Agenda packet — Solana Beach City Council, June 14, 2023 (part 4 of 6)

5 Compensation of current officers, directors,
trustees, and key employees.. .. . ... ....... O • O • O • O • 6 Compensation not included above to i-----------1----------t--------+-------.....;;..-'-- disqualified persons (as defined under
section 4958(1)(1)) and persons described
in section 4958(c)(3)(8) .. ... ..... .. . .... . .. 1--------=o..:.•-1-------0=--=-,. 1-------""' 0..:.·+-------'0::..:... 7 Other salaries and wages . ... . ... .. .. ... .. .
8 Pension plan accruals and contributions (include section 401 (k) and 4-03(b) employer contributions) .. .. .. . . .. .. .. .
9 Other employee benefils .... ... .. .... .
10 Payroll taxes . . .... .. . . . . . .. . ... . . . . 11 Fees for services (nonemployees):
a Management ...... .. ... .... .. . .. .... .
b Legal . ... . . .. . . ... .. .... .. ............... . r-----------1--------------------- - --
c Accounting . ........ . . .. . .. . ... . . ...... . ... i-----------1----------t--------+-------- d Lobbying . .. . . . .. .. .. . .. . . ..... . .. ........ . c Professional fundraising services. See Part IV, line 17 ... 1-----------t=======,=1,======,,,.,,..,=1--------- f Investment management fees .. . ........ .. .
g Other. (Ir Hne Ilg amount e(ceeds 10% of li11e 25, column i----------t--------+--------+-------- (A), amount, list line 11 g expenses on Schedule 0.) . .. . r------4~, _0_0_0_.-+---------+-----4_,c..0_0--'-0-'-. +-------- 12 Advertising and promotion ...... . ......... . . t------1~,_3_2_6_.-+---------+------1'-'-3a..2~6..:.. . - ------- 13 Office expenses . . . .. . . .. . . .. ........ . ... . i-----------t----------- -----+--------- 14 Information technology .. . ..... . .......... . . ----------t---------+--------+-------- 15 Royalties . .. ....... ... . . . . . .. ...... .. . . . .. . t-----------t----------t--------+--------- 16 Occupancy .. .. . . . .... .. ....... . .. .. . ...... 114 398 . 1 625. 112 773. i-------'--'------t---------+----..=J'-'-.:....;;..-+-----=-==-<-'-'-=--'-- 17 Travel ...... ... . . .. ... .. . ....... ... ....... . ----------t-------- ---------------- 18 Payments of travel or enterlainment ~~gfi~s;ffi:~ 1:_ny fed~r~~•. ~late •. ~~.l~.c-~I .. ... t----------t---------+--------+-------- ! ~ ~~:;:;~~~~~'. -~~~~~~-ti.~~s,_ ~~ .~e~_t'.~~~:::. J--_____ 5_5_8_.+-_____ .;;.;2..:.5..:.0--'.-+------3:;_0.:....;;..8..:... +-------- 21 Payments to affiliates ......... ..... .. . .. .
22 Depreciation, depletion, and amortization . .
23 Insurance .. . .... . .. . . .. .... .. . . .. . .. ... .. . 24 Other expenses. Itemize expenses not
covered above. (Lisi miscellaneous expenses
on line 24e. If line 24e amount exceeds 10%
of line 25, column (A), amount, list line 24e
expenses on Schedule 0 .) . . ... . .. . ... . . .
2,500 . 3 , 205.
a PrQ9.Iam s1m!)J ies ________ -+-----~~~"-'+-----=~--'-'"-=-'+---------1-------- b Stor age r ental _________ _ +-------'-'-"-=-'"-'+----"'"""'-=.aa.=..------=......,...,_."-'-+ _ ___ .=.. ...... :u:.. ... 17 721. 17 721.
6 912. 4 152. 1 380 . 1 380 .
c R~irs & maintenance _ ____ _ ___ ____......._.......,"-'+------- 5 700 . -+---------1----..::::..l.-'-'"-"'-' 5 700. '- d Bank fees ___________ _ __ +------=-.....:..;...;...a;----- 3 606. ---+-------'=-=139"""-1-- . --=i-~..:...:.. 3 467 . e All other expenses ... . ..... . .. . . .. . .. .... . . 25 Total functional expenses. Add lines 1 through 24e .... 26 Joint costs. Complete this line only if
the organization reported in column (B)
joint costs from a combined educational
campaign and fundraising solicitation.

Check here ► 0 if following
SOP 98·2 (ASC 958-720) . . .... . . ... ... .. .. .

BAA
r--------........ -----t-------'--"-"--+--- ----'...;;;;..;....;..-+-----=-=-=-=-.:.... 11 357. 834 . 2 277 . 8,246 . 287,763. 137,814. 14,860. 135,089 .

TEEAO110l 09122/21 Form 99D (2021 )
Form 990 (2021) Assistance Lea e of Rancho San Die uito Page 11 !P,art~.>¢§;;~ Balance Sheet
Check if Schedule O contains a response or note to any line in this Part X . . .. .. ...... . . . . .. . .. . .. . . . ... . . . .. .. . .. .. .. ... .. . 1 Cash - non-interest-bearing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. .... . ... ... . 2 Savings and temporary cash investments . .. . . ... .... .. ........ ........... .. . . . 3 Pledges and grants receivable, net. .. . . .... .. . .. . . .. ... .. ..... . . ... . . . . 4 Accounts receivable, net . . . ..... .. .. .. . . .. .. . .... .. .. . ... .. .. ...... . . 5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or fami ly member of any of these persons ... . . . ... . . . ..... . .. .

B . (A) f eg1nn1ng o year
143 2 89 . 1
306 258 . 2
3 4
5 (B)
End of year
238 270.
379,628 .
15, 430 .
i-,,-...,.,..,.=~===""""l--,,,,,,f=,.,,.,.,====.,,,..,,--- 6 Loans and other receivables from other disqualified persons (as defined under :i0i" !dk;fit•:7 t;;4ye; ...,;;_,; ih!'f f}C;Y'\,.:;>,~".:i··i;%c,,;~ section 4958(1)(1)), and persons described in section 4958(c)(3)(B)... ... . ... .. . 6 7 1---------1-----1-------- 7
~ 8 Inventories for sale or use .. .. .... ... .... .. ... .. ..... .. . . . . ... .. ...... .. .. . . . . Q) l------='-'-"'-"-.;;...;_+----,1------'-"'.L...;;;.;:;..;;;..;_ 111 9 Prepaid expenses and deferred charges . ...... . .. .... .. .... . . .. . . . .... . ...... . ~ 10a Land, buildings, and equipment: cost or other basis.

Complete Part VI of Schedule D. . . . .. .. ........... . ~10:...a~ ---=-l .=. l L.::::.. 3::.9.:::.8~ b Less: accumulated depreciation.. . .. .. . . . .. . . . . 10b 9 623 . 454 . 10c 1 775 . .___,.._ ___ ....;:;.-<...;;=.a"-'-!-------"------+--+------"'-''-'--.;..::,~ 11 Investments - publicly traded securities.. .. ... .... ... ..... .. 11 12 Investments - other securities. See Part IV, line 11. .. . ..... ... .... ... ... 12 13 Investments - program-related. See Part IV, line 11 ............ . .. .. . . 13 14 Intangible assets .. .. .... . .. .... .. .... ... ....... . . .. . .. . . . . ....... .. .. . . 14 15 Other assets. See Part IV, line 11.. ... ........ . .. ........... . .... .. . . .. . 5 503. 15 3 481. 16 Total assets. Add lines 1 through 15 (must equal line 33) ....... .... .. ... . 525,222 . 16 693,100. 17 Accounts payable and accrued expenses . ... . . ..... .. . . ....... .... .. ... . 3 534 . 17 3 248 . 18 Grants payable .. ... . .... ... .. . .. .. . ... . ... .. .. . . . . ..... .. ... .... .. .. . . 23 000 . 18 29 000 . 19 Deferred revenue ... . . .. . .. ... . .. ....... .. . .. ... ..... . . . .. ...... . .. . . . . 9 195 . 19 7 080. 20 Tax-exempt hond liabilities . .... ..... .. .. . .. .. . . . 20 II, 21 .S! ~ 22
:s
~
::I
Escrow or custodial account liability. Complete Part IV of Schedule D . ...... ... . '======="" Loans and other payables to any current or former officer, director, trustee, lf41\1JJ'l;.f&Jiii1 key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons . . . . . . . . . . . . . . . . . . . . . 22 21 23
24 Secured mortgages and notes payable to unrelated third parties . . . . . . . . . . . . . . . . 23 1--------1----11--------- U n secured notes and loans payable to unrelated third parties... ......... . . . .. . . 24 25 0 the r liabilities (including federal income tax, payables to related third parties, 1--------1----11--------- 26 and other liabilities not included on lines 17-24). Complete Part X of Schedule D. 1--------1----11--------- T o ta I liabilities. Add lines 17 through 25 .. ... . . .. .. .. ... .. . .. ..... . ... ........ . 1/1
8 C
ff
iii
Organizations that follow FASB ASC 958, check here ► X
and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions . .. ......... .. ... . ... ...... . ..... .. .. .... .

ID 28 Net assets with donor restrictions .. .. .... . ...... .. . . ...... ........... .. .... .. . § Organizations that do not follow FASB ASC 958, check here ► D u. and complete lines 29 through 33. 15 29 Capital stock or trust principal, or current funds. .......... .... ...... .. .. .. ..... 29 .!2 30 Paid-in or capital surplus, or land, building, or equipment fund .. ... . .. . .. ... . .. . 1-----------,1-3-0--1-------- J 31 Retained earnings, endowment, accumulated income, or other funds ... .. . . ..... 31 .. 32 Total net assets or fund balances. . . .. . .. . . . . . . .. .. . . . . . . . . .. . . . . . . . .. .. .. .. . . 4 8 9, 4 9 3 . 32 :! 33 Total liabilities and net assets/fund balances... . . . . . . . . . . . . . . . . . . . . . . . 525,222 . 33 653 772 .
693, 100 . BAA TEEAOl lll 09122121 Form 990 (2021)
Form 990 (2021) Assistance Lea ue of Rancho San Die ito Page 12 ;.Pi . :ttiXtrr.~ . Reconciliation of Net Assets
Check if Schedule O conlains a response or note lo any line in this Part XI . .. . .. ...... .. . . . . . ... ' .... . .. ..... '' ' ........ ... . n 1 Total revenue (must equal Part VIII, column (A), line 12) .... . .... .... ..... ...... . . ... .. ... . . . . . .... ... 1 452.042 . 2 Total expenses (must equal Part IX, column (A), line 25) .. . .. . .. . . . . .. . .. . . . . . . . ... . .. . . .. . .. .. .. . . . . . . . . 2 287, 763 . 3 Revenue less expenses. Subtract line 2 from line 1 .. . . . .. . .. . .. ... .. .. .. .... . . .. .... ...... .. .. ... .. .... ' 3 164 . 279 . 4 Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) . . . . ... . .... .. . . . . 4 489.493 . 5 Net unrealized gains (losses) on investments . . . . . . .... . . . . . . ...... .. . ... .... .... ............... .. ... . 5 6 Donated services and use of facilities . . . . . ........ ..... ' ' ...... ...... ... .... .. ··········· ....... ... . ' ... 6 7 Investment expenses . .. . . . . .. . .... .. ... . ... . ........ . '' .... .. ... .... .. ..... ... ·········· ....... .... ' .. 7 8 Prior period adjustments. . .. . . ..... . .... . .. ... .... . ... ... ..... ......... '' ' .... .. .. .. .. ........ .. , 8 9 Other changes in net assets or fund balances (explain on Schedule 0) . . .. .. .. '' .... .... .. .. ... . ...... . 9 0. 10 Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B)) ... ..... .. .. . . .... ... .. .. ... . ... ... .. .... . .. .... ..... .... ..... ' .. .... .. .. .. .. . ... ... ... ''' ' 10 653 772 . ll8i'n~U~i Financial Statements and Reporting Check if Schedule O contains a response or note to any line in this Part XII . ...... .. .. .. . 1 Accounting method used lo prepare the Form 990: D Cash IRJAccrual Oother If the organization changed its method of accounting from a prior year or checked 'Other,' explain on Schedule 0. 2a Were the organization's financial statements compiled or reviewed by an independent accountant? . . ....... ... .... . . . .

If 'Yes,' check a box below to indicate whether the financial statements for the year were compiled or reviewed on a s~arate basis, consolidated basis, or both:
~ Separate basis Oconsolidated basis Osoth consolidated and separate basis b Were the organization's financial statements audited by an independent accountant? . .... .. .. .. ... . ........ ... .. ..... .

If 'Yes,' check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both: D Separate basis Oconsolidated basis Osoth consolidated and separate basis c If 'Yes' to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?. . . . .... . . . .. . .. . .. .. . . .

If the organization changed either its oversight process or selection process during the tax year, explain on Schedule o. 3 a As a result of a federal award, was the organization required lo undergo an audit or audits as set forth in the Single Audit Act and 0MB Circular A-133? .. .. .. . . . . . . . . .. .. . .. .. . . . . . . . . . . . . . .. .. . .. .. . .. .. .. .. . . . . . . . . . . . . . . . . . .. . . . . . . . 3 a X b If 'Yes,' did the organization undergo the required audit or audits? If the organization did not undergo lhe required audit or audits, explain why on Schedule O and describe any steps taken to undergo such audits . ............... .. . .. .. .... 3 b BAA TE.EA0112L 09/22121 Form 990 (2021)

SCHEDULE A
(Form 990)
Department of ihe Treasury Internal Revenue Se1'1ice
Name of th& organization
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(aX,) nonexempt charitable trust.
► Attach to Fonn 990 or Form 990-EZ.
► Go to www.lrs.gov/Form990 for instructions and the latest information.

Assist ance Lea e of Rancho San Die ito
0MB No. 1545-0047
2021
~l[tatitii~ Reason for Public Charity Status. (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.) 1 ~ A church, convention of churches, or association of churches described in section 170(b)(1)(A)(I). 2 A school described in section 170(bX,XA)(II). (Attach Schedule E (Form 990).) 3 A hospital or a cooperative hospital service organization described in section 170(bX1XA)(ili). 4 A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:
5 D An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.) 6 DA federal, slate, or local government or governmental unit described in section 170(b)(l)(A)(v). 7 D An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(l)(A)(vi). (Complete Part II.)
8 DA community trust described in section 170(b)(1)(A)(vi). (Complete Part II.) 9 D An agricultural research organization described in section 170(b)(l)(A)(ix) operated in conjunction with a land-grant college or university or a non-land-grant college of agriculture (see instructions). Enter lhe name, city, and state of the college or university:
10 ~ An organization that normally receives (1) more than 33-1/3% of its support from contributions. membership fees, and gross receipts from activities related to its exempt functions. subject to certain exceptions; and (2) no more than 33- 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part Ill.) 11 D An organization organized and operated exclusively to test for public safety. See section 509(a)(4). 12 D An organization organized and operated exclusively for the benefit of, to perform the functions of, or lo carry out the purposes of one or more publicly supported organizations described in section 509(aX,) or section 509(a)(2). See section 509(a)(3), Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 121, and 12g. a D Type I. A supporting organization operated, supervised, or controlled by its supported organization(s). typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.
(A)
(B)
(C)
(D)
(E)
b D Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.
c D Type Ill functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E. d D Type Ill non-functionally integrated. A supporting organization operated in connection with its supported organizalion(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V. e D Check this box if the organization received a written determination from the IRS that it is a Type I, Type II , Type Ill functionally integrated, or Type Ill non-functionally integrated supporting organization. f Enter the number of supported organizations ......... .. ..... . ...... . . .. ... ....... . .... . ... . . .. .. ... . ... ... .. .... .... ._I _ ___ __. g Provide the following information about the supported organization(s). (i) Name of supported organization (II} EIN (iil)Tyee of organization (described on lines 1-10 above (see instructions)) (iv) Is the organization lisled m your governing
docvment?
Yes No
(I,) Amount of monetary
support (see inslruclions) (vi) Amount of olher
support (see instructions)
Total
BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

TEEA0401 L 08/31/21
Schedule A (Form 990) 2021
Schedule A (Form 990) 2021 Assi stance Lea e of Rancho San Die ito :Ra'ffiJI~ Support Schedule for Organizations Described in Sections 170(bX1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part Ill. ff the organization fails to quafify under the tests listed below, please complete Part Ill.) Section A. Public Support
Calendar year (or fiscal year beginning in) ►
1 Gifts, grants, contributions, and
membership fees received. (Do not
include any 'unusual grants. ) . . . .. .. .
(a) 2017 (b)2018 (c) 2019 (d) 2020 (e) 2021

Page 2 ends

(f) Total
2 Tax revenues levied for the 1:----------11--------1-------+-------t-------+------ organization's benefit and
either paid to or expended
on its behalf ......... .
3 The value of services or facilities furnished by a governmental unit to the organization without charge . .. 4 Total. Add lines 1 through 3 . . . 1---------11--------1-------+------+------+------- 5 The portion of total contributions by each person
(other than a governmental
unit or publicly supported
organization) included on line 1
that exceeds 2% of the amount
shown on line 11, column (f) . .
6 Public support. Subtract line 5
from line 4 . . ...... .... .... .. .

Section B. Total Support
Calendar year (or fiscal year
beginning in) ►
7 Amounts from line 4 .. . . . ... . .
(a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
1------t---------11--------t-------+------+------ 8 Gross income from interest, dividends, payments received on securities loans, rents,
royalties, and income from similar sources ..
9 Net income from unrelated
business activities, whether or
not the business is regularly carried on .. . .. . ... ... .. . ... . . 10 Other income. Do not include 1-- - ---t-------,1--------1-------+-------t------- gain or loss from the sale of
capital assets (Explain in
Part VI.} .... .. . ... ... .. . .
11 Total support. Add lines 7
through 10 .. ......... .. . .... .
12 Gross receipts from related activities, etc. (see instructions) . .... ................ . . ... . .. . .... . ... .... .... .. . . .___..._ _____ _ 13 First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501 (c)(3) organization, check this box and stop here . .. .. . ...... ... .. . ... . . .......... . .. .... ... . . . .. ... .... ....... ......... ........... . . ► O Section C. Computation of Public Support Percentage
14 Public support percentage for 2021 (line 6, column (f), divided by line 11, column (I)).. ... . .. . ............ . .. .. 14 % 15 Public support percentage from 2020 Schedule A, Part II , line 14..... . .... ....... . . .. ........ . ... . .... ... .. .. 15 % 16a 33·1/3% support test- 2021. If the organization did not check the box on line 13, and line 14 is 33-113% or more, check this box and stop here. The organization qualifies as a publicly supported organization ..... . . .. ...... . ......... .... . . ..... .. .. . ...... ... . ► O b 33-1/3% support test-2020. If the organization did not check a box on line 13 or 16a, and line 15 is 33· l /3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► 0 17a 10%-facts-and-circumstances test- 2021 . If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts•and-circumstances test. The organization qualifies as a publicly supported organization . . ......... ► O b 10%-facts-and-circumstances test-2020, If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the facts-and•circurnstances test, check this box and stop here. Explain in Part VI how the organization meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization ... . . . . . ... .. .. ► D 18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions .. . ► D BAA Schedule A (Form 990) 2021
TEEA0402L 08/31/21
Schedule A (Form 990) 2021 Assistance Lea e of Rancho San Die ito Page 3 tRa.rfillli~ Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. tf the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support
Calendar year (or fiscal year beginning in) ►
1 Gifts, grants, contributions, and membership fees received. (Do not include any 'unusual grants.') . .. .. . . .
2 Gross receipts from admissions,
merchandise sold or services
performed, or facilities
furnished in any activity that is
related to the organization's
tax-exempt purpose ... .. . . .. .
3 Gross receipts from activities
that are not an unrelated trade or business under section 513. (a) 2017
240 951.
(b) 2018 (c) 2019 (cl) 2020 (e) 2021 (f) Total
247 158 . 300 126. 272 097 . 414 265. 1 474 597.

0. 4 Tax revenues levied for the 1----=L.::.=...:+----=-...:..L-=-==-=+---:..,..;"-"'-"'--'-l----"",.__,._=...:+-----"-'-L~:.=..,+---==-=-c..:..-=-=..:... 63 101 . 77 951. 7 886. 8 752 . 44 482. 202 172 . organization's benefit and
either paid to or expended on
its behalf. , , , . . .. , , ..... .. .. , . 0 . 5 The value of services or 1-------+-----+------1-------+------+-----_.,.,_,_ facil ities furnished by a
governmental unit to the
organization without charge ...
6 Total. Add lines 1 through 5 ... 1-------+------+------1-------+------+-----....;;..;.. 0. 304 7a Amounts included on lines 1, t-----"--"--"--'---"-=-+-------......,---+-----"--''-'-"-="-'-t---=------.............. -+-----.............. ---'+--='-=-'--"-'-'--"-"--'- 052. 325 109 . 308 012. 280 849. 458 747 . 1 676 769 . 2, and 3 received from
disqualified persons. . . . . . . . . . . 1-----= ....... =-'+- --=-------='-"--+------"-'-'=-=-"-'-1---=-'-"'-"""""-'+--"""-'--=-==-ac+--~=-=-<-=-~-'- b Amounts included on lines 2
and 3 received from other than
3 025 . 1 750 . 2 100 . 1 5 900. 7 025. 29 800 .
disqualified persons that
exceed the greater of $5,000 or
1 % of the amount on line 13
for the year. . . . . . .. . . .. . . .. .. . O c Add lines 7a and 7b. .... . . .. . . t-----_,a:;-+------"-'+-----"-'-t--------+--------'+---2- 9_ 8_0.;;. 0.:.. 8 Public support. (Subtract line
7c from line 6. .. .. .. .. .. .. .. . 1 646 969.
upport
Calendar year (or fiscal year beginning in) ► 1----=-(a.:..)_2_0_17_-+_...:(c.;b)'-2_0_1_8_+-_(.;..c.;..) _20_1_9_-+-_..:..(d)...;_2_02_0_--+_...:<c...:e)'-2_0_2_1 -+-- ...:(c:. f)_T_o_ta_l __ 9 Amounts from line 6.... . .. . .. 304 052. 325,109. 308 012 . 280 849. 458,747. 1, 676,769. 10a Gross income from interest dividends, 1----=..:;..;;.L..:;;..;;;.:::..:..+-..;;.;;;..;;.,...;;:.;;;_;;_-+-----'::..:;..;:..L...=.==-:..+----=..;;..;;;..<....;;...;;..;;-'-t-...;;.;;c..::..,:_;_;:..;__,_=+-...c:.'--'-.:...::.~..;;.:;...:.. payments received on securities loans,
rents, royalties, and income from
similar sources . .. . . . .. .. . . .. . . .. 151. 12 0 . 3 218 . 1 2 3 9 . 2 4 9 . b Unrelated business taxable
income (less section 511
4 977.
taxes) from businesses
acquired after June 30, 1975 . . O • c Add lines 10a and 10b. i------:l:-:5::-::1:-.-t-----::-1-::-2-::-0-. r----:3:--;:2:-:1--=8:-.-t-----::-1-2::-3::-:--i 9 . t------=2~4--=9-_+---4-:--~97~7=--_ 11 Net income from unrelated business
activities not included on line 10b,
whelher or not the business is
regularly carried on . . . . .. . . . . . . . .. O •
12 Other income. Do not include 1-------+------+------1-------+------+-------'-- gain or loss from the sale of
capital assets {Explain in
Part VI.).. .. ....... .. . 0.
13 Total support. (Add lines 9,
10c, 11, and12.) ........... .. 304 203 . 325 229. 311 230 . 282,088. 458,996. 1,681,746 . 14 ~~~~tn~ia1i~;: ~h:cek ~~r~b~~oa~d f~~~eh~~~~ni~~:io~_·s -~r-~t: -~~~~~d'. _th_kd, ~o~'.th.'. ~'. ''.fth lax_ y~~-r-~s. a -~~lion_ ~?.1 <~~~~~ . . . . . . . . . . . . ► □ Section C. Computation of Public Support Percentage
15 Public support percentage for 2021 (line 8, column (f), divided by line 13, column (f)). . .. ... .. .. . . .. . .. .. ... 15 97. 93 % 1----,r---..;;..;c...;..:'-=--..-- 16 Public support percentage from 2020 Schedule A, Part 111, line 15.. . . ... ....... .. ... . . .. ....... . . . . .. ...... . .. 16 98 . 00 % Section D. Computation of Investment Income Percentage
17 Investment income percentage for 2021 (line 10c, column (f), divided by line 13, column (f)} ..... . . . . .. ..... .. . 17 O. 30 % t-----,r-------....... ------- 18 Investment income percentage from 2020 Schedule A, Part Ill, line 17 ... . . . ..... .. . .... . .. .. . ... .. .. . ,. .... 18 O. 31 % '----''-----':..:..:::.=._ 19a 33·1/3% support tests-2021. If the organization did not check the box on line 14, and line 15 is more than 33-1/3%, and line 17 is not more than 33-1 /3%, check this box and stop here. The organization qualifies as a publicly supported organization . .......... ► ~ b 33-1/3¾ support tests-2020. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33- 1/3%, and line 18 is not more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization . ... ► 8 20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions. ... ... . .... . ► BAA TEEA0403L 08131121 Schedule A (Form 990) 2021
Schedule A (Form 990) 2021 Assist ance Lea e of Rancho San Die i to Page 4 :eatt!IMII Supporting Organizations
omplete only if you checked a box in line 12 on Part I. If you checked box 12a, Part I, complete Sections A and B. If you checked box 12b, Part I, complete Sections A and C. If you checked box 12c, Part I, complete Sections A, D, and E. If you checked box 12d, Part I, complete Sections A and D, and complete Part V.) Section A. All Supporting Organizations
1 Are all of the organization's supported organizations listed by name in the organization's governing documents? ff 'No, ' describe in Part VI how the supported organizations are designated. If designated by class or purpose, describe the designation. If historic and continuing relationship, explain. 2 Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If 'Yes,' explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
3a Did the organization have a supported organization described in section 501 (c)(4), (5), or (6)? If 'Yes, ' answer lines 3b and 3c below.
b Did the organization confirm that each supported organization qualified under section 501 (c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If 'Yes,' describe in Part VI when and how the organization made the determination.
c Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If 'Yes,' explain in Part VI what controls the organization put in place to ensure such use. 4a Was any supported organization not organized in the United States {'foreign supported organization')? If 'Yes' and if you checked box 12a or I2b in Part I, answer lines 4b and 4c below. b Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If 'Yes,' describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations. c Did the organization support any foreign supported organization that does not have an IRS determination under sections 501 (c)(3) and 509(a)(l) or (2)? If 'Yes, ' explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section I 70(c)(2)(B) purposes.

Sa Did the organization add, substitute, or remove any supported organizations during the tax year? If 'Yes,' answer fines Sb and 5c below (if applicable), Also, provide detail in Part Vf, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's org;;,nizing clocvment authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document), b Type I or TYP._C II only. Was any added or substituted supported organization part of a class at ready designated in the organizations organizing document?
c Substitutions only. Was the substitution the result of an event beyond the organization's control? 6 Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals !ha\ are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the fil ing organization's supported organizations? If 'Yes, ' provide detail in Part VI. 7 Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (as defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If 'Yes,' complete Part I of Schedule L (Form 990). 8 Did the organization make a loan to a disgualified person (as defined in section 4958) not described on line 7? If 'Yes,' complete Part I of Schedule l (Form 990).
9a Was the organization controlled directly or indirecUy at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(l) or (2))? If 'Yes, 'provide detail in Part VI.
b Did one or more dis~ualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If 'Yes,' provide detail in Part VI. c Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If 'Yes, ' provide detail in Part VI.

Sa
Sb
10a Was the organization subject lo the excess business holdings rules of section 4943 because of section 4943(1) (regarding certain Type II supporting organizations, and all Type Ill non-functionally integrated supporting organizations)? If 'Yes,' answer line 10b below, 1 oa
b Did the organization have any excess business holdings in the lax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings.) 10b BAA TEEA0404l 08/31121 Schedule A (Form 990) 2021
Schedule A (Form 990) 2021 Assistance Lea e of Rancho San Die ui to \Ra'~lY.I,/~ Su orting Organizations (continued)
11 Has the organization accepted a gift or contribution from any of the following persons? a A person who directly or indirectly controls, either alone or together with persons described on lines 11 b and 11 c below, the governing body of a supported organization?
b A family member of a person described on line 11a above? c A 35% controlled entity of a person described on fine 1 la or 1 lb above? If 'Yes' to line/ la, I lb, or 1 le, provide detail in Part VI.

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

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

Section E. Type Ill Functionally Integrated Supporting Organizations 1 Check the box next lo the method that the organization used to satisfy the Integral Part Test during the year (see instructions). a O The organization satisfied the Activities Test. Complete tine 2 below. b O The organization is the parent of each of its supported organizations. Complete line 3 below.

Page 5 ends

11a
11b
11c
Yes No
c O The organization supported a governmental entity. Describe in Part VI how you supported a governmental entity (see instructions). 2 Activities Test. Answer lines 2a and 2b below.
a Did substantially ali of the organization's activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If 'Yes,' then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
b Did the activities described on line 2a, above, constitute activities that, but for the organization's involvement, one or more of the organization's supported organizalion(s) would have been engaged in? ff 'Yes, · explain in Part VI the reasons for the organization's position that its supported organization(s) would have engaged in these activities but for the organization's involvement.
3 Parent of Supported Organizations. Answer fines 3a and 3b below. a Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? If 'Yes' or 'No,' provide details in Part VI. b Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of its supported organizations? If 'Yes,' describe in Part VI the role played by the organization in this regard. 3b BAA TEEA040SL 08131121 Schedule A (F'orm 990) 2021
Schedule A (Form 990) 2021 Assi st ance Lea e of Rancho San Die uito Page 6 \R:iift:\i'.~!~ T e Ill Non-Functionall lnte rated 509(a)(3) Su 1 D Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type Ill non-functionally integrated supporting organizations must complete Sections A through E.

Section A - Adjusted Net Income
1 Net short-term capital gain
2 Recoveries of prior-year distributions
3 Other gross income (see instructions)
4 Add lines 1 through 3.
5 Depreciation and depletion
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)
7 Other expenses (see instructions)
8 Adjusted Net Income (subtract lines 5, 6, and 7 from line 4) Section B - Minimum Asset Amount
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):
a Average monthly value of securities
b Average monthly cash balances
c Fair market value of other non-exempt-use assets
d Total (add lines l a, lb, and le)
e Discount claimed for blockage or other factors
(explain in detail in Part VI):
2 Acquisition indebtedness applicable to non-exempt-use assets 3 Subtract line 2 from line 1 d.
4 Cash deemed held for exempt use. Enter 0.01 5 of line 3 (for greater amount, see instructions).
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 6 Multiply line 5 by 0.035.
7 Recoveries of prior-year distributions
8 Minimum Asset Amount (add line 7 to line 6)
Section C - Distributable Amount
1 Adjusted net income for prior year (from Section A, line 8, column A) 2 Enter 0.85 of line 1.
3 Minimum asset amount for prior year (from Section 8, line 8, column A) 4 Enter greater of line 2 or line 3.
1 2
3 4
5 6
7 8
la
1b
l e
ld
2 3
4 5
6 7
8 1
2 3
4 5 Income tax imposed in prior year 5
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions). 6
(A) Prior Year (B) Current Year
(optional)
(A) Prior Year (8) Current Year
(optional)
Current Year
7 D Check here if the current year is the organization's first as a non-functionally integrated Type Ill supporting organization (see instructions).

BAA Schedule A (Form 990) 2021
TEEA0406L 08/31121
Schedule A (Form 990) 2021
iRait~ii T e Ill Non-Functional! s (continued)
Section D - Distributions
1 Amounts paid to supported organizations to accomplish exempt purposes 2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity 2
3 4
5 6 Other distributions (describe in Part VI). See instructions. 6 7 To1al annual distributions. Add lines 1 throu h 6. 7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions. 8
9 Distributable amount for 2021 from Section C, line 6
10 Line 8 amount divided by line 9 amount
Section E - Distribution Allocations (see instructions) 1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior lo 2021 (reasonable cause required - explain in Part V(). See instructions. 3 Excess distributions carryover, if any, to 2021
a From 2016 .. .. .... .. ... ..
b From 2017 .... .. . .. .. ... . .
c From 2018 . ............ ..
d From 2019 .... .. ....... ..
e From 2020 .. .. . .. . . . . . . . .
t Total of lines 3a through 3e
g Applied to underdistributions of prior years
h Applied lo 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. 4 Distributions for 2021 from Section D,
line 7: $
a Applied to underdistributions of prior years
b Applied lo 2021 distributable amount
c Remainder. Subtract Jines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, if any.

