Agenda Item No.
CITY OF YUCAIPA
AGENDA REPORT
TO:Honorable Mayor and City Council
FROM:Jennifer Crawford, Assistant City Manager
=i(-'Kimberly Metzler, Deputy City Clerk/Deputy Rent
Technician
FOR: City Council Meeting of April 8,2024
SUBJECT: Fiscal Year 202312024 Accountability Reports
RECOMMENDATION
That the City Council receive the Community Activity Grant Accountability Reports and deem the program requirements complete for Al-Anon - Weekly Meetings, Yucaipa/Calimesa Family Assistance - Purchase and Installation of Security Cameras, Inland Leaders Charter School - Volleyball Games 2023 Season (at the Community Center), Yucaipa Pickleball Inc. - Pickleball Clinics and Play, Rotary Club of Yucaipa - Club Meetings, Rotary Club of Yucaipa - 2023 Christmas Parade.
DISCUSSION
Pursuant to the Community activity Grant (CAG) Guidelines, the following awarded CAG applicants have completed the CAG funded program and have submitted the Event Reporting Financial Worksheet and Event/Program Summary for Council review and approval. The following details the awarded agency, the amount granted, the acfual grant amount spent, and the event reporting worksheet.
FY 202312024
ACCOI.JNTAB IL ITY REPORTS
Awarded
Financial
Amount
Awarded
In-Kind
Amount
Actual Event/Financial
Reporting
Worksheet
Attachment
Al-Anon
Weekly Meetings
N/A $1 ,426 $1 ,426 1
Yucai pa/ Calimesa Fami ly Assistance
Purchase and Installation of Security
Cameras
$2,000 N/A $2,000 2
Administrator/RecorY
6 FY 202312024
ACCOUNTABILITY REPORTS
continued
Awarded
Financial
Amount
Awarded
In-Kind
Amount
Actual Event/Financial
Reporting
Worksheet
Attachment
Inland Leaders Charter School
Volleyball Games2023 Season (at the
Community Center)
N/A $ 1,800 $ 1,800 3
Yucaipa Pickleball Inc.
Pickleball Clinics and Play
$2,450 N/A $2,450 4
Rotary Club of Yucaipa
Club Meetinss
N/A $10,155 $10,155 5
Rotary Club of Yucaipa
2023 Christmas Parade
N/A $ 12 ,334 $ 12 ,334 6
Staff has reviewed and is recommending that the City Council receive the CAG Accountability Reports and deem, if appropriate, that the program requirements have been met by Al-Anon - Weekly Meetings, Yucaipa/Calimesa Family Assistance - Purchase and Installation of Security Cameras, Inland Leaders Charter School - Volleyball Games 2023 Season (at the Community Center), Yucaipa Pickleball Inc. - Pickleball Clinics and Play, Rotary Club of Yucaipa - Club Meetings, Rotary Club of Yucaipa- 2023 Christmas Parade.
FISCAL IMPACT
This item does not result in a fiscal impact.
Attachment(s):
l. Al-Anon Accountability Report
2. Yucaipa/Calimesa Family Assistance Accountability Report
3. Inland Leaders Charter School Accountability Report
4. Yucaipa Pickleball Inc. Accountability Report
5. Rotary Club of Yucaipa Accountability Report
6. Rotary Club of Yucaipa Accountability Report
Approved By:4-lL-.--
ATTACHMENT 1
Received
City of Yucaipa Community Activity Grant City of Yurcaipa Event Reporting Financial Worksheet
Fiscal Year 2023-2024Grants MAR 2 tr' 2024
*INCLADE BACK-UP DOCUMENTATION WITH REPORT INCLUDING: . . coprEsoFCHECKS,coprEsoFrN.vorcEs/e*r1lriZ[1?lt"J#:,Y_r_ Nameoforganization: Al- Anof'f frf,,luW Grrn-1:-
Contact Name, MA;CL 11 ?c.f p *1 ,1,
Phone Number:
Email:
Description of Event/Project Funded :ot\ih,-.];,rilttt rt.iy,h,, t\'( UL1"A Oxxrl- Total Cost to Operate Event/Project:
"J
$ 2.tt.,'L\:J (,)
AmountGrantedbyCity:$-Sectionl(Monetary)$ l,T2b'e section2 (ln Kind) Justify City Grant fulonetory Amount: (if applicable)
SECTION I
Item # Date
Description
(Please be specific. List vendor and purpose for each disbursement related ONLY to the grant amount)Amount
l.
2. 3.
4. 5.
$
$
$
$
$
Justify City Grant In-Kind Amount: (if applicable)
SECTION 2
Description
Item # Date (Please be specific. [,ist vendor and purpose for each disbursement relrted ONLY to the graqt amount)
F*^Lffi,, (,isa - ['r rl,tt?t u rtfi &{flf, ',,1,^ ditflr' Amount
l.
2. 3.
4. 5.
$
$
$
$
$
r+j-l Ltt
l.t
Total Disbursements (lustifying Ci4r Grant Monetory ontUor In-Kind) Amount): $(0t Notes/com m en ts/add ition al
information:
Page I
Monetary Grant Funds Remaining: $
SuUmit
CITY OF City of Yucaipa Community Activity Grant
EventlProgram Summary
Fiscal Year 2023-2024 Grants
In an attempt to assist all awarded agencies, the City has developed an Event Reporting Financial Worksheet (attached) to ensure consistent and accurate reporting of the awarded agencies use of City funding and/or in-kind services. Along with your Event Reporting Financial Worksheet, please provide the information requested below:
Did the event/program meet the original intended goal?
I
L,)t2*
2. If funded in the future, what would the organization do differently? 4t this /rrrlz , r1o chcvcii-s rcir)(kr fo be. net.tl/4atA,.J 3 What type of feedback did organization received from the participants? ,'"v/2
4. What other financial/in-kind contributions did the organziation seek or receive to fund the event/program (separate from City funding)?
)
5. List the total number of residents served.
.-Ii7r
Attach copies of marketiny'promotional materials for the event/program Notes/com men ts/add itio na I in formation :
PLEASE SUBIVIIT. AI,ONG }VITI.I f,VENT RI],PORTING FINANCIAT, WORKSTIEBT. TO THE CITY CLERK'S OFFICE !VI'I'IIIN ONE IVIONTH FOLLOWING TIIE EVEN'I'/PROGRAVI
Permit
.',-. .\: . COMMUNITY
//trl|u"' sERVtcES/,
Permlt #
Status
Date
ExplraUon Date
,D;:;J::;
MaKEl-if, .
Betterl
R5305
Tentative
Apr 28,2023 8:46 AM
Apr 27,2024
City of Yucaipa Comrnunity PHONE:(909) 790-7460
FAX:(eo9) 790-2589
E MAI L: c o nt rtt t r n i tyse nrice s.iry u c a I pa.o rg Servrces
34272 Yucaipa Blvd
Yucaipa, CA 92399
Customer Name
Customer Type
Malllng Address
John Muller - 29740
General Public
Yucaipa. CA 92399
Home Phone Number
Emall Address
System User Julia Basa
Rental Fee
Discounts
Subtotal
$3,180.0O
-$318.OO
$2,862.0O
Deposits
Deposit Discounts
$100.00
$0.00
Total Perrnit Fee $2,962.00
Total Payment
Refunds
Balance
$o.ooA)
AI Anon Famlly Group Meetlng I resource(s) 53 booking(s) Subtotel: $2,962.00 Bool<ing Sunrnrary
START DATE/TIME END DATE/TIME
Jul l. 2O2310OO Altll Jun 29, 20241130 Afr,
Occurs every Sa?urday efrcctlve Jull, 2O23 until Jun 29, 2024 from lO:O0 AM to ll:3o AM Jul 1, 2O2310:OO AM Jul 1, 202311:3O AM
Renlal - Flotrrly (R) S4O.O0 / l-lour x 1.5 560 OO
Resrclent f)rscounl - l0'f .10"., < 1 -56.00
Jul 8, 2O2310:OO AM Jul 8, 202311:30 AM
Rental - Florrrly (R) S40 O0 i lk:ur x 1.5 560 00
Resrclent Drscourrt l0'),, -10'.<, y 1 .SG 0O
Jul 15, 2O2310:OO AM Jul 15, 202311:3O AM
Rerttal -Hourly(R) S40.0O/l-lourx15 560.00
Resrdent Drscotrnt - lO''i, -10"., x I -56.00
Jul 22,2O231O:OO AM Jul 22, 202311:30 AM
Rental - Hourly (R) S4O 00 i l-lour x 1 5 560.00
Resrclertt Drscourrt - lO')i, lOu, x I -56.00
Jul 29, 202310:00 AM Ju129,2O2311:30 AM
Reirial - Hourly (R) 540.00 i Hour :< 1.5 560.00
Resrderrt Discotrrrt - lO?,, -loo., X I 56.00
ATTENDEE AMT W/O TAX
$2,862.00
15 s54.00
15 s54.00
15 s54.00
15 5s4.00
$s4.o0
# R5305 Status Tentative
15
Centen
Aug 5, 20231O:OO AM
Pr.:rrlal - Florrrly (P)
Resrderrt Drscourtt - 10".,
Aug 12, 20231O:OO AM
Re:rtal - l-lourly (R)
Resrdcnt Drscount - l0',';,
Aug 19, 20231O:OO AM
Rt?rttal - Hou:ly (R)
Resrclent Drscor:nt . l0'1,
Aug 26, 202310:00 AM
Rerttal - Flourly (R)
Resrr.lent Dtscorrrrt - 1O':,,
Sep 2, 2O2310:OO AM
Rental - Flourly (R;
Pesrclent Drscotrrtt - l0'.',.,
Sep 9, 2O231O:OO AM
Rerrtal - l-lourly (R)
Resrclerrt Drscount - 10".1
Sep 16, 20231O:0O AM
Rerrtal - l{ourly (R)
Resrclr:nt Drscourrt - l09a
Sep 23, 202310:00 AM
[?erttal - Hourly (R)
Resrclertt Discount - lO!i,
Sep 30, 202310:00 AM
Rerttal - l'{ourly (R)
Resiclerrt Drscorrnl - l0':"
Oct 7, 20231O:OO AM
Rerttcrl - l-lorrrly (R)
Resiclertt Drscorrrrt - 1O'',;
Oct 14, 202310:OO AM
Rer:tal - !lortrly (R)
Residelrt Drscount - 10o,.
Oct 21, 202310:OO AM
Rerrtal - l-{ourly (R)
Rcsiclent Discount - 10o.,
Oct 28, 2023IO:OO AM
Rerttal - llour,y (P)
Residelrl Drscorrrrt - l0':i,
Nov 4, 2023 !O:OO AM
Rental Hourly (R)
Resrdent Drscoultt - 10'lr,
Nov 11, 202310:00 AM
Aug 5, 202311:30 AM
s60 00
'56 OCr
Aug 12, 202311:30 AM
s60.00
-56 00
Aug 19, 202311:3O AM
s60 00
s6.00
Aug 26, 202311:30 AM
1S60.00
.s6 00
Sep 2, 202311:30 AM
560.00
-s6 00
Sep 9, 202311:30 AM
s60 00
-Sri.O0
Sep 16, 202311:30 AM
s60,00
s6.oo
Sep 23, 202311:30 AM
:;60.or)
-s6.oo
Sep 30, 202311:30 AM
560,0c
-s6 00
Oct 7, 202311:30 AM
s60.00
-s6.00
Oct 14. 202311:30 AM
s60.00
.56 OO
Oct 21, 202311:30 AM
s60.00
56.O0
Oct 28, 202311:30 AM
s60 00
-s6 00
Nov 4, 202311:30 AM
s60 00
56.00 Nov 11, 202311:30 AM
15 s54.00
S4OO0lHourxlS
- lQt'., x I
15 ss4.00
540.00 / l.lour .r 1.5
-10')6 ,". I
15 s54.OO
540.OOi l{our x1.5
-1()"., r I
15 s54.00
S4r-1.911 i Hot, x 1.5
-100,;, .
'lO";, x 1
15 ss4.00
S40.00/Flourr1.5
.19<).:, x I
15 $s4.oo
540.00 / l-lourr.1,5
-109,' x I
15 s54.00
$4O.00 / ]-lour r. 1.5
-10".,' z I
15 ss4.00
540 0O i Hour x 1.5
- 10''. x 1
15 $s4.00
SrtQ OO .i Hogr r. l 5
- lo'),i x I
l5 ss4.00
54000/Hotrrxl5
'lO.', ;< I
15 ss4.00
S4O 00 i l-lour x 1.5
-109, x I
15 s54.00
S4O 00 / [-lour x 1.5
'l0qo r: I
15 $s4.00
S40 00 / l{r:ur x 1.5
-109" x I
$s4.00
# R5305 Status Tentative
15
R.,,.rrtal - Hortrly (t?)
ResrtJt,'n l Drsr:o Lrrtt -'1O9.
Nov 18, 202310:00 AM
Rertai - Frouriy (R)
Resrclent Drscor.rrrt - 10"i,
Nov 25, 202310:OO AM
Pental - i-lorrriy (R)
[?esrclent Drscorurt ^ lO');,
Dec 2, 2023lO:O0 AM
Rental ^ l-lorr:ly (R)
Resiclenl Drsr:orrrrt I09"
Dec 9, 202310:00 AM
Rental - l-lourly (R)
Resrdr:rtt Drscorrrtt - l0?i,
Dec 16, 20231O:OO AM
Re.nt;rl - [Jclurly (R)
R,-.srclerrt Drscourrt - lO9i,
Dec 23, 20231O:O0 AM
Rental - l-lourly (R)
Resrdent Drscount - 1Q1o
Dec 30,20231O:00 AM
Rentol - Florrriy (R)
Resiclent Drscourrt - lo',n
Jan 6, 2O2410:OO AM
Rerrtal - Florrrly (R)
Resiclent Discourit - 10"i,
Jan 13, 202410:OO AM
Rental - Hourly (R)
Re:;iclent Drscourrl - 1O9.i
Jan 20, 202410:OO AM
Pertt.tl - l-lr:ttrly (R)
Resiclerrt Discorrtt - l0q.'.
