CITY OF
STAFF REPORT
DATE: June S, 2026
TO:
FROM:
Honorable Mayor and City C
Dr, Sean NC, Moore, City Ma
PREPARED BY: Ana V. Sauseda, Director of
SUBJECT: Fiscal Year 2025/2026 Accountability Reports
RECOMMENDATION:
That the City Council:
Item No., 5
ty Clerk 4V,�7
1. Receive the Community Activity Grant Accountability Reports and deem the program requirements complete for the following:
• Childhood Cancer Foundation of Southern California
• Family Service Association of Redlands
• Gardenworks For Kids
• Gracepoint Fellowship/First Baptist Church Yucaipa
• Inland Leader's Charter School
• Rotary Club of Yucaipa
• Rotary Club of Yucaipa
• Smiles for Seniors
• Yucaipa Calimesa Family Assistance
• Yucaipa Cal imesa Veterans Committee
■ Yucaipa Pickleball Inc.
• Yucaipa Valley Art Association
• Yucaipa Valley Art Association
• Yucaipa Valley Lion's Club;
• Yucaipa Youth Basketball; or
2. Provide further direction to staff.
BACKGROUND/DISCUSSION:
Pursuant to the Community Activity Grant (CAG) Guidelines, the following awarded GAG applicants have completed the GAG funded program and have submitted the Event Reporting Financial Worksheet and Event/Program Summary for Council review and approval. 06/08/2026 City Council Agenda 84
The following table details the name of the awarded agency, the amount granted, the actual grant amount spent, and the event reporting worksheet:
Awarded
Awarded
FY 2025/2026 ACCOUNTABILITY REPORTS
Financial
In -Kind
Amount
Amount
$1,150.00
Childhood Cancer Foundation of Southern California
$3,000.00
Family Service Association of Redlands
$1,500.00
Gardenworks For Kids
$4,000.00
$200.00
Gracepoint Fellowship/First Baptist Church Yucaipa
$945.00
Inland Leader's Charter School
$15,700.00
Rotary Club of Yucaipa - 70th Annual Christmas Parade
$10,206.00
Rotary Club of Yucaipa - Rotary Weekly Meetings
$3,000.00
Smiles for Seniors
$1,600.00
Yucaipa Calimesa Family Assistance
$852.00
Yucaipa Calimesa Veterans Committee
$1,100.00
Yucaipa Pickleball Inc.
$4,739.00
Yucaipa Valley Art Association - Wednesday Meetings
$5,189.00
Yucaipa Valley Art Association - Tuesday/ThursdayTuesday/Thursday Meetings $630.00
Yucaipa Valle Lion's Club
$1,000.00
$4,080.00
Yucaipa Youth Basketball
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 the organizations listed in the table above.
FISCAL IMPACT:
The recommendations do not result in a fiscal impact.
Attachment(s)
1. Childhood Cancer Foundation of Southern California
2. Family Service Association of Redlands
3. Gardenworks For Kids
4. Gracepoint Fellowship/First Baptist Church Yucaipa
5. Inland Leader's Charter School
6. Rotary Club of Yucaipa - 70th Annual Christmas Parade 06/08/2026 City Council Agenda 85
7. Rotary Club of Yucaipa - Rotary Weekly Meetings
8. Smiles for Seniors
9. Yucaipa Calimesa Family Assistance
10. Yucaipa Calimesa Veterans Committee
11. Yucaipa Pickleball Inc.
12. Yucaipa Valley Art Association - Wednesday Meetings
13. Yucaipa Valley Art Association - Tuesday/Thursday Meetings
14. Yucaipa Valley Lion's Club
15. Yucaipa Youth Basketball
06/08/2026 City Council Agenda 86
ATTACHMENT 1
06/08/2026 City Council Agenda 87
71TY
City of Yucaipa Community Activity Grant
9 Event Reporting Financial Worksheet
P� Fiscal Year 2025-2026 Grants
*INCLUDE BACKUP DOCUMENTATION WITHREPORT INCLUDING:
COPIES OF CHECKS, COPIES OF INVOICESIQ UO TES
Name of Organization. Childhood Cancer Foundation of Southern California, Inc.
Contact Name: Angelica Tapia
Phone Number: (201) 614-4653
Email: [email protected] [email protected]
Description of Event/Project Funded: Spring EGGstrayangaza Total Cost to Operate EventlProject: S
Amount Granted by City: $ Section I (Monetary) S 1,150 Section 2 (In Kind) Justify City Grant :11onetaryAmount: (if applicable)
SECTION I - Attach proof of payment
CITY OF VIPGAIPA
APR 6'2% k410n22
Description
Item # Date
(Please be specific. List Vendor and purpose for each disbursement related ONLY to the grant amount. Prm ide proof of processed pa, ment.] Amount
1. $
2. $
3. $
4. $
5. $
Justify City Grant In -Kind
Amount: (if applicable)
SECTION 2
Description
Item # Date
(Please be specific. List %endor and purpose for each dishunsement related O'SIX to the grant amount)
Amount
1. 3/21/2026
Special Event Permit. Aniph1theater and Shelter Reservation S 1350
2. $
3. 4.
$
5. $
Total Disbursements {Justifying City Grant Monetary and/or In -Kind) Amount): s 1,1 50 tilonetary Grant Funds Remaining: S
Notes/commen tsladditional
information:
PLEASE MAKE SURE TO PROVIDE BACK-UP RECEIPTS / PROOF OF PAYMENT TO JUSTIFY AMOUNTS AWARDED BY GRANT 06/08/2026 City Council Agenda Q Q
CITY OF
City of Yucaipa Community Activity Grant
0 Event/Program Summary
Fiscal Year 2025-2026 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:
1. Did the event/program meet the original intended goal? Yes. Families attended the special event, received peer support, and enjoyed a beautiful afternoon outdoors, experiencing a sense of normalcy outside of the hospital.
2. If funded in the future, what would the organization do differently? We would not make any changes. The warm weather this year contributed to a higher turnout compared to colder conditions.
3. What type of feedback did organization received from the participants:' The families enjoyed the warm weather at the community park instead of being insde the hospital.
They enjoyed seeing the smiles on their children's faces.
4. What other financial/in-kind contributions did the organziation seek or receive to fund the event/program (separate from City funding)?
We received a generous lunch donation from Jersey Mike's Subs, as well as drinks, snacks, baskets, plastic -filled eggs, and other in -kind contributions from community members and our local food bank.
5. List the total number of residents served.
2026 event welcomed 233 guests that included 134 children and 99 adults Attach copies of marketing/promotional materials for the event/program.
Notes/comments/additional information: Thank you for the continued support of our program and the families we serve. While we are not a Yucaipa -based organization, we truly appreciate the City's decision to support our work and the families we serve in Yucaipa and surrounding communities.
PLEASE SUBMIT, ALONG WITH EVENT. REPORTING FINANCIAL WORKSHEET. TO THE CITY CLERK'S OFFICE.
WITHIN ONE MONTH FOLLOWING THE EVEN/PROGRAM
SUBMIT
06/08/2026 City Council Agenda Q n
Permit
City of Yucaipa Community
PH0NE:(909) 790-7460
Services
FAX:(999) 790-2589
34272 Yucaipa Blvd
EMAIL:[email protected]
Yucaipa CA 92399
Dnperi!I Name
Childhood Cancer Foundation Of Southern
Calif. - 371
ClstCmw Type
Non -Profit (NR)
Ofgan1IAddrem
11155 Mountain View Ave. Ste.105
Loma Linda, CA 92354
Apart Name
Angelica Tapia
System user
Karen Ruiz
ChNhood Cancer Foundaldon of Soudwm Ceffamia
Booking Summary
COMMUNITY Parks
��f s 10,I SERVICES
Permit * FU4W
Stabs Tentative
Date Apr 17, 2025 6:02 PM
bxpkatfon Data Apr 17, 2026
Qrgortmtlon Phone 1 (909) 558-3419
Number
III Phone Number (909) 558-3419
ErnallAdd'eea ;[a ::, ::f•:;.:.11 ,ra
Payer Childhood Cancer Foundation Of Southern
Calif.
Rental Fee
$1,150.00
Discounts
$0.00
Subtotal
$1,150.00
Deposits
$100-00
Deposit Discounts
$0.00
Total Permit Fee
V,250.00
Total Payment
$1.150-00
Refunds
$0.00
Balance
$100.00
2 rescurce(s) 2 booking(s) Suhtotat $I.2150.01)
START DATE/TIME
END DATE/TIME
ATTENDEE AMT W/O TAX
Sat, Mar 21, 2026 7:00 AM
Sat, Mar 21, 2026 8:00 PM
1 $200-00
Special Event Fee 1 $200-00 / Each x 1
$200 00
Resource level fees
$700,00
Deposit $100.00 / Each x 1
$100.00
Rental - Daily $600.001 Day x 1
$600.00
START DATE/TIME
END DATE/TIME
ATTENDEE AMT W/O TAX
Sat, Mar 21, 2026 7:00 AM
Sat, Mar 21, 2026 8:00 PM
1 $0.00
Resource level fees
$350,00
Rental - Daily $350.00 Day x 1
$350.00
Custom Questions
QUESTION
ANSWER
# R7496 Skates Tentative
Pape 1 of 3
06/08/2026 City Council Agenda
90 A. Any Cancellation of a rental less than 30 days will result in toss of 100% of the rental Acknowledge fees and deposit (if applicable). B. Any cancellations prior to 30 days will result in a loss of 50% of the rental fees and deposit (if applicable). All refund requests are subject to a $20.00 processing fee. C. Refunds will be approved if rain or inclement weather occurs on the day of shelter reservation. Refund request form must be submitted within 7 days after reservation to be honored.
I acknowledge and agree that bounce houses are only permitted at designated Acknowledge Shelters. Community Park: Shelters 2, 3, 4, & 7 Ave I Park: Shelters 1, 2, 3, 4 7th Street Park Shelters 1, 2, 3 Wildwood Park: Shelter i
I acknowledge and agree the following Bounce House rules:l)Bounce houses are to be Acknowledge set up only by the bounce house company. 2)Bounce house companies will be responsible for providing a generator for the inflation of the bounce house. The City does not provide electricity. The generator must be quiet rated at SfldB or less and not generate noise in excess of City standards. 3)Bounce houses are not allowed in City parks overnight.
I acknowledge and agree to the following policies regarding bounce houses :l) Bounce Acknowledge houses must be free standing and weighted. Stakes are prohibited in City parks. 2) Permit Hol der/Requ estor is responsible for all damage caused by their use of the park or bounce house. Damage to City property or turf may result in additional fees incurred. 3) The City is not responsible for any damage to the bounce house.
I acknowledge and agree to the following rules and policies regarding Bounce Houses: Acknowledge 1] Bounce Houses/lumpers must be booked through authorized companies only.
Failure to do so will result in Company and/or event to be shut down. 2] The City reserves the right to limit the number and size of bounce houses being used. Only small bounce houses are permitted (1BY8'x18' max). Larger sized bounce houses are permitted only with a Special Event Permit and with Director approval.
I acknowledge and agree to 1)Permit Holder/Requestor(s) and event attendees must Acknowledge adhere to the rules and regulations governed by the City. 2] Failure by the Permit Holder /Requester or vendor to adhere to these policies will result in the immediate removal of bounce house from the park and may result in the denial of future use of City parks and facilities. Damages to the park resulting from use of a bounce house are the financial responsibility of the Permit Holder/Requestor.
I acknowledge and understand that all park shelter reservations include an insurance Acknowledged fee. Applicant shall purchase or provide and maintain general liability insurance and the coverage shall be in the amount of $1 million for bodily injury, personal injury, and property damage. General liability and liquor liability shall be endorsed naming the City of Yucaipa, its officers, agents, employees, and volunteers as additional insured.
I agree and acknowledge that the information provided to this application is correct Acknowledge and City organized activities shall have priority use over ail requests. Sufficient prior notification of canceled requests will be given by the City when possible.
I agree and acknowledge to follow the following park shelter rules:l) No food trucks Acknowledge permitted in parks or parking lot. 1) No amplified sound permitted. 2) Smoking is prohibited in all City parks and facilities (reference City Park Ordinance No. 256). 3) Alcoholic beverages prohibited. 4)No wood burning campfires or propane grills permitted, Charcoal only. 5)NO VEHICLES ARE ALLOWED IN CITY PARKS, ON TURF, OR ON WALKWAYS.
What is your type of event?
Other (May require approval)
Will there be a bounce house? If yes, I acknowledge and agree that bounce houses are No required to be reserved through the City of Yucaipa's authorized bounce house companies only. Not outside companies or personal bouncers permitted. Approved Vendors: Jolly Jumps www.jollyjumps.net or (877)694-1994 Jump N Jump www. jumpnjump.com or (909)873-8487
Deposit
# R7496 SEsftw Tentative Page 2 of 3
06/08/2026 City Council Agenda 91
EVENT RESOURCE DEPOSIT FEE
ti
Childhood Amphitheater Deposit
Cancer
Foundation
of Southern
California
Payment and Refund
RECEIPT # DATE
V64601.002 Jun 25, 2025
1164601.002 Jun 25. 2025
1164601.002 Jun 25, 2025
1164601.002 Jun 25, 2025
Payment Schedules
DUE DATE
Jun 25, 2025
Mar 7.2026
CHARGE TAX AMOUNT PAID REFUNDS BALANCE
$100.00 $0.00 $100.00 $0.00 $0.00
FEE DESCRIPTION
EVENT
RESOURCE
PAYMENT / REFUND
Deposit
Childhood Cancer
Amphitheater
6100.00
Foundation of
Southern California
Rental - Daily
Childhood Cancer
Amphitheater
$600.00
Foundation of
Southern California
Special Event Fee 1
Childhood Cancer
Amphitheater
$200.00
Foundation of
Southern California
Rental - Daily
Childhood Cancer
Shelter 42 Large
$250.00
Foundation of
Southern California
Original Balance: $1,250.00 Current
Balance: $100.00
AMOUNT DUE
AMOUNT PAID
WITHDRAWAL ADJUSTMENT
BALANCE
$200,00
$200.00
$0.00
$0,00
$1,050.00
$950.00
$0.00
$100.00
# R7496 Status Tentative Page 3 of 3
06/08/2026 City Council Agenda 92
ATTACHMENT Z
06/08/2026 City Council Agenda 93
1,j Ali + :.0V
CrrY OF
City of Yucaipa Community Activity Grant
Event Reporting Financial Worksheet
Fiscal Year 2025-2026 Grants
*INCLUDE BACK-UPDOCUMENTATION WITH REPORT INCLUDING:
COPIES OF CHECKS COPIES OF INVDICE.S/QU�TES
Name of Organization: Family Service Association of Redlands Contact Name: Kyra Stewart or Samantha Morgan
Phone Number. 909-793-2673
Email: [email protected] or [email protected], Description of EventfProject Funded: Move -in and Motel Vouchers Total Cost to Operate Eve ntIProjcct: S i 5,030
Amount Granted by City: S 3,000 Section I (Monetary) 5 0.00 Section 2 (In Kind) Justify City Grant MonetaryAmount: (if applicable)
SECTION
I - Attach proof of payment
Description
[tern #
Date {Please be specific. List vendor and purpose for each disbursement related ONLY to the grant amount. Provide proof of processed -payment,} Amount
i.
9/23/2025 LA QUINTA INN & SUITES YUCAIPA VOUCHERS
S 595.00
2. 9/23/2025 LA QUINTA INN & SUITES YUCAIPA VOUCHERS
$ 595.00
1 9/23/2025 LA QUINTA INN & SUITES YUCAIPA VOUCHERS
s 1,275
4. 9/25/2025 GREEN VALLEY VILLAGE PARTIAL MOVE -IN
s 535.00
5. $
Justify City Grant In -Kind Amount: (if applicable)
SECTION 2
Description
Item #
bate (Please be specific. List vendor and purpose for each disbursement related ONLY to the grant amount)
Amount
I .
$
2. S
3. 3
4. $
5. $
Total Disbursements (Justifying City Grant Monetary and/ar In -Kind) Amount): S Monetary Grant Funds Remaining: S 0
No to s/com m en Wa dd ition si
information:
PLF,ASE MAKE SURE TO PROVIDE BACK-UP RECEIPTS 1 PROOF OF PAYMENT TO JUSTIFY AMOUNTS AWARDED BY GRANT 06/08/2026 City Council Agenda Page 1 94
CITY OF
City of Yucaipa Community Activity Grant
Event/Program Summary
Fiscal Year 2025-2026 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. Aid the e►•entlprogram meet the original intended goal? YES
If rundcc] in Itic future. what would the organization do differently? NO. T] IESE FUNDS HELP FAMILY SERVICE ASSOCIATION'S MISSION.
3. What type of feedback did organization received from the participants? 001' clients are verb grate fill to have received this assistance
4. WhaI other financial/in-kind contributions did the arganziation seek or receive Ics fund the evenl/program (separate from City funding)?
No. aside from philanthropic donations. we were a%varded Kaiser and I II IAP-4
5. mist the total number of residents served.
6 Attach copies of marketing/prornotional materials for the event;prograrn.
Notes/commentsladditional information: THESE FUNDS ARE VERY HELPFUL TO OUR CLIENTS NEEDS PLEASE SGB►III :%LONG 11'I'1'lI EVFAT RE:PORTING FINANC IAl.1►'ORKStIEF:I TO TIIF. CITY C"I-Vkk'S 01 FIC'F WITHIN ONE MON I'll FOL1.01% INC TIIE EVE IYPRCIC RANI
SUBMIT
06/08/2026 City Council Agenda I'agL 2 95
401123
Family Service Association of Redlands / Oe[Ifl[ Pmaer s.nx 612 LaWon Street 9J 057b0222
Redlands. CA 92376 7
(969) 793 2673
090512025
Pink Account
------- -
PAY TO THE
ORDER OF GREEN VALLEY VILLAGE - _ - _ - _ -- _ - _ _
_. ; "906.00
Nine hundred six and -00/100"'^"""""'"""...... "'^^"'^_^ LARS
VALLEY ILLAGE APTS MAIL
349 5 YUCAIPA BLVDREEN
LEASING OFFICE
YUCAIPA CA 92399
Family Service Association of Redlandsll)i nk Account 401123 09125/2025 GREEN VALLEY VILLAGE
DEP C. ALDERSON Y-556 906.00
4-PAC Premier CASH in PINK 906.00
Family Service "glaciation of RedlandslPink Account 401123 09125/2025 GREEN VALLEY VILLAGE
DEP C. ALDERSON Y-555 906.00
4-PAC Premier CASH in PINK 906.00
® " 1111111111111111111 * 4
06/08/2026 City Council Agenda 1051s1 96 ..
FANIILA SERVICE ASSOCIATION
CLIENT ASSISTANCE
CIIECK REQUEST VOUCHER
Date:
Amount:
Makechecks payable to:
Type of Assistance:
Client Name & Case k:
Address:
N umber f contacts
Number in Family:
Assigned Case Manager:
September 22.2015
S906.00
Green Valley Village
Move -In Assistance
Ctvstal Aldeisou Y-556
Yucaipa Ca 92399
fi
Shawntries"Ilium son
Description of Case: "Ihe client is fleeing a domestic violence situation Where she is currently living in Shelter. She is currently working and Ibund a unit so she can stint her healing process. With the help ofoar agency, she will be able to heal and rebuild stability in herlife.
OK TO PAY (/N/Pld[.S)-IV~
OFFICE USE:
FUND:
OpCa
30G
COC4/1S
RG(G 35 cc
cc
,4 ct}i
06/08/2026 City Council Agenda 97
AU%✓.uu y ✓ir
-� 1 OA LEVIA E6'D\-et". u+... WaG SEES Fc:' F, -n^! r'11J+E III tE Dl tlS '�)c AL.
Landlord's Statement of Intent to Rent
Date: 8111 / u -�$
34/9\6} YuC.up+s AiA L9. YVr..+fa. CO `tL199
I Iq fit -CA J a-ll ty 4):1 1 AI a'- Landlord, have agreed to rent to !' (LaMlord's Name)
l W41-e�1 Aldt✓se.,
(Tenant's Name)
Who has accepted the apartment located at:
d 11 r,�,br. CA �j 2299
1� City/Stale/Zip
Size of Unit: / ir I Occupancy Limit: 3
Bedrooms/Baths Adults/Children
I require the following to be paid to secure the unit:
Security Deposit in the amount of: $fiAr
V month rent In the amount of: $_c3o t CD
34467. yor �%-nt. 8)er/ LP /ua.l P+. CA g23l'? (n"tan V"ty Lit 11 vyt Landlord's full name
jOg- 4a2-/ss t
Phone& Fax numbers
3t495,S /uc,ifor, (31ud
Mailing Address
r CA 9Z399
City, s�tat z ar
da%�v la 202i
Ian pager Signature ate
06/08/2026 City C000cil Agenda 98
l FAMILY SERVICE ASSOCIATION OF REDLANDS
TOA EVATEPOVERTY,ENCWRAGESEUSUFMIENCY,AND PROMATETHE DIGNITYOFNL Serving the QOMMUMLYSIM-C I99R
612 Lawton St I Reins ads, CA 92374 1909793-26731 rcdtandafnmllyseNlLe.oac Date: `' 'I I I l i 2.5
This letter is to verify that the client listed below resides at or has arranged to rent property at the address listed below in the County of San Bernardino.
Client Name: -
Full Address:
City, State, Zi Bed: / #Bath:
The ,DEPQSITS or UTIIEIi FF.ESl and is dLLC On
r'
I agree to ace ` : `'- from Family Service A is iou of Redlands` toward their (check one) ❑ en[ or jDjepasi[ which is due on 4 D 2S .nd any additional subsidies secured by tenanq*m FSA.
FAMILY SERVICE Afili RENTAL ASSISTANCE AT ONE MON'1'li INTERVALS.
OTlds is to provide one momh-s dent to secure 30 days of occupancy. (May be only partial subsidy)
❑ Initial rent/deposit for an apartment or house to secure 30 days of occupancy Tenan(ts responsible for any portion of full month rental expense not paid by Family Service.
We are working with the family through our prograrn to prevent homelessness, avert eviction, or assist when homelessness bas already occurred.
Land had or Manager
(Please print information & sign your name under"signaturc") NAMEI-i
SIGNATURE; -' - fi+ r .>S'lr Date: �I I't f -`
FULL ADDRESS. U Y,'rf
CITY, STATE, ZIPT ry/If
_
PHONE:
Checks should be made payable In: f lyflF:�r't-,t-
�r
PI F.ASF. FAX OR RETURN THIS FORM TO FSA AS SOON AS POSSIBLE This kairdeunscowd knr gcufpaymmlbyFamily Servmn/ alimufRdAI Iwerlvlhep �, JraidencenflM1efemgy andwoumorrtnl. Pm" I rll yuelificmime e/heruieunttnny bepmvWul. Pbesa i A it You 1 ddh yfruolimn fir mncems. Prymenl re9 ¢ w-9 dn,jJw Fun 'vre draw, fiom r v rieN al erovm,mcnl you and prim �3 Case M n Verification Data: �J
1114R2 MMC
0e/08/2026 City Council Ag®da 99
Historic District Look -Up
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Search for Districts
Enter aii address or district name in ;he box below or
click an the map io show all districts at that location.
Search results wAl appear in the panel below. Click the name of a district in this panel for more information.
If you wish to searrh for an address within any agency
that recently completed the redisvictirig process, dick here to use the Primarv.'lectror, District Look-UF2-ap .
F34455 YUCAIPA 6LVD, YUCAIPA, X
Districts at this location
Board or SLrpeivisois, District 3
City of Yucaipa
City of Yucaipa, City Council, District 4
COunty of San Bernardino
COL111W of San Bernardino, Board of Education, Area E
San Bernardino Lomrnvnity College District
San Bernardino Community College District. Area 6
San Beinar(firio Vnllpy Municipal Water District
San Bernardino Valley Municipal Water District. Divisio..
State Assernbly. Distr ict 42
State of California, Board of Egual"WLion, District b
State Senator. Di%lrir t 73
United States Representative, Distr ct 8
Yucaipa Cal mesa Joint Unified School District
Yucaipa-Calimesa Joint Unifies! School District. Area 4 Yucaipa Valley Wafer District
Yucaipa Valley Water District, Div!sioTi 2
06/08/2026 City Council Agenda
100
Pe4k uR�9ena 401114
Family Service AS"clatim of Redlands - nyasf f
Redlanjs. CA M76
(909)793-2673 09=025
PNk ACN,NI
PAY TO THE IA QUINTA INN B SUITES $ ••3,199.30
OR9ER OF
ThreethousanCone hundred ninety-nine and 30If00'•••'••••"•••'••••'•••••••' 1295Z14TKZNMET
VUCAIPA,r, A 9439e
MEMO: V-39009,010,012,013
Family Service Assodacon or RedlendaRnk Account 401114
09/23/2025 LA QUINTA INN & SUITES
V-39009,010,012,013 2,465.00
V-39009,010,012,013 OVERAGE 734.30
4-PAC Premier CASH in PINK V-39009,010,012,013 3,199.30 Funny SWAM Alacchtlpr of NedlandaVink Account 401114
031232025 LA QUINTA INN & SUITES
V-39009,010,012,013 2,465.009-CO
V-39009,010,012,013 OVERAGE 734.30 k.
0-PAC Prm r CASH in PINK V39009,010,012,013 7 CAL, 3,199.30 • • W08/2026 City Comcil Agenda 1111111111111 11111 PC 01 1 0 ,osn lmtm 1 1
LA QUINTA INN & SUITES YUCAIPA
MOTEL INVOICE
12.952. 14'1'H STREET
FAMILY SERVICE ASSOCIATION
Yl1t:All'A. CA 97344
OF REDLANDS
612 Lawton St
Redlands, CA 92374
(909) 793-2673
DATE OF INVOICE:
8131/2025 (9101)2025)
INVOICE NUMBER:
August
2025
FSA OFFICE USE ONLY
VOUCHEROF
•
# pF # pF # OF7pc
DATE
NUMBER
CLIENT (LAST, First)
HAYS
$90.95-SingIe15128.40-Dou61e
AL1t1LT5 CHILDBM
8/712025
39009
Fiernndes, Victor 5P5
7 $85.00
$5.95
5536.65
1 0
78111/2025
39010
Koptyra, Bandi
7 $85.00
$5.95
$636.65
1 0
78114/2025
39012
Smith. Charde
7 S12000
S8.40
S898.80
4 0
28 8/13/2025
39013
Serna, Michael
7 $120-00
$8.40
$898 80
2 1
21 Y PC
5/2W025
39014
Serna, Michael " =
8 $120 00
$8.40
$1.027.20
---
24 Y-CAC-J
Pc
W012025
39016
Smith, Charde
7 $120.00
$840
$898.80
---
---
28 ttHAP4
PC
8/13/2025
39070
Ervin. Anya
7 S85.00
5595
S636.65
1 1
14 HHAP4i
PC
S0.00
S5.00
S0-00
$0.00
$5.00
$0-00
$0.00
$5.00
$0-00
PAID $0.00 55.00 $0.00
912312025
oVtr � fa�e
6 V bir o5 at.
S0 00
55.00 $0.00
52.465 00
$734.30
$17.785.00 S549.50
50.00 S5 00
$0.00
CK# 401114
CK# 401114
CK# 401115 CK# 401115
$0.00
S5.00
$0-00
Y-CAG
PC
HHAP4 PC
$0.00
S5.00
5000
42518-300 42400-300 42528-300 42400-300 $0.00 $5.00 $0-00 Total Billed:
7 50
$5,633.55
9 2
1 129
Signature:
Stephanie Figueroa Title
General Manager
I # Families: 5
1. Vouchers in numeric order, 2. One month per invoice, 3. Client name: last, first, 4. Signature and Title 06/08/2026 City Council Agenda 102
Name Uk t) k' A l v�A 11l � t A VeA
ADDRESS 12CjC,x. 1 y A �
C111' `fit CUlR { CA 02309
P] ION : x �Q�]' �rj' �� [}Q �(�:�
Y
—� -_
DATE OF 1NVO]CE; -6 f -A INVOICE NUMBER: �L� � 20Z�
MOTEL. INVOICE
FAMILY SERVICE ASSOCIATION
OF REDLANDS
612 Lawton St
Redlands, CA 92374
(909) 793-2673
OFFICE USE ONLY
DATE
NUMBER
CLIENT (LAST, First)
DAYS
ADULTS CHILD. BN
-
086- 2y. Wool
ba fgtie, .5°?d i
dg 2o�2r Q iq
oS 2alzr - �'n f t�
8 zf�.3C16 -40
h(pank I -1 ic-1
jmI WChaW8-
Lsermat ff Micl�ae1,
�SQt 61(� I /Vj lh el
�S' rr f�i eparde-
. 15VV1V1 } y.A
eel
15f� fir. K�'�GY1 Jr •
. - '% GJ
1� p
: 1) C)
1`2 D
-:-:1 120
` �
r2.0t5 qa.q'�
Ejo (2e. q6
RkAo- r28-uo
'AD. 176.W
S•,Ab. log. q4
�.0tr
-e-
-i -
r-E
q
2-
-�
--
21 --
Zi?,
T""VEr-
Total Billed:
W 77
2—
j
Signature:
Title:
10 Families:
c7
1. Vouchers in numeric order, 2. One moitth per invoice, 3. Client name: fast, first, 4. Signature and Title 06/08/2026 City Council Agenda 103
PACIFIC PREMIER BANK
FAMILY SERVICE ASSOCIATION OF REDLANDS,
CALIFORNIA
612 LAWiON ST
REDLANDS CA 92374-3013
STATEMENT OF ACCOUNT ACTIVITY
866-353-1476
www.ppbLcam
Page
3 of 28
Branch
025
Account Number:
8000629767
Date
10/31/2025
EM
Withdrawals and Debits
Date
Deposits Withdrawals
Activity Description
H36301190639502 FAMILY SERVICES ASSOCI
10/15
41,869.13
BARRETf BUSINES5/INVOICE
H36336490639502 FAMILY SERVICES ASSOCI
10116
1,454.14
AMERICAN FUNDS/INVESTMENT
75402111 251013 FAMILY SERVICE ASSOCIA
10117
30.00 Stop Payment Fee
10/22
357.69
THE GUARDIAN/ACHPAYMENT
000763120000 Family Service Associa
10/31
44,864.49
BARRETT BUSINESS/INVOICE
H36504290639502 FAMILY SERVICES ASSOCI
10/31
2.00 PAPER STATEMENT FEE
Checks in Check Number Order
Date
Check No
Amount
Date Check No
Amount Date
Check No
Amount
10107
401014
55.02 10/14
401146
1,310.00
10/16
401176
185.00
10/07
401087*
645.98
10/30
401147
45.00 10/16
401177
185.00
10/08
401088
778.80
10/22
401146
66.53 10/21
401178
56,707.68
10/01
401109*
3,035.00
IC/15
401149
668.11
10124
401179
5,248.99
10/02
401110
479.67
10/15
401150
111.64
10123
401180
15.07 10/00
401114*
3,199.30
10/15
401151
90.12 10/22
401181
331.01
10/08
401115
2,434.25
10/15
401152
62.00 10/23
401182
673.16
10/03
401120*
150.00
10116
401153
180.00
10/24
401183
2,400.00
10102
401123* -
906.00
10/14
401154
1,300.00
10/16
401184
134.88
10/03
401125*
800.00
10/14
401155
1,300,00
10/15
401185
87,72
10101
401126
367.11
10/14
401156
1,300.00
10/16
401186
74.21 10/24
401127
300.00
10/24
401157
2,250,00
10/16
401188*
100.00
10/24
401128
1,000.00
10/24
401158
2,250,00
10/24
401190*
87.21 10/07
401129
906.00
10124
401159
2,250.00
10/22
401191
1,350.00
10/06
401130
434.84
10/14
401161 *
1,400.00
10/22
401192
1,365.00
10/03
401131
1,400.00
10/15
401162
2,300.00
10/22
401193
1,365.00
10/06
401133*
350.01
10/15
401163
2,300.00
10/22
401194
150.00
10/03
401134
1,400.00
10/24
401165*
1,128.84
10/27
401195
1,250.00
10/06
401135
1,000.00
10/14
401167*
1,700.00
10/27
401196
20,906.90
10/06
401136
2,004.00
10/14
401168
1,700.00
10/29
401197
808.78
10/24
401137
11000.00
10/14
401169
1,750.00
10127
401198
512.40
10124
401139*
2,000.00
10/14
401170
1,750.00
10/27
401199
5,500.00
10/15
401140
123.00
10/24
401171
2,000.00
1D/27
401200
305.30
10/10
401141
1,250.00
10/24
401172
2,400.00
1D/23
401203*
338.66
10/24
401142
778.80
10/24
401173
2,400.00
10/24
401204
150.92
10/15
401143
1,950.12
10/24
401174
2,400.00
10128
401206*
120.12
10/09
401145*
350.00
10124
401175
1,000.00
10128
401207
120.12
06/08/2026 City Council Agenda 104
,I-q -
THE
A PROGRAM OF FAMILY SERVICE ASSOCIATION Of REDLANDS
YUCAIPA OUTREACH PROJECT
CCVID-19 Assistance Programs
Mortgage Assistance
Food Assistance
Employment Support Services
(ie. Uniform costs, job certification cast, etc.)