Subtract lines 3g and 4a from line 2. For result greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2021 . Subtract lines 3h and 4b from line 1. For result greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2022. Add lines 3j and 4c. 8 Breakdown of line 7:
a Excess from 2017 . . .. . . .
b Excess from 2018. ... . .
c Excess from 2019 .. ... .
d Excess from 2020 .. ... .
e Excess from 2021. .... .
(i)
Excess
Distributions
9 10
(ii)
Underdistributions Pre-2O21

Page 7 ends

Current Year
(iii)
Distributable
Amount for 2021
BAA Schedule A (Fann 990) 2021
TEEA0407L OB/31/21
Schedule A (Form 990) 2021 Assistance Lea ue of Rancho San Die ito Page 8 tB~:.tf.ti![fi Supplemental lnformatic;m. Provide the explanations required by Part II~ line 101 · Part II, line 17a.or 17b; Part
111, fine 12; Part IV, Section A, Imes 1, 2, 3b, 3c, 41:i, 4c, Sa, 6, 9a, 9b, 9c, 11a, 1 ,b, and le; Part IV, Section B, lines I and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines le, 2a, 2b, 3a, and 3b; Part V, line l ; Part V, Section B, line le; Part V, Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. {See instructions.) BAA TEEA0408L 08131121 Schedule A (Fonn 990) 2021
Schedule B
(Form 990)

PUBLIC DISCLOSURE COPY
Schedule of Contributors 0MB No. 1545-0047
Department of the Treasury Internal Revenue Service
Name of the organization
► Attach to Form 990 or Form 990-PF.
► Go to www.irs.gov/Form990 for the latest information.

Assistance Lea e of Rancho San Di e i t o
Organization type (check one):

Filers of:

Form 990 or 990,EZ
Form 990-PF
Section:

IB] 501 (c)( 3 ) (enter number) organization
D 4947(a)(1) nonexempt charitable trust not treated as a private foundation D 527 poiitical organization
D 501(c)(3) exempt private foundation
D 4947(a)(1) nonexempt charitable trust treated as a private foundation D 50l(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule. 2021
Note: Only a section 501 (c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule
D For an organization fi ling Form 990, 990·EZ, or 990·PF that received, during the year, contributions totaling $5,000 or more (in money or properly) from any one contributor. Compfete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules
□
□
For an organization described in section 501 (c)(3) filing Form 990 or 990·EZ that met the 33• l /3% support test of the regulations under sections 509(a)(l ) and 170(b)(l)(A)(vi), that checked Schedule A (Form 990), Part 11, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000; or (2) 2% of the amount on (i) Form 990, Part VIII, line lh; or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501 (c)(7), (8), or (1 0) filing Form 990 or 990·EZ that received from any one contributor, during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelly to children or animals. Complete Parts I (entering 'NIA' in column (b) instead of the contributor name and address), II, and Ill.

For an organization described in section 501 (c)(7), (8), or (10) filing Form 990 or 990·EZ that received from any one contributor, during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If lhis box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusive/y religious, charitable, etc., contributions totaling $5,000 or more during the year. .. . . . ......... . . .. .. . ... . . .... .. .. .. ... .......... ... ... .. .... .. ► $ _______ _ Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't fi le Schedule B (Form 990), but ii must answer 'No' on Part IV, line 2, of its Form 990; or check the box on line Hof its Form 990-EZ or on its Form 990·PF, Part I, line 2, to certify that it doesn't meet the fi ling requirements of Schedule B (Form 990).

BAA For Papeiwork Reduction Act Notice, see the instructions for Form 990, 990·EZ, or 990·PF. Schedule B (Form 990) (2021) TEEA0701 L 10106121
Schedule B (Form 990) (2021) 1 1 Page 2
Name of organization Employer identification number
Assist ance Lea e of Rancho San Die ito
BRattd~1~I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. ~a) (b) (c) (d)
o. Name, address, and ZIP + 4 Total contributions Type of contribution 1 Person IE] --- -------------------------------------- Payroll $ □ ----- 10,000 . Noncash ~------------------------------------- □ ~------------------------------------- (Complete Part II for noncash contributions.)
~~. (b) Name, address, and ZIP + 4 Total (c)
contributions
(d)
Type of contribution
2 Person IE] --- ~------------------------------------- Payroll □ ~--------------------------------~---- $ ----- 11,050 . Noncash □ ~------------------------------------- (Complete Part II for noncash contributions.)
(a) (b) (C) (d) No. Name, address, and ZIP + 4 Total contributions Type of contribution 3 Person IE] --- ~------------------------------------- Payroll □ ~-------------------------------------
$ ----- 10L00O . Noncash
□
~------------------------------------- (Complete Part II for noncash contributions.)
(a)
No. (b) Name, address, and ZIP + 4 Total (c).b . contn uhons (d)
Type of contribution
4 Person IE] ~------------------------------------- Payroll □ ~------------------------------------- $ ----- 25,000 . Noncash □ (Complete Part II for -------------------------------------- noncash contributions.) (a)
No. (b) Name, address, and ZIP + 4 Total
(c)
contributions
(d)
Type of contribution
5 Person IE] --- ------------------ -------------------- Payroll $ □ ----- 57,178. -------------------------------------- Noncash □ (Complete Part II for -------------------------------------- noncash contributions.) (a)
No. (b) Name, address, and ZIP + 4 Total (C)
contributions
(d) Type of contribution
6 Person IE] -------------------------------------- Payroll $ □ ----- 15,000 . Noncash -------------------------------------- □ ~------------------------------------- (Complete Part II for noncash contributions.)
BAA TEEA0702l. 10106121 Schedule B (Form 990) (2021)
Schedule B (Form 990) (2021) 1 1 Page 3
Name of organization Employer Identification number
Assistance Lea e of Rancho San Die i to
l[R,3~:m~tl~I Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed. (a) No. (b) (c) (d) from Description of noncash property given FMV (or estimate~ Date received Part I (See instructions.

N/A
~---------------------------------------- ---- ~---------------------------------------- -----------------------------------------· $ ----------------------------------------- ----------- --------- (a) No. (b) (c) (d) from Description of noncash property given FMV (or estimate~ Date received Part I (See instructions.
----------------------------------------- ---- ----------------------------------------- ~-~-------------------------------------- $ ~---------------------------------------- --------------------- (a) No. (b) (C) (d) from Description of noncash property given rMV (or estimate) Date received Part I (See instructions.)
~---------------------------------------- ---- ~---------------------------------------- ~---------------------------------------- ~---------------------------------------- $ -------------------- (a) No. D . . f (b) h . (c) (d) from escnpt1on o noncas property given FMV (or estimate) Date received Part I (See instructions.)
~----------------~----------------------- ---- ~---------------------------------------- ~-----------------------------~---------- $ ----------------------------------------- -------------------- (a) No. (b) (c) (d) from Description of noncash property given FMV (or estimate~ Date received Part I {See instructions.
~---------------------------------------- ---- ~-------------------~-------------------- ~---------------------------------------- ~---------------------------------------- $
--------------------- (a) No. (b) (c) (d) from Description of noncash property given FMV (or estimate~ Date received Part I (See instructions.
~---------------------------------------- ---- ~---------------------------------------- ~---------------------------------------- $ ~---------------------------------~------ ---------------------- BAA TEEA0703L 10/06121 Schedule B (Fonn 990) (2021) Schedule 8 (Form 990) (2021) 1 1 Page 4
Name ol organization
Assistance Lea e of Rancho San Die ito
!Pa-rtilllfi?. Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and (a) No.
from
Part I
(a) No.
from
Part I
(a) No.
from
Part I
(a) No.
from
Part I
BAA
the following line entry. For organizations completing Part Ill, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) . . . . . . . . . . . . . $ ..NL A Use duplicate copies of Part Ill if additional space is needed. - - - - - - - - (b) Purpose of gift (c) Use of gift (d) Description of how gift is held N/A
~------------------ --------------------- ---------- ----------♦ ----------------------------------------- --------------------- ~---------------------------------------- --------------------· (e) Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee ~---------------------------------- --------------------------· ~---------------------------------- --------------------------· ~---------------------------------- --------------------------· (b) Purpose of gift (c) Use of gift (d) Description of how gilt is held ~---------------------------------------- --------------------· ~---------------------------------------- --------------------- ~---------------------------------------- ---------- ----------♦ (e) Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee ~---------------------------------- ~------------~--------------------- (b) Purpose of gift (c) Use of gift (d) Description of how gift is held ~-------------------~-------------------- --------------------- ~---------------------------------------- --------------------· ~---------------------------~------------ --------------------· ( e) Transfer of gift
Transferee's name, address, and ZIP+ 4 Relationship of transferor to transferee ---- ------------------------ ----------------------- ------- ---♦ -----------------------------------~--------------------------· -~--------~-------------------------~--------------------------· (b) Purpose of gift (c) Use of gift (d) Description of how gift is held ----------------------------------------- --------------------· ----------------------------------------- --------------------· ----------------------------------------- --------------------· (e) Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee -----------------------------------~--------------------------· -------------------~------------------------------------------· ~----------------------------- -----~--~-------------- ------- --♦ TEEA0704!. 10/06121 Schedule B (Form 990) (2021)

SCHEDULED
(Form 990) Supplemental Financial Statements 0MB No. 1545 ,0047 Department of the Treasury lnlernal Revenue Service
Name of Ill• organizalion
► Complete if the organization answered 'Yes' on Form 990, Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, lle, llf, 12a, or 12b. ► Attach to Form 990. ► Go to www.irs.gov/Form990 f or instructions and the latest infonnation.

Assist ance League of Rancho San Dieguito
:r:tafi.Witik} Organizations Mainta_ini"!g Donor Advised Fun s or Other Similar funds or Accounts.

Complete if the organization answered 'Yes' on Form 990, Part IV, ltne 6. 2021
(a) Donor advised funds (b) Funds and other accounts
, Tola! number at end of year ... ... ... .... .. .
2 Aggregate va!ue of contributions to (during year) .... .. . 3 Aggregate value of grants from (during year) . . .. . .... 4 Aggregate value at end of year ..... .. .. .. . .
5 Did the organization inform all donors and donor advisors in wril ing lhal the assets held in donor advised funds are the organization's property, subject to the organization's exclusive legal control?.... . . . . . . . . . . . . . . . . . . . . . . . D Yes 6 Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit?. .. .. . . . . . . . . . . . .. . .. . . . . . .. .. . . . . . . . .. . . .. . .. . .. .. .. . .. . .. . . . .. . . .. . . .. . . . .. . D Yes D No ll~•~•~! Conservation Easements. Complete if the organization answered 'Yes' on Form 990, Part IV, line 7. 1 Purpose{s) of conservation easements held by the organization (check all that apply). § Preservation of land for public use (for example, recreation or education) Preservati on of a historically important land area Protection of natural habitat D Preservation of a certified historic structure Preservation of open space
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
ii~ Held at the End of the Tax Year
a Total number of conservation easements . . .................... .. .. . . .. ......... ... ....... . . 2a b Total acreage restricted by conservation easements .... . ........ .. ..... .. . ... . .. ... ..... . . . 2b c Number of conservation easements on a certified historic structure included in (a) ... .. .. .... . 2c d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...... ... . ............. ... .. .. .. .. . ... . .. ... .. .... . . . 2d 3 Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the lax year ►
4 Number of stales where property subject to conservation easement is located ► 5 Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? . . . . .... ... ...... ... . ........... ... .... ... . .... ..... 0 Yes D No 6 Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year ►
7 Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year $
-------- 8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(8){ii)? .. . . .... .. ... ....... .. ..... .... .. .. . ......... . . . ...... .. ....... .... .. ... . ....... 0 Yes 9 In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement and balance sheet and include, if applicable, the text of the footnote to the organization's financial statements that describes the organization's accounting for conservation easements.
l'e'afifllll~I Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets. ' ·· ·· · --- Complete if the organization answered 'Yes' on Form 990, Part IV, line 8. 1 a If the organization elected, as permitted under FASB ASC 958, not to report in its revenue slatement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide in Part XIII the text of the footnote to its financial statements that describes these items. b If the organization elected, as permitted under FASS ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating lo these ilems:
(i) Revenue included on Form 990, Part Viii, !ine 1...... ... .. ........ .... .. ........ ..... ... ... ........ .. . ► $ (ii) Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► $ -------- -------- 2 If the organization received or held works of art. historical treasures. or other similar assets for financial gain, provide the following amounts required to be reported under FASB ASC 958 relating to these items:
a Revenue included on Form 990, Part VIII , line l ..... .. ... .. . . ... .. .... ... .. ..... ...... .. ...... ... . ..... . .. ► $ b Assets included in Form 990, Part X.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► $ - ------- BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990. TEEA330tl 08130121 Schedule D (Form 990) 2021 Schedule D (Form 990) 2021 Assistance Lea ue of Rancho San Di e i to Page 2 :eartH!nft Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued) 3 Using the organization's acquisition, accession, and other records, check any of the following that make significant use of its collection items (check all that apply):
b Scholarly research e Other
a § Public exhibition d B Loan or exchange program
c Preservation for future generations --- - ------------------- 4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIII.
5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization's collection?. . . . . . . . . . . . . . . . . . . . Yes No :~_ai !IVA1 Escrow and Custodial Arrangements. Complete if t~e organization answered 'Yes' on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21. 1 a Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included on Form 990, Part X? . .. ... . . .. .... ....... .. .... ... . . . .. ..... . ..... .. ... . . . . . . . . . .... ... . . .. . . ....... ..... ... 0 Yes b If 'Yes,' explain the arrangement in Part XIII and complete the fol lowing table:

Amount
c Beginning balance .. .. .. .. . .. ... . .. ....... ......... . .... ............... . .. . . ... .. .. .. ..... . l e d Additions during the year ................ .. . . . .. ...... ... . . ....... . . . .. . .... ..... .. ........ . ld e Distributions during the year ..................... . .. . .... .. .. ... ............. .... . ......... . l e f Ending balance .. ... .. ... . .................. . ... .. .. .. .. . . .. .. . . .. ..... .. ... ... .. ... . .... . 1f 2a Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial ac b If 'Yes,' explain the arrangement in Part XIII. Check here if the explanation has been provided o count liability? .. ... LJ Yes ~ No
n Part XIII. ..... ..... .. .. . . .. ..
l'Rafi.tY'krll.l Endowment Funds. Comolete if the or anization answered 'Yes' on Form 990 Part IV line 10. (2) Current year (b) Prior year (c) Two years back
1 a Beginning of year balance . . . .. .
b Contributions .... . . .. . .. . . . .. . .
c Net investment earnings, gains,
and losses ...... . .. ........ . ..
d Grants or scholarships . . . . .. .. .
e Other expenditures for facilities
and programs ... .. . .. .... .. . ..
f Administrative expenses ... . . ..
g End of year balance ....... ... .
2 Provide the estimated percentage of the current year end balance (line l g, column (a)) held as; a Board designated or quasi-endowment ►
b Permanent endowment ►
c Term endowment ► ______ %
%
The percentages on lines 2a, 2b, and 2c should equal 100%. %
( d) Three years back
3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by:
(i) Unrelated organizations.. . .. . .. . . .. . . .. ...... .... ... ........ . .......... . .. .... .... . .. . ........ . ...... ... .. (ii) Related organizations ................. ... ............ .... . .. . . .. .. .. .... ...... ... ........ . ........ . _ ... . . . b If 'Yes' on line 3a(ii), are the related organizations listed as required on Schedule R7 ..•• .. .....••... ....•••••• .... 4 Describe in Part XIII the intended uses of the organization's endowment funds. !'.Rart~Vl1l~I Land, Buildings, and Equipment.
(e) Four years back
Yes No
3a(i)
3a(ii)
3b
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11 a. See Form 990, Part X, line 10.

Description of property (a) Cost or other basis (bi Cost or other (c) Accumulated (d) Book value (investment) asis (other) depreciation
1 a Land. . .. . ... . . . .. . . . . .. ..... ' ' ' ' .. ~ ..... .. ..,, b Buildings ........... ... . .. . .... . . ....... . .. c Leasehold improvements . . ... ''' '······· ... 3, 188 . 2 945. 243. d Equipment . . .. .. .. . . . . . . .... . ' '' ··-· ... .. . 2 515. 1,063. 1,452 . e Other ...... . .. . . .......... .. .... .. . ...... . 5 695 . 5,615. 80 . Total. Add lines 1 a through le. (Column (d) must equal Form 990, Part X, column (B), line /Oc.) ...... .. . .... ........ ► 1 775.

BAA Schedule O (Form 990) 2021
TEEA3302l 08130/21
Schedule D (Form 990) 2021 Assistance Lea e of Rancho San Die ito Page 3 Rait1,X/,llm Investments - Other Securities. N/A
Com lete if the or anization answered 'Yes' on Form 990, Part IV, line 1 lb. See Form 990 Part X line 12. (a) Description of security or category {including name of security) (b) Book value {c) Method of valuation: Cost or end-of-year market value (1) Financial derivatives .. .. .... . .. .. .. ......... .. ... . (2) Closely held equity interests .. ... . ........ . .. . ..... . (3) Other
(A) -----------------------+--------------------------- (8) (~ -------------------------- ------ (D) ----------------------1-------+-------------------- --(E) --------------------------1--------------------------- ----------------------------1--------------------------- (F) ----------------------------1-------+--------------- (G) ----- (H) - - - - - - - - - - - - - - - - - - - - - - - - - -1---------+------------------ (I) ----------------------------1--------+==================== Total. (Column (b) must equal Form 990, Part X, column (8) line 12.) .. . ► ifrh\ililfiti~ltri£i~~1~~t!Jh~l~i~it~g~ri~~ii~ti!.titil~lmi~lJ i-iitMllll Investments - Program Related.

Complete if the oraanization answered 'Yes' on Form 990, Part IV, line 11 c. See Form 990, Part X, line 13. NIA (a) Description of investment (b) Book value (c) Method of valuation: Cost or end-of-year market value ( 1)
(2)
(3)
(4)
(5)
(6)
(l)
(8)
(9)
(10)
Total. (Column (b) must eaual Form 990 Part X column (8) line 13.l .. ► ~~~:t¾tWt1if.t?.~':l{~~l~ti:;fu~it~if!4~~itt~t~ft&~tt~1~~~f?ii~i~~~~?t#i IB.ai!.tU~~ I Other Ass~ts. N/A
Complete 1f the organization answered ' Yes ' on Form 990, Part IV, line 11 d. See Form 990, Part X, hne 15. (a) Description (b) Book value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, column (8) line 15.). ..... .... ... ... ... . .. . .... . .. . ......... .. . ... ► l!eaffiXit~~I Other Li_abilities. Complete 1f the organization answered ' Yes ' on Form 990, Part IV, lme 1 le or 1 lf. See Form 990, Part X, line 25.

1. (a) Description of liability (b) Book value
(1) Federal income taxes
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
Total. (Column (b) must equal Form 990, Part X, column (B) line 25.) .. . . . ... .. .... .... ...... ..... ........ .... ... .... ..... ....... . ►

2. liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FASB ASC 740. Check here if the text of the footnote has been provided in Part XIII .. .. .... .. .... ... .. ........... . .. ... See .. Part. . XII I. ~ BAA TEEA3303L 08130/21 Schedule D (Fonn 990) 2021
Schedule D (Form 990) 2021 Assistance Lea e of Rancho San Die ito RartifXHf,~ Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. N/A Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a. 1 Total revenue, gains, and other support per audited financial statements ... .. ..... .. . . ... ...... .. .... .... .

Page 4 ends

2 Amounts included on line 1 but not on Form 990, Part VII I, line 12: m:;;~-------- a Net unrealized gains (losses) on investments... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 a b Donated services and use of facilities . .... ... .. . .. ...... .... ... .......... .. .. i---,2,-,b+-------- c Recoveries of prior year grants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 c d Other (Describe in Part XIH.) ... .... .. .... ...... .. ....... .... . . . . ..... . . ..... r---2-d;--------- e Add lines 2a through 2d .. ................ .. ... .. . . . . . .... .. .. . ... ... .... .. ........ . ..... . ... ..... . ... . . 3 Subtract line 2e from line 1. .. . . .. .. . . . .. .. . . . . .. . . . .. . . . . . .. . . . . . . ...... . .. . ........... . ..... .. .. . .. .. r--+------- 4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b. . .... .. . ... .. 4a b Other (Describe in Part XII I.) . ......... .. ... .. . .. . .. ........... .. .. ... ... .. .. i--4-b-i-------- c Add Jines 4a and 4b.. . . .. ......... ... .. .............................. . ... ... ........... .. ....... .. .... 4c r---+------- 5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.). . .. . . . ........... . . ... . .... 5 ,Ralf-D(II~ Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. N/A Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a. 1 Total expenses and losses per audited financial statements ... ... ... ...................... .. . . ..... .. . .. . 2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 a b Prior year adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . t--2 --i-------- b c Other losses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... .. ....... . . . . i--2-c-i-------- d Other (Describe in Part XIII.) . . . .. . . . . .. .. . .. . . . . . . .. .. .. . . . . .. .. .. . . . .. . .. .. 2 d e Add lines 2a through 2d . . .. .. . .. ...... .. .. ........ . .. . .. ....... .. .. .. .... ... .. --------- ... . . .. ... .. . . ..... .. ... . r---+------- 3 Subtract line 2e from line 1 . .. . ......... . .. . ........ .. . ... .. . ... .. ....... .. .. .. ... .... ... .. ... ... . .. ... . 4 Amounts included on Form 990, Part IX, line 25, bul not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b... ........ . .. 4a b Other (Describe in Part XIII.) ....... .... ......... .. ....... . ...... ........... . t--4:-:b-i-------- c Add lines 4a and 4b ..... .... .. ........... . . .. . .... .. .. . ....... .. ........... ... . . .... ........ ... . .. ... . 5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ........ .... .. . .... .. .. ... . t-:::-t------- :Qilf}~UH Su lemental Information.

Provide the descriptions required for Part fl, lines 3, 5, and 9; Part Ill, lines 1 a and 4; Part IV, lines 1 b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also compfete this part to provide any additional information.

BAA
Part X • FASB ASC 740 Footnote
The Organization has applied the provisions of Financial Accounting Standards Codification (ASC) 740-10, Accounting for Uncertainty in Income Taxes. Under ASC 740- 10, nonpublic enterprises, i ncluding nonprofit organizations, are required t o report a tax liability when substantial uncertainties exist as to whether certain income is exempt from federal, state and local income tax. As of May 31, 2022, the Organization had no substantial uncertain income tax positions.

Schedule D (Form 990) 2021
TEEA3304l 08/30/21

SCHEDULE G
(F'orm 990)
Department ol lhe Treasury Internal Revenue Service
Name of the organization
Supplemental Information Regarding Fundraising or Gaming Activities Complete if the organization answered 'Yes' 011 Form 990, Part IV, line 17, 18, or 19, or if the organization entered more than SlS,000 on Form 990-EZ, line 6a. ► Attach to Form 990 or Form 990-EZ. ► Go to www.frs.gov/Form990 for instructions and the latest information.

Assistance League of Rancho San Dieguito
reaiifiif~\ti,\il F'undralslng Activities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 17 . . ·'' ' ~ r.~:s. Form 990-EZ filers are not required to complete this part. 1 Indicate whether the organization raised funds through any of the following activities. Check all that apply. a D Mail solicitations e D Solicitation of non-government grants b D Internet and email solicitations f D Solicitation of government grants c D Phone solicitations g D Special fundraising events
d D In-person solicitations
0MB No. 1545-0047
2021
2 a Did the organization have a written or oral agreement with any individual (including officers, directors, trustees, or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?.. . .... . ..... . .. Oves IB] No b If 'Yes,' list lhe 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to be compensated at least $5,000 by the organization.
(i) Name and address of individual (iii) Did fundraist:r (iv) Gross receipts (v) Amount paid to (v2 Amount paid to (ii) Activity (or retained by) or entity (fundraiser) have custod~ or control from activity fundraiser listed in or retained by) of contri utions7 organization column (i)
Yes No
1 2
3 4
5 6
7 8
9 10
Total. . . .. ' . . . . .. . . . . . . . . . . . .. .. . . . . . .. .. . . . . ...... .. . ..... ........ ► '. . . 3 Lisi all states in which the organization 1s registered or licensed to sol1c1t contributions or has been nol1fled ,t 1s exempt from registration or licensing. 0 .

BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule G (Form 990) 2021 TEEA3701L 07/12121
Schedule G (Form 990) 2021 Assistance Lea ue of Rancho San Die i to Page 2 P.a°i\111iR Fundraising Events. Complete if the organization answered 'Yes' on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b.

List events with gross receipts greater than $5,000.
(a) Event #1 (b) Event #2 (c) Other events (d) Total events Annual Fundrai None (add column (a)
through column (c)) Q) (event type) (evenl l)llle) (lolal number) :;:I
C
~ , Gross receipts . . ... .... ........... ... 90,912 . 90,912 . Q) c:::
2 Less: Contributions. . . . '' .... .. ... , '' '. 48,132. 48,132. 3 Gross income (line 1 minus line 2). 42,780. 42,780 .
4 Cash prizes .... .. .. .. . ...... .. ... . . . . .
5 Noncash prizes .. .. . .. ... .. . .. .. .. . ..

I.II
Q) 6 Rent/facility costs ..... . . . . . ... .... .... I.II C
<I>
C.

X 7 Food and beverages .. 18,930. 18,930. . ... .. . . . . . . '' .. w iJ
~ 8 Entertainment .. ...... ...... .. .... . . . . 1,150. 1,150 . i5
9 Other direct expenses . ...... ... . .. .. . . 584. 584. 10 Direct expense summary. Add lines 4 through 9 in column (d) ... .. .... ... ....... .. .... ' ', ..... ' ' ' ' ... .. . ► 20 664. 11 Net income summary. Subtract line 10 from line 3, column (d) .. ................................... ...... ► 22 116.

19.ailtilfl~ Gamin . Complete if the oi:ganization answered 'Yes' on Form 990, Part IV, line 19, or reported more than $15,008 on Form 990-EZ, hne 6a.

Q)
:::i
C
!!;
Q)
c::

ID
&3

0..

X
w
...,
~ i5
(a) Bingo
1 Gross revenue . ... . . .. .. ..... . . ... ... .
2 Cash prizes ........ . ........ .. . .. . . .
(b) Pull tabs/instant
bingo/progressive
bingo
(c) Other gaming (d) Total gaming
(add column (a)
through column (c)}
3 Noncash prizes . . ...... .. .. .... ..... .. 1---------+--------+---------+------- 4 Rent/facility costs .......... .. .. ... .. .. I---------+-------+--------+------- 5 Other direct expenses .. . .......... . .. .
6 Volunteer labor .... .. ... .

Yes
No
% Yes
No
%
7 Direct expense summary. Add lines 2 through 5 in column (d) .... . ... . .... ...... .. ... .

Yes
No
8 Net gaming income summary. Subtract line 7 from line 1, column (d} .. ... . ...... .. ...... . . ..... . %
►
►
9 Enter the state(s) in which the organization conducls gaming activities:
---------------=----:=---
a Is the organization licensed to conduct gaming activities in each of these states? ... . . . .. ........ . . ....... . . ....... O Yes ONo b If 'No,' explain:
10a Were any of the organization's gaming licenses revoked, suspended, or terminated during the tax year? . .. . . . . . . ... . D Yes ONo b If 'Yes,' explain: ________________________________ ______________ _____ _____ _ BAA TEEA3702L 07/12121 Schedule G (Form 990) 2021
Schedule G (Form 990) 2021 Assist ance Lea e of Rancho San Die i t o Page 3 11 Does the organization conduct gaming activities with nonmembers?... .... ......... . .. ... ... . . ...... ... ... ....... . Yes No 12 Is the organization a grantor, beneficiary or trustee of a trust, or a member of a partnership 01 other entity formed to administer charitable gaming? .............. ..... .... , .. ..... . . .. .... . ..... .. ...... ... . . ... . ........ . .. . ... .. ... D Yes 13 Indicate the percentage of gaming activity conducted in:
a The organization's facility. ... .. . . . .... ...... .. . . . . ....... . . .... ... . ... .... .... .. ....... .... .. ....... .. . - I 13af % b An outside facility . . . ..... . .. .. ............. ... ... .. . ....... ... ... .. . ...... .. . . .. .. ..... ... .. ....... .. . . i--,3-b--l['--------%- 14 Enter the name and address of the person who prepares the organization's gaming/special events books and records:..___...'--------- Name ►
Address ►
----------------------------------------------------------- 15a Does the organization have a contract with a third party from whom the organization receives gaming revenue? .. . OYes b If 'Yes,' enter the amount of gaming revenue received by the organ zation ► $ ___________ and the amount of gaming revenue retained by the third party ► $ __ ________ _ c If 'Yes,' enter name and address of the third party:

Name ►
------------------------------------------------------------, I Address ► 1 16 Gaming manager information:

Name ►
------------------------------------------------------------- Gaming manager compensation ► $ _______ ____ .

Description of services provided ►
D Director/officer Employee D Independent contractor
17 Mandatory distributions:
a ~~~~: ~~~i~~ar1~~;;~¥ire·d· ~~~-e_r,:ta~~ _1~~ ~~ ~~~~ ~~~~i'.~b!e_ ~'.s_t'.i_b_u_t'.~~: f~~~- ~~~ ~~-mi_n~ ~~~~~~~~- to re~a_i~ _the .... .. .. .. . 0 Yes O No b Enter the amount of distributions required under state law lo be distributed to other exempt organizations or spent in the organization's own exempt activities during the tax year ► $ liRart~IV,~I Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part 11 1, lines 9, 9b, 1 Ob, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

BAA TEEA37031. 07/12121 Schedule G (F'orm 990) 2021

SCHEDULE I
(Form 990)
Oep~rtment or the Treasury
Internal Revenue Service
Name of the organization
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
Complete if the organization answered 'Yes' on Form 990, Part IV, line 21 or 2.2. Attach to Form 990.

Go to www.irs.gov/Form990 for the latest information.

Assistance Lea e of Rancho San Die ito
!Rartili.~ General Information on Grants and Assistance 0MB No. 1545-0047
2021
Employer Identification number
1 Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes 2 Describe in Part IV the organization's procedures for monitoring the use of grant funds in the Un~ed States. See Part IV l:R~tf-'.!.!*I Grants and Other Assistance to Domestic Organizations and Domestic Governments, Complete if the organization answered 'Yes' on Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed. 1 (a) Name ar.d address of organization
or government
(b) EIN (c). IRC section
(11 applicable)
(d) Amount cf cash grant (e) Amount of noncash assistance (I) Method of valuation (book, FMV, appraisal. other) (g) Oescriplion of noncash assistance (h) Purpose of grant or assistance (1) MiraCosta Colle(Je _______
1 Barnard Drive
--------------------
Oceanside, CA 92056 6,000 . 0 , Scholarshios
(2)
----------------------------------------
(3) ------------------
--------------------
(4) -------- ----------
--------------------
(5) - - - - - - ·- - - - - - - - - - - -
--------------------
(6) -------- ----- -----
--------------------
(7) ------------------
--------------------
(8)
--------------------
--------~-----------
2 Enter total number of section 501(c)(3) and government organizatrons listed in the line 1 table ........... .... . ... .... ..... ............ ...... . .. .. .... . .. ... . 3 Enter total number of other organizations listed in the line 1 table. . .. . . ... .. . ..... . . .. .. .. ... .. .... .... . . .... .

BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990. TEEA390il 07/1 2/21 Schedule I (Form 99-0) 2021 0 1
Schedule I (Form 990) 2021 Assistance Lea e of Rancho San Die ito Page 2 t~a]ftflllif Grants and Other Assistance to Domestic Individuals. Complete if the organization answered 'Yes' on Form 990, Part IV, line 22. Part Ill can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assislance (e) MethOd ol valuation (boo!<, FMV, appraisal, other) (Q Description of noncash assislance l School clothino 2,072 86,757. Cost School clothina
2 3
4 5
6 7
[f~,iftfl~~I Supplemental Information. Provide the information required in Part I, line 2; Part Ill, column (b); and any other additional information.

BAA
Part I, Line 2 - Procedures for Monitoring Use of Grants Funds in U.S.

School Clothing: Local school district personnel identify children of need. Chapter members monitor select ion of school clothing for i dentified children.

Scholarships: Chapter members verify that students who receive scholarships are enrolled in college.