Jan 27,2024 1O:OO AM
Retrtcrl - Horrrly (R)
Resiclent Discotrrrt - 10",,
Feb 3, 202410:OO AM
Rerrtal - i{orrrly (R)
Resicjent Discourtt - 10\'6
Feb lO, 202410:OO AM
[?erttal - Hourly (R)
Resiclent Discount - lO!i,
Feb 17, 202410:OO AM
Rerttcrl - Horrrly (R)
540.00 i lJotrr : : 1
Ii40 OCl / Florrr x1.5
-10",i x 1
S4O.0Oil{ourxl5
-10(.i, x 1
S40.00 / Hour ..: 'i.5
-10,;;, x 1
540.00 ,' HoLlr x 1.5
-lo9i, : l I
540.00 i H,:ur r. i.5
-10Y., ): 1
$40.00 i Flcrttr :i 1.5
'lo'li, x 1
540.00 / l-lour :r 1.5
560.00
.56 0Cr
Nov 18, 202311:30 AM
:;60.00
-56 OCI
Nov 25, 202311:30 AM
s60.oo
-$6 00
Dec 2, 202311:30 AM
560 00
-$6.00
Dec 9, 202311:30 AM
560.0O
-s6.00
Dec 16, 202311:30 AM
s60 00
-s6.00
Dec 23, 202311:3O AM
s60.00
-s6.00
Dec 30, 202311:30 AM
s60.00
-s6.o0
Jan 6, 202411:30 AM
5(rO.Cl0
-s6.OO
Jan 13. 202411:30 AM
s60.oo
-s6 00
Jan 20, 202411:30 AM
s60 00
-56 00
Jan 27,202411:30 AM
s6rJ o0
-56 00
Feb 3, 202411:30 AM
sri0 00
-$6,00
Feb 1O, 202411:30 AM
560 00
s6.00
Feb 17, 202411:30 AM
$60 00
15 s54.00
5s4.00
s54.O0
$s4.oo
s54.00
$54.0O
ss4.00
s54.00
$s4.00
s54.00
$s4.00
$s4.00
$s4.00
$ 54.00
15 15
15 15
15 15
15 15
15 15
15 15
# R5305 Status Tentative
15
Resrclerrt Discorritt - 10:',.
Feb 24,20241O:00 AM
Rentai - t-louriy (P)
Rt-.siclertt Discount - lOc;
Mar 2, 202410:00 AM
[?r-'rrtal - I lotrrly (Rf
Resrclerrt Drscourt[ - lO'];'
Mar 9, 202410:OO AM
Rerttal - l-lor.rrly (R)
Resrclent Drscount - iO'].,
Mar 16, 20241O:OO AM
Rerttal - t-lourly (R)
Resrclenl Discorrrtt - 109;'
Mar 23, 20241O:OO AM
Rr"rrtal - Flourly (t?)
Resrclent Drscor.rnt - 10'l;
Mar 30, 20241O:OO AM
Rerttal - Flourly (R)
Pesrclertt Drscount'. lO')i,
Apr 6, 20241O:OO AM
Rerrtal - Hourlrr,(R)
Resiciertt Drscor.rrrt - l0?,
Apr 13, 202410:0O AM
Rental - l-lotrrly (R)
Resrclerrt, Drscourrt - 10fi,
Apr 20, 202410:00 AM
Rental - r-lorrrly (R)
Resrclent Dtscoulrl - lO'1"
Apr 27 ,2024 1OOO AM
Rerrtcrl - Hourly (R)
Resiclent L)iscourtl - l0';;
May 4, 202410:0O AM
Rc.nttrl - l-lcrurly (R)
Resrclent Drscorrrrt - l0'li'
May 11, 20241O:OO AM
Rental - Hourry, (R)
Resrclertl Discorrrtt " 10'i;
May 18, 20241O:OO AM
Rental - l'lourly (R)
Resrclertt Drscount - 101';,
May 25, 202410:O0 AM
Rerrtal - l-lorrrly (R)
Resiclent Discournt - lOu"
l0'1,, x I
540.0Oi Horrr x 1.5
"10!'" x I
540.00 lHourx1.5
-1O91, x 1
S40.0Oi Hotrrx 1.5
-1093 x I
S40.0OiHourxl.5
'lO')n r 1
S40 0O / Hotrr r:1.5
- lo'li, ;< 1
54O.00 ll-{ou:x1.5
-10"" x i
S4O 0O / l-lour ;< I 5
'10''1, x I
S4O.0O/Hourxl5
-10'1" x I
S4O OO i l-lc.:ur x 1.5
-10'1. i I
$40 00 / Hour x 1.5
-lO.li, x I
540.00/l-loulx 1.5
-10ei x 1
54O 00 i lJorrr ;< I 5
101)i, x 1
54O.00/Flourxi.5
-lO9i, y. I
$40.00 / Hour :< 1.5
.l0ei x I
-s{i c)o
Feb 24,202411:30 AM
s60 00
-56.00
Mar 2,202411:30 AM
:jri0 ()cr
s6 00
Mar 9, 202411:3O AM
560.01)
-s6 00
Mar 16, 202411:30 AM
$6cr 00
-56 00
Mar 23, 202411:30 AM
560 00
-56 00
Mar 30, 202411:30 AM
'560 00
-s6.00
Apr 6, 202411:3O AM
s60 0()
"s6 00
Apr 13, 202411:3O AM
s60.00
-56 00
Apr 20, 202411:30 AM
s60.00
-s6 00
Apr 27,202411:30 AM
s60.00
-$6.00
May 4, 202411:30 AM
s60.00
-56.00
May 11, 202411:30 AM
s60.00
56.00 May 18, 202411:30 AM
s60.00
-56.00
May 25, 202411:30 AM
!'(jO 00
.s6.00
15 $s4.00
ss4.o0
5 54.O0
$s4.00
s54.00
s54.00
$54.0O
s54.00
$s4.00
$54.00
s54.00
$s4.oo
ss4.o0
$54.00
15 15
15 15
15 15
15 15
15 15
15 15
# R5305 Status Tentative
15
Jun 1, 202410:0O AM
Rerttal - ! loirr ly (R)
Pc:srdirrrl )rscourtl - l0''.,
Jun 8, 202410:OO AM
Rental - l-lourly (R)
[?esrclertl Drscotrrtt . lOYa,
Jun 15, 20241O:OO AM
Rc-ntrri - l'lourly (R)
Resrcient Drscount - 10".,
Jun 22,20241O:OO AM
Rental - Flourly (R)
Resrclent Dricount - lO.'t,
Jun 29,20241O:OO AM
Rental - Flourly (R)
Pesiclerrt Discount - l1e"
Resource level fees
Deposrt
Waivers ancl lnfornration
INFORMATION DESCRIPTION
Alcohol Sales Lic
Proof of Liability lnsurance
Security Guard Contract
Proof of Non Profit Status
WAIVER NAME
Facility Usage Waiver
Al Anon
Family
Group
Meeting
Community
Meeting
Room
S4O.CtO : l-lriur ;.: 1.5
-10e,, .': 1
5,l0.0OrHotrrx1.5
-10"'.; /. 'l
540.OOrHour x1.5
-lO'1" ./. i
S4O OO i l-lour .:'1.5
- lO'li x 1
S40 00 / l-lorrr x l.5
-10?" x I
Jun 1, 202411:3O AM
560 0C)
-:56 00
Jun 8, 202411:30 AM
s60.00
-s6 00
Jun 15, 202411:30 AM
sG0.00
'SG OCr
Jun 22.2024 t1:30 AM
560.00
-s5.oo
Jun 29, 202411:30 AM
s60 00
-s6.oo
15 SIGNING STATUS
Checked
Checked
Checked
Checked
SIGNING STATUS
Waiver Signed
15 s54.00
ss4.o0
$s4.oo
s54.OO
s54.00
slo0.00
l5
r5
15 S100.00,' Each x 1 5 roo.o0
DUE DATE
Jul 1, 2023
FOR
Facility user hereby agrees to indemnify, defend and hold harmless City of Yucaipa, its ofl'icers, oflicials, employees and volunteers from and agalnst all claims, damages, losses and expenses that may arise during or be caused in any way by such occupancy or use of facllities, but the facility user shall not be liable for any claims, damages, losses and expenses caused by the sole negligence or willful nrisconduct of the City of Yucalpa.
Permittee shall have recelved any and all permission or license(s) as may be required to perform or use any protected materials in its use ofthe Premises, Permlttee agrees to protect and save harmless the City, lts elected officials, employees and agents from and against any and allclaims, penalties, and/or damages which may sccrue as a result of Permittee's failure to comply with this requlrement.
I have read the rules and regulations relatlng to use of fecilities and accept responsibllity for meeting the requirements stated herein.
Slgnature
Deposit
EVENT RESOURCE DEPOSIT FEE
Deposit
CHARGE
$100.o0
AMOUNT PAID
$0.00
REFUNDS
$o.oo
BALANCE
$100.00
TAX
$o.oo
# R5305 Status Tentative Page 5 of 6
Payment Schedules Original Balance: $2,962.00 Current Balance: $2,962.00
AMOUNT PAID WITHDRAWAL ADJUSTMENT BALANCE
$o-oo $o.oo $2,962.00
DUE DATE
Jun 17, 2023
AMOUNT DUE
$2,962.OO
X:X:
Date:Date:
Ctty of Yucalpa Communlty SeMces
Mailing Address: 34272 Yucaipa Blvd, Yucaipa, CA
92399
Phone Number: (9O9) 790-7460
Fax Nurnber: (909) 790-2589
Ernail Addres s : com m u n ityservices@yuca ipa.org
John Muller
Customer lO: 2974Q
Home Phone Number:
# R5305 Status Tentative Page 6 of 6
ATTACHMENT 2
ReceivecJ
City of Yucaipa
City of Yucaipa Community Activity Grant
Event Reporting Financial Worksheet
Fiscal Year 2023-2024 Grants
*INCLUDE BACK-UP DOCUMENTATION WITH REPORT INCL
COPIES OF CHECKS, COPIES OF INVOICES/QUOTES,
FEB 13 ?A?4
UDING:
ti.. ir.., ..
l.l ( ,' i' ",t i (,8 Sl i
[",,.,,;rt'l trletri
A*5ir+^ '.cLName of Organization:
Contact Name:
Phone Number:
Email:
Description of EvenUProject Funded:
d Etr.r i\
/)h
(3c--,",l Crtrnczrrztti
Total Cost to Operate Bvent/Project: $ {,557
Amount Granted by City: $-1 , DDO Section I (Monctary) $Section 2 (In Kind) Justify City Grant lltlonetat'l' Amount: (if applicable)
SECTION I
Item # Date
Description
(Please be specific. List vendor and purpose for each disbursement related ONLY to the grant amount)
T B rrzl {?i re t
€
Amount
Jcc-"^f i , P r,.croh cs1$Q-$
$
$
$
$
/).{rf'
2. 3.
4. 5.
,o *f &ct(Ca.
Justify
be specific. List vcndor and purpose for eaclr disbursement related ONLY to the grant amount)Amount
1. ,)
L.
3. 4.
5. s
S
$
$
$
Total Disbursements (lustrfying City Grant Monetary and/or In-Kind) Amount): $ Monetary Grant Funds Remaining: $
N otes/com ments/addition al
information:1it\'n o ho,l
rOVt
# Datc
2 Ut
Page I
Y-D
Submit
CITY OF City of Yucaipa Community Activity Grant
Event/Program Summary
Fiscal Year 2023-2024 Grants
In an attempt to assist all awarded agencies, the City has developed an Event Reporting Financial Worksheet (attached) to ensure consistent and accurate reporting of the awarded agencies use of City funding and/or in-kind services. Along with your Event Reporting Financial Worksheet, please provide the information requested bclow:
Did the event/program mect thc original intcnded goal?
Ye-=,.
2. If funded in the future, what would the organization do differently? tvA B ee- h*l[ D i'...!
3.What type of
IJA <€-& b Lilo(^J
feedback did organization rcceivcd from the participants?
4. What othcr financial/in-kind contributions did the organziation seek or receive to fund the event/program (separate from City funding)?
P r.i Vttt"lz'- io n,,i,t-i'C,,1'[5
5. List the total number of residents served.
Attach copies of rnarketing/promotional materials for the evenVprograln. ,V /\
Notes/comments/add itional information :lihe Gr-lri\+ F,,*nff:i id€.f€- *;.1;{ol Scrar.-cr Ldi Yna frx*ile T^Ar Eile f a"iiA
L\.C:V {
PLEASE SUBM,IT. ALONG WITH EVENT ITEPORTINC FINANCIAL WOITKSTIEET. TO THE CITY CLEITK'S OFI'ICE
WITHIN ONE MONTH FOLLOWING THE EVENT/PITOGRAM
&,
AAA Alarm Systems***Lesco Alarms"**Alarm & Video
PO Box 7237
Redlands, CA 92375
(e0e) 7e3-21e4Ttnp dad, Sezqnitf
INVOICE
BILL TO
Yucaip al Calimesa Fam ily
Assistance lnc
PO Box 1 30
Yucaipa, CA 92399
INVOICE # 62740
DATE 0712612023
DUE DATE 0712612023
TERMS Due on receipt
TICKET #
14578
DATE
0712012023
0712012023
SERVICE ADDRESS
35075 Avenue B, 92399
DESCRIPTION
1) Per Richard, installed new cameras system per quote dated:
03/08/23.
2) Installed monitor at register area.