CITY OF
;r
In partnership with the City of Yucaipa,
Yucaipa Outreach project is helping the
people of Yucaipa who have been
affected by COVID-19.
We want you to know there is relief!
06/08/2026 City Council Agenda
105
QaOUTREACHMI' HE YUCMPA PRO
q PROGRAM OF fAWLY SERVICE ASSOCIATION OF RMANDS
Are you behind on rent due to a
temporary financial crisis or
other issue?
Do you need wrap around
support such as holiday
assistance, bus posses, or
employment resources?
Do you live in the city of Yucaipa?
The Yucaipa Outreach Project is here to
helpl In partnership with the City of
Yucaipa, County entities and private
sources, we offer the following services:
• Emergency Rental Assistance
■ Move -in Deposits
Motel Vouchers
• Food Assistance
• Gas Cards & Bus Passes
Please visit our website at
red landsfamilyservice.org or call
909-570-9132 for more information.
06100C41b,a tfli gYA 9 116, Yucaipa, CA 92599 1 yucoipaoutreachproject.'06
ATTACHMENT 3
06/08/2026 City Council Agenda 107
CITY OF
® City of Yucaipa Community Activity Grant
Event Reporting Financial Worksheet
Fiscal Year 2025-2026 Grants i Cl��t'
*INCLUDE EACIK UP DOCUMENTATION WITH REPORT INCLUDING:
COPIES OF CHECKS, COPIES OF INVOICES/ UOTES��
Name of Organization: CCCA e q. ,�, C i � j i C1
Contact Name:
Phone Number:
Email. -
Description of Event[Project Funded:
Total Cost to Operate Event/Project: $ i
0 I
Amount Granted by City: S Q Section Y (Monetary) 5 Section 2 (In Kind) Justify City Grant .Wanetarr Amount: (if applicable)
SECTION 1 -Attach proof of paN menl
r
Description
Item # Date (Please be specific. List r endor and purpose for each disburseniral relaled ONLY t❑ the grave amount. Provide proof of processed payment.) Amount GC3
S 3 5
2. u. n A 1(a\00 Y_ $
3. $
4. $
5. $
Justify City Grant by iid Amount: (if applicable)
SECTION 2
Description
Item # Date (Please be specific. Lisi ren4lor and purpose for each disbursement mated ONLY to the grant antnunt) Amount
1. $
2. A $
3. $
4. $
5. $
Total Disbursements (Justifying City Grant Monetary and/or In -Kind) Amount): $ Monetary Grant Funds Remaining: $
Noteslcommentsladditional 11 11 1l_
information: �]Q C�►fJCPL1Gl`tC� �V}p �U���i
vjv io hel O tAs cAGOW C(n�• t1�r jam, .
CITY OF
City of Yucaipa Community Activity Grant
® Event/Program 'Summary
Fiscal Year 2025-2025 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:
1. Did the event/program meet the original intended goal?
2. If funded in the future, what would the organization do differently? r` r-t sn 5 u rn ►rne v` ►n t-�5
tio�e 0 5&)C)ol 5se Ct r, & �t`e d f--ar
3. What type of feedback did organization received from the participants? pacer Al f
4. What other financial/in-kind contributions did the organiiation seek or receive to fund the event/program (separate from City funding)?
�)of'�OLA_ r�5 o �n a►V LA, Cc Q Vb � 1pV S t ►ri e�5
�"5 1 i� �`�`� Yh v ►� ��-
5. List the total number of residents served.
Ir
er o chi [&rera a rnvn '] e_n o
QIF
Attach copies of marketing/promotional materials for the event/program.
Notes/comments/additional information: W e- L CN e
\Vh Yne_
PLEASE SUBMIT ALONG WITH EVENT REPORTING FINANCIAL WORKSHEET TO THE CITY CLERK'S OFFICE
WITHIN ONE MONTH FOLLOWING THE EVENTIPROGRAM
SUBMIT
06/08/2026 City Council Agenda 109
U
August 301 2025
CONSTRUCTION INV0lCE:0
Jose Guerrero
Whittier,, CA
Invoice fo r Donna mn farwSlooGksforkids:
Construction and labor for Cliildren's Learning Garden at 10966 Bj-y�ii,it Street, Yucaipa, CA 92399
Cost $3,500.00
in Paid Full
110
ATTACHMENT 4
06/08/2026 City Council Agenda 111
CITY OF
City of Yucaipa Community Activity Grant
9 Event Reporting Financial Worksheet
Fiscal Year 2025-2026 Grants
*INCLUDE BACK-UP DOCUMENTATION WITH REPORT INCLUDING:
COPIES OF CHECKS, COPIES OF IN VOICE SIQ UO TES
Name of Organization: Grace Point Fellowship
Contact name: Lidian Mansinon
Phone Number: 9099154816
Email: [[email protected]
Description of EsentlProject Funded: Love Yucaipa/CalitneSa MAY ^ .
Total Cost to Operate Event/Project: $ /-� ! w
Amount Granted by City: s 4,000.00 •Section 1 (Monetary) $ 450.00 Section 2 (in Kind) Justify City Grant MoneturyAmount: (if applicable)
SECTION I-Attacb proof of payment
Description
Item #
Date
(Please be specific. List vendor and purpose for cacti disllursemrut related ONLY to dw grant amount. Provide
proof of processed payment.) Amount
1,
10/14/2025
Love Our Cities
s 1,250.00
2. 1/15/2026
Build A Sign
s 1364.81
3. 1/15/2026
Next Day Flyers
s 1,025.36
4. 2/5/2026
Sig Time Design
s 632.46
5. 2/9/2026
Next Day Flyers
s 133.96
yyatQ.S�
— pl4 jt{rtit.Vl trw
Justify
City Grant In -Rind
Amount: (if applicable)
4 5; S2A -1 1W ( (V*- <-1A `5`• v" AV
SECTiONZ
Description
��l
t�c�t�f� D� � l��' `I, � W���-
,, _ �t 44 �+ICJr�fa/
ry
Item 4
Date
(Please be specific. List vendor and purposer each disbursement related ONLY the grant amount)
Amount f
1. 11/18/2025
City hermit
s 450.00
2. S
3. S
4,
S
S.
$
Total Disbursements (Juslibi►rg City GrantMonetarp andlor M-Kind) Amount): s 5,597.82 Monetary Grant Funds Remaining: S
Noteslcom mentsladditiou al
information: See Attached for additional Venders and invoices PLEASE MAKE SURE TO PROVIDE UACK-UP RECEIPTS 1 PROQF Ol: PAYMENT TO JUSTIFY AMouN,rS AWARDED BY GRAN'[' 06/08/2026 City Council Agenda 112
CITY OF
City of Yucaipa Community Activity Grant
Event/Program Summary
I� Fiscal Year 2025-2026 Grants
In an attempt to assist all awarded agencies, the City has developed an Event Reporting Financial Workshect (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 Workshect, please provide the information requested below:
1. Did the event/program meet the original intended goal? Yes the 25-26 event demonstrated strong cross -sector collaboration. There were 23 service projects. 330+ volunteers engaged in the rally and organized service events.
I if funded in the future, what would the organization do differently? Love Yucaipa/Calimesa would want to reach more groups with tangible needs within public spaces and Community -serving organizations
3. What type of feedback did organization received front the participants? There were very positive feedback responses from all involved and from Social Media.
4. What other financial/in-kind contributions did the organziation seek or receive to fund the event/program (separate from City funding)?
Love Yucaipa/Cal imesa reached out to organizations and churches in both communities.
Also, in -kind donations came from restaurants and stares.
S. List the total number of residents served.
There were 23 service projects
Attach copies of mark, cting/p rom oti on al materials for the evcnt/program.
Notes/comments/additional information: See Attached for additional receipts.
PLEASE SUBMIT. ALONG WITH EVENT REPORTING FINANCIAL. WORKSHRET, TO THE CITY CLERK'S OFFICE
WITHIN ONE MONTH FOLLOWING THE EVENT/PROGRAM
SUBMIT
06/08/2026 City Council Agenda 113
Yucaipa Performing Arts Center
12062 California St
Yucaipa, CA 92399
Phone: (909) 797-2489
FAX: (909) 790-2589
Email: [email protected]
GRACE POINT FELLOWSHIP
RANDY BALLING
34784 YUCAIPA BLVD.
YUCAIPA, CA 92399
-r Payment Summary
Check:
Credit Card:
Account:
Financial Aid:
Service Credit-.
Total Received:
y Transactions
Customef,
Grace Point FeAowslnp
34784 Yucaipa Gavel
Yucaipa, CA 92399
Receipt #1000130.026
Apr 14, 2026 10:41 AM
^.r � COMMUNITY Pars
SERVICES �++
�'ICer1
$0.00
$100.00 Visa xxx3873, Auth# 870272
$0.00
MOO
$0
$100.00
17P�r.rltytlt���
Love Yucaipa Bent
Action: Paid on Account Balance
Location' Amphitheater at Yucaipa Cmty Ctr
Permit 9RS046
1 Payment Schedule for Original Balance of
$550.00
Nov $450.00 $450.00 $0.00 $0.00
18,
2025
Apr $100.00 $100.00 $0.00 $0,00
11,
2026
Current Balance $0.00
Due Now $0.00
Prepared By: Jenna Campbell
Company ID: 43
Home phone: (909) 735-6091, Work phone: --
Cash.
$0.00
Memo:
$0.00
Gift Card:
$0.00
Community Activity Grant:
$0
Total Payments: $100.00
Payment Plan: $0,00
Rental - Daily Per Day W0.00
Total Charges $100.00
Total Payments $100.00
Balance $0.00
X KC4q rj� r�b_�- Q°f it (Ah LA-
tb rVA' _LA T)tfo5 l .0 a'
A. 4 �t
Lt�
In consideration of the acceptance of my enrollment into the above event, I hereby waive, release and discharge any and all claims for damages for death. personal injury or property damage which I may have, or which hereafter accrue to me, against the City of Yucaipa as a result of my participation in the event. This release is intended to discharge the City of Yucaipa. its offi"r-s, officials, employees and volunteers, any other involved municipalities or public agencies from and against any and all liability arising nut of or connected in any way with my participation in the event, even though that liability may arise out of the negligence or carelessness on the part of persons or cities mentioned above. I further understand that accidents and injuries can arise out of the event: knowing the risks. €terertheless, l hereby agree to assume those risks and to release and to hold harmless all of the persons or agencies 06/08/2026 City Council Agenda 114
Name
Organization Name
Address
Margaret Okino
Grace Point Fellowship
34784 Yucaipa Blvd
Yucaipa, CA 92399 U5
Payment Method Credit Card
Credit Card VISA-5676
Organization Email [email protected]
Organization Phone -1-19097901971
Total $1,250.00
Tax Deductible Total $1,250.00
GivingFuei
Secure Online Giving Powered by Givirrgl=uel
06/08/2026 City Council Agenda 115
Thanks for joining the Love
Our Cities family!
Your Details Are Below
Organization Name
Primary Contact
Primary Contact Email
Primary Contact Phone
Number
City Population
Amount (Less than
50,000)
Designation
Grace Point Fellowship
Margaret Okino
M a gg ie0kCdg pfyuca ipa.org
+19097901971
Under 50,000
Pay in full Annually
Recurring Yearly
Billing Information
Order Number LVRCTSCTYRGSTIBHO07P
Date 10/14/2 02 5
$1,250.00
06/08/2026 City Council Agenda 116
I acknowledge and agree that bounce houses are only permitted at Acknowledge
designated shelters. Community Park: Shelters 2, 3, 4, & 7 Ave 1 Park: Shelters 1, 2, 3, 4 7th Street Park: Shelters 1, 2, 3 Wildwood Park: Shelter 1 I acknowledge and agree the f❑flowing Bounce House rul as: 1) Bounce houses Acknowledge are to be set up only by the bounce house company. 2)Bounce house companies will be responsible for providing a generator for the inflation of the bounce house. The City does not provide electricity. The generator must be quiet rated at 6OdB or less and not generate noise in excess of City standards. 3)Bounce houses arc not allowed in City parks overnight.
I acknowledge and agree to the following policies regarding bounce houses: Acknowledge 1) Bounce houses must be free standing and weighted. Stakes are prohibited in City parks. 2) Permit 1-Iolder/Requestor is responsible for all damage caused by their use of the park or bounce house, Damage to City property or turf may result in additional fees incurred. 3) The City is not responsible for any damage to the bounce louse.
I acknowledge and agree to the following rules and policies regarding Bounce Acknowledge Houses: 1) Bounce Houses/Jumpers must be rooked through authorized companies only. Failure to do so will result in Company and/or event to be shut down. 2) The City reserves the right to limit the number and size of bounce houses being used. Only small bounce houses are permitted (18'xf8' x18' max). Larger sized bounce houses are permitted only %A,ith a Special Event Permit and with Director approval.
i acknowledge and agree to:1}Permit Ho(der/Requestor(s) and event Acknowledge attendees must adhere to the rules and regulations governed by the City. 2) Failure by the Permit Holder/Requestor or vendor to adhere to these policies will result in the immediate removal of bounce house from the park and may result in the denial of future use of City parks and facilities. Damages to the park resulting from use of a bounce house are the financial responsibility of the Permit Holder/Requestor.
I acknowledge and understand that all park shelter reservations include an Acknowledged insurance fee, Applicant shall purchase or provide and maintain general liability insurance and the coverage shall be in the amount of $1 million for bodily injury, personal injury, and property damage. General liability and liquor liability shall be endorsed naming the City of Yucaipa, its officers, agents, employees, and volunteers as additional insured.
I agree and acknovedge that the information provided to this application is Acknowledge correct and City organ" zcd uotivitiea shall have priority use over all roquo ats.
Sufficient prior notification of canceled requests will be given by the City when possible.
I agree and acknowledge to follow the following park shelter rules: 1) No Food Acknowledge trucks permitted in parks or parking lot. it No amplified sound permitted. 2) Smoking is prohibited in ail City parks and facilities (reference City Park Ordinance No. 256), 3)Alcoholic beverages prohibited. 4)No wood burning campfires or propane grills permitted, Charcoal only. 5)N0 VEHICLES ARE ALLOWED IN CITY PARKS, ON TURF. OR ON WALKWAYS,
What Is your type of event?
Meeting
Will there be a bounce house? If yes, I acknowledge and agree that bounce No houses are required to be reserved through the City of Yucaipa's authorized bounce house companies only. Not outside companies or personal bouncers Permitted. Approved Vendors: Jolly Jumps www.jollyjurnps.net or (877)694- 1994 Jump N Jump wwwjumpnjump.com or (909)873-8487
06/08/2026 City Council Agenda 117
Deposit
EVENT
RESOURCE
DEPOSIT FEE CHARGE
TAX
AMOUNT PAID REFUNDS
BALANCE
Love
Amphitheater
Deposit $100.00
$0-00
5100-OD $0.00
$0.00
Yucaipa
Event
Payment and
Refund
RECEIPT 4
DATE
FEE DESCRIPTION
EVENT
RESOURCE PAYMENT
/ REFUND
1167820.002
Nov 18, 2025
Rental - Daily
Love Yucaipa Event
Amphitheater
$350.00
11E7820.002
Nov 16, 2025
Deposit
Lave Yucaipa Event
Amphitheater
$100.00
payment Sd iedules
❑riginal Balance: 8550.00 Currant Balance: $100.00
DUE DATE
AMOUNT DUE
AMOUNT PAID
WITHDRAWAL ADJUSTMENT
BALANCE
Apr 11, 2028
$100.00
$0.00
$0.00
$100.00
06/08/2026 City Council Agenda 118
Permit
City of Yucaipa Community
Services
34272 Yucaipa Stvd
Yucaipa, CA 92399
PHONE,(909) 790-7460
FAX:(909) 790-2589
EMA IL:comm uni tyscrvicas@yucaipa, org
Organization Narnn Grace Point Fellowship - 43
Ctietomer Type Non -Profit (R)
organization Address 34784 Yucaipa Blvd
Yucaipa, CA 92399
Apent Name Randy Balling
System User Nlck Johnson
Love Yucaipa Event
r GUMMUNI I Y lvia't.ti
SERVICES
Permit # R8046
Status Approved
Date of fame Nov 18, 2025 9:06 AM
Organization Phone 1 (909) 913-0197
Number
Home Phone Number (909) 736-6091
Email Addraos past orrandy(ti�gp , uc.aipa org
Payer Grace Point Fellowship
Rental Fee
$500.00
Discounts
-$50.00
subtotal
$450,00
Deposits
$100.00
Deposit Discounts
$0,00
Total Permit Fee $550.00
Total Pay;tern. $450.00
Refunds 60,00
Balance $100.00
1 recource(s) 1 booking(g) Subtotal: $550.00
Booking Summary
ArnDhMeater
START DATEITIME END DATEfnME ATTENDEE AMT WIO TAX
Sat, Apr 25. 2026 7.00 AM Sat, Apr 25, 2026 8:00 AAA 300 $0.00 Resource level fees $550.00
Dt pnnrt Bloc 001 E-P.61 x 1 $.00,00
Rental - Daily $500.c•01 Day % 1 $600 0)
RLnt,.4 - Ds Iy •10% x i -$r,s0 GO
Custom Questions
QUESTION ANSWER
A. Any Cancellation of a rental less than 30 days will result in loss of 100% of Acknowledge the rental fees and deposit (if applicable). B. Any cancellations prior to 30 days will result in a loss of 50% of the rental fees and deposit (if applicable).
All refuM requests are subject to a $20.00 proccssin9 fec. C. Refunds will be approved if rain or inclement weather occurs on the day of shelter reservation. Refund request form must be submitted within 7 days after reservation to be honored.
06/08/2026 City Council Agenda 119
Invoice #13497
GRACE POINT Love Yucaipa & Calimesa Shirts
_._�_...- • --.- .-_----..--__--.- _-- Delivery Method
Big Time Design
Q 252 West 4th Street
Beaumont, Califomia 92223
951-845-2299
http://bigtimedesignprint.com
bigtimedesign04O5@yahc)o.com
Customer Billing Customer Shipping
GRACE Point Fellowship GRACE Point Fellowship
JAIME ENDRES JAIME PN❑RES
909-790- Not opted for SMS
1971 A'
[email protected]
I Category item # f Color I Description
Screen 6210M! Turquoise � Next Level - Unisex CVC T,1
Printing 6210
Screen 46210M i Turquoise i Next Level - Unisex CVC T
Printing J 16210
Screen 6210M Turquoise Next Level - Unisex CVC T ;
Printing 6210
Artwork I ARTWORK FEE
Fee ai FILE PROVICED
r FILMS/SCREENS
IMPRINT #13497-1 Screen Printing
FULL FRONT: HEART YUCAIPA & CALIMESA DESIGN
- RED AND WHITE PRINT
Created
Production Due Date
Customer Due Date
Invoice Date
Payment Due Date
Total
Outstanding
PAID
Thank you for your business!
PICK-UP YUCAIPA
STORE
February 5, 2026
February 5, 2026
February 5, 2026
February 5, 2026
February 5, 2026
$632.46
$632A6
5 M
L
XL
2XL
3XL
Qty
Items
Price
Taxed' Total
shirt -
2 S
j 15
12 $10.50
$388.50
137
12 12
i $12.50
$150.00
shirt -
f
x
hirt-
1 1
$13.50
$13.50
1 1
$15.00
x
$15.00
J F8e ��---- Description —
_ �Y Amount Taxed To
CREDIT CARD PROCESSING If paid by cash or company check no fee 1 4% $22,G8 Total Quantity 51
06/08/2026 City Council Agenda 120
Item Total
$567.00
Fees Total
$22.68
Sub Total
$589.68
Tax
$42.78 { 7.75% )
Total due
$632.46
Pa id
$0.00
❑utstanding
$632A6
Fill out your terms & conditions here. https://www.printavo.com/accounts/invoice_information 06/08/2026 City Council Agenda 121
2," 7,26. 1:'''9 r M,
MEfag%aig
Fast Printing, pone Right
Invoice far Order ## 15120)73
Order bate: 02/9/2026
P.0.1t:
Product octal+:
ITEM a24000596
Product: I.US [C rn Banners
1teOtder , Frprn fob IW251731 item 23040857
547c: 95' x 67-
Front Side ! For al or
Back Side; No Pnn618
M+ '& al - 7361. Schm Vinyl
Ixaao to Shp In: 3 CUSMeSS 0dvf
TrCal.frH `LS: AM With Gfomm PIS
GremroetF : Add 9 6'3:nmetS per bmk.r r 124'
Saps;
Payment Information
Credit Card., VISA Ending in 1529
Payment Date: 02/09/2026
View invoice I NexSDayFlyers
8000 Haskell Ave., Van NuVS, CA 91406
Toll Free. BSS-898-9870
Mon- Fri{24, Hours a Dav), Sat- Sun(Gam-Spm PT)
Bill to. Grace point Fellowship Church
Jamie Endres
34784 YUCAIPA SI VD, YUCAlPA, CA, ID 4 D8949 2
Email: raception�ingpfyucaipa.org I Phone: (909) 790-1971 0etivcry & ❑estination Quantity 516o
0.21—y
t Oav Hansa
Shipping Annress
Grace Pn-t relldwsnlPChurch
347$s YUCA+PA OW ❑
Yu[,e,+PA, CS 92399
5 '.00.85
7hond- wm no-197+
Shipping & ftandling: S 2 2 34
Ad Orffer$ are Salyj"t to the Teti%S C9ripmons en NtmDayr tyrre.c om- rw dmms, Phase wt t Sup [otal
$100.e5
Shipping & Haroling
$22.34
Sarre 7a•
S 1d.77
Order Tatar
S133.96
Paid
$131,96
valance Due
So
https:1/ www.nex Idayllye Fs.comf+nvoicel151209 73
06/08/2026 City Council Agenda
122
2/17/26, 1:08 PFA
Fast Prints rig. Dane Ri9fit
View Invoice I NextDayFtyers
8000 Haskell Ave.. Van Nuys, CA 91IJ06
Toll Free: 855-898-9870
Man-Fri(24 HDur5 a Day), Sa:-Sun(6arn-5pm PT)
Invoice far Order # 'i � � Bill to: Grace Point Fellowship Church Jamie Endres
347134 YUCAIPA BLVD. YUCAIPA, CA, 10 4089492
Order Date: 01/15/202s
Email: rec2al;[email protected] I phone: (9a9) 790- t9 1 P.O.#:
product Details Delivary3 Dvrtinatian
Quantity Price
ITFM N738A0657
Delivery
1 Par Transit
product: Cesiom earners
Peoni.W.Foom J013 13531328.1 Item 21719457
Snipping address
Fwat Side - Full Color
fira[e Pwnt Fd laws rip (rNPCh
Sixe:9F x 47'
3L794 YLPMP+ 3LVD
8aCu Sid— No Printing
YUCAIP:•. CA 92399
Material : 13 oa SCrrm ifinvl
P11nnd: [9091 7120.1971
A early to Ship In : 3 9uSiAMS Days
Treartntent5: Hem with Grarmnats
5hlpping S Nandlie g: $23 4R
GrnnsrneMf Add 8 Gromrr CM per ba—ir' 124-
gapa}
ITEM e23o40ada
delrwry
1 Day TWSA
�rvduct: Diallers
Reorder. From Job 13531128/ Item 21519cS6
Shipp lnj Address
Srta M r> ) • SD. 35
Grace Pont FellwvshiP Church
Fran( Si3e1 f 0 Cdor
347e4 YUCAIPA SWO
Back Side' MO Arinting
TUCAyk CA 32399
Marennl: l3 at.$to ndard Vinyl
prior-[9001?Do- 19171
Tfnarieents : Hem Nibs Grommets
Ready to Ship in: 3 BPSmASS ❑eye
Shipping B Handling! $47.9
Grommets: Add 6 Grpmni jts per banner Pit'
Raps]
ITEM #21940559
Delivery
1 Day Transit
product• Banos
Site IW • Hi • 60 . $6
Shipp lag Address
Front Side: Full (91or
Grace Poml- Fedo+n nip ChWcn
Bae4 Side : W PrWirlg
347% YKA10A SLt)0
Marenal 13 nz.5tandard vlriyl
YUCAIPA. CA 52399
iraatmonis: How with Ginram eis
pho":190J179D-1971
Ready to SMp in :3 8954m5s 17ay5
G rpm -mats : Add 6 Grommets (IN banner IZ+
Ship Dina +. Haed]Eng: g44.D
gaps)
Ilk MI lit i1140960
delivery
1 03y Translr
Product Sinners
geprder : From 2e6 13773 SUS ! Item 2173329FI
5hrppir.t Add....