TEEA39021 07/12121
Schedule I (Form 990) 2021

SCHEDULE M
(Form 990)
Department of the Treasury Internal Revenue Service
Noncash Contributions
► Complete If the organizations answered 'Yes' on Fonn 990, Part IV, lines 29 or 30. ► Attach to Form 990.
► Go to www.irs.gov/Form990 for instructions and the latest information. 0MB No. 1545,0047
2021
Name of the organi2ation Employer id,mlifiea6on number
Assistance Lea e of Rancho San Die i to
[,Jlali;~ Types of Property
1 Art - Works of art .. .... .. ... .. . ..... . .. ...... . (a)
Check if
applicable
(b)
Number of
contributions or
items contributed
(c)
Noncash contribution
amounts reported
on Form 990,
Part VIII, line 1 g
(d)
Method of determining
noncash contribution amounts
2 Art - Historical treasures. .. . .. . . . . . . .. . . .... .. . 1------1---------+---------+----------- 3 Art - Fractional interests .. ... . . . ... . . . . . . . .... . 4 Books and publications. . .. ......... . .. .. ... . . . . t----m~t£~~~zftf##fi.t1f&~tWf~ =======..t-----------t------------ t----~==~~;;;;;;,;~~;;;t---------+----------- 5 Clothing and household goods........ . .. .. .. f-{(~}ia~-i~l¾W~¼.'$~~ 190 875. 6 Cars and other vehicles .. . .. ... .. ..... ...... . . . 7 Boals and planes .. ..... .. .. ... . .... .. . . . .... . t-----+---------+---------+----------- 8 Intellectual property . . ... . ... .. . ... . ... .. .... . . . 9 Securities - Publicly traded . . . . . . . . . . .. . .. . .. . t-----+---------+--------+----------- 1----+---------+--------+----------- 1 o Securities - Closely held stock . . .. .... .. .... . 11 Securities - Partnership, LLC, or trust interests .
12 Securities - Miscellaneous .. .. .. . . . .. . .. . . .. ... t-----+---------+--------+----------- 13 Qualified conservation contribution -
Historic structures. . . ... . . . . . . . . ... . . . . .. .... . . 14 Qualified conservation contribution - Other .... . . 15 Real estate - Residential ..... ......... .. ... ... t-----+---------+--------+----------- 16 Real estate - Commercial ...... . ...... .. .... . 17 Real estate - Other . .. .. .. ... . .. .. .. ... .. .. . .. . 18 Collectibles ..... .... . . .. . .... ........... ... . . .. l-----+-----------------+----------- 19 Food inventory .. .. .. . . .. .. ... .. . . . ... . . . ..... . . 1----+---------+---------+----------- t-----+---------+---------+----------- 20 Drugs and medical supplies . . .. ....... .. .. .... . 21 Taxidermy . ...... .. . ...... . .......... . . . .. ... . . t-----+---------+--------+----------- 22 Historical artifacts. .. .... . . . .. .. . .. . .. . .... .. . .. t-----+---------+---------+----------- 23 Scientific specimens . . .. .. . .. .. . . ... .... . . . . .. . l----+---------+--------+----------- 24 Archeological artifacts. .. ........ ... ... ... .... . . t-----+---------+---------+----------- 25 Other ► ( ___ ____________ ) ... · 1-----+--------11--------+---------- 26 the ► ( _____________ ___ ) .... 1-----+--------11--------+---------- 27 Other ► ( _______________ ) .... 1------+--------1-------+----------- 28 ther ► ( ) ... . 29 Number of Forms 8283 received by the organization during the lax year for contributions tor which the organization completed Form 8283, Part V, Donee Acknowledgement .... . . .... .. .... . . . . .. ..... .. ...... 29 .___.._ __ -r---.--- 30a During the year, did the organization receive by contribution any properly reported in Part I, lines 1 through 28, that it must hold for al least three years from the date of the initial contribution, and which isn't required to be used tor exempt purposes for the entire holding period? . . ... .... .. .. . . . ... . .. . ..... ....... .. .. . . ... . .. .. .... . .... . b If 'Yes,' describe the arrangement in Part II.
31 Does the organization have a gifl acceptance policy that requires the review of any nonstandard contributions? . . . 32a Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash contributions? . . . . . . . . . . . . .... ... .. ... .. ....... .. ..... .. .. .. .. ... . . ..... .. .. ... .. . . . ... . . .. ... . . ... . ... . . . .. . b If 'Yes,' describe in Part II.
33 It the organization didn't report an amount in column (c) for a type of properly for which column (a) is checked, describe in Part II.

BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990, Schedule M (Form 990) 2021 TEE:All601l 11 /41:!1
Schedule M (Form 990) 2021 Assistance Lea e of Rancho San Die ui to Page 2 J~•'.t:tllt.~j Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

BAA TEEA4602l 11/4121 Schedule M (Form 990) 2021

SCHEDULEO
(Form 99D)
Department of the Treasury Internal Revenue Service
Name ol the organization
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on Form 990 or 99D•EZ or to provide any additional information. ► Attach to F'orm 990 or Form 990-EZ. ► Go to www.irs.gov/Form990 for the latest information.

OMS No. 1545,0047
2021
Assistance Lea e of Rancho San Die ito
Em~•r id entlllc
[ I
Form 990, Part Ill, Line 4d - Other Program Services Description Other Programs primarily include:

Kuddles for Kids provides huggable plush toys and snacks to comfort trauma victims, which are distributed through local hospitals, fire departments, and service agencies. Since 1998, the program distributed 12,146 plush toys and 2,390 snacks, including 120 plush toys and 200 snacks distributed t his fiscal year.

Knifty Knitters
Since 1998, Knifty Knitters has provided 9,116 hand-knitted items, which include:
1) infant layettes to military personnel and other families in need in our community, 2) hand-knitted scarves to active military personnel , and (3) shawls to patients undergoing chemotherapy.

PREP
Prepares preschoolers for kindergarten by improving English, reading, math, and social interaction skills through various games. Since 1998, we tutored 962 preschoolers.

Flower s for Seniors
Provides bouquets of flowers to seniors in local assisted living facilities . Since 2016, the program assembled and delivered 1,486 bouquets.

Form 990, Part VI, Line 7b - Decisions of Governing Body Approval by Members or Shareholders Voting members approve, by two-thirds vote of members present, the annual assessment for major fundraising activites, all new fundraising events and activities, and all BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. TEEA4901L 08/10121 Schedule O (F'orm 990) 2D21 Schedule O (Form 990) 2021 Page 2
Narne of the organization Employer identification numbtr Assistance League of Rancho San Dieguito I
BAA
Form 990, Part VI, Line 7b- Decisions of Governing Body Approval by Members or Shareholders (continued) new philanthropic programs. The voting membership also approves t he annual budget.

Form 990, Part VI, Line 8 • Explanation of No Contemporaneously Documentation of Meetings No committee can act on behalf of the governing body.

Form 990, Part VI, Line 11b- Form 990 Review Process
Board members received a copy of the form 990 prior to i ts filing with a period open for questions and comments.

Form 990, Part VI, Line 12c - Explanation of Monitoring and Enforcement of Conflicts The conflict of interest policy is reviewed annually at a membership meeting . All members sign a conflict of interest policy when t hey pay their annual dues .

Form 990, Part VI, Line 19- Other Organization Documents Publicly Available Governing documents and the conflict of interest policy are made available upon request.

Part VI, Section B, Questions 15a-b
The Organization does not have paid personnel, therefore, these questions are not applicable.

Schedule O (Form 990) 2021
TEEA4902l. 08110121
January 24, 2023
Dear Assistance League of Rancho San Dieguito,
This letter is to confirm that Assistance League of Rancho San Dieguito is registered with the Internal Revenue Service as a 501 (c)(3) under Group Exemption Number 4176.

The parent (central) organization is National Assistance League®.

Parent and the subsidiary organizations are registered as follows:

Parent: National Assistance League
3100 W. Burbank Blvd., Suite 100
Burbank, CA 91505-2348
EIN: 95-1945908
GEN: 4176
Subsidiary: Assistance League of Rancho San Dieguito
270F N. El Camino Real, Box 368
Encinitas, CA 92024
EIN: 330556542
AL
assistance league
The Internal Revenue Service recognizes Assistance League of Rancho San Dieguito a subordinate organization. Therefore, Assistance League of Rancho San Dieguito can provide this letter to donors, along with the accompanying Internal Revenue Service Group Exemption Determination letter for the parent organization, as verification of exemption status.

As such, Assistance League of Rancho San Dieguito may use and provide donors with the enclosed Group Exemption Number 4176 and the chapter's Federal Identification Number 330556542. Donors to Assistance League of Rancho San Dieguito may deduct contributions to the chapter under the Group Exemption Number 4176 and the Federal Identification Number 330556542 as provided in Section 170 of the Internal Revenue Code. In addition, the chapter qualifies for the charitable contribution deduction under Section 170(b)(1 )(A) and has been classified as an organization that is not a private foundation under Section 509(a)(2).

Please keep this letter with other legal documents and/or in a safe deposit box.

If you have further questions, please contact me at:

National Assistance League
3100 W. Burbank Blvd., Suite 100
Burbank, CA 91505-2348
or by phone at 818-846-3777 or by e-mail at [email protected].

With regards,
~~-a,=
Matt Zarcufsky, CFRE
National Executive Director
National Assistance League
Transforming Lives • Strengthening Community
3100 W. Burbank Boulevard, Suite 100, Burbank, CA 91505 • Tel: 818-846-3777 • Fax: 818-846-3535 • Assistanceleague.org ASSISTANCE LEAGUE OF RANCHO SAN D!EGUITO

USE OF SALES AND USE TAX EXEMPTION
A copy of the Non-Profit Organization Sales and Use Tax Exemption is attached. Please use this copy as a master lo make any more copies you may need.

With this exemption, no sales tax will be paid on tangible personal property purchased for the purpose of donation to individuals in a distressed financial condition. Items expressly included are:

I) Clothing, shoes and personal grooming items for OSB
2) Clothing and grooming items for ASK
3) Bears for Hug-a-Bear
4) Yam for !<.nifty-Knitter layettes
Use the exemption only for items specifically listed above. Sales tax must be paid on all purchases of supplies, storage containers, and any items that will not be physically given to individuals in a distressed financial position.
'\.

Federal Employer ID No.:

CA Corporate ID No:

CA Resale Permit No:

State Charity Registration
Number:
33-0556542
D-1877561
SR FHB 99-48 I 040
CT92512
Form W-9 Request for Taxpayer Give Form to the
(Rev. October 2018) Identification Number and Certification requester. Do not Department of the Treasury
Internal Revenue Service Go to www.irs.gov/FonnW9 for instructions and the latest information. send to the IRS.
1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.

Assistance League of Rancho San Dieguito
2 Business name/disregarded entity name, if drfferent from above (')
Q) 3 Check appropriate box for federal tax classification of the person whose name is entered on lrne 1. Check only one of the 4 Exemptions (codes apply only to 0, following seven boxes. certain entities, not individuals; see Ill a. instruc1ions on page 3):
0 C: D lndividuaVsole proprietor or D C Corporatron D S Corporation D Partnership D Trust/estate • VI single-member LLC Q) s:: Exempt payee code (II any) Q, 0 ;:.,-= 0 D Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ► ... ::I 0 ...

C: -:;;
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
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 (if any) another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that .., _ 0. 0 !E is disregarded from the owner should check the approprrate box lor the tax classilrcation of its owner. 0 0 Other (see instructions) ► 501 (c)(3) tA;,pHs lo accounts mad';l;#n«I OU1'$JCM the US) Q) a.
rn 5 Address (number, street, and apt. or suite no.) See instructions. Requester's name and address (optional) Q) Q) 270F N El Camino Real, #368 (/)
6 City, state, and ZIP code
Encinitas, CA 92024
7 List account number(s) here (optional)
•~.-r ... Taxpayer Identification Number (TIN)
Enter your TIN in_ the appm~riate box. The TIN provided m ust_match t~e name given on line 1 to avoid backup withholding. For 1nd1v1duals, this 1s 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 is your employer identification number (EIN). If you do not have a number. see How to get a TIN, later.

I Social security number I
[IJJ -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 Requester for guidelines on whose number to enter.

I Employer identification number
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 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 transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property. cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.

Sign
Here Signature of L '1/J
U.S. person ► / I
General Instructions
l -
Section rofcrcnces 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 individual 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 (!TIN}, 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 lim ited 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 1099-8 (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 provide 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)
•
•
The City of Solana Beach Community Grant Program 2023 Request for Financial Assistance application MUST BE SUBMITTED by 5:00 PM Thursday, May 25, 2023.

Please submit completed applications via email to [email protected] and copied to [email protected]. If email submission is not possible for an applicant, hard copies may be dropped off at City Hall 635 South Highway 101, Solana Beach, CA. 92075, Attn: Community Grants Program.

All requests will be determined by the following criteria:

Name of Organization:_B_ik_e_W_a_lk_S_o_la_n_a _______________________ _ Contact Person: Karl Rudnick Email address: [email protected] --------------- Daytime Phone: _8_58_-_48_1_-_791__0 ________ Evening Phone: ____________ _ Mailing Address: 1019 San Patricio Drive, Solana Beach CA 92075 City: Solana Beach State: _c_A _______ Zip: 92075

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) ~ 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? Ill Yes D No If yes, please state the fiscal year it was received and for the proposed program was:

See attached document

3. Title of FY 2023/24 Proposed Program/Service: BikeWalkSolana: Think Outside The Car

4. What is the total amount requested for the FY 2023/24 Proposed Total Program? Includes all estimated costs to conduct proposed activity/program.
$5,650

Page 11 ends

5. Grant funds must be used for services or materials directly associated with the proposed activity.

Please describe how grant funds will be used:

See attached document

6. Anticipated Program Objectives or Accomplishments:

See attached document

7. Program Dates/Location:

See attached document

8. Estimated number of Solana Beach residents to be served by proposed program:._2_ 80 ____ _

9. How will the organization acknowledge the City's financial contribution to the community/ beneficiaries of the proposed activity?
We will thank the City for its financial contribution on https://bikewalksolana.org/ as well as in any printed and electronic fliers distributed to promote each and every event. We will also verbally thank the City's financial contribution during the event itself.

10. 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? There will not be any matching funds or other grants. However, we were able to leverage this year's events (made possible by our last grant from the Community Foundation), to get donations from local businesses for additional prizes for the raffles, and will work to do the same thing for future events.

Page I 2

11. Will volunteers be used for the proposed program or service and, if so, will they reduce expenses? BikeWalkSolana is a volunteer organization, and its volunteers have helped to host previous Tours of Solana Beach. Volunteers will also be used to lead the new proposed Solana Beach Family Bike/Roll/Ride and the new Self-Guided Walking Tour and Scavenger Hunt.

12. 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 only partial funding is awarded, some of the proposed events will move forward, but not all of them. As expenses for insurance are unavoidable, BikeWalkSolana will evaluate the funding level and determine which of the proposed events will best serve the community. If less than $750 is granted, only the self-guided walk and scavenger hunt will be possible. If no money is granted, none of the events will be possible.

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 24, 2023
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

Acknowledgment of Responsibility:

May 24, 2023
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
f
City of Solana Beach
2023 Community Grant Application

1. Required documents
W9 (attached)
Summary of Organization's Budget
We have no income source and rely on grants and donations, including in-kind donations from local businesses, for any events we run that have expenses. We have a bank account with Mission Federal Credit Union to track income and expenses. Attached is a screenshot (the April bank statement doesn't show expenses against our current grant), showing a balance of $232 which we are spending entirely for expenses on our current BWS Community Grant, which is coming to a close May 31 , 2023.

Proposed Program Budget
We propose to increase our spending this year to reach a larger portion of the community, including pedestrians and children. We also would like to offer more Safe Cycling Courses as the number of adults and children using e-bikes in the city has increased dramatically over the last several years. The budget includes the following:
$4000: Four Safe Cycling Classes
$750: New family friendly bike/roll/ride co-sponsored with the Solana Beach PTA $150: New self-guided walking tour/scavenger hunt
$750: Fourth Tour of Solana Beach Community Bike Ride
$5650 Total
Financial and Tax Statements
BikeWalkSolana is an advocacy and education committee listed as a Social Org on our EIN so does not file tax returns.

CA Franchise Tax Board Entity Status Letter (attached)

2. Has your organization received financial assistance from the City before? (Yes) If yes, please state the fiscal year it was received and for the proposed program was:

For FY 2021-2022 BikeWalkSolana received $3600 from the Solana Beach Community Grant Program for several events to promote active transportation in the City of Solana Beach and get the community to think outside the car to discover Solana Beach. The funds were used to cover the costs associated with a Tour of Solana Beach Community Ride, a SafeCycling Class, and a Tour of Solana Beach Scavenger Hunt. Outreach for the events was accomplished using City of Solana Beach E-blasts, articles in the Solana Beach Sun and Del Mar Times, posting flyers in local businesses, social media, and websites.

For FY 2013-2014 BikeWalkSolana received money for a Bicycle Safety Rodeo.

3. Title of FY 2023/24 Proposed Program/Service:

BikeWalkSolana: Think Outside The Car
The group will offer a series of events throughout 2023 and 2024 to educate the community and promote the use of alternative mobility options in Solana Beach.

4. What is the total amount requested for the FY 2023/24 Proposed Total Program? Includes all estimated costs to conduct proposed activity/program. $5,650

5. Grant funds must be used for services or materials directly associated with the proposed activity. Please describe how grant funds will be used:

BikeWalkSolana will use the funds to support a number of community events. This includes the following:
• New Solana Beach Family Bike/Roll/Ride: This new aspect for BikeWalkSolana is proposed as a flat route geared toward families with children along the Rail Trail, Sierra, and Cedros as an easier alternative to the traditional 15 mile Tour of Solana Beach Community Ride. Bikes, scooters, and other mobility options are all welcome.

BikeWalkSolana hopes to partner with the Solana Beach PTA to hold this event in September or October 2023 at the beginning of the 2023-2024 school year.

Estimated cost: $750
$600 for insurance and $150 for lemonade and treats to fuel the young participants. • City Cycling Classes for teens and their parents. With the rise in popularity of e-bikes, it is more important than ever that bicyclists are educated about the rules of the road and their rights and responsibilities as cyclists. Encinitas and Carlsbad have successfully offered these courses in the past year, reaching 20 or more participants each class.

Each course is a 3 hour session with approximately 1 hour classroom/talk, 1 hour parking lot drills, and 1 hour for a short community group ride. This course is appropriate for all bike types, including e-bikes. Each class is supported by 2 League of American Bicyclists Cycling Instructors via the San Diego County Bicycle Coalition.

BikeWalkSolana held a Smart Cycling class in Solana Beach in May 2022. The class covered general bike safety, emergency maneuver skills, legal rights, and rider responsibilities. The classroom session was held on May 17th at the La Colonia Park Community Center followed by a road session on May 21st. There was tremendous interest from parents of children with e-bikes with 11 teens attending the classroom session. Unfortunately, none of the teens attended the road session as they had to be accompanied by an adult and the adults had difficulty coordinating participation.

BikeWalkSolana has been discussing ways to improve teen participation in future classes.

Estimated cost: $4000
BikeWalkSolana would like to offer 4 courses throughout the year. Each course would cost about $600 for insurance and $400 for the instructors through the San Diego Bike Coalition.
• New Self-Guided Walking Tour and Scavenger Hunt of Solana Beach: This new aspect for BikeWalkSolana is proposed as a self-guided 2-3 mile historical walking tour of the city. Previous scavenger hunts hosted by the group have been geared more toward bicyclists. As our group wants to promote all types of mobility, we are looking to expand our reach in the community to those who prefer to walk rather than bike, although of course people could also complete this self-guided scavenger hunt by bike as well.

Along the hunt, people will locate points of interest highlighting art, whimsy, pedestrian infrastructure, and local history. We plan to partner with the Solana Beach Civic and Historical Society, whose historical plaques with QR codes on historic buildings will help scavenger hunters find answers to questions about Solana Beach's past via historic buildings along Cedros, Hwy 101, and Eden Gardens.

Estimated cost: $150
$150 for raffle prizes from local businesses to encourage participation. • Fourth Tour of Solana Beach Community Ride: This is an approximately 15 mile bike tour of the city that highlights mobility improvements the city has or will make to its infrastructure as well as a tour of all of the city's different neighborhoods. The tour is led by qualified ride monitors at a leisurely pace. BikeWalkSolana has hosted three successful community rides in the past, most recently in 2023 when we had about 40 participants, including two children on their own bikes and two children on a parent's cargo e-bike. BikeWalkSolana typically holds this event in May, which is National Bike Month.

Estimated cost: $7 50
$600 for insurance and $150 for raffle prizes that both encourage attendance and also serve as a way to distribute bike safety equipment, such as helmets, lights, and high-visibility gear.

6. Anticipated Program Objectives or Accomplishments
BikeWalkSolana is dedicated to making Solana Beach better for walking and biking for travelers of all ages. We educate the community about the city's alternative mobility options, improvements to bike/walk infrastructure, and bicycle and pedestrian safety information through our series of mobility events and trainings. We also work with the city to advocate for improvements to the city's bike and pedestrian infrastructure.

E-bike safety classes held in Encinitas and Carlsbad have also been well received, with 20 participants from teens to seniors each class, and we anticipate a similar level of interest in Solana Beach.

Previous community bike rides have been very successful. In 2019 we had over 100 participants, and in 2023 we had approximately 40 riders join us for the event. We have also had hundreds of participants over the previous three scavenger hunts. We hope to reach even more community members by expanding our tour and scavenger hunt ideas to shorter and flatter routes to encourage pedestrians and more children to participate.

7. Program Dates/Location
• Solana Beach Family Bike/Roll/Ride: The route will include portions of the Rail Trail, Sierra, and Cedros and will be held in September or October 2023. • City Cycling Classes: Courses will be offered periodically throughout the year at a location to be determined (pending funding availability). La Colonia Community Center, the Solana Beach Library, Boys & Girls Club, or Skyline or Solana Vista Schools are all possibilities, based on availability and cost.
• Self-Guided Walking Tour and Scavenger Hunt of Solana Beach: Exact route is to be established, but will include some of the historic highlights of the city, including areas of 101/Cedros and La Colonia. BikeWalkSolana aims to hold the event in Spring 2024, exact date TBD.
• Fourth Tour of Solana Beach Community Ride: This is an approximately 15 mile bike tour of the city and will traverse all of the different areas of the city. It will be held in May 2024 to celebrate Bike Month.

8. Estimated number of Solana Beach residents to be served by proposed program:
• Solana Beach Family Bike/Roll/Ride: 40-50 people
• City Cycling Classes: 20 per class for 80 total over 4 offerings • Self-Guided Walking Tour and Scavenger Hunt of Solana Beach: 100 people • Fourth Tour of Solana Beach Community Ride: 40-50 people

11. Will volunteers be used for the proposed program or service and, if so, will they reduce expenses?
BikeWalkSolana is a volunteer organization, and its volunteers have helped to host previous Tours of Solana Beach. Volunteers will also be used to lead the new proposed Solana Beach Family Bike/Roll/Ride and the new Self-Guided Walking Tour and Scavenger Hunt.

12. 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 only partial funding is awarded, some of the proposed events will move forward, but not all of them. As expenses for insurance are unavoidable, BikeWalkSolana will evaluate the funding level and determine which of the proposed events will best serve the community. If less than $750 is granted, only the self-guided walk and scavenger hunt will be possible. If no money is granted, none of the events will be possible.

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-$100.00 $2,401.89
)
~~<iii IRS DEPARTMENT OF THE TREASURY
l&IJI INTERNAL REVENUE SERVICE
CINCINNATI OH 45999-0023

SOLANA BEACH BICYCLE AND PEDESTRIAN

ADVISORY COMMI'ITEE

BIKEWALKSOLANA
1019 SAN PATRICIO DR
SOLANA BEACH, CA 92075
Date of this notice: 12- 18- 2013
Employer Identification Number: r- I
Form: SS-4
Number of this notice: CP 575 E
For assistance you may call us at:
1- 800- 829-4933
IF YOU WRITE, .n.TTACH THE
STUB AT THE END OF THIS NOTICE.

WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER
Thank you for applying for an Employer Identification Number (EIN). We assigned you EIN 46- 4337966 . This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees . Please keep this notice in your permanent records.

When filing tax documents, payments, and related correspondence, it's very important that you use your EIN along with your complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information shown above isn't correct, please send us the correction using the attached tear-off stub .

Annual filing requirements
Most organizations with an EIN have an annual filing requirement, even if they engage in minimal or no activity.

A. If you are tax exempt, you may be required to file one of the following returns or notices:

Form 990, Return of Organization Exempt From Income Tax Form 990-EZ, Short Form Return of Organization Exempt From Income Tax Form 990-PF, Return of Private Foundation
Form 990-N, e-Postcard (available onl ine only)
Additionally, you may be requi red to file your annual return electronically.

If an organization required to file a Form 990, Form 990- PF, Form 990-EZ, or Form 990-N does not do so for three consecutive years, its tax- exempt status is automatically revoked as of the due date of the third return or notice.

Pl ease refer to www .irs.gov/990filing for the most current information on your filing req...iirernents .

B. If you are not tax-exempt, you may be required to file one of the following returns:

Form 1120, U.S. Corporation Income Tax Return
Form 1041, U.S. Income Tax Return for Estates and Trusts Form 1065, U.S. Return of Partnership Income
Please refer to Publication 1635, Understanding Your EIN, for more information about which forms you may be required to file.
(IRS USE ONLY) 575E 12-18-2013 SOLA O 9999999999 SS-4
Applying for Tax-Exempt Status
Receiving an EIN from the IRS is not the same thing as receiving IRS recognition of tax-exempt status. To apply for formal recognition of tax-exempt status, most organizations will need to complete either Form 1023, Application for Recognition Under Section SOl(c) (3) of the Internal Revenue Code, or Form 1024, Application for Recognition of Exemption Under Section SOl(a). Submit the completed form, all applicable attacbments, and the required user fee to:

Internal Revenue Service
PO Box 12192
Covington, KY 41012-0192
Publication 557, Tax Exempt Status for Your Organization, has details on the application, process as well as information on returns you may need to file.

Additional information
To obtain tax forms and publications, including those referenced in this notice, visit our Web site at www.irs.gov. If you don't have access to the Internet, call 1-800-829-3676 (TTY/TDD 1-800-829-4059) or visit your local IRS office.

IMPORTANT REMINDERS:
* Keep a copy of this notice in your permanent records. This notice is issued one time and the IRS will not be able to generate a duplicate copy for you. may give a copy of this document to anyone asking for proof of your EIN. only
You
* Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms.
* Refer to this EIN on your tax-related correspondence and documents. * Provide future officers of your organization with a copy of this notice.

If you have questions about your EIN, you can contact us using the phone number or address shown at the top of this notice. If you write, please tear off the stub at the bottom of this notice and send it along with your letter. If you don't need to write us, please don't complete and return this stub.

Your name control associated with this EIN is SOLA. You will need to provide this information, along with your EIN, if you file your returns electronically.

Thank you for your cooperation.
/ (IRS USE ONLY) 575E 12-18-2013 SOLA O 9999999999 SS-4 Keep t his part for your records. CP 575 E (Rev. 7- 2007) ---------------------------------------------------------------------------------------------- Return this part with any correspondence
so we may identify your account. Please
correct any errors in your name or address.

CP 575 E
9999999999
Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 12-18-2013 ( ) EMPLOYER IDENTIFICATION NUMBER:

INTERNAL REVENUE SERVICE
CINCINNATI OH 45999-0023
I ,I II I, 1. 1.1.1 .. 1.1 .. 1.111 II 111ll111 .. 1.1 .. 11,1.1 .. 1 FORM: SS-4 NOBOD

SOLANA BEACH BICYCLE AND PEDESTRIAN

ADVISORY COMMITTEE
BIKEWALKSOL.Z\NA
1019 SAN PATRICIO DR
SOLANA BEACH, CA 92075
Form W-9 Request for Taxpayer Give Form to the
(Rev. December 2014) Identification Number and Certification requester. Do not Deparunent of the T~ry send to the IRS. Internal Revenue Service 1 Name (as shown on your Income tax retum). Name is required on this line: do not leave this line blank.

BikeWalkSolana
c-i 2 Business name/disregarded entity name, ii different from above G) BikeWalkSolana ii

0. 3 Check appropriate box for federal tax classification; check only one of the following seven boxes: 4 Exemptions (codes apply only to ,:; D lndividuaVsole proprietor or D C Corporation D S Corporation D Partnership 0 Trust/estate 0 certain entities. not Individuals; see instructions on page 3): 8. t;! single-member LLC bg Exempt payee code (if any) 0 Limited liability company. Enter the tax classification (C:C corporation, S=S corporation, P=partnership) ► ... u Note. For a single-member LLC that is disregarded, do not check LLC; check the appropriate box in the line above for Exemption from FATCA reponlng 0 2 t: 1n the tax classification of the single-member owner. code~! any) ·c .E 0 Other (see Instructions) ► Community or Volunteer Group (l,ppJics to•cccooe -fJW/rla ,,,. U.S.) 0. u :E 5 Address (number, street, and apt or suite no.) Requester's name and address (optionaQ u G)
Q. 1019 San Patricio Dr
"' 6 City, state, and ZIP code Cl)
Cl)
en Solana Beach, CA 92075
7 List account number(s) here (optlona~
ED Taxpayer Identification Number (TIN)
I Sociel security numb&r Enter you~ TIN I in_ the app_ro~ri~te box. Toe TIN provided must match t~e name given on line 1 to avoid backup withholding. For ind1v1duals, this ls generally your social secunty number (SSN). However, for a [[D [D I I I I I resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other - - entlties. it Is your employer Identification number (EIN). If you do not have a number, SGe How to get a L---J'---'-J..-...

TIN on page 3. ,;;o.;.. r _____ ------~
Note. If the account is in more than one name, see the instructions for line 1 and the chart on page 4 for I Employer Identification number I guidelines on whose number to enter. [ ]
I Atri II I Certification
Under penalties of perju,y, I certify that

1. The number shown on this tom, 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 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 interast 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, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest d dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 3.

General Instructions
Section references are to the Internal Revenue Code unless othe!Wise noted.

Futute developments. Information about developments affecting Form W-9 (such as legislation enacted after we release It) Is at www.irs.gov/fw9.

Purpose of Form
An individual or entity (Form W-9 requester) who is required to file an information return wilh the IRS must obtain your corTeCt taxpayer identification number (TlN} 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 infom,aUon return the amount paid to you, or other amount reportable on an information return. Examples or fnformation returns include, but are not limited to, the following; • Form 1099-INT ~nterest earned or paid)
• Form 1099-DN (dividends. including those from stocks or mutual funds) • Form 1099-MISC (various typeS of income, prlzes, 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)
• Fo1m 1099-K (merchant card and third party network transactions) • Form 1098 (home mongage interest), 1098-E (student loan interest), 1098-T (tuiUon)
• Form 1099-C (canceled debt)
• Form 1099-A (acquisition or abandonment ol SGCured propeny) Use Form W-9 only if you are a U.S. person [Including a resident affen), to provide yolR' correct TIN.

If you do not retum Form W-9 lo the requester wilh a nN, you might be subject to backup withholding. See What is backvp withholding? on page 2.

By signing the filled-out form, you:

1. Cenify that the TIN you are giving Is CO/Teet (or you are waiting for a number to be issued).

2. Certify that you are not subject to backup withho!dlng, or

3. Claim exemption from backup wlthholding if you are a U.S. exempt payee. II applicable, you are also certifying that as a U.S. pe1Son, your attocable share of any pannershlp income from a U.S. trade or business is not subject to the withholding tax. on foreign partners' share ol effectively connected income, and

4. Certify that FATCA code(s) entered on 1his !orrn [If any) indfcatlng that you are exempt from the FATCA reporting. is correct See What Is FATCA reponing? on page 2 for funher information.

Cal No. 10231X

The City of Solana Beach Community Grant Program 2023 Request for Financial Assistance application MUST BE SUBMITTED by 5:00 PM Thursday, May 25, 2023.

All requests will be determined by the following criteria:

Name of Organization: Boys & Girls Clubs of San Dieguito Contact Person: Annalyse Ortega Email address: [email protected] Daytime Phone: -'-(8_5_8.:....) 7_5_5_-9_3_7_1 ______ Evening Phone: _,_(8_5_8-'-) _75_5_-_93_7_1 _____ _ Mailing Address: 533 Lomas Santa Fe Drive
City: Solana Beach State: _C_A ______ Zip: 92075

1. All the 9ocuments below are attached to this application:

Etw-9
~ Summary of Organization's Budget
cf Proposed Program Budget
ef Financial and Tax Statements (see Application Guidelines) rif" 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? II Yes □ No If yes, please state the fiscal year it was received and for the proposed program was:

Financial aid ('23). Mentorina ('18-'22): Summer oroarams ('15-'17). STEM ('14). Colleae Preo ('13)

3. Title of FY 2022-23 Proposed Program/Service: Financial Aid for Low-Income Youth

4. What is the total amount requested for the FY 2022-23 Proposed Total Program? Includes all estimated costs to conduct proposed activity/program.

Our Financial Aid Program ensures that every child, regardless of their socioeconomic status, receives programs, services, and opportunities that positively develop them. In the upcoming fiscal year, we believe that we will give away approximately $131,000 to low-income youth at Harper Teen Center and La Colonia Clubhouse through After-School Programs and out-of-school camps.

Page 11 ends

5. Grant funds must be used for services or materials directly associated with the proposed activity.

Please describe how grant funds will be used:

Most youth at these two Clubs are attending with an 77% discount, with a quarter of youth attending completely free. We will never turn a child away due to their familys financial situation, instead covering any amount necessary. At these two Clubs, youth receive music education, robotic classes, homework help, cooking and gardening lessons, and recreational fitness. Funds would ensure that all children have equitable access to academic and enrichment programming.

6. Anticipated Program Objectives or Accomplishments:

Based on previous years' accomplishments, we believe that: our members will succeed academically, progressing to the next grade/graduate on time with post-secondary plans; that all youth who require financial aid will receive it; that youth will consistently abstain from drug use and truancy; and that families will be connected to local resources such as a free grocery program, mental health resources, translation assistance etc.

7. Program Dates/Location:

After-School Program: August 15, 2023- May 31, 2024. Out-of-school camps: various dates.

Harper Teen Center (533 Lomas Santa Fe Drive) and La Colonia Clubhouse (715 Valley Ave).

8. Estimated number of Solana Beach residents to be served by proposed program:..7.c.. 0 _____ _

9. How will the organization acknowledge the City's financial contribution to the community/ beneficiaries of the proposed activity?
We would be happy to acknowledge the City through our Facebook, lnstagram, Twitter, and Linked In ( combined over 5,000) as well as detail the Citys generosity in our monthly newsletter (sent to over 21,000 unique email addresses). We also send out an Annual Report to over 175 donors and would include the City amongst our "Partners" webpage.