Non Profit Discount
Flat fee - Applied on Aug 26,2023
BALANCE DUE
CUSTOMER TYPE
Service
QTY
1 RATE
4,957.00
AMOUNT
4,957.00
* A late payment fee of $5.00 will be applied to all invoices not paid within 30 days from the invoice date.
1 -400.00 -400.00
5.00 $+,562.00
PLEASE MAKE CHECKS PAYABLE TO: TBM FIRE & SECURITY
REMEMBER TO TEST YOUR SECURITY SYSTEM WEEKLY!
WRITTEN 3O-DAY CANCELLATION REQUIRED ON ALL ACCOUNTS.
Tatp dnd, Sezqnaf
AAA Alarrn Systems***Lesco Alarms***Alarm & Video
PO Box 7237
Redlands, CA 92375
(eoe) 7e3-21 e4
Receipt
Received From
Yucaipa/Calimesa Fam ily
Assistance lnc
PO Box 1 30
Yucaipa, CA 92399
Date: 08/30/2023
Payment Method:
Reference No:
lnvoice Number
62740
lnvoice Date
0712612023
Due Date
0712612023
Original Amount
4557.00
Balance
4557.00
i-)aymerr'r
4557.00
Memo:Amount Credited:
Total:
$0.00
$4,557.00
P,"3
rYi.afle
PcurL tn ftr-tCI
PLEASE MAKE CHECKS PAYABLE TO: TBM FIRE & SECURITY
REMEMBER TO TEST YOUR SECURITY SYSTEM WEEKLYI
WRITTEN 3O-DAY CANCELLATION REQUIRED ON ALL ACCOUNTS
No additional transfer fees or taxes apply.
lntuit Payments lnc (lPl) processes payments as an agent of the business. Payment processed by !Pl constitutes payment to the business and satisfies your obligation to pay the business, including in connection with any dispute or case, in law or equity. Money moveftent services are provided by lPl pursuant to lPl's licenses (NMLS #1098819, www.intuit.com/legal/licenses/payment-licenses/) . lPl is located at 2700 Coast Avenue, Mountain View, CA 94043, 1-888-536-4801.
ATTACHMENT 3
City of Yucaipa Community Activity Grant
Event Reporting Financial Worksheet
Fiscal Year 2023-2024 Grants
llecetved
City of \/ucaipa
MAR 2 0 2A24
Sr:r vices/
t'\L)r-, a i't rn e nt
N
contact Name, Jeremy Hoch
phone Number: 909-705-9507
Email:j ho ch @inlandl e aders. com
Description of Event/Proj ect Funded, Home Volleyball Games at the Community Center Total Cost to Operate Event/Project: $ 1885
Amount Granted by City: $ _ Section 1 (Monetary)S 1885 Section 2 (tn Kind) Justify City Grant Monetary Amount: (if applicable)
SECTION I
Itern # Date
Description
(Pleasc bc specific. List vcndor and purposc for cach disburscmcnt rclatcd ONLY to lhe grant amount)Amount
$
$
$
$
$
t.
2. 3.
4. 5.
Justify City Grant In-Kind Amount: (if eppliceble)
SECTION 2
Description
Item # Date (Plcase bc specific. List vcndor rnd purposc for cach disbursement relatcd ONLY to thc grrnt amount)
r 8-29-23 / L0-18-23 Home Volleyball Games
8-29 I 9- 1 9,21, 25, 26,28 I l0-2, 5, 9, 10, 17 , I8
Amount
I 88s
2. 3.
4. 5.
Totel Disbursement s (lustrfying City Grant Monetary and/or In-Kind) Amount): $ 1885 N otes/co m m ents/a dd itional
information:
Pagc I
Monetara Grant Funds Remaining: $
CITY OF City of Yucaipa Community Activity Grant
EventlProgram Summary
Fiscal Year 2023-2024 Grants
In an attempt to assist all awarded agencies, the City has developed an Event Reporting Financial Worksheet (attached) to ensure consistent and accurate reporting of the awarded agencies use of City funding and/or in-kind services. Along with your Event Reporting Financial Worksheet, please provide the information requested below:
Did the event/program meet the original intended goal?
Yes ! ! ! We were able to play all of our home volleyball games at the Community Center!
2.If funded in the future, rvhat would the organization do differently? The games went perfectly! The Community Center Staffhad everything set up for each game!
3.What type of feedback did organization received from the participants? We are very happy to be able to use the Community Center for our home volleyball games! The players and their parents were happy to have a gym to play in.
4. What other financiaUin-kind contributions did thc organziation seek or receive to fund the evenUprogram (separate from City funding)?
NA
5 List the total number of residents served.
50 Attach copies of marketing/promotional materials for the event/program.
Notes/comments/additionar information, Thank you again! sports are a big part of our school and town' Thank for helping us play volleyball each year!
PLEASE SUBMIT. ALONG WTTH EVENT REPORTING FINAI\ICIAL WORKSHEET. TO TTIE CITY CLERK'S OFFICE
WITHIN ONE IVIONTH FOLLOWING THE EVENT/PROGRAIVI
Perrnit
--t
#Fd,t't"/
COfullrlLtNll'.r,
5E ftt/IQES Matr.e'Iir
,,.r;r11..:tl
Clty of Yucorpa Communrty
Services
34272 Yucaipa Blvd
Yucaipa. CA 92399
Pl{oNE:(909) 790-746a
FAX:(909) 7so-2589
EMAIL:corrtrrtunitys ervtc es g yttc iup o.ot'g
Permit # R5405
Status Tentative
Date Jun 1. 20231O:54 AM
Explratlon Date May 31, 2024
Organlzatlon Name
Customer Tyrye
Organlzatlon Address
Inland Leaders Charter School - 17O
Non-Profit (R)
12375 Cahfornia St
Yucarpa, CA 92399
Agent Name Jeremy Hoch Home Phone Number
EmallAddress
Jltoclt:rl rnl andleoders.c otn
System User Julia Basa
Ilental Fee
Discounts
Subtotal
$1,800.oo
$o.oo
$1,goo.oo
Deposrts
Deposit Dtscounts
$too.oo
$o.oo
Total Perrnit Fee $1,9OO.OO
Total Payment
Refunds
Balance
$o.oo
$o.oo
$1,goo.oo
ILCS Volleyball 1 resource(s) 12 booking(s) Subtotal: $1,90O.O0 Bool<rng Sumrnat y
START DATE/TIME END DATE/TIME ATTENDEE AMTWO TA)(
Aus29,2o23 2:4s PM Octf7,2o23 sJs PM - $1,80O.Oo
Occuts il selecaed dales. Aug 29. 2023, Aug 3t, 2023, Sep 5. 2023. Sep 7, 2027, Sep 14. 2023. Sq ,9. 2023. SeP 2t. 2023. 'eP
26, 2023, SeP 28, 2023, Oct 5, 2023, Oct 10,
2023. Oct 17. 2023
Aug 29. 2023 2:45 Ptvl
Rental - Hourly
Aug 31. 2023 2:45 PM
Rental - Hourly
Sep 5. 2023 ?:45 PM
Rental - Hourly
Sep 7, 2023 2:45 PM
Rental - Hourly
Sep 14, 2023 2:45 PM
Rental - Hourly
Sep 19, 2023 2:45 PM
llentar - Hourly
Aug 29. 2023 5:15 PM
$1so.o o
Aug 31, 2A23 5:15 Plvl
Stso oo
Sep 5, 2023 5:15 PM
$150.0o
Sep 7, 2023 5:15 PM
$tso oo
Sep 14. 2023 5:15 PM
$150.CiO
Sep 19, 2023 5:15 PM
$150 00
25 25
25 25
25 25
$150.OO
560 OO / Flcrur x 2.5
560 O0 / l-lour x 2.5
$60 OO / Hour x 2.5
$0oOo/l-lourx25
$0O.OO/Hottrx25
$60.00i Hour x25
$1so.oo
$1s0.oo
$tso.oo
$150.OO
$1so.oo
l,'rr:.r' ttr,1r t.l 1.11r.r1 ,'l'. .i 'i r;.rr -, I c.r ir,,'.,r 'lf'- i irrlrrltillr,.' - lr,i i
Sep 21, ?O23 2:45 PM
Rct:t.'rl - l-lo, :;'li'
Sep 26, 2023 2:45 PM
Rcntal - Hcurlv
Sep 28. 2o^23 2:45 PM
Renlal - Hoirrh,
Oct 5. 2023 2:45 Plvl
Rentnl - Hourrly
Oct 10. 2023 2'45 PM
Rerrtal - Hotrrly
Oct 17, 2023 2:45 PM
Rcrrlnl - Hourly
Resource level fees
Deposit
Sep 21, 2023 5:15 PM
sl50 00
Sep 26, 2023 5:15 PM
$rso.oo
Sep 28, 2023 5:15 PM
s1s0.oo
Oct 5, 2023 5:15 PM
$r50.oo
Oct 10, 2023 5:15 PM
$1so.oo
Oct 17, 2023 5:15 PM
$tso.oo
25 25
25 25
25 25
$1so.oo
560.00 / Hour .'. 2 5
SGOOO/Hotrrx25
SGO.OO r Hour y.
".5
S60.00it-tourx2.5
$60.00/Hourx2.5
$60.00/Hourx2.5
$1OO.OO/Eachxl
$150.O0
$1so.oo
slso.oo
$150.O0
$150.OO
$100 00
$100.oo
Waivers and lrrfonrratron
IN FORMATION DESCRIPTION
Alcohol Salos Lic
Proof of Liabilrty lnsurance
Security Guard Contract
Proof of Non Profit Stotus
WAIVER NAME
Facillty Usage Warver
DUE DATE FOR
SIGNING STATUS
Checked
Checked
Checked
Checked
SIGNING STATUS
Waiver SignedAug 29, 2023
Facalily user hereby agrees to indemnify, clefend and hold harmless City of Yucaipa, lts offlcers, ofnclals, employees and volunteers from and against ali clatrns, damages, losses and expenses that may arise dtrnng or be caused in any way by such occupancy or use of facilitles, but the facility user sholl not be llable For any claims. damages, losses and €xpenses caused by the sole negligence or wtllful mlsconduct ofthe city ofyucaipa.
Permittee shall have received any and all permission or llcense(s) as may be required to parform or use any protected materials tn its use of lhe Premlses. Permlttce agrees to protect and save harmless lhe City, its elected omcials, employees and agents from and against any and all clatms, penolties, and/or damages which may accrue as a result of Permittee's failure to comply with this legulrement.
I have read the rules and regulations relating to use of facilities ond accept responsit)ility for meeting the requirements stoled herein Slgnature
Depo:;tt
EVENT
ILCS
Volleyball
RESOURCE DEPOSIT FEE
Deposlt
C}.IARGE
$100.o0
TAX NMOUNT PAID
$o.oo
REFUNDS
$o.oo
BALANCE
$100.ooGynrnastum,
Nortlr
$o.oo
Peyrtt c':': I 5...h,ri u I r.;t,Original Balance: $1.90O.OO Current Balance: $1,9OO.OO
DUE DATE BALANCE
# R5405 Status Tentative
AMOUNT DUE AMOUNT PAID WITHDRAWAL ADJUSTMENT
Atrg 15, 2023 $1.900.00 $o.oo $o,oo $t,9oo.o0
X:X:
Date:6 ZOZS Date:
Clty of Yucalpa Communlty SeMces
Mailing Address: 34272 Yucaipa Blvd, Yucaipa, CA
92399
Phone Number: (9Og) 790-7460
Fax Number: (9O9) 790-2589
Em al I Add ress: communityseruices@yuca ipa.o rg
lnlond Leaders Charter School
Customer Type: Non-Proflt (R)
Customer lD: 11233
lvlailing Address: 12375 California St, Yucalpa, CA
92399
Authorized Agent Name: Jeremy Hoch
Home Phone Number: (9Og) 705-9507
Email Address: jhoclt@ittlandleaders,com
# R5405 Status l-entative Page 3 of 3
ATTACHMENT 4
YUCAIPA PICKLEBALL, INC.
PAGE 1
City of Yucaipa Community Activity Grant
Event Reporting Financial worksheet l:ir.rcciv'lci
Fiscal year 2023-2024Grants city oi ''/t-lr;''ll1)i''
*INCLUDE BACK-aP DOCUMENTATION WITH REPORT INCLUDING: f EB .' ;;l 2t.i2,l coPIES OF CIIECKS, COPIES OF INVOICES/QUOTES
Name of Organization: YUCAIPA PICKLEBALL, INC. Gr"tlr:t-i,il 50l ViCs!,/' City Cit r.l<'s Di:11;irttrletrL
Contact Name: PAIRICIA INGRAM
Phonc Number:
Email: [email protected]
Description ofEvenUProject Funded: Pickleball in the Schools program and clinics Total Cost to Operate Event/Project: $ _3006.99_(to date)_ Amount Granted by City: $ 2450.00_ Section I (Monetary) $ 2450.00_ Section 2 (In Kind) 0 Justify City Grant tuIonetaryr [111ount: (if applicable)
SECTION I
Description
Item # Date (Pleasc bc specific. List vendor and purposc for cach disburscmcnt rclated ONLY to the grant amount) Amount
ITEM DATE VENDOR - ITEM AMOUNT
I
2 3
4 5
6 7
8 9
l0
ll
t2
13 TOTAL
23.08.2t
23.09.0 r
23 .09.17
23.09.1 8
23.09. I 8
23.09.21 23.r0.09
23.r0.15
23.10. r 9
23.1I . l s
23.tI.t5
24.01.1 I
24.01.3 I
DIADEM - BALLS
PB CENTRAL- NETS
AMAZON - PADDLES
DIADEM. BALLS
AMAZON - BALLS
AMAZON - PADDLES
AMAZON - NETS, TAGS
TRACTOR SUPPLY -CART
SELKIRK-NETS
AMAZON - BALLS
AMAZON - BALLS PADDLES
AMAZON - BALLS
AMAZON - CART
$t67.24
s788. 1 s
ss92. 1 8
s323.2s
$70.04
$ 102.32
s l 80.84
$ I 50.84
$ r s5.00
sl6.ls
s3 33 .88
$30.1 6
s96.94
$3,006.99
YUCAIPA PICKLEBALL, INC.
