair Value Measurements (continued)
Investments at fair market value at August 31, 2021, consist of the following:
Adjusted Fair Market Fair Value
Cost Value (Level 1)
Equities (Level I)
Fund atJCF $ 47,674 $ 60,213 $ 60,213
Money Market Funds
CID - Pacific Premier 228,184 228,184 228,184
CID - CA Bank and Trust 75,021 75,021 75,021
IFG Account 100 100 100
Investment return for the year ended August 31, 2021 included in the statements of activities is comprised of the following:
Realized and unrealized losses
Interest and dividends (net of fees of $284)
Note 7 - Cash and Equivalents
$
$
2021
12,403
1612
14,015
At August 31, 2021, cash was held in the following institutions:
Change Funds
Union Bank- checking (2 accounts)
Wells Fargo (2 accounts)
US Bank (4 accounts)
CA Bank and Trust (1 account)
Concentration of Credit Risk
$ 570
521,539
63,457
1,151,637
3,293
$ 1,740,496
The Theatre maintains its cash in bank accounts and brokerage accounts, which, at times, may exceed federally insured limits. The Theatre has not experienced any losses in such accounts.
The Theatre believes it is not exposed to any significant credit risk on cash and cash equivalents.
Accounts are insured by the FDIC for amounts up to $250,000. -12~
North Coast Repertmy Theatre,
A Non-Profit Corporation
Notes to Financial Statements
( continued)
For the Year Ended August 31, 2021
Note 8 - Restricted Assets - San Diego Foundation
Total assets with a fair market value of $41,274 are held in the North Coast Repertory Theatre endowment fund of the San Diego Foundation and invested by the Foundation. The Theatre has no ownership rights over the principal and does not include these funds on the statement of financial position. However, the Theatre receives investment income annually from these assets. Total investment income received from the San Diego Foundation for the year ended August 31, 2021 was $1,296.
Note 9 - Operating Lease
The Theatre leases its facilities under a month-to-month rental agreement. Total rental expense was $155,502 for the year ended August 31, 2021.
Note IO-Retirement Plan
The Theatre maintains a tax deferred contribution plan qualified under Section 403(b) of the Internal Revenue Code. Eligible employees may contribute a percentage of their compensation to the Plan. Employer contributions totaled $14,886 for the year ended August 31, 2021.
Note I I-PPP Loan and Covid-19
On April 15, 2020 and March 30, 2021, the Theatre received loan proceeds in the amount of $282,222 and $292,610 under the Paycheck Protection Program ("PPP"). The PPP, established as part of the Coronavirus Aid, Relief and Economic Security Act ("CARES Act"), provides for loans to qualifying businesses for amounts up to 2.5 times of the average monthly payroll expenses of the qualifying business. The loans and accrned interest are forgivable as long as the bon·ower uses the loan proceeds for eligible purposes, including payroll, benefits, rent and utilities, and maintains its payroll levels. The amount of loan forgiveness will be reduced if the bo1Tower terminates employees or reduces salaries during the eight-week period.
The unforgiven portion of the PPP loan is payable over two years at an interest rate of 1 %, with a deferral of payments for the first six months. The Theatre has used the PPP Loan funds consistent with the loan requirements for forgiveness. During the August 31, 2021 year end, the Theatre received notification that the full amount of both PPP Loans and accrued interest had been forgiven. Therefore, the Theatre included $283,876 in grants in the year ended August 31, 2020 and $293,805 in the year ended August 31, 2021, which represents the principle and interest.
Due to Covid-19, the Theatre had to cancel shows and events during the fiscal year. Due to the generosity of supporters and responsive management, the Theatre believes it is in a fiscal position to be able to cover its expenses until attendance at shows and events can grow to pre Covid levels.
-13-
North Coast Repertory Theatre,
A Non-Profit Corporation
Notes to Financial Statements
( continued)
For the Year Ended August 31, 2021
Note 12-Shuttered Venue Grant
On July 3, 2021, the Theatre was awarded a Shuttered Venue Operators Grant in the amount of $579,464. This grant can be expended for certain expenses incurred beginning on July 3, 2021 and ending on December 31, 2021. Proceeds from the Shuttered Venue Operators Grant will be used for expenses not allocated to PPP funds previously received. In the event the Theatre does not have enough qualified expenses for the full amount of the grant, during the applicable time period, such funds are to be returned. Income from this grant, in the amount of $193,155 (which represents 2/6 of the total received), has been recorded as of August 31, 2021 as the Theatre believes it will have sufficient expenses to ensure no funds will have to be repaid. The remaining funds have been recorded as defetTed revenue and will be reported as income in the next fiscal year.
Note 13-Employee Retention Credit
During the fiscal year ended August 31, 2021, the Theatre received credits totaling $214,209 for the quarters ended June 30, September 30 and December 30 of 2020 and March 31, 2021 and a prorate amount for July and August 2021. The amount of $68,604 was used to reduce federal payroll tax expense to zero and the remaining amount of$145,605 was used to reduce salary expense.
Note 14-Subseguent Events
Events subsequent to August 31, 2021 have been evaluated through January 10, 2022, the date these financial statements were available to be issued, to determine whether they should be disclosed to keep the financial statements from being misleading. Management found no subsequent events other U1an those related to the PPP Loan and the effects from Covid disclosed on Note 11.
-14-
990 Return of Organization Exempt From Income Tax 0MB No. 1545-0047 Form Under section 501(c), 527, or 4947(a)[1) of the Internal Revenue Code {except private foundations) 2020 Departmen! ol lhe Treasury Do not enter social security numbers on this form as It may be made public. Open to Public .• Internal Revenue Service Go to www.lrs.ao v/Form990 for Instructions and the latest Information. · · Inspection · · A For the 2020 calendar vear or tax vear be~innina 09/01/20 and endina 08/31/21 8 Check ff applicable: C Name or organization D Employer ldontlficaUon number 0 Address change NORTH COAST REPERTORY THEATRE
□
□
□
Name change Doing business as 95-3819307
Number and slree\ (Of P.O. box if mai is not delivered lo street address) E Telephone number Initial relum 987-D LOMAS SANTA FE DRIVE
I RoomlsUile
858-481-2155
Final relurn/ City er town, stale or province, couney, and ZIP or foreign postal code terminated
SO~A BEACH CA 92075 G Gross receiD1s$ 2,963,695
□
0 Amended return F Name and address of principal offl08r:
Appl!cation H(a) Is this a group return for subordinates? D Yes I!] Ne pending MARC TAYER 987 LOMAS SANTA FE H(b) Are all subordinales included? □ Yes Ne SOLANA BEACH CA 92075 If "No,• allach a list. See inslruclicns I Tax-exemol s!atus: IXI 501lcll31 I I so11c1 ( ) (insert noJ I I 4947{a)(1} or I I s21 J Website: WWW.NORTHCOASTREP.ORG H(cJ Group exemption number K Form of omanization: I XI Comnralion I I Trust I I Associalkln I I Olher h Year of formal1on: 19 8 2 IM Stale of leaal domicile: CJ P a rt I s ummarv
1 Briefly describe the organlzation's mission or most significant activities: .....................................................•.......................... <II TO OPERATE A NOT-FOR-PROFIT PROFESSIONAL THEATRE FOR THE PROMOTION OF THE u ······················································································································-········ m
C PUBLIC APPRECIATION AND EDUCATION REGARDING THEATRE ARTS. C ···············································································-························································· ..
<II
~ cii~-~1/thi~- i,·~~ .. □ ilh~ -~~g~-~i~~t·i~~- di~~~ti~~~d- it; ~P~~ti~~~- ~~- di~P~~d-~r" ~~~~- th~~- 2s%· ~t. ii~. ~~t ~;.;~i;: ................................. 2 (!) oll 3 Number of voling members of the governing body (Part VI, line 1 a) ................................................. 3 16 Cl) 4 Number of independent voting members of the governing body (Part VI, line 1b) ................................... 4 16 .!!! :!:! 5 Total number of individuals employed in calendar year 2020 (Part V, line 2a) 5 69 .~ ....................................... t$ 6 Total number of volunteers (estimate if necessary) .................................................................. 6 0 <C 7a Total unrelated business revenue from Part VIII, column (C), line 12 ............................................... 7a C b Net unrelated business taxable income from Fonn 990-T, Part I, line 11 ............................................ 7b C Prior Year Current Year
<II 8 Contributions and grants (Part VIII, fine 1h) 1,353,933 2,539,114 ..................................................... ;J C 9 Program service revenue (Part VIII, fine 2g) . , ................•......•.......................... 1,123.734 408,866 <II > 10 lnveslment income (Part VIII, column {A), lines 3, 4, and 7d) 12,215 3,729 & ....... -.. --........ -. - ~ . -........ 11 Other revenue (Part VIII, column (A), lines 5, 6d, Be, 9c, 10c, and 11e) ........................ -142,268 12 Total revenue - add lines 8 throuoh 11 {must eoual Part VIII, column {A), line 12l ............ 2,489,882 2,809,441 13 Grants and similar amounts paid (Part IX, column (A), lines 1-3) C ............................. 14 Benefits paid to or for members (Part IX, column (A}, line 4) ......•.•..•....................... C ~ 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) ............ 1,387,256 971,888 Cl) 16a Professional fundraising fees (Part IX, column (A), line 11e} ................................... C C a, b Total fundraising expenses {Part IX, column (D), fine 25) .............. ~~~-~~.?.~ ........ C. itl 17 Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e) ................................. 938,201 995,323 18 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) .................... 2,325,457 1,967,211 19 Revenue less expenses. Subtract line 18 from line 12 ..... ......... .......................... 164,425 842,230 :;; ~ Beginning of Current Year End of Year
J!lC: <IJ.!!! 20 Total assets (Part X, line 16) _ .................. _ .. _ ...............•............................. 1,419,412 2,816,577 i&1 21 Total liabilities (Part X, line 26) .............•.................................... _ ............ _ .. 940,381 1,484,151 'if~ Za! 22 Net assets or fund balances. Subtract line 21 from line 20 ..................................... 479,031 1,332,426 Part II Signature Block
Under penallies of perjury, I declare that I have examined !his 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. ► I
Sign Signalure of officer Dale
Here
► MARC TAYER President
Type or print name and tltte
Prin!lf ype preparers name be~ar~rs sg?C~ 711,. OW{l,,JU,, I Dale I Check LJ 1r l PTIN Paid AJ.icia M. Owens icia M. ens 01/31/22 self-emp~yed P01212923 Preparer Firm's name A.M. Owens, CPA, APC Firm's EIN 45-4128534 Use Only 9830 N Magnolia Ave # 188
Firm's address Santee, CA 92071 PhOne no. 619-698-2401
May the IRS discuss this return with the preparer shown above? See instructions ....................................................... _.... IXI Yes I I No For Paperwork Reduction Act Notice, see the separate instructions.
DM Fom, 990 (202C
Internal Revenue Service
Date: July 21, 2004
Department of the Treasury
P. 0. Box 2508
Cincinnati, OH 45201
North Coast Repertory ThEATRE A Non Profit
Corporation
Person to Contact:
Sylvia A. Williams 31-07817
Customer Service Representative
Toll Free Telephone Number:
987 Lomas Santa Fe. Dr. D
Solana Beach, CA 92075-2125
Dear Sir or Madam:
8:00 a.m. to 6:30 p.m. EST
877-829-5500
Fax Number:
513-263-3756
Federal Identification Number:
95-3819307
This is in response to your request of July 21, 2004, regarding your organization's tax-exempt status.
In November 1983 we issued a determination letter that recognized your organization as exempt from federal income tax. Our records indicate that your organization is currently exempt under section 501 (c)(3) of the Internal Revenue Code.
Our records indicate that your organization is also classified as a public charity under sections 509(a)(1) and 170(b)(1 )(A)(vi) of the Internal Revenue Code.
Our records indicate that contributions to your organization are deductible under section 170 of the Code, and that you are qualified to receive tax deductible bequests, devises, transfers or gifts under section 2055, 2106 or 2522 of the Internal Revenue Code.
If you have any questions, please call us at the telephone number shown in the heading of this letter.
Sincerely,
Ft~
Janna K. Skufca, Director, TE/GE
Customer Account Services
Form W-9 Request for Taxpayer Give Form to the
(Rev. Oclober2D1Bl Identification Number and Certification requester. Do not Oepartmenl ol the ireasury send to the IRS.
Internal Revenue Service ► Go to www.lrs.gov/FormW9 for Instructions and the latest Information. 1 Name (as shown on your Income tax return), Name Is required on lhls line; do not leave this llne blank.
North Coast Repertorv Theatre
2 Business name/disregarded entity name, If dll!erenl from above c,j 3 Check appropriate box for federal tax c!asslllcallon of the person whose name ts entered on line 1. Check only ona of the 4 Exemptions (codas apply only to ell O> !0Uowln9 seven boxes. certain anllUes, not Individuals; see tU a. lnslrucllons on page 3):
C D 0 C Corporation D S Corporation D Partnership D TrusVestale Individual/sole proprietor or 0 (I)~ slng:le•member LLC Exempt payee code (II any) a. 0 ~~ 0 Umlted Hablllly company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ► ~i Nole: Check Iha appropriate box In Iha line above for the lax classlllcallon of Iha slnglu-membar owner. Do not check Exemption from FATCA reporting := C LLC II lhe LLC Is cla&SHled as a slngla-member LLC that ls disregarded from the owner unless the owner of the LLC Is code (JI any) c- another LLC Iha! ls not disregarded lrom lha owner for U.S. federal lax purposes. Othe1Wlsa, a slngla-member LLC lhal
0. 0
!e Is disregarded from the owner should check the appropriate box for the tax clesslflcallon or Us owner. u 0 Other (see lnslrucllons) ► fApp,'lo• loac.-mt.lillllDed oulskfo lht U.S.) E.