10. 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? Our organization is dedicated to sustaining our Financial Aid Program. As such, our development team organizes fundraisers, writes grants, and plans campaigns. When we have been awarded in the past, showing that we have a strong partnership with the City has enabled us to secure other sources of support. This has had a huge impact on our fundraising, and we're grateful for the City's support!
Page I 2

11. Will volunteers be used for the proposed program or service and, if so, will they reduce expenses? We utilize a strong volunteer base, including retired teachers, college students, and others who are interested in serving local youth. Volunteers lead specialty programs, such as STEMLeaf, a robotics program, mentor and tutor youth, and assist with events and administrative tasks. We cannot overstate our volunteers' incredible support; they are valued partners in helping us serve the community and in reducing overhead costs.

12. 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? Every child deserves a safe, positive space in which they can thrive; it is because of this conviction that, desperate the severe budgetary strain, we quickly maneuvered our budget to provide low-to-no-cost childcare throughout the lockdowns, safely reopening to ten-hour days, without youths' families worrying how they would cover the cost. No matter the cost, we are dedicated to sustaining our Financial Aid Program through grant writing, events, and our dedicated donor base! Acknowledgment of Responsibility:

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
Boys & Girls Clubs of San Dieguito FY23 Operating Budget Contributions
General Contributions 749,350
Board Commitment 70,000
Corporate Sponsors 53,000
Direct Mail Income 30,000
Other (Escrip, United Way) 312
Total Contributions 902,662
Fundraising
Chip in for Kids Golf 210,000
YOY Fundraiser 210,000
Jr. Board Events 73,700
Community Event and Fundraising 243,210
Revenue
Total Fundraising 736,910
Grants 225,750
Rent Non-Program/Branches 383,210
Programs/Branches Revenue
Branches 812,698
Summer Adventure Camps 391,631
Center for a Healthy Lifestyle 81,700
Athletics 443,361
Bulldogs 421,048
Aquatics 1,368,450
Youth Arts Academy 174,600
Carmel Valley Montessori School 1,220,946
Total Programs/Branches 4,914,434
Total Revenue 7,162,966
bgcSanDieguito.org • 533 Lomas Santa Fe Dr .. Solana Beach. CA 92075 • (858) 755-937 1 Wages
Program Salaries and Related 3,339,904
Administration Wages 845,590
Payroll Taxes and Workers Comp 362,143
Benefits 365,164
401K 62,295
Total Wages & Related Expenses 4,975,097
Other Expenses 10,235
Fundraising Expenses 414,487
Total Branch Program Expenses 381,061
Expenses related to rental 58,306
income
Overhead Expenses 1,342,940
Total Expenses 7,182,125
Net Income (Loss) from (19,158}
Operations
Other Restricted Revenues 20,000
Net Income (Loss) after 842
Restrictions
GREAT FUTURES START HERE.
bgcSanDieguito.org • 533 Lomas Santa Fe Dr., Solana Beach. CA 92075 • (858) 755-9371 La Colonia Clubhouse and Harper Teen Center After-School Programs: Projected Financial A(d Glven FY 24
Item Cost
Financial assistance for, on average, 70 low-income youth every month at La Colonia Clubhouse and Harper Teen Center to participate in our After-School $ 131,810.00 Program and out-of-school camps
Boys & Girls Clubs of San Dieguilo
Balance Sheet
Mardi a1. 2023 F.twuaiy 28, 20:23 ............... ~- JUN 30,2022 ASSETS
Operating Csslt 85,575 49,635 72% 50,479 ·19% Savings Aocount 2,052,926 1,975,024 2,584,181 Ao:oun!s Receivable 15,058 51,567 13,528 Other Current Assets 61,425 39,594 53,192 Total Current Assets 2,214,984 2,115,820 2,701,380 ·18% Property and Equipment
Land, Buildings and Building Improvements 14,858,317 14,858,317 14,858,317 Autos, Equipmentand Fumi1ur8 1,570,945 1,570,945 1,527,001 Accumulated Depreciation (8,285,565) (8,165,825) (7,926,345) Total Property and Equipment $ 8,143,696 $ 8,263,438 -1% $ 8,458,973 -4% Due from Foundation 287,675 287,675 287,675
Restricted Funds:

Rose Foundation • CFHL Solana Beach
Griset Kitchen Fund• Encinitas
Pledges Receivable 10,000 35,000 24,067 Restricted Net Assets (40,082) (40,082) 227,092 Total Other Assets $ (30,082) $ (5,082) 492% $ 307,424 ·110% TotalAss<lfs $ 10,616,275 $ 10,851,852 0% $ 11,755,452 -10%

LIABILITIES ANO CAPITAL
Current Liabilities:

Accoun!s Payable 134,070 201,799 167,617 Payroll and Taxes Payable 179,090 143,072 187,231 Deferred Social Security Taxes and ERC Credits 59,223 Acorued Expenses 13,152 14,957 4,744 Deferred Income 206,673 124,022 312,393 Total Current Uabllities 532,984 483,850 10% 731,208 ·27% Long-Tenn Liabilities:

Vacation Accrual 163,445 163,445 163,445 Other Liabilities (40,082) (40,082) 283,357 Total Long-, Term Liabilities $ 123,364 $ 123,364 0% $ 446,802 -72% Total Liabifflies $ 656,348 $ 607,213 8% $ 1,178,010 -44% Capl1al: 9,959,927 10,054,638 10,577,442
Total Liabilrlies and capital $ 10,616,275 $ 10,661,852 0% $ 11,755,452 ~10% BGCSD
FY23
9 Month YTD • June 30
Contributions
General Contributions
Board Commitment
Corp Sponsor,hips
Direct Mail/Other
Total Contributions (General Operating)
Board Fundraising, Net
Total Board Fundralsfng, Net
Grants-non Program/Branches, Net
Investment/Interest Income
Programs/Branches Revenue
Total Programs/Branches
Total Revenue (net offundraising exp)
Programs/Branches, net before Depr.

Total Programs/Branches, net
Non Program/Branch Expenses
Development/Admln Payroll
Marketing
Development/Admln Overhead
Total Non Program/Branch Expense
Net Income before designated gifts/expenses
Designated Gills and Expenses
Aquatics Campaign Donations
Raise the Roof Campaign Donations
Net designated gifts and expenses
Net lncome/(loss) before depreciation
Capital Purchases/Deferred Maintenance
Aquatics campaign Expenses
Raise the Roof Campaign Expenses
Non cash Donations
Depreciation
Net lncome/(Loss)
K ey Su mmarvTota Is
General fund raising
Board Commitment
Corporate Sponsors
Direct Mail/Other
Grants
Rentals/Other
Program Payroll and Related
Admin Payroll
9Month
FY2023
$ 169,273
$ 23,100
$ 35,000
$ 11,365
$ (820,206)
$ (65,616)
$ (237,640)
$ 58,448
$ 497,711
$ 298,375
$ 23,100
$ 35,000
$ 11,365
$ 117,978
$ 286,783
$ (2,639,211)
$ (820,206)
YTD llelults FY 23
9Month
Budget Variance
$ 4TT,165
$ 45,000
$ 50,000
$ 30,234
$ 238,738 $ 602,399 $ (363,661)
$ 340,388 $ 290,750 $ 49,638
$ 35,000 $ 35,500 s (S00)
$ 13,745 $ 410 $ 13,335
$ 4,183,999 $ 4,348,419 $ (164,4201
$ 4,811,870 $ S,2n,478
$ 357,746 $ 245,137 $ 112,609
$ (800,023)
$ (55,665)
$ (231,304)
$ (1,123.462) $ (1,086,991) $ (36,471)
$ (137,845) $ 86,795 $ (224,639)
$ 556,159 $ $ 556,159
$ 418,315 $ 86,795 $ 331,520
$ $
$ (73,415)
$ (603,195)
$
$ (359,220) $ (361,500) $ 2,280
$ (617,515) $ (274,705) $ (342,810)
$ 548,615
s 45,000
$ 50,000
$ 30,234
$ 103,250
$ 221,039
$ (2,870,142)
$ (800,023)
2021
990
PUBLIC

DISCLOSURE
** PUBLIC DISCLOSURE COPY**
Form 990 Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a){1} of the Internal Revenue Code (except private foundations) ► Do not enter social security numbers on this form as it may be made public. ~:',;',::"~:~u~s!;:';'ry ► Go to www.irs.aov/Form990 for instructions and the latest information.

A For the 2021 calendar year, or tax year beginning JUL l , 2 0 21 and ending JUN 3 0 2 0 2 2 0MB No. 1545-0047
2021
B Cheel< ii C Name of organization app ltcabl&: D Employer identification number Address change
Name change
lnithll ret\lrn