FINANCIAL WORKSHEET
PAGE 2
Justify City Grant In-Kinil Amount: (if applicable)
SECTION 2
Description
Item # Date (Please be specific. l..ist vendor and purpose for each disbursrnrent related l[!.t to the grant amount) Amount No In-Kind Grant money is shown in our total. However, USAP made a $350 grant available to each school and Selkirk Sports allocated equipnrent at free and reduced costs as requested by each school. Exact anrounts ofthese donations to schools is unknown.
Total Dislrursements (lustifyittg City Grant Monetary anrUor In-Kind) Amount): $ 3,006.99 Monetary Grant Funds Remaining: $ 0.00
Notes/commcnts/additional information: A minimum of I net, 8 balls and 8 paddles arc schcdulcd to be given to 9 different schools, totaling 9 nets, 72 balls, & 72 paddles. Each school will receive their equipment upon completion of our training with the schools.
Additional quantities purchased for general play and additional public clinics. Carts were purchased to haul equipment to the schools and clinics.
YUCAIPA PICKLEBALL, INC.
PAGE 1
: :i City of Yucaipa Community Activity Grant
Event/Program Summary
Fiscal Year 2023-2024 Grants
In an attempt to assist all awarded agencies, the City has developed an Event Reporting Financial Worksheet (attached) to ensure consistent and accurate reporting of the awarded agencies use of City funding and/or in-kind services. Along with your Event Reporting Financial Worksheet, please provide the information requested below:
I . Did the event/program meet the original intended goal? This event far exceeded our expectations. We have all of the YCJUSD schools participating in our Pickleball in the Schools program. We were hoping for at least 3 schools. We have l0 committed schools in elementary and middle school level and 2 extra programs ( STARS and Adult School) who also participatcd. We are also working with YHS to start a program thcrc. Now that thc gamc has bccn introduccd wc will bc ablc to provide tournaments for the shrdents on a regular basis.
2. If funded in the future, what would the organization do differently? We would try to get our training program started earlier on in the year. We had to wait for the schools to have courts painted which delayed our instruction program to the winter. The weather has created delays for this.
3. What type of feedback did the organization receive from the participants? Tremendous support and enthusiasm. We had teachers tell us that they have never se€n some of their kids so excited to participate in a PE program. We have had students asking when and where they can play outside of school times. The teachers are communicating with their counterparts at other schools to set up inter school toumaments.
4. What other financial/in-kind contributions did the organization seek or receive to fund the evenUprogram (separate from City funding)? We coordinated with USA Pickleball to make the Youth Grant funding program available to each school. This is an additional $350 that each school could access to purchase more equipment. We also parhrered with Selkirk Sports who provided additional paddles and reduced equipment prices to schools. Our members are all volunteers doing the instruction. We estimate that we will have put in over 500 volunteer hours with this program.
5. List the total number of residents served. We are estimating about 3,000 students and adults will receive instruction by the end ofthis school year.
Attach copies of marketing/promotional materials for thc evcnt/program. t-{Jl*...
YUCAIPA PICKLEBALL, INC.
EVENT SUMMARY
PAGE 2
Notes/comments/additional information: This program has led us to work with Yucaipa High school with the goal of having high schools in the area have a league that will eventually be CIF approved. We have already been in contact with Inland Empire Youth Pickleball and Loma Linda Pickleball in regards to establishing a Youth Tour of Toumaments in our area this spring. We often receive comments that the sport has changed the spirit of the kids. Our request for additional Beginner instruction outside the schools has increased.
PI,EASE SUBMII'. ALONG WITH EVENT REPORTING FINANCIAL WORKSHBET. TO THE CITY CLERK'S OFFICE WITHIN ONE
MONTH FOI,I,OWING THE EVENT/PROGRAM
Diadem Sports LLC
200 Park Central
BIvd S
Suite 1
Pompano Beach FL
33064
Estimate
#EST41362
D
Bill To
IADEM'unitedstates
Patricia Ingram
Yucaipa CA 92399
United States
Ship To
Patricia Inoram
Yucaipa CA 92399
U n ited States
TOTAL
Sales Rep
Kasey Gedd is
$1 67.24
Rt)1Dn2?
Expires: 912012023
Shipping Method
Fedex-G RN D
Amount
$ 1 50.00
$ 1 s0.00
$0.00
$17.24
$167 .24
Expires
9/20/2023
Qua ntity
3 Exp. Close
8/21/2023
ltem
PB:Power Pickleball Ball - 50 pk
Power Premier Pickleball Outdoor Balls - Tournament
50 pack
Ta<
Yes
Rate
$50.00
Tax Total (0olo)
Shipping Cost
Total
Su btota I
EST41 362
1of 1
ilililllt ilililIililil|I illlr
9110123, 8:23 PM Gmail - Fwd: Your PickleballCentral.com Order Confirmation (#899979) fq Gmail
Fwd: Your PickleballCentral.com Order Confirmation (#899979) 1 message
Yucaipa Pickleball
To: Char Broersma
Fri, Sep 1, 2023 at 4:22 PM
For our school program
Patty lngram
Yucaipa Pickleball , lnc.
Sent from rny iPhone
Begin forurarded message:
From : " Picklebal I Centra l.com"
Date: September 1,2023 at 4:05:32 PM PDT
To : yucaipapickleball@g mail.com
Subject: Your PickleballCentral.com Order Confirmation (#899979) Reply-To: i nfo@ p icklebal lcentral. com
Your order lD is #899979. A summary of your order is shown below. To view the status of your order click here. click here.
Your Order Contains...
Cart ltems Qty ltem Total
Items shipped to Yucaipa, California, 92399-2921, United States Thank you for your order!
hnps://mail.google.com/rnail/u/0/?ik=e698432f45&view=pt&search=all&perrnthid=threul-f:17758794208 I 1054165&simpl=msg-f: 177587912081 1054165 U3
9l lUl23,8:23 PM Gmail - Fwd: Your PickleballCentral.com Orcler Confirmation (#899979) SwiftN et 2.1 Portable Pickleball Net System
.
Gil..
rf t
$36e.ee usD
Rally Portable Pickleball Net System
$r qs.99 usD
-) Champion Portable Pickleball Net System
$99.99 USD
Subtotal:
Coupon Code (crypi):
Sh ipping:
Sales Tax:
Grand Total:
Payment method:
Shipping method:
1 $99.99 USD
$769.96 USD
-$38.49 USD
$0.00 usD
$56.68 USD
$788.15 USD
Credit Card
Free Shipping (2-O business day delivery) (Free)
$369.99 USD
2 $299.98 USD
Shipping address
PATRICIA INGRAM
California 92399-2921
United States
Billing Address
PATRICIA INGRAM
California 92399-2921
United States
Contact
E [email protected]
q (BBB) 854-0163
Address
Kent, Washington 98032
V6.)
fltPOclrin
https://mail.google.com/mai[ /u/0/?ik=e698432f45&view=pt&search=all&pennthid=thrcad-f:177587942081 1054165&simpl=msg-f:177587942081 1054165 2t3
amazon.com'
Order Placed: September L7, 2023
Amazoll.com order number: 1 13 -3733682-5589855
Order Total: $592.18
Final Details for Order #L1 3-3733682-5589855
Print this page for your records.
Shipped on Septernber L7, 2o-23
Items Ordered
2 of : YILLOG Pickleball Paddles, USAPA Approved Pickleball Paddle Set of 4, Fiberglass Surface Pickleball Set, 4 Pickleball Balls, 4 Cooling Towels, Pickleball Bag, Pickle Ball Paddle for Men Women
Sold by: huangqianjiestore (seller profile)
Supplied by: huangqianjiestore (seller profile)
Condition: New
4 of : Panel Sound USAPA Approved Fiberglass Pickleball Paddles Set of 2, Lightweight Pickleball Rackets, 1 Carrying Case, 2 Cooling Towels & 4 Indoor Balls Sold by: Panel Sound (seller profile)
Supplied by: Panel Sound (seller profile)
Condition: New
Shipping Address:
Patricia ingram
Yucaipa, CA 92399
U n ited States
Shipping Speed:
FREE Prime Delivery
Price
$54.99
$29. 59
Shipped on September L7, 2023
Items Ordered Price
4 of : Pickleball Paddles, USAPA Approved Pickleball Set with 2 Premium Fiberglass Pickleball $26.99 Paddles, 4 Balls(2 Indoor+2 outdor), 2 Cooling Towels & Carry Bag, Pickleball Rackets with Ergonomic Cushion Grip
Sold by: Ears'home (seller profile)
Supplied by: Ears'home (seller profile)
Condition: New
L of: TIAPAD Carbon Fibre Pickleball Paddles Set of 2,USAPA Approved Graphite Pickleball $24.99 Rackets for Adults,4PCS Lightweight Pickleballs with Portable Carrying Bag for Men Women Beg i nners Professiona ls
Sold by: Tiapad (seller profile)
Supplied by: Tiapad (seller profile)
Condition: New
Shipping Address:
Patricia ingram
Yucaipa, CA 92399
U n ited States
Shipping Speed:
FREE Prime Delivery
Shipped on September L7, 2023
ftems Ordered Price
4 of : Panel Sound USAPA Approved Pickleball Paddle Set Lightweight, Set of 2, Rackets with $29.59 1 Carrying Case, 2 Cooling Towels & 4 Indoor Balls
Sold by: Panel Sound (seller profile)
Supplied by: Panel Sound (seller profile)
Condition: New
3 of: TIAPAD Carbon Fibre Pickleball Paddles Sef of 2,USAPA Rackets for Adults,4PCS Lightweight Pickleballs with Poftable Beg i n n ers Professio na I s
Sold by: Tiapad (seller profile)
Supplied by: Tiapad (seller profile)
Approved
Carrying
Graphite Pickleball $24.99
Bag for Men Women
Condition: New
Shipping Address:
Patricia ingram
Yucaipa, CA 92399
U n ited States
Shipping Speed:
FREE Prime Delivery
Payment information
Payment Method:
Visa ending in
Item(s) Subtotal
Shipping & Handling
Promotion Applied
$554.62
$o. oo
-$ 5. oo
Billing address
Patricia ingram
Yucaipa, CA 92399
United States
Credit Card transactions
Total before tax
Estimated tax to be collected
$ 549 .62
$42.56
Grand Total:
Visa ending in : September t7, 2023:
$592.18
$592.18
To view the status of your order, return to Order Summary Conditions of Use I Privacy Notice @ 1996-2024, Amazon.com, Inc. or its affiliates Back to top
Engtrslr Urrited States
Conditions of Use Prlvacy Notice Your Ads Privacy Choices O 1996-2024, Amazon.com, lrtc. or its afttlates
Help
ii)Diadem Sports
LLC
200 Park Central
Blvd S
Su ite 1
Pompano Beach
FL 33064
U n ited States
Invoice
#rNV53557DIADEM
Bill To
Patricia Inoram
Yucaipa CA 92399
United States
Ship To
Patricia Ingram
Yucaipa CA 92399
United States
TOTAL
$323.25
Due Date: 911812023
Terms
Due on receipt
Date
9/18/2023
PO#Sales Rep
Kasey Gedd is
Shipping Method
Quantity
6 Item Options Unlt Price
$s0.00
Amount
PB:Power Pickleball Ball - 50 pk Yellow
Power Premier Pickleball Outdoor Balls - Tournament 50
pack - Yellow
$300.00
Subtotal
Tax Total (7.750/o)
Shipping Cost
Total
Amount Paid
$300.00
$23.2s
$323.2s
$0.00
$323.25
Amount Due
ll I Iill ilil ililI] Illlt IIll lll
1NV53557
1of 1
o
THANK YOU PATRICIA!
Your order number is 905589
An email will be sent containing information about your purchase. lf you have any questions about your purchase, email us at [email protected] or call us a|877 -942-5549.
Order Summary
3 ltems
3 x GAMMA Photon lndoor Pickleballs
Photon lndoor Qty 12-pack
Color of Balls High-Vis Optic Green
$7 4.97
Subtotal
Coupon Discount
Gift Certificate
Shipping
Sales Tax
$74.97
-$3.74
-$6.71
Free
$5.52
Total (USD)$20.04
t,-t-o
CL
=otJ
amazon.com
Final Details for Order #LI 3-O9O997 5-8473838
Print this pgge for vour records.
Order Placed: September 20, 2023
Amazon.com order number: 1 13-0909975-8473838
Order Total: $102.32
Shipped on September 2I,2fJ23
Items Ordered
L of : TIAPAD Carbon Fibre Pickleball Paddles Set of 2,USAPA Approved Graphite Pickleball Rackets for Adults,4PCS Lightweight Pickleballs with Portable Carry Sold by: Tiapad (seller profile)
Supplled by: Tiapad (seller profile)
Condition: New
Shipping Address:
Patricia ingram
Yucaipa, CA 92399
U n ited States
Shipping Speed:
FREE Prime Delivery
Price
$24.99
Shipped on September 2L,2023
Items Ordered
3 of : TIAPAD Carbon Fibre Pickleball Paddles Set of 2,USAPA Approved Graphite Pickleball Rackets for Adults,4PCS Lightweight Pickleballs with Portable Carry Sold by: Tiapad (seller profile)
Supplied by: Tiapad (seller profile)
Condition: New
Shipping Address:
Patricia ingram
Yucaipa, CA 92399
U n ited States
Shipping Speed:
FREE Prime Delivery
Price
$24.99
Payment Method:
Visa ending in
Billing address
Patricia ingram
Yucaipa, CA 92399
United States
Credit Card transactions
Payment information
Item(s) Subtotal:
Shipping & Handling:
Promotion Applied:
Total before tax
Estimated tax to be collected
Grand Total:
Visa ending in : September 2L, 2023:
$99.96
$0.00
-$5.00
$94.96
$7.36
$102.32
$ 10 2.32
amazoncom'
Final Details for Order #LL2-O955444-9913816
Print this page for your records.