Cl) 6 Address {number, street, and apt. or suite no.) See Instructions, Requester's name and address (opUonaO :Ii 987 Lomas Santa Fe Drive en
8 City, state, and ZIP code
Solana Beach • CA 92075
7 Lisi account number(s) hare {opllonal)
!:1;1 ■ Taxpayer Identification Number (TIN)
Enter your TIN In the appropriate box. The TIN provided must match the name given on llne 1 to avoid backup wllhholdlng. For lndlvlduals, this Is generally your social security number (SSN). However, for a resident allen, sole proprietor, or disregarded entity, see the lnslructions for Part I, later. For other entllles, It Is your employer Identification number (EIN), If you do not have a number, see How to get a TIN, later.
I Soclal security number I
ITO -DJ -I I I I I
or
Note: If the account Is In more than one name, see the Instructions for line 1. Also see What Name and Number To Give the Requesterfor guldellnes on whose number to enter.
I Employer Identification number
95-3819307
Certification
Under penalties of perjury, I certify thal:
1. The number shown on this form Is my correct taxpayer Identification number (or I am wafting for a number to be Issued to me): and
2. I am not subject to backup wlthholdlng because: (a) I am exempt from backup wllhholdlng, or (b) I have not been nollrled by Iha Internal Revenue Service (IRS) that l am subject to backup wllhholdlng as a resull of a failure to report all Interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding: and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (If any) Indicating that I am exempt from FATCA reporting Is correct.
Certification Instructions. You must cross out Item 2 above If you have been notified by the IRS !hat you are currenlly subject to backup withholding because you have falled to report all Interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage Interest paid, acqulsilion or abandonment or secured property, canoellatlon or debt, conlrlbu!lons to an Individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certlficallon, but you must provide your correct TIN. See the lnstruclions for Part II, later.
Sign
Here Signature of
U.S. person ►
General Instructions
-
Section references are to the Internal Revenue Code unless otherwise noted.
Future developments. For the latest Information about developments related to Form W-9 and Its instructions, such as leglslatlon enacted after they were published, go to www.lrs.gov/FormW9,
Purpose of Form
An Individual or entity (Form W-9 requester) who Is required to file an lnformallon return with the IRS must obtain your correct taxpayer ldantlllcatlon number (TIN) which may be your social securlly number (SSN), lndlvldual taxpayer Identification number (ITIN), adoption taxpayer Identification number (ATIN), or employer Identification number (EIN), to report on an Information return the amount paid to you, or other amount reportable on an Information return. Examples of information returns Include, but are not limited to, the following. • Form 1099-INT (interest earned or paid)
Cat. No. 10231X
Date ►
• Form 1099-DIV (dividends, Including those from stocks or mutual funds)
• Form 1099-MISC (various types of Income, prizes, awards, or gross proceeds)
• Form 1099-B (stock or mutual fund sales and certain other transactions by brokers}
• Form 1099-S (proceeds from real estate transactions)
• Form 1099-K (merchant r;ard and third party network transactions) • Form 1098 (home mortgage Interest), 1098-E (student loan Interest), 1098-T (tuition)
• Form 1099-C (canceled debt)
• Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only If you are a U.S. person Qncludlng a resident allen), to provide your correct TIN.
If you do not return Form W-9 lo the requester with a TIN, you might be subject to backup withholding. See What Is backup withholding, later.
Form W-9 (Rev. 10-2018)
PATHWAYS TO
CITIZENSHIP
City of Solana Beach Community Grant Program
Request for Financial Assistance Application FY 2022-23 All Applications MUST BE RECEIVED by 5:00 p.m. Thursday, May 26, 2022.
Please Print Clearly or Type. All requests will be determined by the following criteria:
Name of Organization: Pathways to Citizenship (formerly NCICC) Mailing Address: 120 Stevens Ave, Solana Beach, CA 92075 Contact Person: Sonya Williams, Executive Director
Email address: [email protected]
Daytime Phone: 858-519-2882
Evening Phone: 858-519-2882
1. All the documents below are attached to this application:
W-9
Summary of Organization's Budget
Proposed Program Budget
Financial and Tax Statements (see Application Guidelines) A copy of the California Franchise Tax Board Entity Status Letter, showing exemption under Section 23701d or Internal Revenue Code section 501(c)(3)
2. Has your organization received financial assistance from the City before? Yes
3. If yes, what activities and which fiscal year?
2021-22: Supporting Solana Beach Dreamers: Outreach and Legal Assistance for DACA Applicants in Solana Beach
2020-21: NCICC Solana Beach Immigrant Family COVID-19 Recovery Project 2019-20: Legal Immigration Services Scholarships for Solana Beach residents 2018-19: Educational Program Coordinator
4. Title of FY 2022-23 Proposed Program/Service:
Voices of Freedom: Solana Beach Hybrid Citizenship Preparation Program
5. What is the total amount requested for the FY 2022-23 Proposed Total Program? Includes all estimated costs to conduct proposed activity/program. $5,000
6. Grant funds must be used for services or materials directly associated to proposed activity. Please describe how grant funds will be used:
Pathways' Solana Beach Hybrid Citizenship Preparation Program will expand Pathways' current virtual citizenship preparation tutoring program to a hybrid online and in-person program, with newly-trained volunteers leading small group instruction at the Solana Beach Library. This project also will engage more Solana Beach residents of all backgrounds and ages with their immigrant neighbors as volunteer teachers, tutors, mentors and interns.
This project will enable Julia Fox, our new (and first) Educational Programs Manager, who is a licensed clinical social worker, certificated instructor and a Solana Beach resident, to spend two hours/week managing, growing, and improving Pathways' citizenship preparation program, including recruiting, training (for the first time) and mentoring volunteer instructors, implementing our new Voices of Freedom citizenship curriculum, coordinating services with the Solana Beach Library, and collecting and implementing program improvements based on feedback from students and volunteers.
The volunteer database and application portal funded by this project will enable Julia to recruit and manage more skilled, passionate volunteer tutors in Solana Beach and throughout San Diego County. The Bloomerang platform (which also includes a donor database not funded by this project), allows Julia to advertise Pathways' volunteer opportunities with Hope for San Diego, HandsOn San Diego and VolunteerMatch. The application landing pages enable volunteer information to flow directly into her volunteer database, creating a pipeline she can use to screen, train, schedule and manage volunteer tutors and interns.
Finally, this project will help fund legal citizenship cases for two qualified, low-income Solana Beach clients. Our low-bona rate for citizenship cases is $400, and these $250 scholarships will put citizenship within reach for two qualified Solana Beach residents who otherwise would not be able to make their dream a reality.
7. Anticipated Program Objectives or Accomplishments:
This project will transition Pathways' current virtual, one-on-one citizenship preparation tutoring to hybrid online and in-person tutoring and small group instruction at the Solana Beach library, and provide tutor training (for the first time) for all of Pathways' citizenship tutors. Pathways' Citizenship Preparation Program at the Solana Beach Library will serve a minimum of 40 citizenship students over the project term, with at least 15 students being residents of Solana Beach. 100% of Pathways' citizenship students will pass their citizenship interviews on the first try. Pathways' hybrid Citizenship Preparation Program will engage, train and support more than 10 Solana Beach residents as teachers, tutors, mentors and interns.
8. Program Dates/Location:
Junene 2022 - May 2023
Solana Beach Library and Pathways to Citizenship offices, Solana Beach, CA
9. Estimated number of S.B. residents to be served by proposed program:
20 immigrant families and 10 trained tutors in Solana Beach
10. How will the organization acknowledge the City's financial contribution to the community/ beneficiaries of the proposed activity?
We will submit press releases to local Solana Beach, North County and San Diego newspapers, and inform all beneficiaries of the financial contribution made by the City of Solana Beach, plus acknowledge the City of Solana Beach's support on our website, biogs, social media, presentations, news coverage, etc. Signs and materials displayed at the Solana Beach library will state that the citizenship preparation program is made possible by the City of Solana Beach.
11. Will there be any matching funds or other grants that would be applied to this program or service? If awarded this grant, will that enable other funding sources? Funding for 40 Voices of Freedom citizenship preparation student textbooks ( our first citizenship preparation curriculum) and five loaner laptops for students will be funded by the Ed & Mary Fletcher Family Fund. We will continue to seek additional funding for this program.
12. Will volunteers be used for the proposed program or service and, if so, will they reduce expenses?
Yes, volunteers will help our Educational Programs Manager coordinate, teach, and facilitate the citizenship preparation program. Our volunteers make this program possible, and this funding finally will provide them with the training, support and mentorship they need and deserve.
13. If the proposed program or service is only awarded partial funding, will it still move forward? Will the program or service be scaled back and/or is there a threshold at which it will not move forward?
Yes, we will continue to prepare our low-income immigrant clients in Solana Beach for their U.S. citizenship interviews; although without this funding, we may not be able to provide high-quality tutor training, volunteer management, and textbooks for all of our students.
Acknowledgment of Responsibility:
Authorized Signature assumes all responsibility for developing and implementing proposed activities or events in this application, including public acknowledgment of the City's financial contribution. Authorized signature will comply with all accounting and budget procedures outlined by the City. Authorized signature and accompanying group will hold harmless the City of Solana Beach from all losses, claims, accidents, and problems associated, directly or indirectly with the development and implementation of proposed activities or events.
Sonya Williams
Authorized Signature of Organization
May 25, 2022
Date
ALL INFORMATION REQUESTED ON THIS APPLICATION MUST BE COMPLETED AS A
CONDITION FOR BEING CONSIDERED FOR PUBLIC FUNDS BY THE CITY COUNCIL OF SOLANA BEACH.
City of Solana Beach Community Grant Program 2022-23
Voices of Freedom: Solana Beach Hybrid Citizenship Preparation Program Budget COSB Request
Educational Programs Manager: 2 hrs/wk@ $25/hour x 50 weeks $2,500 28% CA payroll taxes $700
Personnel Total
2 $250 partial citizenship case sponsorship for Solana Beach residents 1 chromebook for Educational Programs management
Tutor database and application portal (total software cost $2,164) Total Request
======
$3,200
$500
$300
$1,000
$5,000
Pat hways to Citizenship BUSINESS PLAN AND CASH FLOW MANAGEMENT TOOL 2022 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total INCOME
SBPC Office Provision Non-cash 400.00 400.00 400.00 400.00 400.00 400.00 400.00 400.00 400.00 400.00 400 .00 400.00 4,800.00 SBPC Phone/ Internet Provision Non-cash 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100 .00 100.00 1,200.00 SBPC Subtotal Provisions Non-cash 500.00 500.00 500.00 500.00 500.00 500.00 500.00 500.00 500.00 500.00 500.00 500.00 6,000.00 Grant Funds Available
Legacy Gift (through KBF) 40,000.00 40,000.00
Coastal Community Foundation, Solana Beach Fund 5,000.00 5,000.00 Kingdom Builder Foundation (KBF) 5,000.00 5,000.00
City of Solana Beach 5,000.00 5,000.00
Boaz Allen Hamilton 0.00
World Relief Contract (CDSS sub-grant) 6,020.00 7,360.00 4,600.00 17,980.00 SBPC OLT Annual Contribution 500.00 500.00 1,000.00
New Grant(s) 14,500.00 5,000.00 19 ,500.00 93,480.00
Donations
Check/Cash Donations (incl network for good, blackbaud) 2,475.00 750.00 1,340.00 4,025.00 3,000.00 2,000.00 2,000.00 2,000.00 4,000.00 6,000.00 9,000.00 9,000 .00 45,590.00 Pay pal Donations ( net) 407.21 510. 12 852 .17 1,300.00 1,300.00 1,300 .00 1,300.00 1,300.00 1, 300 .00 1,300.00 1,300.00 12,169.50 Stock Donations (ACH - Morgan Stanley) 200.00 200.00 200.00 200.00 200.00 200 .00 200.00 200 .00 1,600.00 Other ACH (AmazonSmi le, Benevity) 0.87 50.00 49.33 50.00 50.00 50 .00 50.00 50.00 50.00 50.00 50.00 500.20 SBPC (incl Alternative Christmas Market) 2,809.00 3,402.21 6,211.21 66,070.91 Operating Income
Legal Income (low-bona legal fees ) 1,530.00 2,027.70 682 .5 1 1,015.00 1,200.00 1,200.00 1,200.00 1,200.00 1,200.00 1,200.00 1,200.00 1,200.00 14,855.21 14,400.00 Other Income, Reimbursements 50.00 50.00 50.00 50.00 50.00 50 .00 50.00 50.00 400.00 !TOTAL INCOME 7,222.08 42,827.70 s,984.17 s,892.17 2 6 ,3 2 0 .00 10,300.0 0 12,160.0 0 9,800.00 6,soo.oo 18,400.00 11,soo .o o 17,300.00 174,8 0 6 .12
EXPENSES
Staffing 7,833.82 9 ,408.51 10,812.65 15, 389 .4 1 11,875.00 11,875.00 11,875.00 11,875 .00 11,875.00 11,875.00 11,875.00 11,875.00 138,444.39 Withholding, FICA & Workman's Comp 25.00% 2, 148 .20 2,642.18 3,349.5 1 4,178.62 2,968.75 2,968.75 2,968.75 2,968 .75 2,968.75 2,968.75 2, 968.75 2,968.75 36,068.51 Heartland Fees 119.78 144.78 129. 78 178. 17 124.00 124.00 124.00 124.00 124.00 124.00 124.00 124 .00 1,564.51 Office Rent 1,447.88 1,447.88
Insurance - Liability, E&O, etc 895. 18 3,665.00 2,265.00 6,825.18 Legal Practice Management Systems (Clio & PrimaFacie) 5, 158 .00 5,158.00 World Relief Membership (annual) 1,500.00 1,500.00
Legal Training (incl Erin Lee) 345.00 100.00 75.00 100.00 100.00 100 .00 100.00 100.00 100.00 100.00 1,2 20.00 Office Supplies, Mailing, etc. 21 1.06 276.97 375.39 246.98 200.00 200.00 200.00 200 .00 200.00 200.00 200.00 200.00 2,710.40 Website & Marketing 263.94 93.05 21.17 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 1, 178 .16 Bank Charges 7.50 7.50 7.50 7.50 7.50 130.40 182.50 7 .50 7.50 7.50 7.50 7.50 387.90 Direct Distributions (including USCIS fees) 200.00 495.00 250.00 250.00 725.00 725.00 2,645.00 Fu ndraising Expenses (events, etc.) 0.00
Educational Programs Materials (textbooks, ec.) 1,24 1.53 231.00 10.76 2,000.00 3,483 .29 Other Expenses (food, travel, board) 368.28 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 768 .28 !TOTAL EXPENSES 11,825.83 14, 848.99 15,970.22 20,595.68 15,650.25 17,798. 15 15,600.25 16,150.25 15,425.25 16,873.13 19,815.25 22,848.25 2031401.so I !GAIN OR ( LOSS) ON OPERATIONS (4,603.75) 27,978.71 (9,986.05) ( 14,703.51 ) 10,669.75 {7,498.15) (3,440.25) (6 ,350.25) (8,625.25) 1,526.87 (8,0 15.251 (5,548 .25) (28 ,595.38)1 12/31/21
CUMMULATIVE FUNDS AVAILABLE 116,641.49 112,037.74 140,016.45 130,030.40 115,326.89 125,996 .64 118,498.49 115,058.24 108,707 .99 100,082.74 101,609.61 93,594.36 88,046. 11 Bank Statement Ending Balance ---·----·> 112,037 .74 140,016.45 130,030.40 115,326.89 Difference ------------------------------------> 0.00 0.00 0.00 0.00 Actual revenues & expenses in blue
Total Staffing, DOJ Rep & Burden 10, 101.80 12,540.47 14,291.94 19,846.20 15,042.75 15,067.75 15,067.75 15,067.75 15,067.75 15,067.75 15,067.75 15,067.75 177,297.41 Pathways to Citizenship BUSINESS PLAN AND CASH FLOW MANAGEMENT TOOL 2022 01 Forecast 01 Actual YTD Q2 Forecast
INCOME
SBPC Office Provision Non-cash 1,200.00 1,200.00
SBPC Phone/ Internet Provision Non-cash 300.00 300.00 ., ..... •.-.;~D/?.t~1•1 :~n-JV1~iO.n 1 500.00 1,500.00 ...•.