Size". Hy; 120 r 60
Grace Pont Fellowstop Church
!conk S'de : Full [Olaf
34787. Y[2CAIPA RLYD
Rack Side • No r4wting
YUCAIPA. CA 92399
Materiaf . 13 OZ. Standard Vrrlyl
Mont! f909r no- 1971
Treatments: Film with GrOmmnts
Reedy to Ship In. 3 avr ncaa Days
5eiiyping 6 HA ndAng:523.18
Gn,—,.rs: Add 14 W.immets per ba r.wr [24-
gapo
ITEM g23840861
Dellury
1 Da'e Transit
PrDdDat: Ba nneis
Reorder: From Ito 13,735951Item 21753899
Shipping Address
size Iw. HI: 120 r W
1 9it a PNnt Fellow sh•D Church
rre..t Sale : f ud eerpr
34784 YUCAIPA RiVD
https:/Iwww. nextdayflya fs.com/{nvoical1502 5113
06/08/2026 City Council Agenda
l 1 1001115
5 S 231 is
4 S t56.12
1 < 11r6.1'
123
2/17126, 1:08 PM
View invoice I NexiDayFlyers
Sack Sido: No Printing
M uer ial , y3 vs. Stand6rd V11el
nvatrnents: Hem with Grommets
Ready to Ship In: 3 AusmeS: Days
G-rommcts : add 14 Grornene;s per ba truer 124-
gap5}
Payment information
Credit Card: VISA Ending in 7750
Payment Date: 0111512026
YUCAIFA. L4 92399
phone, 19091 790.19?1
SNpping i ilandlinj: SZ3.19
All orders are subject ;o the Terms 6 Lmd itions on kcat DayClyert.tom. For dvta,l , P1—i, I -r, Subtotal
Shipping & Handling
sales Tax
o rdsr Teta l
Paid
Balance Cue,
r -r
$790.37
SWISS
$9o.Ly
$1025,36
�7025.38
$0
https:11www. nextd ayRyers.com fines ice! 15 025113
06/08/2026 City Council Agenda
124
212
Order# 600758735
htipsJAvtvw.bu ld,z*-caul
Date: Thursday, January 15, 2026
Billing Infoffnation
Name: Jamie Endres
Phone:9097901971
Address: united States, California, YUCAIPA, 34784
YUCAIPA BLVD, 923994253
Payniew method: Credit Card
Maine
IS x 24" Yard Sign PFF
18 x24"
C6,1.1vrcd Plavac:
5ingic Sided
lvrmc
No Hales or GrommcLc
24in x /0 it Wir'c Sradz
19" x 24" Yard Sign PFF
18"x 24"
Con rr,-;aied F);ivic
single Sided
None
No Mplec or Grommets
24in x IOin Wire 5rnde
Slopping Information
;dame: GRACE POINT FELLOWSHIP
Phone:9097901971
Address: United States, California, YUCAIPA, 34794
YUCAIPA BLVD. 923994253
Shipping method: Standard
Get it by: 1/271-026
Price Qty TOW
$5.02 150 $753.00
$5.02 100 $502.00
Sub -total: $1.255.00
Shipping: $0.00
Tax: $109.81
Order total $1,364,81
06/08/2026 City Council Agenda
125
4122126. 9.23 AM View Invoice I NextDayFiyers
8000 Haskell Ave., Van Nuys, CA 91406
MRffi%rTM
Tall Free: 855-898-9870
Fast Printing, Done Right Mon-1`024 Hours a Day), Sat-Sun(6am-5pm PT) Invoice for Order # 1S222359 Bill to. Grace Point Fellowship Church Jamie Endres
Order Date: 031412025 34784 YUCAIPA BLVD, YUCAIPA, CA, W 4089492 PQ'#' Email: reception[[email protected] I Phone: (909) 790-1971 Product Details Delivery & Destination Quantity Price
ITEM #24166593
Delivery
Product: Banners
T Day Transit
Reorder : From lob 15025113 1 Item 23840860
Size IW x H1: 120 x 64
Shipping Address
;
Front Side Full color
Grace Paint Fellowship Church
Back Side ; N8 Printing
34784 YUCAiPA BLVD
Material ; 13 or. Standard Vinyl
1 $ 146.10
YLJCAIPA. CA 92399
Treatments: Hem with Grommets
Phone: (909) 790-1971
Ready to Ship In : 3 Business Days
Grommets ; Add 14 Grommets per banner (24"
Shipping &Handling: $25.17
gaps)
Pavment Information 5ubtotaf $146.1
Credit Card: VISA Ending in 1529
Shipping & Handling
$25.17
Payment Date: 0310412025
5ales Tax
$14.98
Order Total
$186.25
Paid
$186.25
Balance Due
$o
All orders are subject to the Terms & Conditions on NextDay Flyers. com. For details, ptease visit -s'; p�-:a rvw,. ,iu• .1:1•J;=i I•;Lr: tuiL0. , . •i . ii. https:llW-Wor/0x lw n�ity C ounci Agenda$9 111
126
4122126, 9:17 AM
maff
Fast Printing, Done Right
Invoice for Order #/5420944
Order Date: 04/17/2026
P.o.#:
Product Details
ITEM #24500710
Product: Banners
Size (W x H): 72 x 48
Front Side : Full color
Back Side : No Printing
Material : 13 oz. Standard Vinyl
Treatments : Hem with Grommets
Ready to Ship In : 3 Business pays
Grommets : Add 10 Grommets per banner (24'
gaps)
Payment Information
Credit Card: VISA Ending in 1529
Payment Date: 04/17/2026
View Invoice I NextDayFlyers
8000 Haskell Ave., Van Nuys, CA 91406
Toll Free: 855-898-9870
Mon-Fri(24 Hours a Day), Sat-Sun(6am-5pm PT)
Bill to: Grace Point Fellowship Church
Jamie Endres
34784 YUCAIPA BLVD, YUCAIPA, CA, I 4089492
Email: [email protected] I Phone: (909) 790-1971 Delivery & Destination Quantity Price
Delivery
1 Day Transit
Shipping Address
Grace Point Fellowship Church
34784 YUCAIPA BLVD 2 $ 106,50
YUCAIPA, CA 92399
Phone: (909) 790-1971
Shipping & Handling: $27.34
Subtotal
$106.6
Shipping & Handling
$27.34
Sales Tax
$11.72
Order Total
$145.66
Paid
$145.66
Balance Due
$0
All orders are subject to the Terms & Conditions on NextDay Flyers.com, For details, please visit htips:ewvjw.nvNIrlaVrlyais rornrs.•r•rrolu•rni--cnitditirn; ""Ps:/lw'^n'OrMd*�)ftrrrCi�ggKYft'l,4fAW%44
127 1f1
GRACE POINT FELLOWSHIP
CHECK REQUEST
Date 05/04/26
Total Amount of Check 309.32
Name: David ❑evin
Address: 35218 Fir Avenue SP 87
Yucaipa CA 92399
Account
Description Number Amount
Materials for Love/Yucaipa
Mobile Home Proiects
Requested by
Approved by Business Office
309.32
06/08/2026 City Council Agenda 128
MAY 4, 2026
LOVE YUCAI PA AN D CALI M ESA
EXPENSES
LEADING UP TO THE LOVE YUCAIPA SERVE DAY, ON SATURDAY
APRIL 25, 2026, I HAD EXPENSES THAT WERE USED TO HELP
BEAUTIFY AND IMPROVE SOME OF THE MOBILEHOME COACHES
HERE IN YUCAIPA.
APRIL 20
- 10 BAGS OF MULCH
$37.26
APRIL 20-40
BRICKS
14.36 APRIL 22 -
PAINTAND SUPPLIES
54.96 APRIL 22 -
CONNECTORS AND LOUVERS
32.78 TOTAL EXPENSES
$135 36
SINCE APRIL 25, 2026, 1 HAVE INCURRE❑ ADDITIONAL EXPENSES
AS WE CONTINUE THE INITIATIVE TO IMPROVE THE MOB ILEHOME COMMUNITY HERE IN YUCAIPA.
APRIL 29-4 FLUORESCENT BULBS $39.11
MAY 3 -1 GALLON WEED AND GRASS KILLER 96.85
MAY 3 -11.2 POUNDS GARDEN WEED PREVENTER 38.00
TOTAL EXPENSES $173.96
SINCERELY,
DAVID ❑EVIN
LOVE YUCAIPA AND CALIMESA COMMITTEE
06/08/2026 City Council Agenda 129
How doers mb�' get more dons.
How doer s
�rz %-
A more
1151 W 1.i160NIA AVF
" H 2UGONIA AVE I;,�iiti:' CA 9204 CY6) 7,18 0-- ER6
RERLAI�S, CA 9237 7 .9(39 i 7a8-0505 ;LE;a
1013 00027 49067 04/20i 26 08 : 31 AM l o l `, !]Cti• 0 3 12t 2; -- 04 22/ 2F,
SALE CASHIER GAVIN
SALE CAS IIEE GAVIN
�[ IOD4-516-044 HLR Gt1AiM CHC 4A. S> ��; IT;�1 �l�]titrs 5'-RENbGAPWfl1- -A, 2..:
H[7LLANf] 60"3M CHARCOAL • J4LiJ!'i ={!GHT EIJLI GAP - WHITE 4D[�0.33 13.20 itl 8'121051D ::X' O(JTLF -A,
L'X.3" AE M OU1t1i - WILL
SUBTOTAL 13.20 A4.98 7
SALES TAX 1.16 718418706>�C' WH1 CONN(:€R 4-
TOTAL $14.36 2"H31- Vli`JYl CONNECTOR - W1111 E
CASH 2O.40 2012.98
CHANGE RIFE 6.OA 15-151005`i31 FAf!E-0ۥ1 VENT <A=
1013 0��2Cyrf25 }! 08 ::31 AM 161H li GIN FACE ON VENT WHITE SUB WTA1L 30 A l
SALES TAX I.t T
1013 27 49067 04/20/2026 546o TOTAL $32 '3
LASH s5.
— - r� CHANGE RUE 3.01
�•_".L yuc.41 + - 1 4:] 13 U�3, 22 f26 014 = 2Q pM
u j 1 �s. ICa13 a7� 22628 04/22/2026 9439
Car
V-1
ow duers
do
-k E4 i
1191 W LUGONIA Ak-
s
r _ - PE ULANID13 4 CA W 374 [909. A- U11;
- thlla� �i35 L7 k- `212n {K 57
EA �3 � 1U1'� t3'
,� z [' _ 1[[ir SA1 C CASHIfk FONTCL
;
+a .! TUS 1 HINT .'].'��. t? Lf�aS� i,.,i•'. .JR - + I+ Y,1y�E•Ea;� _ I +=� •• iEF '_: �f3�115lI 3" WI's:[Ff{C!= -A� i j r T �� r 1 It fvE 0P 3-0 FI AI WT LATEX BRUSH
�,AV!NRr4_7vE c c .70 47 18.:J'4
(120(a,'a.187013 P2X�WNG �A-
tx �r' ^AIIJTF:R0, TLAJCH 2A �AT114 STO!i-- 6RAY
;T • s� rat` ig�if :jA i;v a-`ii' 06.98 27.92
�t1BTOI AL lF? c3b
1!�� ANT 5 E°i1d'35-+i+(F.3'�:J SALES TAX }-14
TOTAL $537.96
's ,!0 e1':"T�lI; 1s;; _`kC�'•-?::^0E?�r`.. 7 ?0 CASH IWOD �GEiSi��$ FI L1IANUE DU -U.04
r SCR :3 tl�i 22,'2b d3 `57 PM
$1.20 INSTANT �r"'�1�(� •i..=a ❑ 2�TI�F��� � €� �'��' � �+��€ 1 1i< �ii 8 tic -• WN PULIGY kFINITION,-,
To L'.A45 P(,LT::Y 1 '�! A !y
T6er`.<v. '7 +_ 3
06/08/2026 City Council Agenda 130
1151 W LUGONIA AVE
RE=DLANDS, CA 92374 [909)7.18-0505
1013 00027 92224 05/03/26 08:23 AM
SALE CASHIER JA2MIN
088685617933 PREEN WE) PVR -A-
PREEN RDYUSE GARDEN WEED PVNTR 5.6LB
[email protected] 34.94
SUBTOTAL 34.94
SALES TAX 3.06
TOTAL_ $38.00
CASH 40.U0
CHANGE 0UE 2.00
1013 05/03/26 08 : 23 AM
1013 27 92224 05/03/2026 3055
RETURN POLICY DEFINITIONS
POLICY ID DAYS POLICY EXPIRES ON
A 1 90 OBY01/2026
How doers
qc-1 more- done.
1151 W LUGONIA AVE
REDLANDS, CA 92374 (909)748-0505
1013 00027 92166 05/03/26 08:10 AN
SALE CASHIER AMBER
070183000180 RU CONC 64OZ <As
ROUNDUP F18GK4 CONC 64 OZ
[email protected] 89.06
SUBTOTAL 89.06
SALES TAX 7.79
TOTAL $96.85
CASH 100.00
CHANGE DUE 3.15
1013 05/03/26 08:10 AM
1013 27 92166 05/03/2026 3055
RETURN POLICY DEFINITIONS
POLICY ID DAYS POLICY EXPIRES ON
A 1 90 09/01/2026
1151 W L11GU AA AVE,
REDI ANTIS. CA 92:374
1613 W054 78151 04/,e) 26 1 AM
yALE `;EI_F CHF-(:iiiiII
046677570405 KVIVI� I'3[;W2PK =A,
PLC(32W) LIS' T6 D I.ED TUBE- cW .'I r
[email protected] T • 96
SUBTOTAL_ .9a
SALES TAX 15
TOTAL a•- -11
CASH v..alo
CHANGE 00F t • .89
7 Cl1- 04/29/ 26 1 1 AM
1u13 a �,-$1 zl E34: ZU1 F ij
PEIWN POLICY DEFTER0 10NW:
L-)uLTi:r TD BAYS POIAC•Y L•W11 `; tf:
A 1 90 07128120-
06/08/2026 City Council Agenda
131
Grace Point Fellowship
34784 Yucaipa Blvd
Yucaipa CA92399
A&M 47597
9P733713222
05/07/2026
PAY TO THE City Of Yucaipa I y "1,339.11
7 OR05R OF M..t
One thousand three hundred thirty-nine and 11I100""""""""""""""""""""':"`"""""""`�� ��•DDLLARS 9 City of Yucaipa
MEMO
Gram Point Fen,v anlla 47597
05/07/2026 City of Yucaipa
Date Type Reference Original Amount Balance Due Payment 05/07/2026 Bill 1,339.11 1,339.11 1,339.11
Check Amount 1 1,339.11
ral
CAr GF Y: te,grop
AdelFi -Operating 47 1,339.11
06/08/2026 City Cowcil Agenda 132
ATTACHMENT 5
06/08/2026 City Council Agenda 133
CITY 01
I
City of Yucaipa Community Activity Grant
CITY OF Ylien1pn
APR 1s3 !LE; PP 12 �-2112
Event Reporting Financial Worksheet
Fiscal Year 2025-2026 Grants
*INCLUDE BACK-UP DOCUMENTA? ION WITH REPORT INCLUDING:
COPIES OF CHECKS, COPIES OF INVOICESIQUOTES
Name of Organization: Inland Leaders Charter School
Contact Name: Jeremy Floch
Phone Number: 909-446-1100
Entail: [email protected]
Description of Event/Project Funded:
Total Cost to Operate Event/Project. $ 945.00
Amount Granted by City: $
Justify City Grant Alootelatr Amount: (if applicable)
SECTION I - Attach proof of payment
Description
Section I (Monetary) $ 945 Section 2 (In Kind)
74� 4A*A � L+ UAed
Item # Date JMN nrent.) Amount
[Please be specific. List vendor and purpose fur each (Iisburticmenl rclaled ONIA to the gran] amount. Preside proof of processed l.$ 2.$ 3.$ 4.$ 5.$
Justify City Grant In -Kind Amount: (if applicable)
SECTION 2
Description
Item # Date {]'lease be specific. Us[vendor and purpose for each disbursement related ONIA to the ,!r;unt amount) Amount
1.$ 2.$ 3.$ 4.$ 5.S
Total Disbursements (Juslifying Qr Grant Monetary rnadlorin-knd) Amount): $ Monetary Grant Funds Remaining: S
Notes/comments/additional
information:
PLEASE MAKE SURE TO PROVIDE: BACK-UP RECEIPTS / PROOF Up PAIrMENT TO 3USTIFY A5iOUNTS A1NrARDFD BY GRANT Page 1
06/08/2026 City Council Agenda 134
CITY ul
City of Yucaipa Community Activity Grant
Event/Program Summary
Fiscal Year 2025-2025 Grants
l
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:
1. Did the event/program meet the original intended goal? Yes! We used the Community Center for our home volleyball games. All games were played.
2, if funded in the future, what would the organization do differently? Nothing. All of our games went as planned. The Community Center Staff had everything ready for us each game.
3. What type of feedback did organization received from the participants? Everyone was really happy to have access to the gym at the community center! It gives us a realy home court. If we didn't have access to the community center we would have to play all of our games on the road.
4. What other financial/in-kind contributions did the organziation seek or receive to fund the event/program (separate from City funding)? We did not seek any other funding.
5. List the total number of residents served.
We played 5 [ionic games at the community Centel-.
Attach copies of marketing/promotional materials for the event/program.
Notes/comments/additional information:
PLEASE SURM IT, ALONG 1N 1-111 EN VNT ItEPORTING FINANCIAL WORKS] IEET TO TIIE Crrl' CLERK'S OFFICE NITI'IIIN ONE MONTH FOLLOWING 'I'lll: IIVE'NT/PROGRA11t
06/08/2026 City Council Agenda
135
COMMUNITY
'�
arks
PermitIe
� SERVICES
I fir!
City of Yucaipa Community PHONE:(909) 790-7460
Permit # R7565
Services FAX:(909) 790-2589
Status Tentative
34272 Yucaipa Blvd EMAIL:::crnmunityse•Vices[o)yucaipa.org Data May 21, 2025116
PM
Yucaipa, CA 92399
Expiration Date May 21.2026
organization Name Inland Leaders Charter School -170
Customer Type Non -Profit [R]
OrganUatlon Address 12375 California St
Yucaipa, CA 92399
Agent Name Jeremy Hoch
System User Nick Johnson
ILCS Volleyball Games
Home Phone Number (909) 705-9507
Email Address l+'1Dchpin4ndleaders.corn
Payer Inland Leaders Charter School
Rental Fee
$825-00
Discounts
-$82.50
Subtotal
$742.50
Deposits
$100.00
Deposit Discounts
$0-00
Total Permit Fee $842-50
Total Payment $742.50
Refunds $0-00
Balance $100-00
2 resource(s) 6 booking(s) Subtotsk $842.50
Booking Summary
c
START DATE/TIME END DATEITIME ATTENDEE AMT W10 TAX
Tue. Sep 10, 2025 2:45 PM Thu, Sep 26, 2025 5W PAR -- $W.Do Occurs on selected dates eftectwe OM612025 ant# 0912512025.
Tue, Sep 16, 2025 2:45 PM
Tue, Sep 16, 2025 5:30 PM
40 $148.50
Rental - Hourly
S60-0''
Resrdent Discount - 1046
-10% is
Thu, Sep 25, 2025 2:45 PM
Thu, Sep 25.2025 5:30 PM
40 $148-50
Rental - Hourly
$60.0(:
Resident Discount - 10%
•to%
Resource level fees
$100.00
$100.00 Each .
e
START DATE)7IME
END DATE17IME
ATTENDEE AMT W10 TAX
Wed. Sep 24, 2025 Z45 PM
Mon, Oct 6, 2025 5,30 PM
-- $445.50
Occurs on selected dates effective 09/24/2025 until 10/08/2025. #0R8/2026 C1Sty�Cou enAg nda Page 1 of 2
136
Wed, Sep 24, 2025 2:45 PM
Wed, Sep 24, 2025 5:30 PM
Rootal - Hourly
$60.00 / rrtou
Resident Discount - 10 %
-1("
Tue. Sep 30.2025 2:45 PM
Tue, Sep 30. 2025 5 30 PM
Rental - Hourly
Resident Discount - 1U:6
Mon, Cot 6, 2025 2:45 PM
Man, Oct 6, 2025 5 30 PM
DeL�r]srt
EVENT RESOURCE
DEPOSIT FEE
CHARGE
ILLS Gymnasium,
Deposit
$100,00
Volleyball North
Games
Payment and Refund
40 $148,50
40 S148.50
40 $t48.50
TAX AMOUNT PAID REFUNDS BALANCE
$0.00 $0.00 $0-00 $100.00
RECEIPT # DATE FEE DESCRIPTION EVENT RESOURCE
1165892.002 Aug 8, 2025 Rental - Hourly 1LCS Volleyball Gymnasium, North Games
1165892.002 Aug S. 2025 Rental - Hourly ILCS Volleyball Gymnasium, South Games
PAYMENT / REFUND
$297,00
$445.50
Payment Schedules Original Balance: $842.50 Current Balance. $100.00
DUE DATE AMOUNT DUE AMOUNT PAID WITHDRAWAL ADJUSTMENT BALANCE Aug 8, 2025 $462.00 $462.00 $a00 $0-00
Aug 14, 2025 $380.50 $280,50 $0.00 $100-00
# R7565 $tatus Tentative Page 2 of 2
06/08/2026 City Council Agenda 137
ATTACHMENT 6
06/08/2026 City Council Agenda 138
CITY OF
City of Yucaipa Community Activity Grant
Event Reporting Financial Worksheet
Fiscal Year 2025-2026 Grants
*INCLUDE BACKUP DOCUMENTATION WITH REPORT INCLUDING:
COPIES OF CHECKS, COPIES OF INVOICESIQUOTES
Name of Organization: rotary Club of Yucaipa
Contact Name: Karen Swedlove
Phone Number: 909-292-6908
Email: [email protected]
Description of Event/Project Funded: 70th Annual Christrnas Parade Total Cost to Operate Event/Project: $ $20K
Amount Granted by City: $.. L_15_1_�Section I (Monetary) $ 15,700 Section 2 (In Kind) Justify City G.rant Monetary Amount: (if applicable)
SECTION 1 - Attach proof of payment
Description
Item # Date
(Please be specific. list vendor and purpose for each disbursement related ONLY to the grant amount. Provide proof of processed payment.) Amount
1. Separate Funding Source - Non -Department Not for Profit Fund $
2. $
3. $
4. $
5. $
Justify City Grant In -Kind Amount: (if applicable)
SECTION 2
Description
Item # Date
{Please be specific. List vendor and purpose for each disbursement related ONLI to the gran) amount)
Amount
1. SEP Fee
$ 200
2. Police
$ 9,500
3. Public Works
$ 6,000
4. $
5. $
Total Disbursements (Justifying City Grant Monetary and/or In -Kind) Amount): $ 15,700 Monetary Grant Funds Remaining: S 0
Votes/comttteitts/aciditional
information: Rotary is evaluating if they can continue to organize and put on this event. Adequate volunteer manpower is becoming a concern.
PLEASE MAKE SURE TO PROVIDE BACK-UP RECEIPTS / PROOF OF PAYMENT TO JUSTIFY AMOUNTS AWARDED BY GRANT 06/08/2026 City Council Agenda
Page I ��"
CITY O
City of Yucaipa Community Activity Grant
ell,
Event/Program Summary
Fiscal Year 2025-2025 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:
1. Did the event/program meet the original intended goal? The 70th Annual Christmas Parade was a success with over 10,000 estimated attendance and over 120 parade entrees. It is an event that brings the community together & promotes the Christmas spirit.
2. If funded in the future, what would the organization do differently? Continue to seek volunteers to assist with the event.
3. What type of feedback did organization received from the participants? Positive - participants and community members have made this event a tradition.
4. What other financial/in-kind contributions did the organziation seek or receive to fund the event/program (separate from City funding)?
Parade entry fees, sponsorships, sold advertisement space in the parade program.
5. List the total number of residents served.
Estimated +/-10,000
Attach copies of marketing/promotional materials for the event/program.
Notes/comments/additional information: The Rotary Club would once again like to say THANK YOU to the City Council and City Staff/Yucaipa Sheriff/Cal Fire/YC]USD/private property owners for making the Parade a success.
PLEASE SUBMIT, ALONG WITH EVENT REPORTING FINANCIAL WORK5HEET, TO THE CITY CLERK'S OFFICE WITHIN ONE MONTH FOLLOWING THE EVENTIPROGRAN1
SUBMIT
06/08/2026 City Council Agenda 140
WELCOME TO THE CITY OF YUCAIPA CITY OF
Thank you for your interest in hosting a Special Event in the City of Yucaipa. The Community Services Department �•1 Q created this application to help you host a successful and p exciting event here in Yucaipa. Please review and complete the following application in accordance with the provided information. A special event in the City of Yucaipa is
defined as a "Carnival', "Community Celebration', or
"Outdoor Festival" which includes the use of amplified
sound and/or estimated attendance equal to or exceeding 300 people on City or private property. Except as otherwise provided by state law, no person or entity shall operate, maintain, conduct, advertise, or provide admission for any temporary special event within the City of Yucaipa without possessing a permit for each such temporary special event (Ord. No. 384).
PROCEDURES
A complete permit application may be filed as early as one (1) year before the event, but it must be received no later than three (3) months before the actual event date. Any organized activity involving the use of, or having impact upon, public property, facilities, public parks, sidewalks or street areas requires a permit Applicants requesting a waiver of fees or services must submit their application a minimum ofslx (6)months in advance.
The permit application process begins when you submit a complete Special Event Permit application. Keep in mind that acceptance of your application should in no way be construed as final approval or confirmation of your request Upon receipt of your application, the Special Events Supervisor will help guide you through the permit process. Copies of the application are forwarded and reviewed by all affected departments and/or agencies. During the review process, you will be notified if your event requires any additional information, permits, licenses or certificates. During our initial application screening process, you will be allowed time to provide us with all pending documents. We must receive these items before issuing a Special Event Permit (Le., certificates of insurance, secondary permits, etc.). Delays in providing these items often delay our ability to finish our review and approve your application in a timely manner. Special Event Permits can be approved administratively by City management under specific limited criteria. Events that exceed those criteria will require the approval of City Council:
City Management/Administrative Approval
• Estimated attendance 300-999 persons
• Amplified Sound (excluding Special Event Facilities)
City Council Approval
• Estimated attendance 1000+persons
• Alcohol Service (excluding Community Centers and YPAC) • Street Closure - traffic management
• Fee Waiver/Co-Sponsorship/ln-Kind (Community Activity Grant Application required)
06�08/2026 City Comci7
11 YY age
Organization and Applicant Information 45-5149308
❑ Commercial (For -profit)❑ Noncommercial (Non-profit) Tax I.D. #:
Organization
Name
Rotary Club of Yucaipa
Applicant Name
DonnaKaye Ostrander
Address
PO Box 661
Email
donnakaye@,2galsrealestate.mm
Phone Number
626-274-8403
On -Site Contact
DonnaKaye Ostrander / Jennifer Crawford
Phone Number
626-274-8403 / 909-255-4655
Event Information
Type of Event: ❑ Athletic/Recreation ❑ Festival/Celebration ❑ Outdoor Market ❑ Circus/Carnival
❑Concert/Performance ❑ Parade/Procession/March ❑Other(specify):
Event Title
70th Annual Christmas Parade
Event Location
Yucaipa Blvd (California St / Yucaipa Blvd. / 6th St.)
Event
The 701h Annual Christmas Parade will he held on Saturday, December 13, 2025.
Description
The Parade will start at the comer of Avenue D and California Street. The route will pmcced north on California Street until Yucaipa Boulevard, travel west on Yucaipa Boulevard until Itch Street, travel south on 61h Street and end at the Oak valley Education Center campus.
Please complete a daily breakdown of event -related activities. Use multiple lines to distinguish between different daily activities. Please attach additional sheets if necessa .
Date(s)
Daily Activity
StartTime
End Time
12/13/25
■
Set-up
Event Day
LI
Clean-up
a:00 am
12:00 pm
12/13/25
LI
Set-up
■ Event Day
Clean-up
12:00 pm
3:00 pm
12/13/25
Set-up
Event Day
Clean-up
3:00 pm
4:00 pm
Set-up Event Day Clean-up
Set-up Event Day Lj Clean-up
❑ Set-up ❑ Event Day ❑ Clean-up
Has this event taken place before? OYes❑ No How many years? 69 yrs +/-1o,om
Total anticipated attendance: Participants: Spectators:
Site Plan
Attach a diagram showing the overall layout and setup locations using the letters below.
Indicate the site for these on your diagram.
A. Alcoholic and nonalcoholic concession and/or beer garden areas B. First -aid facilities and ambulance locations
C. Tables and chairs
D. Fencing, barriers and/or barricades
E. Generator locations and/or source of electricity
F. Canopies or tent locations
G. Booths, exhibits, displays or
enclosures
H. Scaffolding, bleachers,
platforms, stages,
grandstands and related
structures
L Vehicles and/or trailers
I. Other related event
components not covered
above (describe
separately)
K. Trash containers and
dumpsters
L. Non-food vendor locations
M. Food concession and/or
food preparation areas
N. Potable toilet location(s)
Sample Site Plan:
When planning a moving route, the Yucaipa Police Department is available to assist you in planning your route. Consider the following in your planning:
• Impedance of emergency fire, police or paramedic vehicles. • Conflict with public transportation, such as buses.
• Interference with people trying to reach their own residences, businesses, places of worship and public facilities.
If your event involves street closures, you may be required to obtain traffic safety equipment, and a certified traffic control plan. Depending on the type of event, barricades, traffic cones, signs, etc., may be required. Depending on the type of event and after evaluating roadway conditions, you may be required to properly place this equipment prior to commencing the event If the closure creates a potential hazard, your organization will be required to contract traffic service from the Yucaipa Police Department and/or Street Division.
List street(s) requiring closure as a result of this event Include street name(s), day, date, and time of closing and time of reopening:
All streets fisted below require closures on Saturday, 12/13/25 from 8:00 a.m.4:00 p.m. California Street:
Acacia Ave. to USPS; Acacia Ave: Entrance of YPAC Parking Lot to California; Avenue A: 2nd St to Bryant St - Maybe scaled back to Ist St to Adams St; Avenue B: 2nd St to Bryant St - Maybe scaled back to 1st St to Adams St; Avenue C: 2nd St to Bryant St - Maybe scaled back to 1st St to Adams St; Avenue D:
2ns St to Bryant St - Maybe scaled back to 1st St to Adams St; Yucaipa Blvd: California St to 61h St6th St:
Yucaipa Blvd to OVEC Campus
Indicate how this closing/reopening of streets will be handled:
0 City of Yucaipa to handle (cost to be specified) ❑ Event to handle per CalTrans standards
List street(s) requiring the posting of "No Parking' signs. Indicate days, dates, and times needed and an explanation of necessity of"No Parking" zone:
California Street: Yucaipa Blvd to just north of post office. Avenue A: 1st St to Adams St, Avenue B: 1st St to Adams St, Avenue C: 1st St to Adams St, Avenue D: 1st St to Adams St, Yucaipa Blvd: California St to 6th St, 6th St: Yucaipa Blvd to OVEC sians
posting of "No Parking"signs will be specified upon review of the application by Utystaff.
Food and Beverage
tse describe how food will be served at the event:
e
Will food be cooked in the event area? U Yes U No
Method: ❑ Gas ❑ Electric ❑ Charcoal ❑ Other (specify):
Does the event involve the sale or use of alcoholic beverages? ❑Yes El No It alcohol is to be sold, how will the alcohol sales be regulated! NA
Who will be handling the alcohol sales/
NA
Restrooms
Portable restrooms are required when estimated attendance exceeds what the host facility's restrooms can accommodate. One portable restroom is required for every SO patrons attending over the minimal site accommodations.
Will Event Organizer provide portable restroom facilities? Q Yes [—]No
Company
Name
Diamond Environmental
Contact Name
Victor Jackson
Phone Number
60-533-3626
Lighting
If this is an evening event, please state how the event and surrounding areas will be illuminated to ensure the safety of the participants and spectators. (If required, show a separate site man which details streediehts. portable liehts. and other illuminatine devices.l Waste Removal
Event Organizer is responsible for arranging for the removal of all waste related to the event This includes but is not limited to emptying of trash bins and the removal of waste from the event site and other affected areas. If hiring a professional sanitation company, please provide the following information.
Company
Name
Rotary representative will coordinate with Burrtec thru Ana Sauseda Contact Name
Phone Number
If not hiring a professional sanitation company, please provide the following information for the person(s) responsible for waste removal.
Contact Name
I Yucaipa Rotary Club - DonnaKaye / Jennifer Crawford
Phone Number
626-274-8403 / 909-255-4655
Cal Fire/Medical
In case of an emergency, the on -site contact will call 9-1-1. If event requires an ambulance :om an to be on -site, please provide the following information:
Company Cal Fire
Name
Contact Name
Phone Number
Please describe your medical plan including your communications plan, the number, certification levels (MD, RN, Paramedic, EMT) and types of resources that will be at your event and the manner in which they will be managed and deployed. Your plan should include hours of setup and dismantle of medical aid areas. You may attach the plan to this application if necessary:
Police Services/Security
In the event that a carnival/street fair and/or alcohol service will be included in the event, an
alcohol garden and security plan will need to be submitted as well as a security contract and/or public safety staffing plan for review by the Police Department.
Is there a Drofessional securitv oreanizadon hired for this event? n Yes *No Company
Name
SBCSD
Contact Name
Phone Number
Please describe your security plan including crowd control, internal security or venue safety, or attach the plan to this application:
Entertainment
Will sound amplification be used?FM Yes ❑ No Start time: End time:
Are there anv musical entertainment features for this event? E Yes n No Name ofAct I Various bands in the parade & sound from various floats Contact Name
Phone
Number
How many stages? 1 Number of bands? 3-4 Genre of music: various Will fireworks, rockets, or other pyrotechnics be used? LJ Yes LJ No Company
Name
Contact Name
Phone Number
Hasa permit been issued: UYes I No
(Note: Additional permits maybe requiredas indicated bysta)j. These include, but are notlimited ta, Conditional Use 24 Permit, Land Use Permit, and Fire Departmentpermits.) Insurance
Before a Special Event Permit is issued, a certificate of insurance must be submitted.