Order Placed: October 9, 2023
Amazon.com order number: 1 12-0955444-9913816
Order Total: $180.84
Shipped on October 1O, 2023
Items Ordered
1 of: Ctosree 50 Pack Magnetic Name Tags, Magnetic Name Badge Holders with 3 Neodymium Magnets for Nametags, Reusable Name Tags(1 X 3) Sold by: Rimelzos (seller profile)
Supplied by: Rimelzos (seller profile)
Condition: New
Shipping Address:
Patricia ingram
Yucaipa, CA 92399
U n ited States
Shipping Speed:
Delivery in fewer trips to your address
Price
$20.99
Shipped on October 1O, 2023
Items Ordered Price
L of : Franklin Sports Half Court Size Pickleball Net by Franklin Pickleball - Includes 10ft Net, $49.99 (2) Paddles, and (2) X-40 USA Pickleball Approved Pickleballs,Black Sold by: Amazon.com Services, Inc
Supplied by: Other
Conditioni New
L of : Fostoy Portable Pickleball Net with Wheels, Regulation Size 22 FT & Half Court 71 FT, l9-Ply PE Nets, Steady Metal Frame for All-Weather Resistant Play in Backyards, Driveways, and Garages
Sold by: Fostoy Store (seller profile)
Supplied by: Fostoy Store (seller profile)
$Bg. gg
Condition: New
Shipping Address:
Patricia ingram
Yucaipa, CA 92399
U n ited States
Shipping Speed:
Delivery in fewer trips to your address
Items Ordered
Shipped on October 1O, 2023
Price
L of : Magnetic Name Tag Holders with Strong Magnets for Securely Attaching ID Badges, Name Tags, and Accessories - 70 Pack
Sold by: IRISING (seller profile)
Supplied by: IRISING (seller profile)
Condition: New
$6. 87
Shipping Address:
Patricia ingram
Yucaipa, CA 92399
United States
Shipping Speed:
Delivery in fewer trips to your address
Payment information
Payment Method:
Visa ending in
Billing address
Patricia ing ra m
Yucaipa, CA 92399
United States
Credit Card transactions
Item(s) Subtotal:
Shipping & Handling:
Tota I befo re ta x :
Estimated tax to be collected:
$ 167 .84
$0.00
$ 167 .84
$ 1 3.00
$7.40
$I73.44
Grand Total: $180.84
Visa ending in : October 10, 2023:
Visa ending in : October 10, 2023:
To view the status of your order, return to Order Summary.
Conditions of Use I Privacy Notice @ 1996-2024, Amazon.com, Inc. or its affiliates l},ck t0 top
Engtislr United States Hell:
Cr.rrrclitions of LIse Privztcy Notice Yot.tr AtJs Privacy Cltoices (r) 1996-2024, Anrazon,com, lnc. or its affitiates
.tf .s^ I
d gE __r G ',+
cl--. E *Eca mE= I iur SEo Si= -n {+tn .!,EL Et'E '- *tr =\O .() 11 11.,., --t ttD L.(^) r a
-
-.-* ?
C {t ,=-- [iX +{=# :\r' =;-r.i -.= ii Eq: q E-*.. =S€ I >,I I ct.q \ (Il(Era 3-.-
d
r1fr..t-
-
r(
ia,
?fi
a
/.t'
A6.i
0t,I"l
r
r8i):r}-drtr.i&r5luI
hil t .a
co
-t c,',tn.Q Cno \ctE(Et $
(ll , !F
t-f "(ll(ll .. OI --X (U l-S(.r+-. O (o
'- iEr a-/ aObt-lr,it r )
L
F
I
Jx
(f -rf.H t-
6Clc, c)cl
CDE(tI oH#
-
\r
Selkirk Sport, LLC
Address = Selkirk Sport, LLC
181 !V. Aqua Ave.
Coeur d'Alehe, lD 83815
Phone: 1 -(800) 759-4326
Emai I : [email protected]
Ship To Address: PATRICIA INGRAM
YUCAIPA PICKLEBALL, INC.
YUCAI PA CALIFORNIA 92399
UNITED STATES
lnvoice #= Sr-608991
Total Due: $155.00
lnvoice Date: 19 Oct 2023
Due Date: 19 Oct 2023
Company:
Order #:2120029151 - 53
Packing Slip Ref: 680256
Account #:
Customer Email:
Gustomer Phone:
Customer: GROWTH PROGRAM
SELKIRK
181 W. AQUA AVE.
COEUR D'ALENE IDAHO 83815
UNITED STATES
fnvoice Phone: 8007 594326
lnvoice Website:
lnvoice Email:
prog ra ms+g rowth @se! ki rk. com
r 8007594326
Qty ltem name SKU Item net Total net Row total
SLK Prime Portable Net
SLK Pro Portable Net
Shipping : Custom Shipping Rate - Shipping &
1 0057_S L K-Pri me-Net-System
1 00 1 6_5 LK-Pro-N et-System
$60.0000 $60.00 $60.00
Handling
$75.0000
$20.0000
$75.00 $75.00
$20.00 $20.00
Subtotal
Not rated @0%
$155.00
$0.00
Total $1SS.00
Paid to date $155.00
1 1
1 amazon.com
Order Placed: November 15, 2023
Amazon.com order number: IL2-5013504-24L6244
Order Total: $16.15
Final Details for Order #112-5013504-241 6244
Print this page for your records.
Shipped on November L6,2o^23
Items Ordered
L of : Tourna Strike Indoor Pickleballs Optic Yellow 12 Pack (PIKL-12-OY-D Sold by: Clarke Sports (seller profile)
Supplied by: Other
Condition: New
Shipping Address:
Patricia ingram
Yucaipa, CA 92399
U n ited States
Shipping Speed:
Economy Shipping
Price
$ 14.99
Payment information
Payment Method:
Visa ending in
Billing address
Patricia ingram
9346 Yucaipa Ridge Road
Yucaipa, CA 92399
U n ited States
Credit Card transactions
Item(s) Subtotal
Shipping & Handling
Iotal before tax
Estimated tax to be collected
$ 14. gg
$0.00
$ 14.99
$1.16
Grand Total: $ 16.15
Visa ending in : November L6, 2023: $16.15
To view the status of your order, return to Order Summary Conditions of Use I Privacy Notice @ 1996-2024, Amazon.com, Inc. or its affiliates Back t0 top
Engtish Unitecl State.s l-le tp
Corr<Jitiorrs of Use Privilcy Notice Your Acls Prt,racy Choices O 1996-202-4, Atnirzort ron't, lnc. or lts affitiares
amazon.com'
Final Details for Order # 1 LZ-4921 37 L-55 47 462
Print this pgge for-yeur recor.ds.
Order Placed: November 15, 2023
Amazon.com order number: IL2-492L37 L-5547462
Order Total: $333.88
Shipped on November L6,2A23
Items Orderedt of : Franklin Sports X-26 Indoor Pickleballs - Indoor Court Pickleball Balls - USA Pickleball (USAPA) Approved Tournament Pickleballs - 12 Pack Inside Pickleballs - Lime Green Sold by: Amazon.com Services, Inc
Supplied by: Other
Condition: New
Shipping Address:
Patricia ing ra m
Yucaipa, CA 92399
U n ited States
Shipping Speed:
FREE Prime Delivery
Price
$27.99
Shipped on November L6,2023
ftems Ordered
3 of: TIAPAD Carbon Fibre Pickleball Paddles Set of 2,USAPA Approved Graphite Pickleball Rackets for Adults,4PCS Lightweight Pickleballs with Portable Carrying Bag for Men Women Beg i n ners Professiona ls
Sold by: Tiapad (seller profile)
Supplied by: Tiapad (seller profile)
Condition: New
Shipping Address:
Patricia ingram
Yucaipa, CA 92399
U n ited States
Shipping Speed:
FREE Prime Delivery
Price
$2g. gg
Shipped on November L6,2023
Items Ordered
3 of : TIAPAD Carbon Fibre Pickleball Paddles Set of 2,USAPA Approved Graphite Pickleball Rackets for Adults,4PCS Lightweight Pickleballs with Portable Carrying Bag for Men Women Beg i n n ers P rofessi o na I s
Sold by: Tiapad (seller profile)
Supplied by: Tiapad (seller profile)
Price
$2g. gg
Condition: New
Shipping Address:
Patricia ingram
Yucaipa, CA 92399
U n ited States
Shipping Speed:
FREE Prime Delivery
Shipped on November 2O,2023
Items Ordered
L of : TIAPAD Carbon Fibre Pickleball Paddles Set of 2,USAPA Approved Graphite Pickleball Rackets for Adults,4PCS Lightweight Pickleballs with Portable Carrying Bag for Men Women Beg i n n ers Professi ona I s
Sold by: Tiapad (seller profile)
Supplied by: Tiapad (seller profile)
Condition: New
Shipping Address:
Patricia ingram
Yucaipa, CA 92399
United States
Shipping Speed:
FREE Prime Delivery
Price
$29.gg
Shipped on November L6,2023
Items Ordered
3 of : TIAPAD Carbon Fibre Pickleball Paddles Set of 2,USAPA Approved Graphite Pickleball Rackets for Adults,4PCS Lightweight Pickleballs with Portable Carrying Bag for Men Women Beg i n ners Professiona ls
Sold by: Tiapad (seller profile)
Supplied by: Tiapad (seller profile)
Condition: New
Shipping Address:
Patricia ingram
Yucaipa, CA 92399
United States
Shipping Speed:
FREE Prime Delivery
Price
$29. gg
Payment Method:
Visa ending in
Item(s) Subtotal:
Shipping & Handling:
Promotion Applied:
$327.89
$o. oo
-$ 17 .gg
Payment information
Billing address
Patricia ingram
Yucaipa, CA 92399
United States
Credit Card transactions
Total before tax:
Estimated tax to be collected:
$ 3 09.90
$ 23.98
Grand Total: $333.88
Visa ending in : November 20, 2023: $333.88
To view the status of your order, return to Order Summary Conditions of Use I Privacy Notice @ 1996-2024, Amazon.com, Inc. or its affiliates Back to tor>
Engtish United States Hetp
Conclrtions of Use Privacy Notice Your Ads Privacy Cltorces O 1996-2024, Amazon.con'r, lnc, or its .tffitiatcs
amazon.com
Final Details for Order #111-3855O4L-41546O7
Print this pgge for vour records.
Order Placed: January tt, 2024
Amazon.com order number: 1 1 1-3855041 -4L54607
Order Total: $30.16
Shipped on January LL,2024
Items Orderedt of; Franklin Sports X-26 Indoor Pickleballs - Indoor Court Pickleball Balls - USA Pickleball (USAPA) Approved Tournament Pickleballs - 12 Pack Inside Pickleballs - Lime Green Sold by: Amazon.com Services, Inc
Supplied by: Other
Price
$27.99
Condition: New
Shipping Address:
Jerome W. McDaniel
YUCAIPA, CA 92399-292L
U n ited States
Shipping Speed:
FREE Prime Delivery
Payment information
Payment Method:
Visa ending in
Billing address
Patricia ingram
Yucaipa, CA 92399
United States
Credit Card transactions
Item(s) Subtotal:
Shipping & Handling:
$27.99
$0.00
Total before tax:
Estimated tax to be collected:
$27.99
$2.r7
Grand Total: $30.16
Visa ending in : January tt, 2024: $30.16
To view the status of your order, return to Order Surnmary Conditions of Use I Privacy Notice O L996-2024, Amazon.com, Inc. or its affiliates Back to tolr
Enghsh Ulrited States t'{elp
Conditiorrs of Use Prrvacy Notlce Your Ads Privacy Choices (O 1996-2024, Arnazo,l.cotl, lnc. or rt'; affitiates
I
*
Nr}-o
(u
Ott\l
o-
vlE+ig+rX.g
$ g Afi o !x'oi'EEEHE.-*-:ro3 uEg E !E 5 e s 3fr-tr,iotlr- )VroZ.-O, l-&r3
tq
10 orv\
FO T\Nolg ololqro otro@ ,iY) @ ,{t{#} vl
o.vo
.E
+tc
l-
o-
o
3(u
5 gr
FEE E8E iir ,,, h i:
.FAEEEEpbga:EEE; E o- roEEHEEE$
o
E(u
a:
J
tEa.,
a-
cn
a-E'
ovloe-P
+,e-EN-Jo
..cI
oUII.!ol-
o,
Eo+,UIat,
c
(I,
Cfi(o
>f
@
a)
E
B
cr_Oo
ED t+sI
_c. ro
H&
o,coE
-EI-ooroJ9E;!Irno -c.>.:e3(U-
I ?_y
5 g',#
5 f u(,l r., 'Ugs:i g
Pai i.='-.l-N; 3 i Etl- L, 3#Ea Eafit4 I i
-B-E-b t I-s # f, rB E
= 9 E',:.a' :3E; F i g T E
5sEHEsg
.E
cnc
Etro
EE.cA.Jt !J9btsua)(Ecit
G,G
Fr
_c.IJ
oo-
o
ooro
.Pco
o,
.C,+t
(o
(uc
e5
EE+r-o,El cno!9bT
a-d=.tJ6e
vr
Co
+)\J
tovrclol-P
r
Olr/lr
Olrn
rOtss
i r,i 9
Ff E
Ol
rO
r.Dsfrn$(Fl
I
cno
cno
Ol
IN
1r
(u
!
l-o
.tNo(\I
ro
e(o
Cr!
co
E'
E
a,!l-o
a
=((,P(uo
l-(u-o
l-o
v'6
q,o
o,!
o
e
G'!
o
l-ao
Pc)ovt,
l,2o
io
L
G,Eoo
l!:Itr
+
U'
@
E
ts
\
r|.