Grant Funds Available
Legacy Gift (through KBF) 30,000.00 40,000.00
Coastal Community Foundation, Solana Beach Fund 0.00 0.00 Kingdom Builder Foundation (KBF) 0.00 0.00
City of Solana Beach 0.00 0.00
Baez Allen Hamilton 0.00 0.00
World Relief Contract (COSS sub-grant) 4,300.00 0.00
SBPC OLT Annual Contribution 0.00 0.00
New Grant(s) 0.00 0.00
Donations
Check/Cash Donations (incl network for good, blackbaud) 12,000.00 4,565.00 Paypal Donations (net) 3,900.00 917.33
Stock Donations (ACH - Morgan Stanley) 600.00 0.00
Other ACH (AmazonSmile, Benevity) 150.00 100.20
SBPC (incl Alternative Christmas Market) 5,000.00 6,211.21 Operating Income
Legal Income (low-bona legal fees) 3,600.00 4,240.21
Other Income, Reimbursements 150.00 0.00
ltOTAI..INCOME< >_:_._.-:::,.- ... ·· ... ····.··.···:·:.·-·:·-:·.·.· .· .. ·.···.· .. : ... ::-:··:=.:-:.-.:--·:-:_:.\:; · <; .59}100Joo //i56'J033i95;
EXPENSES
Staffing 29,675.00 28,054.98
Withholding, FICA & Workman's Comp 25.00% 7,418.75 8,139.89 Heartland Fees 372.00 394.34
Office Rent 0.00 0.00
Insurance - Liability, E&O, etc 0.00 895.18
Legal Practice Management Systems (Clio & PrimaFacle) 0.00 0.00 World Relief Membership (annual) 1,500.00 1,500.00
Legal Training (incl Erin Lee) 300.00 345.00
Office Supplies, Mailing, etc. 600.00 863.42
Website & Marketing 300.00 378.16
Bank Charges 22.50 22.50
Direct Distributions (including USCIS fees) 450.00 200.00 Fundraising Expenses (events, etc.) 0.00 0.00
Educational Programs Materials (textbooks, ec.) 1,300.00 1,483.29 Other Expenses (food, travel, board) 150.00 368.28
ITOTAL EXPENSES 42,088.25 42,645.04
!GAIN OR (LOSS) ON OPERATIONS 17,611.75 13,388.91
12/31/21
CUMMULATIVE FUNDS AVAILABLE 116,641.49 134,253.24 130,030.40 Bank Statement Ending Balance > 130,030.40
Difference ------------------------------------>
Actual revenues & expenses in blue
2022 Forecast
Jan Feb Mar Apr May JL1n JLII Aug Sep Oct Nov Dec Total INCOME
SBPC Office Provision Non-cash 400.00 400.00 400.00 400.00 400.00 400.00 400.00 400.00 400.00 400.00 400.00 400.00 4,800.00 SBPC Phone / Internet Provision Non-cash 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 1,200.00 SBPC Subtotal Provisions Non-cash 500.00 500.00 500.00 500,00 500.00 SOD.OD 500.00 500.00 500.00 500.00 500.00 soo.oo 6,000.00 Grant FL1nds Available
Legacy Gift (Adrian Family through KBF) 30,000.00 30,000.00 Coastal Community Foundation, Solana Beach Fund 5,000.00 5,000.00 Kingdom Builder Foundation (KBF) 5,000.00 5,000.00
City of Solana Beach 5,000.00 5,000.00
Booz Allen Hamilton 15,000.00 15,000.00
World Relief contract (CDSS sub-grant) 4,300.00 1,720.00 8,000.00 5,000.00 19,020.00 SBPC OLT Annual Contribution 500.00 SOD.OD 1,000.00
New Grant(s) 4,380.00 4,380.00 84,400.00
Donations
Check/Cash Donations (incl network for good, blackbaud) 4,000.00 4,000.00 4,000.00 3,000.00 3,000.00 2,000.00 2,000.00 2,000.00 4,000.00 6,000.00 9,000.00 9,000.00 48,000.00 Paypal Donations (net) 1,300.00 1,300.00 1,300.00 1,300.00 1,300.00 1,300.00 1,300.00 1,300.00 1,300.00 1,300.00 1,300.00 1,300.00 15,600.00 Stock Donations (ACH - Morgan Stanley) 200.00 200.00 200.00 200.DD 200.00 200.00 200.00 200.00 200.00 200,00 200.00 200.00 2,400.00 Other ACH (AmawnSmlle, Benevity) SO.OD 50.00 50.00 50.00 SO.OD 50.00 50.00 50.00 50.00 SD.OD 50.00 50.00 600.00 Alternative Christmas Market (ACM) 5,000.00 5,000.00 7S,600.0D Operating Income
Legal Income (low-bono legal fees) 1,200.00- 1,200.00 1,200.00 1,200.00 1,200.00 1,200.00 1,200.00 1,200.00 1,200.00 1,200.00 1,200.00 1,200.00 14,400.00 14,400.00 Other Income, Reimbursements so.oo SO.DO 50.00 50.00 SO.DO 50.00 50.00 50.00 50.00 SO.OD 50.00 50.00 600.DD !TOTAL INCOME . · · · - --- - - 41,100.00•. :_.:.-6,800.00.:: •_11;800,00·0•_ 'i.-7;520.oo:-;.-:; ·:.s;8oo;oo "='-20;300.00-0'' 1:Z.,800.00/ ---9,800.00 _ -: 11;800.00 13,800.00 16,180.00 -:17,300.00 175,DDD,00 I
EXPENSES
Staffing 8,900.00 8,900.00 11,875.00 11,875.00 11,875.00 11,875.00 11,875.00 11,875.00 11,875.DD 11,875.00 11,875.00 11,875.00 136,550.00 Withholding, FICA &. Workman's Comp 25.00% 2,225.00 2,225.00 2,968.75 2,968.75 2,968.75 2,968.75 2,968.75 2,968.75 2,968.75 2,968.75 2,968.75 2,968.75 34,137.50 Heartland Fees 124.DO 124.00 124.00 124.00 124.00 124.00 124.00 124.00 124.00 124.00 124.0D 124.00 1,488.00 172,175.50 Office Rent
Insurance - Uabllity, E&O, etc 3,665.00 2,265.00 5,930.00 Legal Practice Management Systems (Clio &. PrimaFacie) 5,158.00 5,158.00 World Relief Membership {annual) 1,500.00 1,500.00
Legal Training (incl Erin Lee) 100.DO 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100,00 lOD.00 100,DO 1,200.00 Office Supplies, Mailing, etc. 200.00 200.00 200.00 200.00 200.00 200.00 200.00 200.00 200.00 200.00 200.00 200.00 2,400.00 Website &. Marketing 100.00 100.00 100.00 100.00 100,00 100.00 100.00 100.00 100.00 100.00 lOD.00 100.00 1,200.00 Bank Charges 7.50 7.50 7.50 7.50 7.50 130.40 182.50 7.50 7.50 7.50 7.50 7.SO 387.90 Direct Distributions (including USCIS fees) 200.00 250.00 250.00 250.00 250.00 725.00 725.00 2,650.00 Fundraising Expenses (events, etc.) 2,000.00 2,000.00
Educational Programs Materials (textbooks, ec.) 1,300.00 2,000.00 3,300.00 Other Expenses (food, travel, board) SO.DO SD.DO so.a□ SO.OD 50.00 50.00 SO.OD 50.00 50.00 SO.OD 50.00 50.00 600.00 26,150.90 !TOTAL EXPENSES 13,206.50 13,456.50 15,425.25 17,675.25 15,675.25 17,798.15 15,600.25 16,150.25 15,425.25 15,425.25 19,815.25 22,848.25 19s,so1.4a I GAIN OR (LOSS) ON OPERATIONS-.-- . _ 27,893.50 . __ ·(6;656'50) -·-.- (3,625:251 c010;.1ss·,:2sr. -:--•(9;875".2.5]:-:-:: ·.2;50L85·· (2,800;25) . -{6,350.25) (3,625,25) (1,625.25} (3,635.25) (5,548.25) (23,501.40) #######
CUMMULATIVE FUNDS AVAILABLE 116,641.49 144,534.99 137,878.49 134,253.24 124,097.99 114,222.74 116,724.59 114,099.34 107,749.09 99,123.84 102,498.59 98,863.34 93,315.09 Sank Statement Ending Balance---~-:>
Difference --------·-··-----------·----···----->
ActL1al revenues a. expenses in blue
0000002020 BUSINESS Pl.AN Actuals (Blue) and Projections Pathwavs to Citizenship BUSINESS PLAN AND CASH FLOW MANAGEMENT TOOL 2021
INCOME
SBPC Office Provision
SBPC Phone/ lllternet Provision
~B,~§~~~l.i~Ui@v!~!l.iiW\
Grant Funds Available
Coastal Communitv Foundation Solana Fund
Kingdom Builder Foundation
Legacy Gift (Adrian through KBF)
City of Solana 8each
Other Grants (Boaz Allen Social Equity)
Lazarus - Direct Distribution
IndlVldual Donations/Grants (restricted)
Donor Specific Distributions
Donations
SBPC Donations
IndlVldual Donations
Jan Feb
Non-cash 400.00 400.00
Non-cash 100.00 100.00
H,Jifo,H:asiiW: ;;;1:xi,:?',':'"500,oot ,\;,;;frciill:Sooroo'i 7,000.00
30,000,00
875.37
(500.00)
1,826.38 300.00
Fundraising (incl FB, Amazon Smile, Benevity) 140.00 32.18 Board of Directors 2,000.00 2,500.00
Cost of Ftmdraising [incl. paypal tees) (31.88)
Operating Income
World Relief Contract (COSS)
Legal Income 70.00 400.00
PPP Loan from US Treasury 16,700.00
Other Income, Reimbursements
TOTAL INCOME · · ····:, 40,504;50, ·.,·19;932,18,,.,,
EXPENSES
Staffino
Withholding, FICA & Workman's coma
Heartland Fees
Office Rent
Insurance • Liability, E&O, etc
Legal Practice Management System
World Relief Membership (annual)
Legal Training (Incl Erin Lee)
Interns
Office Suaalles Mailino etc.