Insurance certificate must be issued by insurance underwriters "admitted" by the California Insurance Commission and rated W or better by AM Best. Requirements are:
Minimum $1,000,000 General Liability Limit
Minimum $1,000,000 General Automobile Liability
Minimum $1,000,000 Worker's Compensation
On an additional insured endorsement, the City, its elected officials, officers, and agents are to be named as additional insured
Minimum limits of coverage may change depending on event ❑ Insurance certificate attached ❑ Insurance certificate on file ❑ Insurance certificate not available
Filing Fees
Special Event Permit Application Fee: $200.00
* Other Fees may apply (e.g. street closures, Fire Permit/Inspections, utilities, facility rental, etc.)
Application Checklist
07 Completed Application
❑ Certificate of liability insurance
❑ Site Plan (location of structures, lighting, restrooms, parking, etc.) ❑ Copy of Security Contract (if applicable)
❑ Copy of Potable Restroom purchase order (if applicable) ❑ Facility or Shelter Reservation Application (if applicable) ❑ Copy of ABC License (if applicable)
❑ Copy of County Health Permit (if applicable)
By signing below, I agree to indemnify, hold harmless, and defend the City and its officials, employees, and agents, against all claims, liabilities, and losses arising from activities connected with or undertaken pursuant to the Permit. The City is not liable for any business loss, property loss, or other damage that may result from the use of the Permit, or suspension or revocation of the Permit.
Name: ` . Crawford Signature: �$„_.a„c,,,,�,.a Date:
ATTACHMENT 7
06/08/2026 City Council Agenda 149
CITY OF YUCAIPA
DEC 15 525 A.48:09
CITY of
City of Yucaipa Non -Department, Not -for -Profit Funding Event Reporting Financial Worksheet
Fiscal Year 2025-2026 Grants
*INCLUDE BACK --UP DOCUMENTATION WITH REPORT INCLUDING.
COPIES OF CHECKS, COPIES OF IN VOICENIQ UO TES
Name of Organization: Rotary Club of Yucaipa
Contact Name: Karen Swed[ove
Phone Number: 909-292-6908
Email: [email protected]
Description of EventfProject Funded: Rotary Club Weekly Meetings Total Cost to Operate Event/Project: $
La
Amount Granted by City: $ Section I (Monetary) $ 10,206 w� Section 2 (In Kind) Justify City Grant Monetary Amount: (if applicable)
SECTION I - Attach proof of payment
Description
Item # Date (Please be specific. List vendor and purpose for each disbursement related ONLY to the grant amount. Provide proof of processed paytnent.) Amount
1. $
2. $
3. $
4. $
5. $
Justify City Grant lit -Kind Amount: (if applicable)
SECTION 2
Description
Item # Date (Please be specific. List vendor and purpose for each disbursement related ONLY to the grant amount) Amount
1. 711125-6130126 Facility Rental -Scherer Community Center $ 10,206
2. $
3. $
4. $
5. $
Total Disbursements (Justifying City Grant Afonetary and/or In -Kind) Amount): $ 10,206 Monetary Grant Funds Remaining: $ 0
Noteslcom mentsladditionaI
information:
PLEASE MAKE SURE TO PROVIDE BACK-UP RECEIPTS I PROOF OF PAYMENT TO JUSTIFY AMOUNTS AWARDED BY GRANT 06/06/2026 City Uouncll Agenda 150
Page I
CITY OF
City of Yucaipa Community Activity Grant
Event[Program Summary
Fiscal Year 2025-2026 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:
1. Did the event/program meet the original intended goal? Yes. The Scherer Community Center {Nutrition Center} meets are needs. 1 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.
3. What type of feedback did organization received from the participants? Excellent facility/staff.
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 Rotary members
Attach copies of marketing/promotional materials for the event/program.
Notes/comments/additional information: The Rotary Club would once again like to say THANK YOU to the City Council and City Staff for allowing the Club to use the facility.
PLEASE SURNI IT, ALONG WITH EVENT REPORTING FINANCIAL WORKSHEET. TO THE CITY CLERK'S OFFICE
WITHIN ONE MONTH FOLLOWING THE EVENT/PROGRAM
SUBMIT
06/08/2026 City Council Agenda 151
11n V
City of Yucaipa Community PHONE:(909) 790-7460
Services FAM909) 790-2589
34272 Yucaipa Blvd EMAIL:[email protected]
Yucaipa, CA 92399
Orgmteadw Name Rotary Club Of Yucaipa - 336
Cuetcmer Type Non -Profit (R)
0rgwtc w Add'eae PO Box 661
Yucaipa, CA 92399
Apent Name Daniel Hudec
Systam User Karen Ruiz
Yw*R Rotary Club WWW Mee*Vs
Booking Summary
COMMUNITY
'
P r*5
4 SERVICES
Be Or".
t
Peffnk * R7641
Sla6ue Tentative
Date of Wb May 7, 2025 5:51 PM
Explratlon Date May 7, 2026
Florae Phone MwTlbar (909) 227-3279
Flrlr Addt dan Qhcctecnnology.com
Payer Rotary Club Of Yucaipa
Rental Fee $11,63970
Discounts-$1,134.00
Subtotal $10,505.70
Deposits $250.00
Deposit Discounts $0,00
Total Permit Fee $10,755.70
Total Payment $10206.00
Refunds $0.00
Balance $549.70
1 rescurce(s) 35 booking(s) Subtotst$109M70
START DATE/TIME END DATE/TIME
ATTENDEE
AMT W/O TAX
Tue; Jul % 2025 WO AM Tue; Jun 1& 2020 M AM
—
SWA16.70
occcns every Tuesday Brfecflve 0710812025 untif 0611612026 from &DO AM to S.is AM Tue, Jul 8, 2026 6:00 AM Tue, Jul 8, 2025 8:15 AM
40 $283.50
Rental - Hourly $140.00 / Hour x 2.25 S315.00
Resident Discount -10% (YCC & SCC) -10% x 1-531.50
Tue, Jul 15, 2025 6:00 AM Tue, Jul 15, 2025 8:15 AM
40 $283.50
Rental - Hourly $140.00 / Hour x 2.25 $316.00
Resident Discount - 10% (YCC & SCC) -10% x 1-$31.50
Tue, Jul 22, 2025 6:00 AM Tue, Jul 22, 2025 8:15 AM
40 $283.50
Rental - Hourly $140.00 / Hour x 2.25 $316 00
Resident Discount -10% (YCC & SCC) -10% x 1 -$31 .:
Tue, Aug 5, 2025 8 00 AM Tue, Aug 5, 2025 8:15 AM
40 $283,50
Rental - Hourly $140.00 / Hour x 2.25 $315.00
Resident Discount - 10% (YCC & SCC) -10 % x 1 -$3150
# R7541 Status Tentative Pepe 1 of 5
06/08/2026 City Council Agenda 152
Tue, Aug 12, 2025 6:00 AM Tue, Aug 12, 2025 8:15 AM
40 $283.50
Rental - Hourly $140 00 / Hour x 2.25
Resident Discount - 10% (YCC & SCC) -10% x 1 $31
Tue, Aug 19, 2025 6,00 AM Tue, Aug 19, 2025 8:15 AM
40 $283.50
Rental - Hourly $140.00 / Hour x 2.25
Resident Discount - 10% (YCC & SCC) -10 b z 1 - :.J
Tue, Sep 2, 2026 6:00 AM Tue, Sep 2, 2025 815 AM
40 $283.50
Rental - Houriy $140.00 / Hour x 2.25 $315.00
Resident Disn,o -.ir t - 10% (YCC & SCC) -10% x 1
Tue, Sep 9, 2025 6:00 AM Tue, Sep 9.2026 8:15 AM
40 $283,50
Remal - Hourly $140.00 / Hour x 2 25 S315.f-)G
Resident Discount -10% (YCC & SCC) -10% x 1-831.50
Tue, Sep 16.2025 6:00 AM Tue, Sep 16, 2025 8:15 AM
40 $283.50
Rental - Hourly $140.00 / Hour x 225
Resident Discount -10%(YCC & SCC) -10% x 1 ;•.
Tue, Oct 7, 2025 6:00 AM Tue. Oct Z 2025 815 AM
40 $283,50
Rental - Hourly $140.00 / Hour x 2.25
Resident Discount - 10% (YCC & SCC) -10% x 1 - :. ...
Tue, Oct 14, 2025 6:00 AM Tue, Oct 14, 2025 815 AM
40 $283,50
Rental - Houriy $140.00 / Hour x 225 $315.00
Resident Discount -10% (YCC & SCC) -10% x 1
Tue, Oct 21, 2025 6:00 AM Tue, Oct 21, 2025 915 AM
40 $283.50
Rental - Hourly $140.00 / Hour x 2.25
Resident Discount -10% (YCC & SCC) -10% x 1 ;�'.:.•
Tue, Nov 4, 2025 6:00 AM Tue, Nov 4, 2025 8:15 AM
40 $283,50
Rentat - Hourly $140.00 / Hour x 2.25 1`; .:!(;
Resident Discount -10% (YCC & SCC) -10% x 1 51 5_1
Tue, Nov 11, 2025 6:00 AM Tue, Nov 11, 2025 8:15 AM
40 $283.50
Rental - Hourly $140.00 / Hour x 2.25 I6.;:
Resident Discount - 10% (YCC & SCC) -10% x 1 3 :-
Tue, Nov 18, 2025 6:00 AM Tue, Nov 18, 2025 8:15 AM
40 $293,50
Rental - Hourly $140.00 / Hour x 2.25 $315.00
Resident Discount -10% (YCC & SCC) -10% x 1 -$3150
Tue, Dec 2, 2025 6:00 AM Tue, Dec 2, 2025 8:15 AM
40 $283,50
Rental - Hourly $140.00 / Hour x 2.25 $316.00
Resident Discount -10 % (YCC & SCC) -10% x 1-$31.50
Tue, Dec 9, 2025 6:00 AM Tue, Dec 9, 2025 815 AM
40 $293,50
Rental - Hourly $140.00 / Hour x 2.25 $315.Cq
Resident Discount -10% (YCC & SCC} -10% x 1 a31 50
Tue, Dec 16, 2025 6:00 AM Tue, Dec 16, 2025 8:15 AM
40 $283.50
Rental - Hourly $140.OQ / Hour x 2.25 _ . ). .
Resident Discount - 10% (YCC & SCC) -10% x 1 5
Tue, Jan 6, 2026 6:00 AM Tue. Jan $, 2026 815 AM
40 $283.50
a R7541 Sbdw Tentative
Pepe 2 of 5
06/08/2026 City Council Agenda
153
Rental - Hourly $140.00 / Hour x 22E $315.00
Resident Discount - 10% (YCC & SCC) -10% x 1 -$315
Tue, Jan 13. 2026 6:00 AM Tue, Jan 13, 2026 8:15 AM
40 $283,50
Rental - Hourly $140.00 / Hour x 2-25 17
Resident Discount-10%,YCC & SCC) -10% x 1 iu
Tue, Jan 20, 2026 6:00 AM Tue, Jan 20, 2026 8:15 AM
40 $283-50
Rental - Hourly $140.00 / Hour x 2 2
Resident Discount -10% (YCC & SCC) -10% x 1 :..,
Tue, Feb 3, 2026 6:00 AM Tue, Feb 3, 2026 8:15 AM
40 $283,50
Rental - Hourly $140,00 / Hour x 2.25 831500
Resident Discount - 10` n (YCC & $CC) -10°! x 1
Tue, Feb 10, 2026 6-00 AM Tue, Feb 10, 2026 815 AM
40 $283,50
Rental - Hourly $140.00 / Hour x 2.25 3315.00
Resident Discount -10% (YCC & SCC) -10% x 1 -$3150
Tue, Feb 17. 2026 6:00 AM Tue, Feb V. 2026 8:15 AM
40 $283-50
Rental - Houriy $140.00 / Hour x 2-25 z�315-00
Resident Discount - 10% (YCC & SCC) -10% x 1-$31.50
Tue, Mar 3, 2026 6:00 AM Tue, Mar 3, 2026 8:15 AM
40 $283-50
Rental - Hourly $140.00 / Hour x 2-26 $315-OC
Resident Discount - 10% (YCC & SCC) -10% x 1
Tue, Mar 10. 2026 6:00 AM Tue, Mar 10, 2026 8:16 AM
40 $283.50
Rental - Hourly $140.00 / Hour x 2-25 $315-0c.
Resident Discount - 10% {YCC & SCC) -10% x 1
Tue, Mar 17, 2026 6:00 AM Tue, Mar 17, 2026 8:15 AM
40 $283.50
Rental - Hourly $140.00 / Hour x 2.25 $315-00
Resident Discount - 10% (YCC & SCC) -10% x 1 >:
Tue, Apr 7, 2026 6:00 AM Tue, Apr 7, 2026 8:15 AM
40 $283.50
Rental - Hourly $140.()0 / Hour x 2-25 $315-00
Resident Discount - 10% [YCC & SCC] -10% x 1-S31.50
Tue, Apr 14, 2026 6:00 AM Tue, Apr 14, 2026 8:15 AM
40 $283.50
Rental - Hourly $140,00 / Hour x 2.25 S315-00
Resident Discount -10% (YCC & SCC) -10% x 1
Tue, Apr 21, 2026 6:00 AM Tue, Apr 21, 2026 8:15 AM
40 $283.50
Rental - Hourly $140-00 / Hour x 2.25 $315.00
Resident D+scal:nt -10 % (YCC & SCCj -10°% x 1-$31.50
Tue, May 5, 2026 6:00 AM Tue, May 5, 2026 8:15 AM
40 $333-45
Rental - Hourly $140-00 / Hour x 2.25 $315-DO
Rental - Weekday Event Assistant (12A-9A) $22-20 / Hour x 2.25 $49,95 Resident Discount - t01'� (YCC & SCC) -10%x 1-S31.50
Tue. May 12. 2026 6:00 AM Tue, May 12, 2026 8:15 AM
40 $333.45
Renal • Hourly $140.00 / Hour x 2.25 $315 00
Rental - Weekday Event Assistant (12A-9A) $22.201 Hour x 2 25 $49-95 Resident Discount -10% (YCC & $CC) -10`/o x 1 -0.50
# R7541 Status Tentative Page 3 of 5
06/08/2026 City Council Agenda 154
Tue, May 19, 2026 6:00 AM Tue, May 19. 2026 815 AM
40 $333,45
Rental - Hourly $140.00 / Hour x 225 $315.0
Rental - Weekday Event Assistant (12A-9A) $22,20 / Hour,( 2.25 $49.95 Resident Discount - 10% (YCC & SCC) -10% x 1-$31.50
Tue, Jun 2, 2026 6:00 AM Tue, Jun 2, 2026 815 AM
40 $333A5
Rental - Hourly $140.00 / Hour x 2.25 $315.00
Rental - Weekday Event Assistant (12A-9A) $22.20 / Hour x 2.25 $49.95 Resident Discount -10% (YCC & SCC) -10q x 1-$31.50
Tue, Jun 9, 2026 6,00 AM Tue, Jun 9, 2026 8:15 AM
40 $333.45
Rental - Hourly $140.00 / Hour x 2.25 $315,00
Rental - Weekday Event Assistant (12A-9A) $22.201 Hour x 2.25 $49.95 Resident Discount - 10% (YCC & SCC) -10% x 1-$31.50
Tue, Jun 16, 2026 6:00 AM Tue, Jun 16, 2026 8:15 AM
40 $333A5
Rental - Hourly $140.00 / Hour x 2.25 $315.00
Rental - Weekday Event Assistant (12A-9A) $22.20 / Hour x 2.25 $49.95 Resident Discount - 10% (YCC & SCC) -10% x 1-$31.50
Resource level fees
$250.00
Deposit $250.00 / Each x 1 $250.00
Waivers and Information
INFORMATION DESCRIPTION SIGNING STATUS
Proof of Liability Insurance Checked
Proof of Non Profit Status Checked
WAIVER NAME DUE DATE FOR SIGNING STATUS
Facility Usage Waiver Jul 8, 2025 Waiver Signed
Facility user hereby agrees to indemnify, defend and hold harmless City of Yucaipa, its officers, officials, employees and volunteers from and against all olaims, damages, losses and expenses that may arise during or be caused in any way by such occupancy or use of facilities, but the facility user shall not be liable for any claims, damages, losses and expenses caused by the sole negligence or willful misconduct of the City of Yucaipa. Permittee shall have received any and all permission or license(s) as may be required to perform or use any protected materials in its use of the Premises. Permittee agrees to protect and save harmless the City, its elected officials, employees and agents from and against any and all claims, penalties, 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 requirements stated herein.
Deposit
EVENT RESOURCE DEPOSIT FEE CHARGE
Yucaipa SrC Deposit $260,00
Rotary Club Nutrition
Weekly Center
Meetings
o R7541 8tshis Tentative
06/08/2026 City Council Agenda
TAX AMOUNT PAID
$0,00 $0.00
REFUNDS BALANCE
$0,00 $250.00
155
Payment and Refund
RECEIPT a DATE FEE DESCRIPTION EVENT RESOURCE PAYMENT / REFUND 1194603.002 Jun 25, 2025 Rental - Hourly Yucaipa Rotary SrC Nutrition $10,208.00 Club Weekly Center
Meetings
Payment Schedules Original Balance: $10,755.70 Current Balance: $549.70
DUE DATE AMOUNT DUE AMOUNT PAID WITHDRAWAL ADJUSTMENT BALANCE Jun 24, 2025 $10,456.00 $10,206.00 $000 $250.00
Apr 21. 2026 $299,70 $0.00 $0.00 $299.7C
# R7541 Stator Tentative Pape 5 of 5
06/08/2026 City Council Agenda 156
ATTACHMENT S
06/08/2026 City Council Agenda 157
CITY OF
City of Yucaipa Community Activity Grant
Event Reporting Financial Worksheet
y Fiscal Year 2025-2026 Grants
*INCLUDE BACK-UP DOCUMENTATION WITH REPORT INCLUDING:
COPIES OF CHECKS, COPIES OF IN VOICESIQUO TES
Name of Organization: Smiles for Seniors Foundation
Contact Name: Catherine Serianni
Phone Number: 909-790-6671
Email: [email protected]
Description of Event/Project Funded. Low- Income Seniors Assistance Program Total Cost to Operate Event/Project: $ 3000
Amount Granted by City: $ 3000 '� Section t (.Monetary) $ Section 2 (In Kind) Justify City Grant Monetary Amount; (if applicable)
SECTION I - Attach proof of payment
Description
Item # Date {Please be specific. list vendor and purpose for each disbursement related ONI.V to the grant antount. Provide proot'of processed payment.) Amount
1. 05/06/2025-03/31/:
Food Assistance- Gift Cards
s 2,500 4-
2. 05/0612025-03/31/2
Utility Assistance- Gas, Water, Electric
$ 4435.81
3. 05/06/2025-03/31/:
Misc, (Medication, Incontinence Supplies, meal replacement s 1245.54
4. 05/06/2025-03/31/�
Rents
s 822.73
5. 05/06/2025-03/31/2
Total Yucaipa Senior Assisted from 05/06/2025 to 03/31/2026 s 9004.08 #�
Justify
City Grant I►r-Kind Amount:
(if applicable)
SECTION 2
Description
Item #
Date
(Please be specific. List vendor and purpose for each disbursement related QNL1to tiie grant Amount)
Amount
1. $
2. $
3. 4.
5. N oteslcom ments/add Wona I
information;
Total Disbursements (Justifyi►rg City Grant Monetary and/or In -Kind) Amount]: $ 3000 Monetary Grant Funds Remaining: S 0
On behalf of our local low income seniors,
thank you for the continued support.
PLEASE MAKE SURE TO PROVIDE BACK-UP RECEIPTS! PROOF OF PAYMENT TO JUSTIFY AMOUNTS AWARDED BY GRANT 06/08/2026 City Council Agenda 1 C Q
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a CitiBusiness Streamliner! Checking
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Date Description -J ~ Debits Credits Balance
05/02 POS DEBIT Card Ending in 3742 7.72 15,942.24
s USPS Po 05857803 12460 YUCAIPA CAUSU5i9 92 2Q 15,850.04 w 05/05 DEBIT CARD PURCH Card Endingin 3742
v 46SWO809 003742 May 0
WALMART-COM WALMART.COM AR 25122 15,ti50.04
05/05 DEBIT CARD PURCH Card Endin in 3742 200-00
LFG03HTL
CITY OF HEMET WATER 15,450.04
05/06 CHECK NO: 3152 20D.00
587-57 16,037.61
05107 ELECTRONIC CREDIT
PAYPAL TRANSFER 1042028954422 May 07 800.90 5,236.71
w 05/07 ACH DEBIT
AMERICAN EXPR AcK PMT uv7310 May a7 g0i 52 14,335.19
05107 CHECK NO: 50493 50-00 14.385.19
05108 DEPOSIT 825.43 15.210-62
05/08 DEPOSIT
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Amount Check
Date
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3152
05/06 _
200.00 3153 05109
450.00 ! 3155'
05 29
100.00 3156 05130 944-00
3157
05121
50-00 50493' 05107
901.52 50494
05,08
901,52 50495 05i22 901-53
50496
05128
901.53
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Number Checks Paid.
9 Totaling; $5.350,10
IF YOU HAVE QUESTIONS ON: YOU CAN CALL: YOU CAN WRITE:
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Checking 877-528-0990 Citibank. N.A.
For TTY.We accept 711 or P.O. Box 790164
other Relay Service. St Louis. MO 63179
For phone payments accepted through our Collections Department. you authorize Citi to electronically debit your specified bank account by an ACH transaction in the amount and on such date that you indicated on the phone. You may cancel a one-time payment by calling the number on your statement within the timeframe disclosed to you on the Fa phone.
For change in address, call your account officer or visit your branch - To ensure quality service, calls are randomly monitored. ® 2025 Citigroup Inc- Citibank, N.A. Member FDIC.
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06/08/2026 City Council Agenda 7(F41-0�oo xw'—
SMILES FOR SENIORS FOUNDATION
Date
Description
05l08
DEPOSIT
05108
CHECK NO: 50494
05/09
ACH DEBIT
ADP PAYROLL FEES ADP FEES 790077008571 May 09
05/09
CHECK NO: 3153
05/09
POS DEBIT Card Ending in 3742
SMART AND FINAL REDLANDS CAUS0715
051136,6W"IRD
PURCH Card 3742
CITY OF RIVERSIDE ESP R 1 A 5130
05l14.'D PURC Card Endin - 3742
TYOF RIVERSIDE EBP CA 2 33
05114
ACH DEBIT
ADP Tax ADP Tax RTLPN 051510A01 May 14
05114
POS DEBIT
CHdERGALIIVEISA3742
RE 1004 CALJS0515
05/15
DEPOSIT
05116
MISC DEPOSIT
PAY ID JPM99480123 ORG ID JPM NAME MARY C S
05116
DEBIT CARD PURCH Card Ending in 3742
N1 J,gC
9V2NGTX5 003742 May 15
ABBOTTSTORE ' 800-258.7677 OH 25135
05116
POS DEBIT Card Ending in 3742
US0515
STAPLES 1361 YUCAIPA C
05116
POS DEBIT Card Ending in 3742
BEST 99 CENT YUCAIPA GAUS0516
05/19
INSTANT PAYMENT CREDIT
20250519021000021 PI BRJPC04720108980 SQUARE
05l19
URCH
C-117Y OF RIVERSIDE EBP ERSIDE CA25136
05/19
DEBIT CARD PURCH Card Ending in 3742
WSVTLVHQ 1103742 May 19
PY'ATLAS STORAGE YUC YUCAIPA CA 25136
05/20
DEBIT CARD PURCH Card Ending in 3742
X80X5PGW 003742 May
JAKES BISTRO & BREW YUCAIPA GA 25139
05/20
DEBIT CARD PURCH Card Ending in 3742
5COX5PGW 003742 May 21)
JAKES BISTRO & BREW YUCAIPA CA 25139
05/21
CHECK NO: 3157
05/22
CHECK NO: 50495
05/23
ACH DEBIT
ADP PAYROLL FEES A0P FEES 790077286994 May 23
05 8
ACH DEBIT
SO CAL EDISON CO BILL PAY May 23
05 8
DEPOSIT
05/ 8
CHECK NO: 50496
05/ ACH DEBIT
ADP Tax AOP Tax RTLPN 052911A01 May 28
05129
ELECTRONIC CREDIT
AMER ONLINE GIVI EDI PAYMNT G4HMPXQ6J3 May 29
REF'TN'G4HMPXQ6J3'Donaflon from AOGFcause5-4
05/2
PURCH 3742
WF4CITYHEMET'S£RVICE CONCORD CA 25148
05/29
DEBIT CARD PURCH 742
HEM CA 25148
05/29
DEBIT CARD PURCH Card ndin in 3742
TBGx'T16
BMCISO CAL GAS COMP
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so C EDISON
05l29 ACH DEBIT
AMERICAN EXPR ACH PMT V1382 May 29
05/29 CHECK NO: 3155
05/30 CHECK NO: 3156
Total DebitslCredits
Account Page 2 o1 6
Statement Period. May 1 - May 31, 2025
Debits Credits
Balance
1,703.00
16.913.62
901.52
16,012.10
62.19 15, 929.91
450.00
15.479.91
29.68 15, 450.23
200.00 15,250.23
200.00
15,050.23
�512-02
14,538.21
400.00
14,138.21
260.00 14,398.21
5.00 14, 403.21
14,350.32
52.89 19.02
14.331.30
24,62
14,306-68
1,591-76 15,898,46
152.39
15,746.07
173.70 15,572-37
168.86 15,403,51
449,00 14,954, 51
50.00 14,904.51
901.53
14,002.98
82.19 13,920,79
96.58 ''• 13,824.21
2.01 �22 15,841-43
901.53
14.939,90
512.04
14.427.86
9-72 14,437-58
5-60 14.431.98
200.00 14.231.98
201.50 14,030.48
201.65 13, 828, 83
549.00 13,279,83
100-00 13.179.83
944.00 12,235.83
10,763.85 7,049.72
06/08/2026 City Council Agenda
160
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WES'BLIJEHOST.COM 88154014676 UT 25150
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06/06.,iji"D PURLH Q 742
CITY OF HEMET HEMET CA 25156
Price/Unit
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Amount
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17:55
$0.00
$0.00
Beginning Balance:
$12,235,83
Ending Balance:
$10,302-04
Debits Credits
Balance
- 36.17
12,199-66
' 96.00
12, 003.66
270.00
11,733.68
200-00
11,533-66
901.53
10, 632.13
587.57
1 1,21 9.70
5•60
11,214.10
200.00
11,014.10
06/08/2026 City Council Agenda
T,L.C. � Cf 6 3 161
SMILES FOR SENIORS FOUNDATION
Date
Description -- - - -
06706 'ACH
DEBIT
.
ADP PAYROLL FEES ADP FEES 928237654934 Jun 05
06109
DEBIT CARD PURCH Card in 3742
PET'SERVICE CONCORD CA 25157
06/09
Dr,EBI s CHARD PURCH C37d42 Ending in 3742
09 ZKNun
AAA CA MEMBERSHIP WEB COSTA MESA CA 25157
06109
DEBIT CART] PURCH Card Ending in 3742
02GXBBV5 003742 Jun 09
Spectrum 555.707-7328 MO 25157
06109
DEBIT CAR PURCH Card 42
ET HE CA 25157
06110
CHECK NO: 3158
06/11
DEBIT ARD PURCH Card Endin in 3742
hIEM T'SERVIC ORE? C A 25161
06/11
DEBIT CARD PURCH Card Endln in 3742
F >�EMET HE A 25151
06/11
DEBIT CARD PURCH Card Ending in 3742
JCVGLJWS 003742Jun 11
GSWCIEZ-PAY �300.999.4033 CA 25161
06111
ACH DEBIT
ADP Tax ADP Tax RTLPN U51212AUI Jun I
C/'rp- 06116
DEBIT CARD PURCH Card En in 3742
p AL GAS COMPAN B
06117
ACH DEBIT
50 CAL EDISON CO BILL PAY un 17
vi-eC- 05117
ACH DEBIT
17 �n
SO CAL EDISON CO BILL PA ,
06118
DEBIT CARD PURCH area Ending i ' 42
ZW2RVSHQ 003742 Jun 1
PY 'ATLAS STORAGE YUC YUCAIPA CA 25158
06120
ACH DEBIT
ADP PAYROLL FEES ADP FEES 931437646392 Jun 20
06123
DEPOSIT
06123
DEBIT CARD PURCH Car n 3742
CITY RIVEP151DE EBP ERSIDE CA 170
06123
6D PURCH Card En 3742
CITYOF RIVERSIDE ESP R E E CA 25171
06/23
CHECK NO: 50498
06123
ACH DEBIT
SO CAL EDISON CO 19IL6 P In 23
06123
CHECK NO: 3160
06/24
DEBIT CARD PURCH Card Ending in 3742
47LSWSOD 003742 Jun 24
Subway 25742 9097907191 CA 25173
06124
POS DEBIT Card Endin in 3742
5TATERBRO 34460 YUCAIP YUCAI#A CAUS0515
06/25
ACH DEBIT
CHECK PMTS 0000003161 Jun 25
06125
ACH DEBIT
ADP Tax ADP Tax RTLPN U62613A01 Jun 25
06126 ACH DEBIT Jun 26
SO CAL EDISON CO BILL PAY%W
06126 CHECK NO: 50499
06/30 ELECTRONIC CREDIT
AM=R ONLINE GIVI EQI PAYMNT G8U426GZA3 Jun 30
REF-TN'G8V426GZA3IDonatlon from AOGFeauses o
Total Dabita/Credits
Tf-OWI
Check
3154
{Date Amount
06104 _
Check
3158'
Date
O61 0
I
r%nda7•
nsifla 901-53 :
50498
06/23
Ov11RirZtlFv13 '
ACCOun Page 2 of 6
Statement Period. ,Dun 1 Jun 30, 2025
.Ea.