^
Eoq
EoN
ao
E.g
C
c
I.
€
o
+
V
FI
G
.tr
h0
DJoL
-c+,
,j.I
fib
,.l;
Er{i
=Uo'o
Ef'EB
3E
.o6
T'oPLo
CL
CL
IJo
O
!\
tZe
^bc
=:ut:4,:
.a.iyjs
,'( o .l tlti\\
J
J
m
Lrl
J
}(
9 o-
U,T
ffi
Af
r
-g
-
. L,)l
\
"s$F*$/\'
(
U
I
{.
?L
.).?
5 ,
OO
-
+U5
U
:
-
-
=$
t
t<G
U
tv
UHL
N
E(u
L-
bool-o.
h0c
.I tr'6
L.*,
l-:lo
t+ro
+,l-(!
CL
ol-
(U
6 Irf)
tttorc'
(EL.(,
oLo
-g(J
(Eo*,
lrl
CL
L-
(E*)g
o
Eg
o
o
-c*,
$ro
I
I
(E
?iE
=hog
.I c'6
L-*t
(up
'lct
I
CL
lno
.Eln
L.
.I o
.C*,
*t(!
icto*)g
.I
(tr
CL
o
-cl
o+)
(n
+)L.5o(J
l-ot{r
{-,lao:,croL
$
.=
*t
IJ
CL
Ioo
-ct)ln
?i
(Y)t!o
o*,
*(u
.cT
*)?i
.gpo
T'tr
(U
1n
o,
ioT'(u
CL
#,F
-.gpo\{.,oc
oCo
hog
.IP
(Ug
oE'
o
.cT
I
I'=
Ia-
CL
.I
.ClnLo
CHl-
(U
CL
tnPl-o
CLln
VIl-
.I VI
Evt
Eo
-c(,
ln
Fi(J
(tro
l-ot+r
*,C(!
l-(,
E
(u
l-
uool-
o-
eiP
IJo
o-
VI3
Eol-t{r
Pc
tut-(,
C)tn(n
<r\
=(tr
.CT(u
r vI
.g
CL
o{-,o
Eol-
CL
o*,
{.,c
(tr
l-
ooo
l.r)sfN<r\
(u
--(tr
.cIo
I V
-I
.Io-
(tr
.g
(trt)
IJ
T'oT'l-
tE
3 g(J
a
I oo?I (J
3n
C-rr,a
C-rr-a
{)
=,+-f
;7
e-a-<
-
4r
j-<
aar-,,+
=
o7:
t'._.,ooooo
I
cf)
E
ERfot;e
i-9-:1;
*)-r:Fo{-,cl-t.-oo -ES Evt=
=rtfiggtIq 3iE
Efli.E E EEE#d*Ef;c o.:x5I*E#S;EE;pFqrtr,
FoEE.gfr.AgE*Eo-."
;=gi gt ; Esi i *g
oaaooooooooao
!.-)
,
OO
a--sDL\-,
ly.al
{)
=t-fj-4.
6-
l-ft\--,
t-f
*,<a-
-,OO
-l-1--\-,
!--,.-
>-)
-,<l-
=,LT-J
=l-I-,
-Jt-.1-,
aOO
=a
-IF-f
=
$
II
I
ll
\,
L}
l)'u I
U
I
i
I
l'.
I
Etr",
J
t
I
LN
'lrc
\\\'-{'i\i
r\rlt,\;
rI
,-l-L
t
St
,r--
-4
i{
\
L.
q(l{iJ
ri.#
1t#
t
r
r1
ta.ffi
(o
)tJI
I
I
,:
t
\
I
1t'-
I
(
I
l
x
(fa
-Aa
l
l*)
tru
I
^
-
,
,l
:l
'uffiilHrl
,ff
E:
ltt
r
tI
,l
,i
t.
\i
I
\
SS
L
@
)-,
Ja
-
tY.Al
br-l
\
ffi
{
I
1 )
-, ,l
-n4
1;
Ir#i!r*1
i*ot-r-rrll
rE*I
I
.#'r
A
\
R
t\
1 \-4r"
ln
,/
h
aY/
/
\ 1,...t
2 \1
t
^,Dr,
v*
s
)d
u
r"s
Ir
il
Ii
-1t
%
a
*
l7/
rl
t
r
/
Ot
J
I
a
7 t/
I
l-.i'
,s o
l )t
P>--r)
(
-
*l
Ll
0d
\
\
\
\I
I
I
lr .a
o
Fl
t
{
\
\
1 -lJ_-
tl
rt _ )
Llj
I
E
ornN
L-o
o
I
E
(Ul-
h0ol-
CL
a0g
a-g
.9
ln*)g
o'lc,
=*)ln
()o
ctt
T{
l-o
o
t
1Aolntnq
(J
UJa.
ln*.co
rE'
IJ*,vtootn
l-o
o
I
lnolalnq
I
ln*,trot,5*,
1A
I oo.CIln
l-o+)tar
(u
5(J
1n+,g
oT'
-J*,lao
LN
l-o
o
I
N
otn
ttr
-co-
rc'c
(E
r{
oln
(u
.C
CL
qro
co
.I+.,g
CL
Eo(J
oeI-I+t
1-o$r
T'ooZ
oNara
IT
=-(J
l-
=o
bo
.=
I
.ct5oa
oo
C
.I
ttr
CL
o
-cI
I
I'=
ln
.g
.I ?tr
tE]L
ln+)g
o
E
rtrct-
IJo+J
'ic,c
(E
tho
-J
bo(u
o,
-c{-,
IJo
ho
C
.I l-oqrt+ro
n
CL
l-oo
-oo
.C(J
tn
o?i *,
t{.ro
.lc'
g
o
o
-cP
ol-oqro
-cI
P
-cho
-Jo*,
o
-cI
I
I'=
ln+,g
o
rE'
IJ*,vtoc)ofn
a*.vtttl
vIl-
(tr
CL
a{-,Itt
-c*,I\
P
(U
la+)l-
=ot,
t,cog
(U
El-o
CL
3oc
sf
ho
.=g
.I
IJ
.cT
.9
E(J
oa
tYr-)I-r-J]-{;-i-{
)
]-f€
l-l\--)r-.-)Oa-
-i-t---
j-
----O*,
L.,
cf)
r-l
oooooo
\t
FI
I
/
t"l
I
t
I
I
I
I
I
I
I
lIft
I
I
.: '\.
\'l
!,'
I
I,
(;
x
fr
I
I
I
(
--Ja
:L--
>-<
-
_-
----
-)-t-
I
\
I
I
lil
I
L
\,
<
E
)
Dl
\
7 -1
I
T
/
7 E}
)n
\
I/
\
-
(
a
\
7 \
)t
.l
I
r
7 /
t
I
r
r
\
)
7T
Y
r
Kim I Metzler, CMC, CPM
From:
Sent:
To:
Cc:
Subject:
Attachments:
Follow Up Flag:
FIag Status:
Yucaipa Pickleball
Monday, February 12,2024 5:38 PM
Kim J Metzler, CMC, CPM
Debi Hitter;John Manly; Richard Rios; Char Broersma; dennis tpm; Melinda Daniel Re: CORRECTION: FY 2023/24 Community Activity Grant Award Pickleball in the Schools lnstructional Guidelines.pdf; pickleball ln the schools presentation.pdf; EVENT AND FINANCIAL REPORT.pdf;23.09.18 BALLS 70.O4.pdf;
23.08.21 DIADEM PICKEBALLS 167.24.pdt;23.09.17 PADDLES 592.18.pdf;23.09.18 BALLS 323.25.pdf;23.09.01 NETS 788.1S.pdf;23.09.21 PADDLES 102.32.pdf;23.10.09 NETS TAGS FOR CLINIC 180.84.pdf;23.10.19 NETS 155.00.pdf; 23.11.15 BALLS 16.1S.pdf;
24..01.11 BALLS 30.16.pdf; 23.11.15 BALLS PADDLES 333.B8.pdf; 24.01.31CART FOR SCHOOL CLINICS 96.94jpeg; 23.10.15 CART FOR CLINICS 150.84jp9 Follow up
Flagged
Kim,
Attached is the Financial Worksheet and Event report you requested regarding our Grant money from the City. Our expenditures have exceeded the grant money as the response was overwhelming. We have covered that overage with our club money. We have not completed our instruction with the schools as we were delayed with court preparation and the weather. However, we are expecting to have been in all the schools by May. There will most likely be more expenses as the demand for more clinics and play rises. We are looking forward to meeting that challenge and continuing to provide an exceptional pickleball program to the community .
I have also attached the backup receipts as well as the presentation we provided to the city council and an instructional guideline provided to the schools.
Let me know if you need any additional information. We are so appreciative of the grant and proud of the work we have accomplished.
Patty lngram
Yucaipa Pickleball, Inc.
www.Yuca i pa Pickle ba I l.com
On Thu, Feb 8, 2024 at 7:48 PM Yucaipa Pickleball wrote:
Kim, l'll try to work on this next week. I had planned on doing the report when we finished our training in the schools, but we've purchased most of our equipment so I think I can do the form.
Patty
Patty I ngrom, President
Yucoipa Pickleball, lnc.
On Feb 8,2024, at 9:56 AM, Kim J Metzler, CMC, CPM wrotel 1 ATTACHMENT 5
City of Yucaipa Community Activity Grant i ;r'r.; 'l\/r.{ i Event Reporting Financial Worksheet ' 'ii1r ''r ''lr 1' ; tii r:' Fiscal Year 2023-2024 Grants r., r, ,:, i .*INCLUDE BACK-(]P DOC(IMENTATION WITH REPORT INCLUDINE:.,' ' , coPIES oF .HECKS' coPIES oF INV,I.ES/QU,.ES
( ,:,, ; ,; ,r \i iL,rr:i,
Name of Organization:Club of Yucai
Contact Name: Donnakaye Ostrander
Phone Number:
Emait:
Description of Event/Project Funded: Club Meetings
Total Cost to Operate Event/Project: $ I 1,495'50 tt,rss $ il]eqg
w
AmountGrantedbyCity:$-Sectionl(Monetary)Section 2 (ln Kind) Justify City Grant Monetory Amount: (if applicable)
SECTION I
Item # Date
Description
(Please bc specific. l-,ist vendor and purpose for each disbursement related ONLY to the grant amount)Amount
l.
2. 3.
4. 5.
$
$
$
$
$
Justify City Grant In-Kind Amount: (if applicable)
SECTION 2
Item # Date
Description
(Please be specific. l,isl vendor and purpose for each disbursement related ONLY to l.
2. 3.
4,
5. 7lt t 123-612s124
thc grant amount)
Facility Rental - Scherer Community Center (Nutrition Center) Amount \ r
$
$
$
$
-fl to
Total Disbursements (lusttfying City Grant Monetar), oncUor In-Kind) Notes/co m men ts/add ition a I
information:
Page I
Monetary Grant Funds Remaining: $ 0
1,.' "'.'
Sdbmil
CITY OF City of Yucaipa Community Activity Grant
EventlProgram Summary
Fiscal Yea r 2023-2024 Grants
In an attempt to assist all awarded agencies, the City has developed an Event Reporting Financial Worksheet (attached) to ensure consistent and accurate reporting of the awarded agencies use of City funding and/or in-kind services. Along with your Event Reporting Financial Worksheet, please provide the information requested below; Did the evenUprogram meet the original intended goal?
Yes. The Scherer Community Center (Nutrition Center) meets are needs.
2. If funded in the future, what would the organization do differently? Keep meeting at the facility and look to expand/enhance the Rotary's presence at the facility What type of feedback did organization received from the participants? Exce I lent fac i I itylstaff.
3 4.What other financial/in-kind contributions did the organziation seek or receive to fund the event/program (separate from City funding)?
None.
5 List the total number of residents served.
50 Attach copies of marketing/promotional materials for the event/program.
Notes/comments/additionat information. The Rotary Club would like to say THANK YOU to City Council and City Staff for allowing the Club to use the facility.