Website & Marketing
Bank Charaes
Other Expenses
TOTAL EXPENSES
28.00%
I
6,625.32 6,495.11
1,790,93 1,717.11
103.50 103.50
1,500.00
100.00
194,50 609.99
11.16 20.00
7.50 7.50
25.00 8 732.91 10 578.21
I I
Mar May Jun
400.00 400.00 400.00 400.00
100.00 100.00 100.00 100.00
;m~soo:oo i/,NlWii5oolooK;;%,'; &::5.dd;illt:,y;.;,,x;;;k· 11,535.00
3,865.00
{495.00) (495.00) (1.145.00)
5,695.77 500.00
2,050.00 2,583.03 1,820.00 875.00
140.00 9.74
2,117.70 525.00 1,075.00
(41.20) (5135) (5.35)
1,058.25
400.00 840.00 300.00 440.00
484.95 32.96 4.31
ii9;867,27c,'. _-;;-.•4 ·955;23,;;; ;;:,-,,2•·141.35', .<.17.143;96;,; 6,985.46 7,328.06 7,139.38 7.815.73
1,870.58 1,973.85 1,821.02 1,902.73
108.00 108.00 133.00 110.30
300.00 100.00
272.92 193.86 240.10 364.66
141.62 33.50 265.03 475.0u
7.50 7.50 7.50 130.40
35.00 9-386,08 9979.77 9 606.03 10,898.82
I I I I
· · · .... ,-.. 31,771.::."·•:-- ·.-.:.!:I, ;,u.-::·-· ·.·.·.,...,1.1 ... , ... ,.,.,c:,,01.,,54-v :,:·:\-7:,;:4Q4,.Di'.i ,., .. :·.' 6,245,;14. 12/31/20
CUMMULATIVE FUNDS AVAILABLE 71,896.51 103,668.10 113,022.07 113,503.26 108,489.72 101,025.04 107,270.18 B;i.ok StatE!ml!'ot Ending Balance--> 103,668.10 113,022.07 113,503.26 108,489.72 101,025.04 107,270.18 Difference -· .............................................. > 0.00 0.00 0.00 o.oo o.oo 0.00 Actual revenues &. expenses in blue
I I
Total Staffing, DOJ Rep & Burden I 8 519.75 I 8,415.72 8,964.04 9,709.91 9,093.40 9,928.76 I I
Jul Aug Sen Oct Nov Dec Total
400.00 400.00 400.00 400.00 400.00 400.00 4,800.00
5,000.00 5,000.00
5,000.00 12,000.00
30,000.00
3,968.00 3,968.00
11,535.00
1,000.00 4,865.00
(990.001 (495.00) (495.00) (725.00) (5,340.00)
500 6.695.77
100.00 850.00 2,705.00 10,200.00 7,854.39 16,598.00 47,761.80
21.23 860.00 18.44 547.B9 1,769.48
1,675.00 75.00 10,075.00 75.00 2,200.00 2,425.00 24,742 .. 70 (18 85) (16.25) (10,71) (B.43i (94.36) (95.36) (373.74)
13.825.62 14,883.87
370.00 1,040.00 320.00 BB0.00 1,320.00 1,515.00 7,895.00 16,700.00
]24,45 846.67
":·.1· ·136;15-., .·;·6;442,98 ,l.2,594,29 · · 30,832.19 11622.92 25 765.53. .182 949.S5 .. 8,164.34 7,598.96 7,660.02 8,991.09 8.091.36 8,105.12 90,999.95 1,939.76 1,799.43 1,817.71 2,343.25 2,076.86 2,135.61 23,188.84 137.60 110.30 106.50 106.50 119.78 238.28 1,485.26
o.oo 344.86 3,665.00 2,265.00 6,274.86
5,158.00 5,158.00
1,500.00
100.00 100.00 700.00
0.00 364.63 66.57 153.89 346.27 155.32 525.08 3,487.79
500.00 972.65 935.18 1,000.00 4,354.14
7.50 7.50 7.50 7.50 7.50 7.5 212.90
80.00 237.18 465.65 842.83
10,613.83 10.007.62 10 34S.62 12 767.26 15 388,18 19,900.24 138 204,57 I I I I ·.·· ./.~;47.1.68 ·: .· ... _:,.,.:,.nq.· .. o4) ··· .. .<,.<411.l)I 18,064.93 (3,,.,J.L6 :,,Bo:,.,<" 44,,44 ... 11 97,792.50 94,227.86 96,476.53 114,541.46 110,776.20 116,641.49 116,641.49 97,792,50 94,227.86 96,476.53 114,541.46 110,776.20 116,641.49
0.00 0.00 o.oo 0.00 0.00 o.oo
10 241.70 9,508.69 9,684.23 11,440.84 10,388.00 10,479.01 116 374.05 J
Average
9,697.84
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Certificate of Amendment of Articles of Incorporation
The undersigned certify that:
FILED
Secretary of Stale
State of California
A0860025
Hlrng Number
03/30/2021
Filing Dale
1. They are the president and the secretary, respectively, of NORTH COUNTY IMMIGRATION AND CITIZENSHIP CENTER , a California corporation, with California Entity Number C3567665
2. Article 1 of the Articles of Incorporation of this corporation is amended to read as follows: The name of the corporation is PATHWAYS TO CITIZENSHIP
3. The foregoing amendment of Articles of Incorporation has been duly approved by the board of directors
4. The foregoing amendment of Articles of Incorporation has been duly approved by the required vote of the members as stated in the By-Laws.
DATE: March 30, 2021
ms .
Executive · irector
~/~£ 2
Paula Nance
Secretary
INTERNAL REVENUE SERVICE
P. O. BOX 2508
CINCINNATI, OH 45201
Date: NOV 06 2013
NORTH COUNTY IMMIGRATION AND
CITIZENSHIP CENTER
120 STEVENS AVE
SOLANA BEACH, CA 92075
Dear Applicant:
DEPARTMENT OF THE TREASURY
Employer Identification Number:
46-2522640
DLN:
17053212384023
contact Person:
SCOTT P BANTLY
Contact Telephone Number:
(877) 829-5500
Accounting Period Ending:
December 31
Public Charity Status:
170 (b) (1) (A) (vl)
Form 990 Required:
Yes
Effective Date of Exemption:
April 29, 2013
Contribution Deductibility:
Yes
Addendum Applies:
No
ID# 31398
We are pleased to inform you that upon review of your application for tax exempt status we have determined that you are exempt from Federal income tax under section 50l(c) (3) of the Internal Revenue Code. contributions to you are deductible under section 170 of the Code. You are also qualified to receive tax deductible bequests, devises, transfers or gifts under section 2055 1 2106 or 2522 of the Code. Because this letter could help resolve any questions regarding your exempt status, you should keep it in your permanent records.
Organizations exempt under section 501(c) (3) of the Code are further classified as either public charities or private foundations. We determined that you are a public charity under the Code section(s) listed in the heading of this letter.
Please see enclosed Publication 4221-PC, Compliance Guide for 50l(c) (3) Public Charities, for some helpful information about your responsibilities as an exempt organization.
Sincerely,
Director, Exempt Organizations
Enclosure: Publication 4221-PC
Letter 947 (DO/CG)
ARTS-PB Articles of Incorporation of a
Nonprofit Public Benefit Corporation
Tu form a nonprofit public benefit corporation n Caliiornia. you can fiH out !h;:;, Imm or prepare your own document dfld '>vbmii iu, riim9 ,ilon\1 with /, $30 filrn~; iee.
- A :,eparale. non-refundable $15 servret; iee a1su mus! Li"' n:.:luded. 11 you drofs oil !tie compieted form 01 documerli.
Important! '.Jnr-prnf11 corporations 111 California are not automatrcall~• exempt lrorr paymg Califorrn,1 francl,ise tax or ;ncome ta>: each year For information :-tbdul ~n-, n~qu1rernr.1n!~ andfo; HPnivinu for ta>:--P:)(ernp~ ~-)1u:tu~. 1n C:Jhfornia grj t:= i1llpst,wwvv.ftt; c;; 9ov/ousinesses1exempt_ orga111;:auon~, ur cal! tri;;; California Franchise, Tax BoarrJ at (916) 84f>-4171
NotP BefnrP su/Jmifting this form you shou!Ci cow:ul! w,tn a pnvclle attornPy lo• mN1ci:• atmul yow specific: business neecls
Of
3 5 5 7 6 6 5. ~\~ flLEDV//
IN THE OFFICE Of THE
SECRET f.R Y Of Si A TE
THE ST f. TE o::- CAUfORNIA
.APR 29 20!3
IC c. I
Tti;~. Space For Off;ce Use On!y •·- _ • _
For questions about this form. go to wwn sos: ca fF'• 'iJus11u:1ss./L1e/f//1ng-/ip::. t:tm Corporate Name (LISI thi:, pror}Osc,d corpurnlo name G(, 10 www :.os.c.:i ,;iovlt,tisu;essibo;na,ne-a,·ailat>ditv.htrn for genern! corporate name requirements i:ffid resLnclions.)
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RANCHO
SANTE FE
YOUTH
SOCCER
The City of Solana Beach Community Grant Program
Request for Financial Assistance Application FY 2022-23 All Applications MUST BE RECEIVED by 5:00 p.m. Thursday, May 26, 2022.
Please Print Clearly or Type. All requests will be determined by the following criteria:
Name of Organization: Rancho Santa Fe Youth Soccer
Mailing Address: _P_O_B_o_x_13_7_3 _____________________ _ City: Rancho Santa Fe State: _C_A ____ Zip: 92067
Contact Person: Marilee Pacelli Email address: [email protected] ----------- Daytime Phone: _6_19_-_50_7_-3_5_5_1 ______ Evening Phone: _6_19_-_50_7_-3_5_5_1 _____ _
1. All the documents below are attached to this application:
[!] W-9
~ Summary of Organization's Budget
[!) Proposed Program Budget
[!] Financial and Tax Statements (see Application Guidelines) ~ A copy of the California Franchise Tax Board Entity Status Letter, showing exemption under Section 23701 d or Internal Revenue Code section 501 (c)(3)
2. Has your organization received financial assistance from the City before? □ Yes Ill No
3. If yes, please state the fiscal year it was received and for the proposed program was:
4. Title of FY 2022-23 Proposed Program/Service:
Portable Lights Experiment/Soccer Clinics for Volunteer Coaches/Players
5. What is the total amount requested for the FY 2022-23 Proposed Total Program? Includes all estimated costs to conduct proposed activity/program.
$2 270
6. Grant funds must be used for services or materials directly associated to proposed activity.
Please describe how grant funds will be used:
Grant funds will be used to purchase a set of portable lights. If the lights do not provide the desired lighting for safety purposes. then the funds wm be used, in conjuction with the Solana Beach Soccer Club to offer professional training for volunteer coaches and recreational players
7. Anticipated Program Objectives or Accomplishments:
The use of portable lights will enable the club to be able to extend training later as the days get shorter and we go off of daylight savings time. There are no lighted fields in the Solana Beach/Rancho Santa Fe area. so this will allow extended use of the field for practices.
8. Program Dates/Location:
I lgbt test dates· 6/J-6/£3/2022; Soccer Clinics will he held in the £all starting in August through
9. Estimated number of Solana Beach residents to be served by proposed program:
For the portable light project it will probably serve around 80 Solana Beach residents.
10. How will the organization acknowledge the City's financial contribution to the community/beneficiaries of the proposed activity?
We would acknowledge the City's cantcib11tioo □ our website and through am social media channels We would also acknowledge the caotrib11tioo io a Press Belease to the local papers and through an email blast to our members
11. Will there be any matching funds or other grants that would be applied to this program or service? If awarded this grant, will that enable other funding sources? No matching grants or other grants would be applied. No other sources would be enabled.
12. Will volunteers be used for the proposed program or service and, if so, will they reduce expenses?
No volunteers would be used with the portable light program, With the free c)jnjcs, we would use our professional coaches but volunteers would be used to help organize, They would not reduce Page I 2
13. If the proposed program or service is only awarded partial funding, will it still move forward? Will the program/service be scaled back and/or is there a threshold at which it will not move forward?
Yes. the program will still move forward for the portable light experiment, but the coaching clinics would probably not be able to move forward without this funding Acknowledgment of Responsibility:
Authorized Signature assumes all responsibility for developing and implementing proposed activities or events in this application, including public acknowledgment of the City's financial contribution. Authorized signature will comply with all accounting and budget procedures outlined by the City. Authorized signature and accompanying group will hold harmless the City of Solana Beach from all losses, claims, accidents, and problems associated, directly or indirectly with the de::w: ~lm:::~ion of proposed activities or events.
/ May 25, 2022 ---------- Authorized Signature of Organization Date
ALL INFORMATION REQUESTED ON THIS APPLICATION MUST BE COMPLETED AS A
CONDITION FOR BEING CONSIDERED FOR PUBLIC FUNDS BY THE CITY COUNCIL OF SOLANA BEACH.
Page I 3
City of Solana Beach
Community Grant Program
Grant Proposal - Request for Financial Assistance
Rancho Santa Fe Youth Soccer (RSFYS) is a community based non-profit organization offering young people between the ages of 4-18 the opportunity to play soccer at all levels. Like the Solana Beach Soccer Club (SBSC), we offer recreational level soccer to community members in the Rancho Santa Fe community, with participants from outside this area making up a small number of players. Where we differ from SBSC is that we offer a competitive program for players who are interested in playing at a higher level with professional coaching. Of the 356 players currently enrolled in this program, 23% are Solana Beach residents. These players enjoy the environment that RSFYS promotes which is one of community and commitment.
Currently RSFYS is looking into experimenting with placing portable, battery powered lights at one of the fields we practice on to try and increase our field time. Over the last couple of years, access to fields in the Solana Beach area has decreased due to school and field renovation at Solana Vista and Solana Santa Fe Elementary schools. The two soccer clubs have combined their practices and games to share what field space there is in the fall. The use of these portable lights will increase access in the evenings, particularly in the late fall when we go off daylight savings time.
The lighting system that we have been investigating uses tripod stands that can be elevated up to 10' and have weighted bases so that they remain stable in winds of up to 25 mph. The lights are powered by a lithium battery pack that is rechargeable, so no generators are required. The lights are waterproof, so they can be left out in the rain. They are easily deployed and will provide up to 2 hours and 20 minutes of lighting/charge. Additional batteries can be purchased if more than 2 hours are required.
The lights use unique lensing that is optimized for all playing surfaces to give low light spill (light pollution) and even light coverage.