Debits Credits _ - Balance
82.19 10,931-91
4.92 57.00
101.25
175.60
100.00
5.60 200-00
265.00
12.02 114.50
16.41 174.02
17170
82.19 4,847,71
177.95
200-00
10,926-99
10,869-99
10,768.74
10,593,14
10,493,14
10,487-54
10,287-54
10,022.54
9,510,52
9,396.02
9,377-61
9,203,59
9r029,89
6.947.70
13.795,41
13,617.46
13.417.46
901-53
12,515.93
200-00
12,315,93
450.00
11,865-93
16.69 1 1, 649-24
50.00 11,799.24
200.00
11,599.24
256.01
11,343,23
149.39
11.193.84
901.52
10,292.32
9.72 10,302.04
7,378,79
5,445.00
Check. Paid
- -
Amount I-
Check Date. Amount
Chuck . _. -Date
Amount
100.00
.
3159 06103 270.00 -
3160 06123
450,00
on i c;.q
ii 90499 06126 901.52 !
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Totaling: $3.724,58
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Statement Period: Jul 1 - Jul 31, 2025
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Amount .. _Check __Gate--- ---Amount ,
_._..
Check Date Amtiunt CheckGate -_-
071D2 75.00 r 3163 07l16
_--Amcurlt -__Date.-__
45D.130 3164
07l08
.—
1 i 7-DO 3165 07114 114.00
23 901.53
3152
50500' 07110 901.52 50501 07111
901.53 50502
07l28
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8 9 11
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Cats
Description
a7/01
ACH DEBIT
SO CAL EDISON GO 131LL PAYlu1 01
Uf1c07102
ACH DEBIT 02
$O GAL EDISON GO BILL PAYMT
07102
ACH DEBIT
M RICCAN EXPR ACH PMT V7980 Jul 02
07102
CHECK NO: 3162
y 07/07
DEBIT CARD PURCH Car in 3742
'a
i ENERGY 600-303.7756 CA 25184
07/07
ACH DEBIT
ADP PAYROLL FEES ADP FEES 928038472640 Jul07
J 07108
in 3742
CARD PURCH Carda2
IDEBGT
Jul
Spectrum 955-707.7328 MO 25187
07/08
CHECK ND' 3164
Sevin s """
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vl-124-�mad
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Debits
204.18 -
200.00
311.00
75.00 201.95
82.19 101.25
117. DO
63 ce: $10,302.04
$8, 512.74
Credits Balance
10,097,86
9,897.86
9,586.86
9, 511.86
9,309.91
9, 227 - 72
9,126.47
9,009.47
06/08/2026 City Council Agenda 6 3 163
SMILES FOR SENIORS FOUNDATION
-- CH�GKltJG_►4,G�1V1T1
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Date Description
❑T109 DEBIT RD PURCH Card Endin in 3742
CITY OF RIVERSIDE EBP IVERSIDE CA 25189
07109 ACH DEBIT
ADP Tax ADP Tax RTLPN 071014A91 Jul 09
07110 DEPOSIT
07110 CHECK NC: 50500
07110 ACH DEBIT 10
SO CAL EDISON CO BILL PA
07/11 DEBIT CARD PURCH Card Ending in 3742
N'OHNOXL 00374 u111
CITY OF aNTAR1C 25191
07/11 ACH DEBIT
Nonprofits Insur debilpmt #484957291 Jul 11
071i 1 CHECK NO: 50501
07114 CHECK NO: 3165
07/15 DFRILfARD PURCH Card Ending
YoF RIVERSIDE EBP RSIDE CA.25193
07/15 ACH DEBIT" 77��.
SO CAL EDISON G4-WLrAY
07/16 DEBIT CARD PURCH Card Ending in 3742
ODMJGLVB 003742 Jul t 6
ALDI 79001 YUCAIPA CA 25196
07116 ACH DEBIT
SO CAL EDISON CO BILL PAY 6
07116 CHECK NO: 3153
07116 s OTERg OIS023 3 60 U CYUdCAFPA in 3742
CAUS0515
07117 DEBIT CARD PURCH Card Endin in 3742
WZNKFVHQ 003742 Jul 1
PY 'ATLAS STORAGE YUC YUCAIPA CA 25197
07117 POS DEBIT Card Endin in 3742
STATERBRO 34450 YUCAIP YUCAI A CAUS0515
07/18 ELECTRONIC CREDIT
PAYPAL TRANSFER 10435130675977 Jul 18
07118 DEBIT CARD PURCH Card Ending in 3742
DJ4PV310 003742 Jul 18
Subway 7010 9097951402 CA 25198
07/18 ACH DEBIT
ADP PAYROLL FEES ADP FEES 925538066049 Jul 18
07122 DEBIT CARD PURCH Card Ending in 3742
9SKY7256 003742 Jul 22
AMMODERN INSURANCE AMELIA 01i 25200
07122 DEBIT CARD PURCH Card Ending in 3742
LBRB8006 003742 Jul 22
PROGRESSIVE 'INSURANC 800-776-4737 ❑H 75200
07/23 ACH DEBIT
SO CAL EDISON CO BILL P
07/23 ACH DEBIT
AMERICAN EXPR ACH PMT W4640 Ju123
07123 ACH DEBIT
ADP Tax ADP Tax RTLPN 072415A01 Jul 23
07123 CHECK NO: 50503
07/24
DEBIT CARD PURCH Card Ending in 3742
,,re'-✓
DVTVC616 003742 Jul 24
JACK IN THE BOX 3550 CALIMESA CA 25204
poi 07/24
DEBIT CARD PURCH Card
03 42 Jul in 3742
24 DEL TACO 1343 CALIMESA CA 25204
07128
DEPOSIT
07/28
CHECK NO: 50502
07/29
D PURCH Card Fndiact in 3742
CALIFO 15ON 800.655.4555 CA 25207
07129
DEBIT CARD PURCH Card En in 3742
Y8SP4MPL
COACHELLA VALLEY A 25201
07131
DEBIT CARD PURCH C rd g in 3742
momommmmw-
�Y 800.727.5987 AZ 25211
07I31
PSP5PO058676031�BIT Card ,n 3742
A CAUS0519
Tntal r}Ahits/Credits
Account Page 2 of 6
Staiement eriod: Ju 1 - Jul 31, 2025
Debits
zoo 00
512.01
901.52
200.00.
200.00
231.23
901.53
114.00
200.00
200.00
300.00
00.00 450.00
�,//
250.00
73,70
50.00 16.99
62.19 180.75
569.88
120.53
211,21
/112-04
901.53
25.0000
25.00 901.53
162.65
200.00
200.00
139.00
10,624.86
Credits
7,975.28
587.57
272.71
8,835.56
4l1lIRI1�F(31�
Nd�. a
�aianca
8,809.47
8,297,46
16,272.74
15.371.22
15,171.22
14,971.22
14,739.99
13,838.46
13,724.46
13,524.45
13, 324.46
13,024.46
12, 824.46
12, 374.46
12,124.46
11,950,75
11,900.76
12, 488.33
12,471.34
12,389.15
12,208.40
11,638.52
1 1,517.99
11,306.78
10, 794.74
9.893.21
9,868,21
9,843,21
10,115.92
9,214.39
9,051.74
8,851.74
8,651,74
8.512.74
06/08/2026 City Council Agenda
e
CIr� D a r ' K ■ 001+F 1120F413
L ` I ACCtiu Fags 3 of S n
SMILES FOR SENIORS FOUNDATION
Statement Pe> od: Aug 1 - Aug 31, 2025
- Tt11ITY'.
Date Description __—_._........- _--.--
08/27 CHECK NO: 50507
08/27 CHECK NO: 3159
08/28 ELECTRONIC CREDIT
AMER ONLINE GIV1 E01 PAYMNT 1 NHDDNU588 Aug 213
RE F'TN' 1 NH DDIN U588'Donal lon tram AOGFeauses.0
08/29 D 4B=ITi•CARE) PURCH Card Ending in 3742
CROWN AWARDS INC HAW-rHORNE NY 25240
Total DebitslCredits
Debits Credits _ Balance
901 .52 - ----- 10,869.01
200.00 10,469,01
59,72 10,528-73
49.68 10,479,05
9,005.51 10.971.82
�•
Check
Checks Paid _
ate Amount i Check Cate Amount Check
_ _--_
Date Arrlount Check Dale
OW4
_—_-------_..
Amount
9Q1.53
3eck
t38113 b5Q.00 3189' 08127 200.00
505Q4
081Q1 g01.54 50505
_
505g�
Q8125 901.52 50507 08127� 901�5.-
-�--�--�......
----- -
,�,
-
---.__
' indicates gap in check number sequence Number Checks Paid:
8 Totaling: $4,256.i 1
i
�-0810t
ELECTRDNIC CREDIT f -- - T
9,72
8,522.46
AMER ONLINE GIV1 EDI PAYMNT 1NOKOTBNLO Aug 01
P
REF"FN'1N0KQTBNLO'Don aeon from ADGFcauses.a
-
202,20
8,320.26
a
08/01
B< IT CARD PURCH n in 3742
n
40SHUABASIN WATER A25212
82.19 8,238.07
cc
08101
CH DEBIT
PAYROLL FEES ADP FEES 928038814591 Aug 01
1200.00
N
a
�08101
jDP
ACH DEBIT
So CAL EDWN GO BILL PAYMug 01
8,Q38.07
M
08/01.
CHECK NO: 50504
901.54
3,250-00
7,136.53
10,386.53
08104
DEPOSIT
901.53
9,485.00
"
08/04
CFIECK NO: 50505
200.00
8,2$5.Q0
Ln
p
08/05
ACN DEBIT
So CAL EDISQN GO BILL i'AYMT Aug 05
08/06
ACH DEBIT
512.01
58,772.99
M
=
08/07
AQP Tax ADP Tax ATLPN 080718A01 Aug 06
DEBIT CARD PURCH Card Endin�q in 3742
Q
101-25
10• 8,671.74
9 4D•6YCW5 005742 Aug
5pectr0rn 655-707-7328 MO25g1B
103.58
8,568.16
t- 08107
DEBIT CARD PURCH Card 3742
08/07
TNCHWFWS1011
BMCISO CAL GAS COMPAN 20 CA 25218
DEBIT CA PURCH qird FndiRrLin 3742
212-79
8,355,37
IIIIwentynlne Palms WW 29 Palms CA WiB
63 i
11019
V 1VV//
06/08/2026 City Council Agenda
63 165
SMILES FOR SENIORS FOUNDATION
pate Description
08108 ELECTRONIC CREDIT
PAYPAL TRANSFER 1044034555759 ALIy 06
08108 DE81T CARD PURCH Curd Ending
A ndi oy in 3742
1KJKMPW5 $
EMW6,EZ•PAY 951-928-3777 CA25219
08108 ACH DEBIT o8
SO CAL EDISON CO BILL PAY
08111 DEBIT ARID PURCH Card 742 Ending in 3742
G5WC±E •PAY BUO-999.4033 CA25220
08111 ACH DEBIT Aug 11
Mount Rubidoux M CHECK P
08f12 pE RD PURCH Card ndin in 3742
ou rawest Gas LA5 VEG N
081112 DEBIT CARD PURCH oCard Ending 1n 3742
9X5FLXP2
VIOL I50016 YUCAIPA CA 25221
08/12 DEBIT CARD PURCH Card 2 Ending in 3742
OT XDr,GXL
COACHELLA VALLEY WATE 7603982651 CA 25223
08/13 ELECTRONIC CREDIT
PAYPAL TRANSFE g13
08/13 DEBIT CARD PURL CardEAn�9Ing In 3742
FFL4KQY5 000742
13 50 'SQUARE HARDWARE 905q com MI 25224
08113 CHECK NO. 3166
08115 ACH DEBIT Aug 15
ADP PAYROLL FEES ADP F
08118 DEPOSIT
' 08118 ACH DEBIT
50 CAL EDISON CD BILL FAYV
08119 DEBIT CARD PURCH aHLXC rdz ng Ins in 3 2
CROWN AWARDS ING HAWTHORNE NY 25228
y,..08119 DEBIT CARD PURCH Card0� pndging in 3742
Dsx319
ABEIOTTSTCRE ' 800-258.7677 OH 25228
08119 DEBIT CARD PURCH C3 Card 2Epug lg in 3742
B'9N0xHQ
PY 'ATLAS STORAGE Y[1C YUCAIPA CA 25228
08119 ACH DEBIT
50 CAL EDISON CO BILL PAY
08120 DEBIT CA PURCH Card En i 42
4C YHEMET-SERVICE C OFl❑ CA 2523t
08120 DEBIT CARD PURCH Coard Ending in 3742
SLL'SS00
MSFT' E0700XDZ19 MSBILL INFO WA 25231
08124 PURCH Card End6no2
CITY OF H1 MET HEM CA 2 231
06121 DEBIT
CARD PURCH Card Aug gig In 3742
EMWDIEZ-PAY 951.928.3777 CA 25232
08122 DEBIT CARD PURCH Card
EAnding in 3742
PAYMENTUS CORP 9802723765 NG 25233
08122 DEBIT CARD PURCH Card Endin in 3742
MCNT CHERRY VALL 25233
08122 DEBIT CARD PURCH Car In 3742
BBMS'7TL CA 25233
CITY OF SAN JACINTO
08125 ACH DEBIT
SO CAL EDISON CO BILL PAYM Aug 25
06125 ACH DEBIT
SO CAL EDISON CO BILL PAYMT Aug 25
08125 ACH DEBIT
AMERICAN EXPR ACH PMT V6126 Aug 25
08125 CHECK NO: 50506
08126 DEBIT CARD PURCH Card
d42 Ending In 3742
BW'5Qw5DAug
FREEDOM PETRO INC YUCAIPA CA 25235
08126 DEBIT CARD PURCH Card Endin in 3742
GPFLXPMS
CITY OF RIVERSIDE EBP RIVE A 5235
08127 ELECTRONIC CREDIT
PAYPAL TRANSFER 1044434589416 Aug 27
08127 DEPOSIT
06/08/2026 City Council Agenda
0vulAu20F0i3
Oaniem=ent Period: Aug 1 - Aug 31, 2025
-.------._._ Debits
Credits
Balance
856.11
9,211.48
200-00
9.01 1.48
105.08
8,906.40
44.81 8,861.59
200.00
8,661,59
23.12 8,638.47
41.39 8,597,08
197.06
8,400-02
979.61
9,379,63
10.88 9,368.75
450.00
8.918, 75
82.19 8,836-56
1.755.56
10.592,12
200.00
10,392,12
109-42
10,262.70
131 .88
10,150.82
173-70
9,977-12
92.38 9,884-74
4.48 9.880.26
36.00 9,844, 26
160.00
9,6134.26
150.09
9,534.17
1.93 9.532.24
150.14
9.372,10
200.00
9,172.10
117.52 9,054.58
150.68 B,903.90
232.74 8.671,16
901.52 7,769,64
45-50 7,724.14
214.71 7,509,43
561.10 8,070.53
09 3,500.00 11,570,53
166
ppl�Rl�20F013
SMILES FOR SENIORS FOUNDATION
ACCau Page 2 a1 6
Statement Period: Sep 1 - Sep 30, 2025
Date
gescription
09/02
ELECTRONIC CREDIT
PAYPAL TRANSFER 1044507254115 Sep 02
09102
ACH DEBIT
SO CAL EDISON CO BILL PAV
09/02
CHECK NO: 3170
09IO2
11qq 3742
)O
12350 CALIFp U CArd
ARTREOS
r;AIn CAUS0515
09102
POS DEBIT Card Ending in 3742
DOLLARTRE 12350 CALIFO YUCAI A CAUS0515
09103
ELECTRONIC CREDIT
PAYPAL TRANSFER 1044590701008 Sep 03
09M
DEBIT CARD PURCH Card Ending in 3742
MN6RG2X5 003742 Sep W
WES'SLUEHOST COM 8884014678 UT 25243
09/03
ACH DEBIT
ADP Tax ADP Tax RTLPt 090418A01 Sep 03
09/03
CHECK NO' 3168
09/03
CHECK NO: 50508
09105
POS DEBIT Card Ending in 3742
CAUS0515
STAPLES 13B1 YUCAIPA
09/05
POS DEBIT Card Endin in 3742
FREEDOM PETRO I Yucaipa AUS0015
09/08
MISC DEPOSIT
PAY ID 2S50JH0IDM0Q ORG 10 2S5 NAME Sean Bur
09/08
ELECTRONIC CREDIT
PAYPAL TRANSFER 1044709283157 Sep U8
09/09
ELECTRONIC CREDIT
Square Inc SQ250909 T3DGK.Z4CRH26YB1 Sep 09
09/09
DEPOSIT
09/09
DEBIT CARD PURCH Card Endin in 3742
DW43TCS5 003742 Sep 0
Specirurn 855.707.7328 MO 25249
09109
DEBIT CARE] PURCH in in 3742
HHMXMGW5
CITY OF RIVERSIDE EBP
09/09
DEBIT CARD PURCH Card Endin in 3742
67CR'DMM
RIALTO UTILITY AUTHOR 9
09109
DEBIT CARE) URCH
42 ATER ENCY
09/09
DEBIT C PURCH Car 42
LA V V 252
09109
DEBIT CARD PURCH Card Ending in 3742
0 GLJWOW85 003742 Sep
SQ 'CANYON LANES AT M 0at�aLan CA 25250
09/09
CHECK NO: 50509
09109
ACH DEBIT
SO CAL EDISON CO BILL PAYNIP
09110
DEBI r 742
iTYHEME "SERVi CON CA 5252
09/
pLiRcH GzLd.Em"2
EMET HENET CA 25252
09/12
ACH DEBIT
ADP PAYROLL FEES ARP FEES 445078276161 Sep 12
OU09/12
POS DEBIT Card Ending in 3742
FA
WALGREENS STORE 34503 YYVCA PA CAUS0715
09115
CHECK NO: 50510
09116
ACH DEBIT
DELUXE BUS SYS ED,1ACH 17O82OU1958792 Sep 15
!SAUO 00 11091215927
09/16
ACH DEBIT
SO CAL EDISON CO BILL PAYMT 7
�e
0907
DEBIT CARD PURCH Card Ending in 3742
!-SKRX5HQ 003742 Sep 1
PY *ATLAS STORAGE YUC YUCAIPA CA 25259
09/17 ACH DEBIT
ADP Tax ADP Tax RTLPN 091819AOI Sep 17
09117 POS DEBIT Card Ending in 3742
FREEDOM PETRO I Yucaipa CAUS0015
09/18 CHECK NO: 3173
09/18 POS DEBIT Card Ending in 3742
�aa
STATERBROS023 YUCAIPA CAU50515
09il9 ACH DEBIT
SO CAL EDISON CO BILL P
Debits Credits
450.36
125.76
200.00
26,41
1 QO.00
685.58
155.88
512.03
200.00
901.53
19.02 40M
48.51 649.04
1,872.90
101.25
200.00
200.00
200.00
202.50
I 207.92
f 901.54
123.77
5,60
200.00
d
82,19
75M
901.52
185.77
Balance
10,929.41
10,803.65
10.603.65
10,577.24
10,477.24
11,162 82
1 1,006-94
10,494.91
10.294.91
9,393,38
9,374.36
9,334,36
9,344.36
9.392.87
10,041.91
11,914.81
1 1,813.56
11,613.55
11.413.56
11,213.56
11,011,06
10,803.14
9,901.60
9.777,83
9,772.23
9,572.23
9,490.04
9,415.04
8,51152
8,327.75
200.00
8,127, 75
173.70
41, L "
7,954.05
512.03
�' r
7,442.02
30.00 7,412.02
100.00
��x7d
7,312.02
200.00
7.112.02
155.37
6,956.65
06/08/2026 City Council Agenda
167
0 .• C1110dHK
SMILES FOR SENIORS FOUNDATION
Account Page 3 of 6
Statement Period. Sep t - Sep 30, 2025
Date_ Description - - -
09I19 ACH DEBIT - - ---
JOSHUA BASIN WAT BILLPAY
09119 CHECK N& 3174
09123 ACH DEBIT
AMERIC:AN EXPR ACH PMT V0582 Sep 23
09123 CHECK NO: 3175
❑9I25 pF ❑ PURCH r n in 3742
EMWDIEZ-PAY JNWPPPWI261
09126 ACH DEBIT
ADP PAYROLL F E E 5 ADP FEES 92714935275E Sep 26
09I26 CHECK Nfl= 3172
09129 ELECTRONIC CREDIT
AMERONLINE GIV1 ED[ PAYMNT 1P28WJU9WG Sep29
REF 'TN'1P28WJU9WG'Donatlon from AOGFcauses.0
09129 DEB1 CA ❑ PURCH Card Endnajin 3742
RANCHO CA WATER DISTR TEME7VLA CIA 25269
09129 DEBIT C RD PURCH
Y 86a-303-
Total DebitslCredits
Debits
Credits _ Balance
_ ..
202.20
6 754.45
200.00
6.554.45
1.067.15
5,487.30
200.00
5,287.30
217.48
5,069.82
82.19 4,987.63
450.00
4,537,63
14-58 4.552.21
98.31 4, 453.90
199.95 4,253.95
9,956.07 3,730.97
-
- - -
--
Data/200,00
hocks Pai
ount Check
DateAmaunl
- _._ ec ------ Amount
Check
atq
hate -.--
---. Amount
Check - -
--
3172"
09/26
450-00 3173 09/18 100.00
-- ---
3168
0 200.00
3170" 09l02
09123
200.00 50508'
09103
901.53 50509 09109 901,54
3174
09119
200.00
3175
- J
50510
09115
901.52
-----_-----
-- -- �_-
Number Checks Paid:
_
9 �--
Totaling: $4,054.59
" indicates
gap in
check number
sequence
IF YOU HAVE QUESTIONS ON: YOU CAN CALL: YDU CAN WRITE:
Checking 877-528-0990 Citibank, N.A.
For TTY:We accept 711 or S;dgBlSx MO 68 79
other Relay Service.
For phone payments accepted through our Collections Department, you authorize Citi to electronically debit your specified bank account by an ACH transaction in the amount and on such date that you indicated on the phone. You may cancel a one-time payment by calling the number on your statement within the timetrame disclosed to you on the phone.
For change in address, call your account otticer or visit your branch.
To ensure quality service, calls are randomly monitored. c 2o25 Citigroup Inc. Citibank, N.A- Member FOIL.
Citibank with Arc Design and CitBus iness are registered service marks of Citigroup Inc. 06/08/2026 City Council Agenda
63 rjrwql
1b
(JUUdI1K r
Citibank CBO SBrV109S 831
P.0- Box 6201 ou0i3589 BB CCC 304 JSW3851C AM1 0770
Sioux Falls, SD 57117.6201
M c SMILES FOR SENIORS FOUNDATION
n ; Po BOX 1113 YUCAIPA CA 92399-1113
IIIIl111nI��lllflil1fifllllkiill�llii�l INlrnlll I�11111�1`lIl11 Relationship Summary:.._
Checking — ' 1 1�1i .40 -
Savin s
Checking Plus— _
00j1Ri1?QF013 '
006
CITIBANK. N. A.
0ment Period
Oct 1 - Oct 31, 2025
RelationshipManager
US SERVICE CENTER
1-877-528-0990
Pagel of 6
a tibanu' 691R1 FD13
,�j f • Account Page 3 of 6
SMILES FOR SENIORS FOUNDATION Statement Period! Oct 1 - Oct 31. 2025 7 Y, _
f Debits Credits Balance
Date Description �__�� ��. �___�_...._ g,216.94 20,664.39 Total DebitslGredits
Check... -Oats{ f An
indicates gap in check dumber sequence
Date Amount; —Check bate Amount_1
10/20 -- - 200.00 j 50511' 10/14 901,53
Number Checks Paid: 6
Totaling
$3,554,58
Ta#al Charges for Services $0.00
Net Service Charge
CitiBusiness Streamlined
Date Description J
10101 ACH DEBIT
ADP Tax ADP Tax RTLPN 10022OA01 Oct 01
10/02 DEPOSIT
10/02 ELECTRONIC CREDIT
PAYPAL TRANSFER 1045224919105 0002
10/02 DEBIT CARD PURCH Card Ending in 3742
9HMA2K26 003742 Oct 02
Amazon. corn 'NJ4112D41 Amyn.com1o111 WA 25274
10/02 CHECK NO: 3201
$0.00
Beginning Balance: $4,253.95
Ending Balance: $15,701.40
Debits Credits Balance
— 512.03 3,741,92
546.08 4,286.00
783.59 5,071,59
82-95 4,988-64
200.00 4, 788-64
E3
06/08/2026 City Council Agenda 169
001 P 1'20F013
SMi! 5 FOR SENIORS FOUNDATION Stati�,imerl eriod: ct 1 Dct 31, 2025 Date pB8Cs•IpTfan _ _ _ _
---- gg
AO 10/06 POS DEBIT YucAI ACard BnCAld50515
ALD17900in
10107 QDsEBIT CgARL) PURCH Card Endin_9 in 3742
003742 Oct 0
rA1 WALMART COM WALMART COM AR 25275
10107 DEBIT CARD PURCH au3 a2 Dc�t 0 9 in 3742
47PCXS55
Spectrum 866-707-7328 MO 25279
10/09 ACH DEBIT at a9
50 CAL EDSON CO BILL PAYMT
1W10 ACH DEBIT
ADP PAYROLL FEES AOP FEES 925840096999 Octfo
10114 DEPOSIT
10/14 CHECK NO: 50511
<1 101i 5 PURCH Car in in 3742
016
J SO C L GAS COMPAIN 25284
10/15 ACH DEBIT
ADP Tax RCP Tax RTLPN 101621 A01 Oct 15
10115 CHECK NO: 3202
10/17 DEBIT CARD PURCH a HVQVHQ d Ending In 3742
ct 17
PY'ATLAS STORAGE YUC YUCAIPA CA 25289
10/17 CHECK NO: 50512
10/20 ACH DEBIT
PAYMENTUS BILLPAY PAYMENTU5CORP 1Oc120
10/20 ACH DEBIT
BEAUMONT CHERRY 131LLPAY BEAUMONT CHERRY Oct 20
10/20 CHECK NO: 3203
10/21 DEPOSIT
10121 DEBIT CARD PURCH Car in 3742
ZP3'9ZRL
CITY OF COLTON
10/21 DEBIT CARD PU Card Ending in 3742
OZVBH66S 003742 Oct 21
CI'Y OF CHINO CHINO CA 25292
1 W21 ACH DEBIT
Sd CAL EDISON CO BILL PAYMT
Iv 101'21 ACH DEBIT C� t 2,
SO UAL EQsSON CO SILL PAYMT Tiallmomme
10/21 POS DEBIT Card Ending in 3742
USPS PO 05867603 12460 YUAIPA CAUS0519
r12 0122 DEBIT CARD PURCH Card FnHi= 3742
Cxr51SZ5 mT
SO CALIFORNIA EDISON IRRIM AD OA 252742
10/23 D PURC
—CITY OF RIVERSIDE EBP R1VER E CA 25295
10/23 ACH DEBIT
AMERICAN EXPR ACH PMT V7322 Oct 23
10/24 ACH DEBIT
ADP PAYROLL FEES ADP FEES 927 63399 53579 ❑at24
10127 ELECTRONIC CREDIT
AMERONLINE GIVI EDI PAYMNT 1PLR6TQWIW Oct27
REF'TN', PLR6TOW 1 W'Donatlon from AOG Feauses.4
• 10/27 POS DEBIT Card Ending in 3742
ALDI T9001 YUCAIPA CAU50515
10/28 ACH DEBIT
SO CAL EDISON CO BILL PAYM
10130 DEPOSIT
10/30 DEBIT CAR PURCH Card Endin in 3742
DE E6P RIrM70-_ b
10130 DEBIT CARD PURCH Card 2 Octd3q In 3742
2W4YNC25
U ENERGY IMPERIAL CA 25302
u
10130 CHECK NO: 50513
C d Endin i 3742 01Q Q
pe�3its
101.25
200-00
82,19
901 .53
201.50
512,03
450.00
173.70
901.53
1.93 157,50
200.00
100,22
200.00
124A9
78.00 201.65 or
200M
836.93
82-19
300.00
75.36 200,00
231-95
901.52
5.83 IRCH ar
10/31 f� f
7p4CI7Y-EME7'SERVI ORD C A 25703 / ��200,00
10131 DEB D PURC C ����
ng es B BANN CA 303 •I 208.11
10131 DEBIT CARD PURCH Card Ending in 3742
0NJV9D95 003742 Oct 31 y r,� �9
CITY OF HEMET HEMET C9gA 25303 /ter / /118.62
�*V 10131 in 3742
ADO ONBIT Card 812 34635 Y YU AIP CAUS0515
3,930-00
10,450.00
9.72 4,945.00
4,413-46
4.213.46
4.131 .27
B4O61.27
7,159.74
6,958.24
6, 446 - 21
5,996.21
5, 822.51
4,920-98
4.919,05
4,761.55
4,561 .55
15, 011.55
14, 911.33
14,711,33
14, 586, 64
14.386.84
14,308,84
14,107,19
13, 907.19
13, 070, 26
12,988-07
12, 997.79
12,697,79
12.622.43
17,567.43
17.367-43
17.135.48
16.233.96
16,228.13
16,028.13
15,820.02
15,701 .40
06/08/2026 City Council Agenda
170
camau `
Citibank CBO Services 831
P.O. Box 6201 1322389 CCC 33Z 1�SVV3f-L:U A M 1 }3577a
Sioux Falls. SD 57117-6201
ro
ro SMILES FOR SENIORS FOUNDATION
oN po BDX 1113 YUCAIPA CA 92399-1113
111111-11'i'i11III111111I11111111111111111111111111111&111111111 0o1 •'P 1 e$PF013
005
CITIBANK, IN A-
nt
Statement`Period
Nov 1 - Nov30, 2025
RelationsUS SERVICE pICE CENTEasauR
1-877-528-0990
Relationship 5umrnary:
r' Checicin---1239Q-08
;ins
Che+dcin Plus �_— -- - — "--
— - - - _ Citfflusiness�
ct bank'
SMILES FOR SENIORS FOUNDATION
961 IR I r20F0 l 3
ACC Page 3 of 5
Statement Period; Nov 1 - Nov 30, 2025
Paid
Check Date Amount Check _gate _Rmauni UrlaLn _. u
3204 11 /13 450,00 , 3205 11106 222,73 50514' 1
50516 11114 901.52 _� --- -- —
indicates gap in check number sequence Number Checks Paid- 5 (mount Check .--Date .------..Amount...