PLEASE SUBNIIT. ALONG WI'I'H EVENT REPORTING FINANCIAL IVORKSTIEE'I" TO TTII' CITY CLERK'S OFFICE WITHIN ONE NION'I'I{ T'OLLOWING TIIT: EVENT/PROGIIANI
5130123,2:43 PM
Permit
Clty of Yucalpa Communlty
Services
34272 Yucaipa Blvd
Yucaipa, CA 92399
PermitContract
fla i-*.t
Malre
eL'f&'i
. --'L ,' -.;:.:=w COMMUNITY
SERVICES
Permlt # R5351
Status Tentative
Date MaY 11,2023 10:08 AM
Explratlon Date MaY 10,2024
$247.67
50 $2qt.at
50 $247.67
PHONE:(9o9) 79o-7460
FAX:(9O9!. 790-2589
EMAIL:com m u n ltyse rvi ces@yuc a ipa. org
Jul tl,2023 5:3O AM Jun'18,2024 8:15 AM
Qccurs every Tuesdoy effective Jul 11, 2023 until Jun 18, 2024 from 6:30 AM to 815 AM Ju111,2O23 5:30 AM Ju111,2O23 8J5 AM
Rental- Hourly $140.00 / Hour x 1.75 $245.00
Rental - Weekday Event Asslstant (12A-830A) $17.25 I Hour x 1.75 $30.19 Resident Discount - 10% -10% x 1 -$27.52
Ju118,2O23 6:30 AM Jul 18, 2O23 8:15 AM
Rental - Hourly $14o.oo / Hour x 1.75 $245.00
Rental- Weekday Event Asslstant (12A-830A) $17.25 lHour x 1,75 $30.19 Resident Discount - 10% -10% x 1 -$27.52
Ju125,2O23 6:30 AM Ju125,2O23 8J5 AM
https://anprod.active.com/yucaipa/ui.do?method=showPermitConkact&permit-id=CC8D07860839 50 1t7
Organlzatlon Name
Customer Type
Organlzation Address
Rotary Club Of Yucaipa - 336
Non-Pront (R)
PO Box 661
Yucaipa, CA 92399
Organlzatlon Phone 1 (909) 900-9537
Number
Agent Name
System User
Todd Gutjahr Home Phone Number (9O9) 900-9537
Tish Christian
C A d Tn.k; nl rlatvLr cl Kerldl Fe t5 - $ to, tsf- +7 Rental Fee Discounts
Subtotal
$11,292.79
-$1I28.32
$10Js4.47
8,*0..y lo ?ol Re(uu&"ble tqci t\ D€ P,'s;+: 9250'-*Deposits Deposlt Dlscounts
$2s0.00
$o.oo
Total Permit Fee $10.404.47
Total Payment
Refunds
Balance
$o.oo
$0.00
$1O,4O4.47
Yucaipa Rotary - Wkly. Meetings
Booking Summary
1 resource(s) 41 booklng(s) Subtotal: $1O,4O 4.47
I exo DATE/rME I aTTENDEE I aur wo rAXSTART DATE/TIME
Center: Yucaipa Senior CenterSrC Nutritlon Center (lndoor Reservations)
5rcA123,2:43 Ptt PermitContract
Rental - Hourty $1+O.OO / Hour x 1.75 $245.00
Rental - Weekday Event Asslstant (12A-830A) $ll.Z5 / Hou r x 1]5 $30J9 Resident Discount - 10% -1O"A x1 -$ZT.SZ
Aug 1,2023 6:30 AM Aug \2023 8:15 AM
Rental - Hourly $1+O.OO / Hour x 1.75 $Z+S.OO
Rental - Weekday Event Assistant (12A-830A) $tz.ZS / Hour x 1.75 $30.19 Resident Dlscount - 1O% -1O%o x 1 -$27.52
Aug 8,2023 6:30 AM Aug 8,2023 8:15 AM
Rental - Hourty $t+o.oo / Hour x 1.75 $z+s.oo
Rental - Weekday Event Assistant (t2A-830A) $fi,25 / Hour x 1.75 $SO.tg Resident Dlscount - 1Oo/" -1O% x 1 -$ZI.SZ
Aug 15,2023 6:30 AM Aug 15,2023 8:15 AM
Rental - Hourty $t+O.oo / Hour x 1.75 $zqs.OO
Rental - Weekday Event Assistant (12A-830A) $17.25 / Hour x 1.75 $gOf g Resident Discount - 1O"/o -1Oo/o x 1 -$ZI.SZ
Aug 22,2023 6:30 AM Aug 22,2023 B:15 AM
Rentat - Hourty $t+o.oo / Hour x 1.75 $245.00
Rental - Weekday Event Assistant (12A-83OA) $ll.Z5 / Hour x 1.75 $gO.tg Resident Discount - 1Ao/o -1Oo/" x 1 -$ZI.SZ
Sep 5,2023 6:30 AM Sep 5,2023 8:15 AM
Rental - Hourly $1+O.OO / Hour x 1.75 $245.00
Rental - Weekday Event Assistant (12A-830A) $1Z.ZS / Hour x 1.75 $SO.IS Resident Discount - 1O"/o -1O0,6 x 1 -$27.52
Sep 12,2023 6:30 AM Sep 12,2023 8:15 AM
Rentat - Hourty $t+O.oo / Hour x 1.75 $z+s.oo
Rental - Weekday Event Assistant (12A-83OA) $17.25 / Hour x 1.75 $30.19 Resident Discount - rc% -1O% x 1 -$ZI,SZ
Sep 19,2023 6:30 AM Sep 19,2023 8:15 AM
Rental - Hourly $t+O.Oo / Hour x 1.75 $zqS.oo
Rental - Weekday Event Assistant (12A-830A) $1Z.ZS / Hour x 1.75 $SO.lg Resident Discount - 10% -10% x 1 -$27.52
Oct 3, 2023 6:30 AM Oct 3, 2023 8:15 AM
Rental - Hourly $140.00 / Hour x 1.75 $245.00
Rental - Weekday Event Asslstant (12A-830A) $tl.Z5 / Hour x 1.75 $SOIS Resldent Discount - 10% -1O% x 1 -$ZI.SZ
Oct 1O,2O23 5:30 AM Oct 1O,2O23 8:15 AM
Rental - Hourty $14o.oo / Hour x 1.75 $245.00
Rental - Weekday Event Assistant (12A-830A) $17.25 / Hour x 1.75 $3OJg Resident Discount - 1O7o -1OYo x 1 -$27.52
50 $zqt.at
50 $zqt.oz
50 $zqt.ot
50 $247.67
50 $zqt.ot
50 $zqt.az
50 $247.G7
50 $Zqt.at
https://anprod.active.com/yucaipa/ui.do?method=showPermitContract&permit_id=CC8D07860839 50 $zqt.ot
u7
5130123,2:43 PM PermitContract
Oct 17,2023 6:30 AM Oct 17,2023 8:15 AM
Rental - Hourly $1+O.OO I Hour x1,75 $245.00
Rental - Weekday Event Assistant (12A-830A) $tl.Z5 / Hour x1.75 $30.19 Resldent Discount - 10% -1O7o x 1 -$ZI.SZ
Oct 24,2023 6:30 AM Oct 24,2023 8:15 AM
Rental - Hourly $140.00 / Hour x 1.75 $245.00
Rental - Weekday Event Assistant (12A-830A) $17.25 / Hour x1.75 $30J9 Resident Discount - 1OV" -1OTo x 1 -$ZI.SZ
Nov 7,2023 6:30 AM Nov 7, 2023 8:15 AM
Rental - Hourly $1+O.OO / Hour x 1.75 $245.00
Rental - Weekday Event Assistant (12A-830A) $ll.Z5 / Hour x1.75 $30J9 Resident Discount - lOoA -10% x 1 -$ZI.SZ
Nov 14,2023 6:30 AM Nov 14,2023 B:15 AM
Rental - Hourly $1+O.OO / Hour x 1.75 $245.00
Rentat - Weekday Event Assistant (12A-830A) $17.25 / Hour x1.75 $aO.tS Resident Discount - 1O"/" -10% x 1 -$27.52
Nov 21,2023 6:30 AM Nov 21,2023 8:15 AM
Rental - Hourly $140.00 / Hour x 1.75 $245.00
Rental - Weekday Event Assistant (12A-83OA) $IZ.ZS / Hour x 1.75 $gO.tg Resident Discount - 1O"A -1O% x 1 -$27.52
Nov 28,2023 6:30 AM Nov 28,2023 8:15 AM
Rental - Hourty $140.00 / Hour x1.75 $Z+S.OO
Rental - Weekday Event Assistant (12A-830A) $17.25 / Hou r x 1.75 $3O.lg Resident Discount - 10",6 -1O"/o x 1 -$ZI.SZ
Dec 5,2023 6:30 AM Dec 5,2023 8:15 AM
Rental - Hourly $140.00 / Hour x1.75 $245.00
Rental - Weekday Event Assistant (12A-830A) $17.25 / Hour x 1.75 $gOf g Resldent Discount - 1O"A -1Oo/o x 1 -SZI.SZ
Dec 12,2023 6:30 AM Dec 12,2023 8:15 AM
Rental - Hourly $140.00 / Hour x 1.75 $245.00
Rental - Weekday Event Assistant (12A-83OA) $tt.Z5 / Hour x1.75 $30.t9 Resldent Dlscount - 10% -10% x 1 -$27,52
Dec 19,2023 6:30 AM Dec 19,2023 8:15 AM
Rental - Hourly $1+O.OO / Hour x 1.75 $245.00
Rental - Weekday Event Assistant (12A-830A) $17.25 / Hour x 1.75 $30J9 Resident Discount - 10% -1O% xl -$27.52
Jan 9,2024 6:30 AM Jan 9,2024 8:15 AM
Rental - Hourly $1+O.OO / Hour x 1.75 $Z+S.OO
Rental - Weekday Event Assistant (12A-830A) $tl.Z5 / Hour x1.75 $SO.tg 50 $247.67
50 $zqt.at
50 $247.67
50 $zqt.at
50 $zqt.at
50 $2qt.et
50 $zqt,ot
50 $zqt.at
50 $247.67
https://anprod.active.com/yucaipa/ui.do?method=showP€ rmitContract&permit-id=CC8D07860839 50 $2qt,at
3n
5130123,2:43 PM PermitContract
Resident Discount - 10% -1O% x 1 _$ZI.SZ
Jan 16,2024 6:30 AM Jan 16, 2OZ4 g:15 AM
Rentat - Hourly $14o.oo / Hour x 1.75 $zqs.oo
Rental - Weekday Event Assistant (12A_83OA) $1Z.ZS / Hour x 1.75 $SO.tg Resident Discount - lOoA -1O/o x 1 _$ZI.SZ
Jan 23,2024 6:30 AM Jan 23, 2OZ4 g:15 AM
Rental - Hourly $tqo.oo / Hour x 1.75 $245.00
Rental - Weekday Event Asststant (t2A-g3OA) $17.25 / Hou r x 1.75 $30.19 Resident Discount - 10% -1O% x 1 _$ZI.SZ
Feb 6, 2OZ4 G:30 AM Feb 6, 2024 g:15 AM
Rental - Hourly $14o.oo / Hour x 1.75 $z+s.oo
Rental - Weekday Event Asststant (12A_83OA) $17.25 / Hour x1.15 $SOlg Resident Discount - 10% -10% x 1 _$ZI.SZ
Feb 13,2024 6:30 AM Feb 13.2024 B:15 AM
Rental - Hourty $1+O.OO / Hour x 1.75 $245.00
Rental - Weekday Event Assistant (12A_83OA) $17,25/ Hour x 1.75 $30.lg Resident Discount - 1Oa/o -1OVo x I -$ZI.SZ
Feb 2O,2O24 G:3O AM Feb 2O,2O24 g:15 AM
Rentot - llourty $t+o.oo / Hour x 1.75 $Z+S.OO
Rental - Weekday Event Assistant (12A-B3OA) $7Z5 / Hour x 1.75 $SO.1g Resident Discount - 1O"/o -1Oo/o x 1 -$ZT.SZ
Mar 5,2024 6:30 AM Mar S, 2024 B:15 AM
Rental - Hourly $14O.OO / Hour x 1.75 $245.00
Rental - Weekday Event Assistant (t2A-g3OA) $ll.ZS / Hour x 1.75 $eO.tg Resident Discount - lOyo -1Oo/o x 1 _$27,52
Mar 12,2024 6:3O AM Mar 12,2024 g:15 AM
Rentat - Hourty $t+o.oo / Hour x 1.7s $zqs.oo
Rental - Weekday Event Assistant (12A-83OA) $17.25 / Hour x 1.75 $3o.tg Resident Discount - lOyo -1O% x 1 _$ZI.SZ
50 $zqt,ot
50 $zqt.at
50 $zqt.ot
50 $zqt.ot
50 $zqt.at
50 $zqt.az
50 $247.67
Mar 19,2024 6:30 AM Mar 19,2024 g:15 AM
Rentat - Hourly $t4o.oo / Hour x 1.75 $z+s.oo
Rental - Weekday Event Assistant (t2A_g3OA) $17.25 / Hou r x 1.75 $SO.tg Resident Discount - 10% -10",6 x 1 _$21.52
Apr 2,2024 6:30 AM Apr 2,2024 g:15 AM
Rentat - Hourty $tqo.oo / Hour x 1.ls $z+s.oo
Rental - weekday Event Assistant (12A-g3oA) $17.25 / Hour x 1.75 $go.tg Resident Discount - lO% -1O% x 1 -$27,52
Apr 9,2024 6:30 AM Apr g,ZO24 B:15 AM
Rental - Hourty $14O.OO / Hour x 1.75 $245.00
50 $247.67
50 $zqt.ot
https://anprod.active.com/yucaipa/ui.do?method=showpormitContract&permit_id=CCBD07g60B3g 50 $241,67
i17
5t30123,2"43 PM PermitContract
Rental - Weekday Event Assistant (12A-830A) $1Z.ZS / Hour x 1.75 $30.19 Resident Discount - 10% -10% x 1 -$27.52
Apr 16,2024 6:30 AM Apr 16,2024 8:15 AM
Rental - Hourly $140.00 / Hour x 1]5 $245.00
Rental - Weekday Event Assistant (12A-830A) $ll.Z5 / Hou r x 1.75 $30J9 Resident Discount - 1O"A -1O% x 1 -$27.52
Apr 23,2024 6:30 AM Apr 23,2024 8:15 AM
Rental - Hourly $14O.OO / Hour x 1.75 $245.00
Rentat - Weekday Event Asslstant (12A-830A) $ll.ZS / Hour x1.75 $30.19 Resident Dlscount - 1O"/" -1Oo/o x 1 -$27.52
May 7,2024 6:30 AM May 7, 2024 8:15 AM
Rental - Hourly $14O.OO / Hour x 1.75 $245.00
Rental - Weekday Event Assistant (12A-830A) $17.25 / Hour x 1.75 $AOf g Resident Discount - 1OoA -10% x 1 -$27.52
May 14,2024 6:3O AM May 14,2024 8:15 AM
Rental - Hourly $140.00 / Hour x 1.75 $245.00
Rental - Weekday Event Asslstant (12A-830A) $17.25 / Hour x1.75 $30.19 Resident Dlscount - 10",6 -1O% x 1 -$ZI.SZ
May 21,2024 6:30 AM May 21,2024 B:15 AM
Rental - Hourly $140.00 / Hour x 1.75 $245.00
Rental - Weekday Event Assistant (12A-830A) $17.25 / Hour x 1.75 $3OJ9 Resident Discount - 10% -1O% x 1 -$ZI.SZ
May 28,2024 6:30 AM May 28,2024 8:15 AM
Rental - Hourly $1+O.OO / Hour x 1.75 $245.00
Rental - Weekday Event Asslstant (12A-830A) $17.25 / Hour x1.75 $aorg Resldent Dlscount - 10% -10% x 1 -$ZI.SZ
Jun 4.2024 6:30 AM Jun 4,2024 8:15 AM
Rental - Hourly $1+O.OO / Hour x 1.75 $245.00
Rental - Weekday Event Asslstant (12A-830A) $17,25 / Hour x 1.75 $30J9 Resident Dlscount - 10% -10% x 1 -$27.52
Jun 11,2024 6:30 AM Jun 11,2024 B:15 AM
Rental - Hourly $1+O.OO / Hour x 1.75 $245.00
Rentat - Weekday Event Asslstant (12A-830A) $17.25 / Hour x 1.75 $30.19 Resident Discount - 10% -1O% x 1 -$ZI.SZ
Jun 18,2024 6:30 AM Jun 18,2024 8:15 AM
Rental - Hourly $140.00 / Hour x 1.75 $245.00
Rental - Weekday Event Assistant (12A-830A) $tl.Z5 / Hour x1.75 $gO.tS Resident Discount - 10% -10% x 1 -$ZI.SZ
Resource level fees
50 $zqt.ot
50 $247.67
50 $247.67
50 $247.67
50 $zqt.ot
50 $241.G7
50 $247,67
50 $zqt.ot
$247,67
https://anprod.active.com/yucaipa/ui.do?method=showPermitContract&permit-id=CC8D07860839 50 $zso.oo
5t7
5130123,2:43 PM PermitContract
Deposit $zso.oo / Each x 1 $250.oo
6t7
Waivers and Information
INFORMATION DESCRIPTION I sreuNc srATUs
Alcohol Sales Llc
Proof of Liability lnsurance
Security Guard Contract
Proof of Non Profit Status
Checked
Checked
Checked
Checked
WAIVER NAME I DUE DATE I FOR I serurNc STATUS
Facility Usage Waiver Jul 11, 2023 Waiver Signed
Facllity user hereby agrees to lndemniry, defend and hold harmless City of Yucalpa, lts officers, officlals, employees and volunteers from and against all claims, damages, losses and expenses that may arlse during or be caused in any way by such occupancy or use of facllltles, but the facillty user shall not be liable for any claims, damages, losses and expenses caused by the sole negligence or willful mlsconduct of the Clty of Yucalpa. Permittee shall have received any and all permission or license(s) as may be requlred to perform or use any protected materlals in lts use of the Premises. Permittee agrees to protect and save harmless the City, its elected officials, employees and agents from and agalnst any and all claims, penaltles, and/or damages which may accrue as a result of Permittee's failure to comply with this requirement.