We would like to purchase a set of these lights (2 lights) and take them on to the playing field to determine if they will provide enough light for a safe practice environment and to also determine just how many lights would be needed to illuminate a full playing field. The cost of a set of these lights is $2,270 (which includes tax and shipping). If it is determined that these lights will not work for their intended use, then they can be returned within 30 days for a full refund.
If it were to be determined that the lights will not provide enough lumens for safety on the field, then they can be returned, and we would use the requested funds to provide free soccer clinics for volunteer coaches and players in conjunction with SBSC and their players. This would help serve the community of Solana Beach and the clinics would be scheduled on fields located in Solana Beach and could help in promoting the game of soccer and attracting more volunteer coaches and players. The money would be used to pay for field rental, liability insurance coverage, professional coaches, and any other miscellaneous costs (such as advertising) to promote and run the sessions.
Al IACK,....,
/6
Budget Summary
Sources of Revenue: RSFYS has 2 main sources of revenue - player registration fees and an annual tournament. We also have soccer camps for Recreational players during the summer, at Thanksgiving and the winter holidays and a 6-week program in the spring. This year we are anticipating budget revenues of $1.1 million.
Expenditures: As with most companies, Employee compensation is our largest expenditure. We have a coaching staff of 11 professional coaches and 2 administrators for a total of 13 employees. Our next largest expenditure is our tournament, and then our field expenses (field rental, portable restrooms, storage unit). Our budget expenditures for the 2022/23 season will be approximately $1.1 million.
Summary: Based on the budget for the 2022/23 Fiscal Year, we are anticipating that we will essentially have a break-even year. We are still building back from 2020 when we were unable to have a soccer season. That year our players counts went down significantly (by 20%) and we are still trying to build back from that period. Going into the new season we have 4 additional teams on our competitive side.
Recreational registration just started and will continue through the summer, but we hope to get our numbers up close to 300 players for the fall.
Proposed Budget for SB Community Grant Program
Portable Light System
Sport-lite Training Kit (1 pair of portable lights) $ 2,050.00 Tax $ 169.13
Shipping $ 50.00
Total $ 2,269.13
Soccer Clinics
Professional Coaches - $75/session for 20 sessions $ 1,500.00 Field Rental - $37.50/hour for 20 hours $ 750.00
Total $2,250.00
10:17 AM
05/24/22
Cash Basis
Rancho Santa Fe Youth Soccer 2018
Balance Sheet
As of January 31, 2022
ASSETS
Current Assets
Checking/Savings
Wells Fargo Checking
Wells Fargo High Yield Savings
Wells Fargo SBA Loan Funds
Wells Fargo EIDL Funds
Total Checking/Savings
Accounts Receivable
Accounts Receivable
Accounts Receivable 2022
Accounts Receivable 2021
Accounts Receivable 2020
Accounts Receivable 2019
Total Accounts Receivable
Total Accounts Receivable
Total Current Assets
Fixed Assets
Furniture and Equipment
Field Equipment
Office
Accumulated Depreciation
Total Furniture and Equipment
Total Fixed Assets
Other Assets
Field Development Fund
Total Other Assets
TOTAL ASSETS
LIABILITIES & EQUITY
Liabilities
Current Liabilities
Accounts Payable
Accounts Payable
Total Accounts Payable
Other Current Liabilities
Seaside Spring Classic
Aflac Insurance
Prepaid Reg Fees 2022/2023
Scholarship Liability
Saul Resendiz Fund
Team Liability Accounts
812 Green
Total Team Liability Accounts
Total Other Current Liabilities
Total Current Liabilities
Long Term Liabilities
SBA EIDL Loan
Total Long Term Liabilities
Total Liabilities
Jan 31, 22
47,348.81
360,160.02
3.07 149,900.00
557,411 .90
-1 ,747.20
357.25
158.75
784.50
-446.70
-446.70
556,965.20
5,400.94
3,409.81
-8,810.75
0.00 0.00
10,639.84
10,639.84
567,605.04
2,950.70
2,950.70
3,141 .00
-6.23
111 ,859.34
15,193.93
4,451 .65
-1,476.12
-1 ,476.12
133,163.57
136,114.27
149,900.00
149,900.00
286,014.27
10:17 AM
05/24/22
Cash Basis
Equity
Rancho Santa Fe Youth Soccer 2018
Balance Sheet
As of January 31 , 2022
Unrestricted Net Assets
Boyd N. Lyon Scholarship Fund
Net Income
Total Equity
TOTAL LIABILITIES & EQUITY
Jan 31 , 22
166,803.42
1,000.00
113,787 .35
281 ,590.77
567,605.04
10:15AM
05/24/22
Cash Basis
Rancho Santa Fe Youth Soccer 2018
Profit & Loss
February 2021 through January 2022
Ordinary Income/Expense
Income
Booster Wear
Interest Income
Registration Fees
Recreational
Competitive
JDL
Soccer Scholarships
Scholarships Competitive
Total Soccer Scholarships
Total Registration Fees
Soccer Camp Registration
Spring League
Team Sponsors
Team Sponsors Recreational
Total Team Sponsors
Tournament Income
Tournament Registration
T-Shirt SalesNendor Revenue
Total Tournament Income
Total Income
Gross Profit
Expense
Administration
Admin Other
Admin Payroll
Bank Charges
Credit Card Fees
Returned Item Fees
Stripe Card Fees
Total Bank Charges
Cleaning
College Program
Fees
Insurance
Legal & Accounting
Travel & Mileage
Office Rent
Office Supplies
Payroll Processing
Payroll Taxes
Postage & Shipping
Printing and Advertising
SBA Loan Repayment
Staff Meeting
Temp Labor
Utilities- Phone, Internet, Ele
Workers Comp Insurance
Total Administration
Bad Debt
Coaching Fees
Soccer Clinics
Coach Consultants
Total Coaching Fees
Feb '21 - Jan 22
61 ,181 .66
637,651.41
0.00 -500.00
-500.00
-461.42
31.85 698,333.07
32,321.47
25,646.89
1,500.00
266,076.70
1,421 .00
1,500.00
267,497.70
1,024,869.56
1,024,869.56
636.56
251 ,286.48
214.65
-3.00
17,867. 91
18,079 .56
45.00 99.00
75.00 1,679 .00
11,897.05
5,909.88
2,335.00
2,247.38
1,054.18
18,305.99
395.58
3,890.31
4,487.00
66.44 397.50
6,576.05
5,276.18
334,739.14
9,597.44
2,180.00
323,777.00
325,957.00
10:15 AM
05/24/22
Cash Basis
Rancho Santa Fe Youth Soccer 2018
Profit & Loss
February 2021 through January 2022
Equipment
Office
Total Equipment
Field Expenses
Equipment
Field Painting and Setup
Field Rental
Portasan
Storage Unit Rental
Total Field Expenses
Fundraising Expenses
Other
Total Fundraising Expenses
League Registration Fees
Opening Day
Photography
Referees
Games
Games Recreational
Games Competitive
Total Games
Total Referees
Soccer Camps
Camp Payroll
Camp Expenses
Total Soccer Camps
Spring League Expenses
Taxes
Tournament
Tournament Referees
Tournament Field Rental
Tournament Field Setup
Tournament Fees
Tournament Awards & Trophies
Field Marshall Expenses
Tents/chairs/tables/tubs
Tournament Other
Total Tournament
Uniforms
Uniforms Recreational
Uniforms Competitve
Total Uniforms
Website
Prior Year Expenses
Total Expense
Net Ordinary Income
Feb '21 - Jan 22
480.24
1,271.52
12,881.58
67,383.20
2,244.90
7,435 .00
480.24
91 ,216.20
2,070.00
19,047.00
312.60
312.60
22,467.42
252.83
1,976.25
21 ,117.00
21 ,117.00
10,375.00
2,633.68
13,008.68
4,207.50
46,505.52
66,050.00
33,035.94
11 ,139.08
15,372.46
6,746.50
2,100.00
2,629.37
70.28 183,578.87
9,052.32
-43.12
9,009.20
2,764.56
1,920.00
1,022,675.21
2,194.35
10:15 AM
05/24/22
Cash Basis
Rancho Santa Fe Youth Soccer 2018
Profit & Loss
February 2021 through January 2022
Other Income/Expense
Other Income
Loan Forgiveness
EIDL Advance Grant
Total Other Income
Net Other Income
Net Income
Feb '21 - Jan 22
86,593.00
25,000.00
111 ,593.00
111,593.00
113,787.35
Form 990 0MB No. 1545.1 '
Return of Organization Exempt From Income Tax
Under section 501 (c), 527, or 4947(a)(l) of the Internal Revenue Code (except private foundations) 2020
Depa,1111~nl of me Treasury ► Do not enter social security numbers on this form as ii may be made public. tnlernal Revenue Serv,ce ► Go to www.irs.gov/Form990 for instru ctions and the latest information.
Open to Public
Inspection
A For the 2020 calendar year, or tax year beginning 2 / O 1 , 2020, and ending 1 / 31 , 20 2021 8 Check ,I applicable:
- AOdre~s change
-Name cnange
-lnnial ,etum ..- (inal 1etu,n/1ermmaled ..- Amended return - ApolicaI1on pending -
C
Rancho Santa F e Youth Socce r
P.O . Box 1373
Rancho Santa Fe, CA 92067
F Name and aodress of principal ott,ce1 :
D Employe-r identification number
33 - 006 7277
E Telephone number
( 76 0 ) 479 - 1500
G Gross rece,pls $ 759,467.
H(•) Is th,s a group relu,n 101 subotdinales?'~Yes ~ No S A C Ab H(b) Are all subo<d,na1es ,ncluded ? Yes No _______ __ .,_...,a_m_e _ _ S_ -,-r-_O_ V_e _ ___ _____ --r-.------,r--r----1 If '"No." attach a 11sI See instructions Ta~-exernpt status: IXI 501(c)(3) I j SOl(c} ( ) ◄ (insert no.) I I 4947(aX1) or I I 527 J Website: ► www. rs fsoccer . com H(c) Group e:xemption nurnttP.r ► K Form ot organ,uit,on: jXj Corporat,on I I Trusl I I Assoc,allon I I 01he, ► I L Yea, ol fo• mahon: 19 9 3 j M State 01 legal domic,te: CA I Part I I Summary
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1 Br,efly describe the organization's mission or mosl significant activ,lies:Org_anize and ,Promote _youth soccer _ __ _ 2 Ch- ck th;; bo'x-:. -i l~ ~ rgan,~alion d 1s conti;uedi ls operat,or~ or-disposed of -;:;,;;r; than 2so/: 01 its -;;ei assets-:- - - - - - 3 Number of voting members of the governing body (Part VI , line 1 a) . . . . . . . . . . . . . . . . . . 3 5 O O 4 Number ol independent voting membe1s of the gove,ning body (Part VI, ltne lb). . . . . . . • . . . . . . . . 1---4-+-------4- 9-5 5 Total number of 1nd1v1duals employed In calendar year 2020 (Part V, line 2a) . . . . . . . . . . . . . . . . . . . 5 3 6 Total number of volunteers (estimate ,r necessary). . . . . . . . . . . . . . . . . . . . . . . . . . t--:6-i-- - - ---- 1--,-0....,.... 0 7 a Total unrelated business revenue from Part VI 11 , column (C), line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . 7a O . 8 9
10 11
12 13
14 15
b Net unrelated business taxable income from Form 990 -T, Part I, line 11 . . . . . . . . . . . . . . . . . . . .. t-7- b-+------- -0-.
Contribut,ons and grants (Part VI II, line lh) ..•........ .. . .
Program service revenue (Part VIII. line 2g) .. . . ... .. .. . .
Investment income (Part VIII. column (A), lin s 3, 4, and 7d) ..
Other revenue (Part VIII , column (A) , lines 5, 6d , Sc, 9c, 10c, and lle) ..
Tolal ,evenue - add lines 8 through 11 (must equal Part VIII , column (A), line 12).
Grants and similar amounts paid (Part IX, column (A) . lines 1-3) Benel,ts paid to or for members (Part IX, column (A), line 4) Sala11es, other cornpen at1on. employe bene fits (Part IX. column (A). lines 5-10) Prior Year
3,765 .
1 ,174,830.
236 .
1 , 178,831 .
257,818.
Current Year
21,519.
737,893.
55 .
759,46 7 .
26 8, 277.
: 16 a Professional fundra1s,ng tees (Part IX, column (A), line 11 e) ... ! b Tolal fundra1sIng expenses (Part IX. column (D). tin~ _____ __ _ !-- - - - ----+----- - - ---
w 17 Otr,er expenses (Part IX, column (A), lines ~(T?\ 'tft-2! e) . . . . . . . . . . 8 8 8, 2 2 8 . 5 7 7, 9 9 4 . 18 Total e.peoses. Addlones I 3 -17~ '$"'11.!J''l,.J, column (A) , lone 25). . . . . . . . 1, 14 6, O 4 6 . 8 4 6, 271. 19 Revenue less expenses. Sub~ ~ rom line 12 ... . . . . . .. . . . . . 32,785. - 86, 804 . ---- ------- --- - --- +---- - - ~---+-------'---- 0; ....._/ ' Beginning of Current Year End of Year
j~ 20 Totalassets(P~,~ e~ ) .. . ...... .. ... . .. 411,01 8 . 447,192 . :/"' 21 Total liabtlit~¥1 One 26) . . ..... .. . .. . . .. .. .... . .. ... .. 1 56,376. 279, 35 4. 1} 22 Nettf!{se~ fund balances. Subtract line 21 from line 20.. . . . . . . .. .. . . . 254,642. 167,83 8.