BOYS AND GIRLS CLUBS OF SAN DIEGUITO
Doin business as
Number and street (or P.O. box if mail is not de[ivered to S1reet address) PO BOX 230520 Final
return/ terminaleo' City or town, state or province, country, and ZIP or foreign postal code Room/suite E Telephone number
(858) 755 - 9371
G Gross receipts S 8,875,473.
~~~o<)o 1--_E_N_C_I_N_I_T_A_S ___ , ____ CA ___ 9_2_0_2_3 ______ -=-==--------------....,---------t H(al Is this a group return ~~Ilea- F Name and address of principal officer:MARINEKE VANDERVORT for subordinates? Yes [X]No pendll\g SAME AS C ABOVE ____ _._, __ -:=:=----'-----------------------I H(b} Neall subordonalasinc!uded? Yes Tax•exem t status: X 501 c 3 501 c ◄ insert no. 4947 a 1 or 527 If "No," attach a list. See instructions No
J Website: WWW• BGCSANDIEGUITO. ORG H c Grou exem tion number ► K Form of or anization: X Corporation Trust Association Other ► L Year of formation: 19 6 6 M State of le al domicile: CA ;,p~tttlf Summary
<I)
g
1 Briefly describe the organization's mission or most significant activities: TO IMPACT THE LIVES OF THE YOUTH WHO NEED US MOST THROUGH POSITIVE PROGRAMS AND ACTIVITIES. ~ ~ 2 Check this box ► if the organization discontinued its operations or d isposed of more than 25% of its net assets. ~ 3 Number of voting members of the governing body (Part VI, line 1a) .......... .................................................. 1---"3-+-_______ 2_1_ : 4 Number of independent voting members of the governing body (Part VI, line 1 b) ....... .. ........... .. .......... ......... i--,;.4-1----------2 __ 1-- ,; 5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) .. .... .............. .............. 1---"5-+-______ 2_4_5_ ~ 6 Total number of volunteers (estimate If necessary) ............ ............. ....... ............. .. ........................ ................ 1---"6-+-_______ 8_6-- ~ 7 a Total unrelated business revenue from Part VIII, column (C), line 12 ........... ................ .............. ...... ..... .... ... . 7a O • b Net unrelated business taxable income from Form 990-T, Part I. line 11 . . ..... . .. . .. ... ... ... ... ......... ... . .. .. . ....... .... 7b O • °' 8 Contributions and grants (Part VIII, line 1 h) ....................................................... ...... .. ~ 9 Program service revenue (Part VIII, line 2g) ........ .................... .... ............................. .. ~ 10 Investment income (Part VIII, column {A), lines 3, 4, and 7d) ..................................... .. a: 11 Other revenue (Part VIII, column (A), lines 5, 6d, Sc, 9c, 1 Oc, and 11 e} ........... ............ . 12 Total revenue - add lines 8 throu h 11 must ual Part VIII. column A line 12 13 Grants and similar amounts paid (Part IX, column (A}. lines 1-3) ........................ ....... .. 14 Benefits paid to or for members (Part IX. column (A), line 4) .......................... . .,, 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) ........ . ~ 16a Professional fundraising fees (Part IX, column (A). line 11e) ... ..... ................................ .

8. b Total fundraising expenses (Part lX, column (D), line 25) ► 3 51 , 7 61 , in 17 Other expenses (Part IX, column (A), lines 11a-1 1d, 11f·24e) ............... ...... ..... .... .... .... . 18 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) ............ ........ .

Revenue less ex enses. Subtract line 18 from line 12
Total assets (Part X, line 16)
Total liabilities (Part X, line 26)
Net assets or fund balances. Subtract line 21 from line 20 ................... ..................... .. ignature Block
Prior Year Current Year
2,278,806. 3,538,209.
2,814,579. 4,370,082.
2,132. 1,999.
284,209. 883,346.
5,379,726. 8,793,636.
o. o. o. 0.
3,290,835. 4,035,927 •
5,043,755. 6,449,435.
335,971. 2,344,201.

Be innin of Current Year End of Year
10,604,085. 11,472,095.
2,368,081. 894,652.
8,236,004. 10,577,443.

Under penalties of perjury, I declare that I have examined this return, including accoml)anying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (olher than oHicer) is based on atl information of which preparer has any knowledge.

Sign
► Signalure of officer Date
Here
► MARINEKE VANDERVORT, CEO
Type or print name and title
Prinl/Type preparer's name I Preparer's signature Ii Date I cneck I PTIN
Paid 0 3 / 16 / 2 3 ~lf,e,norovea
Preparer Firm's name ~ALDRICH CPAS AND ADVISORS, LLP Firm'sE!N ~ Use Only Firm's address ► 1903 WRIGHT PLACE, #180
CARLSBAD, CA 92008 Phone no. ( 7 6 0 ) 431-8440
May the IRS discuss this return with the preparer shown above? See instructions ..... ...... . ,., ....... ... , ........... . (XJ Yes No 1s200, 12-09-21 LHA For Paperwork Reduction Act Notice, see the separate instructions. Form 990 {2021) ;..,F
pattlll/
o='"rm=.-;:.99::,.;:0,...2;=.; o..=: 2
tatement
.,_,_1 -=----=--....-..:,_.;;B of rogram ...;;O...;;Y:;.;;S;......,;AND~""7--G.:;..I~ erv1ce Accomplis R;;.;;.L=S____;;;.Cii'L .... U.;;;;;;B.;;;;S--=-O...;;F____;:S;;,;:;AN ments .=..;.....;;D;;,.;I:;.;E=-G-=-U.:;..=I.=..T-=- O---iCheck if Schedule O contains a response or note to any line in this Part Ill .......... .... ........................... 00 1 Briefly describe the organization's mission:

THE BOYS AND GIRLS CLUBS OF SAN DIEGUITO PROVIDES POSITIVE ACTIVITIES TO DEVELOP THE EDUCATION, HEALTH, SELF-ESTEEM, AND CHARACTER OF YOUTH.

SINCE OUR DOORS OPENED IN 1966 , OUR PROGRAMS HAVE BEEN ACCESSIBLE TO YOUTH FROM DISADVANTAGED ECONOMIC, SOCIAL, AND FAMILY CI RCUMSTANCES. 2 Did the organization undertake any significant program services d uring the year which were not listed on the prior Form 990 or 990·EZ? .. .. .. .. .... .. ... . ........ ...... .... ... ... . .. ... ...... .. . ... .. . ..... ... .... ... ... ....... ..... ... ... . .. .. .. .. . .......... .... .... D Yes [X] No If "Yes," describe these new services on Schedule 0.
3 Did the organization cease conducting, or make significant changes in how it conducts, any program services? ................ . D ves 00 No If "Yes,'' describe these changes on Schedule O.
4 Describe the organization's program service accomplishments tor each of its three largest program services, as measured by expenses.

Section 501 (c)(3) and 501 (c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any. for each program service reported.
43 {Code: ___ ) (E~penses $ 1 , 5 9 9 , 7 2 0 • incruding grants of $ -------,-----= ) (Revenue$ 1 , 4 6 5 , 0 9 3 • BGC AQUATICS PROGRAM 456 CHILDREN SERVED - THB AQUATICS PROGRAM OFFERS

YEAR- ROUND COMPETITIVE SWIMMING THROUGH THE AWARD-WINNING RANCHO SAN DIEGUITO (RSD) SWIM TEAM, SWIM LESSONS, RECREATIONAL AND LAP SWIM TIME.

WE CHAMPION WATER SAFETY IN SAN DIEGO COUNTY, PROVIDING THOUSANDS OF SWIMMING LESSONS EACH YEAR. RSD IS RANKED AS ONE OF THE TOP 200 SWIM CLUBS I N THE NATION BY USA SWIMMING. ALUMNI HAVE RECEIVED $3 , 140,000+ IN SCHOLARSHIPS TO OVER 50 UNIVERSITIES.
4b (Code: ___ ) (Expei.see $ 1 , 6 5 9 , 4 4 3 • includiog grmts of$ ________ ) (Re'Jenue $ 7 3 3 , 4 4 9 •

OUR SEVEN BRANCHES PROVIDE DIVERSE ACTIVITIES IN OUR AFTER SCHOOL PROGRAMS THAT MEET THE INTERESTS OF ALL YOUNG PEOPLE. CORE PROGRAMS

ENCOURAGE ACTIVITIES WITH ADULTS, PEERS, AND FAMILY MEMBERS THAT ENABLE KIDS TO ENHANCE SELF- ESTEEM AND FULFILL THEIR POTENTIAL. THE AFTER

SCHOOL PROGRAM PROVIDES MEMBERS WITH A SAFE AND FUN ENVIRONMENT TO

EXPLORE THEIR OWN CREATIVITY AND CONFIDENCE THROUGH STRUCTURED,

SUPERVISED ACTIVITIES RANGING FROM COMPUTER LAB GAMES AND PHYSICAL RECREATION TO ARTS & CRAFTS AND HOMEWORK TIME. EACH STAFF MEMBER

PASSIONATELY SUPPORTS EACH CHILD'S DEVELOPMENT INTO AN INFLUENTIAL

MEMBER OF THEIR SCHOOL AND COMMUNITY WHI LE INSTILLING VALUES OF TEAMWORK, RESPONSIBI LITY, AND COMPASSION FOR OTHERS.
4e (Code: _ __ ) (Expenses$ 8 9 9 , 510 • 1neluding graots or$ ________ ) (R8'1enue $ 6 9 6 , 0 0 2 , BGC ATHLETIC PROGRAM 2,264 CHILDREN SERVED THE ATHLETICS DEPARTMENT

OFFERS SPORTS LEAGUES, CAMPS, AND ATHLETIC ACTIVITIES FOR ELEMENTARY,

MIDDLE, AND HIGH SCHOOL STUDENTS THROUGH THE BIG EIGHT MIDDLE SCHOOL SPORTS PROGRAM. YOUTH AT FI VE MIDDLE SCHOOLS CAN PARTICIPATE IN TEN DIFFERENT SPORTS ACROSS THREE SEASONS. WE ALSO OFFER ELEMENTARY HOOPS, SNUFFY AND FASTBREAK BASKETBALL, AND AUTUMN LEAGUE BASKETBALL PROGRAMS.

THI S PROGRAM PROMOTES POSITIVE SOCI AL-EMOTIONAL HEALTH, AND EDUCATIONAL OUTCOMES IN CHILDREN AND TEENS.
4d Other program services (Describe on Schedule 0.)
(Exoenses S 1 , 1 7 0 , 2 2 3 • inc!ud,ng grants of$ ) (Revenue$ 1,475,538. ) 4e Total program service expenses ► 5 , 3 2 8 , 8 9 6 • 132002 12·09•21 SEE SCHEDULE O FOR CONTINUATION(S)
2 Form 990 {2021)
1 6020316 163675 08670.0 00 2021.05060 BOYS AND GI RLS CLUBS OF S 08670 . 01 ;-; Fo ... rm......, 99irorl2;a.;;o;;;, 21.;..,...._.....,.,.--,-...,...,,::--B--"O,,..Y ___ S'-:-:i::AN-='"'D;;....,-G;;;,-I=R;..;;L=S=-"""C_L""" U_B"""S---"O_F---'S ..... AN-'--'---D;..;I;;;.;E;;;..G;;;..U;;;..I_T_O..;..._ ___ _ Checklist of Required Schedules Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A ............ ...... ........ .... ... .. . .. .. ... ... ... ... ... .. . . . . .. .. .. . .. . . . ................. ......... ................. ............. . 2 Is the organization required to complete Schedule B, Schedule of Contributors? See instructions ............ ............................. . 3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I ...................... ................... ..... ... ....... .... .... . ................ . 4 Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501 (h) election in effect during the tax year? If •Yes, " complete Schedule C, Part fl ...................................................... ................... ........................ . 5 Is the organization a section 501 (c)(4), 501 (c)(5), or 501 (c)(6} organization that receives membership dues, assessinents, or similar amounts as defined in Rev. Proc. 98·19? If "Yes,• complete Schedule C, Part I// ..................... ................................... . 6 Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes, " complete Schedule o, Part I 7 Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If "Yes,• complete Schedule D, Part II.. .. . ............... . 8 Old the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes, " complete Schedule D, Part Ill ......................... ............. .......................................................................... ............................. ....... ....... . 9 Did the organization report an amount in Part X, line 21 , for escrow or custodial account liability, serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair. or debt negotiation services? If "Yes,· complete Schedule D, Part IV ........................................................... ............................................ ....................... .. 10 Did the organization, directly or through a related organization, hold assets in donor•restricted endowments or in quasi endowments? If "Yes," complete Schedule D, Part V ............................................ .............. ............................. .. 11 If the organization's answer to any of the following questions Is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a Did the organization report an amount for land, buildings, and equipment in Part X, line 1 0? If "Yes, • complete Schedule D, Part VI .. ..................................................... ........................... .............................................. ...................... .... ............. . b Did the organization report an amount for investments• other securities in Part X, line 12, that is 5% or more of its total assets reported in Part X, line 16? If "Yes, • complete Schedule D, Part VII ............................. ........................................ . c Did the organization report an amount for investments • program related in Part X, line 13, that is 5% or more of its total assets reported in Part X, line 16? ff "Yes,• complete Schedule D, Part VIII ............................ ........ ... ............ .. d Did the organization report an amount for other assets in Part X, line 15 , that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX ................................................................................................. ....... . e Did the organization report an amountfor other liabilities in Part X, line 25? ff "Yes," complete Schedule D, Part X ............... ..

Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X 12a Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes, " complete Schedule D, Parts XI and XII .. ........ ............................................................................................ ....................................... .. b Was the organization included in conso!idated, independent audited financial statements for the tax year? If "Yes, " and if the organization answered "No· to line 12a, then completing Schedule D, Parts XI and XII is optional 13 Is the organization a school described in section 170(b)(1)(A)Qi}? If "Yes," complete Schedule E ................. ....................... .. 14a Did the organization maintain an office. employees, or agents outside of the United States? .. ........................ .......... ....... . b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising. business. investment, and program service activities outside the United States, or aggregate foreign investments valued at $100.000 or more? If "Yes,• complete Schedule F, Parts I and IV ................................................................... ............ . 15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If "Yes," complete Schedule F, Parts II and IV ..... ........................................ .............. .......... .. 16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If "Yes," complete Schedule F, Parts Ill and IV ........................... .............. ........ .. 17 Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11 e? If "Yes," complete Schedule G, Part I. See instructions .............. .. .......................... ....... . 18 Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part If .. ..................................................................................... ............... .. 19 Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? ff "Yes, " complete Schedule G, Part Ill .......... .......... ............................ ........... ............... .................. ........ ............ ....... ..... ... ............ . . 20a Did the organization operate one or more hospital facilities? ff "Yes, • complete Schedule H ........... .... . b If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? ............................ .. 2 1 Did the organiz.ation report more than $5,000 of grants or other assistance to any domestic organization or domestic
132003 t2•09·2 1
3 Yes No
1 X
2 X
3 X
4 X
5 X
6 X
7 X
8 X
9 X
X
11a X
11b X
11c X
11d X
11e X
11f X
12a X
12b X
13 X
14a X
14b X
15 X
16 X
17 X
18 X
19 X
20a X
20b
21 X
Form 990 (2021)
1 6020316 1 6 3675 0 8670. 000 2021,05060 BOYS AND GIRLS CLUBS OF S 0867 0. 01 Form 990 2021 BOYS AND GIRLS CLUBS OF SAN DIEGUITO Pa e4 Checklist of Required Schedules continued
Yes No
22 Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column {A), line 2? If "Yes, • complete Schedule I, Parts I and Ill ..... ................. ...... ................ .................... i-=22=--1---i-=X~ 23 Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensat!on of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J ....... ....................................................... .......................................... ... ..... ....... ........... .............. .... . 23 X 24a Did the organization have a tax•exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31 , 2002? JI "Yes,• answer lines 24b through 24d and complete Schedule K. If "No, • go to line 25a . . . . . . . . . . . ... . . .. . . . . . .. . . . . .. . . . ... . . . . .. . . . . . . .. . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i--=24..,__,a=-+-_ -+-_X_ b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? ... . ... ...... .... ..... ... .... .. . . 1-2=4""'b=-+---+--- c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to def ease any tax-exempt bonds? ..... .... .. ... ..... . ........ ...... ....... ... .. ... .... ..... .. .. .. . .. . .. . . . .. . . .. . . . . .. .. .. .. . ... ....... ... . ... . .. . . ... . . .. . ... .. . ....... 1-.2=4-'-'o=-+---+-- d Did the organization act as an "on behalf of" issuer for bonds outstanding at any lime during the year? ................................. 1-2=.4.;.;d=-+---+-- - 25a Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes,· complete Schedule L, Part 1 ..... .. . .. .. . . .... ...... .. ..... ...... ..... i-=25::..:a=-1-_-4-.;;X~ b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person In a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I .... .. .. ......... .. .. . . .. ...... .. . . . .. ... ... .... .. .. .. . .. .. ..... . .. ... . . .. ... . . .... .. .. .. . .. ... .. ...... ....... ..... ....... ....... ...... ... l-'2==5"-=b'-1---i-.;;X~ 26 Did the organization report any amount on Part X, line 5 or 22, for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? ff "Yes, " complete Schedule L, Part JI •. . .••. .. ....... .••• .. . .•••.. •••.. .•. . . h.=2::::c6-4-_-1-.;;X~ Z'/ Did the organization provide a grant or other assistance to any current or former officer. director. trustee. key employee, creator or founder, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons? ff "Yes,· complete Schedule L, Part Ill ........ . 28 Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV, instructions for applicable filing thresholds. conditions, and exceptions):
a A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes, • complete Schedule L, Part IV ......................................... ...... .............. ........................................ ............. ................. . b A family member of any individual described in line 28a? If 'Yes,• complete Schedule L, Part IV . . .. .. . ... . ... . ...................... . c A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes,· complete Schedule L, Part JV .. ................................................................................................................ ................. . 29 Did the organization receive more than $25,000 in non·cash contributions? ff "Yes, " complete Schedule M . 30 Did the organization receive contributions of art, hi~iorical treasures, or other similar assets, or qualified conservation contributions? If "Yes, " complete Schedule M .......................................................... .... ............ .......................................... . 31 Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I ...... . 32 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes, • complete Schedule N, Part II ............................. ......................................................... .............................................. . 33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701·2 and 301 . 7701 •3? If "Yes," complete Schedule R, Part I .......................................................... ............. . 34 Was the organization related to any tax·exempt or taxable entity? If "Yes, " complete Schedule A, Part II, Ill, or IV, and Part V, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .............................................................................. . 35a Did the organization have a controlled entity within the meaning of section 512(b)(13)? .................. .... ........ .................... . b If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 .. ...................... .......................... . 36 Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non·charitable related organization? If "Yes," complete Schedule R, Part V, line 2 .... .... ..... .. .. ..... .. .. . ... .. . . . .. ... . .. .. . . ............................................ . 37 Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VJ ... .............. . 38 Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11 b and 19? Check if Schedule O contains a response or note to any line in this Part V 1 a Enter the number reported in box 3 of Form 1096. Enter ·O· if not applicable . ...... .. .. . .. ..... ..... .. . .. . . .. l--1""a-+-______ 2_8--1 b Enter the number of Forms W-2G included on line 1 a. Enter •O· if not applicable . ... . .. . .. . . . .... .. .. .. . . .. .. . i........a1;.::b_._ ______ 0--1 c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming 4 28a X
28b X
28c X
29 X
30 X
31 X
32 X
33 X
34 X
35a X
35b
36 X
37 X
38 X
1c
Form 990 (2021)
16020316 163675 08670.000 2021 . 05060 BOYS AND GIRLS CLUBS OF S 08670.01 Form 990 2021 BOYS AND GIRLS CLUBS OF SAN DIEGUITO
Statements Regarding Other IRS Filings and Tax Compliance continued ! Page 5
2a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return . .... .... ..................... .___2a=--..__ _ ___ 2_4_5-t b If at least one is reported on line 2a, did the organization file all required federal employment tax returns? .. ........ ..... ............. .

Note: If the sum of lines 1a and 2a is greater than 250, you may be required to e-fi/e. See instructions ............. .................... . 3a Did the organization have unrelated business gross income of $1,000 or more during the year? ..................... , . ........ . . b If "Yes," has it filed a Form 990-T for this year? If "No" to tine 3b, provide an explanation on Schedule O ........... .. . 4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ......... . b If "Yes," enter the name of the foreign country ► __________________________ _ See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). 5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? .. ... ......... ...... ...... ...... ... . 1---'Sa~+---+--X_ b Did any taxable party notify the organization that it was or Is a party to a prohibited tax shelter transaction? . . .. . . .. .. .. .... .. i--.:5'-=b'--1----1-=X=--- c If "Yes" to line Sa or Sb, did the organization file Form 8886-T? ........ .. .............................. .................... .......................... l---'5c~+---+--- 6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? 6a X b If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ........ ... ........... .................................... .... ................................................................................... . 7 Organizations that may receive deductible contributions under section 170(c). a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? i....a..;a....+---+--- b If "Yes,· did the organization not ify the donor of the value of the goods or services provided? c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .
d If "Yes," indicate the number of Forms 8282 filed during the year 7d e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ...................... . g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? .. . h If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? 8 Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? 9 Sponsoring organizations maintaining donor advised funds. a Did the sponsoring organization make any taxable distributions under section 4966? b Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? 10 Section 501(c)(7) organizations. Enter:
a Initiation fees and capital contributions included on Part VIII, line 12 ............................................. ,_1_0_a...-______ _ b Gross receipts, included on Form 990, Part VIII. line 12, for public use of club facilities .................. _1_0_b _______ ...., 11 Section 501(c)(12) organizations. Enter:
a Gross income from members or shareholders 11a
b Gross income from other sources. {Do not net amounts due or paid to other sources against amounts due or received from them.) .. .. . .. . .. . . . .... ... .. .. .. .. . .. ....... . .. . .. . . .... .. . . .. .. . . . _1_1b _______ ---t 12a Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 In lieu of Form 1041? b If "Yes,· enter the amount of tax•exempl interest received or accrued during the year _12b ________ -1 13 Section 501(c)(29) qualified nonprofit health insurance issuers. a Is the organization licensed to issue qualified health plans in more than one state? .. ....................... .................... ................ .

Note: See the instructions for additional information the organization must report on Schedule o. b Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans .. .. ... . .... .. . . ...... ....... ......... .... .. .. .. . .. . ... .. ... .. .... t--13 ...b--t---------t c Enter the amount of reserves on hand .. . ........ .. ... . .. . . . ... . .. . .. .. . . . . ... .. .. . .. . . .. ... . ..... .. .. .. .. . . ... . . ~13_0~---------11--+--'--+--'----- 14a Did the organization receive any payments for indoor tanning services during the tax year? ...... ........................... . b If "Yes," has it filed a Form 720 to report these payments? If 'No,• provide an explanation on Schedule O .. ....................... . . 15 Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ................................................................. ...................... .

If "Yes.• see the instructions and file Form 4720, Schedule N. 16 Is the organization an educational institution subject to the section 4968 excise tax on net investment income? If "Yes," complete Form 4720, Schedule 0 .
17 Section 501{c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952 or 4953? If "Yes." com late Form 6069.
132005 12•09-21
1 602 0316 1 63 675 08 670 .000
5 Fo;m 990 (202 1)
2021. 050 60 BOYS AND GIRLS CLUBS OF S 08670 . 01
Form 990 2021 BOYS AND GIRLS CLUBS OF SAN DIEGUITO Pa e 6 '-'-----= Governance, Management, and Disclosure. For each "Yes· response to fines 2 through 7b below, and for a 'No" response to fine Ba, Bb, or 10b below, describe the circumstances, processes, or changes on Schedule o. See instructions.

Check if Schedule O contains a response or note to any line in this Part VI . ... . . . . .. . . . . .. . . . ... .. . . . . . . . .. . .. . .. . . . . . . .. . . .. . . .. .. . . . . . . .. [X] Section A. Governin Body and Mana ement
1a Enter the number of voting members of the governing body at the end of the tax year If there are material differences in voting rights among members of the governing body, or ii lhe governing body delegated broad authority 10 an executive committee or similar commitlee, explain on Schedule 0. 1a 21
b Enter the number of voting members included on line 1a. above, who are independent . ...... ..... . ... . . .__1 __ b_._ ______ 2_1--t 2 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other 3 4
5 6
officer, director, trustee, or key employee? ............... ........ .......................... ................................................. ..................... .

Did the organization delegate control over management duties customarily periorrned by or under the direct supervision of officers. directors. trustees, or key employees to a management company or other person? ... ......... .... ............................ .

Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ........... .. ..

Did the organization become aware during the year of a significant diversion of the organization's assets? ............. .

Did the organization have members or stockholders?
7a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ............................... ...................... ...... ......................... ........................ ............... . b Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ........... .................. ................... .............................................. .................. . 8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a The governing body? ............................. ................ . b Each committee with authority to act on behalf of the governing body? .... ................................................ ...................... . 9 Is there any officer. director, trustee, or key employee listed in Part VII, Section A. who cannot be reached at the or anization's mailin
Section B. Policies
10a Did the organization have local chapters, branches, or affiliates? .................. ....................................................................... . b If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? ...... .............. ..... .... . 11a Has the organization provided a comp!ete copy of this Form 990 to all members of its governing body before filing the form? b Describe on Schedule O the process, if any, used by the organization to review this Form 990. 12a Did the organization have a written conflict of interest policy? ff "No,• go 10 line 13 ..... .............................. . b Were officers, direclors, or trustees, and key employees required lo disclose annually interests that could give rise to conflicts? .. ............... . c Did the organization regularly and consistently monitor and enforce compliance with the policy? ff "Yes," describe on Schedule O how this was done .............................. ..... ....................... ......... . . 13 Did the organization have a written whistleblower policy? ............. ....................... ........... ..................... ..... ......................... . 14 Did the organization have a written document retention and destruction policy? ............. ............ .... ........... .......... .......... ... .. . 15 Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? a The organization's CEO, Executive Director. or top management official ........................... ................... ....... ... ........... . b Other officers or key employees of the organization
If "Yes" to line 15a or 15b, describe the process on Schedule 0. See instructions. 16a Did the organization invest in. contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? .................... .. ..... ......... ............ . .............. ........................... ....... .................. . b If '"Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exem t status with res ct to such arran ements? ............. ........................ .

Section C. Disclosure
2 X
3 X
4 X
5 X
6 X
7a X
8a X
8b X
9 X
Yes No
10a X
10b
12a X
12b X
12c
13 16b
17 List the states with which a copy of this Form 990 is required to be filed .c..;;;.;;... CA _ ___ _ ________________ _ 18 Section 6104 requires an organization to make its Forms 1023 (1024 or 1024-A, if applicable). 990. and 990·T (section 501 (c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.

D Own website D Another's website 00 Upon request D Other (explain on Schedule O) 19 Describe on Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year. 20 State the name, address, and telephone number of the person who possesses the organization's books and records ► _______ _ DEBI COX - 858 -755-93 71 533 LOMAS SANTA FE DRIVE , SOLANA BEACH, CA 92075
132006 12·09·21 Form 990 (2021)
6 16020316 163675 08670.000 2021 .05060 BOYS AND GI RLS CLUBS OF S 08670.01 Form 990 2021 BOYS AND GIRLS CLUBS OF SAN DIEGUITO Pa e 7 1-:..;......;....;..;i Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VU D Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending vJith or within the organization's tax year. • List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation.

Enter •0· in columns (D), (E), and (F) if no compensation was paid. • List all of the organization's current key employees, if any. See the instructions for definition of "key employee." • List the organization's five current highest compensated employees (other than an officer, director, trustee. or key employee) who received report• able compensation (box 5 of Form W-2, Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $ 100,000 from the organization and any related organizations. • List all of the organization's former officers. key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. • Ust all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above. n Check this box it neither the o raanization nor anv related oraanization comoensated anv current officer, director. or trustee. (A) (B) (C) (0) (E) (F)
Name and title Average Position Reportable Reportable Estimated {do not clleck morn than one hours per box. unless person ts bo1h an compensation compensation amount of week ott1eer and a d irector/trustee) from from related other Oist any ~ the organizations compensation
hours for -e ~ organization 0,N·2/1099-MISC/ from the
related 0 :!l :;J ~ (W.2/1099-MlSC/ 1099-NEC) organization ~ lg_ organizations ~ = .; !l. E 1099,NEC) and related
below I § ~ ~I organizations ! ~ a,
E line) ~ ~ 0 ~ ii ~
(1) MARINEKB VANDERVORT 40.00
CHIEF EXECUTIVE OFFICER X 142 ,800. 0. 6,445.
(2) JOE BENJAMIN 40.00
AQUATICS DIRECTOR X 125,956. o. 1 6,179.
( 3) DOUG REGNIER 1.00
CHAIR, TREASURER X X 0. o. 0.
(4) BEN HAMSON 1.00
VICE-CHAIR X X o. 0. 0.
(5) P. MARTIN PETERS 1.00
SECRETARY X X o. o. o.
(6) DAVID THOMAS 1.00
BOARD MEMBER X 0. o. o.
(7) JOHN GRAPPERHAUS 1.00
BOARD MEMBER X 0 . 0. o.
(8) LARRY MCDONALD 1.00
BOARD MEMBER X 0. 0. o.
(9} BARBARA HARPER 1.00
BOARD MEMBER X 0. 0. o.
(10) PATTY MAYSENT 1.00
BOARD MEMBER X 0. 0. o.
(11) CRAIG M. GARNER 1.00
BOARD MEMBER X 0. 0. o.
(12) MATTHEW BOLDER 1.00
BOARD MEMBER X 0. 0. 0.
( 13 ) CAROL MORE 1.00
BOARD MEMBER X 0. 0. 0.
(14 ) IAN PYICA 1.00
BOARD MEMBER X 0. 0. 0.
( 15) SCOTT SAHADI 1.00
BOARD MEMBER X 0 . 0. 0.
(16) BRIAN SOLOMON 1.00
BOARD MEMBER X 0. 0. 0 . (17) ERIC IANTORNO 1.00
BOARD MEMBER X 0. o. 0.
13200; 12·09·21 Form 990 (2021)
7 16020316 163675 08 670.000 2021.0506 0 BOYS AND GIRLS CLUBS OF S 08670.01 Form 990 12021 l BOYS AND GI RLS CLUBS OF SAN DIEGUITO I I PartVI 11 Section A. Officers Directors Trustees Kev Employees and Hicihest Comoensated Emplovees r~M,;ft, ,ft,.,,, (A) (8) (C) (D) (E)
Name and title Average Position Reportable Reportable (do not chedt more lhnn one hours per box. unlesz person 1s both an omcer an<:1 a director/trustee) compensation compensation week from from related
(list any .§ the organizations ~ hours for '6 I organization ,W·2/1099-MISC/ Q related !l: (W-2/1099-MISC/ 1099-NEC) organizations ,;;
i ill. 5 E 1099-NEC)
below l ~l ~ ~ !!lo :,,
line) ,, "'""' E ~ 0 ~ :;;., =E ~
( 18) HUGH LESLIE 1.00
BOARD MEMBER X o.
{19) TODD TRUSSO 1. 00
BOARD MEMBER X o.
(20) ED JOHNSON 1.00
BOARD MEMBER X o.
( 21) SHALEN NIENOW 1.00
BOARD MEMBER X o.
(22) JENNI FER MACDOUGALL 1.00
BOARD MEMBER X o.
(23) SUMEER CHANDRA 1. 00
BOARD MEMBER X o.
1b Subtotal . ....... , ..... ........ . . ..... ...... ,., , .. , •• H, o>• •••,_ •••••n••• • H • •••,_ ••••" •••••••·•••"••• · ► 268, 75 6.

C Total from continuation sheets t o Part VII, Section A ., ............................ ► o. d Total (add lines 1b and 1cl .................................... ................................... ► 268, 75 6. 2 Total number of individuals ~ncluding but not limited to those listed above) who received more than $100,000 of reportable com ensalion from the or anization
3 Did the organization list any former officer, director, trustee, key employee, or highest compensated employee on 0 .

0. 0 .
o.

0. 0 .

0. 0.

0. line 1a? If "Yes,• complete Schedule J for such individual ........................ ............................................................. .... ......... . 4 For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If 'Yes, " complete Schedule J for such individual ................................. .. 5 Did any person listed on line la receive or accrue compensation from any unrelated organization or individual for services rendered to the or anization? "
Section B. Independent Contrac tors
I Paoe 8
(F)
Estimated
amount of
other
compensation
from the
organization
and related
organizations
0 .
0 .
0 .
o.

0. 0.
22 , 6 24.

0. 22,624.
2 Yes No
5 X
1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the oraanization. Reoort comoensation for the calendar vear endina with or within the organization's tax year. (A) (8) (C)
Name and business address NONE Description of services Compensation 2 Total number of independent contractors (including but not limited to those listed above) who received more than ; ··•·· < · . ... · $100.000 of comoensation •.·. \ ./ .. ·· .. •. from the oraanization ► 132008 12 -09·21
1 6020 316 1636 75 0 8670 . 00 0
0 Form 990 (2021)
8 2021.050 60 BOYS AND GIRLS CLUBS OF S 08670.01
Form 990 2021 BOYS AND GIRLS CLUBS OF SAN DIEGUITO Pae 9 II)
...

C:
(ti
...
<:}
Statement of Revenue
Check if Schedule O contains a res onse or note to an line in this Part VIII 1 a Federated campaigns . ............. 1a
b Membership dues ····················· 1b
C Fundraising events ..................... 1c 1 2 , 6 00. d Related organizations ............... 1d 6,000.
e Government grants (contributions) 1e 2, 03 3,179.
f All other contributions, gifts, grants, and
similar amounts not included above 1f 1,486,430 .
9 Noncash eo,ilrlbullons included in lines 1a• 1f 1 $ 73,945. h Total. Add lines 1a-1f ......... ..........
2 a AQUATICS
3 b MONTESSORI
c REGISTRATI ON FEES
d ATHLETIC PROGRAMS
e CAMPS
f All other program service revenue .. ............ .

Total. Add lines 2a-2f ...................... .
900099
90009 9
900 099
900 099
other similar amounts) ..... ........ ..................................... . 4 Income from investment of tax-exempt bond proceeds
5 Royalties .............. .. .................................................... . (i) Real (ii) Personal
6 a Gross rents .............. .
b Less: rental expenses .. .
c Rental income or (loss)
(A)
Total revenue
, 184, 222.
733,449.
69 6, 002 . 291,316.
, 37 0, 082 .
999 .
(B) (CJ (D)
Related or exempt Unrelated Revenue excluded
function revenue business revenue from tax under
seclions 512 - 514
733 449.
696, 002.
291 ,316.
d Net rental income or (loss) ........ ...................... .......... . 7 a Gross amount from sales of r'T~(i)~Se~cu:-:;r;';'.itr~es:7'-"-""~~-;;;;,r:rr::s:;:p;t]s~TsF'YS7r?S?:rmF::77'.l assets other than inventory t-7'--a"+-- ----+---'----t ,.:•,. b Less: cost or other basis
and sales expenses 7b
c Gain or (loss) ............... ._7,..c'-'-----'----=:-.!-::;..;:...::..:+,;::.;;,..a::..:.~..;;..,~~.;.;.;;..;.;,;;,;.=.:.;.;.;;~~i=~..;..;;;.;.;;.;;;;._4 =~.;.;.:;;;;,~~ d Net gain or (loss) ................. . . .............. ... ...... .. 8 a Gross income from fundraising events (not
including$ 12 ,60 0. of
contributions reported on line 1 c). See
Part IV, line 18 . . .. . ... . . ....... .. . . .. . . ... . . ... .. i-:8a~ c...;;;.___,'------1 b Less: direct expenses .. ...... ... . .. . .. .. . ....... ..,Sb=-i__;_=..:'-"-""--t.;..._"-:'-~-"::~::'--'--t=.~~~,-;---~'+'=--'-"'-'-"-'-"-'-.:.;.:..~:'-7~--::-:e"-=-~ c Net income or (loss} from fundraising eventrs---r-"'-'-"""""=-"----"'-t--~~~~~F.S.~~~ ~+~--=----i.,.,.,;;,,.;;;,.;;...;,.;:..,;;.,.;..,;.. 9 a Gross income from gaming activities. See
Part IV, line 19 ........ ..... ................ ....... t--9'--a..,.__4~,_3_7_0_.-i b Less: direct expenses .. . .. ...... ..... .. .. .. . ~9b~ ____ 0_•-r---:--'--='":::--=--t------~-'--i-'-'---'-'-----+----e-...._,,...,;,-,,...- c Net income or (loss) from gaming activities,......,=~~~~-t-----~--~-+---------,-,-,i--,-------,-+---,.,.,--;.-;.,..,..,;,..,.,- 10 a Gross sales of inventory, less returns
and allowances 10a
b Less: cost of goods sold ····················· '-'1=0=------t----'-'----t-~ -.;.._---'-'-'!-'-'"---'---'---t---'-'-'-'----- c Net income or loss from sales of invento 11 a MISCELLANEOUS REVENUE
b
C -------------- 1------+------+-------+------+------ d All other revenue ... ................................... . e Total.Addlines 11a·11d ... ....................................... . ► 3 ,506 . 12 Total revenue. See instructions ► 8 ,793,636. 132009 12-09-21 9 1 6020316 163675 0867 0.000 20 21.05060 BOYS AND GIRLS CLUBS OF S 08670 . 01

GIRLS CLUBS OF SAN DIEGUITO
xpenses
Section 501 (c)(3} and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).

Check if Schedule O contains a res onse or note to an line in this Part IX ............. ...... . .

Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
1 Grants and ot~er assistance to domestic organizations and domestic governments. See Part IV, line 21 ...
2 Grants and other assistance to domestic
individuals. See Part IV, line 22 ................... .. 3 Grants and other assistance to foreign
organizations, foreign governments, and foreign
individuals. See Part IV. lines 15 and 16
4 5
6 7
8 9
10 Benefits paid to or for members .................... .

Compensation of current officers, directors,
trustees, and key employees ....................... .

Compensation not included above to disqualified
persons ( as defined under section 4958( f)( 1)) and
persons described in section 4958(c)(3)(B) ....... ..

Other salaries and wages ................ .. ..

Pension plan accruals and contributions (include
section 401(!<) and 403(b) employer contributions)
Other employee benefits
Payroll taxes .................................... .......... . 11 Fees for services {nonemployees):
a Management ............................................... . b Legal ................ ...... ... .................................. . c Accounting ................................................. .. {A) (B) Total expenses Program service ex enses
186,445. 55 934.
3,199,763. 2,748,310.
56 856. 38,153.
324,282. 224,633.
268,581. 199,815.
40,775.
83,900.
268,769 .
15,174.
79,383.
55,545.
40,775.

Pae 10
46,611.
182,684.
3,529.
20,266.
13,221.
: ~~:r=~:~ai 'i~~d·;~·i;i~~·~~~i~~~: ·s~~ p~;i·iv :·li~e 17 ~==============~Pc[8s2212~2[28242]22D22:2JISES28[=============== f Investment management fees ...................... ..