901. 53� 50515 11 /20 901 • �
Totaling $3,377,30
IF YOU HAVE QUESTIONS ON: YOU CAN CALL:
YOU CAN WRITE:
yg77.57R_nQgo f'itihank N A --
CitiBusiness Streamlined Checking _ — _--
t
Gate
Description—�.---_..---
11l03
ELECTRONIC CREDIT
PAYPAL TRANSFER 1045BI7324627 Nov 03
11103
DEBIT CARD PURCH 9 in 3742
003742E.ndvia
110 ENERGY IMPERIAL CA25904
11 /03
CHECK NO: 50514
11104
DEBIT CARD PURCH d Ending in 3742
oa
6JKM95*6
WF4CITYHEMET'SERVICE CONCORD CA2005
1104
DEBIT CARD PURCH garde ndinnNov pl in 3742
r��l
3 YMCA OF THE EAST VALL REDLANDS CA 25305
06/08/2026 City Council Agenda
— --Beginning Balance: — �12,3$6.08
Ending Balance:
Debits Credits - - Balance
98.52 15, 799.92
AMe . J10
201.95
901.53
5.60 50.00
15,597.97
14, 696.44
14,690.84
7; 14,640.84
702
63 171
0011RJ12oF0I3
"'KI
SMILES FOR SENIORS FOUNDATIONAccount Page 2 of 6Statement Period: No 1 - Nov 30, 2025 -- -- --- - - Credits— - _ Balance
Dat
e DescrDebitsiption --- --- - -- -- - --• —� —�� - Debits_ 14,440.84 11l04
OF
DE81 PURCH Card Endln
In 3742
EB
5 11 /04
CITY OF RIVE
BIT CARD URCH and Ending
in 742
H EME CA 25305
11 /05
ELECTRONIC CREDIT
PAYPAL TRANSFER 1045974864872
Nov05
11 /06
ACH DEBIT
SO CAL EDISON CO 51LL PAYMT
11106
CHECK NO: 3205
11/07
DEBIT CARD PURCH Card Ennding
in 3742
4KV 98765
Spectrurn 855.707.7328 MO 25310
11 /07
DEBIT CAR P C Card Ending
in 37
'r
Rlv SID �EBP IV SIDE A
0 ,/� I�V
11110
Y
P05 DEBIT Card Ending in 3742
YucalPa CAUS0515
CVSIPHARMACY #09649
11 /12
DEBIT CARD PURCH Card Erlding in 3742
12 1i0
Z8VK'3RF 003742 Nov
WALMART.COM WALMART.COM AR 25312
11/13
CHECK NO: 3204
/_�
11113
A oS DEBIT Ca AEnding in 15742
f
Y
11114
CHECK NO: 50516
11 /17
DEBIT CARD PURL
IKBSYSY5 "4
50 CALIFORN1A EDISON RCSEMEAD CA 25316
11118
DEBIT GARD PURCH Card in 3742
IEndin
F15KY2F5 003742
WF4CiTYHEMET'SERVICE CONCORD CA 25319
11 /18
DEBIT CARD PURCH Ending In 3742
Card 2
L6N6CXHQ18
PY 'ATLAS STORAGE YUC YUCAIPA CA 25320
11118
DEBIT CARD PURCH Card Ending in 3742
MW4KY2F5 003742 Nov 1
CITY OF HEMET HEMET CA 25319
11118
ACH DEBIT
0100
$0 CAL EDISON CO BILL PAYMT
11118
ACH DEBIT
AMERICAN EXPR ACH PMT V4460 Nov 1B
11 /19
ELECTRONIC CREDIT
Nov 19
REFRTONPXCM0I1PVRA'Doa[on [corn A00rcaues.b
'
11/20
DEPOSIT
11 /20
DEBIT CARD PURCH Card Ending in 3742
7JV6JVWL 003742 Nov 20
PAYMENTUS CORP 9502723788 NC 25323
11l20
DEBIT URCH C 42
EAUMONT G RRY 1 A . _3
11 /20
CHECK NO: 50515
a
1 1121
POS DEBIT Card Ending in 3742
YUCAIPA CAU50515
5TATERBRO5125
fob
11124
POS DEBIT Card Endin in 3742
YUCAIPA CA�50515
Y
11 /25
ALC3 79001
DEBIT CARD PURCH C
KBQRNHMM
"in37422
COACHELLA VALLEY WATE
11 /25
DEBIT CARD PURCH arEnd
12g
WQ9F 5X06 Nov
EMWDIEZ•PAY PERRIS CA 25326
11 /25
ACH DEBIT
ADP Tax ADP Tax RTLPN 112624AOI Nov 25
11 /26
ELECTRONIC CREDIT
AMER ONLINE GIV1 EDI PAYMNT 1QGLJ7Y9M3W Nov 26
REF'TN'1QCU7Y9M3W'Donation from AOGFcauses 4
1 1 /2
PURCH G 42
WF4CITYHEMET'SERVICE NCQRD CA 25330
11128 PURCH 742
G1 OF RIII VIDE EBP RIVER51
11 /28 DEB URGH n 374 Tow
- CITY OF HEMET H M 30
Total DsbitslCredits
200,00
207.22 `
222.73
101.25
200-00
' 200.00
77.58 450.00
500.00
901.52
206.53
5.60 173-70
200.00
133.90
826.10
1.93 204.36
901,52
00.00 500.00
200.00
200.00
512.01
� D0 6.35
Jea,
3yf 163.92
v)-77Y&P 226-93
9,382.23
14.240.84
831.61
15.072,45
14,855.23
14,642.50
14.541.25
14,341.25
14,141.25
14,063,67
13,613.67
13,113.67
12.212.15
12,005.52
12.000.02
1 1.826-32
11,626,32
11.492.42
10,666.32
492.62
11,158.94
4,625,00
15,783,94
15,782.01
15,577.65
14, 676.13
14,176.13
13,676-13
13,476,13
13,276,13
12,764,12
29-16
12,793.28
12.786.93
12,623.01
12.396-08
6,076.91
06/08/2026 City Council Agenda 172
Glti5usiness"
tibank�
Citibank 060 SOFVICeS 831
P.O Box 6201
Sioux Falls. SD 57117.8201
00013635 86 CGC 365 JSW3N5iG AM1 USP 0
ro
n c SMILES FORSENIORS FOUNDATION
o La SOX 1113 CA 92399-1113
YUCAIPA
II IIIIIIIIII-IIIIIIIIIII1IIIII,I1,II1,11,II,1IIIIII'II'IIIIIII-II ctibank
SMILES FOR SENIORS FOUNDATION
Date Description
Total DebitsrCredits
30143S.2p:013
006
CITIBANK. N A
Account
Ptaterne nod
Dec 1 - Dec 31, 2025
Relationship Manager
US SERVICE CENTER
1-877-528-0990 ,
Page' 1' of 6
CitiBusiness"
00111R1720F013
Account' = Page 3 of 6 R
Statement eriod: ❑ec - ❑ec 31, 2025
Debits Credits Balance
11,817,71 21,927.81
Checks-Paid
Check_-- __Gate_- __Amount ChacEc Rats Amount Check Date Amount T Check Date _ _Amount I -- 3206 12123 - 450.OQ 5Q517' 12105 J 901.53 50518 12108 901.54 ; 50519 12126 9D1.53 _ 50520_ ___.L2131__ 12131—_-_•,.901.53
indicates gap in check number sequence Number Checks Paid: 6 Totaling: S4,957.66 Net Service Charge
CitiBusines Streamlined Checking
Date Description
12101 DEBIT PORCH Card Endin 'n.3742
—77,70F RI -RSIDE EBP'F#I 1
12/02 ELECTRONIC CREDIT
PAYPAL TRANSFER 1046603336526 ❑ec 02
12104 ELECTRONIC CREDIT
SCAN HEALTH PLAN ACHPRENOTE 0 Dec 04
12/04 DEBIT RCH Card In 3742
HEMET'SERVICE FtD CAM37
12104 DEBIT CARO PI.IRCH oa rda� o dlnYYTSJ92 in 3742
CITY OF HEMET HEMET CA 25337
12/05 DEPOSIT
12/05 CHECK NO: 50517
12/05 ACH DEBIT
ADP PAYROLL FEES ADP FEES 442560606778 Dec 05
12/05 ACH DEBIT
Nonprofits Insur debitpmt #540134535 Dec 05
12/o8 ACH DEBIT
SO CAL EDWN 00 BILL PAYM
12/08 CHECK NO: 50518
12/09 VDEBIT CARD PORCH Card2 Dndl o3 in 3742
5YOSpectrum 855-707-7326 MO 25340
Beginning Balance:
-
Ending Balance:
SE.
Debits Creditser8lnca
- — - 208.62
12,187.46
1,003-62
13.191.08
D-00
13,191 .08
6.74 13,184.34
240.63
12, 943.71
2,125.77
15,069,48
901.53
14,167A5
82.19 14,085.76
168.77
13,916-99
190.60
13, 726.39
901:54
12,824,85
101.25
12, 723.60
06/08/2026 City Council Agenda i' ■1 173
001If11 l?,0F013
Accau Page 2 of 6
-
SMILES FOR SENIORS FOUNDATION Statemen enad: Der, 1 - Dec 31, 2025 Date Description _.�-_.-_._.---------
12109 ACH DEBIT ec 49
$0 CAL EOWN Ca BILL PAY
12/10 ELECTRONIC CREDIT
11172025111I1 7 2r, EEIN G ROGRAM2SPONFOR
Dec:23 1U
12110 ACH DEBI'1
ADP Tax ADP Tax RTLPN 121125ADI Dec 10
12110 ACH DEBIT
AMERICAN EkPR ACH PMT W1372 Dec 10
1211 ) PURCH
ER51pE EBP E A 2534 742
2111 D PURCH
NPA EDISON CA 25344
12/11 ACH DEBIT
SO CAL EJISIN CC) SILL PAYMT
12/11 POS DEBIT Carrel Ending
DOLLARTRE£
12/12 DEBIT CARD PURCH o ad z ndini in 3742
WZL6TYTG
WALMART GO . WALMART.COM AR 25345
12112 DEBIT CARD PURCH 3742
wgMzO000 5345
RIVERSIDE CpUNTYTREA —WNW42
12/12 DEBIT CARD PURCH MW
N9G3TG57
CITY OF RIVErR510E EBP RI
12/12 POS DEBIT Card Ending in 3742
STATERBROSUM GALIME5A CAL) 50516
12/12 POS DEBIT Card Ending in 3742
BEST 99 GENT YUGAIPA CAUS0515
Qv' 12112 POSSTATEDEBIT
SU/1 Card CA IMESA Ending CAUSSin ?5
12115 DEBIT CARD CREDI Card Ending in 3742
WV SUPERCEWER #5156 BEAUMONT CA 25346
12115 DEBIT CARD PURCH Gard Ending in 3742
OFFY86X2
WALMART CC,v B00925527 BENTONVILLE AR 25346
12116 DEBIT CARD PURCH GardEnding in 3742
3JTNMWG
WALMART CO M WALMART COM AR 25348
12117 DEBIT CARD PURCH CddEnding l7 1n 3742
LYKRDVHQ
PY'ATLAS STORAGE YUC YUGAIPA GA 25350
12/18 PURCH C 742
kMPE
12119 ACH DEBIT
ADP PAYROLL FEES ADP FEES 417579021917 Dec 19
12119 POS DEBIT Card IEnding in 3742
❑OLLARTREE
O 515
12123 DE9F Ts CARD PURCH Card riding in 3742
23 rST'PIZZA CHALET - YU Yucaipa CA 25355
12123 DEBIT CARD PURCH Card Ending in 3742
RM6126
TST'P1ZZA CHALET - YU Yucaipa GA 25355
12/23 DEBIT CARD PURCH Card riding In 3742
ZVKJ612s
TST'PIZZA CHALET - YU Yucaipa CA 25355
12/23 ACH DEBIT
ADP Tax ADP Tax RTLPN 122425AOI Dec 23
12123 CHECK NO. 3206
12126 DEPOSIT
12/26 DEBIT CARD PURCH Card Ending in 3742
5358
12/26 HECK NO' 50519
12129 ELECTRONIC CREDIT
AMER ONLINE GIV1 EDI PAYMNT 1R6AY8080G Dec 29
REF'TN'1R5AYBU80G'00na110n Irom AOGFcauses. b
12129 ELECTRONIC CREDIT
PAYPAL TRANSFER 1047216957764 Dec 29
J
12/29
/ L�
DEBITC 'in 3742
C
I
S E O5125 Y AIPAEndID9CA S05 5
12/31
DEPOSIT
12/31
CHECK NO: 50521
12/31
CHECK NO: 50520
06/08/2026 City Council Agenda
r�� r
62dl
LPWR MW - - _
42,93
512-02
1.632.14
200-00
201.65
129.95
131,50
0,67
148.50
251,12
38.95 57-12
500,00
72.16 77,58
173,70
166.95
82.19 30.43
15,00
15.00 264,66
512,04
450,00
204.99
901.53
400.00
901.53
901.53
5,000.00
12,680.67
17,680.67
17,16$.65
15.536-51
15,336.51
15,134.86
15, 004.91
14, 873.41
14, 872, 74
14, 724.24
14,473.12
14, 434.17
14,377.05
13,877.05
77,55 13.954.63
13,882.47
7,765.00
9,72
411.12
5,535,00
13,804.89
13,631.19
13,464.24
13, 382,05
13,351.62
13,336.62
13,321-62
13,056, 96
12,544,92
12,094-92
19,859-92
19, 654, 93
18,753.40
16,763.12
19,174.24
18,774,24
24,309.24
23,407.71
22,506.18
174
in
,---
c ti b a n k Ac�a Page 3 of 6
SMILES FOR SENIORS FOUNDATION 5tatelTient Period: Jan Jan 31, 2026 CitiBusiness'
00 j,1R 1 20F a 13
R
Credits•. --- _--
Balance
- - -----
_Debits
_
Date 0e90001?
d2ag in 3742 J
CAR❑ PLIRCH
01128 DEBIT ooard
BDYTBJ1e
RUBIDOUXCOMMUNITY JURUPA CA26027
r ' 901.53
23,626.51
23,426,51
D1128 CHECK NO: 50523
jrf 200.00
01128 ACH DEBIT
SO CAL EDISON CO BILL PAY
38.72 23,465,23
01129 ELECTRONIC CREDIT
AMERONLINE GIV1 EDI PAYMNT ISONUWXTHW Jan 29
W'Donation Irom AOGFcauses.e
200.00
23,265.23
REF -TN 'i SON U WXT H
PURCH Card
dEndingan
to 3742BOK8
01129 DEBITTPCARD 29
CITY OF RIVERSIDE ESP RIVERSIDE CA 26028
$2.19
23,183.04
01130 ACH DEBIT
ADP PAYROLL FEES ADP FEES 930441789260 Jan 39
200.00
22,983,04
01130 ACH DEBIT
s0 CAL EDISON GO SILL PAYMT 700923519351 Jan 30
g06.35
22,076,69
01130 CHECK NO, 50526
11,533.48
11 103 99
Total Debits/Credits
No./Units
Price/Unit
Amount
Type of Charge - - - - - - -
- — --
STREAMLINED CHECKING # 201995750
$14,567.73
Average Daily Collected Balance
DEPOSIT SERVICES
43 .4500
19.35 CHECKS, DEP ITEMSITICKETS, ACH
"WAIVE
$0.00
Total Charges for Services
$0.00
Net Service Charge
CitiBusiness Streamlined Checking
Date Description _
01 /02 ELECTRONIC CREDIT
PAYPAL RANSFER 10473066404158 Jan 02
01 f02 PO3742
331 FASTRBIT Card iP FOOD 137110 YUCAIPA IDCAUS0015
01105 ELECTRONIC CREDIT
FIDELITY INVESTM (3rantPaym[ 347192E Jan 05
01 /05 ACH DEBIT
ADP PAYROLL FEES ADP FEES 607101552563 Jan 05
01 /05 CHECK NO: 3207
Di 106 ELECTRONIC CREDIT
PAYPAL TRANSFER 1047574444184 .tan 06
01106 DEBIT CARD PURCH DO d Endinay in 3742
9ZZY4PGW
BEST 99 CENT YUCAIPA CA 26005
01106 ACH DEBIT
Nonprollts Insur debRpmt #551139439 Jan 05
01/05 POS DEBIT Card Ending in 3742
WALGREENS STORE 34503 YYUCA PA CAU57415
01107
CITYHEMET'SERVIG NCORD CA 26006
01107 DEBIT CARD PURCH Card Eandiing in 3742
'O'QNTS5
Spectrum 865-707-7328 Ma 26005
06/08/2026 City Council Agenda
Beginning Balance: ---^22;0�6.fi9
Ending Balance:
Debits Credits _Balance
- 1,077 13 23,583.31^
32.17 23,551 .14
}� J 250.00 23,801,14
/`A/.a 82.19 23,718.95
�!S Wt) t� 200.00 23.518.95
783.59 24,302.54
26.72 24,275.82
100.00 24,175.82
ti 200.00 23,975.82
6.64 23,969.18
101 .25 23,867.93
63 175
00I,R1r20F0I3•
' ACcaLsnt Page 2 of 6
SMILES FOR SENIORS FOUNDATION Stateme"nteriod. JaV Jan 31, 2026 oenits
Date Description
0]!07 PURG Ga - in 3742
1' HEI
o1107 ACH DEBIT
AMERICAN EXPR ACH PMT V3562 Jan 07
01107 ACH DEBIT
ADP Tax ADP Fax RTLPN 010B01A01 -Jail 07
01108 CHECK NO: 50522
01109 ELECTRONIC TRANSFER PAYPAL 10474872839B2 Jan 09
0110 PUR nd ncLjo 3742
5 COMP A 2600E
01109 CHECK NO: 3208 n 3742
0111 ��D PURC
�!! T'SERVIG SD09
01l12 DEBIT ARC PURCH Cad EnJanding in 3742
CITY OF HEMET HEMET CA 26009
01112 DEBIT CARD PURCH o 3ard aEnding in 3742
'JDY'30'
TARGET-COM BROOKLYN PARK MN 26009
01 11 �0 S po uSB67603 12460dY CAIPAg In3742
GAUS0519
01 /16 ACH DEBIT
ADP PAYROLL FEES ADP FEES 932139777W9 Ja 16
01l20 PURCH3742
IDE E9P R 6
01120 DEBIT CARD PURCH 003742
3 d 2 Jndino in 3742
'D5G1 VHQ
PY'ATLA5 STORAGE YUC YUCAIPA CA 2601E
01120 ACH DEBIT
ADP Tax ADP Tax RTLPN 608543t VV Jan 20
01/21 DEBIT CARD PURCH Card Ending in 3742
BFT4GBZ5 003742 Jan 21
PROGRESSIVE 'INSVRANC MAYFIELD VLG OH 26020
01121 ACH DEBIT
SO CAL EDISON CO BILL PAYMT
01121 ACH DEBIT
ADP Tax ADP Tax RTLPN 012202A01 Jan 21
01122 DEBIT CARD PURL r in 3742
T5VZ"VL
CITY OF SAN JACIN7
01122 ACH DEBIT
AMERICAN EXPR ACH PMT V5232 .Ian 22
01122 ACH DEBIT
50 CAL EDISON CO BILL PAYMT 7 7
0112 PU C
ER50E E
01123 ACH DEBIT
NonproP415, Incur dBdltpmt #558591222 Jan 23
011 PURL
ER51DE EBP
01126 CHECK NO: 50524
011 PURCH
?500 C GA5 COM PAN S C 25024
01 /27 DEBIT CARD PURCH aa,dEnding in 3742
4LKVM665
OMAR 5 TIRES YUCAIPA CA 26026
01127 ACH DEBIT
SO CAL EDISON CO BILL PAYMT
01128 DEPOSIT
01128 DEBIT CARD PURCH 0ard 2 J Ending In 3742
NG27'BMM
PAYMENTUS CORP 9BU272378B NO 26U27
01128 DEBIT CARD PURCH Card Ending in 3742
441-94
549-70
901.51 .
-.. 201.50
450,00
2.80 100.00
115.55
258.72
82.19 100.00
173.70
.: 11
588.88
549-58
225.27
4F7XW4XL 003742 Jan 28
PAYMENTUS CORP 9802723788 NC 26027
01 /28 DEBIT CARD PURCH C f J
N BEAUMONT T
EAUCHERRY VALLE
01128 DEBIT CARD PURCH
TMY6'BMM
BEAUMONT CHERRY VALL
166.26
- 23,630.80
23,186.86
22,639.16
21,737,65
783.59 22,521,24
22,319,74
21,869.74
21.866.94
21,766,94
21,651,39
21,392.67
21,310.48
21,210.48
21.036.78
20,868.78
20.279.90
20.077.29
19,527.61
19,302.34
200.00
100.00
220,79
906-34
107,14
339.90
120.55
8,1 70-96
1,93
1.93 180.42
200.00
19,136,08
18,936.08
18, 736.08
18,636,08
15,415.29
17.508.95
17.401 .81
17,061.91
16,941.36
25.112.32
25,1 10.39
25,1 08A6
24,928.04
24,728.04
06/08/2026 City Council Agenda 176
_
A L 1 IJ d f l
p0, rl 20Fo I S
Citibank 060 Services 831
004
P.O Box 6201 00012762 80 CCC 059 JSW3N51C AM1 R75 0
01TI SAN K N A
Sioux Fails, SD 57117-6201
tatement erlod
m
Feb i - Feb 28, 2026
o SMILES FOR SENIORS FOUNDATION
Relationshi Manager
o
a
N PO SOX 1113 CA 92399-1113
YUCAIPA
US SERViC CENTER
1-877-528-0990
'il��l�lll'llllll'�i1111��llllll'l�i�lll��t,��1`Illl�l�lli
Relationship Summary: -
�^
Checking _ _.�$,527.67
.._._
Savings _--- ------------.� --
...__
Checking Plus
c
_
RVICE CHARGESUMMARY:FROM JANUARY 1, 2025.
a....... ................
No./Units
Amount
-- - --
Type of Charge- --
_
STREAMLINED CHECKING # 201995750
$21.354.48
Average Daily Collected Balance
DEPOSIT SERVICES
31 rt50g 13.95
CHECKS, DEP ITEMSJTICKETS, ACH
_
"WAIVE
$0,00
Total Charges for Services
$0.00
W
a
Net Service Charge
M
Citi6usiness Streamlined Checking
Beginning Balance: $22,076.69
Ending
Balance: $15,627.87
bit,,
Credits -___ Balance
Date Description _
742
_ --
5.60 22,071.09
g
02l02 EJEBIT CARD PURO
o
W
SYVNR995
Wr4CIrYHEMET•SERVIC 25430
101.50
21,969.59
4 02! RE) PURCK
w CL
v
AL GA5 COMPAN� G030
02102 DEBIT CARD PURCH Card Endin in 3742
200.00
21,769,59
ti
OSVNR995 003742 Feb 0R
CITY OF HEMET HEMET CA 26030
� 200 00
21,569.59
p
02/02 CHECK NO: 3209
300.00
21,269-59
i
02/03 POS DEBIT Card Endin�} in 3742
ALD1 79001 YUCAIPA CAU50515
85.80 21,1 B3.79
02104 ACH DEBIT
ADP PAYROLL FEES ADP FEES 432568959540 Feb 04
549 70
20,634.09
0 02104 ACH DEBIT
ADP Tax ADP Tax RTLPN 020503AQI Fet) 04
142
20,491.46
a
^
02/06 ACH DEBITNOW
SO CAL EDISON CO E PAY
101.25
20,390.21
9 02/09 DEBIT CARD PURCH Card ndin it 3742
NFRQ17V5 003742 Feb 0
spectrum MO 26037
101.50
20,288.71
RD PURCH328
02l0 742
(pAS COMP A 25037
1,050.56 21,339.27
02l10 DEPOSIT i....�
;�90
/ a";7 �� 01
6 3
06/08/2026 City Council Agenda i[��
177
11 00I M 1 f 20FO 13,
page 2 of 6
SMILES FOR SENIORS FOUNDATION AcCoStatemen erti�d: Feb i -Feb 28, 2026 yvur"--o -
Data Description 75.00 21,264.27
0- ❑EBIT CARD PURCH Gard Ending in 3742
2/10 29JZLTV7 003742 Pet] 10 20.357,93
CASEGRETARYOF STATE SACRAMENTO CA25038 906.34 P0.286.85 02110 CHECK NO: 50525 71.08
02111 ACH DEBIT 199-67 20.087,18
50 CAL EDISON CO B1LL PAY
02111 ACH DEBIT 77.58 20.164-76
SO CAL EDISON CO BILL PAYMT now
02112 DEBIT42
WALMA CARD CR WALMARr.COMIn F9 26042 117-85 20,046,91
WALMART.GDM PtSRC 742
02112kv
1 -PA PER 2-95 i 9,843.96
02112 DEBIT CARD PORCH Card Ending in 3742
HBST4JxL 003742 Feb 12 19,393.96
CITY OF HESPERIA 7609471000 CA26042 450-00 19,279,46
02112 CHECK No. 3211 114-50
02jVMjjjjWWPORCH
—TWNITRANS BAN BE AROIN CA 26043 200 00 19,079-46
02113 DEBIT CART] PURC Pnej2
TF7N4304 18, 879.46
MDC'ANZA ELECTRIC CO 200.00
02113 DEBIT CART] PORCH Card Ending in 3742
7Y9X05X2 003742 Feb 13 1 8 797 27
WALMART.COM 800925527BENTONVILLE AR 26043 82 19
02113 ACH DEBIT 18,788-17
ADP PAYROLL FEES ADP FEES 927441760125 Feb 13 10
02117 POS DEBIT Card Ending in 3742 18,614,47
USPS PO 05857603 12460 YUCAIPA CAUS0519 173.70
02118 DE131T CARD PORCH Card
a7daa Ending in 3742
NLCPY 'ATLAS 51 ORAGE YUG YUCAIPA CA 75048 200 00 18,414.47 0211 PU R
OF ERSIDE EBP PFF6045 200 00 18.214.47
0211$ URC 3742
SAN M 200.00oo*
18,014.47
02/18 ACH DEBIT - 17,814,47
SO CAL EDISON CO BILL PAYMAN
200.00
02118 ACH DEBIT 17,264.77
SO CAL EDISON CO BILL PAYMamw 549.70
02118 ACH DEBIT 16,356.43
ADP Tax ADP Tax RTLPN 021904AUI Feb 18 906.34 16 158,43 02119 CHECK ND: PURC
742 200.00
021 -
ATERAGE A25052 5.60 16,152-83
02125 DEBIT CARD PURC
4TL1FZH6 15.952.83
WF4CITYHEMET'SERVICE = 2 200-40
02125 DEBIT CARD PURC .
JPLIFZH5 6 15,752.83
CITY OF HEMET HEM n 3742 20a.00
02125 D PURC � j� '
lownwINC, BA 55 U� / 100-00 15.652.83
02?26 ACH DEBIT I 247.63 t 5,900-46
NOnpraflt5 I115Ur de0l'P" #571649800 Feb 25
02127 ELECTRONIC CREDIT
AMER ONLINE GIV1 EDI PAYMNT 1STCDCW9PJ Feb 27 1 5,710.06 REF'TN'1STCDCW9PJ'DanatIon IFQM AOGFeauses b 190.40
02127 DEBIT CARD PURC
CWX64KI6 ELES CA 25057 15,627.87
BMCrSO CAL GAS COMP 82.19
02/27 ACH DEBIT
ADP PAYROLL FEES ADP FEES 320065857451 Feb 27 7,824 53 1,375.77 Total DebitslCredits
- - ... Cf1ec4�s Pad - - - -- --- .—. - --- - �__
_ --- - - - - Amount. - Check
Date.._.._ Rmaunt
Check —dais Amount Check ---Date _ _ Amount Check.-. Date 3209 02102 20D.D0 3211' D2l12 Y�45D-00 _50525' 02110 ...__.._ 906.34 50528� 4119 9a6.34 indicates gap in check number sequence Number Checks Paid: 4 Totaling: $2.462-68
06/08/2026 City Council Agenda
1>�.itl�Jdl 1K '
Citibank GBO Services 531
P.a. Box 6201
Sioux Falls. 50 57117-6201
00v13787 as coc ns0 ,1SVV31i5[c AM 1 OT6 a
SMILES FOR SENIORS FOUNDATIO24
o 12D BOX 1113 CA 92399-1113
YUCAI PA
I1'11111111'"111II 1111,111-1,11111` II-111111-111.1,111.111I'll 0011RIA05D13
010
CITIBANK. N A
Arco nt
a eme�r�� rind
Mar 1 - ll�r" 31, 2026
Relationship Managger
US SERVICE CENTER
1-877.528-0990
page 1 of 6
Relationship Summary: _
Checking --- ----
.�t1 '938.32
fChecking Plus
SERVICE CHARGE SUNIMARY FROM FEg -- --
'_ No./Units Price/Unit
------
STREAMLINED CHECKI
Average Daily Collected Balance
DEPOSIT SEWCi„S ig .4500
CHECKS, DEP iTEMSITI CKETS, ACH
'"WAIVE.
Total Charges for Services
Net Service Charge
fn
M
CitiBusiness Streamlined Checking
2Q1995750
Date Description __ ----—.----- -- -- --
03102 ELECTRONIC CREDIT
PAYPAL TRANSFER 1048572998647 Mar02
03/02 ACH DEBIT
SO CAL EDISON 00 91LL PAY
03/03 DEBIT CARD pURCH Card
42 Mar In 3742
6RKIFPHQ
ZOOM.COM 866.799.9666 SAN JOSE CA 26060
03/03 ACH DEBIT" 3
80 CAL EDISON CO BILL PA
03/04 ACH DEBIT
ADP Tax ADP Tax ATLPN 030505ADI Mar U4
03105 DEBIT CARD CREDI Card Ending in 3742
700M.COM BBB-799-9666 SAN 305E CA 2606�42
03105 DEI TIT CARD PURL
LOBUF LASER & EYE ME[) MURRIETA CA 26063
PURCH Card Ending in 3742
03103/wAs003742 Mar 0
SMC1S0 GAL GAS COMPAN LOS ANGELES CA 26053
03105 CHECK NO' 3213
03106 ACH DEBIT
50 CAL EDISON GO BILL PAYM
03109 DEBIT CARD PURCH Card042 � r 0 in 3742
Spectrum 855.707.7328 MO 26065
06/08/2026 City Council Agenda.
Amount
$18,558.57
8.55 $0.00
S0.00
Be inning Bala -- -
$15,627.87
$11,938.32
Ending Balance
Debits
Balance
_.. _._ 72.52
15.700.39
174.00
15, 526.39
159.90
15,366,49
136.47
15,230.02
274.85
14,955,17
159.90
15.115.07
108.00
15,007.07
201.50
14, 805.57
200-00
14,605-57
158.28
14,447.29
105.00 },
� 4,342.29
�.,
CIZO/
179
not+au2nFnls .