I Part II I Si9llature Block
Under penatt,es ol perjury, I decia,e lhal I have e,am,ned th,s relurn. ,nctuding accompanying schedules and slalements. and to thE besl , 1 my knowledge and bel,ef. 11 is true. correct, and comple1e. Declaration o1 preparer (01her tnan ott,ce,) ,s based on all infom1atron of which prepare, has any knowledge.
Sign
Here
Paid
Preparer
Use Only
~----------------- ---,,,___ ________ _ Signalwe of office, Dale ► .,.,M_a_r_1_· l_ e-,-e __ P_a...,. c.,..., e,._l _l _i _ _ _ _ _ _______ .,,..._ _ _ _ ___ T_ r_E_~a_ s_u_r_e_r _ ________ _ Type or print name and title
Pnntffype prepa1cr's narn
Beth Re an
r,,m·s ,u,me ► Beth F. Regan,
F,rm·saddress ► 12526 High Bluff Drive,
San Die o, CA 92130
Suite 300
2021
Check X ,1 PTIN
self-employed PO 12 4 7 5 0 9
Ftrm'~ EIN ► 33- 03558 93
Pnone no. 8 5 8 4 81 - 7 0 5 0
May he IRS discuss this return with the preparer shown above? See ,nstructIons No BAA For Pi." "erwork Reduction Act Notice, see the separate instructions. TEEAOIOll Ql / 19121 Form 990 (2020)
STATE OF CALIFORNIA
RRF-1
(Re11 0912017)
IN
DEPARTMENT OF JUSTICE
PAGE 1 ol 5
MAIL TO:
ANNUAL REGISTRATION RENEWAL FEE REPORT
(For Registry Use Only)
Reg,stry of Char1table Trusts
P.O. Bo• 903447
Sacramento, CA 94201-4470 TO ATTORNEY GENERAL OF CALIFORNIA {916) 210·6400
Sections 12586 and 12587, California Government Code STREET ADDRESS:
1300 I St,eet 11 Cal. Code Regs. sections 301-306, 309,311, and 312 Sacramento, CA 95814 Failure to $Ubmit this report annually no laler than lour months and filtaen after the end of the (916) 210-6400 organization's accounting period may result in the loss or tu exemption and the assessment of a WEBSITE ADDRESS: minimum tax of $,800, plus interest, andlor fines or filing penalties. Revenue & Taxation Cod1t ww:,,,ag.ca,9011/chantiesJ section 23703; Govenunent Code section 12586. 1. IRS extensions will be honored.
Check if:
RANCHO SANTA FE YOUTH SOCCER D Change of address Name of O,gan,zation D Amended report Lost all OBAs and names the orgamzatron uses or has used P.O. BOX 1373 State Charity Registration Number CT 088690 Address (Nurnbe• and Street) RANCHO SANTA FE CA 92067
Cily or Towo,, Stale and ZIP Code
Corporation or Organization No. 1841015
(760) 479-1500 [email protected]
Telephone Number E-ma,1 Address Federal Employer ID No. 33-0067277 ANNUAL REGISTRATION RENEWAL FEE SCHEDULE {11 Cal. Code Regs. sections 301-307, 311, and 312) Make Check Payable to Department of Justice
~r.oss_Annual .Rey~nue F:~e Gross.Ann.ual.Rey~nue Fee (ir_pss.An nuaLRev.en ue F.:ee Less than $25,000 0 Between $100,001 and $250,000 $50 Between $1,000,001 and $10 million $150 Between $25,000 and $100,000 $25 Between $250,001 and $1 million $75 Between $10,000,001 and $50 million $225 Greater than $50 million $300
PART A - ACTIVITIES
For your most recent full accounting period (beginning 2/01/20 ending 1/31/21 ) list:
Gross Annual Revenue $ 759,467. Noncash Contributions $ 0. Total Assets $ 447,192.
Program Expenses $ 0. Total Expenses $ 846!271.
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 detai Is 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 transachons between the organization and any officer, director or trustee thereof, either directly or with an entity in which any such officer, director or trustee had any financial interest? □ ~ 2 During this reporting period, was there any theft, embezzlement, diversion or ~~e of the organization's chantable property or funds? □ ~
3 During this reporting period, were any organization funds used to paf',r(!J",{ity, 1ne or Judgment? □ [ID
4 During this reporting period, were the services of a commercial i1!Jer~ndraising counsel for charitable purl)Oses, or commercial coventurer used? ..,. <') □ [ID
5 During this reporting period, did the organization~~~y ~overnmental funding? - " D [ID
6 During this reporting period, did the ~~\/tio~ hold a raffle for charrtable purposes? -"- D ~
7 Does the organization conduct .. a\e~ic~ donation program? □ [ID
8 Did the organization conduct an independent audit and prepare audited financial statements in accordance with generally accepted accounting principles for this reporting period? □ ~ 9 At the end of this reporting period, did the organization hold restricted net assets, while reporting negative unrestricted net assets? □ IRJ
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.
MARILEE PACELLI TREASURER
S1gnatu,e of Authorized Agent Printed Name Title Date
CAEA9801L 03119120
STATE OF CALIFORNIA
FRANCHISE TAX BOARD
PO BOX 942857
SACRAMENTO CA 94257-0540
Entity Status Letter
Why You Received This Letter
Date: 5/24/2022
ESLID: 2323722015
According to our records, the following entity information is true and accurate as of the date of this letter.
Entity ID: 1841015
Entity Name: RANCHO SANTA FE YOUTH SOCCER
1. The entity is in good standing with the Franchise Tax Board.
2. The entity is not in good standing with the Franchise Tax Board. lg]
□ lg] 3. The entity is currently exempt from tax under Revenue and Taxation Code (R&TC) Section 23701 d. □
□
4. We do not have current information about the entity.
5. The entity was administratively dissolved/cancelled on Administrative Dissolution process.
Important Information
through the Franchise Tax Board
• This information does not necessarily reflect the entity's current legal or administrative status with any other agency of the state of California or other governmental agency or body. • If the entity's powers, rights, and privileges were suspended or forfeited at any time in the past, or if the entity did business in California at a time when it was not qualified or not registered to do business in California, this information does not reflect the status or voidability of contracts made by the entity in California during the period the entity was suspended or forfeited (R&TC Sections 23304.1, 23304.5, 23305a, 23305.1 ).
• The entity certificate of revivor may have a time limitation or may limit the functions the revived entity can perform, or both (R& TC Section 23305b ).
Connect With Us
Web: ftb.ca.gov
Phone: 800.852.5711 from 7 a.m. to 5 p.m. weekdays, except state holidays 916.845.6500 from outside the United States
TTY/TDD: 800.822.6268 for persons with hearing or speech impairments FTB 4263A WEB (REV 12-2019)
Form W-9 Request for Taxpayer Give Form to the
(Rev. December 2011) Identification Number and Certification requester. Do not Department of lhe Treasury send to the IRS.
Internal Revenue Service
Name (as shown on your income lax return)
Rancho Santa Fe Youth Soccer
N Business name/disregarded entity name, if differenl from above Q)
Ol
(lJ
Q. Check appropriate box for federal tax classification: C 0 D Individual/sole proprietor D C Corporation 0 S Corporation □ Partnership D TrusVestale ID Ill a. g i!' +l D Exempt payee
□ .. (.) Limited liability company. Enter lhe lax classification (C=C corporation, S=S corporation, P=partnership) ► 0 2 -------------------------------- ...... i:: II)
'C: .!:
0. (,) □ Other (see instructions) ►
,;:: Address (number. street, and apt. or suite no.) Requester's name and address (optional) ·13 Q)
a. P.O. Box 1373 (/J City, state, and ZIP code Q)
Q)
Rancho Santa Fe, CA 92067 (fJ
Lisi account number(s) here (optional)
ma Taxpayer Identification Number (TIN)
I Social security number Enter your TIN in t~e app~opriate ?ox. !he TIN ~r~vided mus_t match the name given on the "Name" line I to avoid backup w1thhold1ng. Fm 1nd1v1duals, this 1s your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities. it is your employer Identification number (EIN). If you do not have a number, see How to get a TIN on page 3.
[II] -[D -I I I I I
Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter.
j Employer identification number
33 - 0067277
Certification
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting tor a number to be issued to me), and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service {IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, 01· (c) the IRS has notified me that I am no longer subject to backup withholding, and
3. I am a U.S. citizen or other U.S. person (defined below).
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured p operty, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments ot er than interest and d'{lidends you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page . •
Sign
Here '-----~ Date ►
Section references are to the Internal Revenue Code unless otherwise noted.
Purpose of Form
A person who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) to report, for example, income paid to you. real estate transactions, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt. or contributions you made to an IRA.
Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN to the person requesting it (the requester) and, when applicable, to:
1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued),
2. Certify that you are not subject to backup withholding, or
3. Claim exemption from backup withholding if you are a U.S. exempt payee. It applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income.
Note. If a requester gives you form ther than Form W-9 to request your TIN, you must use the requester's form if it is substantially similar to this Form W-9.
Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are:
• An individual who is a U.S. citizen or U.S. resident alien, • A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States. • An estate (other than a foreign estate), or
• A domestic trust (as defined in Regulations section 301 .7701 -7).
Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax on any foreign partners' share of income from such business.
Further, in certain cases where a Form W-9 has not been received, a partnership is required to presume that a partner is a foreign person, and pay the withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. status and avoid withholding on your share of partnership income.
Cat. No. 10231X Form W-9 (Rev. 12-2011)
SOLANA BEACH
CIVIC
&
HISTORICAL
SOCIETY
The City of Solana Beach Community Grant Program
Request for Financial Assistance Application FY 2022-23 All Applications MUST BE RECEIVED by 5:00 p.m. Thursday, May 26, 2022.
Please Print Clearly or Type. All requests will be determined by the following criteria:
Name of Organization: Solana Beach Civic & Historical Society Mailing Address: _P_. _O_. _B_o_x_5_0_4 _____________________ _ City: Solana Beach State: _C_A ____ Zip: 92075
Contact Person: Michele Stribling Email address: [email protected] Daytime Phone: _8_58_._3_54_._0_4_78 _______ Evening Phone: _sa_m_e ________ _
1. All the documents below are attached to this application:
■ W-9
■ Summary of Organization's Budget
■ Proposed Program Budget
■ Financial and Tax Statements (see Application Guidelines) ~ A copy of the California Franchise Tax Board Entity Status Letter, showing exemption under Section 23701 d or Internal Revenue Code section 501 (c)(3)
2. Has your organization received financial assistance from the City before? ■ Yes □ No
3. If yes, please state the fiscal year it was received and for the proposed program was:
FY 2021-22 and prior--Digitizing Archives; FY 2022-23 -- Expand Oral Histories project
4. Title of FY 2022-23 Proposed Program/Service:
FY 2021-22 and prior--Digitizing Archives; FY 2022-23 -- Expand Oral Histories project
5. What is the total amount requested for the FY 2022-23 Proposed Total Program? Includes all estimated costs to conduct proposed activity/program.
We request $5,000 to expand efforts to videotape oral histories of notable Solana Beach citizens and make them available via our website, sb-chs.org. This program began with individual "old timers" interviews, has included video testimonials by La Colonia first families at the 2021 Centennial Celebration, and expanded In 2022 to include group IntervIews with cu111111a11ity edacatu1s ai1d public se1va11ts {c 11e1It a11d fo1111e1 Co 11cil-111e111be1s, Mayo1s).
Page I 1
6. Grant funds must be used for services or materials directly associated to proposed activity.
Please describe how grant funds will be used:
Grant funds wm be used to pay professional fees for yjdeography and editing services, as well as for website design and functionality enhancements.
7. Anticipated Program Objectives or Accomplishments:
Our objective is to document the memories and contributions of our many notable citizens for posterity and historical research purposes. We have identified dozens of public servants, environmentalists, artists, educators and entrepreneurs whom we plan to invite to participate in one-on-one and group interviews. A particular focus will be to capture the unique stones shared by oar founding famllles of ta Colonla, so we can share the many accomplishments and co11tributio1 1s of ou1 co1nn,unity's origir ,al builde1 s.
8. Program Dates/Location:
loten,iews \!\till be scbed1 ,led tbro• 19h01 it fiscal 2022-23 io Solana Beach
9. Estimated number of Solana Beach residents to be served by proposed program:
All residents will be able to access our oral histories library via our website at sb-chs.org
10. How will the organization acknowledge the City's financial contribution to the community/ beneficiaries of the proposed activity?
We will feati ire the City's s11ppoct foe this aod prior digitization programs co 01,c website and io promotional materials developed to raise awareness of the availability of the content.
11. Will there be any matching funds or other grants that would be applied to this program or service? If awarded this grant, will that enable other funding sources? We plan to apply for additional grants if needed to augment our budget lo 2021-22, we applied for a San Diego County community Enhancement Grant for this program, but were not awarded funding.
12. Will volunteers be used for the proposed program or service and, if so, will they reduce expenses?
Yes, volunteers wm schedule, organize and conduct interviews Page I 2
13. If the proposed program or service is only awarded partial funding, will it still move forward? Will the program/service be scaled back and/or is there a threshold at which it will not move forward?
With partial funding, we will bire as much professional help as possible to produce and past interviews in 2022~23.
Acknowledgment of Responsibility:
Authorized Signature assumes all responsibility for developing and implementing proposed activities or events in this application, including public acknowledgment of the City's financial contribution. Authorized signature will comply with all accounting and budget procedures outlined by the City. Authorized signature and accompanying group will hold harmless the City of Solana Beach from all losses, claims, accidents, and problems associated, directly or indirectly with the development and implementation of proposed activities or events.