g Other. (If line 11g amount exceeds 10% of line 25,
column (A), amount, list line 11g expenses on Sch 0.) 1------=-=-"--=-=-=:-i 13,527 l----...;;;;..;;...:...;;...::-:---+-----..,....,-,--+----=--=,......,~...,....- . 13,527. 12 Advertising and promotion 74, 655. 8,021. 122 . 66,512. 13 14
15 16
Office expenses ..... .................................... ..

Information technology ....................... ........ ..

Royalties .......................................... .......... ..

Occupancy ........... ................................ , ...... . 17 Travel ....................................................... .. 18 Payments of travel or entertainment expenses
for any federal. state, or local public officials ...
19 Conferences, conventions, and meetings
20 Interest ....................................... ..
21 Payments to affiliates ..... .. ................ .
22 Depreciation. depletion, and amortization ..... .
23 Insurance ........... .............................. ........ .. 24 Other expenses. llemize expenses not covered
above. (List miscellaneous expenses on fine 24e. If
line 24e amount exceeds 10% ol line 25, column (A), amounl, list line 24e expenses on Schedule O.} a ACTIVITIES
b MISCELLANEOUS
C
d
e All other expenses
25 Total functional ex enses. Add lines 1 lhrou h 24e
26 Joint costs. Complete lhis line only if 1he organization reported in column (BJ ioint costs from a combined
educational campaign and fundraising solicitalion.

ChOGk here ii following SOP 98·2 {ASC 958-7 20)
132010 12·09·21
1 6020316 163675 08670.0 00
344,627. 259,687. 69 t 1 51. 15,789.
90,427. 27,570. 62,852 . s.
720,878 . 689,740. 31,070. 68.
31,785. 20,960. 10,579 . 246.
117. 117 .
472,526. 472,526.
59 ,413.
6,449,435. 5,328,896. 768,778. 351, 761.

Form 990 (2021)
1 0
2021.05060 BOYS AND GIRLS CLUBS OF S 08670.01
Form 990 (2021) BOYS AND GIRLS CLUBS OF SAN DIEGUITO I Par1:>CI Balance Sheet (/)
~
:I!
c!
Sl
~
:s
Ill
::::i
~
g
111
iS
al
-g
::,
IL
5 2?
QI
J
Gi
z
1 2
3 4
5 6
7 8
9 Check if Schedule O contains a res nse or note to an line in this Part X Cash • non·lnterest-bearing .................... ... ....... .... ...................... .

Savings and temporary cash investments .......................................... .......... ..

Pledges and grants receivable. net ................................................ .............. .

Accounts receivable, net ............................................ .................. ............. .

Loans and other receivables from any current or former officer. director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons ......................... ..

Loans and other receivables from other disqualified persons (as defined under section 4958(1)(1 )). and persons described in section 4958(c)(3)(B) Notes and loans receivable, net .. ................................................. ........ ..... .... .

Inventories for sale or use .................... ......................................................... .

Prepaid expenses and deferred charges ................................... ................. . 10a Land, buildings, and equipment: cost or other
basis. Complete Part VI of Schedule D .........
b Less: accumulated depreciation
10a 16,385,318.
10b 7,926,345.
11 Investments · publicly traded securities ....................................................... .. 12 13
14 15
16 17
18 19
20 21
22 23
24 25
Investments • other securities. See Part IV, line 11 . ...................................... .

Investments· program•related. See Part IV, line 11
Intangible assets .......... .................. .... .................................... ...... .

Other assets. See Part IV. line 11 ....................... .. ................. ....................... .

Total assets. Add lines 1 throu h 15 must e ual line 33 .... ........................ ..

Accounts payable and accrued expenses ......................... ............. .............. .

Grants payable .................................................................................... ....... ..

Deferred revenue
Tax-exempt bond liabilities ........... .............................................................. ..

Escrow or custodial account liability. Complete Part IV of Schedule D ...... ..

Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor. or 35% controlled entity or fami ly member of any of these persons ...... .... .... ..... .

Secured mortgages and notes payable to unrelated third parties Unsecured notes and Joans payable to unrelated third parties ....................... .

Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17•24). Complete Part X of Schedule D ... .......................................................... ...... ......................... . 26 Total liabilities. Add lines 17 throu h 25 ... . .............. .... ........ .. 27 28
29 30
3 1
32 33
Organizations that follow FASB ASC 958, check here ► 00 and complete lines 27, 28, 32, and 33.

Net assets without donor restrictions
Net assets with donor restrictions .. ......................................... .......... ..... .

Organizations that do not f ollow FASB ASC 958, check here ► D and complete lines 29 through 33.

Capital stock or trust principal, or current funds .................................... ........ .

Paid-in or capital surplus, or land, building, or equipment fund Retained earnings, endowment, accumulated income, or other funds ..... ..... ..

Total net assets or fund balances ....... ............................................. ..... .

Total liabilities and net assets/fund balances ........... .... .... .............. . 13201 1 12-1)9·21
11 (A)
Beginning of year
2 24 I? 7 9 ♦ 1
1 , 033 182 . 2
29,067. 3
11 12
13 14
290,437. 15
10,604,085. 16
538,187. 17
18 258,269. 19
22 23
24 29
30 31
8 236,004 . 32
10 , 604 ,085. 33

Page 11 ends

(BJ
End of year
D
50 ,479 .
2,584 181.
24,067 .
13 528.
287,675.
11,472,095.
582,258.
312,394.
10,577,443.
11,472,095.

Form 990 (2021)
16020316 163675 08670 . 00 0 2021 . 05060 BOYS AND GIRLS CLUBS OF S 08670.01 Form 990 2021 BOYS AND GIRLS CLUBS OF SAN DIEGUITO Pae 12 PartXf Reconciliation of Net Assets
Check if Schedule O contains a resoonse or note to anv line in this Part XI ·········.,····•"·'·•········· .. . ........ ...... ..... . .............. ' .......... [Xl 1 Total revenue (must equal Part VIII, column (A), line 12) .... ··········································· ·················"···"···· 1 8 2 Total expenses (must equal Part IX. column (A), line 25) ..... .......... ............ ..................... .... . ............ . ....... 2 6 3 Revenue less expenses. Subtract line 2 from line 1 ························· .. ··· ............................. O> ••• •• •••H •••• 3 2
4 Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) .............................. 4 8 5 Net unrealized gains ~osses) on investments ····································· ........ .... ..... ..... .............................. 5 6 Donated services and use of facilities · ··· ····· ···· · · ·•"'' '··· · .. ,····"·"·''"'''' ''''''"'"''''' ' ''' '"'*''' '"'*"'***' ' " ' *""' *''"'''*' 6 7 Investment expenses .................................. ................................. .............. ...... . ....................................... 7 8 Prior period adjustments ...................... ....... ...... ................... .. .. . . .... . .. ...... ...... . ............... ........................ 8 9 Other changes in net assets or fund balances (explain on Schedule 0) .................................... .. ................. 9 10 Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column IB\I .................... ................ ........ .................. ....... ········ .. , , . ,, ....................... _. ......................... . ..... 10 10 IJ?~rtlX.UI Financial Statements and Reporting
Check if Schedule O contains a res onse or note to an line in this Part XII 1 Accounting method used to prepare the Form 990: D Cash 00 Accrual D Other If the organization changed its method of accounting from a prior year or checked "Other," explain on Schedule 0. 2a Were the organization's financial statements compiled or reviewed by an independent accountant? .................... ............... .

If "Yes," check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:

D Separate basis D Consolidated basis D Both consolidated and separate basis b Were the organization's financial statements audited by an independent accountant? ................ ..... .

If "Yes,• check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:

D Separate basis 00 Consolidated basis D Both consolidated and separate basis c If "Yes• to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? ........................................... ..

If the organization changed either its oversight process or selection process during the tax year, explain on Schedule 0 . 3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and 0MB Circular A-133'/ .............. ........... ...... .... .......................................... ................................................ .. ......... .... . b If "Yes.• did the organization undergo the required audit or audits? If the organization did not undergo the required audit 793 I 63 6 . , 449 , 435.
344 , 201.

I 2 36 I 004.
- 2 , 76 2 .

I 577 , 443 .
3a X
or audits, ex lain wh on Schedule O and describe an ste s taken to under o such audits ................ .... .. ... ......... ...... ........ 3b Form 990 (2021)
132012 12-W-21
1 2
1602 031 6 16367 5 08670.000 2021.05060 BOYS AND GI RLS CLUBS OF S 08 670. 01

SCHEDULE A
(Form 990)
Doporlme,it of the Treasury
Internal Revenue Sen11ce
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
► Attach to Form 990 or Form 990-EZ.
► Go to www.irs.gov/Form990 for instructions and the latest information. 0MB No. 1545-0047
Name of the organization Employer identification number

IRLS CLUBS OF SAN DIEGUITO
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.) 1 D A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i). 2 D A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).) 3 D A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). 4 D A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, s D
e D
1 □
city, and state: ____________________________________________ _ An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part !I.)
A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v), An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(AJ(vi). (Complete Part 11.)
8 D A community trust described in section 170(b)(1)(A}(vl). (Complete Part 11.J 9 D An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or university:---------------------------------------------- 10 [X] An organization that normally receives (1) more than 33 1/3% of its support from contributions, membership fees. and gross receipts from activities related to its exempt functions, subject to certain exceptions; and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 51 1 tax) from businesses acquired by the organization after June 30, 1975.

See section 609(a)(2). (Complete Part Ill.)
11 D An organization organized and operated exclusively to test for public safety. See section 509(a)(4). 12 D An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more pubficly supported organizations described In section 509(a)(1) or section 509(a)(2). See section 509(al(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g. a D Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization{s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B. b D Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s}. You must complete Part IV, Sections A and C. c D Type Ill functionally integrated, A supporting organization operated in connection with. and functionally integrated with. its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E. d D Type Ill non-functionally integrated, A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V. e D Check this box if the organization received a written determination from the IRS that ii is a Type I, Type II, Type Ill functionally integrated, or Type Ill non-functionally integrated supporting organization.

Enter the number of supported organizations
a Provide the followino information about the sunnorted oraanization(sl. (i) Name of $Upported (ii) EIN (ill) Type of organization li>J ,~ me 01gamzauon 1s1eo (v) Amount of monetary (described on lines 1-10 1ri vour nrnmmmn 11ncumP.11t'? organization above '°""' instructionsll Yes No support (sea instructions) Total ; / )? :\ ·.••)< \ \ / > <> . •> ·••· > \/::·
···••<
(vi) Amount of other
support (see instructions)
LHA For Paperwork Reduction Act Notice, see the lns1ructions for Form 990 or 990-EZ. , 32021 01-<J4-22 Schedule A (Form 990) 2021 ScheduleA Form990 2021 BOYS AND GIRLS CLUBS OF SAN DIEGUITO Pa e2 Pi3rtW Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170{6j(1)1A)1vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part Ill. If the organization fails to qualify under the tests listed below, please complete Part Ill.) Section A. Public Support
Calendar year (or fiscal year beginning in) ►
1 Gifts, grants, contributions, and
membership fees received. (Do not
include any "unusual grants.") ...... 2 Tax revenues levied for the organ• ization's benefit and either paid to
or expended on its behalf
3 The value of services or facilities
furnished by a governmental unit to
the organization without charge ... 4 Total. Add lines 1 through 3 ......... 5 The portion of total contributions
by each person (other than a
governmental unit or publicly
supported organization) included
on line 1 that exceeds 2% of the
amount shown on line 11 ,
column (f) ..... , .... ....... , ............ , .....
6 Publlcsu ort. Subtroet line 5 lrom line 4.

Section B. Total Support
Calendar year (or fiscal year beginning in) ►
7 Amounts from line 4 ............ ........ .
8 Gross income from interest,
dividends, payments received on
securities loans, rents, royalties,
and income from similar sources
9 Net Income from unrelated business
activities, whether or not the
business is regularly carried on
10 Other income. Do not include gain
or loss from the sale of capital
a 2017 b 2018
a 2017 2018
C 2019 d 2020 e 2021 Total
C 2019 d 2020 e 2021 Total
11 assets Total support. (Explain in Add Part lines VI.) 7 through . ........... 10 rl2[GuIJ2SII2IT2222TI22222]BI22IZ2:2IJ~]2JIIZ2::2JsijillI~ITZ:11SJ2t=========== 12 Gross receipts from related activities, etc. (see instructions) .......... ..................................................... .... .. 13 First 5 years. If the Form 990 is for the organization's first, second. third, fourth. or fifth tax year as a section 501(c)(3) organization, check this box and stop here .. ................................... ....................... ..

Section C. Computation of Public Support Percentage
14 Public support percentage for 2021 (line 6, column (I), divided by line 11. column (n) ................ ............ ....... . 14 15 Public support percentage from 2020 Schedule A, Part II, line 14 15 16a 33 1/3% support test• 2021. If the organization did not check the box on line 13. and line 14 is 331/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization ................................................................... . b 33 1/3% support test• 2020. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization 17a 10%-facts-and-circumstances test• 2021. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the facts•and•circumstances test, check this box and stop here. Explain in Part VI how the organization 0 %
%
□
□
meets the facts-and-circumstances test. The organization qualifies as a publicly supported organization ..................... .. .. .. ........... .. .. ► D b 10% -facts-and-circumstances test • 2020. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the facts•and•circumstances test, check this box and stop here. Explain in Part VI how the organization meets the facts•and-circumstances test. The organization qualifies as a publicly supported organization ► D 18 Private foundation. If the organization did not check a box on line 13. 16a. 16b. 17a, or 17b. check this box and see instructions ► D Schedule A (Form 990) 2021
132022 01-04•22
14 16020316 163675 08670.000 2021.05060 BOYS AND GIRLS CLUBS OF S 08670. 01 Pa e 3
rgamzat,ons
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part 11.) Section A. Public Support
Calendar year (or liscal year beginning n) ► (al 2017 lbl 2018 (cl 2019 ldl 2020 (el 2021 ffl Total 1 Gifts, grants, contributions, and
membership fees received. (Do not
include any "unusual grants.") ...... 1261118 . 1 0171 80. 1 24790 8. 227 880 6 . 3 538209. 93432 21. 2 Gross receipts from admissions,
merchandise sold or services performed, or facilities furnished in any activity that is related to the
organization's tax-exempt purpose 4652424 . 475517 5 . 4 0520 0 0 . 2814579 . 437 00 82. ~0644 260. 3 Gross receipts from activities 1hat
are not an unrelated trade or bus•
iness under section 513 ........... .... 4 Tax revenues levied for the organ· ization's benefit and either paid to
or expended on its behalf ............
5 The value of services or facilities
furnished by a governmental unit to
the organization without charge ...
6 Total. Add lines 1 through 5 ......... 5913 542 . 5772 355 . 529 99 08. 509338 5 . 7 90 82 91 . 29 9874 81. 7 a Amounts included on lines 1, 2, and
3 received from disqualified persons 140 ,150 . 126,810. 259, 329. 70 ,850. 48 7,857 . 10 84 996 . b Am01,nts included on lines 2 and 3 recei•ed from other thon diSQun!ilied perrono I/tat
ox~eed tho greater of $5.000 or 1% of t he
amount on line 13 for the yea, .... .. ............ 0. c Add lines 7a and 7b ····················· 140 ,150. 1 26, 810. 259,3 29 . 70 , 850. 487,857 . 10 84 99 6 . 8 Public sunr.ort. ,Snbtracilme 7c 110111 1,ne 6.\ < 2Sk;'/:., , \\rt\i-:;;<, .···•· ., . <•NS/f:YY?i ···•·· •>>;?JD<'' ..... ,,;; .,. ·;:,::::,,,, ~89 02485 • Section B. Total Support
Calendar year (or fiscal year beginning ► lal 2017 lb\ 2018 lcl 2019 Id\ 2020 lel 2021 m Total 9 Amounts from line 6 ..................... 59135 42. 5772 355. 5 299 908 . 50 93385. 790 82 91. 29987 481. 10a Gross income from interest ,
dividends, payments received on
seculities loans, rents, royalties,
and income from similar sources 361 ,697 . 37 6, 060 . 320,485. 209,798. 427,784. 1 6 958 24 . ... b Unrelated business taxable income
{less section 511 taxes) from businesses
acquired after June 30, 1975 ............ c Add lines 1 Oa and 1 Ob ·················· 361, 6 97 . 37 6,060. 320 , 48 5. 209 ,798 . 427 , 7 84. 1 69582 4 . 11 Net income from unrelated business activities not included on line 10b,
whether or not the business is
regularly carried on ..... .............. .. 30 2, 54 5 . 26 7 ,0 56. 2 70,012 . 75 ,021. 453, 055. 1367689 . 12 Other income. Do not include gain or loss from the sale of capital 1 0, 000 . 22. 3 ,506 . 1 3 ,528 . assets (Explain in Part VI.) ............ 13 Total support. (Add hnos 9, 100, ,,. and 12.) 65 87784. 64154 71. 5890405. 537 8226. 8 7926 36 . 330 6452 2 . 14 First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, Section
check
C.
this
C
box
omput
and s
a
to
tion
p he
of
re
Publi
.........
c
.......

Support
.................

Pe
..
rcentag
......... ,
e □
15 Public support percentage for 2021 (line 8, column (f), divided by line 13. column (f)) 15 87 .41 16 Public su ort ercenta e from 2020 Schedule A. Part Ill, line 15 .. , ....... , .................. ................ ..... , ...... . 16 88 .44 Section D. Computation of Investment Income Percenta e
17 Investment income percentage for 2021 Qine 10c, column (f), divided by line 13, column (f)) ....................... . 17 5 . 1 3 18 Investment income percentage from 2020 Schedule A, Part Ill, line 17 ............. , .. . 18 5 .14 19a 33 1/3% supporttests • 2021. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization b 33 1/3% support tests• 2020. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 331/3%, and %
%
%
%
line 18 is not more than 33 1 /3%, check this box and stop here. The organization qualifies as a publicly supported organization .... ........ ► D 20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions . . .. . ► D 1a2023 01-04.22 Schedule A (Fo rm 990) 2021 1 5
1 602 0316 1 63675 0 8670 .000 2021 . 05060 BOYS AND GI RLS CLUBS OF S 08670 ,01 Form 990 2021 BOYS AND GIRLS CLUBS OF SAN DIEGUITO
Supporting Organizations
(Complete only if you checked a box in line 12 on Part I. If you checked box 12a, Part I, complete Sections A and B. If you checked box 12b, Part I, complete Sections A and C. If you checked box 12c, Part I, complete Sections A. D. and E. If vou checked box 12d. Part I. complete Sections A and D. and complete Part V.) Section A. All Supporting Organizations
1 Are all of the organization's supported organizations listed by name in the organization's governing documents? If "No, • describe in Part VI how the supported organizations are designated. If designated by class or purpose, describe the designation. If historic and continuing relationship, explain. 2 Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? ff "Yes,• explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2). 3a Did the organization have a supported organization described in section 501 (c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
b Did the organization confirm that each supported organization qualified under section 501(c){4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? II "Yes," describe in Part VI when and how the organization made the determination.
c Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes, " explain in Part VI what controls the organization put in place to ensure such use. 4a Was any supported organization not organized in the United States ("foreign supported organization")? If "Yes,• and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below. b Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If "Yes,· describe in Part VI how the organization had such control and discretion despite being controlled or supeNised by or in connection with its supported organizations. c Did the organization support any foreign supported organization that does not have an IRS determination under sections 501 (c)(3) and 509(a)(1} or (2)? ff "Yes," explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c){2)(B) purposes.
5a Did the organization add, substitute, or remove any supported organizations during the tax year? If "Yes, " answer lines Sb and Sc below (if applicable). Also, provide detail in Part VI, including W the names and EIN numbers of the supported organiuitions added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document). b Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
c Substitutions only. Was the substitution the result of an event beyond the organization's control? 6 Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations. (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization's supported organizations? If "Yes," provide detail in Part VI.
7 Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (as defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If "Yes," complete Part I of Schedule L (Form 990). 8 Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If "Yes, " complete Part I of Schedule L (Form 990).
9a Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If ''Yes," provide detail in Part VI. b Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If "Yes, " provide detail in Part VI. c Did a disqualified person {as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If "Yes,· provide detail in Part VI. 10a Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(1) (regarding certain Type II supporting organizations, and all Type Ill non-functionally integrated supporting organizations)? If "Yes," answer line 10b below. b Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4 720, to 132024 0 1·04•21
1 6
Pa e 4
10b
Schedule A (Form 990) 2021
16020316 163675 08670.000 2021.05060 BOYS AND GIRLS CLUBS OF S 08670.01 ScheduleA Form990 2021 BOYS AND GIRLS CLUBS OF SAN DIEGUITO PartW; Supporting Organizations continued
11 Has the organization accepted a gift or contribution from any of the following persons? a A person who directly or indirectly controls, either alone or together with persons described on lines 11 b and 11c below, the governing body of a supported organization? b A family member of a person described on line 11 a above? c A 35% co ntrolled entity of a person described on line 11a or 11b above? If "Yes" to line 11a, 11b, or 11c. provide Part VI.

Section B. Type I Supporting Organizations
1 Did the governing body, members of the governing body, officers acting in their official capacity, or membership of one or more supported o rganizations have the power to regularly appoint or elect at least a majority of the organization's officers, directors. or trustees at all times during the tax year? If "No,• describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization's activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove officers, directors, or trustees were allocated among the supported organizations and what ccnditions or restrictions, if any, applied to such powers during the tax year. 2 Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If "Yes," explain in Part Vl how providing such benefit carried out the purposes of the supported organization{s) that operated, Section C. Type II Supporting Organizations
1 Were a majority of the organization's directors or trustees during the tax year also a majority of the directors or trustees of each of the organization's supported organization(s}? If "No," describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed Section D. All Type Ill Supporting Organizations
1 Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization's tax year, (0 a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization's governing documents in effect on the date of notification, to the extent not previously provided? 2 Were any of the organization's officers, d irectors, or trustees either (i) appointed or elected by the supported organization(s) or (iQ serving on the governing body of a supported organization? If •No," explain in Part VI how the organization maintained a close and continuous working relationship with the suppotted organization(s). 3 By reason ol the relationship described on line 2, above, did the organization's supported organizations have a significant voice in the organization's investment policies and in directing the use of the organization's income or assets at an times during the tax year? It "Yes," describe in Part VI the role the organization's Section E. Type Ill Functionally Integrated Supporting Organizations 1 Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions). a D Toe organization satisfied the Activities Test. Complete line 2 below.

Paoes
3 b D Toe organization is the parent of each of its supported organizations. Complete line 3 below. c D Toe organization supported a governmental entity. Describe in Part VI how you supported a govemmental entity (see instruction. __ ...,..... __ 2 Activities Test. Answer lines 2a and 2b below. Yes
a Did substantially all of the organization's activities during the tax year directly further the exempt purposes of the supported organizatio n(s) to which the organization was responsive? If •Yes, " then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities. b Did the activities described on line 2a, above, constitute activities that, but for the organization's involvement. one or more of the organization's supported organization(s) would have been engaged in? ff "Yes," explain in Part VI the reasons for the organization's position that its supported organization(s) would have engaged in these activities but for the organization's involvement. 3 Parent of Supported Organizations. Answer lines 3a and 3b below. a Did the organization have the power to regularly appoint or elect a majority of the officers. directors, or trustees of each of the supported organizations? If "Yes• or "No" provide details in Part VI. b Did the organization exercise a substantial degree of direction over the policies, programs. and activities of each of its su orted or anizations? · Part VI
132025 01•04-22
17 3b
Schedule A (Form 990) 2021
16020316 163675 08670.000 2021.05060 BOYS AND GIRLS CLUBS OF S 08670.01 Schedule A Form 990 2021 BOYS AND GIRLS CLUBS OF SAN DIEGUITO Pa e 6 Pa.rt Vt Type Ill Non-Functionally Integrated 509(a)(3) Supporting Organizations 1 D Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 ( explain in Part VI). See instructions.

All other Tv e Ill non-functional! inte rated su ortin or anizations must com !ete Sections A throu h E.

Section A - Adjusted Net Income
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or Section B - Minimum Asset Amount
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax ear or assets held for art of ear :
a Avera e month! value of securities
b Avera e monthl cash balances
c Fair market value of other non-exem t•use assets
d Total add lines 1a. 1b. and 1c
e Discount claimed for blockage or other factors
2 3 Subtract line 2 from line 1d.
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions .
5 Net value of non-exem t-use assets subtract line 4 from line 3 7 Recoveries of rior- ear distributions
8 Minimum Asset Amount add line 7 to line 6
Section C - Distributable Amount
1 Ad'usted net income for rior vear from Section A line 8. column A 2 Enter 0 .85 of line 1.
6 Distributable Amount. Subtract line 5 from line 4 , unless subject to 1 2
3 4
5 6
7 8
2 3
4 5
6 7
8 1
2 3
4 5
emer enc tern ora reduction see instructions . 6
(A) Prior Year
(A) Prior Year
(BJ Current Year
(optional)
(Bl Current Year
(optional) ~=='."'." ,,,,,,,.,,.,,.,.,.,=.-.,,,
Current Year
7 D Check here if the current year is the organization's first as a non-functionally integrated Type Ill supporting organization (see instructions .

Schedule A (Form 990) 2021
132026 ()1-04-22
18 16020316 163675 08670.000 2021.05060 BOYS AND GIRLS CLUBS OF S 08670.01 ScheduleA Form990 2021 BOYS AND GIRLS CLUBS OF SAN DIEGUI TO Pa.r.tVJ Type Ill Non-Functionally Integrated 509(a)(3) Supporting Organizations continued 2 Amounts paid to perform activity that directly furthers exempt purposes of supported or anizations. · ·
3 Administr orted or anizations
4 Amounts
5 6
7 Total annual distributions. Add lines 1 throu h 6.
8 Distributions to attentive supported organizations to which the organization is responsive · · Part VI . See instructions.
9 Distributable amount for 2021 from Section C. line 6
10 Line 8 amount divided b line 9 amount
Section E - Distribution Allocations {see instructions) 1 Distributable amount for 2021 from Section C. line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause re uired • 3 Excess distributions car
a From 2016
b From 2017
c From 2018
d From 2019
e From 2020
Total of lines 3a throu h 3e
lied to underdistributions of rior ears
lied to 2021 distributable amount
Gar over from 2016 not a lied see instructions
Remainder. Subtract lines 3 . 3h. and 3i from line 3f.
4 Distributions for 2021 from Section D,
line 7: $
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. For result greater than zero · · Part VI. See instructions.
6 Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. For result greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2022. Add lines 3j
and 4c.
8 Breakdown of line 7:
a Excess from 2017
b Excess from 201 B
c Excess from 2019
d Excess from 2020
e Excess from 2021
(i)
Excess Distributions
2 3
4 5
6 7
8 9
10 (ii)
Underdistributions
Pre-2021
Pa e 7
Current Year
(iii)
Distributable
Amount for 2021
Schedule A (Form 990) 2021
132027 0 1--04-22
19 16020316 163675 08670 . 000 20 21. 050 60 BOYS AND GI RLS CLUBS OF S 08670 . 01 ScheduleA Fonn990 2021 BOYS AND GIRLS CLUBS OF SAN DIEGUITO Pa es a Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part Ill, line 12; 132028 01-04-22
Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, Sa, 6, 9a, 9b, 9c, 11a, 11 b, and 11 c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1 c, 2a, 2b, 3a, and 3b; Part V, line 1; Part V, Section B, line 1 e; Part V, Section D, lines 5, 6, and 8; and Part V, Section E. lines 2. 5, and 6 . Also complete this part for any additional information.

See instructions.

Schedule A (Form 990) 2021
20 16020316 163675 08670.000 2021.05060 BOYS AND GIRLS CLUBS OF S 08670,01 Schedule B
(Form 990)
Department of the Treawry
Internal Revenue Service
** PUBLIC DISCLOSURE COPY**
Schedule of Contributors
► Attach to Form 990 or Form 990-PF.
► Go to www.irs.gov/Form990 for the latest information. 0MB No. 1545-0047
2021
Name o1 the organization Employer identification number

BOYS AND GIRLS CLUBS OF SAN DIEGUITO
'Organization type (check one}:

Filers of:

Form 990 or 990-EZ
Form 990-PF
Section:
[X] 501(c}( 3 ) (enter number) organization
D 4947(a}(1) nonexempt charitable trust not treated as a private foundation D 527 political organization
D 501(c)(3} exempt private foundation
D 4947(a)(1) nonexempt charitable trust treated as a private foundation D 501(c)(3) taxable private foundation
Check if your organization Is covered by the General Rule or a Special Rule.

Note: Only a section 501(c}(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule
[X] For an organization filing Form 990, 990.EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules
D For an organization described in section 501(c)(3} filing Form 990 or 990-EZ that met the 33 1/3% support lest of the regulations under sections 509(a}(1) and 170(b}(1)(A)(vi), that checked Schedule A (Form 990}, Part II, line 13, i6a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000; or (2) 2% of the amount on (i) Form 990, Part VIII, line 1 h; or (ii} Form 990-EZ, line 1. Complete Parts I and II.

D For an organization described in section 501 (c)(7), (8), or (1 O} filing Form 990 or 990·EZ that received from any one contributor, during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I (entering "NIA" in column (b) instead of the contributor name and address), II, and Ill.

D For an organization described in section 501 (c)(7}, (8), or (t0} filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year .. .. ......... ........................... ... .. ► $ _______ _ Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990), but it must answer "No" on Part IV, line 2, of its Form 990; or check the box on line Hof its Form 990.EZ or on lts Form 990-PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990).

LHA For Paperwork Reduction Act Notice, see the instructions for Form 990, 990-EZ, or 990-PF. Schedule B (Form 990) (2021) 123451 11-11-21
Schedule B (Form 990) (2021) Page 2
Name of organization Employer identification number

BOYS AND GI RLS CLUBS OF SAN DIEGUITO
f.>.~rt:.1.: Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 1 Person 00 --- Payroll D
$ 50,000. Noncash D
(Complete Part II for
noncash contributions.)
(al (b) (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 2 Person [X]
Payroll D
$ 5 ,000. Noncash D
(Complete Part II for
noncash contributions.)
(a) (b) (c) (di
No. Name, address, and ZIP + 4 Total contributions Type of contribution 3 Person [X] - -- Payroll D
$ 5,000. Noncash D
(Complete Part II for
noncash contributions.)
(a) (b) (c) (di
No. Name, address, and ZIP + 4 Total contributions Type of contribution 4 --- Person [X]
Payroll D
$ 5,000. Noncash D
(Complete Part II for
noncash contributions.)
(al (b) (cl (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 5 Person [X] - -- Payroll D
$ 5,000 . Noncash D
(Complete Part 11 for
noncash contributions.)
(a) (bl (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 6 - -- Person CZJ
Payroll D
$ 5,000. Noncash D
(Complete Part II for
noncash contributions.)
123452 11-11-21 Schedule B (Form 990)12021}
22 1602031 6 163675 08670.000 2021.0506 0 BOYS AND GI RLS CLUBS OF S 08670.01 Schedule B (Form 990) (2021) Page2
Name of organization Employer identification number

BOYS AND GIRLS CLUBS OF SAN DIEGUITO
;P~rl:;li: Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) (b} (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 7 Person [XI --- Payroll D
$ 5 , 000. Noncash D
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution ---8 Person 00
Payroll D
$ 40,000. Noncash D
(Complete Part II for
noncash contributions.)
(a) (bl (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 9 Person [X)
Payroll D
$ 5,000 . Noncash D
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 10 Person 00 - - - Payroll D
$ 5, 0 00 . Noncash D
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 11 Person 00
Payroll D
$ 10, 1 50. Noncash D
(Complete Part II for
noncash contributions.}
(a) (b) {c) (d)
No. Name, address, and Z IP + 4 Total contributions Type of contribution 12 --- Person [X)
Payroll D
$ 5 ,150. Noncash D
(Complete Part II for
noncash contributions.)
123452 11-11-21 Schedule B (Form 990) (2021)
23 16020316 163675 0 8670 . 000 2021 . 05060 BOYS AND GIRLS CLUBS OF S 08670 . 01 Schedule B (Form 990) (2021) Page 2
Name of organization Employer identification number

BOYS AND GIRLS CLUBS OF SAN DIEGUITO
Ba.rtJ! Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) (bl (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 13 Person [X) --- Payroll D
$ 5,150. Noncash D
(Complete Part II for
noncash contributions.)
(a) (bl (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 14 --- Person [X]
Payroll D
$ 5,442. Noncash D
(Complete Part II for
noncash contributions.)
(a) (bl (c) (di
No. Name, address, and ZIP + 4 Total contributions Type of contribution 15 --- Person [X]
Payroll D
$ 6,345. Noncash D
(Complete Part II for
noncash contributions.}
(a) (bl (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 16 --- Person [X]
Payroll D
$ 7,500. Noncash D
(Complete Part II for
noncash contributions.)
{a) (bl (c) (di
No. Name, address, and ZIP + 4 Total contributions Type of contribu1ion 17 --- Person [X]
Payroll D
$ 7,500. Noncash D
(Complete Part II for
noncash contributions.)
(a) (b) (cl (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 18 --- Person 00
Payroll D
$ 8,000. Noncash D
(Complete Part II for
noncash contributions.}
123452 11-11-2, Schedule B (Form 990) (20211
24 1 6020316 163675 08670.000 2021.05060 BOYS AND GIRLS CLUBS OF S 08670.01 Schedule B (Form 990) (2021) Page 2
Name of organization Employer identification number

BOYS AND GIRLS CLUBS OF SAN DIEGUITO
P~f.fl Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a} (b) (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 19 Person [X]
Payroll D
$ 8,000. Noncash D
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 20 Person [X) --- Payroll D
$ 8,240. Noncash D
{Complete Part II for
noncash contributions.)
(a) {b) (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 21 Person IX] --- Payroll D
$ 10,000. Noncash D
(Complete Part II for
noncash contributions.}
(a) (b} (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 22 Person 00
Payroll D
$ 10,000. Noncash D
(Complete Part II for
noncash contributions.)
(a) (b} (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 23 Person IX) --- Payroll D
$ 10,000. Noncash D
(Complete Part II for
noncash contributions.}
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 24 Person [X]
Payroll D
$ 10,000. Noncash D
(Complete Part II for
noncash contributions.)
1234~2 11-1,.21 Schedule B (Form 990) (2021)
25 16020316 163675 08670.000 2021.05060 BOYS AND GIRLS CLUBS OF S 08670.01 Schedule B (Form 990) (2021) Page 2
Name of organization Employer identification number

BOYS AND GIRLS CLUBS OF SAN DIEGUITO
Pi:frt} Contributors {see instructions). Use duplicate copies of Part I if additional space is needed. (a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 25 Person IX] --- Payroll D
$ 1 0! 000. Noncash D
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 26 Person [X]
Payroll D
$ 10,000. Noncash D
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 27 Person [X] --- Payroll D
$ 10,000. Noneash D
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 28 Person [X] --- Payroll D
$ 10,000. Noncash D
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 29 Person [X]
Payroll D
$ 10,941. Noncash D
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 30 --- Person IX]
Payroll D
$ 76,000. Noncash D
(Complete Part II for
noncash contributions.}
1234:;2 11-11-21 Schedule B (Form 990) (2021)
26 16020316 163675 08670,000 20 21 .05060 BOYS AND GIRLS CLUBS OF S 08670,01 Schedule B (Form 990) (2021) Page2
Name of organization Employer identification number

BOYS AND GIRLS CLUBS OF SAN DIEGUITO
P~r.t I/ Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) (b} (c} (d}
No. Name, address, and ZIP + 4 Total contributions Type of contribution ---31 Person !Xl
Payroll D
$ 20,000. Noncash D
(Complete Part II for
noncash contributions.)
(a) (b) (c} (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 32 Person [X] --- Payroll D
$ 20,000. Noncash D
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d}
No. Name, address, and ZIP + 4 Total contributions Type of contribution 33 Person 00
Payroll D
$ 20,000. Noncash D
(Complete Part II for
noncash contributions.}
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 34 Person [X]
Payroll D
$ 20,000. Noncash D
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 35 Person [X] --- Payroll D
$ 25,000. Noncash D
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 36 Person IX) --- Payroll D
$ 35,875. Noncash D
(Complete Part II for
noncash contributions.)
123452 11-11-21 Schedule 8 (Form 990) (2021)
27 16020316 163675 08670.000 2021.05060 BOYS AND GIRLS CLUBS OF S 08670.01 Schedule B (Form 990) (2021) Page2
Name of organization Employer identification number