I have read the rules and regulations relating to use of facilities and accept responsibility for meeting the requlrements stated herein.
Signature
Deposit
EVENT I RESoURcE I oeeosr ree I cuance I mx I lruourur eato I REFUNDS I eamNce Yucaipa Rotary -
Wkly. Meetings
SrC Nutritlon
Center
Deposit $2 s0.oo $o.oo $0.o0 $o.oo $2s0.00
Payment Schedules
DUE DATE AMOUNT DUE I
Original Balance: $1O,404.47 Current Balance: $10,404.47 AMOUNT pArD I WTTHDRAWAL ADJUSTMENT I BaUANCE
May 30, 2023
Jun 27,2023
$az.zs
$10,367.18
$o.00
$o.oo
$o.oo
$0.o0
$37.2e
$1O,367J8
https://anprod.active.com/yucaipa/ui.do?method=showPermitContracl&permit_id=CC8D07860839
5130123,2:43 PM PermitContract
X:X:
Date:Date:
Clty of Yucalpa Communlty Servlces
Maif ing Address:34272 Yucaipa Blvd, Yucaipa, CA
92399
Phone Number: (9O9) 790-7460
Fax Number: (909l. 790-2589
Emai I Ad d ress: com m un ityse rvlces@yuca I pa.org
Rotary Club Of Yucalpa
Customer Type: Non-Profit (R)
Custome r lD: 27557
Malling Address: PO Box 661, Yucaipa, CA
92399
Organizatlon Phone 1 Number: (909) 900-9537
Authorized Agent Name: Todd Gu$ahr
https://anprod.active.com/yucaipa/ui.do?method=showPermitContract&permit-id=CC8D07860839 717
ATTACHMENT 6
City of Yucaipa Community Activity Grant
Event Reporting Financial Worksheet
Fiscal Yea r 2023-2024 Grants
I, INCLUDE BACK-UP DOCUfuTENTATTON WTTH REPORT I|VCLUDING:
coptES oF CHECKS, COPTES OF fiVVOICES/Q(iOTES (;ii
Recerved
City o1' yucaipa
MAR 2 CI Zt,24
Ge.nerarl Sr:rvices/
y Clierk's Di:partrnent
Name of Organization:
Contact Name:
Club of Y
Ostrander/Todd
Phone Number:
Email:
Description of Event/Project Funded: Y ucal Christmas Parade 'fotal Cost to Operate Event/Project: $2,292,28 .frr.1
Amount Cranted b1' City:rf,ooo'Section I (N,Ionetary) 5 I 2'334 Section 2 (ln Kind) Justify City Grant ,llonetutr.r'Amount: (if applicable)
SECTION I
Item # Date
Description
(Please be specific. l.ist ventlor ancl purpose for each disbur.\ement relutetJ 0\-l-l' to the grant rmount)
DiamorEffivrro" s
Amount
Wl.
2,
t.
4. 5.
8l 19/23
9lt8t23
nt20123
.Th€4artGuffirts -T+t?o3
R ltUlhmJech.-Prcd trction ffi g e 25
$
$
Justify City Grant In-Kirtrl Amount: (if applicable)
SECTION 2
Itenr # Dete
Description
(Plcase be spccific. [.ist t endor and purposc [ur each disbursemenl rclatetl O\1..\' trr tlrt'grnnt irmount)
SEP Fee
Amount
s 200t.
?.
J,
4. 5.
t2t9t23
t2l9l23
t2t9/23
t2lel23
Po lice/Sheriff Serv ices $ 9.034
Cal Fire Services s0
Public Works Services $ 3,100
S
ril
Total Disbursements (tustiff ing Cilr' 6ror, Monetay,and/or ln-Kind) Amount): S#&L-I'L,39 + Notes/co m m en ts/ad tl itio n a I
information:
Pagc I
Illoneta ry Grant Funds Remaining: S 0
Sribrt'iiit
. ,t-'t,-rf City of Yucaipa Community Activity Grant
Event/Program Summary
Fiscal Yea r 2023-2024 Grants
In an attempt to assist all awarded agencies. the City has developed an Event Reporting Financial Worksheet (attached) to ensure consistent and accurate reporting of the arvarded agencies use of City funding and/or in-kind services. Along rvith your Event Reporting Financial Worksheet. please provide the information requested below:
Did the event/program meet the original intended goal?
The Rotary Club of Yucaipa feels the Parade is improving each year and has exceeded our expectations in 2023
2. If funded in the future, rvhat rvould the organization do differently? Kcep building on past years successes, continue to inrprove parade staging area, increase volunteer participation. and increase band involvement.
3 What type of feedback did organization received from the participants? Participant and spectator feedback was overrvhelming in its enthusiasm and desire.
4.What other financial/in-kind contributions did the organziation seek or receive to fund the event/program (separate from City tunding)?
Crafton Hills Fire Academy - Post Event Trash Pick Up; Buntec (Yucaipa Disposal) - Trash boxes/bins.
The Rotary Club secured smaller donations and sold ads for the parade guide 5 List the total number of residents served.
Ten Thousand.
Attach copies of rnarketing/protnotional materials for the evenLiprogram Notes/comments/additionat information. 'l'he Rotary Club would once again like to say THANK YOU to the City Council and City StatVYucaipa SheriflTCal Fire for rnaking the Parade a SUCCESS! PI.EASE StiBlllT. .{I.ONG \r'lTll llvtlN't RllPOll'I'lNG l.'lrr";\}-.Cl,\L WORKSIIEE'l'. TO TllE Cl'l'l'C[,URK'S OF'FICE wtT H I t( oN E i\tol{TH }-ot,l.o1r'r NG TH E EvEti'I/pRoG Ri\Nt I'}agc 2
Docu Sig n E nvelope I D : B 3 3 D 77 7 2-CE36-4 1 54- AE 5C- 34 B A46C$C262 \\\\\\\.Yucaipa Police Request Form (Exhibit A)
Attachment to the Community Activity Grant Application/SEP Process ctn'or 2 ot. 5-' i oz ''{
il*20*?-Fiscal Year:
Date Application submitted:514123
Name of Applicant I Organization
Mailing Address:
Phone Number:
Contact:
Rotary Club of Yucaipa
PO Box 661 Yucaipa, CA 92399
Todd Gutjahr
Name Phone Number
E-mail address
Applicant Signature Title
Event Name:
Event Location:
Event Date:
Estimated Event Attendance Number:
68th Annual Christmas Parade
Yucaipa Blvd (CA. St. to 6th St.)
1219123 Event Time B a.m.-3 p.m
5,000
Nurnber of Officers Requested:
Dates Officers/COPS Requested
Equipment Requested
Additional Information:
Sworn Officers:
1219123
11 Citizen Patrol (COPS):16
Tinrcs Offi cers/COPS Requested :11a.m.-3 p.m.
Patrol Car:Motorcycle:tr Other:
Reviewed by:by:
S ignature lilrL Jw^,.Title: Sergeant Dare 5124123
Total Cost for In-Kind Request:
SBCTION I -GENERAL INFORMATION
SECTION 2_ EVBNT INFORMATION
SECTION 3-YUCAIPA POLICE SERVICES REQUESTED
TO BE COMPLETED BY YUCAIPA POLICE
City of Yucaipa Community Activity Grants Application, Rev. 0312022 $9,034
Page I
DocuSign lD: 36847546-9 1 9E-4ABC-A88E -21C021 3801 A4
(:tIY Or
Yucaipa Fire Requesf Form (Exhibit B)
Attachment to the Community Activity Grant Application/SEP Process
2. <'27" ? -;i ui
N)22-,2023-Fiscal Year:
Date Application submitted:
5t24t23
SECTION 1 - GENERAL INFORMATION
Rotary Club of Yucaipa
PO Box 661 Yucaipa, CA 92399
Name of Applicant / Organization
Mailing Address:
Phone Number:
Contact:
Todd Gutjahr
Name Phone Number
Applicant Signature:
E-rnail address
Title
SECTION 2_ EVBNT INFORMATION
68th Annual Christmas Parade
Event Name:
Event Location:
Event Date:
Estimated Event Attendance Nurnber:
Yucaipa Blvd (CA ST to 6th St)
1219123 8 a.m.-3 p.m
Event Time
5000
SECTION 3 - YUCAIPA FIRE SERVICBS RBQUESTBD
TBD
Number of Fire/EMS Requested:
Dstes Requested:
Additional Information :
1219123 11 a.m.-3 p.m.
Times Requested:
TO BE COMPLETED BY YUCAIPA FIRE
Reviewed by:
Signature:
by:
Fire thief
Title:
Totcrl Cost for In-Kind Request:
City of Yucaipa Community Activity Crants Application, Rev. 0312022 $0.00
Date
5124123
Page I
LrLrreLr\Jtyt I t-t I
\'.. a I l/a
.7.;r. , a \-r!rUtJULr-l-u'tv--t, (JU-()l'r1Er-&letl)VI JC IZf Wf Public Works Department Requesf Form (Exhibit C)
Attachment to the Community Activity Grant Application/SEP Process Fiscal Year:
Date Application subrnitted:
2022-2023
5125123
SECTION 1 - GENETTAL INFORMATION
Rotary Club of Yucaipa
PO Box 661 Yucaipa, CA 92399
Name of Applicant I Organization
Mailing Address:
Phone Nurnber:
Contact:Todd Gutjahr
Name Phone Number
Applicant Signature:
E-mail address
Title:
SECTION 2 -EVENT INFORMATION
68th Annual Christrnas Parade
Yucaipa Blvd (CA. St. to 6th St.)
Eveut Name:
Event Location:
Event Date:
Estimated Event Attendance Number:
Event Time. B a.m.-3 p.m.1219123
5000
SBCTION 3-PUBLIC WORKS SERVICES REQUESTBD
Number of Public Works Staff Requested: _
Equipment Rentals and Quantity Requested:
Z cones 100 A Deli.eators 40 A Street closures 1 3 A Signag. 1 3 Dotes Requested:1219123 Times Requested:B:30 a.m.-3:30 p.m.
Projected Staff Time Expense , $2,000 Equipment Expense: $900 Additionalrnformation. ltems to include staff time (set-up and take-down of road closures, assisting with clean up of trash boxes, use of electronic message boards, a small generator, small announcing stage/riser, and misc. traffic control equipment).
TO BE COMPLETED BY PUBLIC WORKSDEPARTMENT
Reviewed by:
Signature:Fwviw lrutnlt
by:
Title. Director of Development Services/City Enginere Date 5124123 Total Costfor In-Kincl Request: $S,1 00
City of Yucaipa Comrnunity Activity Grants Application, Rev. 0312022 Page I