May 25, 2022
Authorized Signature of Organization Date
ALL INFORMATION REQUESTED ON THIS APPLICATION MUST BE COMPLETED AS A
CONDITION FOR BEING CONSIDERED FOR PUBLIC FUNDS BY THE CITY COUNCIL OF SOLANA BEACH.
Page I 3
SBC&HS FY 2022--23 Estimated Budget (Note: FY begins July 1, 2022) ! CoSB Grant to expand Oral Histories program* ·· $5,000.00: $5,000.00. --·----~··· ··············--···· ·············-·-----···-- : Dues income $3,500.00 ·········----···················---··I···--·- ·-·-·······-·-··--·-··-·- .... ·····-·--··-· ..... ···-············· Holiday Boutique/Poinsietta sales $11,000.00 •
Community outreach/member events $9,500.00 ·
.• Donations/other income $2,500.00 • ········----······························································------•1••··· ..... ····-····-···· ····-······-········ .. .. ······-·--···-··-·-·-·· ·-..... .
Scholarship awards $5,000.00 · ·····································-··········-··~·---··'········'·---- i Administration (insurance, website, book reprint,
: promotional expenses)
............. ,. ...................... ., . ., .•...................... -----; •TOTALS
* assuming our application is approved
$2,500.00 ·
$22,000.00 • $22,000.00
1 ·-·- ,~.
_,.,, ...
Internal Revenue Service
Date: August 3, 2002
Solana Beach Civic And Historical Society
PO Box504
Solana Beach, CA 92075-0504
Dear Sir or Madam:
Department of the Treasury
P. 0. Box 2508
Cincinnati, OH 45201
Person to Contact:
Ms. E. Eckert ID 31-07436
Customer Service Specialist
Toll Free Telephone Number:
B:00 a.m. to 6:30 p.m. EST
877-829-5500
Fax Number:
513-263-3756
Federal Identification Number:
95-1950979 ~ or
This letter is in response to your amendment of your organization's Articles of Incorporation filed with the state on January 211991. We have updated our records to reflect the name change as shown above. . +, Our rec?rds indi~t~ tha_t a d.e~ermination le,~er)~i;p~d iqf-prii,, 1 ~~B;~gfciot'e,g YQ!A~.Clf!1~~1:z~t)~rt ~~emp'tion from 'Je,deral income tax under section 501 (c)(3) of the Internal Revenue.Code;-,_U,-at letter Is still in effe,ct. ...;.. • ,-,, ,. ·-h : ': _,_ Based on information subsequently submitted, we classified your organization as one that is not a private oundation within the meaning of section 509(a) of the Code because it is an organization described in section '509(a)(2).
This classification was based on the assumption that your organization's operations would continue as stated in the application. If your organization's sources of support, or its character, method of operations, or purposes have changed, please let us know so we can consider the effect of the change on the exempt status and foundation status of your organization.
Your organization is required to file Form 990, Return of Organization Exempt from Income Tax, only if its gross receipts each year are normally more than $25,000. If a return is required, it must be filed by the 15th day of the fifth month after the end of the organization's annual accounting period. The law imposes a penalty of $20 a day, up to a maximum of $10,000, when a return is fifed late, unless there is reasonable cause for the delay.
All exempt organizations (unless specifically excluded) are liable for taxes under the Federal Insurance Contributions Act (social security taxes) on remuneration of $100 or more paid to each employee during a calendar year. Your ·organization is not liable for the tax imposed under the Federal Unemployment Tax Act (FUTA). '
Organizations that are not private foundations are not subject to the excise taxes under Chapter 42 of the Code. However, these organizations are not automatically exempt from other federal excise taxes.
Donors may deduct contributions to your organization as provided in section 170 of the Code. Bequests, legacies, devises, transfers. or gifts to your organization or for its use are deductible for federal estate and gift . ~x purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code. ,olana Beach Civic And Hustorical Society
15-1950979
-2-
rour organization is not required to file federal income tax returns unless it is subject to the tax on unrelated Iusiness income under section 511 of the Code. If your organization is subject to this tax. it must file an 1come tax return on the Form 990.. T, Exempt Organization Business lncom~ Tax Return. In this letter. we are 1ot determining whether any of your organization's present or proposed activities are unrelated trade or ,usiness as defined in section 513 of the Code. ·
'he law requires you to make your organization's annual return available for public inspection without charge :>r three years after the due date of the return. You are also required to make available for public inspection a opy of your organization's exemption application, any supporting documl]:lnts and the exen:ipti911 letter to _any . 1dividual who requests such documents in person or in writing: You can charge only a reasonable fee for · · ?production and actual postage costs for the copied materials. The law does not require you to provide opies of public inspection documents that are widely available, such as by posting them on t~e Internet . 1\/orld Wide W~b). - ma~ b~ liable_ for a pen_al~ ~f $20 a, day for ea?p,;~aYr.Y.qu_9.Q 11R~J!l.~~~.~~~~,.,.'i!;t:
ocuments available for, public inspection (up to a ·maximum of $10,000 ,n the case ofan annual return}. · ecause this Jetter could help resolve any questions about your organization's exempt status and foundation :El~! you should keep it-with the organization's permanent records. · · ·· · _ · . ·., you have any questions, please call us at the telephone number ~hown in the ~eading of thi~ letter. • ~ -c • • •• 1is letter affirms your organization's exempt status.
Sincerely,
~g~
. John E. Ricketts, Director, TE/GE
Customer Account Services
·+ ... ·
. '
' l
From: Simple 990 <[email protected]>
Subject: Your 990-N e-filing was accepted by the IRS e-file system.
Date: August 28, 2021 at 10:37:06 AM PDT
To: [email protected]
Reply-To: Simple 990 <[email protected]>
®S MPLE 990
990-N Accepted
SOLANA BEACH CIVIC AND HISTORICAL SOCIETY
EIN #: 95-1950979
Year: 2020
Submitted on August 28, 2021
Accepted on August 28, 2021
Your 990-N has been confirmed as accepted without issues. We have attached an informational copy of your filing to this email as a PDF.
Thanks for using Simple 990, we will let you know when it's time to file again. ·-
·-·-
The IRS updates the public records search with newly filed Form 990-N records once per week, typically on Mondays including data through the preceding Thursday. Your filing will enter the public records search after the next such update occurs.
Reminder: Form 990-N reminder systems operate on the public records data set, so you can safely ignore any additional filing reminders you receive for the above accepted filing while waiting on it to enter the public records above. Please do not file again redundantly.
Click here to search the records for your organization. You can review your organization's records by searching for your EIN then clicking on your organization's name from the search results.
FonTI W•9
(Rev. October 2018)
Department of the Treasury
Request for Taxpayer
Identification Number and Certification
Give Form to the
requester. Do not
send to the IRS.
Internal Revenue Service ► Go to www.irs.gov/FormW9 for instructions and the latest infonnation. ·""' 1 Name (a • ·
2 Busines
(")
G> 3 Check appropriate box for federal tax classification of the person whose name is entered on One 1. Check only one of the gi following seven boxes.
a.
C
0 • (I)
IP C
I~
0 Individual/sole proprietor or D C Corporation D S Corporation D Partnershlp D TrusVestate single-member LLC
0 Limited liabUity company. Enter the tax classification (C=C oorporation, S=S corporation, P=Partnership) ►--- 4 Exemptions (codes apply only to
certain entities, not individuals; see
instructions on page 3):
Exempt payea coda (If any) __ _
~ 2 Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check Exemption from FATCA reporting .
c_ 'liic LLC if the LLC is clanifKld as a single-member LLC that is disregarded from the owner unless the owner of the LLC is code rrr Y) .. - another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single•member LLC that \' an a. " is disregarded from the owner should check the appropriate box for the tax classification of its owner. 1 Q. i-==-,----,:.......,--....a...-,------,---,.-,,--,-----,----------..-=-----,---,-,----'-..,......,,-,----,.-.,,......,,....---- 0 Other (see instructions) ► tn 5 Address (number, street, and apt. or suite no.) See instructions. Requester's name and address (optiona0 :B P.O. o 5bt{- w-----""'"'=--~-...... =-r---...... -----------------. 6 City, state, and ZIP code 6b{At/Ul. . CA qz.o-,,s
7 List account number(s) here (op1ionan
IN
Enter your TIN In the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For Individuals, this Is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Instructions for Part I, later. For other entities, It ls your employer Identification number (EIN). If you do not have a number, see How to get a TIN, later.
Social security number
[DJ -DJ -I I I I I
or
Note: If the account ls In more than one name, see the Instructions for line 1. Also see What Name and ··"' Number To Give the Requester for guidelines on whose number to enter. -,~ Certification
Under penalties of perjury, I certify that:
1 . The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all Interest or dividends, or (c) the IRS has notlfled me that I am no longer subject to backup withholding; and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form Qf any) Indicating that I am exempt from FATCA reporting Is correct.
Certification instructions. You must cross out item 2 above If you have been notified by the IRS that you are currently subject to backup withholding because you have falled to report all Interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage Interest paid, acquisition or abandonment of secured property, cancellatlon of debt, contributions to an Individual retirement arrangement (IRA}, and generally, payments other than Interest and dividends, you are not requited to sign the certlficatlon, but you must provide your correct TIN. See the Instructions for Part U, later.
Sign
Here I Signature of
U.S. person ►
General Instructions
Section references are to the Internal Revenue Code unless otherwise noted.
Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.lrs.gov/FormW9.
Purpose of Form
An lndlvldual or entity (Form W-9 requester) who Is required to file an Information return with the IRS must obtain your correct taxpayer Identification number (flN) which may be your social security number Date ►
• Form 1099-DIV (dividends, Including those from stocks or mutual funds)
• Form 1099-MISC (various types of Income, prizes, awards, or gross proceeds)
• Form 1099-B (stock or mutual fund sales and certain other transactions by brokers)
• Form 1099-S (proceeds from real estate transactions)
• Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage Interest), 1098-E (student loan Interest), 1098-T (tuition)
,......,,,_ (SSN), lndlVidual taxpayer Identification number (!TIN), adoption • Form 1099-C (canceled debt) • Form 1099-A (acqulsltlon or abandonment of secured property) Use Form W-9 only If you are a U.S. person Qncludlng a resident alien), to provide your correct TIN.
'if taxpayer Identification number (ATIN), or employer Identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of Information returns Include, but are not llmlted to, the followlng. • Form 1099-INT Qnterest earned or paid)
Cat. No. 10231X
If you do not retum Form W-9 to the requester with a TIN, you might be subject to backup withholding. see What Is backup withholding, later.
Form W~9 (Rev. 10·2018)
SAN DIEGO
ORGANIZING
PROJECT
The City of Solana Beach Community Grant Program
Request for Financial Assistance Application FY 2022-23 All Applications MUST BE RECEIVED by 5:00 p.m. Thursday, May 26, 2022.
Please Print Clearly or Type. All requests will be determined by the following criteria:
Name of Organization: San Diego Organizing Project (SOOP) Mailing Address: 4305 University Ave# 530
City: San Diego State: _C_A ____ Zip: 92105
Contact Person: Selma Hassane Email address: [email protected] ----------- Daytime Phone: ___ (6_1_9 __ ) 4_0_7_-0_2_5_2 ______ Evening Phone: __________ _
1. All the documents below are attached to this application:
I!] W-9
l!I Summary of Organization's Budget
[!] Proposed Program Budget
~ Financial and Tax Statements (see Application Guidelines) ~ A copy of the California Franchise Tax Board Entity Status Letter, showing exemption under Section 23701 d or Internal Revenue Code section 501 (c)(3)
2. Has your organization received financial assistance from the City before? D Yes Ill No
3. If yes, please state the fiscal year it was received and for the proposed program was:
Medi-Cal Outreach to Elder Immigrants
4. Title of FY 2022-23 Proposed Program/Service:
Medi-Cal Outreach to Elder Immigrants
5. What is the total amount requested for the FY 2022-23 Proposed Total Program? Includes all estimated costs to conduct proposed activity/program.
The total amount requested for SDOP's Medi-Cal Outreach to Elder Immigrants in Solana Beach is 5 000.
6. Grant funds must be used for services or materials directly associated to proposed activity.
Please describe how grant funds will be used:
The grant funding will be used to support our Community Organizer and organizing teams at St. Leo and St. James catholic Communities in Solana Beach to develop and implement a Medi-Cal Outreach to Elder Immigrants program, Our outreach campaign will consist of developing culturaUy-competant communications materials and hosting informational workshops at faith congregations with opportunities for individuals to sign up for Medi-Cal on the spot
7. Anticipated Program Objectives or Accomplishments:
Under AB 133. approximately 31,000 San Diegans aged 50 years and older will be newly eligible for Medi-Cal, regardless of immgration status. Although we are grateful for the expansion of Medi-Cal health coverage. we have witnessed countless times the exclusion of historically underserved and underrepresented communities. Through intnetional and grassroots outreach, we will reduce health disparities among low- and middle-income. immigrant communities, and communities of color.
8. Program Dates/Location:
l11ne 2022-lune 2023 ; at St ! ea Mission Cb11ecb and St laroes Church
9. Estimated number of Solana Beach residents to be served by proposed program:
2.000
1 O. How will the organization acknowledge the City's financial contribution to the community/ beneficiaries of the proposed activity?
SPQP will list the City at Solana Beach as an organizational funder an am website and name the City at the beginning of our Medi-Cal outreacb-related wnrkshaps and events
11. Will there be any matching funds or other grants that would be applied to this program or service? If awarded this grant, will that enable other funding sources? Although there will not be matching funds specifically associated with this program. SOOP receives general operating support funding from various funders that supports our leadership development and community organizin2 work in Solana Beach,
12. Will volunteers be used for the proposed program or service and, if so, will they reduce expenses?
our or2anizine teams in various faith instjtutjons are made up of volunteer leaders, anchored by a staff Community Organizer Because our programming is propelled by volunteers. we account for them in the creation of aur budget and will therefore not reduce costs Page I 2
13. If the proposed program or service is only awarded partial funding, will it still move forward? Will the program/service be scaled back and/or is there a threshold at which it will not move forward?