B-"-O_Y-"-S __ -'-AND;;..;.;;;;.._G~IR;;.;.L_,S_C_L_U_B_S_O_F_S;....AN___;__D_I-'-E .... G_U_I_T_O __________ __.__L _______ -"--__ P.art.J / Contributors (see instructions}. Use duplicate copies of Part I if additional space is needed. (a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution ---37 Person 00
Payroll D
$ 38,148. Noncash D
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution ---38 Person 00
Payroll D
$ 245,000. Noncash D
{Complete Part II for
noncash contributions.)
(a) (bl (c) (di
No. Name, address, and ZIP + 4 Total contributions Type of contribution 39 Person [X]
Payroll D
$ 60,000. Noncash D
(Complete Part II for
noncash contributions.)
(a) (bl (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 40 Person [X] --- Payroll D
$ 100,000. Noncash D
(Complete Part II for
noncash contributions.)
(al (b) (cl (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 41 Person D
Payroll D
$ 73,945. Noncash [X]
(Complete Part II for
noncash contributions.)
(a) (bl (cl (di
No. Name, address, and ZIP + 4 Total contributions Type of contribution 42 Person 00 --- Payroll D
$ 1,563,183. Noncash D
(Complete Part II for
noncash contributions.)
123452 11-11-21 Schedule B (Form 990)(2021)
28 16020316 163675 08670.000 2021.05060 BOYS AND GIRLS CLUBS OF S 08670,01 Schedule B (Form 990) (2021) Page 2
Name of organization Employer identification number

BOYS AND GIRLS CLUBS OF SAN DIEGUITO
piiij I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution 43 --- Person [X]
Payroll D
$ 469,996. Noncash D
{Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution --- Person D
Payroll D
$ Noncash D
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution --- Person D
Payroll D
$ Noncash D
(Complete Part II for
noncash contributions.)
(a) (b) (cl (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution --- Person D
Payroll D
$ Noncash D
{Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution --- Person D
Payroll D
$ Noncash D
(Complete Part II for
noncash contributions.)
(a) (b) (c) (cf)
No. Name, address, and ZIP + 4 Total contributions Type of contribution --- Person D
Payroll D
$ Noncash D
(Complete Part II for
noncash contributions.)
123452 11-11-21 Schedule B (Form 990) (2021)
29 16020316 163675 08670.000 2021.05060 BOYS AND GIRLS CLUBS OF S 08670.01 Schedule 8 (Form 990) (2021) Page3
Name of organization Employer identification number
::B.=. OY.:.::.S....;AND =:;.......;G:.::I:.:R=L=-=S;.......;:C:.::L:.;:;U.:B.: S--=-0=--F-'S:.:AN~--=D=-=I=-=E=-=G:..:Uc.=Ic.=Tc.=O'---_________ _.__ Parfll •. Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed . . : ............ : ... . (a)
(c ) No. (b) FMV (or estimate) (d)
from Description of noncash property given (See instructions.) Date received Part I

AIR PURI FI ERS
41 $ 73,945 . 02/15/22
(a) (c) No. (bl FMV (or estimate) (d)
from Description of noncash property given (See instructions.) Date received Part I
---
$
(a) (c) No. (b) FMV (or estimate) (d)
from Description of noncash property given (See instructions.) Date received Part I
---
$
(a) (c) No. (b) FMV (or estimate) (d)
from Description of noncash property given (See instructions,) Date received Part I
---
$
(a)
(C) No. (b) FMV (or estimate) (d)
from Description of noncash property given (See instructions.) Date received Part I
---
$
(a) (c) No. (b) FMV (or estimate) (d)
from Description of noncash property given (See instructions.) Date received Part I
---
$
12S4S3 11-1 1-2 1 Schedule B !Form 990) (2021)
30 16020316 16367 5 08670.00 0 2021.05060 BOYS AND GIRLS CLUBS OF S 08670.01 Schedule B (Form 990) (2021) Page 4
Name of organization Employer identification number
(a) No.
from Part I
---
(a) No. from
Part I
- --
(a) No. from Part I
---
(a) No. from
Part I
- - -
1234$4 11•11•21

CLUBS OF SAN DI EGUITO
Exclusively religious, charitable, etc., contributions to organizations described in section 501(cH7), (8), or (10) that total more than S1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing P.>rt Ill, enter !he tot~I of exclusively religious, chorililble, etc., conlril>utiOns o( S1 ,000 or less for the yellt. (Enter this m1o. once.) ► $ ____ _ _ ____ _ Use duplicate copies of Part Ill if additional space is needed (b) Purpose of gift (c) Use of gift (d) Description of how gift Is held (e) Transfer of gift
Transferee's name address and ZIP + 4 Relationshio of transferor to transferee (b) Purpose of gift (c) Use of gift (d) Description of how gift is held (e) Transfer of gift
Transferee's name address and ZIP + 4 Relationshio of transferor to transferee {b) Purpose of gift (c) Use of gift (d) Description of how gift is held (e) Transfer of gift
Transferee's name address and ZIP + 4 Relationshio of transferor to transferee (b) Purpose of gift (c) Use of gift (d) Description o1 how gift is held {e) Transfer of gift
Transferee's name address and ZIP + 4 Relationshio of transferor to transferee Schedule B (Form 990) (2021)
31 1602031 6 163675 08670 . 0 0 0 2021 . 05060 BOYS AND GIRLS CLUBS OF S 08670 . 01 SCHEDULED Supplemental Financial Statements 0MB No. 1545·0047 {Form 990) ► Complete if the organization answered "Yes" on Form 990, Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b. ► Attach to Form 990.
2021
Oeportment of the Treasury
lntern~I Reve-n1.1e San,.Ce Go to www.irs. ov/Form990 for instructions and the latest information.

Open.tq\Public ..
. 1nspeciioii . ·.· .

Name of the organization Emplo)l'.er identification number

BOYS AND GIRLS CLUBS OF SAN DIEGUITO
Part{ '. Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. complete if the organization answered "Yes" on Form 990, Part IV, line 6. (a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......... ................................... 2 Aggregate value of contributions to {during year) ............ 3 Aggregate value of grants from {during year) ................ .. 4 Aggregate value at end of year ............................... ...... .. 5 Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization's property, subject to the organization's exclusive legal control? .................................... .. 6 Did the organization inform all grantees. donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring ........ DYes 0 No
im rmissible rivate benefit? ................................................ ................................................. ............ .. Yes No ;.Bc:1r;tJFrn Conservation Easements. Complete if the or anization answered "Yes· on Form 990, Part IV, line 7. 1 Purpose{s) of conservation easements held by the organization (checl< all that apply).

D Preservation of land for public use (for example, recreation or education) D Preservation of a historically important land area D Protection of natural habitat D Preservation of a certified historic structure D Preservation of open space
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a consetvation easement on the last day of the tax year. Ii/), Held al the End of the Tax Year a Total number of conservation easements 2a
b Total acreage restricted by conservation easements 2b c Number of conservation easements on a certified historic structure included in (a) ....... 2c d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ..................................... ............................................................ ............... .. 2d 3 Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year ► _____ _ 4 Number of states where property subject to conservation easement is located ► 5 Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? .................. ..... .. ................................................. D Yes D No 6 Staff and volunteer hours devoted to monitoring, inspecting. handling of violations. and enforcing conservation easements during the year ►------ 7 Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year ► $ ---------
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h){4)(B)(i) and section 170(h)(4)(B)(ii)? .. ... .. . .. . . ..... ..... .. . .... .. . .... . ....... ....... .... ... ..... ..... ................ ..... ........ ...... . ............ ...... ..... .. . . .. . . . . D Yes 9 In Part Xiii, describe how the organization reports conservation easements in its revenue and expense statement and balance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that describes the or anization·s accountin for conservation easements.

Part!III •• Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.

Complete if the organization answered "Yes" on Form 990, Part IV, line 8. 1a If the organization elected, as permitted under FASS ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education. or research In furtherance of public service, provide in Part XIII the text of the footnote to its financial statements that describes these items. b If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
0No
(i) Revenue included on Form 990, Part VIII, line 1 .. .. . ...... ........... ... ............ ....... ..... .. . .. .. . .... . .... ► $ _________ _ (ii) Assets included in Form 990, Part X ........... .... ....... ........... . .... ............... ........................................... ► $ _________ _ 2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under FASB ASC 958 relating to these items:
a Revenue included on Form 990, Part VIII, line 1
b Assets included in Form 990. Part X ............. ....... .

LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990. 132051 10•28•21
32 ► $ _______ _
► $
Schedule D (Form 990) 2021
16020316 1 63675 08670 . 000 2021.05060 BOYS AND GIRLS CLUBS OF S 08670,01 Schedule o Form 990 2021 BOYS AND GIRLS CLUBS OF SAN DIEGUITO Pa e 2 Pat1 U . Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets continued 3 Using the organization's acquisition, accession, and other records, check any of the following that make significant use of its collection items (check all that apply):
a D Public exhibition
b D Scholarly research
c D Preservation for future generations
d D Loan or exchange program
e D Other
----------------------- 4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIII. 5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as oart of the or anization's collection? .... ...... ............ .............. Yes No =ParflVi Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990. Part X, line 21 .
1 a Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included on Form 990, Part X? ..... .................... ....... .................. .................... ............ ...... ....... ....................... .... ........... ............. D Yes D No b If "Yes," explain the arrangement in Part XIII and complete the following table:

Amount
c Beginning balance .. ........... .. .... , ........... ................... ......... .............. ......................................... . 1c d Additions during the year ............ ............................................ . 1d e Distributions during the year .. .................... ............................ ........................................ ....................... . 1e f Ending balance ........................ ....... .... ....... ...................... ............................................. ........................ . 1f 2a Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ............... D Yes 0 No b If "Yes." exolain the arranaement in Part XIII. Check here if the exolanation has been provided on Part Xlll . .......... .. ............... ........ .. n l:e~~Nfad Endowment Funds. Complete if the organization answered "Yes" on Form 990. Part IV. line 10. (a) Current year (b) Prior year (e) Two years back (d) Three years back 1a Beginning of year balance .............. .......
b Contributions .... , ...................... , ........... , .. C Net investment earnings, gains, and losses d Grants or scholarships .... ... .... ..... . .......
e Other expenditures for facilities
and programs .............................. ........
f Administrative expenses ················· .......
9 End of year balance ........ ····················· 2 Provide the estimated percentage of the current year end balance (line lg, column (a)) held as:
a Board designated or quasi-endowment ► ________ %
b Permanent endowment ► ________ %
c Term endowment ► ________ %
The percentages on lines 2a, 2b. and 2c should equal 100%. 3a Are there endowment funds not in the possession of the organization that are held and administered for the organization by
(i) Unrelated organizations ................................................................ , ............ , .. ............................. . (ii) Related organizations ................................................. ..... .... ..................... .. .......... .................... . b If "Yes" on lir.e 3a(ii), are the related organizations listed as required on Schedule R? 4 Describe in Part XIII the intended uses of the or anization's endowment funds.

Part:Vl > Land, Buildings, and Equipment.

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

Description of property (a) Cost or other (b) Cost or other (e) Accumulated basis (investment) basis (other) depreciation
1a Land ···········'"··········"''"'''''"'''"''•'·•···"•'••······ 26,872. ·.· ·.:·:_-:, ;:.:;:-:·'c._·>· >··· b Buildings .................................. ·····•"'··········· 14,831,445. 6,786,874.

C Leasehold improvements ...... . ...................... d Equipment ....... , .............. ,.., ......................... 1,019,670. 719,947. e Other ........ .................... ························ 507,331. 419,524.

Total. Add lines 1 a throuah 1e. ,,.,_,,. __ /rll m u ~, - .. ~1 C:Arm .CIQn o~,.; )( ~A/umn /Cl line, 10c) .. ., ............. .... . .... ........... ► (e I Four years back
Yes No
3ali\
3aliil
3b
(d) Book value
26,872.
8,044,571.
299,723.
87 , 807.
8,458,973.

Schedule D (Form 990) 2021
132052 10•28·21
33 16020316 163675 0 8670.000 2021.05060 BOYS AND GIRLS CLUBS OF S 08670.01 Schedule D Form 990 2021 BOYS AND GIRLS CLUBS OF SAN DIEGUITO Pa e 3 Par.t:VH Investments - Other Securities.

Complete if the organization answered "Yes" on Form 990, Part IV. line 11 b. See Form 990, Part X, line 12. (al Description of security or category (mciuo,ng name oi security) (b) Book value (c) Method of valuation: Cost or end•of•year market value (1) Financial derivatives ............. ....... ... . .. . . ........ , ..... (2) Closely held equity interests ... ....... .. ...... ············ (3) Other
(Al
(Bl
(Cl
fDl
(E\
(F)
(Gl
IHl
Total. (Col. (b) must eaual Form 990. Part X col. (Bl line 12.) ► <\F.·.i(?\ '(.\'/ .; _:,·.·• y,;:;;;-,·: ;/f\>' ·' i<'.?:// [P,at:t.VUH Investments - Program Related.

Complete if the organization answered "Yes" on Form 990, Part IV, line 11 c. See Form 990, Part X, line 13. (a) Description of investment (b) Book value (c) Method of valuation: Cost or end•of•year market value (11
(2)
(31
(41
(51
(6l
(7)
(81
(91
Total. (Col. {bl must eauaf Form 990. Part X col. /B\ line 13.l ► r',<:\ ,.,•t·i"/".//\t;;J>Ste't/C/J•)J\ ! .;•.•· ·•·· it?!/>!.// l•PartJXJ Other Assets.

Complete if the organization answered "Yes" on Form 990, Part IV, line 11d. See Form 990, Part X, line 15 . (a) Description (bl Booll value
(11
(21
(31
(41
(51
(61
(71
(81
(91
Total. (Column fb) must eaual Form 990 Part X col. fBl line 15.l ... ....................... , ....................................... ., ............... ► I PartX I Other Liabilities.

Complete if the organization answered "Yes" on Form 990, Part IV, line 11 e or 11 f. See Form 990, Part X. line 25.

1. (a) Description of liability (b) Book value
(1) Federal income taxes
(2)
(3\
(4)
(5)
(6)
(7\
(81
(9\
Total. rr,.,,,.,,,,,, n-.1 """"' o,.,,.,., ,=r,m, gar, r::,,.,-t x ,..,.,, rt:11 ,;,,,, '><=: J ........................ ......... .......... ......... ......... ........ .. . .... ..... ► 2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FASB ASC 740. Check here if the text of the footnote has been provided in Part XIII ... !JD Schedule D (Form 990) 2021
132053 10-28-21
34 1602031 6 16367 5 08 67 0 . 000 2021 .05060 BOYS AND GIRLS CLUBS OF S 08670.01 Schedule D Form 990 2021 BOYS AND GIRLS CLUBS OF SAN DIEGUITO Pa e4 part)<I/ Reconciliation of Revenue per Audited Financial Statements With Revenue per Return.

Complete if the or anization answered "Yes" on Form 990, Part IV, line 12a. 1 Totaf revenue, gains, and other support per audited financial statements 9,056,489. .2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments 2a
b Donated services and use of facilities .. ... ......... .. . .. .. .. .. .... .... .. . . ... . .... . ... .. ........ . .. . i---2 ... b-1---------i c Recoveries of prior year grants .... .... .. .. .. ..... . .. . . .... . ................... ............ . 2c d Other (Describe in Part XIII.} .. ........................................................................... . 2d 262,853. e Add lines .2a through 2d .......................... ................................... .... ....... . 262,853. 3 Subtract line 2e from line 1 8,793,636.
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b ........................ i_::4a=-i....-------~•;.:;:'//,I b Other (Describe in Part XIII.) . .... ... ... .. . ... .. ....... ...... .............. ........... .. ... .. .. .._4b::.::...,,_ _____ _ c Add lines 4a and 4b ... .................... ........ ... .. ..... .... .. .. .... ........ .... ... ... .................. .... .. . .. .. .. .... ...... .... .. ....... ... .... .,__.4<:.a....i ______ O.;..._. 8,793,636.
;f?actXIP Reconciliation of Expenses per Audited Financial Statements With Expenses per Return.

Complete if the organization answered "Yes" on Form 990, Part lV. line 12a. 1 Total expenses and losses per audited financial statements ..... ....................................................................... .. 6,554,322. 2 Amounts included on line 1 but not on Form 990. Part IX, line 25:
a Donated services and use of facilities ................................ ............... ........ . 2a b Prior year adjustments .... ................. .. ............................................................ .. 2b c Other losses .... .............................................................................. .................... t---=2=-c+----::-:--:--::-::-:--1, d Other (Describe in Part XIII.) .. .... ...... ...... .... .. .... .. .. .... ...... ...... ......... .. ..... .. L...:;2.::d...._ _ _,;l_0.;;...;;;4_.,,...;:8...;:8;...7;....;,.,i• e Add lines 2a through 2d .. ............................................................... , ........................................ ..................... .. 104,887. 3 Subtract line 2e from line 1 ................. ................................................................ . 6,449,435. 4 Amounts included on Form 990, Part IX, line 25, but not on line 1 :
a Investment expenses not included on Form 990, Part VIII, line 7b ............ .... .... .. .. 1---'4=a-+---------i b Other (Describe in Part XIIL) .............................................................................. ......,_4,_b..._ ______ --i c Add lines 4a and 4b . .. . .. .. .... . . .. . .. .. . .. . . . .. .. .. . . . . . . .. ... . . . .. . .. . .. .. . .. .. .. .. .. . . .. . .. . .. .. .. .. .. . . .. .. ................. ........... .. 5 Total ex enses. Add lines 3 and 4c. .. .................................... ......... . iPil.ftXIII Supplemental Information.
6 449,43
Provide the descriptions required for Part II, lines 3, 5, and 9; Part 111, lines 1 a and 4; Part IV, lines 1 b and 2b; Part V, Hne 4: Part X. line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

PART X, LINE 2:

THE ORGANIZATIONS FOLLOW ACCOUNTING STANDARDS GENERALLY ACCEPTED IN THE

UNITED STATES OF AMERICA RELATED TO THE RECOGNITION OF UNCERTAIN TAX POSITIONS. THE ORGANIZATIONS RECOGNIZE ACCRUED INTEREST AND PENALTIES

ASSOCIATED WITH UNCERTAIN TAX POSITIONS AS PART OF THE STATEMENTS OF ACTIVITIES, WHEN APPLICABLE. MANAGEMENT HAS DETERMINED THAT THE ORGANIZATIONS HAVE NO UNCERTAIN TAX POSITIONS AT JUNE 30, 2022 OR 2021 AND THEREFORE NO AMOUNTS HAVE BEEN ACCRUED.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

0. ELIMINATING ENTRIES PER CONSOLIDATED GAAP STATEMENTS

CHANGE IN CHARITABLE REMAINDER TRUSTS
271,615.
- 2,762. 1320~4 10-28-21 Schedule D (Form 990) 2021
35 16020316 163675 08670.000 2021.05060 BOYS AND GIRLS CLUBS OF S 08670.01 Schedule D Form 990 2021 BOYS AND GIRLS CLUBS OF SAN DIEGUITO Pa es F>a.r.t.XIJI Supplemental Information continued
REVENUES PER CONSOLIDATED GAAP STATEMENTS - 6,000.

TOTAL TO SCHEDULED, PART XI , LINE 2D 262,853.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

EXPENSES PER CONSOLIDATED GAAP STATEMENTS 104,887.

Schedule D (Form 990) 2021
132055 10-28-21
36 16020316 163675 08670.000 2021.05060 BOYS AND GIRLS CLUBS OF S 08670.01

SCHEDULE G
(Form 990)
Supplemental Information Regarding Fundraising or Gaming Activities Complete if the organization answered "Yes" on Form 990, Part IV, line 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. 0MB No. 1545-0047
0ell'l!1men1 of the Treasury
tnte.rnal Revenue Service
Name of the organization
► Attach to Form 990 or Form 990-EZ.
► Go to www.irs. ov/Form990 for instructions and the latest information.

BOYS AND GIRLS CLUBS OF SAN DIEGUI TO
! Bc1rtL I Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17. Form 990-EZ filers are not required to complete this part.
1 Indicate whether the organization raised funds through any of the following activities. Check all that apply. a D Mail solicitations e D Solicitation of non-government grants b D Internet and email solicitations f D Solicitation of government grants c D Phone solicitations g D Special fundraising events
d D In-person solicitations
2 a Did the organization have a written or oral agreement with any individual (including officers, directors, trustees, or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services? D Yes b if "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fund raiser is to be compensated at least $5,000 by the organization.
(i} Name and address of individual (ii~ l;lld (iv) Gross receipts (v) Amount paid h.in r41ser to (or retained by) or entity (fundraiser) (Ii) Activity h;v:o~~~j~~· from activity fund raiser contrlbUtfOf'lS? listed in col. (i) Yes No
Total • •·· ·•· • • ···•·· • .. •• •OO .. • ♦ OO••O·••• ·•· ·· ··••• ••• •••• H• •• • ............................. ....... ► o
(vi) Amount paid
to (or retained by)
organization
3 List all states in which the organization is regi stered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

LHA For Paperwork Reduction Act Notice, see t he Instructions for Form 990 or 990-EZ. Schedule G (Form 990) 2021 132081 10-21-21
37 1 6020316 1 63675 08670.000 2021.05060 BOYS AND GIRLS CLUBS OF S 08670 .01 Schedule G {Form 990 2021 BOYS AND GIRLS CLUBS OF SAN DIEGUITO Pa e 2 Part 11 • Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000. (a) Event #1 (b) Event #2 (c) Other events
(d) Total events YOUTH OF CHIP-IN FOR (add col. (a) through THE YEAR IKIDS GOLF 10 col. (c)) (event type) (event type) (total number) (I) ::J
C
~ 1 Gross receipts ........ ........ ..... . ........... .... 237,501. 94,440 . 211, 181. 543,122. a:
2 Less: Contributions .......... ....... , .... , ....... ,. 12,600. 12 ,600. 3 Gross income Oine 1 minus line 2) ............ 224,901. 94,440. 211,181. 5 30,522. 4 Cash prizes ··············"'"' ......................... 5 Noncash prizes ................. ... ... ........ ..
"' ill 5,122. 5,122. C
(I) 6 Rent/facility costs .......................... ......... 0. ~
i 7 Food and beverages .............................. 22 , 053. 5, 482. 27,535 . 0 8 Entertainment .. .................. ., ............... ... 1,400. 1,400 . 9 Other direct expenses ···················· ... ······· 9,207 . 38,573. 47,780. 10 Direct expense summary. Add lines 4 through 9 in column (d) ........ ..... .......... .......... ........ . . .. . .. .. .. .. . . ........... ► 81,837. 11 Net income summary. Subtract line 10 from line 3 column (dl ................ ........................ ................................ ► 448,685. l;P~t.t:1111 ?I Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

Q) (a) Bingo (b) Pull tabs/instant (c) Other gaming (d) Tota! gaming (add :::i bingo/progressive bingo col. (a) through col. (c)) C:
g;?
(I)
a: 1 Gross revenue ... ... ......... ..................... ..... (/J 2 Cash prizes .............. .............................. Q) "' C:
~
dj
3 Noncash prizes ....... ................................ i 4
0 Rent/faci lity costs ............................. ..... 5 Other direct expenses ........... ·············
Dves % D ves % D ves %
.< ;Ji '\/?}Y/\• 6 Volunteer labor ....... , ............ ... , ..... .......... 0No n No n No 7 Direct expense summary. Add lines 2 through 5 in column (d) .. ................. .............. , ........... ......... .... , .. .......... ► 8 Net aamina income summarv. Subtract line 7 from line 1 column (dl ············ .................................................. ► 9 Enter the state(s) in which the organization conducts gaming activities: -----------------...,,,,=----==-- a Is the organization licensed to conduct gaming activities in each of these states? ........ ........................................... ......... D Yes D No b If "No." explain:
10a Were any of the organization's gaming licenses revoked, suspended, or terminated during the tax year? Dves 0No b If "Yes," explain:------------------------------------------ 132082 ,0-21-21 Schedule G (Form 990) 2021
38 16020316 163675 08670.000 2021.05060 BOYS AND GIRLS CLUBS OF S 08670.01 Schedule G (Form 990) 2021 BOYS AND GIRLS CLUBS OF SAN DIEGUITO !Page3 11 Does the organization conduct gaming activities with nonmembers? ............................ ....... ........ . .............. . D ves D No 12 Is the organization a grantor, beneficiary or trustee of a trust, or a member of a partnership or other entity fom,ed to administer charitable gaming? ........................ ............................................................. .... ........ ............... . D ves 0 No 13 Indicate the percentage of gaming activity conducted in:
a The organization's facility ............................... ... ............... ............... ............ ....... ...................................... ........... ..... . % b An outside facility . ........... ........... ................ .................................. ................................. .............. ............... . % 14 Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name ►
Address ► ------------------------------------------- 15a Does the organization have a contract with a third party from whom the organization receives gaming revenue? nves ......... . ...... .. :..--.J 0No b If "Yes." enter the amount of gaming revenue received by the organization ► $ and the amount ------- of gaming revenue retained by the third party ► $ ______ _ c If "Yes," enter name and address of the third party:

Name ►
Address ► ------------------------------------------- 16 Gaming manager infom,ation:

Name ►
Gaming manager compensation ► $ ______ _
Description of services provided ►
D Director/officer D Employee D Independent contractor
17 Mandatory distributions:
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the state gaming license? D ves 0 No
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the o~ aniz:ation's own exem t activities durin the tax ear $ P.art;IY Supplemental Information. Provide the explanations required by Part I, line 2b, columns Oii) and (v); and Part Ill, lines 9. 9b. 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions. 1320113 10-21-21 Schedule G (Form 990) 2021
39 16020316 163675 0867 0.000 2021.05060 BOYS AND GIRLS CLUBS OF S 08670.01 Schedule G Form 990 BOYS AND GIRLS CLUBS OF SAN DIEGUITO Pa 84 Part I . 1 Supplemental Information continued
Schedule G (Form 990)
132084 11-18·21
40 16020316 163675 08670.000 2021.05060 BOYS AND GIRLS CLUBS OF S 08670.01

SCHEDULE M
(Form 990)
Department of the Treasury
!ntemal Revenue Service
Noncash Contributions 0MB No. 1545--0047
► Complete if the organizations answered "Yes" on Form 990, Part IV, Jines 29 or 30. ► Attach to For m 990.
► Go to www.irs.gov/Form990 for instructions and the latest information.

Name of the organization

BOYS AND GIRLS CLUBS OF SAN DIEGUITO
I Emplor r identification numf er
I 1pc11tl J Types of Property
1 Art • Works of art ............ ................. ....... . .. 2 3
4 5
6 7
Art • Historical treasures
Art - Fractional interesis ...................... ..... ..

Bool<s and publications ................ ............. .

Clothing and household goods
Cars and other vehicles ...................... ....... .

Boats and planes ...................................... . 8 Intellectual property ..... ..... ..................... . 9 Securities - Publicly traded ....................... . 10 Securities • Closely held stock .. .......... .... .... . 11 Securities • Partnership, LLC, or
12 13
14 15
16 17
18 19
20 21
22 trust interests
Securities • Miscellaneous
Qualified conservation contribution •
Historic structures ........ ......................... ..

Qualified conservation contribution • Other ..

Real estate • Residential
Real estate • Commercial .............. . ....... ..

Real estate • Other .............. .......... .......... .

Collectibles ............... .......... ..................... .

Food inventory ......................................... .

Drugs and medical supplies ...................... ..

Taxidermy .. ..... .. .......... ........... .......... ...... .

Historical artifacts ................................... . 23 Scientific specimens ............................... .. 24 Archeological artifacts ............ ..... ....... ..... . 25 Other ► ( AIR PURIFIERS )
26 Other ► ( ________ )
27 Other ► ( ________ )
28 Other ► I )
29 (a) (b) (c)
Check if Number of Noncash contribution
applicable contributions or amounts reported on
items contributed Form 990, Part VIII. line 1g
(d)
Method of determining
noncash contribution amounts
X 11 73,945.WAIR MARKET VALUE
Number of Forms 8283 received by the organization during the tax year for contributio·n· .s. ········ I 29 I
for which the organization completed Form 8283, Part V, Donee Acknowledgement L...:::...-'------------..---,-- 30a During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? .. ........ .. .......... ........................ ................................................................. . b If "Yes," describe the arrangement in Part II.
31 Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions? 32a Does the organization hire or use third parties or related organizations to solicit. process, or sell noncash contributions? . . . . . . . . . . . . . . . . .. . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . . . . ............... .... .. .. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. .. . . . . . . . . . . . . . ......... . b If "Yes." describe in Part II.
33 If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked , describe in Part II.

Yes No
30a X · . .-•:.,
31 LHA For Paperwork Reduction Act Notice, see the Instruct ions for Form 990. Schedule M (Form 990) 2021 132141 11-17-21
41 16020316 163675 08670.000 2021.05060 BOYS AND GIRLS CLUBS OF S 08670.01 Schedule M Form 990 2021 BOYS AND GIRLS CLUBS OF SAN DIEGUITO Pa e 2 Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

SCHEDULE M, PART I, COLUMN (B):
1 CONTRIBUTION OF 11 UNITS
132142 11•1 7•2 1 Schedule M (Form 990) 2021
42 16020316 163675 08670.000 2021.05060 BOYS AND GIRLS CLUBS OF S 08670.01 SCHEDULE 0
(Form 990)
Depaitmem of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990~EZ
Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. ► Attach to Form 990 or Form 990-EZ.

Go to www.irs. ov/Form990 for the latest information.
0MB No. 1545-0047
Name of the organization
BOYS AND GIRLS CLUBS OF SAN DIEGUITO r ok>ye_r~jdeatificai ioj number FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:

WE SEEK TO DEVELOP THE NEXT GENERATION OF PRODUCTIVE, CARING AND RESPONSIBLE CITIZENS IN SAN DIEGO COUNTY.

FORM 990, PART III, LINE 4B, PROGRAM SERVICE ACCOMPLISHMENTS:

THE HARPER TEEN AND COMMUNITY RESOURCE CENTER PROVIDES A SAFE,

TEEN- SPECIFIC SPACE FOR OUR YOUNG ADULTS TO INTERACT WITH EACH OTHER IN AN AGE APPROPRIATE ENVIRONMENT. IT OFFERS MEMBERS AGES 13- 18 A SAFE,

FUN ENVIRONMENT WHERE TEENS CAN BE THEMSELVES WITHOUT FEELING THE PRESSURE OF BEING JUDGED. THEY HAVE OPPORTUNITIES TO LOUNGE AND MINGLE

IN THE GAMES ROOM, RECEIVE HOMEWORK HELP DURING POWER HOUR , PARTICIPATE

IN TEEN CENTERED WORKSHOPS FOR COLLEGE PREP, RECEIVE ONGOING MENTORING, WORKFORCE PREPARATION, AND MUCH MORE! NOT ONLY DO THE TEENS BUILD

FRIENDSHIPS, MEMORIES, AND HAVE FUN, THE GREAT STAFF ALSO BUILDS STRONG, SUPPORTIVE CONNECTIONS WITH THE TEENS.

FORM 990, PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENTS:

SAN DIEGO BULLDOGS BASKETBALL IS A PROGRAM DIVISION OF BOYS & GIRLS

CLUBS OF SAN DIEGUITO'S ATHLETICS DEPARTMENT, AS A YEAR-ROUND

COMPETITIVE YOUTH BASKETBALL CLUB BASED IN CARMEL VALLEY, SD BULLDOGS

GIVES SECOND THROUGH EIGHTH GRADE BOYS AND GIRLS AN OPPORTUNITY TO PARTICIPATE IN ONE OF THREE LEVELS: AS A DEVELOPMENTAL PROGRAM PLAYER (PRACTICES ONLY), IN COMPETITIVE LEAGUE TEAMS THAT PLAY LOCALLY IN SAN

DIEGO, OR ON A TOURNAMENT TEAM THAT TRAVELS TO COMPETE IN LOCAL AND REGIONAL TOURNAMENTS.

LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. 132211 11- 11-21
43 Schedule O (Form 990) 2021
16020316 163675 08670.000 2021.05060 BOYS AND GI RLS CLUBS OF S 0867 0.01 Schedule O Form 990 2021
Name of the organization

BOYS AND GIRLS CLUBS OF SAN DIEGUITO
FORM 990, PART III, LINE 4D, OTHER PROGRAM SERVICES:

BGC CAMP PROGRAM 625 CHILDREN SERVED SUMMER ADVENTURE CAMPS PROVIDE A VARIETY OF FUN- FILLED, ACTIVE SUMMER ACTIVITIES TO CAMPERS IN OUR 4 CORE AREAS: ARTS & CRAFTS, SPORTS, GAMES, AND COMPUTERS. WE OFFER 100+

CAMP OPTIONS WITH THEMES LIKE SCI-FI & COMICS, THEATER & DANCE, AND MORE. 14 AND 15-YEAR-OLDS GAIN CAREER SKILLS AND COMPLETE COMMUNITY SERVICE HOURS THROUGH OUR LEADERS IN TRAINING (L.I.T.) PROGRAM.

OUR CARMEL VALLEY MONTESSORI SCHOOL (CVMS) PROVIDES A NURTURING,

CHILD- CENTERED ENVIRONMENT WHERE INDIVIDUAL NEEDS ARE MET AT EACH STAGE OF DEVELOPMENT. THE MONTESSORI MANIPULABLE MATERIALS ARE SPECIFICALLY

DESIGNED TO ENHANCE THE CHILD'S NATURAL LOVE OF LEARNING ALONG WITH A

PROGRAM LED BY WELL TRAINED, DEVOTED TEACHERS FACILITATING GROWTH ON EVERY LEVEL. A BALANCED CURRICULUM OF ACADEMICS AS WELL AS MUSIC, ART,

GYMNASTICS, CULTURAL STUDIES AND CHARACTER DEVELOPMENT HELP PROMOTE A

WELL- ROUNDED INDIVIDUAL WHO HAS THE HIGHEST POTENTIAL TO EXCEL IN EVERY AREA OF LIFE. CVMS HAS PROVIDED UNPARALLELED EDUCATIONAL OPPORTUNITIES FOR THE NORTH COASTAL SAN DIEGO COUNTY'S YOUNGEST CITIZENS SINCE 2000.

CVMS EXTENDS ITS TRADITI ON OF "LEARNING BY DOING" TO THE YOUNG CHILDREN WITH A MODEL PRESCHOOL DESIGNED IN EVERY DETAIL FOR THEIR NEEDS. THE PROGRAM IS OFFERED FOR AGES 2 TO 6 YEARS OLD AND IS COMMITTED TO

PREPARING CHILDREN FOR LIFELONG LEARNING BY TEACHING COOPERATION,

CHALLENGING INTELLECTS, NURTURING THE DESIRE TO LEARN AND ENGENDERING SELF-CONFIDENCE. THIS HAPPENS IN AN ENVIRONMENT THAT IS FUN, REWARDS

CURIOSITY AND WHERE THE TEACHERS CARE DEEPLY ABOUT THE DEVELOPMENT OF THE WHOLE CHILD.

EXPENSES$ 1,170,223. INCLUDING GRANTS OF$ O. REVENUE$ 1,475,538. 1322'2 11-11-21 Schedule O (Form 990) 2021
44 16020316 163675 08670.000 2021.05060 BOYS AND GI RLS CLUBS OF S 08670.01 Schedule O Form 990 2021
Name of the organization

BOYS AND GIRLS CLUBS OF SAN DIEGUITO
FORM 990, PART VI, SECTION B, LINE llB:

THE 990 IS REVIEWED BY BOARD CHAIR PRIOR TO FILING.

FORM 990, PART VI, SECTION B, LINE 12C:

THE CONFLICT OF INTEREST POLICY IS AN AGENDA ITEM AT ONE BOARD MEETING PER YEAR.

FORM 990, PART VI, SECTION B, LINE 15:

THE PERFORMANCE REVIEW IS DONE BY THE BOARD GOVERNANCE COMMITTEE. THE BOARD

CHAIR DISCUSSES THE PERFORMANCE REVIEW WITH THE CEO AND ESTABLISHES THE COMPENSATION FOR THE YEAR.

FORM 990, PART VI, SECTION C, LINE 18:

THE 990 IS KEPT ON FILE FOR PUBLIC INSPECTION UPON REQUEST AT 533 LOMAS SANTA FE DRI VE, SOLANA BEACH, CA 92075.

FORM 990, PART VI , SECTION C, LINE 19:

THE DOCUMENTS ARE KEPT ON FILE FOR PUBLIC INSPECTION UPON REQUEST AT 533 LOMAS SANTA FE DRIVE, SOLANA BEACH, CA 92075.

FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS:

CHANGE IN CHARITABLE REMAINDER TRUSTS - 2,762.
1:;2212 11-11-21 Schedule O (Form 990) 2021
45 16020316 163675 08670.000 2021.05060 BOYS AND GIRLS CLUBS OF S 08670.01

SCHEDULER
(Form 990)
Department ot the Tre3sury
!ntern:il Revenue Sorviee
Name of the organization
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.

Attach to Form 990.

Go to www.irs. ov/Form990 for instructions and the latest information.

BOYS AND GIRLS CLUBS OF SAN DIEGUITO
Part I • Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33. (a) (b) (c) (d)
OMS No. 1545-0047
2021
Em~er identification number
(e) (f)
Name, address, and EIN Qf applicable} Primary activity Legal domicile (state or Total income End-of-year assets Direct controlling of disregarded entity foreign country} entity
Pa~II Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related tax-exempt organizations during the tax year.
(a) (b) (c) (d) (e) (f) (g)
Name, address, and EIN Primary activity Legal domicile (state or Exempt Code Public charity Direct controlling Section 512{b)(13) controlled of related organization foreign country) section status (if section entity entity? 501(c)(3)) Yes No
BOYS AND GIRLS CLUBS OF SAN DIEGUITO ro PROVIDE SUPPORT TO THE FOUNDATION - 95-3201906, P .O. BOX 871, ~OYS 1\ND GIRLS CLUBS OF LINE 12D, SOLANA BEACH, CA 92075 SAN DIBGUITO ~ALIFORNIA 501(C) (3) JII-0 ~/A X For Paperworil Reduction Act Notice, see the Instructions for Form 990. Schedule A (Form 990) 2021 13215 1 11- 11-21 LHA
46 Schedule R Form 990 2021 BOYS AND GIRLS CLUBS OF SAN DIEGUITO Part III Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year. (a) (b} (c) (d} (e) (f} (g) (h) (i) (j)
Name, address, and EIN Primary activity l egal Direct controlling Predominant income Share of total Share of o,sproporliooale CodeV-UBI General or dom,cife of related organization (state or entity ~related, unrelated, income end•of-year at1ocat,ons? amount in box manoging f0teign exc uded from tax under assets 20 of Schedule oartner? country) seclions 512-514) Yes No K-1 (Form 1065) \l'ei; No Pa e2
(k}
Percentage
ownership
PartlV Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a corporation or trust during the tax year. (a) (b} (C) (d) (e) (f) (g) (h} (i)
Name, address, and EIN Primary activity Direct controlling Type of entity Share of total Share of Percentage Sec~oo Legol comieile 512(bX13) of related organization (SIA<e <:< entity (C corp, S corp, income end•of-year ownership eonirolled foreign or trust) assets entitv? country) Yes No 132162 11-17·21 Schedule R (Form 990) 2021
47 Schedule R Form 990 2021 BOYS AND GIRLS CLUBS OF SAN DIEGUITO Pa e3 F'artV . Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note: Complete line 1 if any entity is listed in Parts II, lll, or IV of this schedule. Yes No 1 During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV? .. ;r .. }.: I: >, . a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity 1a X b Gift, grant, or capital contribution to related organization(s) ....................... . ................. ............................................ ............................................... ......................... . 1b X c Gift. grant. or capital contribution from related organization(s} ................................................................................................ .......... . ....... ...... ....... . 1c X d l oans or loan guarantees to or for related organization(s) 1d X e l oans or loan guarantees by related organization(s) 1e X :·:::,,,.,: . ., 1··:·
Dividends from related organization(s) ............................. . 1f X g Sale of assets to related organizalion(s) ..... ....... .............. .... ......... . .................................................................. ................................................................... ............. . 1a X h Purchase of assets from related organization(s) ............. ............................................................................................ .................. ....... ................. ....... . 1h X Exchange of assets with related organization(s) ......................... .. ........ . 1i X lease of facilities, equipment, or other assets to related organization(s) 1i X J ......
k lease of facilities, equipment, or other assets from related organization(s) ............... ........... ....................................................................... ................................................... . 1k X I Performance of services or membership or fundraising solicitations for related organization(s) 11 X m Performance of services or membership or fundraising solicitations by related organization(s) 1m X n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) .. .. .. .. ..... .. . ................. ................... ....... ....... .... .... . . .......................... .................... . 1n X o Sharing of paid employees with related organization(s) .............................................................................................................................................................. ....... .......... . 10 X p Reimbursement paid to related organization(s) for expenses . . .. . .. .. .. ..... . ................. . q Reimbursement paid by related organizalion(s) for expenses ........... ..................................... ....................................................................... ....... ...................................... .... . r Other transfer of cash or property to related organization(s) . .............. ........ .................................... ............................................ ................................ ............................... . 1r X s Other transfer of cash or orooertv from related oraanizationlsl 1s X 2 If the answer to anv of the above is "Yes.· see the instructions for information on who must complete this line includinq covered relationshios and transaction thresholds. (a) (b) (c) (d)