' ACco. Page 2 c4 6
SMILES FOR SENIORS FOUNDATIONSlatement 0"Wa, 31, 2026
uevlL�
_... _ _-__. - - 14,112.53
Date Description - ---- 229.76
03l09 ACH DEBIT 13,912.53
AMERICAN EXPR ACH PMT V5060 Mar 09 200.00 13,006•19
03l09 CHECK NO: 3214 906.34 13,789.78
03109 CHECK NO1 50530 783-59
03l10 ELECTRONIC CREDIT 3,605.00 17,394.78
PAYPAL TRANSFER 104881102B6fi0 Mar 10 16,488,43
03110 DEPOSIT 906.35 16,380.43
03l1 Q CHECK NO: 50527 108.00 16,298.24
03110 CHECK NO: 3210 82.19
03113 ACH DEBIT 15,848.24
ADP PAYROLL FEES ADP FEES 4325695TS6T2 Mar 13 450.00 15,574.54 03/16 CHECK NO: 3215 173.70
03118 DEBIT CARD PURCH Card E 42 Mar dnl� in 3742
63 RQMSHQ 15, 399.70
PY 'ATLAS STORAGE YL1C YUCAIPA CA 26076 274.84
03118 ACH DEBIT 14,493.36
ADP Tax ADP Tax RTLPN 031906A01 Mar 18 906-34 13,893.36 03/18 CHECK NO: 50532 600.00 13,518,36
03120 CHECK NO' 3217 375.00
Q0120 in 3742
gOSEDB OI5023 Card AIPAIngCAUS05 5 748.78 14,267.14
43123 DEPOSIT 906.34 13,360.80
03/23 CHECK NO: 50529 119.00 13,241-80
RCH Card Ending in 3742
003742 Mar 24 13,141,77
GAS COMPAN LOS ANGELES CA 26080 140-03
03/24 ACH DEBIT 12,941.77
SO CAL EDISON CO BILL'PAY 200-00 12,751.99
03124 CHECK NO: 3216 189-78
03125 ACH DEBIT 9.72 12.761.71
$O GAL EDISON CO BILL PAY M
03126 ELECTRONIC CREDIT
REF TN'ITBNF6Rx44-Donatonn frorn AC3Fcauses.nMar 26 j 2,756-1 1 03l26 DEBIT ��CsARD PURL
2 5.6U
WF4CITYHEMET`SERVICE ONCORD C 60d4 200 00 12,556 .11
3l26 Ending in 3742
T42 Mar 2
HEMET GA 26084 86.30 12,469.81
03127 ACH DEBIT 12.268.31
ADP PAYROLL FEES ADP FEES 504101833058 Mar 27 201.50
0313 RCH 0p34 2 MaEndr 3i in 3742
r CAL GAS COMPAN LOS ANGELES CA 26087 125 15 12,143.18
03l31 ACH DEBIT 1 1,938-32
SO GAL EDISON GO BILL PAYMT 204-84
03l31 ACH DEBIT 5,379.51
SO CAL EDISON CD BILL PAY 9,069.06
Total Debits/Credits
�— -- -- -- -- f Checks Pai
to Amounteolk Date mount
Check,.._. -Date_ ___-.—Amount eck Date _ Au C3215 03116 450 fl0 Check -• Qa — �.
3210 0311 D 108.00 3213" 03105 200.00 3214 031Q9
3210 03120 200.00 3217* 03/20 600.00 50527` 03/10 906.35 50529" 03123 906.34 5Q53Q 03109 906.34 505 Totaling: $5,383.37
indicates gap in check number sequence Number Checks Paid: 10 79 06/08/2026 City Council Agenda 180
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ATTACHMENT 9
06/08/2026 City Council Agenda 202
CITY OF
City of Yucaipa Community Activity Grant
Event Reporting Financial Worksheet Y OF YUCAIPA
Fiscal Year 2025-2026 Grants A I'2' Am11:25
*INCLUDE BACKUP DOCUMENTATION WITH REPORT INCLUDING:
COPIES OF CHECKS, COPIES OF INVOICESIQUOTES
Name of Organization: Yucaipa 1 Calirnesa Family Assistance Contact Name: Holly Kirkwood
Phone Number: (909) 7978-0244
Email: [email protected]
Description of EventlProject Funded: asphalt resurfacing Total Cost to Operate Event/Project: $ 3,200
Amount Granted by City: $ 1,600 Section 1(Monetary) $ Section 2 (in Kind) Justify City Grant Monetary Amount: (if applicable)
SECTION I - Attach proof of payment
Description
Item # Date (Please be specific. List vendor and purpose for each disbursement related ONLY to the grant amount. Provide proof of processed payment.) Amount
1. 5115/25 Check #2444 to Firm Foundation Asphalt $1,000.00
2. 5/21/26 Check #2445 to Firm Foundation Asphalt $ 2,200.00
3. $
4. $
5. $
Justify City Grant In -Kind Amount: (if applicable)
SECTION 2
Description
Item # Date (Please be specific. List vendor and purpose for each disbursement related ONLY to the grant amount) Amount
I. $
2. $
3. $
4. $
5. $
Total Disbursements (Justifying City Grant Monetary undlor In -Kind) Amount): $ 3,200.00 Monetary Grant Funds Remaining: S 0
Noted-comments/additional
mentsladditional
information:
PLEA5EO CV41M 3 fO�'b*IA'Ld%ACK-UP RECEHgS 1 PROOF OF PAYMENT TO JUSTIFY AMOUNTS AWARD'Aii1l3Y GRANT
f'Y OF
City of Yucaipa Community Activity Grant
Event/Program Summary
Fiscal Year 2025-2025 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:
L Did the event/program meet the original intended goal? Yes, the asphalt was successfully patched and re -coated.
2. If funded in the future, what would the organization do differently? This was a one-time project.
3. What type of feedback did organization received from the participants? We improved access to our facility and reduced potential tripping hazards. 4- What other financial/in-kind contributions did the organziation seek or receive to fund the event/program (separate from City funding)?
Community donations.
5. List the total number of residents served.
9,329 residents served in 2025.
Attach copies of marketing/promotional materials for the event/program.
Notes/commentsladditional information: Thank you for your continued support of Yucaipa / Calimesa Family Assistance.
PLEASE SUBMIT ALONG WrM EVENT REPORTING FINANCIAL WORKSHEET TO THE CITY CLERK'S OFFICE
WITHM ONE MONTH FOLLOWING THE EVENT/PROGRAM
SUBMIT
06/08/2026 City Council Agenda 204
Invoice
YuwIPB I Calimesa Family Assistance Invoice No.: 007
35075 Avenue B, Issue pate: Apr 29, W25
Yucaipa CA 92399 Oue date: Apr 29, 2025
United States
Payment method: Transfer
s- y.Tr
Description
Quantihf
Unitprire(%) Amount lSl
work on parking lot
1 3,200.00 3,200.00
# 1 Clean Asphafiwith power blower
# 2 apply Hot Asphalt to four areas
93 compact Asphalt with vibratory wmpacter plate
# 4 Apply $furry seal to Asphalt
suEtoral - $3.200,0
TOW (USD): $3,200.00
p csipalCetimaea Famiy Assistance 2444
Yauspa CA 3
PAT
i Chase Bank
•inn �ourweum aagwr
22170 ~k6 City Comed Agevda Penis CA W70 205 -
6/19/25, 9:16 AM
Transactions - chase.com
CHASE 0for BUS INESS"
Printed from Chase forausiness
Check Details
Total: $2,200.00
Pose date: May 21, 2025
Check #: 2445
Front Back
II
,
JPMwgan COxse Bank N.A. Member FDIC ®2025JPMOIgan Chase &Co Equal Opport niry Lender 06/08/2026 City Council Agenda
FXnedlrorvm rkero mnAueFlm nAMnnAAnn..USG�µM...wx.....y.......p.........a....u.-gon-roommnnv UW
involve
BiE_t_ TO
Yucaipa / Cafirresa Family Assistance
35075 Avenue B,
Yucaipa CA 92399
United States
Invoice No.: 007
Issue date. Apr 29, 2025
❑ue date- Apr 29, 2025
Payment method- Transfer
Description -- - __ __ _._ _.___. _ - • . _.
Quantity Unit price {$j Amount {$)
work on parking lot
1 'I dean Asphalt with Power blower 3.200,00 3,200.00
# 2 apply Hot Asphalt to four areas
3 cormuaci Asphalt with +jihratory compactor plats
# 4 Apply slurry seal to Asphah
Subtotal
Total (USD): �a.2ao.ao
V
Adam Estevanovich
Firm FO4ndaoon Asphalt
22570 redwood dr
Ferris CA 920bp08/2026 City Council Agenda
United States
I
-0 ffasphalt[cAyahoo.com
207
ATTACHMENT 10
06/08/2026 City Council Agenda 208
UTY OF
City of Yucaipa Community Activity Grant
Event Reporting Financial Worksheet
POO Fiscal Year 2025-2026 Grants
INCLUDE BACK-UP DOCUMENTATION WITH REPORT INCLUDING. -
COPIES OF CHECKS, COPIES OF INVOICESIQUOTES
Name of Organization: Yucaipa Calimesa Veterans Committee CITY 191 Y,jjr 1'
DEC 1625 A40:48
Contact Name: George Sardeson
Phone Number: 909-838-7869
Email: [email protected]
Description of Event/Project Funded: 2025 Veterans Day Program Total Cost to Operate Event/Project: $ 1100.00
Amount Granted by City: $ N/A Section 1 (Monetary) $ �55.2 —Section 2 (In Kind) Justify City Grant Monetary Amount: (if applicable)
SECTION 1 - Attach proof of payment
Description
Item #
Date
(Please be specific. list vendor and purpose for each disbursement related ONL.Y to the grant amount. Provide proof of pruressed payment.) Amount
1,
10-31-25
Sullivan Party Rentals - Chairs rental
$ $150.00
2,
11-11-25
Sound system
$ $100.00
3. 11-11-25
Sag Piper
$ $250.00
4. 11-11-25
Color Guard
$ $200
5,
11-11-25
YHS band and choir
$ $500
Justify
City Grant In -Kind
Amount: (if applicable)
SECTION 2
Description
Item #
Date
(Please be specific. List vendor and purpose fur each disbursement related ONLY to the grant mnount)
Amount
I.
$
2,
$
],
$
4. $
5. $
Total Disbursements (Justifying City Grant Monetary and/or In -Kind) Amount):
$
Monetary Grant Funds Remaining: $
Notes/comments/additional
information:
PLEASH)MOOMIRiB ;QdM�._WNAB dB.ACK-t-P RECEIPTS / PROOF OF PAVMF:NT To Jt1S'17Fy AMOtiNTS AWARI)iiI]i�, GRANT
CITY OF
City of Yucaipa Community Activity Grant
Event/Program Summary
Fiscal Year 2025-2025 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:
1. Did the event/program meet the original intended goal? Yes
2. If funded in the future, what would the organization do differently? Explore ways to increase attendance
3. What type of feedback did organization received from the participants? Very positive approval of the program, especially from YHS music participants 4- What other financial/in-kind contributions did the organziation seek or receive to fund the event/program (separate from City funding)?
Dick Riddell -$500. Robert Fawke -$100. Markarian Law Group $500, Cali Sinks -$200, cash donations -$100
5. List the total number of residcnts served.
Est. 275
Attach copies of marketing/promotional materials for the event/program.
Notes/comments/additional information:
PLEASE SUBMIT ALONG WIT[ I EVENT REPORTING FINANCIAL WORKSHF.ET TO THE C ITN'CLERK'S OFFICE
WITHIN ONE MONTH FOLLOWING THE EVENT/PROGRAM
06/08/2026 City Council Agenda 210
1/29126, 12:19 PM
Permit
City of Yucaipa Community
Services
34272 Yucaipa Blvd
Yucaipa CA 92399
PermitContract
TJ+- V
COMMUNITY 29 ,`����,�:.
SERVICES T
Be fir!
PHONE:(909) 790-7460 Permit # R7542
FAX:(909) 790-2589 Status Approved
EMAIL:[email protected] Date of Issue Aug 20, 2025 3:44 PM Customer Name George Sardeson - 46909 Home Phone Number (909) 797-5701 Customer Type General Public Email Address classicpop@verizon,net Mailing Address 12451 Custer Street
Yucaipa, CA 92399
System User Gilbert Guardado Payer George Sardeson
Rental Fee
$937.00
Discounts
-$85.00
Subtotal
$852,00
Deposits
$0.00
Deposit Discounts
$0.00
Total Permit Fee
$852,00
Total Payment
$852,00
Refunds
$ODD
Balance
$0.00
2025 Veterans Day Ceremony
2 resource(s) 2 booking(s) Subtotal: $852.00
Booking Summary
Amphitheater
.. Community Center
START DATE/TIME
END DATE/TIME
ATTENDEE 1 AMT W/O TAX
Tue, Nov 11, 2025 7:00 AM
Tue, Nov 11, 2025 8:00 PM
1 $0.00
Resource level fees
Shelter #2 Large (Shelter Facilities)
$450.00
Centev Yucaipa Community Center
START DATE/TIME
END DATEMME
ATTENDEE I AMT W/O TAX
Tue, Nov 11, 2025 7:00 AM
Tue, Nov 11, 2025 8:00 PM
1 $0.00
Resource level fees
$402.00
Custom Questions
QUESTION I ANSWER
A. Any Cancellation of a rental less than 30 days will result in loss of 100% of the Acknowledge rental fees and deposit (if applicable). B. Any cancellations prior to 30 days will result in a loss of 50% of the rental fees and deposit (if applicable). All refund recWW&2"WttBWO$ Okessing fee. C. Refunds will be approved if rain 211
'I/Zwzt7, -IZ: is rM
rermnt,ontract
or inclement weather occurs on the day of shelter reservation. Refund request form must be submitted within 7 days after reservation to be honored.
I acknowledge and agree that bounce houses are only permitted at designated Acknowledge shelters. Community Park: Shelters 2, 3, 4, & 7 Ave I Park: Shelters 1, 2, 3, 4 7th Street Park: Shelters 1, 2, 3 Wildwood Park: Shelter 1
( acknowledge and agree the following Bounce House rul es: 1)Bounce houses are Acknowledge to be set up only by the bounce house company. 2)Bounce house companies will be responsible for providing a generator for the inflation of the bounce house. The City does not provide electricity. The generator must be quiet rated at 60d8 or less and not generate noise in excess of City standards. 3)Bounce houses are not allowed in City parks overnight.
I acknowledge and agree to the following policies regarding bounce houses: 1) Acknowledge Bounce houses must be free standing and weighted. Stakes are prohibited in City parks. 2) Permit H o I der/Reque stor is responsible for all damage caused by their use of the park or bounce house. Damage to City property or turf may result in additional fees incurred. 3) The City is not responsible for any damage to the bounce house.
I acknowledge and agree to the following rules and policies regarding Bounce Acknowledge Houses:1) Bounce Houses/Jumpers must be booked through authorized companies only. Failure to do so will result in Company and/or event to be shut down. 2) The City reserves the right to limit the number and size of bounce houses being used. Only small bounce houses are permitted (1B'x18'xl8' max), Larger sized bounce houses are permitted only with a Special Event Permit and with Director approval.
I acknowledge and agree to: 1)Permit Hold er/Requester(s) and event attendees Acknowledge must adhere to the rules and regulations govcmed by tlic City. 2) Failure by the Permit Bolder/ Requestor or vendor to adhere to these policies will result in the immediate removal of bounce house from the park and may result in the denial of future use of City parks and facilities. Damages to the park resulting from use of a bounce house are the financial responsibility of the Permit Holder/ Re q uestor.
I acknowledge and understand that all park shelter reservations include an Acknowledged insurance fee. Applicant shall purchase or provide and maintain general liability insurance and the coverage shall be in the amount of $1 million for bodily injury, personal injury, and property damage. General liability and liquor liability shall be endorsed naming the City of Yucaipa, its officers, agents, employees, and volunteers as additional insured.
I agree and acknowledge that the information provided to this application is Acknowledge correct and City organized activities shall have priority use over all requests.
Sufficient prior notification of canceled requests will be given by the City when possible.
I agree and acknowledge to follow the following park shelter rules: 1) No food Acknowledge trucks permitted in parks or parking lot. 1) No amplified sound permitted. 2) Smoking is prohibited in all City parks and facilities (reference City Park Ordinance No. 256). 3)Alcoholic beverages prohibited. 4)No wood burning campfires or propane grills permitted, Charcoal only. 5)NO VEHICLES ARE ALLOWED IN CITY PARKS, ON TURF, OR ON WALKWAYS.
What is your type of event? Gathering
Will there be a bounce house? if yes, I acknowledge and agree that bounce No houses are required to be reserved through the City of Yucaipa's authorized bounce house companies only. Not outside companies or personal bouncers permitted. Approved Vendors: Jolly Jumps www.jollyjumps.net or (877)694-1994 Jump N Jump www.jumpnjump.com or (909)873-8487
https:/lanprodl t 0N)Cdgio Im6ibftAokmethod=showPermitContract&permit_id=F9I380E8F0E35A5&new window=yes 212 M
1/29126. 12:19 PM
PermitContract
Payment and Refund
RECEIPT #
i DATE
FEE DESCRIPTION
EVENT
RESOURCE
PAYMENT REFUND
1166140.002
Aug 19, 2025
Rental - Daily
2025 Veterans Day
Amphitheater
$450.00
Ceremony
1166140.002
Aug 19, 2025
Liability Insurance
2025 Veterans Day
Sheller #2 Large
$87.00
Ceremony
1166140.002
Aug 19, 2025
Rental - Daily
2025 Veterans Day
Shelter #2 Large
$315,00
Ceremony
1168172.002
Aug 20, 2025
Deposit
2025 Veterans Day
Amphitheater
$100,00
Ceremony
2007517.002
Dec 15, 2025
Deposit
2025 Veterans Day
Amphitheater
-$100.00
Ceremony
06/08/2026 City Council Agenda 213
ATTACHMENT 11
06/08/2026 City Council Agenda 214
CITY O
City of Yucaipa Community Activity Grant
Event Reporting Financial Worksheet
Fiscal Year 2025-2026 Grants
*E CLUDE BACK-UP DOCUMENTATION WITH REPORT INCLUDING:
COPIES OF CHECKS, COPIES OF INVOICES/QUOTES
Name of Organization:
Contact Name;
Phone Number:
Email:
Description of Event/Project Funded:
Total Cost to Operate Event/Project: $ OLI
Amount Granted by City: $ 1 ) 100 Section I (Monetary) $ Justify City Grant Monetary Amount: (if applicable)
Section 2 (In Kind)
SECTION I - Attach proof of payment
Description
Item # Date (Please be specific. List vendor and purpose for each disbursement related ONLY to the grant amount. Provide proof of processed payment.) qj �y�l. ti)-1a7-SIaS��I W
Vi r L
Justify City Grant In -Kind Amount: (if applicable)
SECTION 2
No
Amount
s
Description
Item # Date (Please he specific. List vendor and purpose for each disbursement related ONLY to the grant amount) Amount
2. 3.
A.
5. Total Disbursements (Jusd&ing Citj> Grant Monetary and/or In -Kind) Amount): $ LR 4 1 q 3 .
Monetary Grant Funds Remaining: $
NoteslcommentsladditionaI
information:
PLEAS ACK-UP RECEIPTS 1 PROOF OF PAYMEN"r'r0 JUSTIFY AVIOUN I'S AWAR GRANT
CITY OF
City of Yucaipa Community Activity Grant
Event/Program Summary
Fiscal Year 2025-2025 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:
2 3.
4 S.
Did the event/nrovram meet the oritzinal intended p-oal? If funded in the future, what would the organization do differently? What type of feedback did
What oth4fftnancial/in-kind contributions di
event/program (separate from City funding)?
Attach copies of marketing/promotional materials for the event/program.
Notes/comments/additional information:
PLEASE SUBMIT ALONG WITH EVENT REPORTING FINANCIAL WORKSHEET TO THE CITY CLERK-S OFFICE
WITHIN ONE MONTH FOLLOWING THE EVENT/PROGRAM
Lon
SUBMIT
06/08/2026 City Council Agenda
216
Order Summary
Order placed September 14, 2025 Order # 112-1200675-5128237 Ship to
Payment method
Order Summary
Melinda Daniel
Visa ending in 6296
Item(s) Subtotal•
$383.61
11981 STOVALL WAY
_
View related transactions
Shipping & Handling:
$0.00
YUCAIPA, CA 92399-3487
Promotion Applied:
43.40 United States
Your Coupon Savings:
-$23.94
Total before tax:
$356.47
Estimated tax to be
$33.33
collected;
Grand Total:
$389.80
Haysandy 10 Pairs Dinkball Socks for Women Novelty Athletic Ankle Law Cut No V-i Show crew Socks Funny Dink Gift for Lovers
Sold by: Mornestwonder
Rewrn window closed an October 17, 2025
5 $19.99
Cuffbow 8 Pairs Dink Bail Socks Performance Novelty Athletic Socks Sports Gift far ..
• ' Dink Batl Lovers Women Men(Classic)
Sold by a
Return window
dosed on October 17, 2025
3 $16.99
Cuffbow S Pairs Dink Sports Socks Novelty Dink Ball Gift Funny Crnvv Socks Christmas Gift for Paddlebatl Lovers Women Men(Blue Style) Sold by: DartnXia
Retum window closed on October 17, 2025
2 $16.99
' ••` ` o Retrora 6 Pcs Soft Pickleball Towel 15 x 17 inch Absorbent Fast Drying Towels for Women Sweat Funny Pickteball Gifts for Men Women Hand Towel with Clip Sold by: Retrora
I tl e e Retum window closed on October 17, 2025
$22.99
12PCs Pickle ba[I Luggage Tags for Travel Suitcases Labels with Metal Ring 2.75in Picklebatl Keychain PVC Name Id Card and DIY Pocket Hug Card, Backpack Charms for Men Women Travel Bag Suitcase
Soled by eyourgifts
2 Retum window closed on October 17, 2025
$12.99
MUK LUKS Men's 6 Pack Pickleball Ankle Socks, Black/Green, OS 1 Sold by: Amazon.com
Supplied by: Other
Retum window closed an October 17, 2025
5 $24,99
06/08/2026 City Council Agenda 217
Order Contents
Items shipped to 11981 Stovall Way, Yucaipa, Calitom[a, 92399, United States 1 x Franklin X40 Performance Outdoor
Picklehalls
Lava
10D�t box
One Time Purchase
$159.99
Or"die(- 4
Order Details I ;74;t I ( (0 9
Ship To
Shipped
Sep 25, 2025
$173.99
Credit Card
Melinda Daniel
$159,99 11981 Stovall Way
Yucaipa, California 92399
$14.00 United States
$173.99 Bill To
Melinda Daniel
11981 Stovall Way
Yucaipa, California 92399
United States
Shipping Details
Sep 26, 2025
USPS
9434650105795007494279 —
(Free Ground Shtppingi
Actions
5 DAY PER WEEK SUPPORT i OUR - U�-TQh1EN SERVICE ExPER1 to ARE HERE t=Uk YOU 5 DAYS A WE E- Get the latest news! -- { Sub,.
06/08/2026 City Council Agenda 218
s�rcr'�'c Orders Profile Store Credit Tracking Default Location -v M
PARTNERS
Order #664575
Confirmed Oct 9, 2025
Arrived Oct 16, 2825
FedEx Shipping - Ground 394238363059
Delivered
Oct 16. 2025
Contact information
Melinda Daniel
[email protected]
Company and location
Melinda Daniel Programs
Default Location
Shipping address
Melinda Daniel
11981 Stovall Way
Yucaipa California 92399
United States
Shipping method
FedEx Shipping - Ground
Paid Oct 14, 2025
Your order is fully parr!.
Buy again
Payment
Visa •... 0146
$513,23 USD
Oct 9. 2025
Cancellation Window Closed
Billing address
Melinda Daniel
11981 Stovall Way
Yucaipa California 92399
United States
Shaw details \/
06/08/2026 City Council Agenda 219
SLK by Selkirk Pro Portable Pickleball Net $300.00
$75.00/e
Selkirk Performance Core Hat $35.00
White
$5.00iea
Selkirk Performance Core Hat $35.00
Black
$5.00/ea
Subtotal - 18 items $370.00
Shipping $101.92
Taxes $41.31
Total $513.23
Refund policy Priva y pn i y, Tgrrns of_service
06/08/2026 City Council Agenda 220
Order Contents
1 x Return + Shipping Assurance $3.98
3.w
Items shipped to 11981 Stavail Way, Yucaipa, Calftmia, 92399, United states 2 x Franklin XAO Performance Outdoor $199.99
' Pickleballs
- _ Lava
100•ct box
One Time Purchase
Order Details
Shipped
Dec 1, 2025
$373.55
Credit Card
Ship To
Melinda Daniel
11981 Stovall Way
Yucaipa, California 92399
United States
Bill To
Melinda Daniel
$403.96
11981 Stovall Way
Yucaipa, California 92399
-$60 qg
United States
$30,07
Shipping Details
$373.55
Dec 9, 2025
FedEx
396465983727 — Free Ground
:3hippng
Dec 9. 2025
FedEx
,96485997 � i 3 --.. Free Ground
Actions
EXPERT STAFF . C-,UK c- J",'IOMER SLRVICE STAFF A.,E P6 EXPERTS 3 LOVE TO CONSUIJ W FH 06/08/2026 City Council Agenda 221
Order Summary
Order placed March 1, 2026 Order # 112-6885471-1982613
Ship to
Payment method
Order Summary
Melinda Daniel
Visa ending in 6296
Item(s) Subtotal:
$88.69
11981 STOVALL WAY
` View related transactions
Shipping & Handling:
$0.00
YUCAIPA, CA 92399-3487
Total before tax:
$88.69
United States
Estimated tax to be
$7.77
collected:
Grand Total:
$96.46
Delivered March 2
Your package was left near the front door or parch.
' Yoyuspy Pickteball Temporary Tattoos Stickers - 200+ Pickteball Birthday Party ffln Favors Decorations Supplies Pickiebatt Temporary tattoo Gifts for Girts Boys Tattoos Prizes Rewards
Sold by: SuoxiangSM
Retum window closed on April 2, 2026
$8.99
-� - Moyel Pickleball Gifts for Woolen S Pairs Funny Cute Picklebal€ Ankle Socks Sire 5-8 Novelty Crazy Womens Socks Accessories Fun Gifts for Mom Friends Sisters Wife •■r -dt m. Girlfriend
Said by! hloyel
Return window closed on April 2, 2026
$14,93
Delivered March 2
Your package was left near the front door or porch.
F514ANEE Picklebalt Rubber Bracelets Pickteball Party Supplies Pickleball. Silicone �a Wristbands Pickleball Party Gift Bag Fillers Goodie Bag Stuff, Set of 24 Counts tamo Sold by Tingrui
ReWrn window closed on April 1, 2026
$9.99
Delivered March 3
Your package was left near the front door or porch.
FSHANEE Pickleball Rubber Bracelets Pickleball Party Supplies Pickleball Silicone Wristbands Pickteball Party Gif# Bag Fitters Goodie Bag Stuff, Set of 24 Counts Sold by: Tingrui
Return window closed on April 2, 2026
$9.99
Moyel Pickteball Gifts for Women S Pairs Funny Cute Pickleball Ankle Socks Size 5-8 Novelty Crazy Womens Socks Accessories Fun Gifts for Mom Friends Sisters Wife •� -�t Girlfriend
j ' Sold by: Moyel
3 Return window closed on April 2, 2026
$14.93
06/08/2026 City Council Agenda 222
"'Jlmai!
Order #6626120 Confirmed
Selkirk Partners [email protected]>
Reply -To: Selkirk Sport [email protected]>
To: [email protected]
C���:���+��3 �+�I�I�7iTi Ii�'TI?' iT�•'_l
Wed, Apr 1, 2026 at 2:45 PM
Hi, Melinda, thanks for your purchase! We're preparing your order and will notify you when it has shipped.
MANAGE ORDER
Order Details
SLK by Selkirk Pro $450.00
Portable Pickleball Net
Quantity: 6
06/08/2026 City Council Agenda 223
$450.00
$144.24
$51.99
$646.23
Order Details
Melinda Daniel,
11981 Stovall Way,
Yucaipa, California, 92399, United States.
Billing Address
Melinda Daniel,
11981 Stovall Way,
Yucaipa, California, 92399, United States.
0 0
101
Selkirk Sport 1 181 W Aqua Ave Coeur D Alene, ID 83815
Copyright Q 2026 Selkirk Sport, All rights reserved.
melinda Daniel Thu, Apr 16, 2026 at 1:12 ISM
To: Wyvonna Manly
06/08/2026 City Council Agenda 224
ATTACHMENT 12
06/08/2026 City Council Agenda 225
CITY of
9 City of Yucaipa Community Activity Grant
Event Reporting Financial Worksheet
Fiscal Year 2025-2026 Grants
*INCLUDE BACKUP DOCUMENTATION WITH REPORT INCLUDING. -
COPIES OF CHECKS, COPIES OF INVOICESIQUOTES
Name of Organization: Yucaipa Valley Art Association a (501)c organization Contact Name: Zully Martinez
Phone Number: (951) 755-4114
Email: [email protected]
CITY OF MAIN,,
AR 20'26 i;,HB:?01
Description of Event/Project Funded: In -Kind Support for YVAA Monthly Meetings at the Scherer Center Total Cost to Operate EventfProject: $ 5,833.00 Li 138- Q_' Amount Granted by City: $ Section l (Monetary) $Section 2 tin find) Justify City Grant Moneiary•Amount: (if applicable)
SECTION I - Attach proof of payment
Description
Item # Date (Please be specific. List vendor and purpose for each disbursement related ONLY to the grant amount. Provide proof of processed pss-ment.) Amount I. $
2. $
3. $
4. $
5. $
Justify City Grant In -Kind Amount: (if applicahle)
SECTION 2
Description
Item # Date (Please be specific. List vendor and purpose for each disbursement related ONLI' to the grant amount) Amount
I. 7/2/25-6/24/26 YVAA Wednesday Weekly Art Meeting (Pmt R7557) $ 5,733.00
2. $
3. $
4. $
5. $
Total Disbursements (Justifying City Grant Monetary undlor In -Kind) Amount): $ 5,733,00 Monetary Grant Funds Remaining: $ Q
Notes/comments/additional
information: Weekly art meetings at the Scherer Community Center.
Event attended by members, public visitors of Scherer Ctr.
Weekly meetings are listed in Yucaipa Community Services Guidebook.
PLEASE MAKE SURE TO PROVIDE BA('K-UP RECEIPTS / PROOF OF PAYMENT TO JUSTIFY AMOUNTS AWARDER BY GRANT 06/08/2026 City Council Agenda 226
CITY OF
City of Yucaipa Community Activity Grant
9 ® Event/Program Summary
Fiscal Year 2025-2026 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? Yes the event/program did meet the intended goal of promoting art in the commununity. Members, held group paint sessions on a weekly basis to create art. The events were held successfully.