If we receive partial funding we will still move forward with the Medi-Cal outreach to Elder Immigrants program, We may decjde to scale back the program sligbly, but plan to launch it at full Acknowledgment of Responsibility:
Authorized Signature assumes all responsibility for developing and implementing proposed activities or events in this application, including public acknowledgment of the City's financial contribution. Authorized signature will comply with all accounting and budget procedures outlined by the City. Authorized signature and accompanying group will hold harmless the City of Solana Beach from all losses, claims, accidents, and problems associated, directly or indirectly with the development and implementation of proposed activities or events.
Selma Hassane May 26, 2022
Authorized Signature of Organization Date
ALL INFORMATION REQUESTED ON THIS APPLICATION MUST BE COMPLETED AS A
CONDITION FOR BEING CONSIDERED FOR PUBLIC FUNDS BY THE CITY COUNCIL OF SOLANA BEACH.
Page I 3
City of Solana Beach Community Grant Program Budget
San Diego Organizing Project
Personnel
Community Organizer {Teresa Perez)
Development and Communications Coordinator {Selma Hassane) Benefits @ 30%
Total Personnel
Non-Personnel
Events and Meetings {Informational Forum/Workshop)
Media and Printed Material for Outreach
Total Non-Personnel
$ 961.54
$ 961.54
$ 576.92
$ 2,500.00
$ 1,500.00
$ 500.00
$ 2,000.00
Indirect Costs @ 11.12% $ 500.00
Total $ 5,000.00
San Diego Organizing Project
2022 Operating Budget
DRAFT
2022 Budget
Expected Cash-on-Hand (01/01/2022)
Grants Receivable (Contracted}
Income
1000-Grant Income
2000-lndividual Donations
2100-Membership Dues Income
2200-0rganizational Fundraising
2300-lnterest Income
Total Income
Expense
4000-Fund Raising Expense
5000-Salaries and Compensation
5100-Consu ltants
6000-Programs, Actions, Events
6100-Faith in Action Expense
6200-Staff & Leadership Dev Exp
6300-Media & Communications
7000-Administrative Expense
7100-Human Resources
7200-0ffice Expenses
7300-Accounting & Audit
7400-lnsurance
7500-0ccupancy Expense
7600-TravelExpense
7700-Technology Expense
7750-Telecom (Voice/Data) Exp
8000-Miscellaneous Expense
Total Expense
Net Actuals - Cash-on-Hand 01/01/2023
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
582,000.00
144,000.00
726,000.00
425,500.00
27,500.00
30,000.00
75.00 50.00
483,125.00
10,000.00
712,465.12
5,000.00
20,000.00
15,000.00
20,000.00
15,000.00
1,000.00
6,500.00
1,000.00
14,000.00
10,000.00
40,000.00
11,000.00
7,500.00
15,900.00
904,365.12
304,759.88
05/20/22
ASSETS
Current Assets
San Diego Organizing Project
Summary Balance Sheet
As of December 31, 2021
TOTAL ASSETS
LIABILITIES & EQUITY
Liabilities
Equity
TOTAL LIABILITIES & EQUITY
Dec 31, 21
661,635.99
661,635.99
17,013.32
644,622.67
661,635.99
05/20/22
San Diego Organizing Project
Profit & Loss
January through December 2021
Ordinary Income/Expense
Income
Gross Profit
Expense
Net Ordinary Income
Other Income/Expense
Other Income
Nontaxable PPP Loan Forgiveness
Total Other Income
Net Other Income
Net Income
Jan-Dec 21
832,916.11
832,916.11
1,260,066.99
-427, 150.88
-14,592.00
-14,592.00
-14,592.00
-441,742.88
Page1
Form 990 0MB No_ 1545•0047
Return of Organization Exempt From Income Tax 2020
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Oep~rtmen1 of the Treasury ► Do not enter social security numbers on this fonn as it may be made public.
Internal Revenue Sl!rvice "" Go to www./i,-,govn=orm990 for instructions and the latest information.
A For the 2020 calendar year, or ta>c year beginning , 2020, and ending , 20 B Check if applicable: C D EmJ)lay r ichntl1lca1lon number Address change
N•me~h111'1(le
lnilial return
f,oal rol1rn/lElm111a1ed
Amen~ed return
Aj)plicalion pending
San Diego Organizing Project
4305 University Avenue #530
San Diego, CA 92105-1696
95-3284521
E Telephone number
(619) 285-0797
G Gross 1eceipls $
Name and addte5$0I principal officer: Dinora Reyna 11(1) IS !hi$ a group re!urn for subofdinales~ H(J)) Are all subordinali!S rncluded?
-----------'-r.:'~;;....;...;;.;;;..-'r--F~O...,.V....;8;._ _______ --r-~=------r-,-,,,,.,,._-1 If 'No; al1aeh a lisl. See rnslrucbons Tax•exempl status: (c) ( ) ◄ (insert no.) 527
No
No
J Website: ► H(c) Group enmption numbe-r ►
Olhe, ■- L Yea, of formation 19 7 8 M Stale ol legal "°"1~: CA eart' L\k Summa
1 Briefly describe the organization's mission or most significant aclivities:San Diego 013@ni zinq_ PrqjftCt mission: __ DevelQJ2_ment of _grassroots leaders who in turn build powerftLl o.r;g,1nizations to ____ _ transform_their communities. _________________________________________ _ 2 Check this box ► D if the organization discontinued ils operations or disposed of more than 25% of its net assets. 3 Number of voting members of the governing body (Part VI, line 1 a) . • . . • . . . . . . . • . . . . . . . . 3 7 4 Number of independent voling members of the governing body (Part VI, line lb) 4 7 5 Total number of individuals employed in calendar year 2020 (Part V, line 2a) . . . . . . . . . . . . . 5 19 6 Total number of volunteers (estimate if necessary) ....•. ,...... . . . . . . . . . . . . 6 135 7a Total unrelated business revenue from Parl VIII, column (C), line 12...... .. . . . . 7a O. b Net unrelated business taxable income from Form 990•T, Part I, line 11 . . . . . . . . . 7b 0.
Prior Year Current Year
8 Contributions and grants (Part VIII, line 1 h).. . . . . . . . . . . . . .. . . . . .. . . ........ .. ! 9 Program service revenue (Part VIII, line 2g) . . . . . . . . . . . . . . . . . • • • • . . . . • . ... . i! 10 Investment income (Part VIII, column (A), lines 3, 4, and 7d)... . . . . , ......... . 1 438 676. 1 195 995.
120. 22.
11 Other revenue (Part VIII, column (A), lines 5, Gd, Sc, 9c. 10c, and l le) .............. . 12 Tola! revenue - add lines 8 through 11 (must equal Part VIII, column (A), line 12) ..... 1--....,... 1 ............ 438,796. ~~-- 1 19 017. 13 Grants and similar amounts paid (Part IX, column (A), lines 1-3) ..................... . 1----............ ..;:;..:;...;;.i ____ ::.:;..r....:::,= 14 Benelits paid lo or for members (Par! IX, column (A), llne 4) ......................... 1---------------- 48 000. 49 295.
.., 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5· 10) ..... 1----------1--------'---- f
!
574 403. 448,299.
16a Professional funclraising fees (Part JX, column (A), line 1 le)... . . . . ................ . b Total fundraising expenses (Part IX, column (D), line 25) ► 75,633. 17 Other expenses (Part IX, column (A), lines 1 la• 1 ld, 11f•24e) •........................ 1---------'------'-+---------......., ..... ....a.. 18 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) ............ . 19 Revenue less expenses. Subtract line 18 from line 12 ............................. , .. 1--~...;;.;;.;;.~ ..... ---1---....;..;;;;..;:;.~;;;:..;...:..
Beginnillll of Current Year End of Year
Totalassets(PartX,line16} ..................................... _................. 1 028,233, 1 574 189.
Total liabilities (Part X, line 26) .................................................... 1---_,___,.1-=7-'-, -=-9""6""0...a..+--....aa.,""'1-,2'"'1"",-=7""3;..;9,...._:....
Netassets0ffundbalances.Subtractline21 fromline20............................ l 010 273. 1 452 450.
Sign
Here
Paid
Preparer
Use Only
is return. includ•lli! accompanying schellules and Slalemen!s, a<ld to the beSl ol my knowledge and beliel, 11 ,s 1,ue. coriect. and on all inlonnalion ol wlioch prep.ire, has any knowledge.
Oate
► Dinora Reyna Type or print name an<! lilte
Executive Director
P1inl!Type preparet's naiM Preparer·\< ~ignature Da1e Check X ii PTIN Sanwar Harshwal, CPA -~-:J:.«;:;;;;;..;..;(r,:.9<-1.........,( 11/15/2021 sell-employed P01249746 Firm·s name ► HARSHWAL & COMPANY LLP
Firm'saddress ► 7677 OAKPORT ST STE 460 Firm'sEIN ■- 27-0741376 OAKLAND CA 94621 Phoneno. (510) 452-5051
May the IRS discuss this return with the preparer shown above? See instructions ....•.................................• X BAA For Paperwork Reduction Act Notice, see the separate instructions. TEEAOIOIL 01119121
STATE OF CALIFORNIA
FRANCHISE TAX BOARD
PO BOX 942857
SACRAMENTO CA 94257-0540
Entity Status Letter
Why You Received This Letter
Date: 5/24/2022
ESLID:4643303503
According to our records, the following entity information is true and accurate as of the date of this letter.
Entity ID: 0848185
Entity Name: SAN DIEGO ORGANIZING PROJECT
1. The entity is in good standing with the Franchise Tax Board.
2. The entity is not in good standing with the Franchise Tax Board. lg]
□ lg] 3. The entity is currently exempt from tax under Revenue and Taxation Code (R& TC) Section 23701 d. □
□
4. We do not have current information about the entity.
5. The entity was administratively dissolved/cancelled on Administrative Dissolution process.
Important Information
through the Franchise Tax Board
• This information does not necessarily reflect the entity's current legal or administrative status with any other agency of the state of California or other governmental agency or body. • If the entity's powers, rights, and privileges were suspended or forfeited at any time in the past, or if the entity did business in California at a time when it was not qualified or not registered to do business in California, this information does not reflect the status or voidability of contracts made by the entity in California during the period the entity was suspended or forfeited (R& TC Sections 23304.1, 23304.5, 23305a, 23305.1 ).
• The entity certificate of reviver may have a time limitation or may limit the functions the revived entity can perform, or both (R&TC Section 23305b).
Connect With Us
Web: fib.ca.gov
Phone: 800.852.5711 from 7 a.m. to 5 p.m. weekdays, except state holidays 916.845.6500 from outside the United States
TTY/TDD: 800.822.6268 for persons with hearing or speech impairments FTB 4263A WEB (REV 12-2019)
Form W-9 Request for Taxpayer Give Form to the
(Rev. October 2018) Identification Number and Certification requester. Do not Department of the Treasury send to the IRS.
Internal Revenue Service ► Go to www.irs.gov/FormW9 for instructions and the latest information. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.
San Diego Organizing Project
2 Business name/disregarded entity name, if different from above t')
Q) 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the 4 Exemptions (codes apply only to O'I following seven boxes. certain entities, not individuals; see Cll a. instructions on page 3): C
□ Individual/sole proprietor or 0 C Corporation D S Corporation D Partnership D Trust/estate 0 'II)
Gl C single-member LLC Exempt payee code flf any) a. 0
~:g □ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ► .. :I 0 .. Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check Exemption from FATCA reporting C 0 LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is code(lf any) •- .. -
C another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that ""' u is disregarded from the owner should check the appropriate box for the tax classification of its owner. :E u □ Other (see instructions) ► /Applies to accounts malnlained outside me U.S.) Q) a. 5 Address (number, street, and apt. or suite no.) See instructions. Requester's name and address (optional) ti> Ill
Ill 4305 University Ave # 530
en
6 City, state, and ZIP code
San Diego, CA 92105
7 List account number(s) here (optional}
mu Taxpayer Identification Number (TIN)
I Social security number Enter you~ TIN in_ the app_ro~rf~te box. !h~ TIN provided must_ match t~e name given on line 1 to avoid I backup withholding. For individuals, this Is generally your social secunty number (SSN). However, for a OJ] [D I I I I I resident alien, sole proprletor, or disregarded entlty, see the instructions for Part I, later. For other - - entities, it is your employer identification number (EIN). If you do not have a number, see How to get a . . . . .
TIN, later. ~o_r ___________ ~
Note: lf the account is in more than one name, see the instructions for line 1. Also see What Name and I Employer identification number Number To Give the Requester for guidelines on whose number to enter, 95 -3284521
Certification
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
2. I am not subject to backup withholdlng because: (a) l am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transact Jons, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contrfbutfons to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certffication, but you must provfde your correct TIN. See the instructions for Part II, later. ~~::. I ~~'.:=.::► ,~
General Instructions
Section references are to the Internal Revenue Code unless otherwise noted.
Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9.
Purpose of Form
An indlvidual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number {TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Form 1099-INT {interest earned or paid)
Cat. No. 10231X
Date ►
• Form 1099-DIV (dividends, including those from stocks or mutual funds)
• Form 1099-MISC {various types of income, prizes, awards, or gross proceeds)
• Form 1099-B {stock or mutual fund sales and certain other transactions by brokers)
• Form 1099-S (proceeds from real estate transactions)
• Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition)
• Form 1099-C (canceled debt)
• Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provlde your correct TIN.
If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later.
Form W-9 (Rev.10-2018}