Name of related organization Transaction Amount involved Method of determining amount involved type(a-s)
111
121 131
141
(51
(6\
132163 11- 17-21 Schedule R (Form 990) 2021
48 Schedule R Form 990 2021 BOYS AND GIRLS CLUBS OF SAN DIEGUITO Pa e 4 Part VI . Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships. (a) (bl (c) (d} (e) (f} (g) (h) (i) (j) (k)
Name, address, and EIN Primary activity Legal domicile Predominant income /\rea11 pirlileis soc Share of Share of OiSPIOl)(Jf· Code V·UBI General or Percentage of entity (state or foreign ~related, unrelated, 501(c)~S) total end-of-year t1ona1e amount in box 20 managing ownership exc uded from tax under anocat,ons? of Schedule K· 1 partner? country) sections 512-514) Yes No income assets Yes No (Form 1065) Yes No Schedule R (Form 990) 2021
132164 11-17-21
49 Schedule R Form 990 2021 BOYS AND GIRLS CLUBS OF SAN DIEGUITO Pa es '----'---"------ Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.

Schedule R (Form 990) 2021
50 16020316 163675 08670.000 2021.05060 BOYS AND GIRLS CLUBS OF S 08670.01 Form 8868
(Rev. January 2022)
Application for Automatic Extension of Time To File an
Exempt Organization Return 0MB No. 1545-0047
Oep:irtmeol ol the Treasury
Internal Revenue Service
► File a separate application for each return.
► Go to www.irs.gov/Form8868 for the latest information.

Elec tronic filing (e-file). You can electronically file Form 8868 to request a 6-month automatic extension of time to file any of the forms listed below with the exception of Form 8870, Information Return for Transfers Associated With Certain Personal Benefit Contracts, for which an extension request must be sent to the IRS in paper format (see instructions). For more details on the electronic filing of this form, visit www.irs.gov/e-file-providers/e-file-for-charities-and-non-profits.

Automatic 6-Month Extension of Time. Only submit original (no copies needed).

All corporations required to file an income tax return other than Form 990-T (including 11 20·C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of time to file income tax returns.

Type or Name of exempt organization or other filer, see instructions. Taxpayer identification number (TIN) print
-- BOYS AND GIRLS CLUBS OF SAN DIEGUITO File by th<>
due dntGfor Number, street, and room or suite no. If a P.O. box, see instructions. r,ung your PO BOX 230520 re1um. See instructions. City, town or post office. state, and ZIP code. For a foreign address, see instructions.

ENCINITAS, CA 92023
Enter the Return Code for the return that this application is for (file a separate application for each return) .... ......... ............... ..... . .. ............ 10 111 Application Return Application Return
Is For Code ls For Code
Form 990 or Form 990-EZ 01 Form 1041-A 08
Form 4720 !individual\ 03 Form 4720 (other than individual) 09 Form 990-PF 04 Form 5227 10
Form 990-T 1sec. 401 la\ or 408/a) trust) 05 Form 6069 11 Form 990-T ttrust other than above) 06 Form 8870 12
Form 990-T (coroorationl 07 1.:• :<:<,,:.:,:; .,: :; ·:.,?(!}: '} ... · ..... SL~/ft+<it~?'JP; ); ; . •i•\Xi/( DEBI COX • The bool<s are in the care of ► 5 3 3 LOMAS SANTA FE DRIVE - SOLANA BEACH , CA 9 2 0 7 5 Telephone No ► 8 58 -7 55-93 71 FaxNo. ►
• If the organization does not have an office or place of business in the United States, check this box .................... ............................... ► D • If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) ____ . If this is for the whole group, check this box ► 0 . If it is for part of the group, check this box ► D and attach a list with the names and TINs of all members the extension is for.

I request an automatic 6-month extension of time until MAY 15 , 2023 , to file the exempt organization return for the organization named above. The extension is for the organization's return for:
► D calendar year ___ or
► 00 tax year beginning JUL l , 2 0 21 , and ending JUN 3 0 , 2 0 2 2 2 If the tax year entered in line 1 is for less than 12 months, check reason: D Initial return D Final return D Change in accounting period
3a If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less anv nonrefundable credits. See instructions. 3a $ o.
b If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter any refundable credits and estimated tax oavments made. Include anv orior vear overpayment allowed as a credit. 3b $ o. C Balance due. Subtract line 3b from line 3a. Include your payment with this form, if required, by usina EFTPS /Electronic Federal Tax Pavment Svstem). See instructions. 3c $ 0.

Caution: If you are going to make an electronic funds withdrawal (direct debit) with this Form 8868, see Form 8453-TE and Form 8879-TE for payment instructions.

LHA For Privacy Act and Paperwork Reduction Act Notice, see instructions. Form 8868 (Rev. 1·2022) 123841 01-12-22
14 16020316 163675 08670.000 2021.05060 BOYS AND GIRLS CLUBS OF S 08670.01

STATE OF CALIFORNIA

FRANCHISE TAX BOARD
PO BOX 942857
SACRAMENTO CA 94257-0540
Entity Status Letter
Why You Received This Letter
Date: 1/26/2023
ESLID: 5321664336
According to our records, the following entity information is true and accurate as of the date of this letter.

Entity ID: 0516240
Entity Name: THE BOYS AND GIRLS CLUBS OF SAN DIEGUITO

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.

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 tirne 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:

Phone:

California
fib.ca.gov
800-852-5711 from 7 a.m. to 5 p.m. weekdays, except state holidays 916-845-6500 from outside the United States
Relay Service: 711 or 800-735-2929 (For persons with hearing or speech impairments) FTB 4263A WEB (REV 12-2019)
(Rev. October 2018'
Deparlm«ltoflheTIUlury
llttamal ~ SeN!O&
1 71
Request for Taxpayer
Identification Number and Certification
ci; S Cllack appropnatelx/lc1orfedetal taxdasaMlcatlon oflhe petmnwhoN n.me lt tnllftd on Jne1. ~ON'/ on.of !M t foQowklg- boxes.

D lnd"MduaVaoltproprietoror dceorporal!on D SCorpOlll!lon D Pal1nership &lnglil-member lLC
6 0TMtteutate
ti
t :g O United lablllty 00111Plf1Y. Enlll the laXclu$i!lcatiQn {C:C~, S-S corpol'lt!on, P-=Partnnhipj ►--- o j N~ Cheek the appropria1& bo1dn tne Una aliova fortht taxclassificetio~ otlhe tingle-memberOWDtr. Do note.hick 11 LLC If the UC ls d&Mikd as a single-member UC th1tt Is dlngarded from the ownel' Unlen the-of lhe LLC is it - another u.c that l1t10tdler~ frcm ~ OWl\ef for u.s. tedn tax putpOMS. Ollletwise, a ~ber u.c Give Form to 1M
requester. Do not
send to the IRS.
4 £Mmptions(c(lde$applyonlyto
catlln «lll\lts, not lncli\liduals; see lnaffllC~ons en page 3):

Exemptp.ayeecod9 (itatlYI __ _
Eilemptlorl from FATCAreponlng
~(ll.w,) ------ o Is <isr'eOW'de<I flom the owner sliou!d cha 1111 as,propriale boll rar tho tax classiffcatlon of Its owner. l Olher(seell'l&ttuctlons) ► ~,. ___ .,.v~, #~s"""'Add,.;;;..:,_:;;;.r,,;;;;num:;,;:.:bol';.;;.;; , ~~$nd-,-8Pl,--,--Qrl!Jlte~no""!"':,)See,.....,...,lnmictlons.~---------,.,:-Req-uee-,-t6r',-.aoarn-~....1.an...,...e1aeldt'el93..,.,...---,-(optlo.,,...r,a0-:---- Jl ~5-~;.;;::2>:........l.!!==o~-.......uwL..L..1.4,,1~.1.-w-_...:..J..L.:LJ'-------1 er klentificatlon Number N)
Enter your 111'11 in the appropriate box. The 11N provlded must match the name given on rine 1 to avoid bael<up withh0!ding. For lndMduals, this Is generally your $0Clal $GCIJ'ily number (SSN}. However, for a resident afien. 30le proprietor, or disregarded entity, see 1he Instructions for Part I, later. For other entitles, It Is yotJr ffll?lo-Jer Identification number (BN). If you do not hav• a number, fle How to get a TIN, later.

DJJ -DJ -I I I I J
or
Note: If th• account is in more 1han one name, see the instructions for line 1. Also see What Namo and Number To Give the Requester for guidelines on whose numb81' to enter.

I Employer kMnlll'lcrion number
[ ifi ■ Certification
Under penalt:le$ of perjury, I certlfy that.

1. The number shown on this form is my correct taxpayer Identification number (or I am waiting for a number to be lsaued to me); and

2. I am not subject to backup withholding becatJSe: {a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service PRS) that I am swject to~ withholding as a result of a falkn to report al Interest« <favidends. or {c} 1he IRS has notif.-d me that I am no longer subject to backl.tp wflhholdlng: and

3.1 am a U.S. citizen or other U.S. person (defined below); and

4. The FATCA code($) enter&d on tNs fonn (lf any) indicating 1hat I am exempt from FATCA reporting i& conect.

Certification Instructions. You must cross out Item 2 above if you have been notified by th& IRS that you are CUITently subject to l1ackt.c) wahholcfrng because you have failed to Nf)Ort all in~ and dividends on your tail nitum. For real i!State transactions, Item 2 does not apply. For mortgage Interest paid, acqubition « abandonment of seaared property, cancellalion of debt, contn'butlons toan indM<bll ~ arrangement (!AA). and generar!y, pe.ymen1$ other !han lntere$t ancl dividends, you are not required to Sign 1he ctrtification. but you must provide your COffllCt TIN. See the ln5tn.rcti0!16 for Part II, later. ~r'! I ~=► 1!!4,t{, 8¢- ► 6 / II I Z.3
General Instructions • Foon 1099-0IV (dlvklends, lnclUding 1hose from stocks or mutual Section rete<ences are to 1he Internal Revonue Code unless otherwise noted.

Future developments. For Ute latest infoonatlon about devel<>pmeots related to Form W-9 and ib lnttructions, such as leglslatlon enacted after they were published, go to www.irs.gov/FomfW9.

Purpose of Fonn
Ari Individual or entity (Fonn W-9 request&~ who ls requil'ed to file an infonnaticn retum with the IRS must obtain Y()llr correct taxpayer ldentlflc;atlon number (TIN) which may be your $OClal $$Ct.1rlty number ($SN), Individual -taxpayer identification number (!TIN), adcpfion taxpayer Identification nvmber (ATIN), or employer Identification number (Et>J), to report on L"I inforrN.tion relum lhe amount paid to you, or other gmount ,..portable on an Information retum. Example$ of information returns include, but aA11 not limited to, th~ following. • Form 1099-lNT (Interest earned or paid)
Cat. No. i023tX
funds)
• Fenn 1099-MISC (llarious types of income, pri%$s, awards, or gross Pf()C8eds}
• Fonn 1089-B (stock or mutual fund sale$ and certain other transactions by brokGI'$)
• Fonn 1099-S (proceeds fl'0m real estate lmnsactions)
• Form 1099-K (merchant C4rd and third party netwofk transactions) • Form 1098 (home mortgage interest). 1098-E (~ loan interest), 1098-T (tu!tlon) • Form 1099-C (canoeled debt)
• Form '109~ {acquisition or abandonment of sacured property) Use Form W-9 only If you are a U.S. person Onc\iding a resident alien), to provide your correct TIN.

If you do not return Form W-9 to the requester with a 11N, you might be subject to bacl<vp wlthho!din9. ~ What 1$ bael<Up withholding, later. f¢ffll W-9 {Rev. 10-2018)
• 1sconnec
The City of Solana Beach Community Grant Program 2023 Request for Financial Assistance application MUST BE SUBMITTED by 5:00 PM Thursday, May 25, 2023.

All requests will be determined by the following criteria:

Name of Organization:_D_is_c_o_n_ne_c_t_C_o_ll_e_ct_iv_e ____________________ _ Contact Person: Monica Stapleton Email address: [email protected] Daytime Phone: _8_58_-_5_2_5-_3_1_5_2 _______ Evening Phone: ___________ _ Mailing Address: 271 La Barranca Dr
City: Solana Beach State: _C_A _______ Zip: 92075

1. All the documents below are attached to this application:
[!l W-9
~ Summary of Organization's Budget
[!] Proposed Program Budget
~ Financial and Tax Statements (see Application Guidelines) ~ 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? Ill Yes D No If yes, please state the fiscal year it was received and for the proposed program was:
2018/19. 2020/2021 . 2022/2023.

3. Title of FY 2023/24 Proposed Program/Service: "'""1
"""' 5
•pport SON<HloSol,o,Bmnknm<1~"··"""" '""C•=•---··""'°""°"'"""

4. What is the total amount requested for the FY 2023/24 Proposed Total Program? Includes all estimated costs to conduct proposed activity/program.
$6,000
The program and costs assoiciated with supplies, materials, and supplementing recreational programs , is between $6,200 and $9,200
Page I 1

5. Grant funds must be used for services or materials directly associated with the proposed activity.

Please describe how grant funds will be used:

Grant Funds will be used to continue the 6th year of the 8 month Psychosocial Educational Support group for Immigrant mothers, led by a licensed Bilingual LMFT. The costs include educational supplies, and promotional materials. This year we have added new support services and mental health programs including swimming, yoga, art and relaxation techniques. Disconnect Collective will also help low•income Solana Beach families to receive recreational and educational activities, and lo help offset the costs of these activities.

We plan to continue to accept scholarship applications for families seeking personal development, community involvement, recreational activities, and mental health improvement.

We will also continue to grow our local partnerships and create opportunities for community building.

6. Anticipated Program Objectives or Accomplishments:

We anticipate having 20-35 immigrant Mothers graduate from our group again. They have reported many benefits to the program. Our most recent program that we rolled out was an 8-week swim class. We successfully partnered with the boys and girls club to reach 10 mothers to swim. It was incredible! We hope to continue and have plans to add men to the groups as well. We would like to continue to connect these families with City resources and help them offset the costs of these programs. We will continue to provide mental health support and education for local immigrant families.

This year we will continue add more recreational activities and family opportunities for community building.

7. Program Dates/Location:

The Platicas de Mejorar class is held every Wednesday from 7-9 pm. Additionally have included weekend events such as swim, ocean learning, hiking and running groups.

8. Estimated number of Solana Beach residents to be served by proposed program:_1_2_5-_1_7_5 ___ _

9. How will the organization acknowledge the City's financial contribution to the community/ beneficiaries of the proposed activity?
The City of Solana Beach logo will be proudly added to our promotional materials and to our scholarship applications. We are happy to proudly credit the city for it's generous contribution.

10. 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? This cycle our foundation and some private donors have provided some extra funds to help some children with recreational activities and students attending higher education.

Page I 2

11. Will volunteers be used for the proposed program or service and, if so, will they reduce expenses? Currently most of our programs are volunteer run. We have some teens that have been paid to lead tutoring and other events. All funds received from the city or fundraising will go to families and the costs associated with running the programs or community building events.

12. 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? Our program will continue to move forward as planned. We will continue to provide mental Health Support services to the community regardless of how we much get funded.

Acknowledgment of Responsibility:

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
Fiscal Year 2023
Disconnect Collective / Platicas de Mejorar
Program Budget for Disconnect Collective Mental Health, Parenting & Support Groups and Community Building Opportunities Expense Item Description Low Estimate High Estimate
Meeting spaces & supplies $ 400 $ 800
Community outreach $ 400 $ 900
Promotional materials $ 400 $ 600
Staffing $ 500 $ 1,000
Recreational /Developmental opportunities $ 2,000 $ 3,000 Recreational /Developmental scholarships $ 3,000 $ 5,000 Community partnerships $ 500 $ 800
Estimated Totals $ 7,200 $ 12,100
Please note this is both the overall and program budget.

Disconnect Collective/ Platicas de Mejorar
Statement of Financial Position
31-Dec-23
Assets
Cash
Inventory/ Assets
Pledges Receivable- Short Term
Liabilities
Accounts Payable
Net Assets
$
$
$
$
$
1,425
460
1,500
3,385
Please note that the 2022 Tax Return has not been filed yet.

Disconnect Collective/ Platicas de Mejorar
Statement of Financial Activities
31-Dec-22
Revenue
City of Solana Beach Grant $ 5,000
Other Fundraising $ 4,600
Total Revenue $ 9,600
Expenses
Program Expenses $ 2,562
Educational Expenses $ 1,076
Scholarship Expenses $ 3,274
Staffing Expenses $ 1,200
Community Outreach $ 665
Supplies & Website $ 714
Bank/ Transaction Fees $ 144
Total Expenses $ 9,635
Change in Net Assets (Surplus/ Deficiency) $ {35)
Please nate that the 2022 Tax Return has nat been filed yet.

BANKOFAMERICAq~
P.O. Box 15284
Wihn inb'Wll, DE 19850
DISCONNECT COLLECTVE, INC.
514 VIA DE LA VALLE STE 210
SOLANA BEACH, CA 92075-2717
Business Ad,
Customer sen,
l 1.888.BUSINES
'...!l bankofamerica.1
u Bank of Americ,
P.O. Box 25118
Tampa, FL 336:
·, Please see the Important Messages - Please Read section of your statement for important details that Your Business Advantage Fundamentals™ Banking
for December 1, 2022 to December 31 , 2022
DISCONNECT COLLECTVE, INC.

Account summary
Beginning balance on December l , 2022
Deposits and other credits
Withdrawals and other debits
Checks
Service fees
Ending balance on December 31 , 2022
$ 7,600.28

0.00 -75.38
-100.00
-0.00
$1 ,424.90
Account number: ~
# of deposits/credits: 0
# of withdrawals/debits: 2
# of items-previous cycle'
# of days in cycle: 31
Average ledger balance: S
'Includes checks paid. depositE
Confirmation
Your Form 990-N(e-Postcard) has been submitted to the IRS Organization Name: DISCONNECT COLLECTIVE INC
EIN: 825464996
Tax Year: 2019
Tax Year Start Date: 01-01-2019
Tax Year End Date: 12-31-2019
Submission ID: 10065520201823838900
• Filing Status Date: 06-30-2020
Filing Status: Pending
Home I Security Profile I Logoyj
Note: Print a copy of this filing for your records. Once you leave this page, you will not be able to do so.

MANAGE FORM 990-N SUBMISSIONS
Submission of Exemption Request ■ CALIFORNIA FORM
Exemption Based on Internal Revenue Code (IRC) Sections 501(c)(3), 501(c)(4), 501(c)(5), 501(c)(6), 501(c)(7), or 501(c)(19), Federal Determination Letter 3500A Enclose a copy of the Federal Determination Letter.

Organization Information
California corporation number/California Secretary of State file number C4142642
Name of organization as shown in the organization's creating document Disconnect Collective, Inc.

Streel address (suite, room, or PMB no.)
514 Via De La Valle, Ste. 210
City
Solana Beach
Telephone
( 213) 235-0601
Representative Information
Name of representalive
David Stapleton
Representative's mailing address (suite, room, or PMB no.) 514 Via De La Valle, Ste. 210
City
Solana Beach
Telephone
(213) 235-0601
Part I - Entity Information. See instructions.

Second telephone
Second telephone
FEIN
8 2 5 4 6 4 9 9
Web address
www.disconnectcollective.com
State ZIP code
CA92075
Fax
213 235-06 2 0
Email address
[email protected]
State ZIP code
CA92075
Fax
1 Has the Franchise Tax Board (FTB) previously revoked the entity's tax-exempt status? ......... . . . . , ................ 1 □ Yes If "Yes," STOP. File form FTB 3500.
6 [i) No
2 Is the entity a trust? ... ..... ...... .............. .. . ... .. .... ................... . ................ . .. . . 2 □ Yes GZI No 3 When did the organization establish, incorporate, organize, or conduct business in California? . .......... .. . . .. ...... 3 0 4 / J....§.. I 2 0 18 4 Provide gross receipts for the current year and the three immediately preceding taxable years in existence. Gross receipts are defined as the total amounts the organization received from all sources during its annual account period without subtracting any costs or expenses. If the organization has been in existence for less than one year, provide the projected amount of gross receipts for the entire year. List the account period beginning to the account period ending. Example: mm/dd/yyyy Current Year or Projected Gross Receipts for the three immediately preceding taxable years:

Gross Receipts
From: 4/16/18 From: From: From:

To: 12/31/18 To: To: To:
6,000
Part II - Group Exemption. See instructions.
5 Is the parent organization applying for a group exemption? .. ... . ...... .. ... . ................... . ............ 5 □ Yes [l] No If "Yes," attach the federal group determination letter and a list of all California subordinates. Include each subordinate's name, corporation number, Federal employer identification number (FEIN), address, and affiliation date. 6 Is a subordinate unit applying for tax-exempt status using a parent's IRS group determination letter? If "Yes," see instructions ................................ .. ..... .. ................. . . .. . ...... . . . ... . . 6 □ Yes [l] No Mail form FTB 3500A and a copy of the federal determination letter to:

EXEMPT ORGANIZATIONS UN IT, MS F120, FRANCHISE TAX BOARD, PO BOX 1286, RANCHO CORDOVA CA 95741-1286.

Under penalties of perjury, I declare I have examined this submission for exem ion based on the IRC Sections 501(c)(3), 501(c)(4), 501(c)(5), 501(c)(6), 501(c)(7), or 501(c)(19), federal determination , tter, and to the best o my knowledge and belief, it Is true, correct, and complete.

DAT~/'ff, 1 Secretary

NTATIVE TITLE
■ 8091183 FTB 3500A 2018 Side 1 ■
Part m - Purpose and Activity
1 Exemption based on !RC 501(c)(3) Federal Determination Letter Check the organization's primary purpose and activity:

GZ'.l Charitable D Educational
D Testing for public safety D Religious
D Hospital D Health care center
D Literary
D Scientific
2 Exemption based on IRC 501(c)(4) Federal Determination Letter Check the organization's primary purpose and activity:

Ill
D Prevent cruelty to animals
D Church
D Qualified sports organization
□ Civic league □ Local association of D Social welfare □ Service clubs employees
D Legislative activities □ Festival organizations D Municipal building corporation
3 Exemption based on IRC 501(c)(5) Federal Determination Letter Check the organization's primary purpose and activity:

D Police, sheriff,
volunteer firemen
association
D Agriculture □ Horticulture □ Labor □ Agriculture or horticulture county fair D AFL-CIO □ Independent □ Transportation
workers
4 Exemption based on IRC 501(c)(6) Federal Determination Leiter Check the organization's primary purpose and activity:
□ Teamsters
□ Prevent cruelty to children
□ School
□ Veterans' organization
□ Quasi governmental
D Public employees union
D Board of trade □ Business league □ Chamber of commerce □ Real estate board □ Professional association or society 5 Exemption based on IRC 501(c)(7) Federal Determination Letter Check the organization's primary purpose and activity:

D Social and recreational □ Golf club □ Camps
D Car, motorcycle, D Hunting or D Common recreational
trailer club fishing club area
6 Exemption based on IRC 501(c)(19) Federal Determination Leiter Check the organization's primary purpose and activity:
□ Veterans' organization
Ill FTB 3500A 2018 Side 2 8092183
D Fraternity or sorority
□ Flying or airplane club
□ Dog or horse club
Ill

INTERNAL REVENUE SERVICE
P.O. BOX 2508
CINCINNATI, OH 45201
Date: MAR t 5 20t9

DISCONNECT COLLECTIVE INC
C/0 MONICA STAPLETON
PO BOX 433
SOLANA BEACH, CA 92075
Dear Applicant:

DEPARTMENT OF THE TREASURY
= layer Identification Number:

L I
DLN:
17053260320018
Contact Person:

CHRIS BROWN
Contact Telephone Number:
(877) 829-5500
Accounting Period Ending:

December 31
Public Charity Status:
170 (b) (1) (A} (vi)
ID# 31503
Form 990/990-EZ/990-N Required:

Yes
Effective Date of Exemption:

April 17, 2018
Contribution Deductibility:

Yes
Addendum Applies:

No
We're pleased to tell you we determined you're exempt from federal income tax under Internal Revenue Code (IRC) Section S0l(c) (3). Donors can deduct contributions they make to you under IRC Section 170 . You're also qualified to receive tax deductible bequests, devises, transfers or gifts under Section 2055, 2106, or 2S22. This letter could.help resolve questions on your exempt status. Please keep it for your records.
organizations exempt under IRC Section SOl(cl (3) are further classified as either public charities or private foundations. We determined you're a public charity under the IRC Section listed at the top of this letter.

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

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

For important information about your responsibilities as a tax-exempt organization, go to www.irs.gov/charities. Enter "4221-PC" in the search bar to view Publication 4221-PC, Compliance Guide for SOl(c) (3) Public Charities, which describes your recordkeeping, reporting, and disclosure requirements.

Letter 947
-2-

DISCONNECT COLLECTIVE INC
Sincerely,
Director, Exempt Organizations
Rulings and Agreements
Letter 947
Form W-9 Request for Taxpayer Give Fonn to the
(Rev. December 2014) Identification Number and Certification requester. Do not Department of the Treasury send to the IRS.

Internal Revenue S81Vice
1 Name (es shown on your Income tax return). Name is required on this line; do not loavo this lino blank.

Disconnect Collective, Inc.

N 2 Business name/disregarded entity name, if diffelenl from above Cl>
Q)
to
a. 3 Check appropriate box for federal tax classification; check only one of the following seven boxes: 4 Exemptions (codes apply only to C 0 0 lndividuaVsole proprietor or 0 C Corporation 0 S Corporation 0 Partnership 0 TrusVestate certain entities, not individuals; see
a, ~ single-member LLC
instructions on pago 3):
~~ 0 Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=partneJShip) ► Exempt payee code (it any) ... I.) Note. For a single-member LLC that is disregarded, do not check U.C; check the approl)(iate box in the line above for Exemption from FATCA reporting os c en the tax classification of the single-member owner. code (If any) ·c .5 0 Other (see Instructions) ► /,W)l;o. to _ oun<s ,-bth>t<t o,,t,ido 11>0 U.S./ a. I.) !E 5 Address (number, street, and apt. or suite no.) Requester's name and address (optional) I.) Cl> 514 Via de la Valle, Suite 210 a.
(/) 6 City, state, and ZIP code ill
en Solana Beach, CA 92075
7 Ust account number(s) here (optional)
ma Taxpayer Identification Number (TIN)
Enter your TIN In the appropriate box. The TIN provided must match the name given on line 1 to avoid I Social security number I ' . . . . . . . backup withholding. For indMduals, tt11s Is generally your social secunty number (SSN). However, for a resident alien, sole proprietor, or d isregarded entity, see the Part I Instructions on page 3. For other entitles, It Is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3.

DIJ -ITJ -I I I I I or
Note. If the account is in more than one name, see the Instructions for line 1 and the chart on page 4 for guidelines on whose number to enter.

I Employer Identification number
Certification
Under penalties of perjury, I certify that:
1 . The number shown on this form rs 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 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 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 o r abandonment of secured property, cancellation of debt, contributions to an Individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, b ut you must provide your correct TIN. See the instructions on page 3.

Sign I Signature of
Here u.s. person ►
General Instructions
Section references are to the Internal Revenue Code unless otherwise noted.

Future developments. Information about developments affecting Form W-9 (such as legislation enacted alter we release It) is at www.irs.gov/fw9.

Purpose of Form
An Individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TlN) which may be your social security number (SSN), Individual taxpayer identification number (rTIN), 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 informalion returns include, but are not limited to, the following:
• Form 1099-INT (interest earned or paid)
• Fonm 1099-DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-8 (stock or mutual fund sales and certain other transactJons by brokers)
• Form 1099-S (proceeds from real estate transactions)
• Form 1099-K (merchant card and third party network transactions) Dato ► , , • 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 yau are a U.S. person (including a resident alien), to provide your correct TIN.

If you do not return Fom, W-9 to tile requester with a TIN, you might be subject to backup withholding. See What is backup withholding? on page 2.

By signing the filled-out form, you:

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 ii you are a U.S. exempt payee. II 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, and

4. Certify that FATCA code(s) entered on this form Qf any) indicating that you are exempt from the FATCA reporting, is correct. See What is FATCA reporting? on page 2 for further information.

Cat. No. 10231X Form W-9 (Rev. 12-2014)
• •
a 1sc1ence
The City of Solana Beach Community Grant Program 2023 Request for Financial Assistance application MUST BE SUBMITTED by 5:00 PM Thursday, May 25, 2023.

Please submit completed applications via email to dk1nq(fOcosb.orq and copied to plettslalcoslJ.orc. If email submission is not possible for an applicant, hard copies may be dropped off at City Hall 635 South Highway 101, Solana Beach, CA. 92075, Attn: Community Grants Program.

All requests will be determined by the following criteria:

Name of Organization:Jaliscience Folkloric Academy
Contact Person: -=E=lb::.;a:c..c.M:..:o--n--te:...;s ___________ Email address: [email protected] Daytime Phone: _7_6--'-0---'6 __ 1--'-3_-2_0_5_9 ________ Evening Phone: _7_6_0-_6_1_3_-2_0_5_9 ______ _ Mailing Address: ..:3:..:6.::2.::.9:..:9:..:th.:....::.st::.. _________________________ _ City: San Marcos State: _,C:..:a:...._ ______ Zip: 92078

1. All the documents below are attached to this application:

C!l W-9
l!l Summary of Organization's Budget
00 Proposed Program Budget
~ Financial and Tax Statements (see Application Guidelines) 00 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? II Yes D No If yes, please state the fiscal year it was received and for the proposed program was:
2021/2022

3. Title of FY 2023/24 Proposed Program/Service: _F_o_lk_lo_ri_c_C_la_s_s ____________ _

4. What is the total amount requested for the FY 2023/24 Proposed Total Program? Includes all estimated costs to conduct proposed activity/program.
$5,000.00
Page I 1

11. Will volunteers be used for the proposed program or service and, if so, will they reduce expenses? we volunteer but the cost will be the same

Acknowledgment of Responsibility:

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
5-09-2023
To whom may concern?
The following is the program we have proposed for the year 2023-2024.

We will teach new states of the folklore, Oaxaca, Tijuana, Nayarit, Guerrero, Sina lo a to complement the rest of the states we are performing already; we want the kids to have knowledge of the Mexican culture and traditions, we are teaching how to do pifiatas and figures of paper, we are preparing to perform in different events around the city of Solana beach, where the kids can demonstrate what they learn and invite more kids to join the group.

The cost of each custom varies between $100.00 - $250.00 depending on the part where we ordered.

The hats cost is of $100.00 - $250.00.

Shoes for dance cost $90.00--$150.00.

Rebosos the cost is $25.00 - $50.00.

The braids cost $30.00 - $100.00.

We have right now 15 girls
6 adults performing in the group, and we need to have customs for everyone.

Thank you.

Elba Montes
Jaliscience Folcloric Academy
ITEM

CUSTOMS

ACCESSORIES

INSURANCE
SHOES

FYERS, BANNERS
Total
JALISCIENCE FOLl<LORIC ACADEMY
BUDGET 2023-20N

DESCRIPTION

WE NEED CUSTOMS FOR THE

DIFERENT STATES WE ARE

GOING TO TEACH AND PERFORM
AT DIFFERENT EVENTS.

NEED BOWS, EARINGS,

REBOSOS, BANDANAS, AND
HATS, MISCELLANEOUS.

PAY INSURANCE FOR TO l<EEP
THE CLASSROOM.

We need new shoes for kids
don't have money to buy
We need to made flyers and
banners to promote the group
and bring more kids.

COST
$4,500.00
$1,000.00
$692.00
1,500.00
1,250.00
8,942.00
99 Keep Doing Good
2022 - 990-N (e-Postcard) ACCEPTANCE LETTER
Form 990-N (e-Postcard) Online Filing
Congratulations! Your 2022 tax return has been accepted by the IRS. Thank you for preparing your exempt tax return, IRS Form 990-N, with Tax990. Your return information is listed below and we hope you had a pleasant experience e-filing with Tax990.

FORM INFORMATION
TAX YEAR: 2022
IRS SUBMISSION ID: 32133920231272000001

TAXPAYER INFORMATION

NAME JAUSCIENCE FOLKLORIC ACADEMY
DBANAME:

ADDRESS: 3629 9TH ST
STATE/COUNTRY: California
PHONE:

RETURN ID: 4B0012623112989-1
E-FILE TIME STAMP: 5/612023 9:51 :26 PM
TIN:-
CITY: SAN MARCOS
ZIP 92078-2317
EMAIL: [email protected]

PLEASE PRINT A COPY OF THIS LETTER FOR YOUR RECORDS
Thank you again for your business. If you have any questions or need any assistance, please contact our customer support via live online chat, email at [email protected], or by phone at 704-839-2321. We're here to help! Sincerely,
Tax990 Support Team
{704) 839-2321
[email protected]
Span Enterprises • (704) 839-2321 • 2685 Celanese Road Suite 100 • Rock Hill, SC• 29732 Fom, Wm9 Request for Taxpayer
~v. October 20111) identffication Number and Certification Depor111,on1 of lh<i I ,ea:ur;
~,temal Rewnu~Scr,,icO Goto www.irs.go11IFormW9 for instructions and the latest information.

Give Form to the
requester. Do not
send to the IRS.
1 Name (as shown on your incomG tax retumi. Nome is required on this line: do not ll!ave lhis line blanh. , _j (-} LI ':->Ci1;,uci FoLP-Lc)fll l r1(A Of-.;v,_/ \..____ ___ _ I 2 a~sinc:s n;imP./nisragardim anti!'/ name. if dlficrcnl from nbova .,.;
en 3 Cl111ci< approp,ialo box !or lcclorat ia,'( cl.lSSific.itioll of the pcm.»\ who~" rnm1« ;:-; enl,;retl on ~nc 1. Chccl< oolv one of U1e 4 E.•cernptioll3 (codas appty only to c:o ro11<>,•1,ng seven boxE.!5. ;:grtain t'!nli!il'S, not tnd',viduijfs; aee "' Q. instruc!ions 0111Eue 3); C: 0 tndividuaVsolo prop,ioto, or 0 (21 C Curpor£Jtion 0 S Corporation 0 Partn•ir.;hip 0 Tn,st/~nr"t(! ,; "' si~!)!e-m..mber lLC = F.ia,mpt µ,(l>U coclr. ~I "''\\'} a. 0 z:-,:;; .. g 0 Limited liab1lily co,npaHy. Enl~r ihP. 1:-v. dassif,caiion (C:C cc,q,orntioo. s~s corpora!lon. p.ePanncisnip) I>- 0 - !\Iota-! Choolt tho oppropf~ta b6?< in. lhq lino ;1bOVQ fo, tho L'.lx. cl.:asvificalion of tho ~nylo-11M.:u,l1-.:: ow1tt;r. Do not cltcck &ernpttot, 1rom ,·A.l'CI\ reµmuo9 .5~ U.C if tho LLC in dn."lru'ffcrj :1$. n. 3:lngle-membur LLC tN>t i~ disr~dcd from the c,w1,r.r unfc:J, lh~ ov~nu, ofth,1 LLC i:, code (It any) ct~ :,nothcr LI.C that i• not di$reoardetl from the owner for U.S. fodr.ml tax purposf!S. Olhen'lise, o sir,glr.;.mt!ll'lbcr LLC 1!1;,t l'3 disrc!),,'Jf'tied r,om tho O\tJf\Ct shou!d chocl( lhe approµrr,..1 ,;:: .u Uux. lur U1c tax cl~ific.:atfQn of its owner. ·a n Other (~ea in structions ► ('¢P~sfozawrite:111.'l:i11:-,.,m.11~01(t~U:V "' a.

V, 5 Addre::r, {n-~ber, street, and .ipl. or suite no,) S,,.c in~tructlons. Roquru:lor'i; name ,ind !lddrCS$ {opUanlll! "' -::-c;.-;,c, ., , .... _ 1 ('..,,, !" [JtN J-·r (/) ~ G Cily, ,;tale. and ZIP code
:5.1\Al - - -· /v1 A «. CO .S . . CA · ... lz.CJ 2P. ! 44,._ 1 Usr ~r.cnunr 111,n,bfor(i:) horc (optionaij W •-£:1· "'1ill!I Taxpayer 2dentification Numbeir (TIN) --·- Enter your TIN in !he approprit1le box. 1hP. TIN provkted must match the name given on line 1 to avoid bm:lcup wl!hholding. For individuals. lhis is general~/ your social sf\curity number (SSN). However, for a resident tllien, sole propr.etor, or disregarded entity, se1:ihe instructions !or Part I. later. For other entities. it is your employiar idenliflc;11io11 number (EIN). tr you ao not have a numt:mr, $ee How to gel a JIN. lator. ------•--4 ..... _ I Soclol sect.mly numbc::r ~
[II] -rn -I I I I I or
Note: It tl1e account is 1n more than one name. see the instrnciiomi for line 1. Also see What Name ond Number To Give the Requester for ouidelines on whose number 10 enter.

Employer idenUficalion num_l>.;,er ___ ....J.__,
Certification
..::cier oenallies of oeriury, I cerlilV that:
l. n,e, numbP.r shown on lbis form is my correct taxpayer ldenifflcatlon number (or I am wailing for a number to be issued to mo}; and

2. I am not subject to backup withholdlng because: (a) I am el!empt from bar.kup withholding, or (b} I have not been no!lflerl h)' the lnlern..,r RevP-1111P.

Service (IRS) lhat I am i.-ubjecl lo backup wlthholdino as a result ol a failure to report all interest or dividends, or (c) the IRS has notified me that I :un no longer subject to backup wilbhokJing: urr. ·

3. I am a U.S. citizen or other \.J.S. person {defined below); and

4. The FATCA code(s) entered on 'this form (if any) indicating that I am exempt from FATCA reporting ls correct CorUficatron instmctlons. You must cross OLit item 2 above if you have been notilied by the IRS that you are cummtly subject to backup withholding because you have failed to report uQ interest and dividends an your tax rotum. For real estate transactions. ~em 2 does not upply. For mortgnge interest paid, acQufai!ioo or abandonmAnt of MCUred propelly. cancellation of osh!, contributions to an individual rotiromont .uranglilm<>nt (IRA), and generally, payme,us other lh:in interest and dividends. you are not required to sign the cerlilication, but you must provide your com;1ct TIN. &le !he illl>iructions tor Port II, taler. - ,,,:;;=~~ - ---------------··-------------------- - ·--·-·--·--·-- Sign I st9nawre ,i C.:. J iJ Here f lJ.$. r,<,taoi..!"H}t:vcc-· D;,tuP.

Generai Instructions
S8clion references are to the lnlernal RGvenue Code unless otherwise noted.

Future developments. For the latest infonnnlion about oovelopmenls related to form V'U) and its im;lructions. such as legislation anacted after they were published, go lo www.irs.gov/FormW9.

Purpose of form
An indivfduo.l or entity (Form W-9 requ~ster) who is reQutred to file ~ ioiorrnalion relurr, with !ho IRS must obtain your correct 1:ixp,;ycr 1dentificnt!on numbGr (flN) which may be your soci,11 ,:;ecurity number ISSN), indlvidual taxpayer identilication number {ITIN), adoption taxpayer identification number (ATIN). or employer identitication number (EIM). to report on an inform:ition retum th,:i amount poid to you, 01 other amount reporttlblo on en infonnirtion return. Examples of infurmallon ralums include, but :im not limited lo , the following, ., Fenn 1O99-INT (interest earr.P.d or paid}
Cnt. No. 1023tX
~ l'onn 1099-0IV (dividends. including those from slocl<s or mulu.:t:
funds;
• Form 1099-MISC (various type-~-. of inc:ome, prizes, awards, or grass proceeas)
• Form 1099-B (stock or mutual fund :;alo).S and certain olher transactions by brokers)
• r-orm 1099-S (proceeds from real estate tmns.-it:tions) • Form 1099·1< (merchan1 card and third party network transactions) • Form 1098 (home mortg<'lge interest). 1098-G' (slude11t loan inti;rest). 1098-T (ruition) • Fonn 1099-C (canceled debll
• Form I099-A (acquisition or abandontt1¢r1t or :.ocuroci prop~rty) Use Form W-9 only ii you are a U.S. person [Including a rosidenl olien), to provide your c.orrect TIN.

If you do not re tum FfJrm W-9 ro /he requester with a TIN, yolJ might be subject I<> backup wi!hhofding. See Whal is backup wilhholding, later.

F<>rmW•9(Re•. 10·2018J
• uni
The City of Solana Beach Community Grant Program 2023 Request for Financial Assistance application MUST BE SUBMITTED by 5:00 PM Thursday, May 25, 2023.

Please submit completed applications via email to [email protected] and copied to [email protected]. If email submission is not possible for an applicant, hard copies may be dropped off at City Hall 635 South Highway 101 , Solana Beach, CA. 92075, Attn: Community Grants Program.

All requests will be determined by the following criteria:

Name of Organization: La Colonia Community Foundation
Contact Person: Brittney Canales Email address: [email protected] ---'------------- Daytime Phone: _7_6_0_-5_3_3_-1_7_4_6 _______ Evening Phone: _7_6_0_-5_3_3_-17__4_6 _ _ ____ _ Mailing Address: 153 S. Sierra Ave. space 1572
City: Solana Beach State: -'C'-A--'--------- Zip: 92075

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) ■ 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 D No If yes, please state the fiscal year it was received and for the proposed program was:

Recent for the year 2022-23 in the amount of $6,000. This was for our adult/youth Family Enrichment Conference.

3. Title of FY 2023/24 Proposed Program/Service: Family Enrichment Conference in a series of workshops

4. What is the total amount requested for the FY 2023/24 Proposed Total Program? Includes all estimated costs to conduct proposed activity/program.

We are kindly requesting financial support from the City of Solana Beach in the amount of $6,000.

Page 11 ends

Solana Beach City CouncilJune 14, 2023

Solana Beach City Council
June 14, 2023