2. If funded in the future, what would the organization do differently? We will look to increase our membership number and public awareness of our organization.
We will continue efforts to use social media and news paper to gain event awareness in community.
3. What type of feedback did organization received from the participants? Participants were glad to meet as a peer group of artists to create art on a weekly basis at Scherer Ctr.
Meetings provided peer collaboration and a positive learning environment for art painting sessions. 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.
Weekly Wednesday sessions serve about 5-1 D residents for art activities held at the Scherer Center.
Attach copies of marketing/promotional materials for the event/program.
Notes/comments/additional information: Monthly Newsletter is used to promote art events to members and the public. Newsletter is included as flyer/promotional material. YVAA has a website to promote activities.
PLEASE SUBMIT. ALONG WITH EVENT REPORTING FINANCIAL WORKSHEET. TO THE CITY CLERK'S OFFICE
WITHIN ONE MONTH FOLLOWING THE EVENT/PROGRAM
SUBMIT
06/08/2026 City Council Agenda 227
Permit
City of Yucaipa Community
Services
34272 Yucaipa Blvd
Yucaipa, CA 92399
PHONE:(909) 790-7460
FAX:(909) 790-2589
EMAIL:[email protected]
Organization Name
Yucaipa Valley Art Association - 49
Customer Type
Non -Profit (R)
Organization Address
PO Box 404
Yucaipa, CA 92399
Agent Name
Zully Martinez
System User
Karen Ruiz
YVAA Wednesday Monthly Meetings
Booking Summary
SERVICES
DEPARTMENT
Permit # R7557
Status Approved
Date of Issue Aug 19, 2025 2:07 PM
Home Phone Number (909) 797-7741
Payer Yucaipa Valley Art Association
Rental Fee
$6,370.00
Discounts
-$637.00
Subtotal
$5,733.00
Deposits
$100.00
Deposit Discounts
$0.00
Total Permit Fee $5,833.00
Total Payment $5,833.00
Refunds $0.00
Balance $0.00
1 resource(s) 49 booking(s) Subtotal: $5,833.00
START DATE/TIME
END DATE/TIME
ATTENDEE
AMT W/O TAX
Wed, Jul 2, 20251:00 PM
Wed, Jul 2, 2025 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Jul 9, 20251:00 PM
Wed, Jul 9, 2025 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Jul 16, 20251:00 PM
Wed, Jul 16, 2025 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Jul 23, 20251:00 PM
Wed, Jul 23, 2025 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Jul 30, 20251:00 PM
Wed, Jul 30, 2025 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Aug 6, 20251:00 PM
Wed, Aug 6, 2025 3:00 PM
5 $117.00
# R7557 06/08 f i4xAdtiAgenda 22 $rge 1 of 5
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Aug 13, 20251:00 PM
Wed, Aug 13, 2025 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Aug 20, 20251:00 PM
Wed, Aug 20, 2025 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Aug 27, 20251:00 PM
Wed, Aug 27, 2025 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Sep 3, 20251:00 PM
Wed, Sep 3, 2025 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Sep 10, 20251:00 PM
Wed, Sep 10, 2025 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Sep 17, 20251:00 PM
Wed, Sep 17, 2025 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Sep 24, 20251:00 PM
Wed, Sep 24, 2025 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Oct 1, 20251:00 PM
Wed, Oct 1, 2025 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Oct 8, 20251:00 PM
Wed, Oct 8, 2025 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Oct 15, 20251:00 PM
Wed, Oct 15, 2025 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Oct 22, 20251:00 PM
Wed, Oct 22, 2025 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Oct 29, 20251:00 PM
Wed, Oct 29, 2025 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Nov 5, 20251:00 PM
Wed, Nov 5, 2025 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Nov 12, 20251:00 PM
Wed, Nov 12, 2025 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
# R7557 06/08bfi4p*owxAdbAgenda 22fgge 2 of 5
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Nov 19, 20251:00 PM
Wed, Nov 19, 2025 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Dec 3, 20251:00 PM
Wed, Dec 3, 2025 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Dec 10, 20251:00 PM
Wed, Dec 10, 2025 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Dec 17, 20251:00 PM
Wed, Dec 17, 2025 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Jan 7, 20261:00 PM
Wed, Jan 7, 2026 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Jan 14, 20261:00 PM
Wed, Jan 14, 2026 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Jan 21, 20261:00 PM
Wed, Jan 21, 2026 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Jan 28, 20261:00 PM
Wed, Jan 28, 2026 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Feb 4, 20261:00 PM
Wed, Feb 4, 2026 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Feb 11, 20261:00 PM
Wed, Feb 11, 2026 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Feb 18, 20261:00 PM
Wed, Feb 18, 2026 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Feb 25, 20261:00 PM
Wed, Feb 25, 2026 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Mar 4, 20261:00 PM
Wed, Mar 4, 2026 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Mar 11, 20261:00 PM
Wed, Mar 11, 2026 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
# R7557 06/08bfi4p*owxAdbAgenda 2_"ge 3 of 5
Wed, Mar 18, 20261:00 PM
Wed, Mar 18, 2026 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Mar 25, 20261:00 PM
Wed, Mar 25, 2026 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Apr 1, 20261:00 PM
Wed, Apr 1, 2026 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Apr 8, 20261:00 PM
Wed, Apr 8, 2026 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Apr 15, 20261:00 PM
Wed, Apr 15, 2026 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Apr 22, 20261:00 PM
Wed, Apr 22, 2026 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Apr 29, 20261:00 PM
Wed, Apr 29, 2026 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, May 6, 20261:00 PM
Wed, May 6, 2026 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, May 13, 20261:00 PM
Wed, May 13, 2026 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, May 20, 20261:00 PM
Wed, May 20, 2026 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, May 27, 20261:00 PM
Wed, May 27, 2026 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Jun 3, 20261:00 PM
Wed, Jun 3, 2026 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Jun 10, 20261:00 PM
Wed, Jun 10, 2026 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Jun 17, 20261:00 PM
Wed, Jun 17, 2026 3:00 PM
5 $117.00
Rental - Hourly $65.00 / Hour x 2
$130.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$13.00
Wed, Jun 24, 20261:00 PM
Wed, Jun 24, 2026 3:00 PM
5 $117.00
# R7557 06/08 f i4jd)={Agenda
2 �ge 4 of 5
Rental - Hourly $65.00 / Hour x 2 $130.00
Resident Discount -10% (YCC & SCC) -10% x 1-$13.00
Resource level fees $100.00
Deposit $100.00 / Each x 1 $100.00
Waivers and Information
INFORMATION DESCRIPTION SIGNING STATUS
Proof of Liability Insurance Checked
WAIVER NAME DUE DATE FOR SIGNING STATUS
Facility Usage Waiver Sep 3, 2025 Waiver Signed
Facility user hereby agrees to indemnify, defend and hold harmless City of Yucaipa, its officers, officials, employees and volunteers from and against all claims, damages, losses and expenses that may arise during or be caused in any way by such occupancy or use of facilities, but the facility user shall not be liable for any claims, damages, losses and expenses caused by the sole negligence or willful misconduct of the City of Yucaipa. Permittee shall have received any and all permission or license(s) as may be required to perform or use any protected materials in its use of the Premises. Permittee agrees to protect and save harmless the City, its elected officials, employees and agents from and against any and all claims, penalties, 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 requirements stated herein Signature
Deposit
EVENT
RESOURCE
DEPOSIT FEE CHARGE
TAX AMOUNT PAID
REFUNDS BALANCE
YVAA
SrC
Deposit $100.00
$0.00
$100.00
$0.00 $0.00
Wednesday
Banquet
Monthly
Room B
Meetings
Payment and
Refund
RECEIPT #
DATE
FEE DESCRIPTION
EVENT
RESOURCE
PAYMENT / REFUND
1166135.002
Aug 19, 2025
Deposit
YVAA Wednesday
SrC Banquet
$100.00
Monthly Meetings
Room B
1166136.002
Aug 19, 2025
Rental - Hourly
YVAA Wednesday
SrC Banquet
$5,733.00
Monthly Meetings
Room B
# R7557 06/08bfi4p*owxAdbAgenda 2nge 5 of 5
ATTACHMENT 13
06/08/2026 City Council Agenda 233
CITY OF
9 a City of Yucaipa Community Activity Grant
Event Reporting Financial Worksheet
Fiscal Year 2025-2026 Grants
*INCLUDE BACK UP DOCUMENTA TION WITH REPORT INCLUDING:
COPIES OF CHECKS, COPIES OF INVOICESIQ UO TES
Name of organization: Yucaipa Valley Art Association a (501)c organization Contact Name: Zully Martinez
Phone Number: (951) 755-4114
Email: [email protected]
CITY OF YUCA'A
APR 20126 *l 2A
Description of Event/Project Funded: In -Kind Support for YVAA Monthly Meetings at the Scherer Center Total Cost to Operate Event/Project: S 4,202.13
Amount Granted by City: $ Section I (Monetary) $ 3,902.13 Section 2 (In Kind) Justify City Grant Mon etagAmount: (if appIica1)1c)
SECTION I - Attach proof of paFmvni
Description
Item # Date {Please be specific. List vendor and purpose For each disbursement related f ]N I to the grant amount. Pro► ide proof of processed payment.) Amount
1. S
2. $
3. $
4. $
5. $
Justify City Grant In -Kind Amount: (if applicable)
SECTION 2
Description
Item It Date (Please be specific. list sendor and purpose fiir each disbursement related ONLl to the grant amount) Amount
t. 9/16/25-5/21/26 YVAA Tues & Thursday Monthly Meetings (Pmt R7556) $ 3.902.13
2. $
3. $
4. $
5. $
Total Disbursements (Justifying City Grant Monetary and/or In -Kind) Amount): $ 3,902.13 Monetary Grant Funds Remaining: $ 0
Notes/comments/additional
information: Monthly art meetings at the Scherer Community Center.
Event attended by members, public visitors and art presenters.
Demonstration of art techniques and to view art exhibitions.
PLEASE MAKE SIRE TO PROVIDE BACK-UP RECEIPTS I PROOF OF PAYMENT TO JUSTIFY AMOUNTS AWARDED BV GRatiT 06/08/2026 City Council Agenda
Page I
234
CA Y OF
City of Yucaipa Community Activity Grant
® ® Event/Program Summary
Fiscal Year 2025-2026 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:
1. Did the event/program meet the original intended goal? Yes the event/program did meet the intended goal of promoting art in the commununity. Members, exhibited paintings and photography, held art presentation meetings. The events were held successfully.
2. If funded in the future, what would the organization do differently? We will look to increase our membership number and public awareness of our organization.
We will continue efforts to use social media and news paper to gain event awareness in community.
3. What type of feedback did organization received from the participants? Participants were glad to meet as a peer group of artists and photographers to show their art and talent.
Meetings provided learning through art demos, knowledge shared by artists/presenters and activities. 4• What other financiaVin-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.
Thursdays, 35-40 residents were served for each meeting that was organized and held at the Scherer Community Center.
Attach copies of marketing/promotional materials for the event/program.
Notes/commentsladditional information: Monthly Newsletter is used to promote art events to members and he public. Newsletter is included as flyer/promotional material. YVAA has a website to promote activities.
PLEASE SUBMIT, ALONG WITH EVENT REPORTING FINANCIAL WORKSHEET, TO THE CITY CLERK'S OFFICE
WITH ONE MONTH FOLLOWING THE EVENTIPROGRA,M
SUBMIT
06/08/2026 City Council Agenda 235
Permit
City of Yucaipa Community
Services
34272 Yucaipa Blvd
Yucaipa, CA 92399
PHONE:(909) 790-7460
FAX:(909) 790-2589
EMAIL:[email protected]
Organization Name
Yucaipa Valley Art Association - 49
Customer Type
Non -Profit (R)
Organization Address
PO Box 404
Yucaipa, CA 92399
Agent Name
Zully Martinez
System User
Karen Ruiz
YVAA Tues/Thurs Monthly Meetings
Booking Summary
iiy
SERVICES
DEPARTMENT
Permit #
R7556
Status
Tentative
Date of Issue
May 7, 20261:46 PM
Expiration Date
Jun 30, 2026
Home Phone Number (909) 797-7741
Payer Yucaipa Valley Art Association
Rental Fee
$4,215.60
Discounts
-$421.47
Subtotal
$3,794.13
Deposits
$300.00
Deposit Discounts
$0.00
Total Permit Fee $4,094.13
Total Payment $3,509.67
Refunds $0.00
Balance $584.46
2 resource(s) 19 booking(s) Subtotal: $4,094.13
START DATE/TIME
END DATE/TIME
ATTENDEE
AMT W/O TAX
Tue, Sep 16, 202510:00 AM
Tue, May 19, 202612:00 PM
--
$972.00
Occurs on selected dates effective 0911612025 until 0511912026.
Tue, Sep 16, 202510:00 AM
Tue, Sep 16, 202512:00 PM
1 $0.00
Resident Discount -10% (YCC & SCC) -10% x 1
$0.00
Tue, Oct 14, 202510:00 AM
Tue, Oct 14, 202512:00 PM
1 $108.00
Rental - Hourly $60.00 / Hour x 2
$120.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$12.00
Tue, Nov 18, 202510:00 AM
Tue, Nov 18, 202512:00 PM
1 $108.00
Rental - Hourly $60.00 / Hour x 2
$120.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$12.00
Tue, Dec 9, 202510:00 AM
Tue, Dec 9, 202512:00 PM
1 $108.00
Rental - Hourly $60.00 / Hour x 2
$120.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$12.00
Tue, Jan 13, 202610:00 AM
Tue, Jan 13, 202612:00 PM
1 $108.00
Rental - Hourly $60.00 / Hour x 2
$120.00
# R7556 06/08 6,Ciffi&0abadAgenda 23Bage 1 of 4
Resident Discount -10% (YCC & SCC) -10% x 1
-$12.00
Tue, Feb 17, 202610:00 AM
Tue, Feb 17, 202612:00 PM
1 $108.00
Rental - Hourly $60.00 / Hour x 2
$120.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$12.00
Tue, Mar 17, 202610:00 AM
Tue, Mar 17, 202612:00 PM
1 $108.00
Rental - Hourly $60.00 / Hour x 2
$120.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$12.00
Tue, Apr 14, 202610:00 AM
Tue, Apr 14, 202612:00 PM
1 $108.00
Rental - Hourly $60.00 / Hour x 2
$120.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$12.00
Tue, Apr 28, 202610:00 AM
Tue, Apr 28, 202612:00 PM
1 $108.00
Rental - Hourly $60.00 / Hour x 2
$120.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$12.00
Tue, May 19, 202610:00 AM
Tue, May 19, 202612:00 PM
1 $108.00
Rental - Hourly $60.00 / Hour x 2
$120.00
Resident Discount -10% (YCC & SCC) -10% x 1
-$12.00
Resource level fees
$50.00
Deposit $50.00 / Each x 1
$50.00
SrC Banquet •.. ...
.. Senior Center
START DATE/TIME
END DATE/TIME
ATTENDEE
AMT W/O TAX
Thu, Sep 18, 2025 6:00 PM
Thu, May 21, 2026 9:15 PM
--
$2,822.13
Occurs on selected dates effective 0911812025 until 0512112026.
Thu, Sep 18, 2025 6:00 PM
Thu, Sep 18, 2025 9:15 PM
30 $313.57
Rental - Hourly $85.00 / Hour x 3.25
$276.25
Rental - Weekday Event Assistant (4P-12A) $22.20
/ Hour x 3.25 $72.15
Resident Discount -10% (YCC & SCC) -10% x 1
-$34.83
Thu, Oct 16, 2025 6:00 PM
Thu, Oct 16, 2025 9:15 PM
30 $313.57
Rental - Hourly $85.00 / Hour x 3.25
$276.25
Rental - Weekday Event Assistant (4P-12A) $22.20 / Hour x 3.25 $72.15 Resident Discount -10% (YCC & SCC) -10% x 1
-$34.83
Thu, Nov 20, 2025 6:00 PM
Thu, Nov 20, 2025 9:15 PM
30 $313.57
Rental - Hourly $85.00 / Hour x 3.25
$276.25
Rental - Weekday Event Assistant (413-12A) $22.20
/ Hour x 3.25 $72.15
Resident Discount -10% (YCC & SCC) -10% x 1
-$34.83
Thu, Dec 11, 2025 6:00 PM
Thu, Dec 11, 2025 9:15 PM
30 $313.57
Rental - Hourly $85.00 / Hour x 3.25
$276.25
Rental - Weekday Event Assistant (4P-12A) $22.20
/ Hour x 3.25 $72.15
Resident Discount -10% (YCC & SCC) -10% x 1
-$34.83
Thu, Jan 15, 2026 6:00 PM
Thu, Jan 15, 2026 9:15 PM
30 $313.57
Rental - Hourly $85.00 / Hour x 3.25
$276.25
Rental - Weekday Event Assistant (4P-12A) $22.20
/ Hour x 3.25 $72.15
Resident Discount -10% (YCC & SCC) -10% x 1
-$34.83
Thu, Feb 19, 2026 6:00 PM
Thu, Feb 19, 2026 9:15 PM
30 $313.57
# R7556 06/08 CitfieT4ahvA Agenda
2 %Page 2 of 4
Rental - Hourly $85.00 / Hour x 3.25 $276.25
Rental - Weekday Event Assistant (4P-12A) $22.20 / Hour x 3.25 $72.15
Resident Discount -10% (YCC & SCC) -10% x 1
-$34.83
Thu, Mar 19, 2026 6:00 PM Thu, Mar 19, 2026
9:15 PM
30 $313.57
Rental - Hourly $85.00 / Hour x 3.25 $276.25
Rental - Weekday Event Assistant (4P-12A) $22.20 / Hour x 3.25 $72.15
Resident Discount -10% (YCC & SCC) -10% x 1
-$34.83
Thu, Apr 16, 2026 6:00 PM Thu, Apr 16, 2026 9:15 PM
30 $313.57
Rental - Hourly $85.00 / Hour x 3.25 $276.25
Rental - Weekday Event Assistant (4P-12A) $22.20 / Hour x 3.25 $72.15
Resident Discount -10% (YCC & SCC) -10% x 1
-$34.83
Thu, May 21, 2026 6:00 PM Thu, May 21, 2026 9:15 PM
30 $313.57
Rental - Hourly $85.00 / Hour x 3.25 $276.25
Rental - Weekday Event Assistant (4P-12A) $22.20 / Hour x 3.25 $72.15
Resident Discount -10% (YCC & SCC) -10% x 1
-$34.83
Resource level fees
$250.00
Deposit $250.00 / Each x 1 $250.00
Waivers and Information
INFORMATION DESCRIPTION SIGNING STATUS
Proof of Liability Insurance Checked
WAIVER NAME DUE DATE FOR SIGNING STATUS
Facility Usage Waiver Sep 16, 2025 Waiver Signed
Facility user hereby agrees to indemnify, defend and hold harmless City of Yucaipa, its officers, officials, employees and volunteers from and against all claims, damages, losses and expenses that may arise during or be caused in any way by such occupancy or use of facilities, but the facility user shall not be liable for any claims, damages, losses and expenses caused by the sole negligence or willful misconduct of the City of Yucaipa. Permittee shall have received any and all permission or license(s) as may be required to perform or use any protected materials in its use of the Premises. Permittee agrees to protect and save harmless the City, its elected officials, employees and agents from and against any and all claims, penalties, 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 requirements stated herein.
Deposit
EVENT
YVAA Tues
/Thurs
Monthly
Meetings
YVAA Tues
/Thurs
Monthly
Meetings
Signature
RESOURCE DEPOSIT FEE CHARGE TAX AMOUNT PAID REFUNDS BALANCE SrC Activity Deposit $50.00 $0.00 $50.00 $0.00 $0.00
Room
SrC Deposit $250.00 $0.00 $250.00 $0.00
Banquet
Room A/B
$0.00
# R7556 06/08SfiMCitTfeT4ahvA Agenda 2 _ge 3 of 4
Payment and Refund
RECEIPT #
DATE
1165450.002
Jul 24, 2025
1165450.002
Jul 24, 2025
1165450.002
Jul 24, 2025
1166137.002
Aug 19, 2025
1166137.002
Aug 19, 2025
2007368.002
Aug 19, 2025
Payment Schedules
DUE DATE
May 15, 2025
Jun 9, 2025
Sep 2, 2025
FEE DESCRIPTION
EVENT
RESOURCE
PAYMENT / REFUND
Deposit
YVAA Tues/Thurs
SrC Activity Room
$50.00
Monthly Meetings
Rental - Hourly
YVAA Tues/Thurs
SrC Activity Room
$100.00
Monthly Meetings
Deposit
YVAA Tues/Thurs
SrC Banquet
$250.00
Monthly Meetings
Room A/B
Rental - Hourly
YVAA Tues/Thurs
SrC Activity Room
$972.00
Monthly Meetings
Rental - Hourly
YVAA Tues/Thurs
SrC Banquet
$2,237.67
Monthly Meetings
Room A/B
Rental - Hourly
YVAA Tues/Thurs
SrC Activity Room
-$100.00
Monthly Meetings
Original Balance: $4,094.13 Current Balance: $584.46
AMOUNT DUE
AMOUNT PAID
WITHDRAWAL ADJUSTMENT
BALANCE
$3,335.38
$3,335.38
$0.00
$0.00
$432.00
$174.29
$0.00
$257.71
$326.75
$0.00
$0.00
$326.75
# R7556 06/08SfiMCitTfeT4abvA Agenda 2 age 4 of 4
ATTACHMENT 14
06/08/2026 City Council Agenda 240
CI�OF
City of Yucaipa Community Activity Grant
Event Reporting Financial Worksheet
Fiscal Year 2025-2026 Grants
*INCLUDE BACKUP DOCUMENTATION WITH REPORT INCL UDING:
COPIES OF CHECKS, COPIES OF INVOICESIQUO TES
Name of Organization: Yucaipa Valley Lions Club
Contact Name: Michele Beckman
Phone Number: (909)312-1363
Email: [email protected]
Description of Event/Project Funded: Peace Poster Contest youth art lessons and contest Total Cost to Operate Event/Project: $ 401 #jJA3,,Q-"V
Amount Granted by City: $ Section I (,Monetary) 00, Section 2 (In Kind) Justify City Grant Monetary Amount: (if applicable)
SECTION i - Attach proof of payment
CITY UP YUCAIPA
APR 5'26 Am8:29
Description
Item #
hate
(Please be specific. List vendor and purpose for each disbursement related ONLY to the grant amount. Provide proof of processed pav ment.) Amount
1. $
2. $
3. $
4. $
5. $
Justify
City Grant In -Kind Amount:
(if applicable)
SECTION 2
Description
Item #
Date
(Please be specific. List vendor and purpose for each disbursement related ONLY to the grant amount)
Amount
1. 10/2/25
Artist Bethanne Kiernan student art lessons
S 150
2. 9/13/25
Amazon: artist supplies
$44.37
3. 7/23/25
VistaPrint: poster for advertising
$67.95
4. 9/20/25, 9/27/25 4r
VCNS snacks & gas
s442.95
5. 10/2125
Michaels Crafts: prizes
s75.40
Total Disbursements (Justifying City Grant Monetary andlor In -Kind) Amount):
Q�G �
Monetary Grant Funds Remaining: $
Notes/comments/additional
information; In -Kind use of Yucaipa Community Center room on 9/20/25, 9/27/25, 1� PLEASE MAKE SURE TO PROVIDE BACK-UP RECEIPTS / PROOF OF PAYMENT TO JUSTIFY AMOUNTS AWARDED_ BY GRANT 06/08/2026 City Council Agenda .241
[IIl CIF
City of Yucaipa Community Activity Grant
I 9 Event/Program Summary
Fiscal Year 2025-2026 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:
1. Did the event/program meet the original intended goal? Yes. We had youth attend the free art guided lessons before the deadline for submissions
2. If funded in the future, what would the organization do differently? Different location, possibly YPAC.
3. What type of feedback did organization received from the participants? Loved it!
4- What other financial/in-kind contributions did the organxiation seek or receive to fund the event/program (separate from City funding)?
None
5. List the total number of residents served.
7 students participated in the free art lessons. 4 students entered the contest.
Attach copies of marketing/promotional materials for the event/program.
Notes/comments/additional information: Thanks for letting us use the room.
PLEASE SUBMIT. ALONG WITH EVENT REPORTING FINANCIAL WORKSHEET, TO THE CITY CLERK'S OFFICE
WITHIN ONE MONTH F LLOWING THE EVENTIPROGRAM
SUBMIT
06/08/2026 City Council Agenda 242
417126, 1:28 PM - Receipt #1164602.002 1 Ytacaipa Recreation Activities . - COMMUNITY ParksoKe SERVICES gefr fir.
Receipt #1164602.002
City of Yucaipa Community Services Receipt Date Jun 25. 2025 Email: [email protected] Fax: (909) 790-2589 Transaction Confirmation # 1164602.002 Phone: (909) 790-7460 Company ID 131
34272 Yucaipa Blvd Yucaipa, CA. 92399 Prepared By Karen Ruiz
YUCAIPA VALLEY LIONS CLUB, JANE VAN NORSTRAND
10961 DESERT LAWN DR. 992
CALIMESA, CA 92320
Yucaipa Valley Lions Club
10622 Bryant St Spc #152, Yucaipa, CA 92399
Subtotal $630.00
Yucaipa Valley Lions Club Youth Peace Poster
Contest Permit R7517
Resource: Kid's Club (Activity Room) at Yucaipa Community Center Charge item Unit OTY
Rental - Hourly Per Hour
Yucaipa Valley Lions Club Youth Peace Poster
Contest Permit R7517
Resource: Kid's Club (Activity Room) at Yucaipa CommunLty Center Charge item Unit QTY
Rental - Hourly Per Hour
Yucaipa Valley Lions Club Youth Peace Poster
Contest Permit R7517
Resource: Kid's Club (Activity Room) at Yucaipa Community Center Charge item Unit QTY
Rental - Hourly Per Hour
Payment Schedule
#1 Payment schedule for original balance of $693.00
Due date Amount due Amount paid
Sep 6, 2025 $693.00 $693,00
Payment Summary
#1 Paid on Account Balance
Unit fee Price
$252.00
#1 Paid on Account Balance
Unit fee Price
$252.00
#1 Paid on Account Balance
Unit fee Price
$126.aa
Total Charges $630.00
Total Payments $630.00
Balance $0.00
Withdrawal adjustment Balance
$0.00 $a.00
Balance $0.00
Due now $0.00
https:Ilanc.®of6&.t*26r>fityLCOuni3i6Wyemdipalauireceipt?receiptSiteld=2&from_original_cui=true&online=true&receiptld=MLl1PS3JGV111/..tlsiT4,1g2... 1/2
417126, 1:28 PM Receipt #1164602.002 1 Yucaipa Recreation Activities Payer: Yucaipa Valley Lions Club, Jane Van Nors#rand ID: 27260 Home phone: (909) 240-3491 Billing address: 10961 Desert Lawn Dr. 492, Callmesa, CA 92320
PAYMENT TYPE AMOUNT
credit Memo $630-00
Thank you for your continued patronage.
https://anc.(� tWaM aL@diasWbOtoaWipalauireceipt?receiptSiteld=2&from_original_cui=true&online=true&receiptld=MU1PS3JGVVV,24 pk92... 2/2
ATTACHMENT 15
06/08/2026 City Council Agenda 245
CITY OF
® City of Yucaipa Community Activity Grant
® Event Reporting Financial Worksheet
Fiscal Year 2023-2024 Grants
*INCLUDE BACK UP DOCUMENTATION WITH REPORT INCLUDING:
COPIES OF CHECKS, COPIES OF INVOICES/QUOTES
Name of Organization: Yucaipa Youth Basketball
Contact Name: Ryan Kerns
Phone Number: 909-910-1276
Email: [email protected]
Description of EventlProject Funded: 2023-2024 Jerseys
Total Cost to Operate Event/Project: $ 5080
C� �' OF VUCn1pA
jnp� 30126 pm! _1a 5
.Amount Granted by City: $ 1000 Section 1 (Monetary) $ 4080 Section 2 (In Kind) Justify City Grant illoneraq Amount: (if applicable)
SECTION 1 - Attach proof of payment
Description
Item # Date [Please be specific. List %endor and purpose for each disbursemeni related ONLY to the grant amount. Pro,. idr proof of processed pay men .} Amount
1. 7/24/2024 Payment provided to Augusta Sportswear. $ $10,995.00
2. $1,000 was applied to the total invoice to help provide uniforms $
3. to participants of YYB $
4. $
5. $
Justify City Grant In -Kind Amount: (if applicable)
SECTION 2
Description
Item # Date (Please be specific. List vendor and purpose for each disbursement related ONLY to the grant amount) Amount
I. YCC. Gym was used for referee clinics. Meeting rooms were s 4080 2, used to conduct board meetings s
3. Used from various dates throughout YYB season s
4- $
5. $
Total Disbursements (Justifying City Grant Monetary and/or Ira -Kind) Amount): $ 5080 Monetary Grant Funds Remaining: $ 0
Notes/commen tsladd itionai
information:
PLEASE MAKE SURE TO PROVIDE BACK-UP RECEIPTS I PROOF OF PAYMENT TO JUSTIFY AMOUNTS AWARDED BY GRANT 06/08/2026 City Council Agenda 246
CA Y OF
City of Yucaipa Community Activity Grant
I 9 ® 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; L Did the event/program meet the original intended goal:' Yes
2. If funded in the future, what would the organization do differently? We would use funds for more predictable expenditures. YYB had disputes with final invoice from supplier thus delay our invoice
3. What type of feedback did organization received from the participants? Positive feedback about our offerings. We also recived suggestions to help provide a better experience for our children
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.
550 Kids
Attach copies of marketing/promotional materials for the event/program.
Notes/comments/additional information:
PLEASE SUBMIT, ALONG WITH EVENT REPORTING FINANCIAL WORKSHEET. TO THE CITY CLERK'S OFFICE
WITHIN ONE MONTH FOLLOWING THE EVENTIPROGRAM
SUBMIT
06/08/2026 City Council Agenda 247
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06/08/2026 City Council Agenda 249
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PAGE 2591
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06/08/2026 City Council Agenda 250
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06/08/2026 City Council Agenda 251
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PAGE 5(9)
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06/08/2026 City Council Agenda 252
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06/08/2026 City Council Agenda 253
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06/08/2026 City Council Agenda 254
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PAGE 9i91
06/08/2026 City Council Agenda 255